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Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Clinical Practice Guidelines,Nutrition,Related

Eating Disorder Calorie Progression “Bell Replacement Guidelines”

Eating Disorder Calorie Progression “Bell Replacement Guidelines” - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Nutrition, Related


Page 1 of 2
Contact Clinical Nutrition with questions.
Reference: Eating Disorders – Adult/Pediatric – Inpatient Clinical Practice Guideline
Calorie Progression “Bell Meal Replacement Guidelines”

NOTES: For patients with an eating disorder, Clinical Nutrition will determine the starting calorie level.
See nutrition assessment note for details.

1.5 kcal/mL oral nutritional supplement (ONS) (e.g., Boost Plus, Ensure Plus) should be presented to patient
pre-measured, in a cup without nutrition information visible.

800 Calorie Meal Plan
3 meals of ~270 kcal
0 snacks
1000 Calorie Meal Plan
3 meals of ~340 kcal
0 snacks
1.5 kcal/mL oral nutrition supplement replacement: 1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 6 oz If pt eats <50% of MEAL 7.5 oz
If pt eats 50-99% of MEAL 3 oz If pt eats 50-99% of MEAL 4 oz
If pt eats <50% of SNACK NA If pt eats <50% of SNACK NA
If pt eats 50-99% of SNACK NA If pt eats 50-99% of SNACK NA


1200 Calorie Meal Plan
3 meals of ~400 kcal
0 snacks
1400 Calorie Meal Plan
3 meals of ~400 kcal
1 snack (8pm) of ~200 kcal
1.5 kcal/mL oral nutrition supplement replacement: 1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 9 oz If pt eats <50% of MEAL 9 oz
If pt eats 50-99% of MEAL 4.5 oz If pt eats 50-99% of MEAL 4.5 oz
If pt eats <50% of SNACK NA If pt eats <50% of SNACK 4.5 oz
If pt eats 50-99% of SNACK NA If pt eats 50-99% of SNACK 2.5 oz


1600 Calorie Meal Plan
3 meals of ~400 kcal
2 snacks (3pm & 8pm) of ~200 kcal
1800 Calorie Meal Plan
3 meals of ~400 kcal
3 snacks of ~200 kcal
1.5 kcal/mL oral nutrition supplement replacement: 1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 9 oz If pt eats <50% of MEAL 9 oz
If pt eats 50-99% of MEAL 4.5 oz If pt eats 50-99% of MEAL 4.5 oz
If pt eats <50% of SNACK 4.5 oz If pt eats <50% of SNACK 4.5 oz
If pt eats 50-99% of SNACK 2.5 oz If pt eats 50-99% of SNACK 2.5 oz


2000 Calorie Meal Plan
3 meals of ~450 kcal
3 snacks of ~220 kcal
2200 Calorie Meal Plan
3 meals of ~500 kcal
3 snacks of ~240 kcal
1.5 kcal/mL oral nutrition supplement replacement: 1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 10 oz If pt eats <50% of MEAL 11 oz
If pt eats 50-99% of MEAL 5 oz If pt eats 50-99% of MEAL 5.5 oz
If pt eats <50% of SNACK 5 oz If pt eats <50% of SNACK 5.5 oz
If pt eats 50-99% of SNACK 2.5 oz If pt eats 50-99% of SNACK 3 oz

*If a patient is consistently taking 100% supplements at calorie levels > 2200 kcal/day, consider using a carbohydrate
modular additive or switching to a different enteral formula to achieve daily calorie goals without micronutrient excess.
Copyright © 201� University of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM @uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org

Page 2 of 2
Contact Clinical Nutrition with questions.
Reference: Eating Disorders – Adult/Pediatric – Inpatient Clinical Practice Guideline
2400 Calorie Meal Plan
3 meals of ~530 kcal
3 snacks of ~270 kcal
2600 Calorie Meal Plan
3 meals of ~570 kcal
3 snacks of ~300 kcal
1.5 kcal/mL oral nutrition supplement replacement: 1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 12 oz If pt eats <50% of MEAL 13 oz
If pt eats 50-99% of MEAL 6 oz If pt eats 50-99% of MEAL 6.5 oz
If pt eats <50% of SNACK 6 oz If pt eats <50% of SNACK 6.5 oz
If pt eats 50-99% of SNACK 3 oz If pt eats 50-99% of SNACK 4 oz
2800 Calorie Meal Plan
3 meals of ~630 kcal
3 snacks of ~310 kcal
3000 Calorie Meal Plan
3 meals of ~660 kcal
3 snacks of ~340 kcal
1.5 kcal/mL oral nutrition supplement replacement: 1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 14 oz If pt eats <50% of MEAL 15 oz
If pt eats 50-99% of MEAL 7 oz If pt eats 50-99% of MEAL 7.5 oz
If pt eats <50% of SNACK 7 oz If pt eats <50% of SNACK 7.5 oz
If pt eats 50-99% of SNACK 3.5 oz If pt eats 50-99% of SNACK 4 oz
3200 Calorie Meal Plan
3 meals of ~720 kcal
3 snacks of ~350 kcal
3400 Calorie Meal Plan
3 meals of ~760 kcal
3 snacks of ~380 kcal
1.5 kcal/mL oral nutrition supplement replacement: 1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 16 oz If pt eats <50% of MEAL 17 oz
If pt eats 50-99% of MEAL 8 oz If pt eats 50-99% of MEAL 8.5 oz
If pt eats <50% of SNACK 8 oz If pt eats <50% of SNACK 8.5 oz
If pt eats 50-99% of SNACK 4 oz If pt eats 50-99% of SNACK 5 oz
3600 Calorie Meal Plan
3 meals of ~800 kcal
3 snacks of ~400 kcal
3800 Calorie Meal Plan
3 meals of ~850 kcal
3 snacks of ~420 kcal
1.5 kcal/mL oral nutrition supplement replacement: 1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 18 oz If pt eats <50% of MEAL 19 oz
If pt eats 50-99% of MEAL 9 oz If pt eats 50-99% of MEAL 9.5 oz
If pt eats <50% of SNACK 9 oz If pt eats <50% of SNACK 9.5 oz
If pt eats 50-99% of SNACK 4.5 oz If pt eats 50-99% of SNACK 5 oz
4000 Calorie Meal Plan
3 meals of ~900 kcal
3 snacks of ~440 kcal
1.5 kcal/mL oral nutrition supplement replacement:
If pt eats <50% of MEAL 20 oz
If pt eats 50-99% of MEAL 10 oz
If pt eats <50% of SNACK 10 oz
If pt eats 50-99% of SNACK 5 oz
Copyright © 201� University of Wisconsin Hospital s and Clinics Authority
Contact: Lee Vermeulen, CCKM @uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org