Tailoring nutrition therapy to illness and recovery

Table 3 Post-ICU/postoperative targeted rehabilitation nutrition program (PEW’s daily program)

Exercise	Run and weight train 5 days/week
Nutrition	4000–5000 kcal/day
Calories	2 g/kg/day
Protein (whey, eggs)	(~ 2.0 g/kg body weight)
Supplements
Branch chain amino acids	10 g/night
HMB	3 g/day
Vitamin D	2000 IU/day
Fish oil	2 g/day
l-Carnitine	Daily
Stress B multivitamin complex	Daily
Alpha lipoic acid	600 mg BID
DHEA	100 mg/BID
β-alanine	4–5 g/day
Creatine	5 g/day first 6–12 months post ICU (or longer for potential benefits on cognition and muscle strength)
Glutamine	10 g BID first 3–6 months post ICU

Note: This is the author’s personal recovery program developed over 30 years of personal experience with illness, surgery, and ICU recovery. It is not suggested that this program is ideal for all recovering individuals. It is only meant as a suggestion to consider in recovery. Readers are encouraged to email the author (Paul.Wischmeyer@Duke.edu) with specific questions and evidence for particular elements of the program
BID twice daily, HMB β-hydroxy β-methylbutyrate

ISSN: 1364-8535