RUTF (plumpy'nut) is designed to achieve rapid weight gain in children with severe wasting. This should take a few weeks at most. There is no rationale to give it to patient who are not wasted, even if they have TB.

Hi Andre, Thanks for the answer. Actually I'm talking about children with SAM and MAM with TB and MDRTB. It was my mistake don't mention it. As you know nutritional status of these children lie down between acute and cronic malnutrition once some of them were admited as SAM or MAM and after several months on TB treatment some continue with SAM or MAM. Also we don't know for how long they were malnourished before starting the treatment. I'm not using plumpy'nut, once they have some appetite. But their satiety is achieved too quick. I'm trying to use local products but in ambulatory there are some constrains apart from the logistic ones. I have some Plumpy nut units available and this is the reason of my question. Thanks