Version July 2025
| Principle 1 | Quantify feeding intolerance primarily by stool or ostomy output, as well as hydration status. |
| Principle 2 | Assess feeding tolerance no more than twice per 24 hours. Advance feeds no more than once per 24-hour period. |
| Principle 3 | Typical enteral feeding goals are 150 to 200 mL/kg/day and 100 to 140 kcal/kg/day, provided that weight gain is adequate. |
| Principle 4 | If ostomy or stool output precludes advancing feeding volume at 20 kcal/ounce for 7 days, then may increase the caloric density of the formula. |
| Principle 5 | Reductions in parenteral nutrition support should be undertaken simultaneously with feeding advancement, provided that weight gain is adequate. |
