Dr. Abhishek Shukla explained that refeeding syndrome is a serious metabolic disturbance that occurs when nutrition is suddenly reintroduced after prolonged starvation or severe malnutrition. During starvation, the body suppresses insulin, slows metabolism, and switches to fat and protein breakdown for survival. The moment carbohydrates are given suddenly, whether orally, enterally, or intravenously, basal insulin levels rise sharply, driving glucose along with potassium, phosphate, and magnesiu