Lipid based nutrient supplements
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Lipid – based Nutrient Supplements. Heidi Sandige, MD. LNS = Lipid-based Nutrient Supplements. A family of products designed to deliver nutrients to vulnerable people. The majority of the energy provided is lipid based.

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Lipid – based Nutrient Supplements

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Lipid – based Nutrient Supplements

Heidi Sandige, MD

LNS = Lipid-based Nutrient Supplements

A family of products designed to deliver nutrients to vulnerable people. The majority of the energy provided is lipid based.

All LNS provide a range of vitamins and minerals, as well as energy, protein, and essential fatty acids.

LNS formulations can be tailored to meet the nutrient needs of specific groups and to fit in particular programmatic contexts.

Why LNS?

  • Simplicity (home use)

  • Ease of Use (no cooking)

  • Good storage

  • Safety

  • Effectiveness

How much LNS?

LNS Family


Ready-to-Use Therapeutic Food

Universal Formulation:

Peanut Paste

Milk Powder



Vitamin/Mineral Mix


For Severely Malnourished Children

100% of dietary needs

Distributed according to a medical model


Evidence Based



Programmatic Guidance exists

RUSF (s)

Ready-to-Use Supplementary Foods

Many Different Formulations

Many Different applications


Complement to the diet

Designed to Purpose

  • Micronutrient needs

  • Caloric needs


Active area of research

Evidence is accumulating

LNS to treat Moderate Acute Malnutrition

10 Years of Evidence

75 kcal/kg day

Reduced presentation of children with SAM

Becoming standard part of CMAM guidelines

LNS to Prevent Malnutrition

MSF in Niger 2010 “critical and significant effect on mortality”

Columbia reduced GAM

South Darfur significantly higher anthropometric indexes

UNHCR is developing operational guidance for refugee use

LNS to prevent Linear Stunting

  • Multiple ongoing studies: Malawi, Burkina Faso, Ghana, Bangladesh

    • Target

    • Amount

  • Key research finding – LNS does NOT decrease breast milk intake

LNS as part of HIV programming

Treatment of Wasting

Improve nutritional status of non-wasted individuals

Medication adherence

We’ve heard a lot about Sharing. . .

We’ve hear a lot about quality control . . .

We’ve heard a lot about promoting local agriculture and local capacity. . .

We’ve heard a lot about cost-effectiveness . . .

Thank you

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