Pilot Study of PUFA-optimized RUTF for Severe Acute Malnutrition

Inclusion Criteria: * kwashiorkor and/or marasmus * 6-59 months of age * lives in local area near enrollment site Exclusion Criteria: * recent (\<4 months) therapeutic feeding for moderate or severe acute malnutrition * chronic medical condition (eg, Down syndrome, other congenital syndrome, chronic heart disease) that may make feeding and growth difficult (not to include HIV or TB) * caretaker refusal of 2 blood draws * ineligibility for outpatient therapy (ie, severe illness or anorexia requiring inpatient therapy) * caretaker expresses plans to move away from local area of clinic, making followup difficult