Anorexia Treatment (1 Letter) - NYTimes.com Re "Protocol to Treat Anorexia Is Faulted" (Jan. 3): The study by researchers at the University of California, San Francisco, demonstrated that anorexic patients were losing weight in hospital on the standard treatment, a "start low (in calories) and go slow" meal plan. This approach is currently recommended by most of the major organizations guiding the treatment of eating disorders. Quotes from an anonymous patient who felt full after eating a carrot and a spokesman from the very organization which penned the lower calorie recommendations cannot controvert this finding: Young people were starving further while physicians were trying to follow the recommendations. Our program and others around the world have been using higher-calorie meal plans safely and effectively for years. While it is true that more work is needed to identify optimal approaches to feeding these patients, this study reminded us of our obligation to "first do no harm." Michael Kohn, M.D. Sydney, Australia The writer is the director of Total Health Care.