Which supplementation is recommended as part of initial ED management?

• A. Magnesium and potassium
• B. Vitamin C and zinc
• C. Iron and folate
• D. Calcium and vitamin D

Answer: (D)

In initial ED management, addressing bone health is essential because many individuals with eating disorders have reduced bone mineral density from prolonged undernutrition and hormonal changes. Calcium provides the essential mineral for bone structure, and vitamin D improves calcium absorption and supports bone remodeling. Together, they help counteract bone loss during recovery and reduce fracture risk, which is a key part of comprehensive early management. Other supplements like magnesium and potassium, iron and folate, or vitamin C and zinc may be important in specific deficiencies or electrolyte considerations, but calcium with vitamin D is the foundational combination for protecting bone health during the early stages of treatment.