<prompt> All of the following are true about refeeding syndrome except:Occur with TPN only, not seen in enteral nutritionAssociated with increased risk of arrhythmiaOccur with rapid excessive feeding of patients with severe underlying malnutritionHypophosphatemia hypomagnesemia requires treatment  <response>: REFEEDING SYNDROME: - Potentially lethal condition - Occurs with rapid excessive feeding of patients with severe underlying malnutrition due to starvation, alcoholism, delayed nutritional suppo, anorexia nervosa massive weight loss in obese patients Pathophysiology - With refeeding, shift in metabolism from fat to carbohydrate substrate - Increased insulin release - Cellular uptake of electrolyte paicularly: - Phosphate - Hypophosphatemia - Magnesium - Hypomagnesemia - Potassium- Hypokalemia - Calcium- Hypocalcemia - Increased risk of arrhythmia, confusion, respiratory failure death due to dyselectrolytemia. 