generally provided as powdered mixes which are reconstituted with water. The WHO recommends the use of these formulas, with the gradual introduction of other foods, until the child approaches a normal weight. Effectiveness Ready to use therapeutic food within the person's own home for the treatment of severe acute malnutrition in children under five years of age may be effective at improving weight gain and recovery when compared to alternative dietary approaches. The effectiveness of ready to use therapeutic food on potential relapses or on overall mortality is not clear. As of 2013, Plumpy'Nut had been used to relieve malnutrition in thousands of African children, gaining approval as a therapeutic food from the World Health Organization. Examples K-Mix 2, a high energy food, developed by UNICEF in the 1960s Citadel spread, a paste of peanuts, oil, sugar and milk powder in use since 1971 Plumpy'nut, a solid RUTF, made in France since 1996 for treatment of severe acute malnutrition Medika Mamba, an enriched peanut butter therapeutic food produced and distributed by Meds and Food for Kids in Haiti since 2003 BP-100, a nutrient-fortified wheat-and-oat bar designed to provide a similar nutritional profile to F-100 by the World Health Organization Nutribun, a fortified bread product developed by United States Agency for International Development and distributed under the Food for Peace program References Dietary supplements