BACKGROUND: In India, 34% of annual estimated incident TB are attributed to undernutrition and the burden of very severe undernutrition among adults with TB is high. Patients with very severe undernutrition should not be provided and cannot tolerate high protein solid diet (called as TB diet in some hospitals). If we are to achieve the SDG 2030 targets to reduce TB deaths by 90% (when compared to 2015), we call for investment in facilities for therapeutic nutrition and inpatient care for those with very severe undernutrition at TB diagnosis. Therapeutic nutrition involves liquid formula feeds that can be prepared in hospital kitchen using available ingredients and is in line WHO and Central TB Division recommendations. This should be done in medical college hospitals and district head quarter hospitals. We have also used this opportunity to share the information and tools required for provision of therapeutic nutrition.