TM
PRODUCT GUIDE
2017
WELCOME TO
NESTLÉ HEALTH
SCIENCE
Nestlé Health Science is your strategic partner
in enhancing the quality of patient care through
comprehensive nutritional solutions. Our range
of solutions helps your patients whether their
goal is to manage their disease, recover better
and faster, or stay healthy.
Our range of products addresses standard and
disease-specific nutritional needs and our related
services include healthcare professional education.
Nestlé Health Science is a wholly owned subsidiary
of Nestlé S.A.
TM
WWW.NESTLEHEALTHSCIENCE.CA
PHONE: 1 800 565-1871
TABLE OF CONTENTS
ALPHABETIZED
PRODUCTS
PAGE
Beneprotein® .............................................................................................................8
Boost® Original.........................................................................................................10
Boost® Diabetic.......................................................................................................12
Boost® High Protein ............................................................................................14
Boost® Just Protein™ ..........................................................................................16
Boost® Plus Calories.............................................................................................18
Boost® Fruit Flavoured Beverage..............................................................20
Boost® Pudding ....................................................................................................22
Boost® 1.5 ...................................................................................................................24
Carnation® Breakfast EssentialsTM Powder .........................................26
Carnation® Breakfast EssentialsTM Ready-To-Drink ......................28
Compleat®.................................................................................................................30
Isosource® Fibre 1.2.....................................................34 - UPDATED 03.17
Isosource® Fibre 1.5.....................................................40 - UPDATED 03.17
Isosource® HN..........................................................................................................32
Isosource® HN Fibre............................................................................................ 34
Isosource® VHP Fibre Free..............................................................................36
Isosource® VHN.......................................................................................................38
Isosource® 1.5............................................................................................................40
Medium Chain Triglycerides (MCT Oil).................................................. 42
Microlipid®.................................................................................................................44
Novasource® Renal..............................................................................................46
Nutren® 1.5................................................................................................................. 48
Nutren® 2.0...............................................................................................................50
Optifast® 900 .........................................................................................................52
Peptamen®............................................................................................................... 54
Peptamen® with Prebio1TM ..............................................................................56
Peptamen® AF 1.2..................................................................................................58
Peptamen® 1.5.........................................................................................................60
Peptamen® Intense High Protein.................................................................62
Resource® Diabetic............................................................................................. 64
Resource® ThickenUp® Thickened Dairy Beverage...................... 66
Resource® ThickenUp® Thickened Juice Beverages.................... 68
Resource® ThickenUp® Thickened Water............................................ 70
Resource® ThickenUp® ....................................................................................72
Resource® ThickenUp® Clear.........................................................................74
Resource® 2.0...........................................................................................................76
Tolerex®........................................................................................................................78
Vivonex® Plus..........................................................................................................80
Vivonex® T.E.N. ......................................................................................................82
PEDIATRICS PRODUCTS
Compleat® Pediatric .......................................................................................... 84
Modulen® IBD.......................................................................................................... 86
Nutren® Junior ...................................................................................................... 88
Nutren® Junior Fibre..........................................................................................90
Peptamen® Junior ...............................................................................................92
Peptamen® Junior 1.5.........................................................................................94
Resource® Kid Essentials 1.5.......................................................................... 96
Vivonex® Pediatric®............................................................................................ 98
GENERAL INFORMATION
PAGE
Expiration Dates ................................................................................................ 100
Storage...................................................................................................................... 100
Hang Time ...............................................................................................................101
Good to Know
Lactose.................................................................................................................102
Gluten....................................................................................................................102
Fibre........................................................................................................................102
CalciLockTM........................................................................................................103
Kosher....................................................................................................................103
Halal.........................................................................................................................103
Good to Remember ........................................................................................104
Recommended Enteral Feeding Tube Sizes..................................105
Reimbursement Lists
Alberta Human Services Drug Benefit Supplement.............106
Québec Reimbursement List.................................................................108
Ontario Drug Benefit Formulary..........................................................110
Dietary Reference Intakes (DRIs)...............................................................112
TABLE OF CONTENTS
BY PRODUCT CATEGORY
PAGE
I. TUBE FEEDING FORMULAS
STANDARD FORMULAS
Isosource® Fibre 1.2...........................................34 - UPDATED 03.17
Isosource® HN................................................................................................32
Isosource® HN Fibre................................................................................. 34
BLENDERIZED FORMULA
Compleat®......................................................................................................30
CALORICALLY DENSE FORMULAS
Isosource® Fibre 1.5..........................................40 - UPDATED 03.17
Isosource® 1.5.................................................................................................40
Nutren® 2.0.....................................................................................................50
Nutren® 1.5....................................................................................................... 48
Resource® 2.0................................................................................................76
VERY HIGH PROTEIN FORMULAS
Isosource® VHN............................................................................................38
Isosource® VHP Fibre Free .................................................................36
DIABETIC FORMULAS
Resource® Diabetic...................................................................................64
RENAL FORMULA
Novasource® Renal...................................................................................46
SEMI-ELEMENTAL - ELEMENTAL FORMULAS
Peptamen®......................................................................................................54 Peptamen® with Prebio1TM.....................................................................56
Peptamen® AF 1.2........................................................................................58
Peptamen® 1.5...............................................................................................60
Peptamen® Intense High Protein......................................................62
Tolerex®..............................................................................................................78
Vivonex® Plus.................................................................................................80
Vivonex® T.E.N. .............................................................................................82
II. PEDIATRIC FORMULAS
Compleat® Pediatric ............................................................................... 84
Modulen® IBD................................................................................................ 86
Nutren® Junior ............................................................................................ 88
Nutren® Junior Fibre................................................................................90
Peptamen® Junior .....................................................................................92
Peptamen® Junior 1.5...............................................................................94
Resource® Kid Essentials 1.5................................................................ 96
Vivonex® Pediatric®.................................................................................. 98
III. ORAL SUPPLEMENTS
BOOST®
Boost® Original...............................................................................................10
Boost® Diabetic..............................................................................................12
Boost® High Protein....................................................................................14
Boost® Just Protein™.................................................................................16
Boost® Plus Calories...................................................................................18
Boost® Fruit Flavoured Beverage...................................................20
Boost® Pudding ..........................................................................................22
Boost® 1.5 ........................................................................................................24
PAGE
III. ORAL SUPPLEMENTS CONTINUED...
CARNATION® BREAKFAST ESSENTIALSTM
Carnation® Breakfast EssentialsTM Powder.................................26
Carnation® Breakfast EssentialsTM Ready-To-Drink...............28
WEIGHT LOSS
Optifast® 900.................................................................................................52
RESOURCE®
Resource® 2.0.................................................................................................76
Resource® Diabetic....................................................................................64
Novasource® Renal....................................................................................46
IV. DYSPHAGIA
Resource® ThickenUp® Thickened Dairy Beverage............ 66
Resource® ThickenUp® Thickened Juice Beverages.......... 68
Resource® ThickenUp® Thickened Water.................................. 70
Resource® ThickenUp® ..........................................................................72
Resource® ThickenUp® Clear...............................................................74
V. MODULARS
Beneprotein®.....................................................................................................8
Medium Chain Triglycerides (MCT Oil)....................................... 42
Microlipid®.......................................................................................................44
VI. GENERAL INFORMATION
Expiration Dates ......................................................................................100
Storage............................................................................................................100
Hang Time .....................................................................................................101
Good to Know
Lactose.......................................................................................................102
Gluten..........................................................................................................102
Fibre..............................................................................................................102
CalciLockTM..............................................................................................103
Kosher.........................................................................................................103
Halal..............................................................................................................103
Good to Remember ............................................................................ 104
Recommended Enteral Feeding Tube Sizes........................105
Reimbursement Lists
Alberta Human Services Drug Benefit Supplement.. 106
Québec Reimbursement List......................................................108
Ontario Drug Benefit Formulary................................................110
Dietary Reference Intakes (DRIs).....................................................112
2017
2017
BENEPROTEIN®
NUTRITIONAL INFORMATION
7 g*
Calories
25
Fat
0 g
Sodium
15 mg
Potassium 35 mg
Carbohydrate
0 g
Protein
6 g
Calcium
% Daily Value
0%
1%
2%
0%
2%
Not a significant source of saturated fat, trans fat, cholesterol, fibre, sugars, vitamin A, vitamin C, or iron.
* 1 scoop or packet
INGREDIENTS: WHEY PROTEIN ISOLATE (MILK), SOY LECITHIN.
This product is only suitable for individuals greater than 3 years old.
Beneprotein® instant protein powder is a modular whey protein
source. Each 7 g serving provides 6 g of protein. It can be added
to most foods, liquids and as a "protein flush" with tube feedings.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Increased protein requirements
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Kosher
Gluten Free
Lactose
Low Residue
25 Cal/7 g
100%
0%
0%
whey protein isolate (milk)
Y
Y
<0.5g/7g serving (not for
patients with galactosemia
Y
ORDERING INFORMATION
8
Item #
Product size
12151202
12166668
6 x 227 g canister
75 x 7 g packets
9
2017
2017
NUTRITIONAL INFORMATION
BOOST® ORIGINAL
The BOOST® family of products offers an extensive line
of nutrition formulas.
BOOST® Original is a great tasting, nutritionally complete,
meal replacement that can be used as a snack or as a meal.
For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Poor appetite
• Involuntary weight loss
• Malnutrition
• Reduced intake:
––When recovering from
illness or surgery
––During and after cancer
treatment
––After oral surgery
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
1.01 Cal/ml
17%
68%
15%
milk protein, soy protein isolate
sugar, glucose
vegetable oils (canola,
high oleic sunflower, corn)
197 ml/237 ml
780 m0sm/kg water
Y
Y
<0.5 g/237 ml (not for
patients with galactosemia)
Y
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
ORDERING INFORMATION
10
Item #
Product size
12113371
12113345
12113350
12113380
24
24
24
24
x
x
x
x
237
237
237
237
ml
ml
ml
ml
bottles
bottles
bottles
bottles
vanilla
chocolate
strawberry
chocolate latte
Vanilla Flavoured
Energy
Energy
Protein
Fat
Linoleic Acid
Linolenic Acid
Polyunsaturates
Monounsaturates
Saturates
Cholesterol
Carbohydrate
Sodium
Potassium
Manganese
Copper
Selenium
Chloride
Biotin
Choline
Chromium
Molybdenum
Calcium
Phosphorus
Magnesium
Iron
Zinc
Iodide
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Thiamine
Riboflavin
Niacin
Pantothenic Acid
Vitamin B6
Folacin
Vitamin B12
Units
Cal
kJ
g
g
g
g
g
g
g
mg
g
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
237 ml
240
1000
10
4
0.8
0.14
1
2.1
0.7
6.8
41
265
410
1.1
0.6
0.011
320
0.03
55
0.011
0.022
28
24
36
25
45
25
30
25
25
25
25
27
30
20
23
29
13
* Percentage of recommended daily intake
INGREDIENTS: WATER, SUGAR, GLUCOSE, MILK PROTEIN,
VEGETABLE OILS (CANOLA, HIGH OLEIC SUNFLOWER,
AND CORN OILS), SOY PROTEIN ISOLATE, SALT, ARTIFICIAL
FLAVOUR, MICROCRYSTALLINE CELLULOSE, SOY LECITHIN,
CARRAGEENAN, SODIUM CARBOXYMETHYL CELLULOSE,
DIMETHYLPOLYSILOXANE, VITAMINS (VITAMIN A PALMITATE,
VITAMIN D3, DL-ALPHA-TOCOPHERYL ACETATE, ASCORBIC
ACID, SODIUM ASCORBATE, THIAMINE HYDROCHLORIDE,
RIBOFLAVIN, NIACINAMIDE, PYRIDOXINE HYDROCHLORIDE,
FOLIC ACID, CALCIUM PANTOTHENATE, BIOTIN, CHOLINE
BITARTRATE),
MINERALS
(TRICALCIUM
PHOSPHATE,
POTASSIUM HYDROXIDE, SODIUM CITRATE, DIMAGNESIUM
PHOSPHATE TRIHYDRATE, POTASSIUM CITRATE, POTASSIUM
CHLORIDE, CALCIUM CARBONATE, FERROUS SULPHATE,
POTASSIUM IODIDE, MANGANESE SULPHATE, COPPER
SULPHATE, ZINC SULPHATE, SODIUM MOLYBDATE, SODIUM
SELENITE, CHROMIUM TRICHLORIDE).
CONTAINS MILK AND SOY.
11
2017
2017
BOOST® DIABETIC
The BOOST® family of products offers an extensive line
of nutrition formulas.
BOOST® Diabetic is a great tasting, nutritionally complete formula
designed to meet the needs of people with diabetes. A unique
and calorically balanced blend of protein, fat and carbohydrates.
Provides 17 g of carbohydrate per serving. For Oral Use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Diabetes
• Hyperglycemia
• Glucose intolerance
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate source
Fat Source
Dietary Fibre
Fibre Source
Sucralose
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
0.8 Cal/ml
34%
33%
33%
modified milk ingredients,
soy protein isolate
tapioca dextrin
canola, high oleic sunflower
and corn oils
3 g/237 ml
67 % FOS/inulin,
33 % Acacia Gum
40 mg/237 ml - vanilla/strawberry
45 mg/237 ml - chocolate
195 ml/237 ml
200 m0sm/kg water
Y
Y
<0.5 g/237 ml (not for
patients with galactosemia)
N
NUTRITIONAL INFORMATION
Vanilla Flavoured
Energy
Energy
Protein
Fat
Linoleic Acid
Linolenic Acid
Saturates
Carbohydrate
Sugar
Fibre
Sucralose
Sodium
Potassium
Calcium
Phosphorus
Magnesium
Iron
Zinc
Iodine
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Thiamine
Riboflavin
Niacin
Pantothenate
Vitamin B6
Folacin
Vitamin B12
Manganese Copper
Biotin
Chloride Selenium
Chromium Molybdenum Units
Cal
kJ
g
g
g
g
g
g
g
g
mg
mg
mg
mg
mg
mg
mg
mg
mg
RE
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
237 ml
190
790
16
7
1.1
0.2
1
17
0.5
3
40
125
350
280
260
54
2.5
3
0.05
210
0.0009
2.1
10.6
0.3
0.38
6.3
1.3
0.38
0.064
0.00021
0.95
0.32
0.026
115
0.004
0.0002
0.008
INGREDIENTS: WATER, MODIFIED MILK INGREDIENTS, TAPIOCA DEXTRIN,
VEGETABLE OILS (CANOLA, HIGH OLEIC SUNFLOWER, CORN), SOY PROTEIN
ISOLATE, ACACIA GUM, OLIGOFRUCTOSE, INULIN, VITAMINS (VITAMIN
A PALMITATE, VITAMIN D3, DL-ALPHA-TOCOPHERYL ACETATE, SODIUM
ASCORBATE, ASCORBIC ACID, THIAMINE HYDROCHLORIDE, RIBOFLAVIN,
NIACINAMIDE, CALCIUM PANTOTHENATE, PYRIDOXINE HYDROCHLORIDE,
BIOTIN, FOLIC ACID, CYANOCOBALAMIN), MINERALS (CALCIUM PHOSPHATE,
MAGNESIUM PHOSPHATE, POTASSIUM HYDROXIDE, POTASSIUM CITRATE,
POTASSIUM CHLORIDE, SODIUM CITRATE, FERROUS SULPHATE, ZINC
SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE),
CELLULOSE GUM, SODIUM CARBOXYMETHYL CELLULOSE, SOY LECITHIN,
SUCRALOSE, ARTIFICIAL FLAVOUR, CARRAGEENAN, DIMETHYLPOLYSILOXANE.
ORDERING INFORMATION
12
Item #
Product size
12159940
12159938
12159939
24 x 237 ml bottles vanilla
24 x 237 ml bottles chocolate
24 x 237 ml bottles strawberry
13
2017
2017
BOOST® HIGH PROTEIN
The BOOST® family of products offers an extensive line
of nutrition formulas.
BOOST® High Protein is a great tasting, nutritionally
complete formula with 15 g of protein per 237 ml that can
be used as a snack or as a meal. For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Chewing or swallowing
difficulties
• Fluid or volume
restrictions
• Poor appetite
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate source
Fat Source
Water content
Kosher
Gluten Free
Lactose
Low Residue
1.01 Cal/ml
25%
53%
22%
modified milk ingredients,
soy protein isolate
corn syrup, sugar
canola, high oleic sunflower
and corn oils
198 ml/237 ml
Y
Y
<0.5 g lactose/237 ml
(not for patients with
galactosemia)
Y
ORDERING INFORMATION
Item #
Product size
12159951
12159953
12159954
24 x 237 ml bottles chocolate
24 x 237 ml bottles strawberry
24 x 237 ml bottles vanilla
NUTRITIONAL INFORMATION
Vanilla Flavoured
Energy
Energy
Protein
Carbohydrate
Sugars
Fat
Polyunsaturates
Linoleic Acid
Linolenic Acid
Monounsaturates
Saturates
Cholesterol
Sodium
Potassium
Chloride
Manganese
Copper
Selenium
Molybdenum
Chromium
Biotin
Choline
Calcium
Phosphorus
Magnesium
Iron
Zinc
Iodide
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Thiamine
Riboflavin
Niacin
Pantothenate
Vitamin B6
Folacin
Vitamin B12
Units
Cal
kJ
g
g
g
g
g
g
g
g
g
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
237 ml
240
1000
15
32
15
6
1.2
0.8
0.14
2.7
1
7
250
400
350
1.2
0.6
0.012
0.025
0.012
0.04
55
34
27
36
32
44
25
45
30
25
25
46
31
35
20
23
36
13
INGREDIENTS: WATER, CORN SYRUP, MODIFIED MILK INGREDIENTS,
SUGAR, VEGETABLE OILS (CANOLA, HIGH OLEIC SUNFLOWER,
CORN), SOY PROTEIN ISOLATE, SALT, VITAMINS (VITAMIN A
PALMITATE, VITAMIN D3, DL-ALPHA-TOCOPHERYL ACETATE, SODIUM
ASCORBATE, ASCORBIC ACID,
THIAMINE HYDROCHLORIDE,
RIBOFLAVIN, NIACIN, CALCIUM PANTOTHENATE, PYRIDOXINE
HYDROCHLORIDE, BIOTIN, FOLIC ACID, CHOLINE BITARTRATE),
MINERALS (POTASSIUM CITRATE, POTASSIUM HYDRATE, POTASSIUM
CHLORIDE, TRICALCIUM PHOSPHATE, MAGNESIUM PHOSPHATE,
MAGNESIUM CHLORIDE, FERROUS SULPHATE, ZINC SULPHATE,
MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE,
SODIUM SELENITE, SODIUM MOLYBDATE, CHROMIUM TRICHLORIDE),
ARTIFICIAL FLAVOUR, CELLULOSE GEL AND GUM, SOY LECITHIN,
CARAGEENAN, STEVIA EXTRACT, DIMETHYLPOLYSILOXANE.
CONTAINS MILK AND SOY.
14
15
2017
2017
BOOST® JUST PROTEIN™
The BOOST® family of products offers an extensive line
of nutrition formulas.
NUTRITIONAL INFORMATION
Energy
Protein
Fat
Carbohydrate
Sodium
Potassium
Calcium
Units
21 g
Cal
80
g
18
g
0
g
1
mg
45
mg
105
mg
% Daily Value
0
0
2
3
6
Not a significant source of saturated fat, trans fat, cholesterol,
fibre, sugars, vitamin A, vitamin C, or iron.
INGREDIENTS: WHEY PROTEIN ISOLATE [99%],
SOY LECITHIN [1%].
CONTAINS MILK AND SOY.
This product is only suitable for individuals greater
than 3 years old.
BOOST® Just Protein™ is an unflavoured instant protein
powder that is a modular whey protein source. Each 21 g
serving provides 18 g of protein. It can be added to most
foods, liquids and as a "protein flush" with tube feedings.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Increased protein requirements
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Kosher
Gluten Free
Lactose Free
Low Residue
80 Cal/21 g
95%
5%
0%
whey protein isolate (milk)
Y
Y
N
Y
ORDERING INFORMATION
16
Item #
Product size
12322570
6 x 227 g canister
17
2017
2017
BOOST® PLUS CALORIES
The BOOST® family of products offers an extensive line
of nutrition formulas.
BOOST® Plus Calories is a great tasting, nutritionally
complete formula that can be used as a snack or as a meal.
It provides a concentrated calorie source in a limited volume
for patients with high energy needs. For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Fluid restriction / volume
sensitivity
• Increased energy needs
• Poor appetite
• Involuntary weight loss
• Malnutrition
• Reduced intake:
––When recovering from
illness or surgery
––During and after cancer
treatment
––After oral surgery
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
Inulin
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
1.52 Cal/ml
16%
49%
35%
milk protein, soy protein isolate,
calcium caseinate, sodium caseinate
glucose, sugar
canola, high oleic sunflower
and corn oils
3 g/237 ml
40% gum arabic,
60% FOS/inulin
0.6 g/237 ml
183 ml/237 ml
890 m0sm/kg water - vanilla/chocolate
850 m0sm/kg water - strawberry
Y
Y
<0.5 g/237 ml (not for
patients with galactosemia)
N
ORDERING INFORMATION
18
Item #
Product size
12113334
12113382
12113381
24 x 237 ml bottles vanilla
24 x 237 ml bottles chocolate
24 x 237 ml bottles strawberry
NUTRITIONAL INFORMATION
Vanilla Flavoured Units
Energy
Cal
Energy
kJ
Protein
g
Fat
g
Linoleic Acid
g
Linolenic Acid
g
Polyunsaturates
g
Monounsaturates
g
Saturates
g
Cholesterol
mg
Carbohydrate
g
Dietary Fibre
g
Sodium
mg
Potassium
mg
Calcium
mg
Phosphorus
mg
Magnesium
mg
Iron
mg
Zinc
mg
Iodine
mg
Vitamin A*
IU
Vitamin D
IU
Vitamin E
IU
Vitamin C
mg
Vitamin K
mg
Thiamine
mg
Riboflavin
mg
Niacin
mg
Pantothenic Acid mg
Vitamin B6
mg
Folic Acid
mg
Vitamin B12
mg
Manganese
mg
Copper
mg
Selenium
mg
Chloride
mg
Biotin
mg
Chromium
mg
Molybdenum
mg
Choline
mg
237 ml
100 ml
152
360
640
1510
5.9
14
5.9
14
0.97
2.3
0.17
0.4
1.4
3.3
3
7
0.63
1.5
4.2
10
19
45
1.27
3
84
200
152
360
148
350
127
300
42
100
1.9
4.5
1.9
4.5
0.016
0.038
422
1000
34
80
13
30
25
60
0.014
0.032
0.16
0.38
0.18
0.43
2.1
5
1.06
2.5
0.3
0.7
0.051
0.12
0.0009
0.0021
0.3
0.7
0.21
0.5
0.0076
0.018
115
272
0.032
0.075
0.013
0.03
0.008
0.019
23
55
* 50% as Beta-carotene
INGREDIENTS: WATER, GLUCOSE, SUGAR, VEGETABLE OILS
(CANOLA, HIGH OLEIC SUNFLOWER, AND CORN OILS), MILK PROTEIN,
SOY PROTEIN ISOLATE, CALCIUM CASEINATE, SODIUM CASEINATE,
GUM ARABIC, OLIGOFRUCTOSE, INULIN, SALT, SOY LECITHIN,
CARRAGEENAN, ARTIFICIAL FLAVOUR, DIMETHYLPOLYSILOXANE,
VITAMINS (VITAMIN A PALMITATE, BETA-CAROTENE, VITAMIN D3,
DL-ALPHA-TOCOPHERYL ACETATE, VITAMIN K1, ASCORBIC ACID,
SODIUM ASCORBATE, THIAMINE HYDROCHLORIDE, RIBOFLAVIN,
NICOTINAMIDE,
CALCIUM
PANTOTHENATE,
PYRIDOXINE
HYDROCHLORIDE, FOLIC ACID, BIOTIN, CYANOCOBALAMIN, CHOLINE
BITARTRATE), MINERALS (TRICALCIUM PHOSPHATE, DIMAGNESIUM
PHOSPHATE TRIHYDRATE, MAGNESIUM CHLORIDE, POTASSIUM
CHLORIDE, POTASSIUM CITRATE, POTASSIUM HYDROXIDE, FERROUS
SULPHATE, ZINC SULPHATE, COPPER SULPHATE, POTASSIUM
IODIDE, MANGANESE SULPHATE, CHROMIUM TRICHLORIDE, SODIUM
SELENITE, SODIUM MOLYBDATE).
CONTAINS MILK AND SOY.
19
2017
2017
BOOST® FRUIT
FLAVOURED BEVERAGE
The BOOST® family of products offers an extensive line
of nutrition formulas.
BOOST® Fruit Flavoured Beverage is a great tasting, nutritionally
complete clear liquid diet oral supplement; an alternative to milky
formulas. For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Clear liquid diet needs
• Fat malabsorption
• Involuntary weight loss
• Malnutrition
• Reduced intake:
––When recovering from
illness or surgery
––During and after cancer
treatment
––After oral surgery
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
0.76 Cal/ml
19%
78%
3%
whey protein isolate (milk)
liquid sugar
soybean oil
205 ml/237 ml
790 m0sm/kg water
Y
Y
<0.5 g/237 ml (not for
patients with galactosemia)
Y
NUTRITIONAL INFORMATION
Orange Flavoured Units
Energy
Cal
Energy
kJ
Protein
g
Fat
g
Linoleic Acid
g
Carbohydrate
g
Sodium
mg
Vitamin A
IU
Vitamin D
IU
Vitamin E IU
Thiamine
mg
Riboflavin
mg
Vitamin B6 mg
Niacin
mg
Vitamin C
mg
Vitamin B12
mg
Folic Acid
mg
Pantothenic Acid mg
Biotin mg
Vitamin K
mg
Iron
mg
Calcium
mg
Phosphorus
mg
Chloride
mg
Magnesium
mg
Iodine
mg
Copper
mg
Manganese
mg
Zinc
mg
Choline
mg
237 ml
100 ml
76 180
320
750
3.7
8.8
0.21
0.5
0.084
0.2
15
36
27
65
191
453
21
50
2.4
5.7
0.16
0.38
0.18
0.43
0.21
0.5
2.1
5
16
37.5
0.00063
0.0015
0.021
0.05
0.53
1.25
0.016
0.038
0.0038
0.009
0.95
2.25
33
79
84
200
53
125
17
40
0.0084
0.02
0.11
0.25
0.21
0.5
1.6
3.75
55
130
INGREDIENTS: WATER, LIQUID SUGAR, WHEY PROTEIN ISOLATE
(MILK), PHOSPHORIC ACID, MAGNESIUM GLUCONATE, CITRIC
ACID, SOYBEAN OIL, CHOLINE BITARTRATE, NATURAL FLAVOUR,
CALCIUM CHLORIDE, COLOUR, L-CYSTEINE, POLYGLYCEROL
ESTERS OF FATTY ACIDS, MANGANESE SULPHATE, FERROUS
SULPHATE (IRON), COPPER GLUCONATE, ZINC SULPHATE, VITAMIN
A PALMITATE, VITAMIN D3, DL-ALPHA TOCOPHERYL ACETATE,
VITAMIN K1, ASCORBIC ACID, THIAMINE HYDROCHLORIDE,
RIBOFLAVIN, NICOTINAMIDE, PYRIDOXINE HYDROCHLORIDE,
FOLIC ACID, CALCIUM PANTOTHENATE (PANTOTHENIC ACID),
CYANOCOBALAMIN, BIOTIN.
CONTAINS MILK AND SOY.
ORDERING INFORMATION
20
Item #
Product size
9521625
9521626
9521627
27 x 237 ml Tetra Brik® orange
27 x 237 ml Tetra Brik® peach
27 x 237 ml Tetra Brik® wild berry
21
2017
2017
BOOST® PUDDING
The BOOST® family of products offers an extensive line
of nutrition formulas.
BOOST® Pudding is great tasting and nutritionally complete
in a pudding format. It can be used as a snack or dessert.
For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Chewing or swallowing difficulties
• Fluid or volume restrictions
• Poor appetite
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Water content
Kosher
Gluten Free
Lactose
Low Residue
1.81 Cal/ml
12%
56%
32%
modified milk ingredients
corn maltodextrin, sugar,
modified corn starch
canola, high oleic sunflower,
corn oils
93 ml/142 g serving
Y
Y
<0.5 g/142 g (not for
patients with galactosemia)
Y
ORDERING INFORMATION
UNTIL FEBRUARY 2017
Item #
Product size
12224482
12224483
48 x 142 g cans chocolate
48 x 142 g cans vanilla
AFTER FEBRUARY 2017
Item #
Product size
12305999
12306040
48 x 142 g cans chocolate
48 x 142 g cans vanilla
NUTRITIONAL INFORMATION
Vanilla Flavoured
Energy
Energy
Protein
Carbohydrate
Sugar
Fat
Linoleic Acid
Vitamin A
Retinol
Beta-Carotene
Vitamin D
Vitamin E
Vitamin K
Vitamin C
Thiamine
Riboflavin
Niacin
Pantothenate
Vitamin B6
Biotin
Folic Acid
Vitamin B12
Choline
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Iron
Zinc
Manganese
Copper
Iodide
Selenium
Molybdenum
Chromium
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
100 g
160 670
4.8
23
10
5.6
1.2
585
300
285
56
10.6
0.014
25
0.14
0.2
2.1
1
0.3
0.035
0.06
0.0007
18
81
176
77
176
176
42
1.9
1.9
0.28
0.2
0.014
0.007
0.007
0.014
142 g
230
950
6.8
32
14
8
1.7
830
425
405
80
15
0.02
36
0.2
0.3
3
1.5
0.4
0.05
0.08
0.001
25
115
250
109
250
250
60
2.7
2.7
0.4
0.3
0.02
0.01
0.01
0.02
INGREDIENTS: WATER, CORN MALTODEXTRIN, SUGAR, MODIFIED
MILK INGREDIENTS, VEGETABLE OILS (CANOLA, HIGH OLEIC
SUNFLOWER, CORN), MODIFIED CORN STARCH, SALT, VITAMINS
(BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D3, DL-ALPHATOCOPHERYL ACETATE, VITAMIN K1, SODIUM ASCORBATE,
ASCORBIC ACID, THIAMINE HYDROCHLORIDE, RIBOFLAVIN,
NIACINAMIDE,
CALCIUM
PANTOTHENATE,
PYRIDOXINE
HYDROCHLORIDE, BIOTIN, FOLIC ACID, CYANOCOBALAMIN,
CHOLINE CHLORIDE), MINERALS (SODIUM PHOSPHATE,
POTASSIUM
CITRATE,
POTASSIUM
CHLORIDE,
CALCIUM
PHOSPHATE, MAGNESIUM PHOSPHATE, FERRIC PYROPHOSPHATE,
FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE,
COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE,
SODIUM
MOLYBDATE,
CHROMIUM
CHLORIDE),
SODIUM
STEAROYL-2-LACTYLATE, NATURAL AND ARTIFICIAL FLAVOUR,
CARRAGEENAN, STEVIA EXTRACT.
CONTAINS MILK.
22
23
2017
2017
NUTRITIONAL INFORMATION
BOOST® 1.5
The BOOST® family of products offers an extensive line of complete oral nutrition formulas.
BOOST® 1.5 is a great tasting, nutritionally complete
supplement that can be used as a snack or as a meal. It provides
concentrated calories in a limited volume for patients with high
energy needs. For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Fluid restriction / volume
sensitivity
• Increased energy needs
• Poor appetite
• Involuntary weight loss
• Malnutrition
• Reduced intake:
––When recovering from
illness or surgery
––During and after cancer
treatment
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
1.5 Cal/ml
14%
58%
28%
sodium and calcium caseinates
(milk), soy protein isolate
corn syrup, sugar
high oleic sunflower oil, canola oil
180 ml/237 ml
920 m0sm/kg water
Y
Y
Y (not for patients with galactosemia)
Y
ORDERING INFORMATION
24
Item #
Product size
9521637
9521638
9521639
27 x 237 ml Tetra Brik® vanilla
27 x 237 ml Tetra Brik® chocolate
27 x 237 ml Tetra Brik® strawberry
Vanilla Flavoured Units
Energy
Cal
Energy
kJ
Protein
g
Fat
g
Linoleic Acid
g
Carbohydrate
g
Vitamin A
IU
Vitamin D
IU
Vitamin E
IU
Thiamine
mg
Riboflavin
mg
Vitamin B6
mg
Niacin
mg
Vitamin C
mg
Vitamin B12
mg
Folic Acid
mg
Pantothenic Acid mg
Biotin
mg
Vitamin K
mg
Iron
mg
Calcium
mg
Phosphorus
mg
Sodium
mg
Potassium
mg
Chloride
mg
Magnesium
mg
Iodine
mg
Copper
mg
Manganese
mg
Zinc
mg
Choline
mg
Selenium
mg
Chromium
mg
Molybdenum
mg
100 ml
237 ml
151
359
630
1500
5.5
13
4.6
11
0.46
1.1
22
52
450
1067
42
100
3.2
7.5
0.25
0.6
0.29
0.68
0.34
0.8
3.4
8
15
36
0.001
0.0024
0.042
0.1
1.1
2.5
0.032
0.075
0.0084
0.02
1.9
4.5
127
300
105
250
131
310
194
460
143
340
42
100
0.016
0.038
0.21
0.5
0.21
0.5
2.5
6
42
100
0.0076
0.018
0.013
0.03
0.008
0.019
INGREDIENTS: WATER, CORN SYRUP, SUGAR, SODIUM CASEINATE
(FROM MILK), HIGH OLEIC SUNFLOWER OIL, SOY PROTEIN
ISOLATE, CANOLA OIL, CALCIUM CASEINATE, POTASSIUM
CITRATE, TRICALCIUM PHOSPHATE, NATURAL AND ARTIFICIAL
FLAVOUR, SODIUM CITRATE, SOY LECITHIN, MAGNESIUM
CHLORIDE, CELLULOSE GUM, MICROCRYSTALLINE CELLULOSE,
CHOLINE
CHLORIDE,
ASCORBIC
ACID,
CARRAGEENAN,
POTASSIUM HYDROXIDE, POTASSIUM CHLORIDE, ZINC SULPHATE,
FERROUS SULPHATE (IRON), ALPHA-TOCOPHERYL ACETATE,
NIACINAMIDE, CALCIUM PANTOTHENATE (PANTOTHENIC ACID),
COPPER GLUCONATE, MANGANESE SULPHATE, PYRIDOXINE
HYDROCHLORIDE, THIAMINE MONONITRATE, VITAMIN A
PALMITATE, RIBOFLAVIN, CHROMIUM CHLORIDE, FOLIC ACID,
BIOTIN, POTASSIUM IODIDE (IODINE), SODIUM MOLYBDATE
(MOLYBDENUM), SODIUM SELENITE (SELENIUM), VITAMIN K1,
CYANOCOBALAMIN, VITAMIN D3, DIMETHYLPOLYSILOXANE.
25
2017
2017
NUTRITIONAL INFORMATION
CARNATION®
BREAKFAST ESSENTIALSTM POWDER
Carnation® Breakfast EssentialsTM is a great tasting, nutritious and convenient breakfast.
Carnation® Breakfast EssentialsTM is a great tasting ready-to-mix
beverage; when mixed with milk, provides a source of protein and
an excellent source of calcium, vitamin D, iron and vitamin C per
serving. It can also be used with snacks or meals. For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Skipped breakfast meal
• Inadequate oral intake
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
Kosher
Gluten Free
Lactose Free
Low Residue
1.1 Cal/ml (mixed with whole milk)
20% (mixed with whole milk)
53% (mixed with whole milk)
27% (mixed with whole milk)
skim milk powder
skim milk powder, sugar,
corn maltodextrin, lactose
milk fat
3.0 g/serving
100% Prebio1TM (FOS/inulin)
Y
N
N
N
Vanilla Flavoured Amount Dry Powder† Prepared**
Calories
150
300
% Daily Value
Fat
0.1 g*
1 %
14 %
Saturated
0 g
0 %
27 %
+ Trans
0g
Cholesterol
5 mg
1 %
13 %
Sodium
115 mg
5 %
10 %
Potassium
340 mg
10 %
21 %
Carbohydrate
30 g
10 %
14 %
Fibre
3 g
12 %
12 %
Sugars
20 g*
Protein
7 g*
Vitamin A
50 %
60 %
Vitamin C
50 %
50 %
Calcium
20 %
50 %
Iron
50 %
50 %
Vitamin D
0 %
50 %
Thiamine
50 %
60 %
Riboflavin
60 %
90 %
Niacin
25 %
35 %
Vitamin B6
4 %
8%
Folate
0 %
6%
Vitamin B12
30 %
80 %
Pantothenate
8 %
20 %
Phosphorus
20 %
40 %
Iodine
25 %
25 %
Magnesium
10 %
25 %
Zinc
10 %
20 %
* Amount in dry mix.
** When prepared with 250 ml whole milk.
† Per 1/3 cup (40 g)
INGREDIENTS: SKIM MILK POWDER, SUGAR, CORN MALTODEXTRIN,
OLIGOFRUCTOSE/INULIN (PREBIO1TM), LACTOSE, ARTIFICIAL
FLAVOUR, CELLULOSE GUM, VITAMINS AND MINERALS
(VITAMIN A PALMITATE, ASCORBIC ACID, THIAMINE MONONITRATE,
RIBOFLAVIN, NIACINAMIDE, FERRIC ORTHOPHOSPHATE).
CONTAINS MILK. MAY CONTAIN SOY AND WHEAT.
ORDERING INFORMATION
26
Item #
Product size
11000129
11000127
11000128
12078564
11001248
12078741
11001249
6 x 880 g cans vanilla
6 x 880 g cans chocolate
6 x 880 g cans strawberry
6 x 10 x 40 g packets vanilla
6 x 10 x 40 g packets chocolate
6 x 10 x 40 g packets strawberry
6 x 10 x 40 g packets variety
27
2017
2017
NUTRITIONAL INFORMATION
CARNATION®
BREAKFAST ESSENTIALSTM READY-TO-DRINK
Carnation Breakfast Essentials is a great tasting, nutritious and convenient breakfast.
®
TM
Carnation® Breakfast EssentialsTM is a great tasting ready-to-drink
beverage. It is an excellent source of calcium, iron and vitamin D and
a source of protein. It can also be used with snacks or meals.
For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Skipped breakfast meal
• Inadequate oral intake
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
1.01 Cal/ml
17%
68%
15%
milk protein,
soy protein isolate
corn syrup, sugar
vegetable oils
(canola, sunflower, corn)
197 ml/237 ml
600 MmOsm/kg water
Y
Y
<0.5 g/237 ml (not for
patients with galactosemia)
Y
ORDERING INFORMATION
28
Item #
Product size
12302292
12159957
12159956
4 (6 x 237 ml) bottle vanilla
4 (6 x 237 ml) bottle chocolate
4 (6 x 237 ml) bottle strawberry
Vanilla Flavoured
Energy
Energy
Protein
Fat
Linoleic Acid
Linolenic Acid Polyunsaturates
Monounsaturates
Saturates
Cholesterol
Carbohydrate
Sugars
Sodium
Potassium
Manganese
Copper
Selenium
Chloride
Biotin
Choline
Chromium
Molybdenum
Calcium
Phosphorus
Magnesium
Iron
Zinc
Iodide
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Thiamine
Riboflavin
Niacin
Pantothenic Acid
Vitamin B6
Folacin
Vitamin B12
Units
Cal
kJ
g
g
g
g
g
g
g
mg
g
g
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
237 ml
240
1000
10
4
0.8
0.14
1
2.1
0.7
6.8
41
15
265
410
1.1
0.6
0.011
320
0.03
55
0.011
0.022
28
24
36
25
45
25
30
25
25
25
25
27
30
20
23
29
13
* Percentage of recommended daily intake
INGREDIENTS: WATER, CORN SYRUP, SUGAR, MILK PROTEIN, VEGETABLE OILS (CANOLA, SUNFLOWER AND CORN),
SOY PROTEIN ISOLATE, SALT, ARTIFICIAL FLAVOUR, STEVIA
LEAF EXTRACT, MICROCRYSTALLINE CELLULOSE, SODIUM
CARBOXYMETHYL CELLULOSE, SOY LECITHIN, CARRAGEENAN,
DIMETHYLPOLYSILOXANE, VITAMINS (VITAMIN A PALMITATE,
DL-ALPHA-TOCOPHERYL
ACETATE,
SODIUM
VITAMIN
D3,
ASCORBATE, ASCORBIC ACID, THIAMINE HYDROCHLORIDE,
RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PYRIDOXINE
HYDROCHLORIDE, BIOTIN, FOLIC ACID, CHOLINE BITARTRATE),
MINERALS (CALCIUM CARBONATE, TRICALCIUM PHOSPHATE,
DIMAGNESIUM PHOSPHATE TRIHYDRATE, POTASSIUM CITRATE,
POTASSIUM CHLORIDE, POTASSIUM HYDROXIDE, SODIUM CITRATE,
FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE,
COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM
MOLYBDATE, CHROMIUM TRICHLORIDE).
CONTAINS MILK AND SOY.
29
2017
2017
NUTRITIONAL INFORMATION
COMPLEAT®
The Compleat family of products offers unique, nutritionally
complete tube feeding formulas with ingredients from real food.
®
Compleat® is the ONLY tube feeding formula with real food
ingredients including chicken, carrots, peas, tomato, green beans,
peaches and cranberry juice. This formula contains a blend of fibre
and protein sources, and does not contain corn or soy ingredients.
For tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Short or long term
whole-protein tube
feeding needs
• Convenient alternative to
homemade tube feeding
• Nutrient-rich base for
home blenderized tube
feeding
• Bowel function
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre source
n6:n3 ratio
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
Meets DRI for
25 micronutrients
1.06 Cal/ml
18%
48%
34%
milk protein, dried chicken meat,
pea protein isolate
brown rice syrup, fruit and vegetable ingredient
blend including: tomato paste, peach purée
concentrate, dried green beans, dried green
peas, dried carrots, cranberry juice concentrate
canola oil
8 g/1000 ml
35% acacia gum, oligofructose,
inulin; 65% vegetable fibre
3.0:1
830 ml/1000 ml
450 m0sm/kg water
N
Y
<0.5 g lactose per 100 mL
(not for patients with galactosemia)
N
1400 mL (see page 112)
ORDERING INFORMATION
30
Item #
Product size
12303988
12303987
24 x 250 ml Tetra Prisma®
6 x 1.0 L ULTRAPAK®
Energy
Energy Protein Carbohydrate Fibre
Fat
Linoleic Acid
Vitamin A
Retinol
Beta Carotene
Vitamin D Vitamin E
Vitamin K Vitamin C
Thiamine
Riboflavin
Niacin Pantothenic Acid
Vitamin B6
Biotin
Folic Acid
Vitamin B12
Choline
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Iron
Zinc
Manganese
Copper
Iodine
Selenium
Molybdenum
Chromium
Taurine
L-Carnitine
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
250 ml
100 ml
106
265
440
1110
4.8
12
13
33
0.8
2
4
10
0.52
1.3
360
900
200
500
160
400
56
140
3.2
8
0.01
0.025
24
60
0.16
0.4
0.2
0.5
1.44
3.6
1.2
3
0.28
0.7
0.004
0.01
0.02
0.05
0.0008
0.002
44
110
100
250
156
390
88
220
88
220
84
210
30
75
1.3
3.2
2
5
0.32
0.8
0.16
0.4
0.012
0.03
0.006
0.015
0.012
0.03
0.014
0.035
12
30
12
30
INGREDIENTS: WATER, BROWN RICE SYRUP, MILK PROTEIN,
CANOLA OIL, DRIED CHICKEN MEAT, TOMATO PASTE, PEACH PURÉE
CONCENTRATE, PEA PROTEIN ISOLATE, DRIED GREEN BEANS, PEA
FIBRE, DRIED GREEN PEAS, DRIED CARROTS, ACACIA GUM, CRANBERRY
JUICE CONCENTRATE, OLIGOFRUCTOSE, SALT, INULIN, ROSEMARY
EXTRACT, L-CARNITINE, TAURINE, VITAMINS (BETA-CAROTENE,
VITAMIN A PALMITATE, VITAMIN D3, DL-ALPHA TOCOPHERYL
ACETATE, VITAMIN K1, SODIUM ASCORBATE, ASCORBIC ACID,
THIAMINE HYDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM
PANTOTHENATE, PYRIDOXINE HYDROCHLORIDE, BIOTIN, FOLIC
ACID, CYANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (SODIUM
CITRATE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, POTASSIUM
HYDRATE, TRICALCIUM PHOSPHATE, TRIMAGNESIUM PHOSPHATE,
MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE,
MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE,
SODIUM SELENATE, SODIUM MOLYBDATE, CHROMIUM TRICHLORIDE),
SILICON DIOXIDE, CITRIC ACID, DIMETHYLPOLYSILOXANE.
CONTAINS MILK.
31
2017
2017
ISOSOURCE® HN
The Isosource family of products offers an extensive line
of whole-protein, complete balanced nutrition formulas.
®
Isosource® HN is a 1.2 Cal/ml, high protein formula with 18% of
calories from protein. This formula is fibre free. For oral and tube
feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein tube feeding needs
• Elevated calorie needs
• Fibre restriction/contraindication
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
22 micronutrients
1.2 Cal/ml
18%
51%
31%
soy protein isolate, sodium caseinate (milk)
corn syrup, maltodextrin
canola oil, MCT (coconut and/or
palm kernel oil)
2.4:1
20:80
809 ml/1000 ml
520 mOsm/kg water - ULTRAPAK®
460 mOsm/kg water - Tetra Prisma®
Y
Y
Y (not for patients with galactosemia)
Y
1500 mL (see page 112)
ORDERING INFORMATION
32
Item #
Product size
12160616
12154798
24 x 250 ml Tetra Prisma®
4 x 1.5 L ULTRAPAK®
NUTRITIONAL INFORMATION
Tetra Prisma®
Units
Energy
Cal
Energy kJ
Protein g
Carbohydrate g
Fat
g
Linoleic Acid
g
Vitamin A
IU
Vitamin D IU
Vitamin E
IU
Vitamin K mg
Vitamin C
mg
Thiamine
mg
Riboflavin
mg
Niacin mg
Vitamin B6
mg
Folic Acid
mg
Pantothenic Acid mg
Vitamin B12
mg
Biotin
mg
Choline
mg
Calcium
mg
Phosphorus
mg
Magnesium
mg
Zinc
mg
Iron
mg
Copper
mg
Manganese
mg
Iodine
mg Sodium
mg
Potassium
mg
Chloride
mg
Chromium
mg
Molybdenum
mg
Selenium
mg
250 ml
100 ml
120
300
500
1250
5.3
13.3
15.2
38
4.2
10.5
0.4
1
330
825
27
68
3
7.5
0.0064
0.016
20
50
0.2
0.5
0.23
0.58
2.7
6.8
0.27
0.68
0.027
0.067
1.3
3.3
0.0008
0.002
0.04
0.1
33
83
100
250
100
250
27
67
1.7
4.2
1.2
3
0.13
0.33
0.2
0.5
0.016
0.04
110
275
180
450
100
250
0.012
0.03
0.008
0.019
0.007
0.018
INGREDIENTS: WATER, CORN SYRUP, SOY PROTEIN ISOLATE,
CANOLA OIL, SODIUM CASEINATE (FROM MILK), MEDIUM-CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL),
POTASSIUM CITRATE, CELLULOSE GUM, CHOLINE CHLORIDE,
TRICALCIUM PHOSPHATE, SODIUM CHLORIDE, TRIMAGNESIUM
PHOSPHATE,
MAGNESIUM
CHLORIDE,
SOY
LECITHIN,
CARRAGEENAN,
ARTIFICIAL
FLAVOUR,
MALTODEXTRIN,
POTASSIUM IODIDE (IODINE), VITAMIN A PALMITATE,
VITAMIN D3, DL-ALPHA TOCOPHERYL ACETATE (VITAMIN E),
VITAMIN K1, SODIUM ASCORBATE (VITAMIN C), RIBOFLAVIN,
THIAMINE
HYDROCHLORIDE,
NIACINAMIDE,
PYRIDOXINE
HYDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE
(PANTOTHENIC ACID), CYANOCOBALAMIN, BIOTIN, FERROUS
SULPHATE (IRON), MANGANESE SULPHATE, ZINC SULPHATE,
SODIUM SELENATE (SELENIUM), CHROMIUM CHLORIDE,
SODIUM MOLYBDATE (MOLYBDENUM), COPPER GLUCONATE,
DIMETHYLPOLYSILOXANE.
33
2017
2017
ISOSOURCE® HN FIBRE
The Isosource family of products offers an extensive line of whole-protein, complete balanced nutrition formulas.
®
Isosource® HN Fibre is a 1.2 Cal/ml, high protein formula
with 18% of calories from protein. This formula has a blend
of partially hydrolyzed guar gum and soy fibre. For oral and
tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein tube feeding needs
• Elevated calorie needs
• Bowel function
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
22 micronutrients
1.2 Cal/ml
18%
51%
31%
soy protein isolate, sodium caseinate (milk)
corn syrup, maltodextrin
canola oil, MCT (coconut and/or
palm kernel oil)
12 g/ 1000 ml
50% partially hydrolyzed
guar gum and 50% soy fibre
2.4:1
20:80
804 ml/1000 ml
530 mOsm/kg water
Y
Y
Y (not for patients with galactosemia)
N
1500 mL (see page 112)
ORDERING INFORMATION
34
Item #
Product size
12160617
12154797
24 x 250 ml Tetra Prisma®
4 x 1.5 L ULTRAPAK®
NUTRITIONAL INFORMATION
Energy
Energy Protein Carbohydrate Fat
Linoleic Acid
Vitamin A
Vitamin D Vitamin E
Vitamin K Vitamin C
Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Calcium
Phosphorus
Magnesium
Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
250 ml
100 ml
120
300
500
1250
5.3
13.3
15.7
39.3*
4.2
10.5
0.4
1
332
830
27
67
3
7.5
0.0064
0.016
20
50
0.2
0.5
0.23
0.57
2.7
6.7
0.27
0.67
0.027
0.067
1.32
3.3
0.0008
0.002
0.04
0.1
33
83
100
250
100
250
27
67
1.7
4.2
1.2
3
0.13
0.33
0.2
0.5
0.016
0.04
112
280
180
450
112
280
0.012
0.03
0.008
0.019
0.007
0.018
* Contains 1.5 g of soy fibre and 1.5 g of partially hydrolyzed guar gum per 250 ml
INGREDIENTS: WATER, CORN SYRUP, SOY PROTEIN ISOLATE,
CANOLA OIL, GROUND SOY COTYLEDON FIBRE, SODIUM
CASEINATE (FROM MILK), MEDIUM-CHAIN TRIGLYCERIDES (FROM
COCONUT AND/OR PALM KERNEL OIL), PARTIALLY HYDROLYSED
GUAR GUM, POTASSIUM CITRATE, TRICALCIUM PHOSPHATE,
DIMAGNESIUM PHOSPHATE, SODIUM CHLORIDE, CHOLINE
CHLORIDE, POTASSIUM CHLORIDE, SOY LECITHIN, MALTODEXTRIN,
MAGNESIUM CHLORIDE, POTASSIUM IODIDE (IODINE), VITAMIN
A PALMITATE, VITAMIN D3, DL-ALPHA TOCOPHERYL ACETATE
(VITAMIN E), VITAMIN K1, SODIUM ASCORBATE (VITAMIN C),
RIBOFLAVIN, THIAMINE HYDROCHLORIDE, NIACINAMIDE,
PYRIDOXINE
HYDROCHLORIDE,
FOLIC
ACID,
CALCIUM
PANTOTHENATE (PANTOTHENIC ACID), CYANOCOBALAMIN,
BIOTIN, FERROUS SULPHATE (IRON), MANGANESE SULPHATE,
ZINC SULPHATE, SODIUM SELENATE (SELENIUM), CHROMIUM
CHLORIDE, SODIUM MOLYBDATE (MOLYBDENUM), COPPER
GLUCONATE, DIMETHYLPOLYSILOXANE.
35
2017
UPDATE
UPDATE
ISOSOURCE® FIBRE 1.2
The Isosource family of products offer an extensive line of
whole-protein, nutritionally complete formulas.
®
Isosource® Fibre 1.2 is a 1.2 Cal/ml, whole-protein formula with 18% of
calories from protein. This formula also contains IS50™, a unique blend
of soluble and insoluble fibres. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein tube feeding needs
• Elevated calorie needs
• Bowel function
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
1.2 Cal/ml
18%
53%
29%
soy protein isolate, modified
milk ingredients (sodium and
calcium caseinate)
corn syrup, corn maltodextrin
canola oil, MCT (coconut
and/or palm kernel oil)
15.2 g/1000 ml
50% pea fibre and 50% oligofructose,
inulin, and acacia gum
2.4:1
20:80
804 ml/1000 ml
480 mOsm/kg water
Y
Y
Y (not for individuals with galactosemia)
N
1250 ml (see page 112)
ORDERING INFORMATION
Item #
Product size
12293858
12293877
24 x 250 ml Tetra Prisma®
4 x 1.5 L ULTRAPAK®
2017
NUTRITIONAL INFORMATION
Tetra Prisma®
Energy
Energy
Protein
Carbohydrates
Fibre
Fat
Linoleic Acid
Vitamin A
Retinol
Beta-Carotene
Vitamin D
Vitamin E
Vitamin K
Vitamin C
Thiamine
Riboflavin
Niacin
Pantothenic Acid
Vitamin B6
Biotin
Folic Acid
Vitamin B12
Choline
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Iron
Zinc
Manganese
Copper
Iodine
Selenium
Molybdenum
Chromium
Taurine
L-Carnitine
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
100 ml
120
500
5.4
16.4
1.5
4
0.6
426
213
213
48
3.6
0.0096
24
0.2
0.24
1.6
1.28
0.32
0.005
0.04
0.0006
48
112
192
130
96
96
33.6
1.4
1.6
0.37
0.16
0.012
0.006
0.012
0.0096
12
12
250 ml
300
1250
13.5
41
3.8
10
1.5
1066
533
533
120
9
0.024
60
0.5
0.6
4
3.2
0.8
0.012
0.1
0.0014
120
280
480
325
240
240
84
3.6
4
0.93
0.4
0.03
0.016
0.03
0.024
30
30
INGREDIENTS: WATER, CORN SYRUP, SOY PROTEIN ISOLATE,
CANOLA OIL, MODIFIED MILK INGREDIENTS, PEA FIBRE,
MEDIUM CHAIN TRIGLYCERIDES (FROM COCONUT AND/OR
PALM KERNEL OIL), ACACIA GUM, OLIGOFRUCTOSE, CORN
MALTODEXTRIN, INULIN, SALT, TAURINE, L-CARNITINE,
VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN
D3, DL-ALPHA-TOCOPHERYL ACETATE, VITAMIN K1, SODIUM
ASCORBATE, THIAMINE HYDROCHLORIDE, RIBOFLAVIN,
NIACINAMIDE, CALCIUM PANTOTHENATE, PYRIDOXINE
HYDROCHLORIDE, BIOTIN, FOLIC ACID, CYANOCOBALAMIN,
CHOLINE CHLORIDE), MINERALS (POTASSIUM CITRATE,
POTASSIUM CHLORIDE, TRICALCIUM PHOSPHATE, CALCIUM
CITRATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE,
FERROUS SULPHATE, ZINC SULPHATE, MANGANESE
SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM
SELENITE, SODIUM MOLYBDATE, CHROMIUM TRICHLORIDE),
SOY LECITHIN, CARRAGEENAN, DIMETHYLPOLYSILOXANE.
CONTAINS SOY AND MILK.
34 - UPDATED 03.17
UPDATED 03.17 - 35
2017
2017
ISOSOURCE® VHP FIBRE FREE
The Isosource family of products offers an extensive line of whole-protein, complete balanced nutrition formulas.
®
Isosource® VHP Fibre Free is a 1.0 Cal/ml, very high protein
formula with 25% of calories from protein. This formula is fibre
free. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein tube feeding needs
• Increased protein requirements
• Pressure ulcers
• Fibre restriction/contraindication
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
23 micronutrients
1.0 Cal/ml
25%
45%
30%
calcium-potassium caseinate (milk)
maltodextrin, sugar (Tetra Prisma®)
canola oil, MCT (coconut and/or
palm kernel oil)
2.4:1
25:75
850 ml/1000 ml
300 m0sm/kg water - ULTRAPAK®
350 m0sm/kg water - Tetra Prisma®
Y
Y
Y (not for patients with galactosemia)
Y
1300 mL (see page 112)
ORDERING INFORMATION
36
Item #
Product size
12160619
12172664
24 x 250 ml Tetra Prisma®
6 x 1.0 L ULTRAPAK®
NUTRITIONAL INFORMATION
Tetra Prisma®
Units
Energy
Cal
Energy kJ
Protein g
Carbohydrate g
Fat
g
Linoleic Acid
g
Water
g
Vitamin A*
IU
Vitamin D IU
Vitamin E
IU
Vitamin K mg
Vitamin C
mg
Thiamine
mg
Riboflavin
mg
Niacin mg
Vitamin B6
mg
Folic Acid
mg
Pantothenic Acid mg
Vitamin B12
mg
Biotin
mg
Choline
mg
Taurine
mg
L-Carnitine
mg
Calcium
mg
Phosphorus
mg
Magnesium
mg
Zinc
mg
Iron
mg
Copper
mg
Manganese
mg
Iodine
mg Sodium
mg
Potassium
mg
Chloride
mg
Chromium
mg
Molybdenum
mg
Selenium
mg
250 ml
100 ml
100
250
420
1050
6.2
15.6
11.3
28.3
3.4
8.5
0.37
0.93
84.5
211
500
1250
27
68
6
15
0.005
0.0125
34
85
0.3
0.75
0.24
0.6
2.8
7
0.4
1
0.054
0.135
1.4
3.5
0.0008
0.002
0.04
0.1
45
113
10
25
10
25
100
250
100
250
40
100
2.4
6
1.8
4.5
0.2
0.5
0.4
1
0.016
0.04
92
230
150
375
130
325
0.014
0.035
0.022
0.055
0.01
0.025
* 56% as Beta-carotene
INGREDIENTS: WATER, CALCIUM-POTASSIUM CASEINATE (FROM
MILK), MALTODEXTRIN, SUGAR, CANOLA OIL, MEDIUM-CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL
OIL), SOY LECITHIN, ARTIFICIAL FLAVOUR, CALCIUM CITRATE,
DIPOTASSIUM PHOSPHATE, MAGNESIUM CHLORIDE, SODIUM
CHLORIDE, SODIUM PHOSPHATE, SODIUM ASCORBATE (VITAMIN
C), CITRIC ACID, CHOLINE CHLORIDE, MAGNESIUM OXIDE, SODIUM
CITRATE, CARRAGEENAN, ALPHA TOCOPHERYL ACETATE
(VITAMIN E), POTASSIUM CITRATE, L-CARNITINE, TAURINE, ZINC
SULPHATE, FERROUS SULPHATE (IRON), NIACINAMIDE, CALCIUM
PANTOTHENATE (PANTOTHENIC ACID), MANGANESE SULPHATE,
VITAMIN A PALMITATE, PYRIDOXINE HYDROCHLORIDE, COPPER
SULPHATE, THIAMINE MONONITRATE, VITAMIN D3, RIBOFLAVIN,
BETA-CAROTENE, FOLIC ACID, CHROMIUM CHLORIDE, BIOTIN,
SODIUM MOLYBDATE (MOLYBDENUM), POTASSIUM IODIDE (IODINE),
SODIUM SELENATE (SELENIUM), VITAMIN K1, CYANOCOBALAMIN.
37
2017
2017
ISOSOURCE® VHN
The Isosource family of products offers an extensive line of whole-protein, complete balanced nutrition formulas.
®
Isosource® VHN is a 1.0 Cal/ml, very high protein formula with 25%
of calories from protein. This formula has a blend of partially
hydrolyzed guar gum and soy fibre. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein tube feeding needs
• Pressure ulcers
• Increased protein requirements
• Bowel function
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
24 micronutrients
1.0 Cal/ml
25%
50%
25%
sodium and calcium caseinates (milk)
maltodextrin
MCT (coconut and/or palm
kernel oil), canola oil, soybean oil
10.8 g/1000 ml
52% partially hydrolyzed
guar gum and 48% soy fibre
3.9:1
50:50
839 ml/1000 ml
355 mOsm/kg water - ULTRAPAK®
335 mOsm/kg water - Tetra Prisma®
Y
Y
Y (not for patients with galactosemia)
N
1500 mL (see page 112)
ORDERING INFORMATION
38
Item #
Product size
12160618
12154796
24 x 250 ml Tetra Prisma®
4 x 1.5 L ULTRAPAK®
NUTRITIONAL INFORMATION
Tetra Prisma®
Units
Energy
Cal
Energy kJ
Protein g
Carbohydrate g
Fat
g
Linoleic Acid
g
Vitamin A**
IU
Vitamin D IU
Vitamin E
IU
Vitamin K mg
Vitamin C
mg
Thiamine
mg
Riboflavin
mg
Niacin mg
Vitamin B6
mg
Folic Acid
mg
Pantothenic Acid mg
Vitamin B12
mg
Biotin
mg
Choline
mg
Taurine
mg
L-Carnitine
mg
Calcium
mg
Phosphorus
mg
Magnesium
mg
Zinc
mg
Iron
mg
Copper
mg
Manganese
mg
Iodine
mg Sodium
mg
Potassium
mg
Chloride
mg
Chromium
mg
Molybdenum
mg
Selenium
mg
250 ml
100 ml
100
250
420
1050
6.2
15.5
12.8
32*
2.9
7.3
0.4
1
288
720
27.2
68
4.8
12
0.005
0.0125
24
60
0.24
0.6
0.27
0.68
3.2
8
0.32
0.8
0.048
0.12
1.6
4
0.00096
0.0024
0.036
0.09
40
100
9.5
24
12.8
32
80
200
80
200
32
80
2.4
6
1.44
3.6
0.16
0.4
0.4
1
0.018
0.045
128
320
160
400
136
340
0.012
0.03
0.02
0.05
0.008
0.02
* Contains 1.3 g of soy fibre and 1.4 g of partially hydrolyzed guar gum per 250 ml
** 56% as Beta-carotene
INGREDIENTS: WATER, MALTODEXTRIN, SODIUM CASEINATE
(FROM MILK), CALCIUM CASEINATE, MEDIUM-CHAIN TRIGLYCERIDES
(FROM COCONUT AND/OR PALM KERNEL OIL), CANOLA OIL,
GROUND SOY COTYLEDON FIBRE, PARTIALLY HYDROLYSED
GUAR GUM, SOYBEAN OIL, POTASSIUM CITRATE, SODIUM CITRATE,
TRICALCIUM PHOSPHATE, ARTIFICIAL FLAVOUR, POTASSIUM
CHLORIDE, SOY LECITHIN, MAGNESIUM CHLORIDE, CHOLINE
CHLORIDE, SODIUM PHOSPHATE, L-CARNITINE, MAGNESIUM
OXIDE, POTASSIUM IODIDE (IODINE), VITAMIN A PALMITATE,
BETA-CAROTENE, VITAMIN D3, ALPHA TOCOPHERYL ACETATE
(VITAMIN E), VITAMIN K1, SODIUM ASCORBATE (VITAMIN C),
THIAMINE MONONITRATE, RIBOFLAVIN, NIACINAMIDE, PYRIDOXINE
HYDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE
(PANTOTHENIC ACID), CYANOCOBALAMIN, BIOTIN, TAURINE,
FERROUS SULPHATE (IRON), ZINC SULPHATE, COPPER SULPHATE,
MANGANESE SULPHATE, SODIUM SELENATE (SELENIUM),
CHROMIUM CHLORIDE, SODIUM MOLYBDATE (MOLYBDENUM),
CITRIC ACID, POTASSIUM HYDROXIDE.
39
2017
2017
ISOSOURCE® 1.5
The Isosource family of products offers an extensive line of whole-protein, complete balanced nutrition formulas.
®
Isosource® 1.5 is a 1.5 Cal/ml, high protein formula with 18% of calories from protein. This formula has a blend of partially
hydrolyzed guar gum and soy fibre. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein
tube feeding needs
• Volume intolerance
• Fluid restriction
• Elevated calorie needs
• Shortened feeding
schedules
• Bowel function
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
24 micronutrients
1.5 Cal/ml
18%
44%
38%
sodium and calcium caseinates (milk)
corn maltodextrin, sugar
canola oil, MCT (coconut and/
or palm kernel oil), soybean oil
7.2 g/1000 ml
50% partially hydrolyzed
guar gum and 50% soy fibre
3.5:1
30:70
776 ml/1000 ml
665 mOsm/kg water - ULTRAPAK®
610 mOsm/kg water - Tetra Prisma®
Y
Y
Y (not for patients with galactosemia)
N
1200 mL (see page 112)
ORDERING INFORMATION
40
Item #
Product size
12160615
12154801
24 x 250 ml Tetra Prisma®
4 x 1.5 L ULTRAPAK®
NUTRITIONAL INFORMATION
Tetra Prisma®
Units
Energy
Cal
Energy kJ
Protein g
Carbohydrate g
Fat
g
Linoleic Acid
g
Vitamin A**
IU
Vitamin D IU
Vitamin E
IU
Vitamin K mg
Vitamin C
mg
Thiamine
mg
Riboflavin
mg
Niacin mg
Vitamin B6
mg
Folic Acid
mg
Pantothenic Acid mg
Vitamin B12
mg
Biotin
mg
Choline
mg
Calcium
mg
Phosphorus
mg
Magnesium
mg
Zinc
mg
Iron
mg
Copper
mg
Manganese
mg
Iodine
mg Sodium
mg
Potassium
mg
Chloride
mg
Chromium
mg
Molybdenum
mg
Selenium
mg
Taurine
mg
L-Carnitine
mg
250 ml
100 ml
150
375
630
1570
6.8
16.9
17
42*
6.5
16.2
1.2
3
450
1125
43
107
6.4
16
0.0084
0.021
32
80
0.32
0.8
0.36
0.9
4.3
10.7
0.44
1.1
0.064
0.16
2.2
5.4
0.0013
0.0033
0.048
0.12
54
135
107
268
102
255
43
107
3.2
8
1.9
4.8
0.22
0.54
0.22
0.54
0.017
0.043
130
325
214
535
160
400
0.013
0.032
0.008
0.02
0.0076
0.019
11
27
11
27
* Contains 0.9 g of soy fibre and 0.9 g of partially hydrolyzed guar gum per 250 ml
** 50% as Beta-carotene
INGREDIENTS: WATER, CORN MALTODEXTRIN, SUGAR, SODIUM
CASEINATE (FROM MILK), CANOLA OIL, MEDIUM-CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL),
CALCIUM CASEINATE, SOYBEAN OIL, POTASSIUM CITRATE,
GROUND SOY COTYLEDON FIBRE, PARTIALLY HYDROLYSED
GUAR GUM, MAGNESIUM CHLORIDE, TRICALCIUM PHOSPHATE,
ARTIFICIAL FLAVOUR, SOY LECITHIN, CHOLINE CHLORIDE, SODIUM
CHLORIDE, SODIUM CITRATE, TRIMAGNESIUM PHOSPHATE,
L-CARNITINE, POTASSIUM IODIDE (IODINE), VITAMIN A PALMITATE,
VITAMIN D3, ALPHA-TOCOPHERYL ACETATE (VITAMIN E), VITAMIN
K1, BETA-CAROTENE, SODIUM ASCORBATE (VITAMIN C), THIAMINE
HYDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, PYRIDOXINE
HYDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE
(PANTOTHENIC ACID), CYANOCOBALAMIN, BIOTIN, TAURINE,
MANGANESE SULPHATE, FERROUS SULPHATE (IRON), ZINC
SULPHATE, SODIUM SELENATE (SELENIUM), CHROMIUM CHLORIDE,
SODIUM MOLYBDATE (MOLYBDENUM), COPPER GLUCONATE.
41
2017
UPDATE
UPDATE
ISOSOURCE® FIBRE 1.5
The Isosource family of products offer an extensive line of
whole-protein, nutritionally complete formulas.
®
Isosource® Fibre 1.5 is a 1.5 Cal/ml, whole-protein formula with 18% of
calories from protein. This formula also contains IS50™, a unique blend
of soluble and insoluble fibres. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein
tube feeding needs
• Volume intolerance
• Fluid restriction
• Elevated calorie needs
• Shortened feeding
schedules
• Bowel function
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
1.5 Cal/ml
18%
47%
35%
modified milk ingredients
(sodium and calcium
caseinate), soy protein isolate
corn syrup, corn
maltodextrin
canola oil, MCT (coconut
and/or palm kernel oil)
15.2 g/1000 ml
50% pea fibre and 50% oligofructose,
inulin, and acacia gum
2.4:1
20:80
765 ml/1000 ml
650 mOsm/kg water
Y
Y
Y (not for individuals with galactosemia)
N
1000 ml (see page 112)
2017
NUTRITIONAL INFORMATION
Tetra Prisma®
Energy
Energy
Protein
Carbohydrates
Fibre
Fat
Linoleic Acid
Vitamin A
Retinol
Beta-Carotene
Vitamin D
Vitamin E
Vitamin K
Vitamin C
Thiamine
Riboflavin
Niacin
Pantothenic Acid
Vitamin B6
Biotin
Folic Acid
Vitamin B12
Choline
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Iron
Zinc
Manganese
Copper
Iodine
Selenium
Molybdenum
Chromium
Taurine
L-Carnitine
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
100 ml
150
630
7
18
1.5
6
0.65
500
250
250
66
4.5
0.013
30
0.28
0.33
2.1
1.9
0.49
0.0068
0.055
0.0007
60
130
240
176
120
120
42
1.8
2
0.46
0.2
0.0152
0.008
0.015
0.012
16.8
16.8
250 ml
375
1570
17
45
3.8
15
1.6
1250
625
625
165
11
0.031
75
0.7
0.83
5.4
4.7
1.2
0.017
0.138
0.0018
150
325
600
440
300
300
105
4.5
5
1.2
0.5
0.038
0.02
0.038
0.03
42
42
ORDERING INFORMATION
INGREDIENTS: WATER, CORN SYRUP, CANOLA OIL, MODIFIED
MILK INGREDIENTS, SOY PROTEIN ISOLATE, MEDIUM CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL
OIL), PEA FIBRE, ACACIA GUM, OLIGOFRUCTOSE, INULIN,
SALT, CORN MALTODEXTRIN, TAURINE, L-CARNITINE,
VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN
D3, DL-ALPHA-TOCOPHERYL ACETATE, VITAMIN K1, SODIUM
ASCORBATE, THIAMINE HYDROCHLORIDE, RIBOFLAVIN,
NIACINAMIDE, CALCIUM PANTOTHENATE, PYRIDOXINE
HYDROCHLORIDE, BIOTIN, FOLIC ACID, CYANOCOBALAMIN,
CHOLINE CHLORIDE), MINERALS (POTASSIUM CITRATE,
POTASSIUM CHLORIDE, TRICALCIUM PHOSPHATE, CALCIUM
CITRATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE,
FERROUS SULPHATE, ZINC SULPHATE, MANGANESE
SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM
SELENITE, SODIUM MOLYBDATE, CHROMIUM TRICHLORIDE),
SOY LECITHIN, CARRAGEENAN, DIMETHYLPOLYSILOXANE.
Item #
Product size
CONTAINS MILK AND SOY.
12293859
12293880
24 x 250 ml Tetra Prisma®
4 x 1.5 L ULTRAPAK®
Dietary Fibre
Fibre Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
40 - UPDATED 03.17
UPDATED 03.17 - 41
2017
2017
MEDIUM CHAIN
TRIGLYCERIDES (MCT OIL)
NUTRITIONAL INFORMATION
Calories
Fat
Saturated
+ Trans
Carbohydrate
Protein
15 ml (14 g)*
120
14 g
14 g
0 g
0 g
0g
% Daily Value
22 %
70 %
0%
Not a significant source of cholesterol, sodium, fibre,
sugars, vitamin A, vitamin C, calcium or iron.
Not designed as a sole source of nutrition.
* 1 Tbsp
INGREDIENTS: MODIFIED COCONUT AND/OR
KERNEL OIL (MEDIUM CHAIN TRIGLYCERIDES).
PALM
MCT Oil is a modular Medium Chain Triglyceride (MCT) source for
patients who poorly digest or absorb conventional fats.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Defect in the intraluminal hydrolysis of fat (decreased pancreatic lipase, decreased bile salts)
• Defective mucosal fat absorption
(decreased mucosal permeability, decreased absorptive surface)
• Defective lymphatic transport of fat (i.e. intestinal lymphatic obstruction)
• Ketogenic Diet
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Fat Source
Water content
Kosher
Gluten Free
Lactose Free
7.7 Cal/ml
0%
0%
100%
MCT (modified coconut and/or
palm kernel oil)
0%
Y
Y
Y
ORDERING INFORMATION
42
Item #
Product size
9521498
6 x 946 ml bottles
43
2017
2017
NUTRITIONAL INFORMATION
MICROLIPID®
Units
Calories
kcal
Total Fat
g
Saturated Fat
g
Trans Fat
g
Polyunsaturated Fat g
Monounsaturated Fat g
Fatty Acid Distribution (% of Total Fat)
Saturated Fat
Polyunsaturated Fat
Monounsaturated Fat
P/S Ratio
1 Tbsp (15 ml)
67.5
7.5
0.75
0
5.6
1.1
10%
75%
15%
7.5:1
Not intended as a sole source of nutrition.
Microlipid® is a modular 50% fat emulsion for use in oral
and tube-feeding formulas.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Increased caloric
requirements
• Decreased carbohydrate
tolerance
• Fluid or volume restriction
• Ketogenic Diet
Safflower oil emulsion – providing 5.6 grams of
polyunsaturated fat per 15 ml serving. 50% fat emulsion
mixes easily and stays mixed with enteral formulas,
beverages and food.
INGREDIENTS: SAFFLOWER OIL, WATER, POLYGLYCEROL ESTERS
OF FATTY ACIDS, SOY LECITHIN, XANTHAN GUM, ASCORBIC ACID.
Microlipid® is a registered trade mark of Covidien AG
and is used under licence.
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Fat Source
Water content
Kosher
Gluten Free
Lactose Free
4.5 Cal/ml
0%
0%
100%
safflower oil
450 ml/1000 ml
Y
Y
Y
ORDERING INFORMATION
44
Item #
Product size
9519922
48 x 89 ml bottles
45
2017
2017
NOVASOURCE® RENAL
Novasource® Renal is a delicious, 2.0 Cal/ml formula
with 21.6 g of protein per 237 ml serving and lower potassium
and phospohorus levels for patients with renal impairment.
For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Acute renal failure
• Chronic renal failure
• Electrolyte restriction
• Fluid restriction
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
20 micronutrients
2.0 Cal/ml
18%
37%
45%
sodium and calcium caseinates (milk),
soy protein isolate
corn syrup, sugar
canola oil
2.2:1
717 ml/1000 ml
800 m0sm/kg water
Y
Y
Y (not for patients with galactosemia)
Y
1000 mL (see page 112)
ORDERING INFORMATION
46
Item #
Product size
12142257
12173786
27 x 237 ml Tetra Brik® vanilla
6 x 1.0 L ULTRAPAK®
NUTRITIONAL INFORMATION
Protein Fat
Linoleic Acid
Carbohydrate Energy
Energy Vitamin A*
Vitamin D Vitamin E
Thiamine
Riboflavin
Vitamin B6
Niacin Vitamin C
Vitamin B12
Folic Acid
Pantothenic Acid
Biotin
Vitamin K Iron
Calcium
Phosphorus
Sodium
Potassium
Chloride
Magnesium
Iodine Copper
Manganese
Zinc
Choline
Selenium
Chromium
Molybdenum
L-Carnitine
Taurine
Units
g
g
g
g
Cal
kJ
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
237 ml
100 ml
9.1
21.6
10
23.7
1.8
4.2
18.5
43.8
200
475
838
1987
300
712
40
94.8
3
7.2
0.17
0.39
0.36
0.86
0.85
2
2
4.8
6
14
0.0006
0.0015
0.1
0.24
1.1
2.5
0.005
0.012
0.008
0.019
1.8
4.3
84.4
200
83.5
198
95
225
95
225
80
190
19.8
47
0.015
0.036
0.22
0.52
0.42
1
2.2
5.2
55
130
0.011
0.026
0.012
0.028
0.0076
0.018
26.4
62.6
15
35.5
* 50% as Beta-carotene
INGREDIENTS: WATER, CORN SYRUP, CANOLA OIL, SODIUM
CASEINATE, CALCIUM CASEINATE, SOY PROTEIN ISOLATE, SUGAR,
ARTIFICIAL FLAVOUR, SOY LECITHIN, MICROCRYSTALLINE
CELLULOSE,
SODIUM
CARBOXYMETHYLCELLULOSE,
L-CARNITINE, POTASSIUM CITRATE, CITRIC ACID, TAURINE.
VITAMINS AND MINERALS: VITAMIN A PALMITATE, BETACAROTENE,
CHOLECALCIFEROL,
DL-ALPHA-TOCOPHERYL
ACETATE,
ASCORBIC
ACID,
FOLIC
ACID,
THIAMINE
HYDROCHLORIDE, RIBOFLAVIN, NICOTINAMIDE, PYRIDOXINE
HYDROCHLORIDE, CYANOCOBALAMIN, BIOTIN, D-CALCIUM
PANTOTHENATE, VITAMIN K1 (PHYTOMENADIONE), POTASSIUM
IODIDE, FERROUS SULPHATE, COPPER GLUCONATE, MANGANESE
SULPHATE, ZINC SULPHATE, CHROMIUM TRICHLORIDE, SODIUM
SELENITE, SODIUM MOLYBDATE, CALCIUM CARBONATE,
CHOLINE CHLORIDE, SODIUM CHLORIDE, MAGNESIUM OXIDE,
VITAMIN C (ASCORBIC ACID), POTASSIUM CHLORIDE.
47
2017
2017
NUTRITIONAL INFORMATION
NUTREN® 1.5
The Nutren family of products offers an extensive line
of whole-protein, complete balanced nutrition formulas.
®
Nutren® 1.5 is a 1.5 Cal/ml formula with 16% of calories from
protein. This formula is fibre free. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein
tube feeding needs
• Volume intolerance
• Fluid restriction
• Elevated calorie needs
• Shortenened feeding
schedule
• Fibre restriction/
contraindication
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
23 micronutrients
1.5 Cal/ml
16%
44%
40%
calcium-potassium caseinate (milk)
maltodextrin, sugar (vanilla)
MCT (coconut and/or palm kernel
oil), canola oil, corn oil
5.1:1
50:50
775 ml/1000 ml
430 m0sm/kg water - ULTRAPAK®
510 m0sm/kg water - vanilla
Y
Y
Y (not for patients with galactosemia)
Y
1200 mL (see page 112)
ORDERING INFORMATION
48
Item #
Product size
12160650
12172665
24 x 250 ml Tetra Prisma® vanilla
4 x 1.5 L ULTRAPAK®
Vanilla Flavoured Units
Energy
Cal
Energy kJ
Protein g
Carbohydrate g
Fat
g
Linoleic Acid
g
Water
g
Vitamin A
IU
Vitamin D IU
Vitamin E
IU
Vitamin K mg
Vitamin C
mg
Thiamine
mg
Riboflavin
mg
Niacin mg
Vitamin B6
mg
Folic Acid
mg
Pantothenic Acid mg
Vitamin B12
mg
Biotin
mg
Choline
mg
Taurine
mg
L-Carnitine
mg
Calcium
mg
Phosphorus
mg
Magnesium
mg
Zinc
mg
Iron
mg
Copper
mg
Manganese
mg
Iodine
mg Sodium
mg
Potassium
mg
Chloride
mg
Chromium
mg
Molybdenum
mg
Selenium
mg
100 ml
150
630
6
17
6.8
0.88
78
480
40
4.2
0.008
21
0.3
0.36
4.2
0.6
0.08
2
0.0012
0.06
67
12
12
100
100
40
2
1.8
0.2
0.4
0.015
116
188
174
0.006
0.018
0.006
250 ml
375
1570
15
42
17
2.2
194
1200
100
10.5
0.019
53
0.75
0.9
10.5
1.5
0.2
5
0.003
0.15
168
30
30
250
250
100
5
4.5
0.5
1
0.038
290
470
435
0.015
0.045
0.015
INGREDIENTS: WATER, MALTODEXTRIN, CALCIUM-POTASSIUM
CASEINATE (FROM MILK), MEDIUM-CHAIN TRIGLYCERIDES
(FROM COCONUT AND/OR PALM KERNEL OIL), SUGAR,
CANOLA OIL, CORN OIL, SOY LECITHIN, ARTIFICIAL FLAVOUR,
POTASSIUM CITRATE, SODIUM CHLORIDE, CALCIUM CITRATE,
SODIUM PHOSPHATE, CITRIC ACID, DIPOTASSIUM PHOSPHATE,
CHOLINE CHLORIDE, SODIUM ASCORBATE (VITAMIN C),
MAGNESIUM CHLORIDE, MAGNESIUM OXIDE, CARRAGEENAN,
SODIUM CITRATE, L-CARNITINE, TAURINE, ZINC SULPHATE,
FERROUS SULPHATE (IRON), TURMERIC, NIACINAMIDE, DL-ALPHA
TOCOPHERYL ACETATE (VITAMIN E), CALCIUM PANTOTHENATE
(PANTOTHENIC ACID), MANGANESE SULPHATE, PYRIDOXINE
HYDROCHLORIDE, COPPER SULPHATE, RIBOFLAVIN, THIAMINE
MONONITRATE, VITAMIN A PALMITATE, BIOTIN, FOLIC ACID,
VITAMIN D3, CHROMIUM CHLORIDE, CYANOCOBALAMIN, VITAMIN
K1, SODIUM MOLYBDATE (MOLYBDENUM), POTASSIUM IODIDE
(IODINE), SODIUM SELENATE (SELENIUM).
49
2017
2017
NUTRITIONAL INFORMATION
NUTREN® 2.0
The Nutren family of products offers an extensive line
of whole-protein, complete balanced nutrition formulas.
®
Nutren® 2.0 is a 2.0 Cal/ml formula with 16% of calories from protein.
This formula is fibre free. For tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Standard, whole-protein
tube feeding needs
• Elevated calorie needs
• Fluid restrictions
• Fibre restriction/
contraindication
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
23 micronutrients
2.0 Cal/ml
16%
38%
46%
calcium-potassium caseinate (milk)
corn syrup, maltodextrin, sugar
MCT (coconut and palm kernel oil),
canola oil, corn oil
5.5:1
75:25
703 ml/1000 ml
745 m0sm/kg water
Y
Y
Y (not for patients with galactosemia)
Y
800 mL (see page 112)
ORDERING INFORMATION
50
Item #
Product size
12172662
6 x 1.0 L ULTRAPAK®
Energy
Energy Protein Carbohydrate Fat
Linoleic Acid
Water
Vitamin A
Vitamin D Vitamin E
Vitamin K Vitamin C
Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Taurine
L-Carnitine
Calcium
Phosphorus
Magnesium
Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
1000 ml
100 ml
200
2000
840
8370
8
80
19
196
10
104
0.68
6.8
70
703
640
6400
53
532
5.6
56
0.01
0.1
28
280
0.4
4
0.48
4.8
5.6
56
0.8
8
0.1
1.08
2.8
28
0.0016
0.016
0.08
0.8
90
900
16
160
16
160
134
1340
134
1340
53
536
2.8
28
2.4
24
0.28
2.8
0.52
5.2
0.02
0.2
130
1300
192
1920
187
1876
0.008
0.08
0.024
0.24
0.008
0.08
INGREDIENTS: WATER, CORN SYRUP, CALCIUM-POTASSIUM
CASEINATE (FROM MILK), MEDIUM-CHAIN TRIGLYCERIDES
(FROM COCONUT AND PALM KERNEL OIL), MALTODEXTRIN,
SUGAR, CANOLA OIL, SOY LECITHIN, CORN OIL, POTASSIUM
CITRATE, CALCIUM CITRATE, MAGNESIUM CHLORIDE, SODIUM
PHOSPHATE, CHOLINE CHLORIDE, SODIUM CHLORIDE,
DIPOTASSIUM PHOSPHATE, SODIUM ASCORBATE (VITAMIN C),
SODIUM CITRATE, CITRIC ACID, MAGNESIUM OXIDE, TAURINE,
L-CARNITINE, DL-ALPHA TOCOPHERYL ACETATE (VITAMIN E),
ZINC SULPHATE, CARRAGEENAN, FERROUS SULPHATE (IRON),
NIACINAMIDE, CALCIUM PANTOTHENATE, VITAMIN A PALMITATE,
MANGANESE SULPHATE, PYRIDOXINE HYDROCHLORIDE,
TURMERIC (COLOUR), COPPER SULPHATE, RIBOFLAVIN, VITAMIN
D3, THIAMINE MONONITRATE, FOLIC ACID, BIOTIN, SODIUM
MOLYBDATE, POTASSIUM IODIDE, CHROMIUM CHLORIDE, SODIUM
SELENATE, VITAMIN K1, CYANOCOBALAMIN.
51
2017
2017
NUTRITIONAL INFORMATION
OPTIFAST® 900
Optifast is a comprehensive, evidence-based medically
supervised weight management program that combines a
nutritionally complete meal replacement with behavioural
modification.
®
Meal replacement for weight reduction. For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Weight reduction in obesity
• Weight reduction prior to bariatric surgery
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Kosher
Gluten Free
Lactose Free
Low Residue
0.7 Cal/ml
40%
30%
30%
milk protein isolate, sodium caseinate
fructose, corn maltodextrin
canola oil, soybean oil
Y
Y
Y (not for patients with galactosemia)
Y
ORDERING INFORMATION
Item #
Product size
09521564
09521565
8 (14 x 54 g) vanilla packets
8 (14 x 54 g) chocolate packets
Vanilla Flavoured
Energy
Energy Protein Fat
Linoleic Acid
Linolenic Acid
Saturates
Carbohydrate Aspartame
Sodium
Potassium
Biotin
Copper
Manganese
Selenium
Chromium
Molybdenum
Chloride
Choline
Vitamin A
Vitamin D3 Vitamin E
Vitamin C
Thiamine
Riboflavin
Niacin Vitamin B6
Folacin
Vitamin B12
Pantothenic Acid
Calcium
Phosphorus
Magnesium
Iron
Zinc
Iodine
Units
Cal
kJ
g
g
g
g
g
g
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%*
%* 340 ml**(54 g packet)
225
940
22.5
7.5
1.9
0.35
0.8
16.8
61
500
740
0.025
0.55
1.1
0.011
0.011
0.022
415
25
37
25
25
33
26
29
42
28
33
25
25
25
25
30
25
39
31
* Percentage of recommended daily intake
** Each 54 g packet mixed with 300 ml of water yields 340 ml of prepared formula.
INGREDIENTS: MILK PROTEIN ISOLATE, FRUCTOSE, CORN
MALTODEXTRIN, CANOLA OIL, SOYBEAN OIL, SODIUM
CASEINATE, SALT, CITRIC ACID, ARTIFICIAL FLAVOUR, MONOAND DIGLYCERIDES, ASPARTAME, VITAMINS (VITAMIN A
PALMITATE, VITAMIN D3, DL-ALPHA-TOCOPHERYL ACETATE,
ASCORBIC ACID, THIAMINE HYDROCHLORIDE, RIBOFLAVIN,
NIACINAMIDE,
CALCIUM-D-PANTOTHENATE,
PYRIDOXINE
HYDROCHLORIDE, BIOTIN, FOLIC ACID, CHOLINE BITARTRATE),
MINERALS
(DIPOTASSIUM
PHOSPHATE,
MAGNESIUM
OXIDE, POTASSIUM CITRATE, SODIUM CITRATE, FERROUS
SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER
GLUCONATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM
MOLYBDATE, CHROMIUM TRICHLORIDE). ASPARTAME CONTAINS
PHENYLALANINE.
CONTAINS MILK AND SOY.
52
53
2017
2017
NUTRITIONAL INFORMATION
PEPTAMEN®
The Peptamen family of products is designed for absorption
and tolerance, and is supported by 25+ years of clinical
experience and evidence. ®
Peptamen® is a 1.0 Cal/ml, peptide-based, 100% whey, 70% MCT
formula that supports feeding tolerance. For tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• GI impairment:
- Malabsorption
- Delayed gastric emptying
- Diarrhea
- Short-bowel syndrome
- Cystic fibrosis
- Pancreatitis
• Early enteral feeding
• Transition from or dual
feeding with TPN
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
1.0 Cal/ml
16%
49%
35%
partially hydrolyzed whey protein (milk)
maltodextrin, corn starch
MCT (coconut and/or palm kernel oil),
soybean oil
7.4:1
70:30
850 ml/1000 ml
270 m0sm/kg water - unflavoured
N
Y
Y (not for patients with galactosemia)
Y
1500 mL (see page 112)
ORDERING INFORMATION
54
Item #
Product size
12160663
24 x 250 ml Tetra Prisma® unflavoured
Unflavoured
Units
Energy
Cal
Energy
kJ
Protein
g
Carbohydrate
g
Fat
g
Linoleic Acid
g
Water
g
Vitamin A*
IU
Vitamin D
IU
Vitamin E
IU
Vitamin K
mg
Vitamin C
mg
Thiamine
mg
Riboflavin
mg
Niacin
mg
Vitamin B6
mg
Folic Acid
mg
Pantothenic Acid mg
Vitamin B12
mg
Biotin
mg
Choline
mg
Taurine
mg
L-Carnitine
mg
Calcium mg
Phosphorus
mg
Magnesium
mg
Zinc
mg
Iron mg
Copper
mg
Manganese
mg
Iodine
mg
Sodium
mg Potassium
mg
Chloride
mg
Chromium
mg
Molybdenum
mg
Selenium
mg
250 ml
100 ml
100
250
420
1050
4
10
13
32
3.9
9.8
0.37
0.93
85
212
430
1075
53.3
133
3
7.5
0.008
0.02
34
85
0.2
0.5
0.24
0.6
2.8
7
0.4
1
0.054
0.135
1.4
3.5
0.0008
0.002
0.04
0.1
45
113
10
25
10
25
80
200
70
175
30
75
2.4
6
1.8
4.5
0.2
0.5
0.28
0.7
0.015
0.037
56
140
150
375
100
250
0.004
0.01
0.012
0.03
0.005
0.012
* 37% as Beta-carotene
INGREDIENTS: WATER, MALTODEXTRIN, PARTIALLY HYDROLYZED
WHEY PROTEIN (FROM MILK), MEDIUM-CHAIN TRIGLYCERIDES
(FROM COCONUT AND/OR PALM KERNEL OIL), CORN STARCH,
SOYBEAN OIL, SOY LECITHIN, TRICALCIUM PHOSPHATE, GUAR GUM,
POTASSIUM CITRATE, SODIUM PHOSPHATE, MAGNESIUM CHLORIDE,
SODIUM ASCORBATE (VITAMIN C), CHOLINE CHLORIDE, CALCIUM
CITRATE, POTASSIUM CHLORIDE, SODIUM CITRATE, TRYPSIN,
MAGNESIUM OXIDE, BETA-CAROTENE, TAURINE, L-CARNITINE, ZINC
SULPHATE, FERROUS SULPHATE (IRON), DL-ALPHA TOCOPHERYL
ACETATE (VITAMIN E), NIACINAMIDE, CALCIUM PANTOTHENATE
(PANTOTHENIC ACID), CITRIC ACID, MANGANESE SULPHATE,
PYRIDOXINE HYDROCHLORIDE, COPPER SULPHATE, RIBOFLAVIN,
THIAMINE MONONITRATE, VITAMIN A PALMITATE, BIOTIN, FOLIC ACID,
VITAMIN D3, CHROMIUM CHLORIDE, CYANOCOBALAMIN, VITAMIN K1,
POTASSIUM IODIDE (IODINE), SODIUM MOLYBDATE (MOLYBDENUM),
SODIUM SELENATE (SELENIUM), DIMETHYLPOLYSILOXANE.
55
2017
2017
PEPTAMEN® WITH PREBIO1TM
The Peptamen family of products is designed for absorption
and tolerance, and is supported by 25+ years of clinical
experience and evidence. ®
IMPROVED
VANILLA
TASTE!
Peptamen® with Prebio1TM is a 1.0 Cal/ml, peptide-based,
100% whey, 70% MCT formula that supports feeding tolerance.
Includes Prebio1TM, a unique blend of dietary fibres. For oral and
tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• GI impairment:
- Malabsorption
- Delayed gastric emptying
- Diarrhea
- Short-bowel syndrome
- Cystic fibrosis
- Pancreatitis
• Bowel function
• Early enteral feeding
• Transition from or dual
feeding with TPN
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
Sucralose
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
Meets DRI for
25 micronutrients
1.0 Cal/ml
16%
49%
35%
partially hydrolyzed whey protein (milk)
corn maltodextrin, corn starch, sugar (vanilla)
MCT (coconut and/or palm kernel oil), soybean oil
4 g/1000 mL
100% Prebio1TM (FOS/inulin)
120 mg/1000 ml (vanilla)
7.4:1
70:30
850 ml/1000 ml
300 mOsm/kg water - ULTRAPAK®
310 mOsm/kg water - Tetra Prisma®
N
Y
<0.5 g/100 ml (not for patients
with galactosemia)
N
1500 mL (see page 112)
ORDERING INFORMATION
56
Item #
Product size
12238887
12172667
24 x 250 ml Tetra Prisma® vanilla
4 x 1.5 L ULTRAPAK®
NUTRITIONAL INFORMATION
Vanilla Flavoured Units
Energy
Cal
Energy
kJ
Protein
g
Carbohydrate
g
Fat
g
Linoleic Acid
g
Water
g
Sucralose
mg
Vitamin A*
IU
Vitamin D
IU
Vitamin E
IU
Vitamin K
mg
Vitamin C
mg
Thiamine
mg
Riboflavin
mg
Niacin
mg
Vitamin B6
mg
Folic Acid mg
Pantothenic Acid mg
Vitamin B12
mg
Biotin
mg
Choline
mg
Taurine
mg
L-Carnitine
mg
Calcium mg
Phosphorus
mg
Magnesium
mg
Zinc
mg
Iron
mg
Copper
mg
Manganese
mg
Iodine
mg
Sodium
mg Potassium
mg
Chloride
mg
Chromium
mg
Molybdenum
mg
Selenium
mg
250 ml
100 ml
100
250
420
1050
4
10
13
32
3.9
9.8
0.37
0.93
85
212
12
30
430
1075
53
133
3
7.5
0.008
0.02
34
85
0.16
0.4
0.24
0.6
2.8
7
0.4
1
0.054
0.135
1.4
3.5
0.0008
0.002
0.04
0.1
45
113
10
25
10
25
80
200
70
175
30
75
2.4
6
1.8
4.5
0.2
0.5
0.28
0.7
0.015
0.037
56
140
150
375
100
250
0.004
0.01
0.012
0.03
0.005
0.012
* 37% as Beta-carotene
INGREDIENTS: WATER, CORN MALTODEXTRIN, PARTIALLY
HYDROLYZED WHEY PROTEIN (FROM MILK), MEDIUM-CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL),
SUGAR, CORN STARCH, SOYBEAN OIL, INULIN, OLIGOFRUCTOSE,
SOY LECITHIN, NATURAL AND ARTIFICIAL FLAVOUR, GUAR
GUM, TRYPSIN, TAURINE, L-CARNITINE,
SUCRALOSE,
DIMETHYLPOLYSILOXANE, VITAMINS: BETA-CAROTENE, VITAMIN
A PALMITATE, VITAMIN D3, DL-ALPHA TOCOPHERYL ACETATE,
VITAMIN K1, SODIUM ASCORBATE, THIAMINE MONONITRATE,
RIBOFLAVIN, NIACINAMIDE,
CALCIUM PANTOTHENATE,
PYRIDOXINE
HYDROCHLORIDE,
BIOTIN,
FOLIC
ACID,
CYANOCOBALAMIN, CHOLINE CHLORIDE, MINERALS: CALCIUM
CITRATE, TRICALCIUM PHOSPHATE, SODIUM PHOSPHATE,
MAGNESIUM OXIDE, MAGNESIUM CHLORIDE, POTASSIUM
CHLORIDE, POTASSIUM CITRATE, SODIUM CITRATE, FERROUS
SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER
SULPHATE, POTASSIUM IODIDE, SODIUM SELENATE, SODIUM
MOLYBDATE, CHROMIUM CHLORIDE.
CONTAINS MILK AND SOY.
57
2017
2017
PEPTAMEN® AF 1.2
The Peptamen family of products is designed for absorption
and tolerance, and is supported by 25+ years of clinical
experience and evidence. ®
Peptamen® AF is a 1.2 Cal/ml, high protein, peptide-based,
100% whey, 50% MCT formula that supports feeding tolerance.
Includes Prebio1TM, a unique blend of dietary fibres, in addition to
EPA, DHA and antioxidants. For tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Critically ill patients
• Inflammatory conditions
• Sepsis
• GI impairment
• Elevated protein needs
• Diarrhea
• Early enteral feeding
• Transition from or dual
feeding with TPN
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
n6:n3 ratio
MCT:LCT
Omega-3 Fatty acids
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
1.2 Cal/ml
25%
36%
39%
partially hydrolyzed whey protein (milk)
maltodextrin, corn starch
MCT (coconut and/or palm
kernel oil), soybean oil, fish oil
5.2 g/1000 ml
100% Prebio1TM (FOS/inulin)
1.8:1
50:50
2400 mg EPA & DHA/1000 ml
810 ml/1000 ml
390 mOsm/kg water
N
Y
Y (not for patients with galactosemia)
N
1300 mL (see page 112)
ORDERING INFORMATION
58
Item #
Product size
12160662
12172663
24 x 250 ml Tetra Prisma® unflavoured
6 x 1.0 L ULTRAPAK®
NUTRITIONAL INFORMATION
Energy
Energy
Protein
Carbohydrate
Fat
Linoleic Acid
Water
Vitamin A*
Vitamin D
Vitamin E
Vitamin K
Vitamin C
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Taurine
L-Carnitine
Calcium Phosphorus
Magnesium Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
100 ml
250 ml
120
300
502
1260
7.6
19
10.7
26.7
5.5
13.7
0.48
1.2
81
203
800
2000
64
160
12
30
0.0096
0.024
38.4
96
0.24
0.6
0.29
0.72
3.4
8.4
0.48
1.2
0.064
0.16
1.7
4.2
0.00096
0.0024
0.048
0.12
54
135
12
30
12
30
80
200
80
200
32
80
2.9
7.2
1.4
3.6
0.24
0.6
0.32
0.8
0.013
0.033
84
210
160
400
136
340
0.011
0.028
0.018
0.045
0.016
0.04
* 77% as Beta-carotene
INGREDIENTS: WATER, PARTIALLY HYDROLYZED WHEY
PROTEIN (FROM MILK), MALTODEXTRIN, MEDIUM-CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL),
SOYBEAN OIL, CORN STARCH, FISH OIL, OLIGOFRUCTOSE, SOY
LECITHIN, INULIN, GUAR GUM, SODIUM CHLORIDE, TRICALCIUM
PHOSPHATE, SODIUM ASCORBATE (VITAMIN C), CHOLINE
CHLORIDE, MAGNESIUM CHLORIDE, CALCIUM CITRATE, SODIUM
PHOSPHATE, L-CARNITINE, TAURINE, DL-ALPHA TOCOPHERYL
ACETATE (VITAMIN E), MAGNESIUM OXIDE, CITRIC ACID,
ZINC SULPHATE, FERROUS SULPHATE (IRON), TRYPSIN,
NIACINAMIDE, CALCIUM PANTOTHENATE (PANTOTHENIC
ACID), POTASSIUM CHLORIDE, MANGANESE SULPHATE,
PYRIDOXINE HYDROCHLORIDE, COPPER SULPHATE, BETACAROTENE, RIBOFLAVIN, THIAMINE MONONITRATE, POTASSIUM
IODIDE (IODINE), BIOTIN, FOLIC ACID, VITAMIN A PALMITATE,
VITAMIN D3, CHROMIUM CHLORIDE, VITAMIN K1, SODIUM
MOLYBDATE (MOLYBDENUM), SODIUM SELENATE (SELENIUM),
CYANOCOBALAMIN, DIMETHYLPOLYSILOXANE.
59
2017
2017
NUTRITIONAL INFORMATION
PEPTAMEN® 1.5
The Peptamen family of products is designed for absorption
and tolerance, and is supported by 25+ years of clinical
experience and evidence. ®
IMPROVED
VANILLA
TASTE!
Peptamen® 1.5 is a 1.5 Cal/ml, peptide-based, 100% whey,
70% MCT formula that supports feeding tolerance and
addresses nutrition needs in a smaller volume. For oral and tube
feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• GI impairment:
––Malabsorption
––Delayed gastric emptying
––Diarrhea
––Short-bowel syndrome
––Cystic fibrosis
––Pancreatitis
• Volume sensitivity/restriction
• Elevated energy needs
• Early enteral feeding
• Transition from or dual
feeding with TPN
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
1.5 Cal/ml
18%
49%
33%
partially hydrolyzed whey protein (milk)
corn maltodextrin, sugar (vanilla), corn starch
MCT (coconut and/or palm
kernel oil), soybean oil
Sucralose
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose
128 mg/1000 ml (vanilla)
Low Residue
Meets DRI for
25 micronutrients
7.4:1
70:30
770 ml/1000ml
550 mOsm/kg water
N
Y
<0.5 g/100 ml (not for patients
with galactosemia)
Y
1050 mL (see page 112)
ORDERING INFORMATION
60
Item #
Product size
12160651
12263736
12172666
24 x 250 ml Tetra Prisma® unflavoured
24 x 250 ml Tetra Prisma® vanilla
6 x 1.0 L ULTRAPAK®
Vanilla Flavoured Units
Energy
Cal
Energy
kJ
Protein
g
Carbohydrate
g
Fat
g
Linoleic Acid
g
Water
g
Vitamin A*
IU
Vitamin D
IU
Vitamin E
IU
Sucralose
mg
Vitamin K
mg
Vitamin C
mg
Thiamine
mg
Riboflavin
mg
Niacin
mg
Vitamin B6
mg
Folic Acid
mg
Pantothenic Acid mg
Vitamin B12
mg
Biotin
mg
Choline
mg
Taurine
mg
L-Carnitine
mg
Calcium
mg
Phosphorus
mg
Magnesium
mg
Zinc
mg
Iron
mg
Copper
mg
Manganese
mg
Iodine
mg
Sodium
mg Potassium
mg
Chloride
mg
Chromium
mg
Molybdenum
mg
Selenium
mg
250 ml
100 ml
150
375
630
1570
6.8
17
18
45
5.6
14
0.4
1
77
193
646
1615
80
200
4.5
11.3
12.8
32
0.012
0.03
51
128
0.3
0.75
0.36
0.9
4.2
10.5
0.6
1.5
0.08
0.2
2.1
5.3
0.0012
0.003
0.06
0.15
68
170
15
37.5
15
37.5
100
250
100
250
40
100
3.6
9
2.7
6.8
0.3
0.75
0.4
1
0.022
0.056
104
260
186
465
174
435
0.006
0.015
0.018
0.045
0.0076 0.019
* 37% as Beta-carotene
INGREDIENTS:
WATER,
CORN
MALTODEXTRIN,
PARTIALLY
HYDROLYZED WHEY PROTEIN (FROM MILK), MEDIUM-CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), SUGAR,
CORN STARCH, SOYBEAN OIL, SOY LECITHIN, NATURAL AND ARTIFICIAL
FLAVOUR, GUAR GUM, SALT, TRYPSIN, TAURINE, L-CARNITINE,
SUCRALOSE, DIMETHYLPOLYSILOXANE, VITAMINS: BETA-CAROTENE,
VITAMIN A PALMITATE, VITAMIN D3, DL-ALPHA TOCOPHERYL
ACETATE, VITAMIN K1, SODIUM ASCORBATE, THIAMINE MONONITRATE,
RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PYRIDOXINE
HYDROCHLORIDE, BIOTIN, FOLIC ACID, CYANOCOBALAMIN, CHOLINE
CHLORIDE, MINERALS: CALCIUM CITRATE, TRICALCIUM PHOSPHATE,
SODIUM PHOSPHATE, MAGNESIUM OXIDE, MAGNESIUM CHLORIDE,
POTASSIUM CHLORIDE, POTASSIUM CITRATE, SODIUM CITRATE,
FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE,
COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENATE, SODIUM
MOLYBDATE, CHROMIUM CHLORIDE.
CONTAINS MILK AND SOY.
61
2017
2017
PEPTAMEN® INTENSE
HIGH PROTEIN
The Peptamen family of products is designed for absorption
and tolerance, and is supported by 25+ years of clinical
experience and evidence. ®
Peptamen® INTENSE High Protein is a 1.0 cal/ml, very high
protein, peptide-based, 100% whey, 50% MCT formula that
supports feeding tolerance. With 37% of calories from protein,
Peptamen INTENSE High Protein is formulated to help meet
protein needs of patients with elevated requirements. Includes
Prebio1TM, a unique blend of dietary fibres, in addition to EPA
and DHA. For tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Acutely ill patients
• Modified carbohydrate
• Critically ill obese patients
requirements
• Sarcopenia/muscle protein
• GI impairment
wasting
• Diarrhea
• Elevated protein needs
• Early enteral feeding
• Inflammatory conditions
• Transition from or dual
• Stress-induced hyperglycemia feeding with TPN
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
n6:n3 ratio
MCT:LCT
Omega-3 Fatty acids
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
Meets DRI for
25 micronutrients
1.0 Cal/ml
37%
31%
32%
Partially hydrolyzed whey protein (milk)
corn maltodextrin, corn starch
MCT (coconut and/or palm
kernel oil), soybean oil, fish oil
4 g/1000 ml
100% Prebio1TM (FOS/inulin)
1.8:1
50:50
2000 mg EPA & DHA/1000 ml
840 ml/1000 ml
345 mOsm/kg water
N
Y
<0.5 g/100 ml (not for patients
with galactosemia)
N
1500 mL (see page 112)
ORDERING INFORMATION
62
Item #
Product size
12279029
12279063
24 x 250 ml Tetra Prisma® unflavoured
6 x 1.0 L ULTRAPAK®
NUTRITIONAL INFORMATION
Energy
Energy
Protein
Carbohydrate
Fibre
Fat
Linoleic Acid
Water
Vitamin A*
Vitamin D
Vitamin E
Vitamin K
Vitamin C
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Taurine
L-Carnitine
Calcium
Phosphorus
Magnesium
Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
250 ml
100 ml
100
250
420
1050
9.2
23
7.6
19
0.4
1
3.8
9.5
0.36
0.9
84
210
667
1667
52.8
132
10
25
0.008
0.02
32
80
0.2
0.5
0.24
0.6
2.4
6
0.4
1
0.054
0.135
1.4
3.5
0.0008
0.002
0.028
0.07
48
120
10
25
8
20
68
170
68
170
28
70
2.4
6
1.2
3
0.2
0.5
0.28
0.7
0.012
0.03
68
170
136
340
112
280
0.01
0.025
0.02
0.05
0.014 0.035
* 77% as Beta-carotene
INGREDIENTS:
WATER,
PARTIALLY
HYDROLYZED
WHEY
PROTEIN (FROM MILK), CORN MALTODEXTRIN, MEDIUM CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL),
CORN STARCH, REFINED FISH OIL (FROM ANCHOVY, SARDINE),
OLIGOFRUCTOSE, VEGETABLE OILS (SAFFLOWER AND SOYBEAN),
INULIN, TAURINE, L-CARNITINE, SOY LECITHIN, GUAR GUM, TRYPSIN,
DIMETHYLPOLYSILOXANE, VITAMINS: BETA-CAROTENE, VITAMIN
A PALMITATE, VITAMIN D3, DL-ALPHA TOCOPHERYL ACETATE,
VITAMIN K1, SODIUM ASCORBATE, THIAMINE MONONITRATE,
RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PYRIDOXINE
HYDROCHLORIDE, BIOTIN, FOLIC ACID, CYANOCOBALAMIN,
CHOLINE CHLORIDE, MINERALS: TRICALCIUM PHOSPHATE,
CALCIUM CHLORIDE, MAGNESIUM CHLORIDE, SODIUM PHOSPHATE,
POTASSIUM PHOSPHATE, FERROUS SULPHATE, ZINC SULPHATE,
MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE,
SODIUM SELENATE, SODIUM MOLYBDATE, CHROMIUM TRICHLORIDE.
63
2017
2017
RESOURCE® DIABETIC
Resource family of products offers a wide range of solutions
specifically formulated for individuals with special nutritional
requirements.
®
Resource® Diabetic is a high protein formula with 24%
of calories from protein for people with diabetes. For oral
and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Diabetes
• Impaired glucose tolerance
• Stress-induced
hyperglycemia
• Modified carbohydrate
requirements
• Increased protein
requirements
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
n6:n3 ratio
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
21 micronutrients
1.06 Cal/ml
24%
36%
40%
sodium and calcium caseinates
(milk), soy protein isolate
corn syrup, fructose
high oleic sunflower oil, soybean oil
12 g/1000 ml
100% soy fibre
10.7:1
842 ml/1000 ml
450 mOsm/kg water
Y
Y
Y (not for patients with galactosemia)
N
1300 mL (see page 112)
ORDERING INFORMATION
64
Item #
Product size
12160668
12154795
24 x 250 ml Tetra Prisma® vanilla
4 x 1.5 L ULTRAPAK® vanilla
NUTRITIONAL INFORMATION
Protein Fat
Linoleic Acid
Carbohydrate Dietary Fibre
Energy
Energy Vitamin A*
Vitamin D Vitamin E
Thiamine
Riboflavin
Vitamin B6
Niacin Vitamin C
Vitamin B12
Folic Acid
Pantothenic Acid
Biotin
Vitamin K Iron
Calcium
Phosphorus
Sodium
Potassium
Chloride
Magnesium
Iodine
Copper
Manganese
Zinc
Choline
Selenium
Chromium
Molybdenum
Inositol L-Carnitine
Taurine
Units
g
g
g
g
g
Cal
kJ
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
250 ml
100 ml
6.4
16
4.7
11.8
0.8
2
9.5
23.8
1.2
3
106
265
444
1110
360
900
21
52.5
3
7.5
0.16
0.4
0.18
0.45
0.3
0.8
2.1
5.25
20
50
0.0007
0.0018
0.042
0.105
1.1
2.8
0.032
0.08
0.005
0.013
1.1
2.8
93
233
93
233
96
240
140
350
80
200
21
53
0.013
0.033
0.12
0.3
0.27
0.68
1.2
3
16
40
0.0051
0.013
0.01
0.025
0.015
0.038
80
200
10
25
8
20
* 50% as Beta-carotene
INGREDIENTS: WATER, CORN SYRUP, SODIUM CASEINATE (FROM
MILK), HIGH OLEIC SUNFLOWER OIL, FRUCTOSE, GROUND
SOY COTYLEDON FIBRE, SOYBEAN OIL, CALCIUM CASEINATE,
SOY PROTEIN ISOLATE, ARTIFICIAL FLAVOUR, TRICALCIUM
PHOSPHATE,
POTASSIUM
CITRATE,
MONOGLYCERIDES,
MAGNESIUM CHLORIDE, POTASSIUM CHLORIDE, POTASSIUM
HYDROXIDE, SODIUM PHOSPHATE, CHOLINE CHLORIDE,
SODIUM ASCORBATE (VITAMIN C), L-CARNITINE, SODIUM
CITRATE, INOSITOL, TAURINE, FERROUS SULPHATE (IRON),
ZINC SULPHATE, NIACINAMIDE, ALPHA TOCOPHERYL ACETATE
(VITAMIN E), CALCIUM PANTOTHENATE (PANTOTHENIC ACID),
MANGANESE SULPHATE, PYRIDOXINE HYDROCHLORIDE, FOLIC
ACID, COPPER SULPHATE, RIBOFLAVIN, THIAMINE MONONITRATE,
BETA CAROTENE, VITAMIN A PALMITATE, SODIUM MOLYBDATE
(MOLYBDENUM), BIOTIN, CHROMIUM CHLORIDE, POTASSIUM
IODIDE (IODINE), SODIUM SELENATE (SELENIUM), VITAMIN K1,
VITAMIN D3, CYANOCOBALAMIN, DIMETHYLPOLYSILOXANE.
65
2017
2017
RESOURCE® THICKENUP®
THICKENED DAIRY BEVERAGE
Resource® ThickenUp family of products offers a wide range of
nutrition and hydration solutions for those living with dysphagia.
Resource® ThickenUp® Thickened Dairy Beverage is a
ready-to-serve thickened 2% milk in two consistencies;
honey-like (purple packaging) and nectar-like (green
packaging). For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Dysphagia
• Hydration in dysphagia
FEATURES AT-A-GLANCE:
Y
Y
N
Y
Kosher
Gluten Free
Lactose Free
Low Residue
ORDERING INFORMATION
Item #
Product Size
Packaging
NECTAR CONSISTENCY
12159932
12159948
27 x 250 ml
12 x 1.0 L
Tetra Edge®
Tetra Edge®
HONEY CONSISTENCY
12159934
12159950
27 x 250 ml
12 x 1.0 L
Tetra Edge®
Tetra Edge®
NUTRITIONAL INFORMATION
250 ml
Honey Consistency Units
Calories
Cal
190
Fat
g
5
Saturated
g
3
+ Trans
g
0
Cholesterol
mg
20
Sodium
mg
200
Potassium
mg
380
Carbohydrate
g
28
Fibre
g
0
Sugars
g
16
Protein
g
9
Vitamin A
Vitamin C
Calcium
Iron
Vitamin D
Phosphorus
% Daily Value
8%
15 %
7%
8%
11 %
9%
0%
10 %
0%
30 %
0%
45 %
25 %
INGREDIENTS: 2% PARTLY SKIMMED MILK, MODIFIED CORN
STARCH, SUGAR, MILK PROTEIN CONCENTRATE, TRICALCIUM
PHOSPHATE, ARTIFICIAL FLAVOUR, SODIUM PHOSPHATE, MONOAND DIGLYCERIDES, SODIUM ASCORBATE, VITAMIN A PALMITATE,
CHOLECALCIFEROL, DIMETHYLPOLYSILOXANE.
CONTAINS MILK. GLUTEN-FREE.
250 ml
Nectar Consistency Units
Calories
Cal
180
Fat
g
5
Saturated
g
3
+ Trans
g
0
Cholesterol
mg
20
Sodium
mg
200
Potassium
mg
380
Carbohydrate
g
26
Fibre
g
0
Sugars
g
16
Protein
g
9
Vitamin A
Vitamin C
Calcium
Iron
Vitamin D
Phosphorus
% Daily Value
8%
15 %
7%
8%
11 %
9%
0%
10 %
0%
30 %
0%
45 %
25 %
INGREDIENTS: 2% PARTLY SKIMMED MILK, MODIFIED CORN
STARCH, SUGAR, MILK PROTEIN CONCENTRATE, TRICALCIUM
PHOSPHATE, ARTIFICIAL FLAVOUR, SODIUM PHOSPHATE, MONOAND DIGLYCERIDES, SODIUM ASCORBATE, VITAMIN A PALMITATE,
CHOLECALCIFEROL, DIMETHYLPOLYSILOXANE.
CONTAINS MILK. GLUTEN-FREE.
66
67
2017
2017
RESOURCE® THICKENUP®
THICKENED JUICE BEVERAGES
Resource® ThickenUp family of products offers a wide range of
nutrition and hydration solutions for those living with dysphagia.
Resource® ThickenUp® Thickened Juice Beverages are great
tasting, ready-to-serve and pre-thickened in two
consistencies; honey-like (purple packaging) and nectar-like
(green packaging). Made from 100% orange juice, 100% apple
juice or 28% cranberry juice. For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Dysphagia
• Hydration in dysphagia
FEATURES AT-A-GLANCE:
Y
Y (Orange and Cranberry flavours)
Y
Y
Y
Kosher
Halal
Gluten Free
Lactose Free
Low Residue
ORDERING INFORMATION
Item #
Product Size
Packaging/Flavour
NECTAR CONSISTENCY
12159916
12159920
12159924
12159918
12159922
12159927
27 x 250 ml
27 x 250 ml
27 x 250 ml
12 x 1.0 L
12 x 1.0 L
12 x 1.0 L
Tetra Edge® Tetra Edge® Tetra Edge® Tetra Edge® Tetra Edge® Tetra Edge® -
Orange
Apple
Cranberry
Orange
Apple
Cranberry
Tetra Edge® Tetra Edge® Tetra Edge® Tetra Edge® Tetra Edge® Tetra Edge® -
Orange
Apple
Cranberry
Orange
Apple
Cranberry
HONEY CONSISTENCY
12159917
12159921
12159925
12159919
12159923
12159928
68
27 x 250 ml
27 x 250 ml
27 x 250 ml
12 x 1.0 L
12 x 1.0 L
12 x 1.0 L
NUTRITIONAL INFORMATION
Apple
250 ml format
Calories
Fat
Sodium
Potassium
Carbohydrate
Fibre
Sugars
Protein
Vitamin A
Vitamin C
Calcium
Iron
Nectar
Consistency
180
0 g (0 %*)
25 mg (1 %*)
320 mg (9 %*)
46 g (15 %*) 0 g (0 %*)
34 g
0.1 g
0 %*
100 %*
4 %*
0 %*
Honey
Consistency
190
0 g (0 %*)
25 mg (1 %*)
320 mg (9 %*)
48 g (16 %*)
0 g (0 %*)
34 g
0.1 g
0 %*
100 %*
4 %*
0 %*
INGREDIENTS:
WATER,
APPLE
JUICE
CONCENTRATE,
MODIFIED CORN STARCH, NATURAL FLAVOUR, PHOSPHORIC
ACID, ASCORBIC ACID, CALCIUM CARBONATE, CITRIC ACID,
DIMETHYLPOLYSILOXANE.
Orange
250 ml format
Calories
Fat
Sodium
Potassium
Carbohydrate
Fibre
Sugars
Protein
Vitamin A
Vitamin C
Calcium
Iron
Nectar
Consistency
170
0 g (0 %*)
20 mg (1 %*)
450 mg (13 %*)
40 g (13 %*) 0 g (0 %*)
28 g
1 g
0 %*
100 %*
4 %*
2 %*
Honey
Consistency
180
0 g (0 %*)
20 mg (1 %*)
450 mg (13 %*)
42 g (14 %*)
0 g (0 %*)
28 g
1g
0 %*
100 %*
4 %*
2 %*
INGREDIENTS: WATER, ORANGE JUICE CONCENTRATE,
MODIFIED CORN STARCH, CALCIUM CARBONATE, ASCORBIC
ACID, PHOSPHORIC ACID, CITRIC ACID, NATURAL FLAVOUR,
DIMETHYLPOLYSILOXANE.
Cranberry
250 ml format
Calories
Fat
Sodium
Potassium
Carbohydrate
Fibre
Sugars
Protein
Vitamin A
Vitamin C
Calcium
Iron
Nectar
Consistency
210
0 g (0 %*)
25 mg (1 %*)
50 mg (1 %*)
52 g (17 %*) 0 g (0 %*)
40 g
0 g
0 %*
100 %*
4 %*
0 %*
Honey
Consistency
210
0 g (0 %*)
25 mg (1 %*)
50 mg (1 %*)
52 g (17 %*)
0 g (0 %*)
38 g
0g
0 %*
100 %*
4 %*
0 %*
INGREDIENTS:
WATER,
RECONSTITUTED
CRANBERRY
JUICE, FRUCTOSE, MODIFIED CORN STARCH, CALCIUM
CARBONATE, ASCORBIC ACID, PHOSPHORIC ACID, CITRIC ACID,
DIMETHYLPOLYSILOXANE.
* Percentage of recommended daily intake
69
2017
2017
RESOURCE® THICKENUP®
THICKENED WATER
Resource® ThickenUp family of products offers a wide range of
nutrition and hydration solutions for those living with dysphagia.
NUTRITIONAL INFORMATION
Honey Consistency
Calories
Fat
Sodium
Carbohydrate
Sugars
Protein
Units
Cal
g
mg
g
g
g
250 ml
80
0
25
19
8
0
% Daily Value
0%
1%
6%
Not a significant source of saturated fat, trans fat,
cholesterol, fibre, vitamin A,vitamin C, calcium or iron.
INGREDIENTS: WATER, MODIFIED CORN STARCH, SUGAR,
NATURAL FLAVOUR, PHOSPHORIC ACID.
Resource® ThickenUp® Thickened Water is great tasting,
lemon flavoured, pre-thickened and ready-to-serve in two
consistencies; honey-like (purple packaging) and nectar-like
(green packaging). For oral use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Dysphagia
• Hydration in dysphagia
FEATURES AT-A-GLANCE:
Kosher
Gluten Free
Lactose Free
Low Residue
Nectar Consistency
Calories
Fat
Sodium
Carbohydrate
Sugars
Protein
Units
Cal
g
mg
g
g
g
250 ml
70
0
25
17
7
0
% Daily Value
0%
1%
6%
Not a significant source of saturated fat, trans fat,
cholesterol, fibre, vitamin A,vitamin C, calcium or iron.
INGREDIENTS: WATER, MODIFIED CORN STARCH, SUGAR,
NATURAL FLAVOUR, PHOSPHORIC ACID.
Y
Y
Y
Y
ORDERING INFORMATION
Item #
Product Size Packaging/Flavour/Consistency
12159929 27 x 250 ml
12159931 27 x 250 ml
70
Tetra Edge® - nectar consistency
Tetra Edge® - honey consistency
71
2017
2017
NUTRITIONAL INFORMATION
RESOURCE® THICKENUP®
Resource ThickenUp family of products offers a wide range of
nutrition and hydration solutions for those living with dysphagia.
®
®
Calories
Fat Sodium Carbohydrate
Protein
Units
Cal
g
mg
g
g
15 ml (4.5 g)*
15
0
10
4
0
% Daily Value
0%
0%
1%
Not a significant source of saturated fat, trans fat, cholesterol, fibre, sugars, vitamin A, vitamin C,
calcium or iron.
* 1 Tbsp
INGREDIENTS: MODIFIED FOOD STARCH (CORN).
This product is only suitable for individuals greater than 3 years old.
Resource® ThickenUp® is a starch-based powdered thickener.
Can be added to most hot and cold liquids and food.
Nestlé Health Science recommends using Resource® ThickenUp®
powder in the canister within one month of opening. For the
Resource® ThickenUp® bulk format, use within 2 months once
opened.
FOR THE NUTRITIONAL MANAGEMENT OF:
To maintain product quality, ship and store unopened package at
room temperature (max. 25°C).
• Dysphagia
Once opened, store in a cool, dry place. After each use, re-seal the
canister and tightly re-seal the plastic bag inside the bulk case.
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Carbohydrate Source
Kosher
Gluten Free
Lactose Free
Low Residue
15 Cal/15 ml or 4.5 g
0%
100%
0%
modified corn starch
Y
Y
Y
Y
Follow sanitary techniques for preparation which includes having
clean, appropriate work areas, adequate hand washing and clean
equipment during preparation and use.
ORDERING INFORMATION
72
Item #
Product size
9521724
9517578
12 x 227 g canister
25 lb bulk box
73
2017
2017
RESOURCE®
THICKENUP® CLEAR
Resource® ThickenUp® family of products offers a wide range of
nutrition and hydration solutions for those living with dysphagia.
NUTRITIONAL INFORMATION
Calories
Fat
Sodium
Potassium
Carbohydrate
Protein
Units
Cal
g
mg
mg
g
g
1.4 g*
4
0
15
5
1
0
% Daily Value
0%
1%
0%
0%
Not a significant source of saturated fat, trans fat, cholesterol, fibre, sugars, vitamin A, vitamin C, calcium or iron.
* 1 tsp or stick pack
INGREDIENTS: CORN AND POTATO MALTODEXTRIN, XANTHAN
GUM, POTASSIUM CHLORIDE.
MAY CONTAIN MILK.
This product is only suitable for individuals greater than 3 years old.
Resource® ThickenUp® Clear is a xanthan-based powdered
thickener that remains clear, lump-free, tasteless, odourless, and maintains consistency over time after mixing. Resource®
ThickenUp® Clear is clinically demonstrated to improve
swallowing safety1. Can be added to most hot and cold liquids.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Dysphagia
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Carbohydrate Source
Kosher
Gluten Free
Lactose Free
4 Cal/1.4 g
0%
100%
0%
corn and potato maltodextrin,
xanthan gum
Y
Y
N - 1.4 g stick packs
N - 5 kg bulk pail
N - 125 g canister
Nestlé Health Science recommends using Resource® ThickenUp®
Clear powder in the canister within two months of opening.
To maintain product quality, ship and store unopened package at
room temperature (max. 25°C).
Once opened, store in a cool, dry place. After each use, re-seal the
canister and tightly re-seal the plastic bag inside the bulk pail and
cover with lid; sanitize lid before re-use.
Follow sanitary techniques for preparation which includes having
clean, appropriate work areas, adequate hand washing and clean
equipment during preparation and use.
ORDERING INFORMATION
Item #
Product size
12138489
12137029
12138492
12 boxes of (24 x 1.4 g stick packs)
12 x 125 g canister
5 kg bulk pail
1
74
Leonard R, et al. The Effects of Rheology and Type of Thickening
Agent on Objective Swallowing Parameters. Poster presentation;
1st Congress, European Society for Swallowing Disorders, The
Netherlands, 2011.
75
2017
2017
RESOURCE® 2.O
Resource® family of products offers a wide range of solutions
specifically formulated for individuals with special nutritional
requirements.
Resource® 2.0 is a calorie dense, 2.0 Cal/ml, high protein,
complete nutrition formula. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Fluid restriction/volume
intolerance
• Elevated calorie
and protein needs
• Patients at risk for,
or with pressure ulcers
• Patients prescribed a
Medication Pass Program
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
22 micronutrients
2.0 Cal/ml
17%
43%
40%
calcium and sodium caseinates (milk)
corn syrup, sugar
canola oil
2.3:1
684 ml/1000 ml
790 mOsm/kg water
Y
Y
Y (not for patients with galactosemia)
Y
1000 mL (see page 112)
ORDERING INFORMATION
76
Item #
Product size
12160666
12310986
27 x 237 ml Tetra Brik® vanilla
12 x 946 ml carton vanilla
NUTRITIONAL INFORMATION *
* This information applies to the 237 ml product format.
For 946 ml format, please refer to package label.
Energy
Energy
Protein
Carbohydrate
Fat
Linoleic Acid
Vitamin A
Vitamin D
Vitamin E
Vitamin K
Vitamin C
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Calcium
Phosphorus
Magnesium
Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
237 ml
100 ml
201
477
840
2000
8
20
22
52
8.9
21
1.5
3.5
528
1251
42
100
11
27
0.008
0.02
38
90
0.16
0.38
0.18
0.43
2
5
0.2
0.5
0.042
0.1
1.1
2.5
0.0006
0.0015
0.032
0.075
59
140
106
250
106
250
42
100
1.6
3.8
1.9
4.5
0.2
0.5
0.2
0.5
0.019
0.045
72
170
177
420
100
238
0.013
0.03
0.008
0.019
0.007
0.018
INGREDIENTS*: WATER, CORN SYRUP, CANOLA OIL, CALCIUM
CASEINATE (FROM MILK), SUGAR, SODIUM CASEINATE,
POTASSIUM CITRATE, DISTILLED MONOGLYCERIDES, TRISODIUM
CITRATE, MICROCRYSTALLINE CELLULOSE, CELLULOSE GUM,
CITRIC ACID, SOY LECITHIN, NATURAL AND ARTIFICIAL FLAVOUR,
POLYDIMETHYLSILOXANE, VITAMINS AND MINERALS (MAGNESIUM
CHLORIDE, POTASSIUM PHOSPHATE, SODIUM ASCORBATE,
CHOLINE
CHLORIDE,
MAGNESIUM
OXIDE,
TRICALCIUM
PHOSPHATE, SODIUM CHLORIDE, DL-ALPHA-TOCOPHEROL
ACETATE, FERROUS SULPHATE, ZINC SULPHATE, NIACINAMIDE,
CALCIUM PANTOTHENATE, COPPER GLUCONATE, MANGANESE
SULPHATE, VITAMIN A PALMITATE, PYRIDOXINE HYDROCHLORIDE,
THIAMINE HYDROCHLORIDE, RIBOFLAVIN, FOLIC ACID, VITAMIN
D3, VITAMIN K1, VITAMIN B12, BIOTIN, POTASSIUM IODIDE, SODIUM
MOLYBDATE, SODIUM SELENITE, CHROMIUM TRICHLORIDE).
77
2017
2017
NUTRITIONAL INFORMATION
TOLEREX®
The Tolerex and Vivonex family of elemental diets require
minimal digestive functionality while providing the benefits
associated with continued use of the GI tract.
®
®
Tolerex® is a powdered, nutritonally complete, elemental formula
with 100% free amino acids providing 1.0 Cal/ml, with 8.2% protein
equivalent and 1.7% calories from fat for the severely
compromised GI tract. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Severely impaired GI function
––Severe protein and fat malabsorption
––TPN alternative
––Transition from TPN
––Dual feeding with TPN
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
21 micronutrients
1.0 Cal/ml
8.2%
90.1%
1.7%
free amino acids
corn maltodextrin, modified corn starch
safflower oil
840 ml/1000 ml
550 m0sm/kg water
Y
Y
Y
Y
1900 mL (see page 112)
ORDERING INFORMATION
78
Item #
Product size
12172653
10 (6 x 80 g) packets
Energy
Energy Fat
Linoleic Acid
Sodium
Potassium
Carbohydrate Protein Vitamin A
Vitamin C
Calcium
Iron
Vitamin D Vitamin E
Vitamin K Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Vitamin B12
Biotin
Pantothenic Acid
Phosphorus
Iodine
Magnesium
Zinc
Selenium
Copper
Manganese
Chromium
Molybdenum
Chloride
Choline
Units
Cal
kJ
g
g
mg
mg
g
g
IU
mg
mg
mg
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
mg
mg
mg
300 ml* (80 g packet)
100 g
375
300
1570
1250
0.7
0.6
0.4
0.3
190
152
437
350
85
68
**
**
1040
833
25
20
208
167
3.75
3
169
135
6.25
5
0.017
0.013
0.31
0.25
0.35
0.28
4.16
3.33
0.41
0.33
0.083
0.067
0.0013
0.001
0.062
0.05
2.08
1.67
208
167
0.034
0.027
83.3
66.7
3.12
2.5
0.015
0.012
0.42
0.33
0.42
0.33
0.025
0.02
0.016
0.013
354
283
15.4
12.3
* Each 80 g packet mixed with 255 ml water yields 300 ml of prepared formula.
** Contains 7.7 g of amino acids per 100 g and 6.2 g of amino acids per
300 ml of prepared product.
INGREDIENTS: MALTODEXTRIN (FROM CORN) AND LESS THAN
2% OF MAGNESIUM GLUCONATE, L-GLUTAMINE, CALCIUM
GLYCEROPHOSPHATE, MODIFIED CORNSTARCH, L-ARGININE
ACETATE, L-ASPARTIC ACID, SAFFLOWER OIL, GLYCINE, L-LYSINE
ACETATE, L-LEUCINE, L-PROLINE, POTASSIUM CHLORIDE,
L-PHENYLALANINE, L-VALINE, POTASSIUM SORBATE (TO
PRESERVE FRESHNESS), L-ALANINE, L-METHIONINE, L-ISOLEUCINE,
L-THREONINE, POTASSIUM CITRATE, SODIUM PHOSPHATE, L-SERINE,
L-HISTIDINE HYDROCHLORIDE, SODIUM CITRATE, L-TRYPTOPHAN,
L-TYROSINE, ASCORBIC ACID (VITAMIN C), CHOLINE BITARTRATE,
DL-ALPHA-TOCOPHERYL ACETATE (VITAMIN E), POLYSORBATE 80,
FERROUS SULFATE (IRON), ZINC SULFATE, VITAMIN A PALMITATE,
NIACINAMIDE, COPPER GLUCONATE, CALCIUM PANTOTHENATE
(PANTOTHENIC ACID), VITAMIN D3 (CHOLECALCIFEROL), ASCORBYL
PALMITATE AND BHA AND BHT AND TOCOPHEROLS (TO PRESERVE
FRESHNESS), MANGANESE SULFATE, PYRIDOXINE HYDROCHLORIDE
(VITAMIN B6), THIAMINE HYDROCHLORIDE, RIBOFLAVIN, CHROMIUM
CHLORIDE, FOLIC ACID, BIOTIN, SODIUM SELENITE (SELENIUM),
POTASSIUM IODIDE (IODINE), VITAMIN K1 (PHYTONADIONE), SODIUM
MOLYBDATE (MOLYBDENUM), VITAMIN B12 (CYANOCOBALAMIN).
This product is only suitable for individuals greater than 3 years old.
79
2017
2017
VIVONEX® PLUS
The Tolerex and Vivonex family of elemental diets require
minimal digestive functionality while providing the benefits
associated with continued use of the GI tract.
®
®
Vivonex® Plus is a powdered, nutritionally complete, elemental
formula with 100% free amino acids providing 1.0 Cal/ml with 18% protein equivalent and 6% calories from fat for severely compromised GI tract. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Severely impaired GI
function;
––Severe protein and fat
malabsorption
––Extensive bowel
resection
––Early postoperative
feeding
• TPN alternative
• Transition from TPN
• Dual feeding with TPN
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
21 micronutrients
1.0 Cal/ml
18%
76%
6%
free amino acids
maltodextrin, modified corn starch
soybean oil
7.0:1
850 ml/1000 ml
650 m0sm/kg water
Y
Y
Y
Y
1900 mL (see page 112)
ORDERING INFORMATION
80
Item #
Product size
12152663
6 (6 x 79.5 g) packets
NUTRITIONAL INFORMATION
Protein Fat
Linoleic Acid
Carbohydrate Energy
Energy Vitamin A
Vitamin D Vitamin E
Thiamine
Riboflavin
Vitamin B6
Niacin Vitamin C
Vitamin B12
Folic Acid
Pantothenic Acid
Biotin
Vitamin K Iron
Calcium
Phosphorus
Sodium
Potassium
Chloride
Magnesium
Iodine
Copper
Manganese
Zinc
Choline
Selenium
Chromium
Molybdenum
Taurine
L-Carnitine
Units
g
g
g
g
Cal
kJ
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
mg
mg
mg
300 ml* (79.5 g packet)
100 g
**
**
2.5
2
1.3
1
71.7
57
380
300
1580
1250
760
604
83.8
66.7
8.2
6.5
0.63
0.5
0.71
0.57
0.84
0.67
8.38
6.67
25
20
0.0025
0.002
0.17
0.13
4.2
3.33
0.13
0.1
0.017
0.013
3.8
3
210
167
210
167
230
183
370
294
356
283
83.8
66.7
0.034
0.027
0.42
0.33
0.42
0.33
4.72
3.75
83.8
66.7
0.015
0.012
0.025
0.02
0.016
0.013
25
20
25
20
* Each 79.5 g packet mixed with 250 ml water yields 300 ml of prepared formula.
** Contains 17 g of amino acids - key building blocks of protein per 100 g; 13.5 g per 300 ml
of prepared product; 45 g per 1000 ml.
INGREDIENTS: MALTODEXTRIN, MODIFIED CORN STARCH,
L-GLUTAMINE, L-LEUCINE, L-ARGININE ACETATE, SOYBEAN OIL,
MAGNESIUM GLUCONATE, L-LYSINE ACETATE, L-ISOLEUCINE,
L-VALINE, L-PHENYLALANINE, SODIUM CITRATE, L-THREONINE,
POTASSIUM
CITRATE,
L-CYSTEINE
HYDROCHLORIDE
MONOHYDRATE, CITRIC ACID, L-METHIONINE, L-TYROSINE,
L-HISTIDINE MONOHYDROCHLORIDE MONOHYDRATE, L-ASPARTIC
ACID, L-PROLINE, DISODIUM PHOSPHATE, L-TRYPTOPHAN,
POTASSIUM CHLORIDE, CHOLINE BITATRATE, L-SERINE, L-ALANINE,
GLYCINE, POLYGLYCEROL ESTER, POTASSIUM SORBATE. VITAMINS
AND MINERALS : ASCORBIC ACID, CALCIUM GLYCEROPHOSPHATE,
TAURINE, L-CARNITINE, VITAMIN E ACETATE, BIOTIN, ZINC SULPHATE,
FERROUS SULPHATE, NIACINAMIDE, VITAMIN A PALMITATE, CALCIUM
PANTOTHENATE, ALPHA TOCOPHEROL, COPPER GLUCONATE,
CYANOCOBALAMIN, PHYTOQUINONE, FOLIC ACID, MANGANESE
SULPHATE, POTASSIUM IODIDE, PYRIDOXINE HYDROCHLORIDE,
CHOLECALCIFEROL, RIBOFLAVIN, THIAMINE HYDROCHLORIDE,
CHROMIUM CHLORIDE, SODIUM MOLYBDATE, SODIUM SELENITE.
This product is only suitable for individuals greater than 3 years old.
81
2017
2017
VIVONEX® T·E·N
The Tolerex and Vivonex family of elemental diets require
minimal digestive functionality while providing the benefits
associated with continued use of the GI tract.
®
®
Vivonex® T·E·N is a powdered, nutritionally complete, elemental
formula with 100% free amino acids providing 1.0 Cal/ml
with 15% protein equivalent and 3% calories from fat for severely
compromised GI tract. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Severely impaired GI
function;
––Severe protein and fat
malabsorption
––Extensive bowel
resection
––Early postoperative
feeding
• TPN alternative
• Transition from TPN
• Dual feeding with TPN
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
20 micronutrients
1.0 Cal/ml
15%
82%
3%
free amino acids
corn maltodextrin, modified corn starch
safflower oil
833 ml/1000 ml
630 m0sm/kg water
Y
Y
Y
Y
2000 mL (see page 112)
ORDERING INFORMATION
Item #
Product size
12172652
6 (10 x 80.4 g) packets
NUTRITIONAL INFORMATION
Energy
Energy Fat
Linoleic Acid
Sodium
Potassium
Carbohydrate Protein Vitamin A
Vitamin C
Calcium
Iron
Vitamin D Vitamin E
Vitamin K Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Vitamin B12
Biotin
Pantothenic Acid
Phosphorus
Iodine
Magnesium
Zinc
Selenium
Copper
Manganese
Chromium
Molybdenum
Chloride
Choline
L-Carnitine
Taurine
Units
Cal
kJ
g
g
mg
mg
g
g
IU
mg
mg
mg
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
300 ml* (80.4 g packet)
100 g
375
300
1570
1260
1
0.8
0.6
0.48
230
185
350
281
76.7
61.7
**
**
945
760
22.4
18
187
150
3.36
2.7
150
121
5.6
4.5
0.015
0.012
0.56
0.45
0.63
0.51
7.46
6
0.75
0.6
0.15
0.12
0.0022
0.0018
0.11
0.09
3.73
3
187
150
0.03
0.024
74.6
60
4.2
3.38
0.013
0.011
0.373
0.3
0.373
0.3
0.022
0.018
0.014
0.011
317
255
74.6
60
22.4
18
22.4
18
* Each 80.4 g packet mixed with 250 ml water yields 300 ml of prepared formula.
** Contains 14.3 g of amino acids per 100 g; 11.5 g per 300 ml of prepared product.
INGREDIENTS: MALTODEXTRIN (FROM CORN), MODIFIED CORNSTARCH,
L-LEUCINE AND LESS THAN 2% OF L-GLUTAMINE, MAGNESIUM GLUCONATE,
L-ARGININE ACETATE, L-ISOLEUCINE, L-VALINE, CALCIUM GLYCEROPHOSPHATE,
SAFFLOWER OIL, L-LYSINE ACETATE, L-ASPARTIC ACID, L-ALANINE,
L-PHENYALANINE, L-PROLINE, SODIUM CITRATE, POTASSIUM CITRATE,
GLYCINE, L-THREONINE, L-HISTIDINE HYDROCHLORIDE, L-SERINE, L-CYSTEINE
HYDROCHLORIDE, L-METHIONINE, DISODIUM PHOSPHATE, POTASSIUM
CHLORIDE, CHOLINE BITARTRATE, L-TRYPTOPHAN, L-TYROSINE, ASCORBIC
ACID (VITAMIN C), TAURINE, POLYSORBATE 80, L-CARNITINE, DL-ALPHATOCOPHERYL ACETATE (VITAMIN E), ZINC SULFATE, FERROUS SULFATE (IRON),
NIACINAMIDE, VITAMIN A PALMITATE, CALCIUM PANTOTHENATE (PANTOTHENIC
ACID), COPPER GLUCONATE, POTASSIUM SORBATE AND ASCORBYL PALMITATE
AND TOCOPHEROLS AND BHA/BHT (TO HELP MAINTAIN FRESHNESS),
PYRIDOXINE HYDROCHLORIDE (VITAMIN B6), MANGANESE SULFATE, VITAMIN
D3 (CHOLECALCIFEROL), RIBOFLAVIN (VITAMIN B2), THIAMINE HYDROCHLORIDE
(VITAMIN B1), CHROMIUM CHLORIDE, FOLIC ACID, BIOTIN, POTASSIUM IODIDE
(IODINE), SODIUM MOLYBDATE (MOLYBDENUM), SODIUM SELENITE (SELENIUM),
VITAMIN K1 (PHYTONADIONE), VITAMIN B12 (CYANOCOBALAMIN).
This product is only suitable for individuals greater than 3 years old.
82
83
2017
2017
COMPLEAT® PEDIATRIC
The Compleat family of products offers unique, nutritionally
complete tube feeding formulas with ingredients from real food.
®
Compleat® Pediatric is a tube feeding formula with real food
ingredients including chicken, peas, carrots, peaches, tomato,
green beans, and cranberry juice for children ages 1-13 years.
This formula contains a blend of fibre and protein sources, and
does not contain corn or soy ingredients. For tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Convenient alternative to
homemade tube feeding
• Growth failure
• Short or long-term tube
feeding regimens
• Nutrient-rich base for
home blenderized tube
feeding
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose
Low Residue
Meets DRI for
25 micronutrients
(see page 112)
1.0 Cal/ml
15%
51%
34%
dried chicken meat, milk protein,
pea protein isolate
brown rice syrup, fruit and vegetable
ingredient blend including: dried green
peas, tomato paste, dried green beans,
peach purée concentrate, dried carrots,
cranberry juice concentrate
canola oil, MCT (coconut and/
or palm kernel oil)
8.0 g/1000 ml
24% acacia gum, oligofructose,
inulin; 76% vegetable fibre
3.7:1
20:80
850 ml/1000 ml
400 m0sm/kg water
N
Y
<0.5 g/100 ml (not for patients
with galactosemia)
N
1000 mL (1-8 years)
1500 mL (9-13 years)
ORDERING INFORMATION
84
Item #
Product size
12303984
24 x 250 ml Tetra Prisma®
NUTRITIONAL INFORMATION
Energy
Energy Protein Carbohydrate Fibre
Fat
Linoleic Acid
Vitamin A
Retinol
Beta Carotene
Vitamin D Vitamin E
Vitamin K Vitamin C
Thiamine
Riboflavin
Niacin Pantothenic Acid
Vitamin B6
Biotin
Folic Acid
Vitamin B12
Choline
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Iron
Zinc
Manganese
Copper
Iodine
Selenium
Molybdenum
Chromium
Taurine
L-Carnitine
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
100 ml
250 ml
100
250
420
1050
3.8
9.5
13
33
0.8
2
3.8
9.5
0.36
0.9
292
730
146
365
146
365
60
150
3
7.5
0.006
0.015
10
25
0.16
0.4
0.2
0.5
1
2.5
1
2.5
0.24
0.6
0.004
0.01
0.026
0.065
0.0004
0.001
50
125
76
190
170
425
60
150
140
350
108
270
20
50
1.4
3.5
0.72
1.8
0.16
0.4
0.1
0.25
0.012
0.03
0.006
0.015
0.006
0.015
0.0032
0.008
8
20
1.6
4
INGREDIENTS: WATER, BROWN RICE SYRUP, DRIED CHICKEN
MEAT, CANOLA OIL, MILK PROTEIN, PEA PROTEIN ISOLATE,
DRIED GREEN PEAS, MEDIUM CHAIN TRIGLYCERIDES (FROM
COCONUT/AND OR PALM KERNEL OIL), TOMATO PASTE, DRIED
GREEN BEANS, PEACH PURÉE CONCENTRATE, PEA FIBRE,
DRIED CARROTS, CRANBERRY JUICE CONCENTRATE, ACACIA
GUM, OLIGOFRUCTOSE, INULIN, SALT, ROSEMARY EXTRACT,
TAURINE, L-CARNITINE, VITAMINS (BETA-CAROTENE, VITAMIN
A PALMITATE, VITAMIN D3, DL-ALPHA TOCOPHERYL ACETATE,
VITAMIN K1, SODIUM ASCORBATE, ASCORBIC ACID, THIAMINE
HYDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM
PANTOTHENATE, PYRIDOXINE HYDROCHLORIDE, BIOTIN, FOLIC
ACID, CYANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS
(SODIUM CITRATE, SODIUM PHOSPHATE, POTASSIUM CITRATE,
POTASSIUM CHLORIDE, POTASSIUM HYDRATE, TRICALCIUM
PHOSPHATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM
OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE
SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM
SELENATE, SODIUM MOLYBDATE, CHROMIUM TRICHLORIDE),
SILICON DIOXIDE, CITRIC ACID, DIMETHYLPOLYSILOXANE.
CONTAINS MILK.
85
2017
2017
MODULEN® IBD
Modulen® IBD is a great tasting, nutritionally complete powdered
formula designed for people with Crohn’s disease. The milk protein
has been specially processed to retain TGF-ß2. For oral and tube
feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF
PEOPLE WITH CROHN'S DISEASE:
• During the active phase
• During the remission phase
• Providing nutritional
support for mucosal integrity
• Improving nutritional status
• Promoting linear growth
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
22 micronutrients
(see page 112)
1.0 Cal/ml (can be concentrated
to 1.5 Cal/ml)
14%
44%
42%
casein (milk)
corn syrup, sugar
milk fat, MCT, corn oil
11.5:1
25:75
850 ml/1000 ml (in standard dilution)
340 m0sm/kg water (in standard dilution)
N
Y
N
Y
1000 mL (1-8 years)
1500 mL (9-13 years)
ORDERING INFORMATION
Item #
Product size
12149470
12 x 400 g can
NUTRITIONAL INFORMATION
Energy
Energy Protein Carbohydrate Fat
Linoleic Acid
Sodium
Potassium
Vitamin A
Vitamin C
Calcium
Iron
Vitamin D Vitamin E
Vitamin K Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Vitamin B12
Biotin
Pantothenic Acid
Phosphorus
Iodine
Magnesium
Zinc
Selenium
Copper
Manganese
Chromium
Molybdenum
Chloride
Choline
Units
Cal
kJ
g
g
g
g
mg
mg
IU
mg
mg
mg
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
mg
mg
mg
1 serving*
100 g
493
247
2060
1030
17.5
8.8
54
27
23
12
2.1
1.1
175
88
630
315
1420
710
60
30
415
208
4.8
2.4
188
94
8.5
4.3
0.027
0.014
0.35
0.18
0.57
0.29
6.4
3.2
0.89
0.45
0.096
0.048
0.0009
0.0004
0.011
0.0055
2.5
1.3
270
135
0.049
0.025
100
50
4.7
2.4
0.016
0.008
0.49
0.25
0.75
0.38
0.013
0.0065
0.027
0.014
400
200
29
15
* In standard dilution (50 g of Modulen® IBD powder mixed in 210 ml of water)
INGREDIENTS: CORN SYRUP, CASEIN (FROM MILK), SUGAR
(SUCROSE), MILK FAT, MEDIUM CHAIN TRIGLYCERIDES, CORN
OIL, SOYA LECITHIN, VITAMINS AND MINERALS: POTASSIUM
CITRATE, CALCIUM PHOSPHATE, SODIUM CITRATE, CALCIUM
CARBONATE, MAGNESIUM CHLORIDE, POTASSIUM HYDROXIDE,
POTASSIUM CHLORIDE, SODIUM ASCORBATE, CHOLINE
BITARTRATE, FERROUS SULPHATE, DL-ALPHA TOCOPHERYL
ACETATE, ZINC SULPHATE, MAGNESIUM OXIDE, NICOTINAMIDE,
CALCIUM
PANTOTHENATE,
MANGANESE
SULPHATE,
PYRIDOXINE HYDROCHLORIDE, THIAMINE HYDROCHLORIDE,
COPPER SULPHATE, RETINYL ACETATE, RIBOFLAVIN, FOLIC
ACID, SODIUM MOLYBDATE, POTASSIUM IODIDE, CHROMIUM
CHLORIDE, PHYLLOQUINONE, SODIUM SELENATE, BIOTIN,
CHOLECALCIFEROL, CYANOCOBALAMIN.
This product is only suitable for individuals greater than 3 years old.
86
87
2017
2017
NUTREN® JUNIOR
The Nutren family of products offers an extensive line
of whole-protein, complete balanced nutrition formulas.
®
Nutren® Junior is formulated to meet the nutritional needs of
children 1-13 years. Nutren® Junior is a 1.0 Cal/ml formula that
contains 50% whey protein to facilitate gastric emptying. For oral
and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Mild to moderate reflux
• Growth failure
• Inadequate oral intake
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
(see page 112)
1.0 Cal/ml
12%
44%
44%
milk protein concentrate, whey
protein concentrate (milk)
maltodextrin, sugar
soybean oil, canola oil, MCT
(coconut and/or palm kernel oil)
5.3:1
21:79
850 ml/1000 ml
350 m0sm/kg water
Y
Y
Y (not for patients with galactosemia)
Y
1000 mL (1-8 years)
1500 mL (9-13 years)
ORDERING INFORMATION
88
Item #
Product size
12142280
24 x 250 ml Tetra Prisma® vanilla
NUTRITIONAL INFORMATION
Energy
Energy Protein Carbohydrate Fat
Linoleic Acid
Water
Vitamin A*
Vitamin D Vitamin E
Vitamin K Vitamin C
Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Taurine
L-Carnitine
Inositol Calcium
Phosphorus
Magnesium
Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
250 ml
100 ml
100
250
420
1050
3
7.5
11
27.5
5
12.4
1.2
2.9
85
213
332
830
60
150
2.8
7
0.006
0.015
10
25
0.24
0.6
0.2
0.5
0.96
2.4
0.24
0.6
0.028
0.07
1
2.5
0.0006
0.0015
0.02
0.05
30
75
8
20
4
10
8
20
120
300
84
210
20
50
1.1
2.7
1.4
3.5
0.1
0.25
0.16
0.4
0.01
0.025
46
115
132
330
108
270
0.003
0.0075
0.006
0.015
0.003
0.0075
* 40% as Beta-carotene
INGREDIENTS:
WATER,
MALTODEXTRIN,
SUGAR,
MILK
PROTEIN CONCENTRATE, SOYBEAN OIL, WHEY PROTEIN
CONCENTRATE (FROM MILK), CANOLA OIL, MEDIUM-CHAIN
TRIGLYCERIDES (FROM COCONUT AND/OR PALM KERNEL
OIL), ARTIFICIAL FLAVOUR, SOY LECITHIN, DIPOTASSIUM
PHOSPHATE,
DIMAGNESIUM
PHOSPHATE,
POTASSIUM
CHLORIDE, CALCIUM CITRATE, SODIUM CHLORIDE, CHOLINE
CHLORIDE, CARRAGEENAN, SODIUM ASCORBATE (VITAMIN
C), SODIUM PHOSPHATE, POTASSIUM HYDROXIDE, TAURINE,
INOSITOL, L-CARNITINE, FERROUS SULPHATE (IRON), ZINC
SULPHATE, DL-ALPHA TOCOPHERYL ACETATE (VITAMIN
E), NIACINAMIDE, CALCIUM PANTOTHENATE, FOLIC ACID,
MANGANESE SULPHATE, THIAMINE MONONITRATE, COPPER
SULPHATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, BETACAROTENE, VITAMIN A PALMITATE, BIOTIN, POTASSIUM IODIDE,
CHROMIUM CHLORIDE, SODIUM SELENATE (SELENIUM), SODIUM
MOLYBDATE (MOLYBDENUM), VITAMIN D3, CYANOCOBALAMIN,
DIMETHYLPOLYSILOXANE.
89
2017
2017
NUTREN® JUNIOR FIBRE
The Nutren family of products offers an extensive line
of whole-protein, complete balanced nutrition formulas.
®
Nutren® Junior Fibre is formulated to meet the nutritional needs of children 1-13 years. Nutren® Junior Fibre is a 1.0 Cal/ml formula
that contains 50% whey protein to facilitate gastric emptying, with
Pea Fibre and Prebio1TM which is a unique blend of dietary fibres.
For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Mild to moderate reflux
• Growth failure
• Inadequate oral intake
• Where fibre is indicated
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
(see page 112)
1.0 Cal/ml
12%
44%
44%
milk protein concentrate, whey
protein concentrate (milk)
maltodextrin, sugar
soybean oil, canola oil, MCT
(coconut and or/palm kernel oil)
5.6 g/1000 mL
64% Pea Hull Fibre and
36% Prebio1TM (FOS/inulin)
5.3:1
21:79
850 ml/1000 ml
350 m0sm/kg water
Y
Y
Y (not for patients with galactosemia)
N
1000 mL (1-8 years)
1500 mL (9-13 years)
ORDERING INFORMATION
90
Item #
Product size
12142281
24 x 250 ml Tetra Prisma® vanilla
NUTRITIONAL INFORMATION
Energy
Energy Protein Carbohydrate Fat
Linoleic Acid
Water
Vitamin A*
Vitamin D Vitamin E
Vitamin K Vitamin C
Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Taurine
L-Carnitine
Inositol Calcium
Phosphorus
Magnesium
Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
250 ml
100 ml
100
250
420
1050
3
7.5
11
27.5
5
12.4
1.2
2.9
85
212
332
830
60
150
2.8
7
0.006
0.015
10
25
0.24
0.6
0.2
0.5
0.96
2.4
0.24
0.6
0.028
0.07
1
2.5
0.0006
0.0015
0.02
0.05
30
75
8
20
4
10
8
20
120
300
84
210
20
50
1.1
2.7
1.4
3.5
0.1
0.25
0.16
0.4
0.01
0.025
46
115
132
330
108
270
0.003
0.0075
0.006
0.015
0.003
0.0075
* 40% as Beta-carotene
INGREDIENTS: WATER, MALTODEXTRIN, SUGAR, MILK PROTEIN
CONCENTRATE, SOYBEAN OIL, WHEY PROTEIN CONCENTRATE
(FROM MILK), CANOLA OIL, MEDIUM-CHAIN TRIGLYCERIDES
(FROM COCONUT AND/OR PALM KERNEL OIL), ARTIFICIAL
FLAVOUR, PEA HULL FIBRE, SOY LECITHIN, OLIGOFRUCTOSE,
INULIN, DIPOTASSIUM PHOSPHATE, DIMAGNESIUM PHOSPHATE,
POTASSIUM CHLORIDE, CALCIUM CITRATE, SODIUM CHLORIDE,
CHOLINE CHLORIDE, CARRAGEENAN, SODIUM ASCORBATE
(VITAMIN C), SODIUM PHOSPHATE, POTASSIUM HYDROXIDE,
TAURINE, INOSITOL, L-CARNITINE, FERROUS SULPHATE (IRON),
ZINC SULPHATE, DL-ALPHA TOCOPHERYL ACETATE (VITAMIN
E), NIACINAMIDE, CALCIUM PANTOTHENATE, FOLIC ACID,
MANGANESE SULPHATE, THIAMINE MONONITRATE, COPPER
SULPHATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, BETACAROTENE, VITAMIN A PALMITATE, BIOTIN, POTASSIUM IODIDE, CHROMIUM CHLORIDE, SODIUM SELENATE (SELENIUM), SODIUM
MOLYBDATE (MOLYBDENUM), VITAMIN D3, CYANOCOBALAMIN,
DIMETHYLPOLYSILOXANE.
91
2017
2017
PEPTAMEN® JUNIOR
The Peptamen family of products is designed for toleranceand
is supported by 25+ years of clinical experience and evidence.
®
Peptamen® Junior is formulated to meet the nutritional needs of
children 1-13 years. Peptamen® Junior is a 1.0 Cal/ml formula,
with a peptide based, 100% whey protein designed for enhanced
digestion and protein absorption and 60% MCT designed for
enhanced lipid absorption to support feeding tolerance. For oral
and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• GI impairment:
• Early enteral feeding
- Malabsorption
• Transition from or dual - Delayed gastric emptying
feeding with TPN
- Diarrhea
- Short-bowel syndrome
- Cystic fibrosis
- Radiation enteritis
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
(see page 112)
1.0 Cal/ml
12%
55%
33%
partially hydrolyzed whey protein (milk)
maltodextrin, sugar, corn starch
MCT (coconut and palm kernel oil),
soybean oil, canola oil
4.8:1
60:40
850 ml/1000 ml
360 m0sm/kg water
N
Y
Y (not for patients with galactosemia)
Y
1000 mL (1-8 years)
1500 mL (9-13 years)
ORDERING INFORMATION
92
Item #
Product size
12142282
24 x 250 ml Tetra Prisma® vanilla
NUTRITIONAL INFORMATION
Energy
Energy Protein Carbohydrate Fat
Linoleic Acid
Water
Vitamin A*
Vitamin D Vitamin E
Vitamin K Vitamin C
Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Taurine
L-Carnitine
Inositol Calcium
Phosphorus
Magnesium
Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
250 ml
100 ml
100
250
420
1050
3
7.5
14
34
3.8
9.6
0.44
1.1
85
212
332
830
60
150
2.8
7
0.006
0.015
10
25
0.24
0.6
0.2
0.5
0.96
2.4
0.24
0.6
0.028
0.07
1
2.5
0.0006
0.0015
0.02
0.05
30
75
8
20
4
10
8
20
112
280
84
210
20
50
1.1
2.7
1.4
3.5
0.1
0.25
0.16
0.4
0.01
0.025
48
120
132
330
108
270
0.0024
0.006
0.0048
0.012
0.003
0.0075
* 40% as Beta-carotene
INGREDIENTS: WATER, MALTODEXTRIN, PARTIALLY HYDROLYZED
WHEY PROTEIN (FROM MILK), SUGAR, MEDIUM-CHAIN TRIGLYCERIDES
(FROM COCONUT AND PALM KERNEL OIL), CORNSTARCH, SOYBEAN
OIL, CANOLA OIL, ARTIFICIAL FLAVOUR, TRICALCIUM PHOSPHATE,
SOY LECITHIN, GUAR GUM, POTASSIUM CHLORIDE, CALCIUM CITRATE,
DISODIUM PHOSPHATE, POTASSIUM CITRATE, MAGNESIUM CHLORIDE,
SODIUM CHLORIDE, CITRIC ACID, CHOLINE CHLORIDE, SODIUM
ASCORBATE, DIPOTASSIUM PHOSPHATE, BETA-CAROTENE, TRYPSIN,
TAURINE, MAGNESIUM OXIDE, INOSITOL, DL-ALPHA TOCOPHERYL
ACETATE, L-CARNITINE, FERROUS SULPHATE, ZINC SULPHATE,
BIOTIN, NIACINAMIDE, CALCIUM PANTOTHENATE, VITAMIN A
PALMITATE, CHOLECALCIFEROL, MANGANESE SULPHATE, THIAMINE
MONONITRATE, COPPER SULPHATE, PYRIDOXINE HYDROCHLORIDE,
POTASSIUM IODIDE, RIBOFLAVIN, FOLIC ACID, CYANOCOBALAMIN,
CHROMIUM CHLORIDE, PHYLLOQUINONE, SODIUM SELENATE,
POTASSIUM HYDROXIDE, DIMETHYLPOLYSILOXANE.
93
2017
2017
PEPTAMEN® JUNIOR 1.5
The Peptamen family of products is designed for toleranceand
is supported by 25+ years of clinical experience and evidence.
®
Peptamen® Junior 1.5 is formulated to meet the nutritional needs of children 1-13 years. Peptamen® Junior 1.5 is a 1.5 Cal/ml formula for
elevated energy needs or volume sensitivities. It includes a peptide
based, 100% whey protein for enhanced digestion and protein
absorption, 60% MCT for enhanced lipid absorption, with EPA, DHA
and Prebio1TM. Prebio1TM is a unique blend of dietary fibres. For tube
feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• GI impairment:
- Malabsorption
- Delayed gastric emptying
- Diarrhea
- Short-bowel syndrome
- Cystic fibrosis
- Radiation enteritis
• Early enteral feeding
• Transition from or dual
feeding with TPN
• Volume restrictions
• Increased energy needs
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
n6:n3 ratio
MCT:LCT
Omega-3 Fatty acids
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
(see page 112)
1.5 Cal/ml
12%
49%
39%
partially hydrolyzed whey protein (milk)
maltodextrin, corn starch
MCT (coconut and palm kernel oil),
soybean oil, canola oil, tuna oil
5.6 g/1000 mL
100% Prebio1TM (FOS/inulin)
3.6:1
60:40
140 mg EPA & 580 mg DHA/1000 ml
772 ml/1000 ml
450 m0sm/kg water
N
Y
Y (not for patients with galactosemia)
N
750 mL (1-8 years)
1000 mL (9-13 years)
ORDERING INFORMATION
94
Item #
Product size
12142283
24 x 250 ml Tetra Prisma® unflavoured
NUTRITIONAL INFORMATION
Energy
Energy Protein Carbohydrate Fat
Linoleic Acid
Water
Vitamin A*
Vitamin D Vitamin E
Vitamin K Vitamin C
Thiamine
Riboflavin
Niacin Vitamin B6
Folic Acid
Pantothenic Acid
Vitamin B12
Biotin
Choline
Taurine
L-Carnitine
Inositol Calcium
Phosphorus
Magnesium
Zinc
Iron
Copper
Manganese
Iodine
Sodium
Potassium
Chloride
Chromium
Molybdenum
Selenium
Units
Cal
kJ
g
g
g
g
g
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
250 ml
100 ml
150
375
630
1570
4.5
11.3
18
45
6.8
17
0.7
1.75
77
193
480
1200
80
200
4.2
10.5
0.0092
0.023
15
37.5
0.36
0.9
0.3
0.75
1.4
3.6
0.36
0.9
0.04
0.1
1.5
3.8
0.0009
0.0023
0.03
0.075
45
113
12
30
6
15
12
30
165
413
135
338
30
75
1.6
4
2.1
5.2
0.15
0.38
0.24
0.6
0.016
0.04
73
183
198
495
162
405
0.0044
0.011
0.0072
0.018
0.0044
0.011
* 40% as Beta-carotene
INGREDIENTS: WATER, MALTODEXTRIN, PARTIALLY HYDROLYZED
WHEY PROTEIN (FROM MILK), MEDIUM-CHAIN TRIGLYCERIDES (FROM
COCONUT AND PALM KERNEL OIL), SOYBEAN OIL, CORNSTARCH,
CANOLA OIL, OLIGOFRUCTOSE, CALCIUM PHOSPHATE, SOY
LECITHIN, TUNA OIL, INULIN, POTASSIUM CHLORIDE, SODIUM
PHOSPHATE, GUAR GUM, MAGNESIUM CHLORIDE, POTASSIUM
CITRATE, CHOLINE CHLORIDE, SODIUM ASCORBATE (VITAMIN
C), SODIUM CHLORIDE, TAURINE, BETA-CAROTENE, MAGNESIUM
OXIDE, INOSITOL, L-CARNITINE, VITAMIN E ACETATE, FERROUS
SULPHATE (IRON), ZINC SULPHATE, BIOTIN, NIACINAMIDE, CALCIUM
PANTOTHENATE, VITAMIN A PALMITATE, CITRIC ACID, VITAMIN D3,
VITAMIN K1, MANGANESE SULPHATE, THIAMINE MONONITRATE,
PYRIDOXINE HYDROCHLORIDE, COPPER SULPHATE, RIBOFLAVIN,
POTASSIUM IODIDE, CYANOCOBALAMIN, FOLIC ACID, CHROMIUM
CHLORIDE, SODIUM SELENATE (SELENIUM), TRYPSIN.
95
2017
2017
RESOURCE®
KID ESSENTIALS 1.5
The Resource® family of products offers a wide range of solutions
specifically formulated for individuals with special nutritional
requirements.
Resource® Kid Essentials 1.5 is formulated to meet the nutritional
needs of children 1-13 years. It is a 1.5 Cal/ml, whole-protein formula in
vanilla flavour delivering more calories in less volume than standard
1.0 Cal/ml formulas. For oral and tube feeding use.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Growth failure
• Inadequate oral intake
• Volume restrictions
• Increased energy needs
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
Dietary Fibre
Fibre Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
25 micronutrients
(see page 112)
1.5 Cal/ml
11%
44%
45%
sodium and calcium caseinates (milk),
whey protein concentrate
maltodextrin, sugar
soybean oil, high oleic sunflower oil,
MCT (coconut and/or palm kernel oil)
9.28 g/1000 ml
77 % partially hydrolyzed
guar gum and 23% soy fibre
10:1
11:89
783 ml/1000 ml
405 m0sm/kg water
Y
Y
N
N
1000 mL (1-8 years)
1500 mL (9-13 years)
ORDERING INFORMATION
96
Item #
Product size
09521617
27 x 237 ml Tetra Brik® vanilla
NUTRITIONAL INFORMATION
Energy
Energy Protein Fat
Linoleic Acid
Carbohydrate Sodium
Potassium
Vitamin A**
Vitamin C
Thiamine
Riboflavin
Niacin Calcium
Iron
Vitamin D Vitamin E
Vitamin B6
Folic Acid
Vitamin B12
Phosphorus
Iodine
Magnesium
Zinc
Copper
Biotin
Pantothenic Acid
Vitamin K Choline
Chloride
Manganese
Selenium
Chromium
Molybdenum
L-Carnitine
Taurine
M-Inositol Units
Cal
kJ
g
g
g
g
mg
mg
IU
mg
mg
mg
mg
mg
mg
IU
IU
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
237 ml
100 ml
150
355
630
1480
4.2
10
7.5
17.8
1.2
2.8
16.5
39*
69
164
130
309
300
711
10
24
0.12
0.28
0.15
0.36
1.1
2.5
130
309
1.4
3.3
46
109
2.3
5.4
0.16
0.38
0.034
0.08
0.0002
0.0006
99
235
0.014
0.033
24
57
1.2
2.8
0.17
0.4
0.015
0.036
1
2.4
0.008
0.02
40
95
75
178
0.23
0.55
0.003
0.008
0.007
0.016
0.006
0.014
2.5
6.2
13.5
32
11.8
28
* Contains 0.5 g of soy fibre & 1.7 g of partially hydrolysed guar gum per 237 ml
** 36% as Beta-carotene
INGREDIENTS: WATER, MALTODEXTRIN, SOYBEAN OIL, SUGAR,
SODIUM CASEINATE (FROM COW’S MILK), HIGH OLEIC SUNFLOWER
OIL, WHEY PROTEIN CONCENTRATE, MEDIUM-CHAIN TRIGLYCERIDES
(FROM COCONUT AND/OR PALM KERNEL OIL), PARTIALLY
HYDROLYSED GUAR GUM, CALCIUM CASEINATE, ARTIFICIAL
FLAVOUR, TRICALCIUM PHOSPHATE, GROUND SOY COTYLEDON
FIBRE, POTASSIUM CITRATE, SOY LECITHIN, TRIMAGNESIUM
PHOSPHATE, SALT, CHOLINE CHLORIDE, ASCORBIC ACID,
CARRAGEENAN, POTASSIUM CHLORIDE, POTASSIUM HYDROXIDE,
DIMETHYLPOLYSILOXANE, VITAMIN A PALMITATE, THIAMINE
HYDROCHLORIDE, RIBOFLAVIN, NICOTINAMIDE, PYRIDOXINE
HYDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE
(PANTOTHENIC ACID), CYANOCOBALMIN, BIOTIN, INOSITOL, TAURINE,
FERROUS SULPHATE (IRON), COPPER GLUCONATE, ZINC SULPHATE,
POTASSIUM IODIDE (IODINE), MANGANESE SULPHATE, SODIUM
SELENITE (SELENIUM), SODIUM MOLYBDATE (MOLYBDENUM),
CHROMIUM TRICHLORIDE, BETA-CAROTENE, VITAMIN D3, ALPHATOCOPHERYL ACETATE, VITAMIN K1.
97
2017
2017
VIVONEX® PEDIATRIC®
The Tolerex and Vivonex family of elemental diets require
minimal digestive functionality while providing the benefits
associated with continued use of the GI tract.
®
®
Vivonex® Pediatric® is a powdered, nutritionally complete, elemental
formula with 100% free amino acids providing 0.8 Cal/ml in standard
dilution, designed for children 1-13 years.
FOR THE NUTRITIONAL MANAGEMENT OF:
• Severely impaired GI function
• Transition from TPN
• Short bowel syndrome
• Malabsorption syndrome
• Inadequate oral intake
FEATURES AT-A-GLANCE:
Caloric density
Protein
Carbohydrate
Fat
Protein Source
Carbohydrate Source
Fat Source
n6:n3 ratio
MCT:LCT
Water content
Osmolality
Kosher
Gluten Free
Lactose Free
Low Residue
Meets DRI for
22 micronutrients
(see page 112)
0.8 Cal/ml
12%
63%
25%
free amino acids
corn maltodextrin, modified corn starch
MCT (modified coconut and/or
palm kernel oil), soybean oil
7.7:1
68:32
893 ml/1000 ml
360 m0sm/kg water
Y
Y
Y (not for patients with galactosemia)
Y
1250 mL (1-8 years)
1875 mL (9-13 years)
ORDERING INFORMATION
98
Item #
Product size
09521619
6 (6 x 48.7 g) packets
NUTRITIONAL INFORMATION
Protein** Fat
Linoleic Acid
Carbohydrate Energy
Energy Vitamin A†
Vitamin D Vitamin E
Thiamine
Riboflavin
Vitamin B6
Niacin Vitamin C
Vitamin B12
Folic Acid
Pantothenic Acid
Biotin
Vitamin K Iron
Calcium
Phosphorus
Sodium
Potassium
Chloride
Magnesium
Iodine
Copper
Manganese
Zinc
Choline
Selenium
Chromium
Molybdenum
L-Carnitine
Taurine
Units
g
g
g
g
Cal
kJ
IU
IU
IU
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg
mg mg
mg
mg
mg
mg
mg
mg
mg
mg
1 serving*
100 g
12.3
6
12.1
5.88
1.72
0.84
64.7
31.5
411
200
1720
836
1270
620
164
80
6.16
3
0.78
0.38
0.94
0.46
1.03
0.5
10.3
5
41.1
20
0.0006
0.0003
0.1
0.05
2.6
1.26
0.053
0.026
0.021
0.01
5.34
2.6
493
240
411
200
226
110
616
300
534
260
82
40
0.062
0.03
0.616
0.3
1.03
0.5
6.16
3
103
50
0.016
0.008
0.023
0.011
0.039
0.019
13
6.2
41.1
20
* In standard dilution (48.7 g of Vivonex® Pediatric powder mixed in 220 ml of water)
** As Amino Acids
† 44% as Beta-carotene
INGREDIENTS: MALTODEXTRIN (CORN), MODIFIED CORN STARCH,
MODIFIED COCONUT AND/OR PALM KERNEL OIL (MEDIUM CHAIN
TRIGLYCERIDES), SOYBEAN OIL (WITH BHA/BHT), CALCIUM
GLYCEROPHOSPHATE, L-GLUTAMINE, MAGNESIUM GLUCONATE,
L-LYSINE ACETATE, L-LEUCINE, L-ARGININE ACETATE, POTASSIUM
CHLORIDE, L-VALINE, CITRIC ACID, L-ISOLEUCINE, L-ASPARTIC
ACID, L-ALANINE, L-PHENYLALANINE, L-SERINE, L-PROLINE,
L-THREONINE, L-TYROSINE, L-GLUTAMIC ACID, GLYCINE, L-HISTIDINE
MONOHYDROCHLORIDE MONOHYDRATE, L-METHIONINE, POTASSIUM
CITRATE, L-CYSTINE, CHOLINE BITARTRATE, POLYGLYCEROL
ESTERS OF FATTY ACIDS, SODIUM CITRATE, SODIUM PHOSPHATE
DIBASIC, L-TRYPTOPHAN, POTASSIUM SORBATE, ASCORBIC ACID,
TAURINE, ZINC SULPHATE, FERROUS SULPHATE, NIACINAMIDE,
L-CARNITINE, ALPHA TOCOPHERYL ACETATE, ALPHA TOCOPHEROL,
COPPER GLUCONATE, D-CALCIUM PANTOTHENATE, MANGANESE
SULPHATE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, THIAMINE
HYDROCHLORIDE, VITAMIN A PALMITATE, BETA-CAROTENE, FOLIC
ACID, CHROMIUM CHLORIDE, SODIUM MOLYBDATE, POTASSIUM
IODIDE, BIOTIN, SODIUM SELENITE, VITAMIN K1, VITAMIN D3,
CYANOCOBALAMIN.
99
2017
2017
GENERAL INFORMATION
HANG TIME
EXPIRATION DATES
GENERAL GUIDELINES
Clean handling techniques must be employed in the
preparation of all feedings. These include having clean,
appropriate work areas; adequate clean and/or sterilized
equipment; and minimal handling and manipulation of
formulas during preparation and use. Any contamination
during preparation or delivery reduces the hang time of
the formula. Re-use of feeding containers and delivery sets
increases the likelihood of contamination.
Nestlé Health Science is committed to offering the highest
quality products to those with special nutritional needs. In
order to assure this quality, Nestlé Health Science products
carry an expiration date.
The expiration date is the date up to which the product
maintains its quality as well as the nutrient content declared
on the label. The product should not be consumed after the
expiration date has passed.
The expiration date is bilingual and is indicated by EXP followed by the date in a 4 digit year, abbreviated 2 digit
month, and 2 digit day format.
The following are the Canadian bilingual month
abbreviations used for Nestlé expiration date coding.
January: JA
April: AL
July: JL
October: OC
February: FE
May: MA
August: AU
November: NO
March: MR
June: JN
September: SE December: DE
STORAGE
The following instructions are regarded as generally applicable to all Nestlé Health Science products in this
guide. However, for product-specific instructions always refer to the label.
LIQUID FORMULA:
To maintain product quality, store unopened package at
room temperature (max. 25°C). Avoid freezing or storage at
high temperatures. Once the Tetra Pak formula is opened,
portion into an appropriate serving/feeding container and
use immediately. Tightly cover package and refrigerate any
unused portion. Discard opened-refrigerated formula within
the time stated on the label.
Hang time of spiked 1 L or 1.5 L Ultrapak® liquid formulas is
48 hours at room temperature. It is not necessary to store
the spiked Ultrapaks in the fridge between intermittent
feeds.
CLOSED SYSTEM - ULTRAPAK® WITH SPIKERIGHT® PLUS PORT
The UltraPak® with SpikeRight® PLUS enteral closed system
is a pre-filled, commercially sterile, non-air dependent
container that may hang for up to 48 hours once spiked
with an appropriate administration set.
OPEN SYSTEM - POWDERS OR TETRA PAK® CONTAINERS
An open system encompasses reconstituted powders or
ready-to-use liquids decanted from a preparation container
or original packaging into a feeding container.
The A.S.P.E.N. Enteral Nutrition Practice Recommendations*
provide the following hang time recommendations:
• For reconstituted powdered formula or a formula
with additives, a 4-hour hang time is recommended
• For commercially sterile, liquid formulas decanted
from a carton, an 8-hour hang time is recommended
These hang time recommendations assume the formula is
kept at room temperature and is subject to minimal handling
and manipulation. The microbial safety of all tube feeding
formulas is dependent on clean handling and administrative
techniques.
While literature states a wide range of actual hang time
recommendations, most agree that administration sets and
bags used in an open system should be changed every
24 hours. This information also indicates that the bag and
administration set should be flushed with water before
adding additional formula.
In order not to compromise product quality and safety,
refrigeration temperature must be between 2-4°C.
POWDERED FORMULA:
Store powdered products in a cool, dry place and protect
from moisture. For multi-serve/bulk packages;
once opened, use within the time stated on the label.
*Enteral Nutrition Practice Recommendations Task Force.
Enteral Nutrition Practice Recommendations. JPEN 2009;33:122-167
100
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2017
GOOD TO KNOW
CALCILOCKTM
LACTOSE
CalciLockTM is a blend of essential
nutrients to help build and maintain
strong bones. This nutrient blend
includes calcium, phosphorus,
magnesium, zinc, and vitamins D, C
and K, and is designed to help support
healthy bone development.
Lactose is a disaccharide sugar (galactose and glucose) that is
found in milk.
Although Health Canada does not have a specific, quantified
limit for lactose-free, the Canadian Food Inspection Agency
(CFIA) uses the guideline: Lactose-free means that there is no
detectable lactose in the food using an acceptable laboratory
method. Nestlé adheres to this guideline.
Due to great variation in individual lactose tolerances, a single
threshold of lactose for all lactose intolerant people has not
been determined. Symptoms of lactose intolerance have been
described after intakes of less than 6 g per serving in some
people, while the vast majority of lactose maldigesters can
tolerate up to 12 g of lactose as a single dose with no or minor
symptoms1.
TM
MC
Several nutrients are important for healthy bone development.
Although each individual nutrient has a specific role in
healthy bone development, the nutrients work together
to provide the CalciLockTM benefit. This combination of
essential nutrients is important for bone structure, strength,
mineralization, and metabolism, as well as collagen
structure and synthesis.
The roles of these nutrients in bone growth and development
are well-established.
Where low levels of lactose are detected in Nestlé Health
Science oral and enteral products, a statement of “<0.5 g
lactose per serving” or “<0.5 g lactose per 100 ml” is made.
Nutrient
Role in healthy bone development
Calcium
All Nestlé Health Science products have been tested to validate
if they are lactose-free. Information in this guide is current at the
time of printing.
Plays a key role to provide bone structure
and bone strength
Phosphorus
Essential for adequate bone mineralization
and bone maintenance
Magnesium
Important role in bone metabolism, and
contributes to bone structure and strength
Zinc
Co-factor for several key enzymes involved
in bone mineralization and the development
of the collagen structure in bones
Vitamin D
Essential for calcium absorption and
adequate bone mineralization
Vitamin C
Necessary for collagen synthesis
Vitamin K
Plays a key role in the synthesis of important
proteins involved in bone metabolism
Accurate and up-to-date information can be found on all Nestlé
Health Science product labels. Products containing a milk
ingredient and labelled as lactose-free are also labelled “not for
individuals with Galactosemia.”
GLUTEN
Gluten is a protein composite (of gliadin and glutenin) found
in wheat and related grain species, including but not limited to;
barley, rye, oats, spelt, durum, kamut, emmer and triticale.
Health Canada views gluten-free products to contain less than
20 parts per million (ppm) of incidental gluten.
All Nestlé Health Science products have been tested to validate
if they are gluten-free. Information in this guide is current at the
time of printing. Accurate and up-to-date information can be
found on all Nestle Health Science product labels.
FIBRE
Nestlé Health Science formulas contain a variety of
insoluble (soy fibre, pea hull fibre, from fruits and
vegetables) and soluble dietary fibres (inulin, fructooligosaccharides, acacia gum, partially hydrolyzed guar gum
and Prebio1TM: a blend of fructooligosaccharides and inulin).
Sources of dietary fibre in each formula are listed in the
Features At-A-Glance section on each product page.
KOSHER
The appropriate kosher symbol , or FISH is
displayed on Nestlé Health Science product labels.
Products containing dairy ingredients or produced on
dairy equipment will have a “D” following the kosher
symbol. Products containing fish ingredients will have
“FISH” following the appropriate or
kosher symbol.
Unless a food product is labeled as kosher, it cannot be
used in a facility that follows Jewish dietary laws or by
patients who follow kosher food directives.
All kosher-certified products are manufactured under the
Rabbinical supervision of the Kashruth Division of the
Orthodox Union.
HALAL
is displayed on some
The “Crescent M Halal” logo
Nestlé Health Science product labels.
All Halal products are certified by the Islamic Food and
Nutrition Council of America (IFANCA), and are fit for
consumption by individuals following a Halal diet.
1. EFSA Journal 2010;8(9):1777.
102
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2017
GOOD TO REMEMBER
•Nestlé Health Science products are not for parenteral use.
•For oral use, portion formula into an appropriate
serving container. Re-use of serving containers or
consuming directly from product packaging is not
recommended as it may compromise the food safety
and quality of the product.
2017
RECOMMENDED
ENTERAL FEEDING
TUBE SIZES
Gravity
(Fr)
Product
RESOURCE® KID ESSENTIALS 1.5
≥5
≥5
COMPLEAT®
≥8
≥8
COMPLEAT® PEDIATRIC
≥8
≥8
ISOSOURCE® 1.5 CAL
≥8
≥5
•Never use a microwave oven to warm formula. Serious burns can result.
ISOSOURCE HN
≥8
≥5
ISOSOURCE® HN FIBRE
≥8
≥5
•Adult nutritional products are not intended for use
in children unless recommended by a physician or
qualified health care professional.
ISOSOURCE® VHP FIBRE FREE
≥8
≥5
•Use under medical supervision. While many Nestlé
Health Science products are designed to meet specific
needs of patients with certain conditions, the choice
of the optimal product for a patient must be based on
patient-specific information and clinical judgment.
•Always follow label instructions for proper preparation
and serving. Nestlé Health Science does not
recommend any alternate storage or preparation of
products.
•For safety, always inspect product packaging prior to
serving or use to ensure all safety seals are in tact.
®
ISOSOURCE VHN
≥8
≥5
MODULEN® IBD
≥8
≥5
NOVASOURCE® RENAL
≥8
≥8
NUTREN 1.5
≥8
≥5
NUTREN® 2.0
≥8
≥8
NUTREN JUNIOR®
≥8
≥5
≥5
®
®
NUTREN JUNIOR FIBRE
≥8
PEPTAMEN®
≥8
≥5
PEPTAMEN® 1.5
≥8
≥8
®
PEPTAMEN AF®
≥8
≥5
PEPTAMEN® INTENSE
HIGH PROTEIN
≥8
≥5
PEPTAMEN® WITH PREBIO1TM
≥8
≥5
PEPTAMEN JUNIOR
≥8
≥5
PEPTAMEN JUNIOR® 1.5
≥8
≥5
RESOURCE® DIABETIC
≥8
≥8
TOLEREX®
≥5
≥5
VIVONEX® PEDIATRIC
≥5
≥5
VIVONEX PLUS
≥5
≥5
VIVONEX® T.E.N.
≥5
≥5
®
®
104
Pump
Assisted
(Fr)
105
2017
2017
ALBERTA REIMBURSEMENT LIST
ALBERTA REIMBURSEMENT LIST
The following Nestlé Health Science products are listed
for reimbursement on the: ALBERTA HUMAN SERVICES
DRUG BENEFIT SUPPLEMENT
The Nestlé Health Science products listed for reimbursement on
the: ALBERTA HUMAN SERVICES DRUG BENEFIT
SUPPLEMENT applies to the clients of:
UNRESTRICTED BENEFITS (40:20)
Product
Format
PIN
BOOST® 1.5 PLUS CALORIES (TETRA)
237 ml
999932
BOOST® DIABETIC
237 ml
999483
BOOST®
237 ml
999920
BOOST® PLUS CALORIES (BOTTLE)
237 ml
999921
COMPLEAT®
250 ml, 1000 ml
999966
ISOSOURCE® 1.5 CAL
250 ml, 1500 ml
999425
ISOSOURCE® HN
250 ml, 1500 ml
ISOSOURCE® HN WITH FIBRE
250 ml, 1500 ml
NOVASOURCE® RENAL
237 ml, 1000 ml
990056
NUTREN® 1.5
250 ml, 1500 ml
999936
NUTREN® 2.0
1000 ml
999964
NUTREN® JUNIOR FIBRE
250 ml
999419
NUTREN® JUNIOR
250 ml
999418
RESOURCE® 2.0
237 ml
999409
RESOURCE® DAIRY THICK
20403
Alberta Child Health Benefit
20400
20401
20402
Children and Youth Services
19824
999410
Income Support
19823
999424
Learners Program
22128
(AISH) Alberta Human Services
19823
237 ml
999469
999413
RESOURCE KID ESSENTIALS 1.5 CAL
237 ml
999458
RESOURCE® THICKENED JUICE
237 ml
999429
®
RESOURCE® THICKENUP® CLEAR
RESOURCE® THICKENUP®
1.4 g, 125 g
999561
227 g
999453
Format
PIN
SPECIAL AUTHORIZATION
Product
BENEPROTEIN®
7 g, 227 g
999415
BOOST® FRUIT FLAVOURED BEVERAGE
237 ml
999402
BOOST® HIGH PROTEIN
237 ml
999427
142 g
999440
250 ml
999426
BOOST® PUDDING
COMPLEAT® PEDIATRIC
ISOSOURCE® VHN
250 ml, 1500 ml
999428
ISOSOURCE® VHP FIBRE-FREE
250 ml, 1000 ml
999550
946 ml
999927
400 g
999559
MCT OIL
MODULEN® IBD
NUTRIHEP®
250 ml
999347
PEPTAMEN® JUNIOR
250 ml
999408
PEPTAMEN®
250 ml
999944
PEPTAMEN® WITH PREBIO1TM
250 ml, 1500 ml
999435
PEPTAMEN® 1.5
250 ml, 1000 ml
999421
PEPTAMEN® AF 1.2
250 ml, 1000 ml
999467
PEPTAMEN® JUNIOR 1.5
TOLEREX®
Group
Child and Family Services
250 ml, 1500 ml
RESOURCE® DIABETIC
Client
250 ml
999553
80 g
999929
VIVONEX® PEDIATRIC
48.7 g
999422
VIVONEX® PLUS
79.5 g
999405
VIVONEX® T.E.N.
80.4 g
999983
(AAHB) Alberta Adult Health Benefit
23609
ALBERTA HUMAN SERVICES SPECIAL AUTHORIZATION:
COVERAGE CRITERIA
For use in patients who are unable to tolerate, have failed,
or have nutritional requirements which cannot be met with the
nutritional products which are unrestricted benefits (listed in
PTC 40:20 of the Alberta Human Services Drug Benefit
Supplement) - noted on previous page.
Information is required regarding the patient's diagnosis,
previous nutritional products utilized and the patient's response
to therapy, and/or the nutritional requirement which cannot be
met with other nutritional products.
To request coverage for a product requiring Special
Authorization, the Drug Special Authorization Request Form
(ABC 60015) must be completed.
To Search the Interactive Drug Benefit List, and to access the
Drug Special Authorization Request Form (ABC 60015)
visit: https://idbl.ab.bluecross.ca/idbl/load.do
For more information about the Alberta Human Services Drug
Benefit Supplement visit: www.ab.bluecross.ca/dbl/pdfs/hsdbs.pdf
Nestlé Health Science products are available throughout Alberta
at any Pharmacy.
106
107
2017
2017
QUÉBEC REIMBURSEMENT LIST
RAMQ REIMBURSEMENT CRITERIA
The following Nestlé Health Science products are listed
for reimbursement on the: RAMQ EXCEPTION LIST.
NUTRITIONAL FORMULA
Product
Format RAMQ Code
BENEPROTEIN®
BOOST® 1.5 PLUS CALORIES
COMPLEAT®
COMPLEAT® - CLOSED SYSTEM
227 g
99003783
237 ml
00898708
250 ml
99000504
1 000 ml
99003635
COMPLEAT® PEDIATRIC
250 ml
99004658
MCT OIL
946 ml
99100217
ISOSOURCE® 1.5 CAL
250 ml
99004135
ISOSOURCE® 1.5 CAL - CLOSED SYSTEM
ISOSOURCE® HN
ISOSOURCE® HN - CLOSED SYSTEM
ISOSOURCE® HN WITH FIBRE
ISOSOURCE® HN WITH FIBRE - CLOSED SYSTEM
ISOSOURCE® VHN
ISOSOURCE® VHN - CLOSED SYSTEM
1 500 ml
99004127
250 ml
99000512
1 500 ml
99000164
250 ml
00801194
1 500 ml
99000202
250 ml
99000180
1 500 ml
99004496
MICROLIPID
89 ml
99100401
MODULEN® IBD
400 g
99100792
237 ml
99003546
NOVASOURCE® RENAL
NOVASOURCE® RENAL - CLOSED SYSTEM
1 000 ml
99100244
250 ml
00907766
NUTREN® 1.5 - CLOSED SYSTEM
1 500 ml
99002000
NUTREN® 2.0 - CLOSED SYSTEM
1 000 ml
99100395
250 ml
99003406
NUTREN® 1.5
NUTREN® JUNIOR
NUTREN JUNIOR WITH FIBRE PREBIO
250 ml
99003414
PEPTAMEN®
250 ml
00908444
®
1TM
PEPTAMEN 1.5
®
PEPTAMEN® 1.5 - CLOSED SYSTEM
PEPTAMEN® AF
PEPTAMEN® AF - CLOSED SYSTEM
250 ml
99003031
1 000 ml
99002922
250 ml
99100309
1 000 ml
99100826
PEPTAMEN INTENSE
250 ml
99101235
PEPTAMEN® INTENSE
1000 ml
99101234
PEPTAMEN® JUNIOR
250 ml
99000296
PEPTAMEN® JUNIOR 1.5
250 ml
99100789
PEPTAMEN® PREBIO1TM
250 ml
99004631
®
PEPTAMEN® PREBIO1TM - CLOSED SYSTEM
RESOURCE® 2.0
RESOURCE® DIABETIC
RESOURCE® DIABETIC - CLOSED SYSTEM
RESOURCE® KIDS ESSENTIALS 1.5
1 500 ml
99100094
237 ml
99003554
250 ml
99002019
1 500 ml
99100042
237 ml
99100216
80 g
00861464
VIVONEX® PEDIATRIC
48.7 g
99000229
VIVONEX® PLUS
79.5 g
00921017
VIVONEX® TEN
80.4 g
00895229
TOLEREX®
SEMI-ELEMENTAL AND MONOMERIC (VA98)
• for enteral feeding.
• for oral feeding in persons requiring monomeric nutritional
formulas or semi-elemental nutritional
• formulas as their source of nutrition in the presence of
severe maldigestion or malabsorption disorders
• and for whom polymeric formulas are not recommended
or not tolerated.
• for children suffering from malnutrition, malabsorption or
growth failure related to a medical condition.
• for persons suffering from cystic fibrosis.
SEMI ELEMENTAL, VERY HIGH PROTEIN - PEPTAMEN®
INTENSE HIGH PROTEIN (FORM # 8140)
• for enteral feeding of persons requiring semi-elemental
nutritional formulas as their source of nutrition in the
presence of malabsorbtion, and whose nutritional needs in
proteins have significantly increased.
POLYMERIC WITH RESIDUE OR LOW-RESIDUE
(FORM #8052)
• for enteral feeding.
• for total oral feeding of persons requiring nutritional
formulas as their source of nutrition in presence of
• esophageal dysfunction or dysphagia, maldigestion or
malabsorption.
• for children suffering from malnutrition, malabsorption or
growth failure related to a medical condition.
• for persons suffering from cystic fibrosis.
PROTEIN - RESOURCE®, BENEPROTEIN® (FORM #8123)
To increase the protein content of other nutritional formulas.
POLYMERIC LOW-RESIDUE – SPECIFIC USE - MODULEN®
IBD (FORM #8064)
For total feeding, whether enteral or oral, of children
suffering from Crohn's disease.
SKIM MILK/COCONUT OIL - MCT OIL (VA5)
For persons unable to effectively digest or absorb longchain fatty foods.
FAT EMULSION INFANTS AND CHILDREN - MICROLIPID®
(FORM # 8099)
To increase the caloric content of the diet or of other
nutritional formulas in the presence of cardiac or metabolic
disorders in children under age 4, and for whom the
polymerized glucose nutritional formulas are not sufficient or
not tolerated.
For more information on the RAMQ EXCEPTION LIST,
please visit www.ramq.gouv.qc.ca
Nestlé Health Science products are available at any pharmacy
and through some medical distributors.
108
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2017
2017
ONTARIO REIMBURSEMENT LIST
The following Nestlé Health Science products are listed
for reimbursement on the: ONTARIO DRUG BENEFIT
FORMULARY
Product
Format
PIN
BOOST® FRUIT FLAVOURED BEVERAGE
237 ml
9853154
BOOST® 1.5 PLUS CALORIES
237 ml
97982610
®
COMPLEAT
250 ml
97983330
COMPLEAT®
1000 ml
9854231
COMPLEAT® PEDIATRIC
250 ml
9857173
ISOSOURCE® HN
250 ml
97984663
ISOSOURCE® HN WITH FIBRE
250 ml
9854363
ISOSOURCE® VHN
250 ml
9853553
ISOSOURCE® 1.5 CAL
250 ml
9854266
MCT OIL
946 ml
97904473
400 g
9857393
MODULEN® IBD
NOVASOURCE® RENAL
237 ml
9854258
NUTREN® 1.5
250 ml
97984698
NUTREN® JUNIOR
250 ml
9854215
NUTREN® JUNIOR FIBRE
250 ml
9854223
PEPTAMEN®
250 ml
97984779
PEPTAMEN® WITH PREBIO1TM
250 ml
9857101
PEPTAMEN® WITH PREBIO1TM
1500 ml
9857102
PEPTAMEN® 1.5
250 ml
9853090
PEPTAMEN® 1.5
ONTARIO DRUG BENEFIT ELIGIBILITY
You will qualify for the Ontario Drug Benefit (ODB) when
you turn 65 years old. Some of you will qualify before you
reach that age because you’re:
• living in a long-term care home or a home for special care, or
• enrolled in one of these programs:
Home Care
Ontario Works
Ontario Disability Support Program
Trillium Drug Program
NUTRITION PRODUCTS
The Ontario Drug Benefit covers the cost of these products
up to a maximum dollar amount.
PATIENT ELIGIBILITY CRITERIA
FOR COVERAGE OF NUTRITION PRODUCTS
The following patient eligibility criteria will determine a
recipient's eligibility for coverage of Nutrition Products (NPs)
under the Ontario Drug Benefit (ODB) program.
Nutrition Products will be reimbursed for ODB eligible
persons when prescribed by a physician as the patient's
sole source of nutrition and meet one of the following:
• oropharyngeal or gastrointestinal disorders resulting in
esophageal dysfunction or dysphagia; e.g. head and neck
surgery, neuromuscular disorder, or cerebral vascular
disease where dysphagia prevents eating;
• maldigestion or malabsorption disorder and/or significant
gut failure where food is not tolerated; e.g. pancreatic
insufficiency, biliary obstruction, short bowel syndrome;
• for patients requiring the use of a chemically defined diet
as a primary treatment of a disease where the therapeutic
benefit has been demonstrated; i.e. Crohn's Disease
Each claim for reimbursement must be supported by a valid,
fully completed Nutrition Product form.
Pharmacists are required to retain a copy of the Nutrtion
Product form on file for a period of two years.
1000 ml
9857126
®
PEPTAMEN JUNIOR
250 ml
9853588
EXCLUSIONS
A nutrition product will not be reimbursed under the ODB
program if it is intended for one of the following uses:
RESOURCE® DIABETIC
250 ml
9857427
• prescribed weight loss in the treatment of obesity
RESOURCE® KID ESSENTIALS 1.5
237 ml
9857142
RESOURCE® 2.0
237 ml
9853170
80 g
97982750
VIVONEX® T.E.N.
80.4 g
9853618
VIVONEX® PLUS
79.5 g
97982830
VIVONEX® PEDIATRIC
48.7 g
9853308
TOLEREX®
For more information on the Ontario Drug Benefit
Formulary/Comparative Drug Index and eligibility criteria
visit: www.health.gov.on.ca/en/public/programs/
drugs/programs/odb/opdp_nutrition.aspx
• food allergies
• body building
• voluntary meal replacement
• nutritional supplement
• convenience
• used as a replacement for breast feeding for infants with
normal gastrointestinal absorptive function
Patients tolerating some solid foods and requiring only
supplementation in addition to food are not eligible for
coverage.
Nestlé Health Science products are available
throughout Ontario at any Pharmacy.
110
111
2017
DIETARY REFERENCE
INTAKES (DRIS)
2017
NOTES
Dietary Reference Intakes (DRIs) are a comprehensive set of
nutrient reference values for healthy populations than can be
used for assessing and planning diets. The DRIs reflect the
current state of scientific knowledge with respect to nutrient
requirements and are published as a series of reports by the U.S.
National Academies.
There are 22 life stage and gender groups in the DRIs.
When comparing the DRIs to the Nestle Health Science adult
and pediatric tube feeding formulas, the following groups were
used:
• Pediatrics: children ages 1-8 years and 9-13 years.
• Adults: males 31-50 years. This group has the highest nutrient
needs among adults with the exception of B6 (51+ years);
vitamin D (71+ years); calcium (males 70+ years;
females 51+ years); and iron (females up to 50 years).
For more information on the DRIs visit:
www.hc-sc.gc.ca/fn-an/nutrition/reference/index-eng.php
112
113
2017
NOTES
TRADEMARK OWNER REFERENCES
Except where noted, all trademarks are owned by
Société des Produits Nestlé S.A., Vevey, Switzerland.
Tetra Prisma® and Tetra Brik® are registered trademarks
of Tetra Laval Holdings & Finance S.A.
114
2017
WWW.NESTLEHEALTHSCIENCE.CA
CALL: 1 800 565-1871
Note: Nestlé Health Science products are intended for use under
medical supervision. At the time of publication, every effort was made
to ensure that all product information was accurate.
25 Sheppard Avenue West, North York, ON M2N 6S8
® Reg. Trademark of Société des Produits Nestlé S.A., Vevey,
Switzerland © 2017 Nestlé. All rights reserved.
NHS-1412E-06 MAR-17