Vitaflo usa product guide

Transcription

Vitaflo usa
product guide
Winter 2013
Vitaflo usaisatrustedandknowledgeable
teamdedicatedtodeliveringscience-based
nutritionalsolutions.Wearedriventoserveand
supportthemetaboliccommunityandother
areasofspecializedclinicalnutrition.Ourgoal
istoimprovepatientoutcomesandqualityoflife
inaresponsiveandcaringmanner.
product information
Web:www.VitafloUSA.com
Phone:1-888-VITAFLO(848-2356)
Fax:631-693-2002
A Nestlé Health Science Company
Email:vitaflo@vitaflousa.com
products
Metabolics
PKU gel........................................................................................................... 1-2
PKU express15................................................................................................ 3-4
PKU cooler10................................................................................................... 5-6
PKU cooler15................................................................................................... 7-8
PKU cooler20................................................................................................. 9-10
MSUD gel.................................................................................................... 11-12
MSUD express15.......................................................................................... 13-14
MSUD cooler15........................................................................................... 15-16
HCU gel...................................................................................................... 17-18
HCU express15............................................................................................ 19-20
HCU cooler15.............................................................................................. 21-22
TYR gel........................................................................................................ 23-24
TYR express15............................................................................................. 25-26
TYR cooler15............................................................................................... 27-28
MMA/PA gel............................................................................................... 29-30
MMA/PA express15..................................................................................... 31-32
GA gel........................................................................................................ 33-34
GA express15.............................................................................................. 35-36
EAA Supplement.......................................................................................... 37-38
Lipistart........................................................................................................ 39-40
MCTprocal................................................................................................... 41-42
Glycosade........................................................................................................ 43
S.O.S............................................................................................................... 44
Single Dose Amino Acids
Arginine500..................................................................................................... 47
Arginine2000................................................................................................... 47
Citrulline200..................................................................................................... 48
Citrulline1000................................................................................................... 48
Creatine5000................................................................................................... 49
Cystine500....................................................................................................... 49
Glycine500....................................................................................................... 50
Isoleucine50...................................................................................................... 50
Isoleucine1000.................................................................................................. 51
Leucine100....................................................................................................... 51
Lysine4000....................................................................................................... 52
Methionine100.................................................................................................. 52
Phenylalanine50................................................................................................ 53
Vitaflo products are medical foods intended for use under medical supervision.
*Not a medical food
products (continued)
Single Dose Amino Acids (continued)
Tyrosine1000.................................................................................................... 53
Valine50........................................................................................................... 54
Valine1000....................................................................................................... 54
Solvil................................................................................................................ 55
Clinical Nutrition Therapy
DocOmega....................................................................................................... 57
KeyOmega....................................................................................................... 58
Pro-Cal............................................................................................................. 59
Vitajoule........................................................................................................... 60
Other Nutritionals
FlavourPac*...................................................................................................... 63
VitaBite............................................................................................................. 64
Directions for use
Metabolics
Gel Product Range............................................................................................. 67
Express15 Product Range.................................................................................. 68
Cooler10, cooler15, cooler20 Product Range...................................................... 69
EAA Supplement............................................................................................... 70
Lipistart............................................................................................................. 71
MCTprocal........................................................................................................ 72
Glycosade........................................................................................................ 73
S.O.S............................................................................................................... 74
Single Dose Amino Acids
Single Dose Amino Acids................................................................................... 77
Solvil................................................................................................................ 78
Clinical Nutrition Therapy
DocOmega....................................................................................................... 81
KeyOmega....................................................................................................... 81
Pro-Cal............................................................................................................. 82
Vitajoule........................................................................................................... 82
Other Nutritionals
FlavourPac*...................................................................................................... 85
VitaBite............................................................................................................. 85
Weights & Household measurements
Weights & Household Measurements............................................................. 87-88
Vitaflo products are medical foods intended for use under medical supervision.
*Not a medical food
metabolic products
A powdered phenylalanine free protein substitute for
use in the dietary management of Phenylketonuria.
Features
• Suitablefrom1yearofage
• Providesthenecessarymixtureofaminoacids,
carbohydrate,vitamins,mineralsandtrace
elementstomeetdailynutritionalneeds
• 1packetprovides10gproteinequivalent
• Designedtobemixedwithwaterintoa
gel/pasteorlowvolumedrink
• Availableasorange,raspberryandunflavoredpowder
osmolality
24g(1packet)+30mlwater=3000mOsm/kg
24g(1packet)+80mlwater=1540mOsm/kg
availability
Product
Unflavored
Orange*
Raspberry*
Packaging
ReimbursementCode
30x24gpackets
30x24gpackets
30x24gpackets
50600-0514-48
50600-0514-62
50600-0514-55
HCPCSCode
B4162
B4162
B4162
Wic-eligible Medical Food
pKu gel unflavored ingredients: Sugar,CornStarch,L-LysineL-Asparate,Modified
CornStarch,L-Leucine,L-Tyrosine,Glycine,L-ArginineL-Aspartate,L-Valine,L-Glutamine,
L-Proline,L-Threonine,L-Isoleucine,CalciumPhosphate,L-Serine,CalciumGlycerophosphate,
L-Alanine,L-Histidine,SodiumCitrate,MagnesiumHydrogenPhosphate,PotassiumCitrate,
L-Cystine,PotassiumChloride,L-TryptophanL-Methionine,CholineBitartrateL-Arginine,
Maltodextrin,Salt,L-AscorbicAcid,Taurine,L-CarnitineL-Tartrate,Nicotinamide,Ferrous
Sulfate,ZincGluconate,DLαTocopherolAcetate,CalciumPantothenate,Manganese
Gluconate,Riboflavin,PyridoxineHydrochloride,ThiamineHydrochloride,Copper
Gluconate,VitaminAAcetate,FolicAcid,PotassiumIodide,ChromiumChloride,Sodium
Molybdate,Phylloquinone,SodiumSelenite,Biotin,Cholecalciferol,Cyanocobalamin.
Ingredient lists for all flavored options available at www.VitafloUSA.com
*Containssugarandsweetenerinflavoredversions.
1
PKU gel Nutrition Information
Unflavored
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total fat
Saturates
Fiber
Flavored
Units
per 100g
per 24g (1 packet)
per 100g
per 24g (1 packet)
kcal
g
g
g
g
g
g
338
41.7
42.9
27.1
0.05
0
0
81
10
10.3
6.5
0.02
0
0
317
41.7
37.1
20
0.05
0
0
76
10
8.9
4.8
0.02
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2000/600
584/14.6
13.4/9.0
63
41
1.0
1.2
14
1.1
208
2.0
25
5.0
279
480/144
140/3.5
3.3/2.2
15
9.8
0.24
0.29
3.4
0.26
50
0.48
6.0
1.2
67
2000/600
584/14.6
13.4/9.0
63
41
1.0
1.2
14
1.1
208
2.0
25
5.0
279
480/144
140/3.5
3.3/2.2
15
9.8
0.24
0.29
3.4
0.26
50
0.48
6.0
1.2
67
mg/mmol 379/16.3
mg/mmol 938/23.5
mg/mmol 583/16.3
mg/mmol 1083/27.1
mg/mmol 825/26.4
mg/mmol
167/6.8
91/3.9
225/5.6
140/3.9
260/6.5
198/6.3
40/1.6
379/16.3
938/23.5
583/16.3
1083/27.1
825/26.4
167/6.8
91/3.9
225/5.6
140/3.9
260/6.5
198/6.3
40/1.6
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
mg
mg
mg
mg
µg
µg
µg
µg
14
0.80
11
1.7
138
50
35
71
3.4
0.19
2.6
0.41
33.1
12
8.4
17
14
0.80
11
1.7
138
50
35
71
3.4
0.19
2.6
0.41
33.1
12
8.4
17
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
1.80
2.91
4.60
1.20
3.60
4.60
1.80
3.10
4.70
3.20
0.90
0.00
3.30
2.00
3.20
1.00
4.60
3.60
46
92
0.43
0.70
1.10
0.29
0.86
1.10
0.43
0.74
1.13
0.77
0.22
0.00
0.79
0.48
0.77
0.24
1.10
0.86
11
22
1.80
2.91
4.60
1.20
3.60
4.60
1.80
3.10
4.70
3.20
0.90
0.00
3.30
2.00
3.20
1.00
4.60
3.60
46
92
0.43
0.70
1.10
0.29
0.86
1.10
0.43
0.74
1.13
0.77
0.22
0.00
0.79
0.48
0.77
0.24
1.10
0.86
11
22
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
2
A powdered phenylalanine free protein substitute for
use in the dietary management of henylketonuria.
Features
• Suitable from 3 years of age
• Provides the necessary mixture of amino acids,
carbohydrate, vitamins, minerals and trace
elements to meet daily nutritional needs
• 1 packet provides 15g protein equivalent
• Interchangeable with PKU cooler15 -
1 x 130ml pouch = 1 x 25g packet
• Low calorie and low volume
• Available as orange, lemon, tropical and unflavored powder
Osmolality
25g (1 packet) + 80ml water = 1896mOsm/kg
Availability
Product
Unflavored
Orange*
Lemon*
Tropical*
Packaging
30x25g
30x25g
30x25g
30x25g
packets
packets
packets
packets
Reimbursement Code
50600-0532-06
50600-0532-20
50600-0533-05
50600-0533-36
HCPCS Code B4162
B4162
B4162
B4162
&
&
&
&
B4157
B4157
B4157
B4157
WIC-Eligible Medical Food
PKU express15 Unflavored Ingredients: Dried Glucose Syrup, L-Lysine L-Aspartate, L-Leucine,
L-Tyrosine, Glycine, L-Arginine L-Aspartate, L-Valine, L-Glutamine, L-Proline, L-Threonine,
L-Isoleucine, Calcium Phosphate, Magnesium Hydrogen Phosphate, L-Serine, Potassium Citrate,
Modified Corn Starch, L-Alanine, L-Histidine, Choline Bitartrate, L-Cystine, L-Tryptophan, Salt,
L-Methionine, L-Arginine, Maltodextrin, Xanthan Gum, L-Ascorbic Acid, Soy Lecithin, Taurine,
L-Carnitine L-Tartrate, Nicotinamide, Ferrous Gluconate, Zinc Gluconate, DL α Tocopherol
Acetate, Calcium Pantothenate, Manganese Gluconate, Pyridoxine Hydrochloride, Riboflavin,
Copper Gluconate, Thiamine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide,
Biotin, Sodium Molybdate, Phylloquinone, Chromium Chloride, Sodium Selenite,
Cholecalciferol, Cyanocobalamin.
* Contains sugar and sweetener in flavored versions.
3
PKU express15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total fat
Saturates
Fiber
Unflavored
per 25g
(1packet)
Flavored
per 25g
(1 packet)
Units
per 100g
per 100g
kcal
g
g
g
g
g
g
297
60
13.7
1.0
0.20
0
0
74
15
3.4
0.24
0.05
0
0
279
60
9.7
3.8
0.20
0
0
70
15
2.4
0.94
0.05
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2773/832
528/13.2
23.2/15.6
108
100
2.0
2.3
24.8
2.8
400
4.8
188
8.0
600
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47.0
2.0
150
2773/832
528/13.2
23.2/15.6
108
100
2.0
2.3
24.8
2.8
400
4.8
188
8.0
600
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47.0
2.0
150
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
508/22
940/23.6
728/20.4
1196/30
1068/33.6
376/15.6
127/5.5
235/5.9
182/5.1
299/7.5
267/8.4
94/3.9
508/22
940/23.6
728/20.4
1196/30
1068/33.6
376/15.6
127/5.5
235/5.9
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
21.6
2.2
21.6
3.2
252
144
88
88
5.4
0.55
5.4
0.80
63
36
22
22
21.6
2.2
21.6
3.2
252
144
88
88
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
2.56
4.14
6.56
1.67
5.10
6.53
2.55
4.47
7.02
4.64
1.24
0.00
4.67
2.91
4.54
1.40
6.59
5.17
64
132
0.64
1.04
1.64
0.42
1.28
1.63
0.64
1.12
1.76
1.16
0.31
0.00
1.17
0.73
1.14
0.35
1.65
1.29
16
33
2.56
4.14
6.56
1.67
5.10
6.53
2.55
4.47
7.02
4.64
1.24
0.00
4.67
2.91
4.54
1.40
6.59
5.17
64
132
0.64
1.04
1.64
0.42
1.28
1.63
0.64
1.12
1.76
1.16
0.31
0.00
1.17
0.73
1.14
0.35
1.65
1.29
16
33
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
4
A ready-to-drink phenylalanine free protein
substitute for use in the dietary management
of Phenylketonuria.
Features
• Suitablefrom3yearsofage
• Providesthenecessarymixtureofamino
acids,carbohydrate,vitamins,mineralsand
traceelementstomeetdailynutritionalneeds
• ContainsDHAandEPA
• Provides10gofproteinequivalentper87mlpouch
• Lowcalorieandlowvolume
• Availableinorange,purple,redandwhiteflavors
osmolality: 1900mOsm/kg
availability
Product
Packaging
ReimbursementCode
Orange
Purple
White
Red
30x87mlpouches
30x87mlpouches
30x87mlpouches
30x87mlpouches
50600-0548-52
50600-0548-76
50600-0549-99
50600-0513-18
HCPCSCode
B4162&B4157
B4162&B4157
B4162&B4157
B4162&B4157
pKu cooler10 red ingredients:Water,Sugar,L-LysineL-Aspartate,L-Leucine,L-Tyrosine,
Glycine,MalicAcid,L-ArginineL-Aspartate,L-Valine,L-Proline,L-Threonine,L-Isoleucine,ModifiedCornStarch,CalciumPhosphate,MagnesiumHydrogenPhosphate,L-Serine,Potassium
Citrate,L-Alanine,L-Histidine,ArtificialFlavoring,CholineBitartrate,L-Cystine,RefinedTuna
Oil,L-Tryptophan,Salt,L-Methionine,L-Arginine,L-AscorbicAcid,CarmineColor,Sodium
Caseinate(Milk),DriedGlucoseSyrup,Dextrose,SoyLecithin,XanthanGum,AcesulfameK,
ZincGluconate,SodiumAscorbate(Preservative),PotassiumSorbate(Preservative),Taurine
,L-CarnitineL-Tartrate,FerrousSulfate,SodiumBenzoate(Preservative),Maltodextrin,DLα
TocopherolAcetate,ManganeseGluconate,Nicotinamide,CopperGluconate,VitaminA
Acetate,CalciumPantothenate,PyridoxineHydrochloride,ThiamineHydrochloride,Riboflavin,
FolicAcid,ChromiumChloride,PotassiumIodide,SodiumMolybdate,Biotin,SodiumSelenite,
Phylloquinone,MixedNaturalTocopherols(Preservative),Cholecalciferol,AscorbylPalmitate
(Preservative),Cyanocobalamin,DLaTocopherol(Preservative).
5
PKU cooler10 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugar
Total Fat
Saturates
DHA
EPA
Fiber
Units
per 100ml
87ml (1 pouch)
kcal
g
g
g
g
g
mg
mg
g
71
11.5
5.4
4.5
0.40
0.10
77
18
0
62
10
4.7
3.9
0.30
0.09
67
15
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
533/160
102/2.5
4.5/3.0
21
19
0.40
0.44
4.8
0.50
77
0.90
36
1.5
115
463/139
88/2.2
3.9/2.6
18
17
0.35
0.38
4.2
0.40
67
0.80
31
1.3
100
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
mg/mmol
98/4.2
85/3.7
Potassium
mg/mmol
181/4.5
157/4.0
Chloride
Calcium
Phosphorus
Magnesium
mg/mmol
mg/mmol
mg/mmol
mg/mmol
140/3.9
230/5.8
205/6.6
72/3.0
122/3.4
200/5.0
178/5.7
63/2.6
mg
mg
mg
mg
µg
µg
µg
µg
4.2
0.42
4.2
0.60
49
28
17
17
3.7
0.37
3.7
0.50
42
24
14
14
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
0.53
0.86
1.36
0.35
0.00
1.35
0.53
0.93
1.46
0.96
0.26
0.00
0.97
0.60
0.93
0.29
1.37
1.07
13
25
0.46
0.75
1.18
0.30
0.00
1.17
0.46
0.81
1.27
0.84
0.23
0.00
0.84
0.52
0.81
0.25
1.19
0.93
11
22
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
6
of Phenylketonuria.
Features
• InterchangeablewithPKUexpress15-1x25gpacket=1x130mlpouch
availability
Product
Packaging
ReimbursementCode
Orange
Purple
White
Red
30x130mlpouches
30x130mlpouches
30x130mlpouches
30x130mlpouches
50600-0545-00
50600-0545-62
50600-0549-75
50600-0519-98
HCPCSCode
B4162&B4157
B4162&B4157
B4162&B4157
B4162&B4157
pKu cooler15 red ingredients: Water,Sugar,L-LysineL-Aspartate,L-Leucine,L-Tyrosine,
Glycine,MalicAcid,L-ArginineL-Aspartate,L-Valine,L-Proline,L-Threonine,L-Isoleucine,
ModifiedCornStarch,CalciumPhosphate,MagnesiumHydrogenPhosphate,L-Serine,
PotassiumCitrate,L-Alanine,L-Histidine,ArtificialFlavoring,CholineBitartrate,L-Cystine,Refined
TunaOil,L-Tryptophan,Salt,L-Methionine,L-Arginine,L-AscorbicAcid,CarmineColor,Sodium
ZincGluconate,SodiumAscorbate(Preservative),PotassiumSorbate(Preservative),Taurine,
L-CarnitineL-Tartrate,FerrousSulfate,SodiumBenzoate(Preservative),Maltodextrin,DLα
7
Calories
Protein equivalent
Total Carbohydrate
Sugar
Total Fat
Saturates
DHA
EPA
Fiber
Units
per 100ml
130ml (1 pouch)
kcal
g
g
g
g
g
mg
mg
g
71
11.5
5.4
4.5
0.40
0.10
77
18
0
92
15
7.0
5.9
0.50
0.13
100
23
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
533/160
102/2.5
4.5/3.0
21
19
0.40
0.44
4.8
0.50
77
0.90
36
1.5
115
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
mg/mmol
98/4.2
127/5.5
Potassium
mg/mmol
181/4.5
235/5.9
Chloride
Calcium
Phosphorus
Magnesium
mg/mmol
mg/mmol
mg/mmol
mg/mmol
140/3.9
230/5.8
205/6.6
72/3.0
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
4.2
0.42
4.2
0.60
49
28
17
17
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
0.53
0.86
1.36
0.35
0.00
1.35
0.53
0.93
1.46
0.96
0.26
0.00
0.97
0.60
0.93
0.29
1.37
1.07
13
25
0.69
1.12
1.77
0.46
0.00
1.76
0.69
1.21
1.90
1.25
0.34
0.00
1.26
0.78
1.21
0.38
1.78
1.39
16
33
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
8
of Phenylketonuria.
Features
availability
Product
Packaging
ReimbursementCode
Orange
Purple
White
Red
30x174mlpouches
30x174mlpouches
30x174mlpouches
30x174mlpouches
50600-0548-14
50600-0548-38
50600-0550-19
50600-0520-01
HCPCSCode
B4162&B4157
B4162&B4157
B4162&B4157
B4162&B4157
pKu cooler20 red ingredients:Water,Sugar,L-LysineL-Aspartate,L-Leucine,L-Tyrosine,
Glycine,MalicAcid,L-ArginineL-Aspartate,L-Valine,L-Proline,L-Threonine,L-Isoleucine,ModifiedCornStarch,CalciumPhosphate,MagnesiumHydrogenPhosphate,L-Serine,Potassium
Citrate,L-Alanine,L-Histidine,ArtificialFlavoring,CholineBitartrate,L-Cystine,RefinedTuna
Oil,L-Tryptophan,Salt,L-Methionine,L-Arginine,L-AscorbicAcid,CarmineColor,Sodium
ZincGluconate,SodiumAscorbate(Preservative),PotassiumSorbate(Preservative),Taurine,
L-CarnitineL-Tartrate,FerrousSulfate,SodiumBenzoate(Preservative),Maltodextrin,DLα
9
Calories
Protein equivalent
Total Carbohydrate
Sugar
Total Fat
Saturates
DHA
EPA
Fiber
Units
per 100ml
174ml (1 pouch)
kcal
g
g
g
g
g
mg
mg
g
71
11.5
5.4
4.5
0.40
0.10
77
18
0
124
20
9.4
7.8
0.70
0.17
134
31
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
533/160
102/2.5
4.5/3.0
21
19
0.40
0.44
4.8
0.50
77
0.90
36
1.5
115
926/278
176/4.4
7.7/5.2
37
33
0.70
0.77
8.4
0.87
134
1.6
63
2.6
200
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
mg/mmol
98/4.2
171/7.4
Potassium
mg/mmol
181/4.5
315/7.9
Chloride
Calcium
Phosphorus
Magnesium
mg/mmol
mg/mmol
mg/mmol
mg/mmol
140/3.9
230/5.8
205/6.6
72/3.0
244/6.8
400/10
357/11.4
125/5.1
mg
mg
mg
mg
µg
µg
µg
µg
4.2
0.42
4.2
0.60
49
28
17
17
7.3
0.73
7.3
1.0
85
49
30
30
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
0.53
0.86
1.36
0.35
0.00
1.35
0.53
0.93
1.46
0.96
0.26
0.00
0.97
0.60
0.93
0.29
1.37
1.07
13
25
0.92
1.50
2.37
0.61
0.00
2.35
0.92
1.62
2.54
1.67
0.45
0.00
1.69
1.04
1.62
0.50
2.38
1.86
22
44
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
10
A powdered leucine, isoleucine, and valine free
protein substitute for use in the dietary management
of Maple Syrup Urine Disease.
Features
• Suitable from 1 year of age
• Designed to be mixed with water into a gel/paste or low volume drink
• Available as unflavored powder
Osmolality
24g (1packet) + 30ml water = 3000mOsm/kg
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x24g packets
50600-0514-93
HCPCS Code B4162
MSUD gel Unflavored Ingredients: Sugar, Corn Starch, L-Lysine L-Aspartate L-Arginine
L-Aspartate, L-Alanine, L-Glutamine, Modified Corn Starch, L-Proline, Glycine, L-Serine,
L-Tyrosine, L-Phenylalanine, L-Threonine, Calcium Phosphate, Calcium Glycerophosphate,
L-Histidine, L-Cystine, L-Tryptophan, Sodium Citrate, Magnesium Hydrogen Phosphate,
Potassium Citrate, L-Arginine, Potassium Chloride, L-Methionine, Choline Bitartrate,
Maltodextrin, Salt, L-Abscorbic Acid, Taurine, L-Carnitine L-Tartrate, Nicotinamide, Ferrous
Sulfate, Zinc Gluconate, DL α Tocopherol Acetate, Calcium Pantothenate, Manganese
Gluconate, Riboflavin, Pyridoxine Hydrochloride, Thiamine Hydrochloride, Copper
Gluconate, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium
Molybdate, Phylloquinone, Sodium Selenite, Biotin,
11
MSUD gel Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 24g (1 packet)
kcal
g
g
g
g
g
g
338
41.7
42.9
27.1
0.05
0
0
81
10
10.3
6.5
0.02
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2000/600
584/14.6
13.4/9.0
63
41
1.0
1.2
14
1.1
208
2.0
25
5.0
279
480/144
140/3.5
3.3/2.2
15
9.8
0.24
0.29
3.4
0.26
50
0.48
6.0
1.2
67
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
379/16.3
938/23.5
583/16.3
1083/27.1
825/26.4
167/6.8
91/3.9
225/5.6
140/3.9
260/6.5
198/6.3
40/1.6
mg
mg
mg
mg
µg
µg
µg
µg
14
0.80
11
1.7
138
50
35
71
3.4
0.19
2.6
0.41
33.1
12
8.4
17
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
5.11
4.85
6.13
1.45
5.51
4.06
1.74
0.00
0.00
3.65
1.05
2.73
4.29
2.90
2.61
1.45
2.90
0.00
46
92
1.23
1.16
1.47
0.35
1.32
0.97
0.42
0.00
0.00
0.88
0.25
0.66
1.03
0.70
0.63
0.35
0.70
0.00
11
22
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
12
A powdered leucine, isoleucine, and valine free
of Maple Syrup Urine Disease
Features
carbohydrate, vitamins, minerals and trace elements
to meet daily nutritional needs
• Interchangeable with MSUD cooler15 -
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x25g packets
50600-0535-34
HCPCS Code B4162 & B4157
MSUD express15 Unflavored Ingredients: Dried Glucose Syrup, L-Lysine L-Aspartate,
L-Arginine L-Aspartate, L-Glutamine, L-Alanine, L-Proline, Glycine, L-Serine, L-Tyrosine,
L-Phenylalanine, L-Threonine, Calcium Phosphate, Magnesium Hydrogen Phosphate,
Potassium Citrate, Modified Corn Starch, L-Histidine, L-Cystine, L-Tryptophan, Choline
Bitartrate, L-Arginine, L-Methionine, Salt, Maltodextrin Xanthan Gum, L-Ascorbic Acid, Soy
Lecithin, Taurine, L-Carnitine L-Tartrate, Nicotinamide, Ferrous Gluconate, Zinc Gluconate,
DL α Tocopherol Acetate, Calcium Pantothenate, Manganese Gluconate, Pyridoxine
Hydrochloride, Riboflavin, Copper Gluconate, Thiamine Hydrochloride, Vitamin A
Acetate, Folic Acid, Potassium Iodide, Biotin, Sodium Molybdate, Phylloquinone,
Chromium Chloride, Sodium Selenite, Cholecalciferol, Cyanocobalamin.
13
MSUD express15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 25g (1 packet)
kcal
g
g
g
g
g
g
297
60
13.7
1.0
0.20
0
0
74
15
3.4
0.24
0.05
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2773/832
528/13.2
23.2/15.6
108
100
2.0
2.3
24.8
2.8
400
4.8
188
8.0
600
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
508/22
940/23.6
728/20.4
1196/30
1068/33.6
376/15.6
127/5.5
235/5.9
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
21.6
2.2
21.6
3.2
252
144
88
88
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
7.23
6.85
8.68
2.05
7.80
5.75
2.46
0.00
0.00
5.16
1.48
3.86
6.09
4.12
3.70
2.05
4.10
0.00
64
132
1.81
1.71
2.17
0.51
1.95
1.44
0.62
0.00
0.00
1.29
0.37
0.97
1.52
1.03
0.93
0.51
1.03
0.00
16
33
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
14
A ready-to-drink leucine, isoleucine and valine
free protein substitute for use in the dietary
management of Maple Syrup Urine Disease.
Features
• Contains DHA and EPA
• Provides 15g of protein equivalent per 130ml pouch
• Interchangeable with MSUD express15 - 1 x 25g packet = 1 x 130ml pouch
• Available in orange and red flavors
Osmolality: 1900mOsm/kg
Availability
Product
Packaging
Reimbursement Code
Orange
Red
30x130ml pouches
30x130ml pouches
50600-0546-54
50600-0509-15
B4162 & B4157
MSUD cooler15 Red Ingredients: Water, Sugar, L-Lysine L-Aspartate, L-Arginine L-Aspartate,
L-Alanine, L-Proline, Glycine, Malic Acid, L-Serine, L-Tyrosine, L-Phenylalanine, L-Threonine,
Modified Corn Starch, Calcium Phosphate, Magnesium Hydrogen Phosphate, Potassium
Citrate, L-Histidine, L-Cystine, L-Tryptophan, Artificial Flavoring, L-Arginine, Choline Bitartrate,
Refined Tuna Oil, L-Methionine, Salt, L-Ascorbic Acid, Carmine Color, Sodium Caseinate (Milk),
Dried Glucose Syrup, Dextrose, Soy Lecithin, Xanthan Gum, Acesulfame K, Zinc Gluconate,
Sodium Ascorbate (Preservative), Potassium Sorbate (Preservative), Taurine, L-Carnitine L-Tartrate,
Ferrous Sulfate, Sodium Benzoate (Preservative), Maltodextrin, DL α Tocopherol Acetate,
Manganese Gluconate, Nicotinamide, Copper Gluconate, Vitamin A Acetate, Calcium
Pantothenate, Pyridoxine Hydrochloride, Thiamine Hydrochloride, Riboflavin, Folic Acid,
Chromium Chloride, Potassium Iodide, Sodium Molybdate, Biotin, Sodium Selenite,
Phylloquinone, Mixed Natural Tocopherols (Preservative), Cholecalciferol, Ascorbyl Palmitate
(Preservative), Cyanocobalamin, DL a Tocopherol (Preservative).
15
MSUD cooler15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugar
Total Fat
Saturates
DHA
EPA
Fiber
Units
per 100ml
130ml (1 pouch)
kcal
g
g
g
g
g
mg
mg
g
71
11.5
5.4
4.5
0.40
0.10
77
18
0
92
15
7.0
5.9
0.50
0.13
100
23
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
533/160
102/2.5
4.5/3.0
21
19
0.40
0.44
4.8
0.50
77
0.90
36
1.5
115
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
98/4.2
181/4.5
140/3.9
230/5.8
205/6.6
72/3.0
127/5.5
235/5.9
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
4.2
0.42
4.2
0.60
49
28
17
17
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
1.57
1.49
1.88
0.44
0.00
1.25
0.53
0.00
0.00
1.12
0.32
0.84
1.32
0.89
0.80
0.45
0.89
0.00
13
25
2.04
1.94
2.44
0.57
0.00
1.63
0.69
0.00
0.00
1.46
0.42
1.09
1.72
1.16
1.04
0.59
1.16
0.00
16
33
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
16
A powdered methionine free protein substitute for
use in the dietary management of Homocystinuria.
Features
• Designed to be mixed with water into a
gel/paste or low volume drink
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x24g packets
50600-0514-86
HCPCS Code B4162
HCU gel Unflavored Ingredients: Sugar, Corn Starch, L-Lysine L-Aspartate, L-Leucine,
Modified Corn Starch, L-Valine, L-Glutamine, L-Isoleucine, L-Proline, Glycine, L-Arginine
L-Aspartate, L-Phenylalanine, L-Tyrosine, L-Threonine, L-Serine, Calcium Phosphate,
L-Histidine, L-Alanine, Calcium Glycerophosphate, L-Arginine, L-Cystine, Sodium Citrate,
Magnesium Hydrogen Phosphate, Potassium Citrate, Potassium Chloride, L-Tryptophan,
Choline Bitartrate, Maltodextrin, Salt, L-Ascorbic Acid, Taurine, L-Carnitine L-Tartrate,
Nicotinamide, Ferrous Sulfate, Zinc Gluconate, DL α Tocopherol Acetate, Calcium
Pantothenate, Manganese Gluconate, Riboflavin, Pyridoxine Hydrochloride, Thiamine
Hyrdochloride, Copper Gluconate, Vitamin A Acetate, Folic Acid, Potassium Iodide,
Chromium Chloride, Sodium Molybdate, Phylloquinone, Sodium Selenite, Biotin,
17
HCU gel Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 24g (1 packet)
kcal
g
g
g
g
g
g
338
41.7
42.9
27.1
0.05
0
0
81
10
10.3
6.5
0.02
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2000/600
584/14.6
13.4/9.0
63
41
1.0
1.2
14
1.1
208
2.0
25
5.0
279
480/144
140/3.5
3.3/2.2
15
9.8
0.24
0.29
3.4
0.26
50
0.48
6.0
1.2
67
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
379/16.3
938/23.5
583/16.3
1083/27.1
825/26.4
167/6.8
91/3.9
225/5.6
140/3.9
260/6.5
198/6.3
40/1.6
mg
mg
mg
mg
µg
µg
µg
µg
14
0.80
11
1.7
138
50
35
71
3.4
0.19
2.6
0.41
33.1
12
8.4
17
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
2.05
3.41
4.56
1.37
4.02
3.00
2.14
3.21
5.57
3.59
0.00
2.48
3.13
2.40
2.44
1.07
2.46
3.53
46
92
0.49
0.82
1.09
0.33
0.96
0.72
0.51
0.77
1.34
0.86
0.00
0.60
0.75
0.58
0.59
0.26
0.59
0.85
11
22
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
18
A powdered methionine free protein substitute for
use in the dietary management of Homocystinuria.
Features
• Interchangeable with HCU cooler15 -
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x25g packets
50600-0535-58
HCU express15 Unflavored Ingredients: Dried Glucose Syrup, L-Lysine L-Aspartate,
L-Leucine, L-Glutamine, L-Valine, L-Isoleucine, L-Proline, Glycine, L-Arginine L-Aspartate,
L-Phenylalanine, L-Tyrosine, L-Threonine, Calcium Phosphate, L-Serine, L-Histidine,
Magnesium Hydrogen Phosphate, L-Alanine, Potassium Citrate, Modified Corn Starch,
L-Arginine, L-Cystine, Choline Bitartrate, L-Tryptophan, Salt, Maltodextrin, Xanthan Gum,
L-Ascorbic Acid, Soy Lecithin, Taurine, L-Carnitine L-Tartrate, Nicotinamide, Ferrous
Gluconate, Zinc Gluconate, DL α Tocopherol Acetate, D-Calcium Pantothenate,
Manganese Gluconate, Pyridoxine Hydrochloride, Riboflavin, Copper Gluconate,
Thiamine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide, Biotin, Sodium
Molybdate, Phylloquinone, Chromium Chloride, Sodium Selenite, Cholecalciferol,
Cyanocobalamin.
19
HCU express15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 25g (1 packet)
kcal
g
g
g
g
g
g
297
60
13.7
1.0
0.20
0
0
74
15
3.4
0.24
0.05
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2773/832
528/13.2
23.2/15.6
108
100
2.0
2.3
24.8
2.8
400
4.8
188
8.0
600
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
508/22
940/23.6
728/20.4
1196/30
1068/33.6
376/15.6
127/5.5
235/5.9
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
21.6
2.2
21.6
3.2
252
144
88
88
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
2.93
4.86
6.51
1.92
5.70
4.20
3.05
4.50
7.80
5.03
0.00
3.48
4.43
3.42
3.42
1.50
3.48
4.98
64
132
0.73
1.22
1.63
0.48
1.43
1.05
0.76
1.13
1.95
1.26
0.00
0.87
1.11
0.86
0.86
0.38
0.87
1.25
16
33
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
20
A ready-to-drink methionine free protein
of Homocystinuria.
Features
• Interchangeable with HCU express15 - 1 x 25g packet = 1 x 130ml pouch
Availability
Product
Packaging
Reimbursement Code
Orange
Red
30x130ml pouches
30x130ml pouches
50600-0535-27
50600-0504-34
B4162 & B4157
HCU cooler15 Red Ingredients: Water, Sugar, L-Lysine L-Aspartate, L-Leucine, Malic Acid,
L-Valine, L-Isoleucine, L-Proline, Glycine, L-Arginine L-Aspartate, Modified Corn Starch,
L-Phenylalanine, L-Tyrosine, L-Threonine, Calcium Phosphate, L-Serine, L-Histidine, L-Alanine,
Magnesium Hydrogen Phosphate, Potassium Citrate, L-Arginine, L-Cystine, Artificial Flavoring,
Choline Bitartrate, Refined Tuna Oil, L-Tryptophan, Salt, L-Ascorbic Acid, Carmine Color, Sodium
Caseinate (Milk), Dried Glucose Syrup, Dextrose, Soy Lecithin, Xanthan Gum, Acesulfame K,
Zinc Gluconate, Sodium Ascorbate (Preservative), Potassium Sorbate (Preservative), Taurine,
L-Carnitine L-Tartrate, Ferrous Sulfate, Sodium Benzoate (Preservative), Maltodextrin, DL α
Tocopherol Acetate, Manganese Gluconate, Nicotinamide, Copper Gluconate, Vitamin A
Acetate, Calcium Pantothenate, Pyridoxine Hydrochloride, Thiamine Hydrochloride, Riboflavin,
Folic Acid, Chromium Chloride, Potassium Iodide, Sodium Molybdate, Biotin, Sodium Selenite,
Phylloquinone, Mixed Natural Tocopherols (Preservative), Cholecalciferol, Ascorbyl Palmitate
(Preservative), Cyanocobalamin, DL a Tocopherol (Preservative).
21
HCU cooler15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugar
Total Fat
Saturates
DHA
EPA
Fiber
Units
per 100ml
130ml (1 pouch)
kcal
g
g
g
g
g
mg
mg
g
71
11.5
5.4
4.5
0.40
0.10
77
18
0
92
15
7.0
5.9
0.50
0.13
100
23
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
533/160
102/2.5
4.5/3.0
21
19
0.40
0.44
4.8
0.50
77
0.90
36
1.5
115
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
mg/mmol
98/4.2
127/5.5
Potassium
mg/mmol
181/4.5
235/5.9
Chloride
Calcium
Phosphorus
Magnesium
mg/mmol
mg/mmol
mg/mmol
mg/mmol
140/3.9
230/5.8
205/6.6
72/3.0
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
4.2
0.42
4.2
0.60
49
28
17
17
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
0.61
1.01
1.35
0.41
0.00
0.89
0.64
0.95
1.65
1.07
0.00
0.74
0.93
0.71
0.73
0.32
0.73
1.05
13
25
0.79
1.32
1.76
0.53
0.00
1.16
0.83
1.24
2.15
1.39
0.00
0.96
1.21
0.93
0.95
0.42
0.95
1.37
16
33
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
22
A powdered tyrosine and phenylalanine
management of Tyrosinemia.
Features
• Designed to be mixed with water into a gel/paste
or low volume drink
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x24g packets
50600-0515-09
HCPCS Code B4162
TYR gel Unflavored Ingredients: Sugar, Corn Starch, L-Lysine L-Aspartate, L-Leucine,
L-Arginine L-Aspartate, Modified Corn Starch, L-Valine, L-Glutamine, L-Isoleucine, L-Proline,
Glycine, L-Alanine, L-Threonine, L-Serine, Calcium Phosphate, L-Histidine, Calcium
Glycerophosphate, L-Cystine, Sodium Citrate, Magnesium Hydrogen Phosphate, Potassium
Citrate, Potassium Chloride, L-Tryptophan, L-Methionine, L-Arginine, Choline Bitartrate,
Maltodextrin, Salt, L-Ascorbic Acid, Taurine, L-Carnitine L-Tartrate, Nicotinamide, Ferrous
Sulfate, Zinc Gluconate, DL α Tocopherol Acetate, Calcium Pantothenate, Manganese
Gluconate, Riboflavin, Pyridoxine Hydrochloride, Thiamine Hydrochloride, Copper
Gluconate, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium
Molybdate, Phylloquinone, Sodium Selenite, Biotin, Cholecalciferol, Cyanocobalamin.
23
TYR gel Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 24g (1 packet)
kcal
g
g
g
g
g
g
338
41.7
42.9
27.1
0.05
0
0
81
10
10.3
6.5
0.02
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2000/600
584/14.6
13.4/9.0
63
41
1.0
1.2
14
1.1
208
2.0
25
5.0
279
480/144
140/3.5
3.3/2.2
15
9.8
0.24
0.29
3.4
0.26
50
0.48
6.0
1.2
67
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
379/16.3
938/23.5
583/16.3
1083/27.1
825/26.4
167/6.8
91/3.9
225/5.6
140/3.9
260/6.5
198/6.3
40/1.6
mg
mg
mg
mg
µg
µg
µg
µg
14
0.80
11
1.7
138
50
35
71
3.4
0.19
2.6
0.41
33.1
12
8.4
17
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
3.12
3.83
5.92
1.43
3.79
3.12
2.09
3.48
5.57
3.97
0.89
0.00
3.21
2.45
2.67
1.11
0.00
3.79
46
92
0.75
0.92
1.42
0.34
0.91
0.75
0.50
0.84
1.34
0.95
0.21
0.00
0.77
0.59
0.64
0.27
0.00
0.91
11
22
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
24
A powdered tyrosine and phenylalanine free
protein substitute for use in the dietary
Features
• Interchangeable with TYR cooler15 -
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x25g packets
50600-0538-48
TYR express15 Unflavored Ingredients: L-Lysine L-Aspartate, Dried Glucose Syrup,
L-Leucine, L-Arginine L-Aspartate, L-Glutamine, L-Valine, L-Isoleucine, L-Proline, Glycine,
L-Alanine, L-Threonine, L-Serine, Calcium Phosphate, L-Histidine, Magnesium Hydrogen
Phosphate, Potassium Citrate, Modified Corn Starch, L-Cystine, Choline Bitartrate,
L-Tryptophan, Salt, L-Methionine, L-Arginine, Maltodextrin, Xanthan Gum, L-Ascorbic Acid,
Soy Lecithin, Taurine , L-Carnitine L-Tartrate, Nicotinamide, Ferrous Gluconate, Zinc
Gluconate, DL α Tocopherol Acetate, Calcium Pantothenate, Manganese Gluconate,
Pyridoxine Hydrochloride, Riboflavin, Copper Gluconate, Thiamine Hydrochloride, Vitamin
A Acetate, Folic Acid, Potassium Iodide, Biotin, Sodium Molybdate, Phylloquinone,
25
TYR express15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 25g (1 packet)
kcal
g
g
g
g
g
g
297
60
13.7
1.0
0.20
0
0
74
15
3.4
0.24
0.05
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2773/832
528/13.2
23.2/15.6
108
100
2.0
2.3
24.8
2.8
400
4.8
188
8.0
600
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
508/22
940/23.6
728/20.4
1196/30
1068/33.6
376/15.6
127/5.5
235/5.9
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
21.6
2.2
21.6
3.2
252
144
88
88
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
4.24
5.43
8.40
2.02
5.37
4.42
2.97
4.93
7.90
5.62
1.26
0.00
4.55
3.47
3.79
1.58
0.00
5.37
64
132
1.06
1.36
2.10
0.51
1.34
1.11
0.74
1.23
1.98
1.41
0.32
0.00
1.14
0.87
0.95
0.40
0.00
134
16
33
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
26
A ready-to-drink tyrosine and phenylalanine
Features
• Interchangeable with TYR express15 - 1 x 25g packet = 1 x 130ml pouch
Availability
Product
Packaging
Reimbursement Code
Orange
Red
30x130ml pouches
30x130ml pouches
50600-0539-92
50600-0543-26
B4162 & B4157
TYR cooler15 Red Ingredients: Water, Sugar, L-Lysine L-Aspartate, L-Leucine, L-Arginine
L-Aspartate, Malic Acid, L-Valine, L-Isoleucine, L-Proline, Glycine, L-Alanine, L-Threonine,
Modified Corn Starch, L-Serine, Calcium Phosphate, L-Histidine, Magnesium Hydrogen
Phosphate, Potassium Citrate, L-Cystine, Artificial Flavoring, Choline Bitartrate, Refined Tuna
Oil, L-Tryptophan, Salt, L-Methionine, L-Arginine, L-Ascorbic Acid, Carmine Color, Sodium
Caseinate (Milk), Dried Glucose Syrup, Dextrose, Soy Lecithin, Xanthan Gum, Acesulfame K,
Zinc Gluconate, Sodium Ascorbate (Preservative), Potassium Sorbate (Preservative), Taurine,
L-Carnitine L-Tartrate, Ferrous Sulfate, Sodium Benzoate (Preservative), Maltodextrin, DL α
Tocopherol Acetate, Manganese Gluconate, Nicotinamide, Copper Gluconate, Vitamin A
Acetate, Calcium Pantothenate, Pyridoxine Hydrochloride, Thiamine Hydrochloride,
Riboflavin, Folic Acid, Chromium Chloride, Potassium Iodide, Sodium Molybdate, Biotin,
Sodium Selenite, Phylloquinone, Mixed Natural Tocopherols (Preservative), Cholecalciferol,
Ascorbyl Palmitate (Preservative), Cyanocobalamin, DL a Tocopherol (Preservative).
27
TYR cooler15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugar
Total Fat
Saturates
DHA
EPA
Fiber
Units
per 100ml
130ml (1 pouch)
kcal
g
g
g
g
g
mg
mg
g
71
11.5
5.4
4.5
0.40
0.10
77
18
0
92
15
7.0
5.9
0.50
0.13
100
23
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
533/160
102/2.5
4.5/3.0
21
19
0.40
0.44
4.8
0.50
77
0.90
36
1.5
115
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
mg/mmol
98/4.2
127/5.5
Potassium
mg/mmol
181/4.5
235/5.9
Chloride
Calcium
Phosphorus
Magnesium
mg/mmol
mg/mmol
mg/mmol
mg/mmol
140/3.9
230/5.8
205/6.6
72/3.0
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
4.2
0.42
4.2
0.60
49
28
17
17
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
0.93
1.14
1.76
0.42
0.00
0.93
0.62
1.03
1.66
1.18
0.27
0.00
0.95
0.73
0.80
0.33
0.00
1.13
13
25
1.21
1.48
2.29
0.55
0.00
1.20
0.81
1.34
2.15
1.53
0.34
0.00
1.24
0.95
1.03
0.43
0.00
1.47
16
33
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
28
A powdered methionine, threonine, and valine free
of Methylmalonic acidemia and Propionic acidemia.
Features
• Designed to be mixed with water into a gel/paste
or low volume drink
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x24g packets
50600-0515-23
HCPCS Code B4162
MMA/PA gel Unflavored Ingredients: Sugar, Corn Starch, L-Lysine L-Aspartate, L-Arginine
L-Aspartate, L-Leucine, L-Glutamine, Modified Corn Starch, L-Alanine, L-Serine, L-Histidine,
L-Phenylalanine, L-Tyrosine, Calcium Phosphate, L-Proline, Glycine, Calcium
Glycerophosphate, L-Cystine, Sodium Citrate, Magnesium Hyrdrogen Phosphate,
Potassium Citrate, Potassium Chloride, L-Tryptophan, Choline Bitartrate, Maltodextrin, Salt,
L-Isoleucine, L-Ascorbic Acid, Taurine, L-Carnitine L-Tartrate, Nicotinamide, Ferrous Sulfate,
Zinc Gluconate, DL α Tocopherol Acetate, Calcium Pantothenate, Manganese Gluconate,
Riboflavin, Pyridoxine Hydrochloride, Thiamine Hydrochloride, Copper Gluconate, Vitamin
A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate,
Phylloquinone, Sodium Selenite, Biotin, Cholecalciferol, Cyanocobalamin.
29
MMA/PA gel Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 24g (1 packet)
kcal
g
g
g
g
g
g
338
41.7
42.9
27.1
0.05
0
0
81
10
10.3
6.5
0.02
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2000/600
584/14.6
13.4/9.0
63
41
1.0
1.2
14
1.1
208
2.0
25
5.0
279
480/144
140/3.5
3.3/2.2
15
9.8
0.24
0.29
3.4
0.26
50
0.48
6.0
1.2
67
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
379/16.3
938/23.5
583/16.3
1083/27.1
825/26.4
167/6.8
91/3.9
225/5.6
140/3.9
260/6.5
198/6.3
40/1.6
mg
mg
mg
mg
µg
µg
µg
µg
14
0.80
11
1.7
138
50
35
71
3.4
0.19
2.6
0.41
33.1
12
8.4
17
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
4.15
4.30
7.46
1.77
5.06
1.95
2.78
0.15
6.58
4.58
0.00
2.78
2.02
2.93
0.00
1.11
2.78
0.00
46
92
1.00
1.03
1.79
0.42
1.21
0.47
0.67
0.04
1.58
1.10
0.00
0.67
0.48
0.70
0.00
0.27
0.67
0.00
11
22
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
30
A powdered methionine, threonine, valine free and
low isoleucine protein substitute for use in the dietary
management of Methylmalonic acidemia and
Propionic acidemia.
Features
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x25g packets
50600-0543-71
MMA/PA express15 Unflavored Ingredients: L-Lysine L-Aspartate, L-Arginine L-Aspartate,
Dried Glucose Syrup, L-Leucine, L-Glutamine, L-Alanine, L-Serine, L-Phenylalanine,
L-Tyrosine, L-Histidine, Calcium Phosphate, Magnesium Hydrogen Phosphate,
Potassium Citrate, L-Proline, Glycine, Modified Corn Starch, L-Cystine, Choline Bitartrate,
L-Tryptophan, Salt, Maltodextrin, Xanthan Gum, L-Isoleucine, L-Ascorbic Acid, Soy Lecithin,
Taurine, L-Carnitine L-Tartrate, Nicotinamide, Ferrous Gluconate, Zinc Gluconate,
DL α Tocopherol Acetate, Calcium Pantothenate, Manganese Gluconate, Pyridoxine
Hydrochloride, Riboflavin, Copper Gluconate, Thiamine Hydrochloride, Vitamin A
Acetate, Folic Acid, Potassium Iodide, Biotin, Sodium Molybdate, Phylloquinone,
31
MMA/PA express15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 25g (1 packet)
kcal
g
g
g
g
g
g
297
60
13.7
1.0
0.20
0
0
74
15
3.4
0.24
0.05
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2773/832
528/13.2
23.2/15.6
108
100
2.0
2.3
24.8
2.8
400
4.8
188
8.0
600
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
508/22
940/23.6
728/20.4
1196/30
1068/33.6
376/15.6
127/5.5
235/5.9
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
21.6
2.2
21.6
3.2
252
144
88
88
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
5.92
6.14
10.64
2.53
7.22
2.79
3.97
0.22
9.39
6.54
0.00
3.97
2.89
4.19
0.00
1.59
3.97
0.00
64
132
1.48
1.54
2.66
0.63
1.81
0.70
0.99
0.06
2.35
1.64
0.00
0.99
0.72
1.05
0.00
0.40
0.99
0.00
16
33
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
32
A powdered lysine free and low tryptophan protein
substitute for use in the dietary management of
Glutaric Aciduria Type 1.
Features
• Designed to be mixed with water into a gel/paste or low volume drink
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x24g packets
50600-0515-16
HCPCS Code B4162
GA gel Unflavored Ingredients: Sugar, Corn Starch, L-Leucine, Modified Corn Starch,
L-Valine, L-Alanine, L-Isoleucine, L-Proline, L-Tyrosine, L-Arginine, L-Phenlyalanine, L-Threonine,
L-Glutamine, L-Serine, L-Aspartic Acid, Glycine, Calcium Phosphate, Calcium
Glycerophosphate, L-Histidine, L-Cystine, Sodium Citrate, Magnesium Hydrogen
Phosphate, Potassium Citrate, Potassium Chloride, L-Methionine, Choline Bitartrate, -Tryptophan, Maltodextrin, Salt, L-Ascorbic Acid, Taurine, L-Carnitine L-Tartrate,
Nicotinamide, Ferrous Sulfate, Zinc Gluconate, DL α Tocopherol Acetate, Calcium
Pantothenate, Manganese Gluconate, Riboflavin, Pyridoxine Hydrochloride, Thiamine
Hydrochloride, Copper Gluconate, Vitamin A Acetate, Folic Acid, Potassium Iodide,
Chromium Chloride, Sodium Molybdate, Phylloquinone, Sodium Selenite, Biotin,
33
GA gel Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 24g (1 packet)
kcal
g
g
g
g
g
g
338
41.7
42.9
27.1
0.05
0
0
81
10
10.3
6.5
0.02
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2000/600
584/14.6
13.4/9.0
63
41
1.0
1.2
14
1.1
208
2.0
25
5.0
279
480/144
140/3.5
3.3/2.2
15
9.8
0.24
0.29
3.4
0.26
50
0.48
6.0
1.2
67
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
379/16.3
938/23.5
583/16.3
1083/27.1
825/26.4
167/6.8
91/3.9
225/5.6
140/3.9
260/6.5
198/6.3
40/1.6
mg
mg
mg
mg
µg
µg
µg
µg
14
0.80
11
1.7
138
50
35
71
3.4
0.19
2.6
0.41
33.1
12
8.4
17
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
4.07
3.46
2.64
1.53
3.01
2.54
1.78
3.66
6.36
0.00
1.12
3.05
3.56
2.80
3.05
0.27
3.56
4.07
46
92
0.98
0.83
0.63
0.37
0.72
0.61
0.43
0.88
1.53
0.00
0.27
0.73
0.85
0.67
0.73
0.06
0.85
0.98
11
22
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
34
A powdered lysine free and low tryptophan protein
substitute for use in the dietary management of
Glutaric Aciduria Type 1.
Features
Osmolality
Availability
Product
Unflavored
Packaging
Reimbursement Code
30x25g packets
50600-0516-22
GA express15 Unflavored Ingredients: Dried Glucose Syrup, L-Leucine, L-Valine,
L-Alanine, L-Isoleucine, L-Proline, L-Tyrosine, L-Arginine, L-Phenylalanine, L-Threonine,
L-Glutamine, L-Serine, L-Aspartic Acid, Glycine, Calcium Phosphate, Magnesium Hydrogen
Phosphate, Potassium Citrate, Modified Corn Starch,L-Histidine, L-Cystine, Choline
Bitartrate, L-Methionine, Salt, Maltodextrin, L-Tryptophan, Xanthan Gum, L-Ascorbic Acid,
Soy Lecithin, Taurine , L-Carnitine L-Tartrate, Nicotinamide, Ferrous Gluconate, Zinc
Gluconate, DL α Tocopherol Acetate, Calcium Pantothenate, Manganese Gluconate,
Pyridoxine Hydrochloride, Riboflavin, Copper Gluconate, Thiamine Hydrochloride,
Vitamin A Acetate, Folic Acid, Potassium Iodide, Biotin, Sodium Molybdate,
Phylloquinone, Chromium Chloride, Sodium Selenite, Cholecalciferol, Cyanocobalamin.
35
GA express15 Nutrition Information
Calories
Protein equivalent
Total Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 25g (1 packet)
kcal
g
g
g
g
g
g
297
60
13.7
1.0
0.20
0
0
74
15
3.4
0.24
0.05
0
0
IU/µg
IU/µg
IU/mg
mg
µg
mg
mg
mg
mg
µg
µg
µg
mg
mg
2773/832
528/13.2
23.2/15.6
108
100
2.0
2.3
24.8
2.8
400
4.8
188
8.0
600
693/208
132/3.3
5.8/3.9
27
25
0.50
0.57
6.2
0.70
100
1.2
47
2.0
150
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
mg/mmol
508/22
940/23.6
728/20.4
1196/30
1068/33.6
376/15.6
127/5.5
235/5.9
182/5.1
299/7.5
267/8.4
94/3.9
mg
mg
mg
mg
µg
µg
µg
µg
21.6
2.2
21.6
3.2
252
144
88
88
5.4
0.55
5.4
0.80
63
36
22
22
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
g
mg
mg
5.78
4.91
3.75
2.17
4.28
3.61
2.53
5.20
9.03
0.00
1.59
4.33
5.06
3.97
4.33
0.38
5.06
5.78
64
132
1.45
1.23
0.94
0.54
1.07
0.90
0.63
1.30
2.26
0.00
0.40
1.08
1.27
0.99
1.08
0.10
1.27
1.45
16
33
Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin C
Vitamin K
Thiamine
Riboflavin
Niacin
Vitamin B6
Folic acid
Vitamin B12
Biotin
Pantothenic acid
Choline
Minerals
Sodium
Potassium
Chloride
Calcium
Phosphorus
Magnesium
Trace Elements
Iron
Copper
Zinc
Manganese
Iodine
Molybdenum
Selenium
Chromium
Amino Acids
L-Alanine
L-Arginine
L-Aspartic acid
L-Cystine
L-Glutamine
Glycine
L-Histidine
L-Isoleucine
L-Leucine
L-Lysine
L-Methionine
L-Phenylalanine
L-Proline
L-Serine
L-Threonine
L-Tryptophan
L-Tyrosine
L-Valine
L-Carnitine
Taurine
36
TM
A tropical flavored powder containing
essential amino acids, carbohydrate,
vitamins, minerals and trace elements.
For use in the dietary management of
Urea Cycle Disorders and other disorders
of protein metabolism where essential
amino acids are required.
Features
• Balanced mixture of essential amino acids
• 1 packet contains 5g protein equivalent
Osmolality: 12.5g (1 packet) + 100ml (3.38 fl oz) water = 660mOsm/kg
Availability
Product
EAA Supplement
Packaging
Reimbursement Code
50x12.5g packets
50600-0549-06
HCPCS Code B4155
EAA Supplement Ingredients: Sugar, L-Leucine, L-Lysine Acetate, L-Valine, Magnesium
Hydrogen Phosphate, Calcium Phosphate, L-Isoleucine, L-Tyrosine, L-Threonine,
L-Phenylalanine, Malic Acid, Modified Corn Starch, Maltodextrin, L-Cystine, L-Histidine,
L-Methionine, L-Tryptophan, Ferrous Gluconate, Xanthan Gum, L-Ascorbic Acid, Zinc
Gluconate, Artificial Flavoring, Soy Lecithin, L-Carnitine L-Tartrate, Acesulphame K, Beta
Carotene Color, Manganese Gluconate, Nicotinamide, Beet Red Color, DL α Tocopheryl
Acetate, Copper Gluconate, Calcium Pantothenate, Pyridoxine Hydrochloride, Thiamine
Hydrochloride, Riboflavin, Vitamin A Acetate, Folic Acid, Chromium Chloride, Sodium
Molybdate, Potassium Iodide, Biotin, Phylloquinone, Sodium Selenite, Cholecalciferol,
Cyanocobalamin.
37
EAA Supplement Nutrition Information
Calories
Protein equivalent
Carbohydrate
Sugar
Total Fat
Units
per 100g
per 12.5g (1 packet)
kcal
g
g
g
g
288
40
31.8
24
0.1
36
5.0
4.0
3.0
0
Vitamins
Vitamin A
IU/µg RE
6760/2030
846/254
Vitamin D
IU/µg
1004/25.1
128/3.2
Vitamin E
IU/mg a TE
46/31.2
5.8/3.9
Vitamin C
mg
218
27.2
Vitamin K
µg
203
25.4
Thiamine
mg
4.1
0.5
Riboflavin
mg
4.6
0.6
Niacin
mg
50.8
6.4
Vitamin B6
mg
5.8
0.8
Folic acid
µg
812
102
Vitamin B12
µg
9.4
1.2
Biotin
µg
377
47.2
Pantothenic acid
mg
16
2.0
Sodium
mg/mmol
15/0.6
1.9/0.08
Potassium
mg/mmol
48/1.2
6/0.2
Chloride
mg/mmol
0/0
0/0
Calcium
mg/mmol
2326/58.2
291/7.3
Phosphorus
mg/mmol
2265/72.5
283/9.1
Magnesium
mg/mmol
837/34.3
105/4.3
Minerals
Trace Elements
Iron
mg
43.5
5.5
Copper
µg
4400
550
Zinc
mg
43.5
5.5
Manganese
mg
6.4
0.8
Iodine
µg
508
63.5
Molybdenum
µg
290
36.5
Selenium
µg
174
22
Chromium
µg
174
22
L-Cystine
g
1.8
0.25
L-Histidine
g
1.8
0.25
L-Isoleucine
g
5.7
0.70
L-Leucine
g
9.8
1.25
L-Lysine
g
6.6
0.85
L-Methionine
g
1.8
0.25
L-Phenylalanine
g
3.4
0.40
L-Threonine
g
4.1
0.50
L-Tryptophan
g
1.3
0.15
L-Tyrosine
g
4.7
0.60
L-Valine
g
7.2
0.90
mg
130
17
Amino Acids
L-Carnitine
38
A nutritionally complete powdered formula
containing whey protein, carbohydrate, fat
(high in medium chain triglycerides (MCT)
and low in long chain triglycerices (LCT)),
vitamins, minerals and trace elements. For
use in the dietary management of long chain
fatty acid oxidation disorders, fat malabsorption and other disorders
requiring dietary management using a high MCT, low LCT formula.
Features
• Approximately 39% of calories from fat (30% from MCT and 8% from LCT)
• High MCT; low LCT
– MCT:LCT ratio 80:20
• The LCT in Lipistart provides essential fatty acids
– Contains preformed DHA and AA
• Complete range of vitamins, minerals and trace elements
• Mixes easily with water
– Can be used as a supplementary drink or tube feed
Osmolality:
20kcal/fl oz (0.68kcal/ml) dilution:
5g powder + 30ml water = 180mOsm/kg
Availability
Product
Packaging
Reimbursement Code
Lipistart
400g can
50600-0502-05
Lipistart Ingredients: Dried Glucose Syrup, Blend Of Vegetable Oils (Coconut Oil, Palm Kernel Oil,
Soybean Oil), Whey Protein Concentrate (Milk), Sodium Caseinate (Milk), Calcium Phosphate, Potassium
Citrate, Lecithin, High Arachidonic Acid Single Cell Vegetable Oil, Salt, Dipotassium Phosphate, Magnesium
Hydrogen Phosphate, High Docosahexaenoic Acid Single Cell Vegetable Oil, L-Ascorbic Acid, L-Carnitine
L-Tartrate, Maltodextrin, Choline Bitartrate, L-Tyrosine, Sodium Ascorbate (Preservative), Soy Lecithin, Inositol,
Taurine, Ferrous Gluconate, Zinc Gluconate, Mono And Diglycerides Of Fatty Acids, DL α Tocopherol
Acetate, Nicotinamide, Manganese Gluconate, Calcium Pantothenate, Copper Gluconate, Pyridoxine
Hydrochloride, Riboflavin, Thiamine Hydrochloride, Vitamin A Acetate, Folic Acid, Potassium Iodide,
Chromium Chloride, Sodium Molybdate, Phylloquinone, Biotin, Sodium Selenite, Cholecalciferol, Ascorbyl
Palmitate (Preservative), Tocopherol (Preservative), Cyanocobalamin.
39
Lipistart Nutrition Information
Units
per 100g dry powder
per 100 ml
(at 20kcal/fl oz dilution)
Calories
kcal
450
68
Protein
g
13.7
2.1
Total Carbohydrates
g
55.3
8.3
Sugars
g
4.8
0.7
Total Fat
g
20.6
3.1
Saturates
g
17.0
2.6
LCT
g
3.8
0.57
MCT
g
16.5
2.5
Fiber
g
0
0
Vitamin A
IU/µg RE
1552/466
233/69.9
Vitamin D
IU/µg
368/9.2
55.2/1.4
Vitamin E
IU/mg α TE
16.4/11
2.5/1.7
Vitamin C
mg
135
20.3
Vitamin K
µg
31
4.7
Thiamine
mg
0.60
0.09
Riboflavin
mg
0.80
0.12
Niacin
mg
6.0
0.90
Vitamin B6
mg
0.70
0.11
Folic acid
µg
100
15
Vitamin B12
µg
1.5
0.23
Vitamins
Biotin
µg
19
2.9
Pantothenic acid
mg
2.9
0.44
Choline
mg
67
10.1
Inositol
mg
60
9.0
Minerals
Sodium
mg/mmol
258/11.1
38.7/1.7
Potassium
mg/mmol
503/12.6
75.5/1.9
Chloride
mg/mmol
299/8.4
44.9/1.3
Calcium
mg/mmol
491/12.3
73.7/1.8
Phosphorus
mg/mmol
359/11.5
53.9/1.7
Magnesium
mg/mmol
57/2.3
8.6/0.3
0.75
Trace Elements
Iron
mg
5.0
Copper
µg
450
70
Zinc
mg
4.7
0.71
Manganese
mg
0.40
0.06
Iodine
µg
92
13.8
Molybdenum
µg
25
3.8
Selenium
µg
16
2.4
Chromium
µg
13
2.0
L-Carnitine
mg
141
21
Taurine
mg
54
8.1
Amino Acids
40
TM
A powdered medical food high in medium
chain triglycerides (MCT) for use in dietary
management of disorders of long chain
fatty acid oxidation, fat malabsorption and
other disorders requiring a high MCT,
low long chain triglyceride (LCT)
supplement.
Features
• High MCT (99% total fat)
• Provides 10g MCT, 105kcal, 2g protein and 3.3g carbohydrate
per 16g serving (1 packet or 2 level scoops)
• Convenient single serve packets or 480g tub with a scoop
• Mixes easily with many permitted foods and drinks
– no separation of oil
– minimal effect on texture and volume
– can also be used in cooking and baking without affecting taste
Visit www.VitafloUSA.com for access to a full downloadable
MCTprocal recipe book
Availability
Product
MCT Procal
MCT Procal
Packaging
Reimbursement Code
30x16g packets
480g tub
50600-0502-36
50600-0507-62
41
HCPCS Code B4155
B4155
MCT Procal Nutrition Information
Units
per 100g
per 16g
(1 packet or 2 scoops)
105
Calories
kcal
657
Protein
g
12.5
2.0
Carbohydrate
g
20.6
3.3
Sugars
g
3.1
0.5
Total Fat
g
63.1
10.1
Saturates
g
62.6
10
Monounsaturated
g
0.30
0.05
0.03
Polyunsaturated
g
0.20
MCT
g
62.2
10
LCT
g
0.90
0.14
Sodium
mg
mmol
245
10.5
39.2
1.7
Potassium
mg
mmol
625
15.6
100
2.5
Chloride
mg
mmol
<60
<1.7
<9.6
<0.3
Calcium
mg
mmol
450
11.3
72
1.8
Phosphorus
mg
mmol
435
13.9
69.6
2.2
Magnesium
mg
mmol
<10
<0.4
<1.6
<0.1
Minerals
per 100g
Fatty acids
C6:0
1
C8:0
54
C10:0
39
C12:0
0.5
C18:0
0.2
C18:1
0.5
C18:2
0.3
Ingredients: Blend Of Vegetable Oils (Coconut Oil, Palm Kernel Oil), Glucose
Syrup, Sodium Caseinate (Milk), Dipotassium Phosphate, Calcium Phosphate
42
A hydrothermally processed high amylopectin starch
or use in the dietary management of Glycogen Storage
Disease (GSD) and other metabolic conditions where
the use of a long acting starch is indicated.
Features
• Suitable from 5 years of age in USA,
and from 2 years of age in Canada
• Slow release carbohydrate
• High amylopectin content derived from waxy maize starch
• Patented heat and moisture production process
• Convenient 60g packet
• Mixes easily into food and drink
Osmolality
Glycosade Nutrition Information
Calories
Protein
Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
per 100g
per 60g (1 packet)
kcal
g
g
g
g
g
g
356
0.5
88
0
0.14
0.09
0
214
0.3
53
0
0.08
0.05
0
mg
mmol
20
0.9
12
0.5
Minerals
Sodium
Ingredients: High Amylopectin Cornstarch, Water.
Availability
Product
Glycosade
43
Packaging
Reimbursement Code
30x60g packets
50600-0514-00
HCPCS Code B4155
TM
A neutral tasting carbohydrate powder drink mix.
A medical food specially formulated for use as an
emergency regimen in the dietary management
of inborn errors of metabolism.
Features
• Convenient pre-measured amounts of carbohydrate
• Simple recipe
- 1 packet made up to 200ml with water, to ensure
exact concentration
- SOS 15 = 15% CHO solution
Osmolality: See page 74 for Osmolality information at all standard dilutions.
S.O.S. Nutrition Information
Units
100g
Calories
kcal
Protein
g
Carbohydrate
g
200ml of
S.O.S. 15
200ml of
S.O.S. 20
200ml of
S.O.S. 25
31g packet
reconstituted
42g packet
reconstituted
52g packet
reconstituted
380
120
160
198
0
0
0
0
95
30
40
50
Sugars
g
9
2.8
3.8
4.7
Total fat
g
0
0
0
0
Minerals
Sodium
mg/mmol
<20/<0.9
<6/<0.3
<8/<0.4
<10/<0.5
Potassium
mg/mmol
<30/<0.8
<9/<0.2
<13/<0.3
<16/<0.4
Chloride
mg/mmol
<40/<1.1
<12/<0.3
<17/<0.5
<21/<0.6
Ingredients: Dried Glucose Syrup
Availability
Product
S.O.S. 15
S.O.S. 20
S.O.S. 25
Packaging
Reimbursement Code
30x31g packets
30x42g packets
30x52g packets
50600-0522-61
50600-0522-78
50600-0522-85
B4157 & B4162
B4157 & B4162
44
Introduction to
Single Dose Amino Acids:
Vitaflo’s range of Single Dose Amino Acids supplies
pre-measured doses of amino acids on a carbohydrate base.
No weighing is required. Suitable from 1 year of age.
Product
Amino acid dose
Packet size
Arginine500™
500mg of L-Arginine
4g
Arginine2000™
2000mg of L-Arginine
4g
Citrulline200™
200mg of L-Citrulline
4g
Citrulline1000™
4g
Creatine5000™
5000mg of Creatine
6g
Cystine500™
500mg of L-Cystine
4g
Glycine500™
500mg of L-Glycine
4g
Isoleucine50™
50mg of L-Isoleucine
4g
Isoleucine1000™
4g
Leucine
100mg of L-Leucine
4g
4000mg of L-Lysine
5.6g
Methionine100™
100mg of L-Methionine
4g
Phenylalanine50™
50mg of L-Phenylalanine
4g
Tyrosine1000™
1000mg of L-Tyrosine
4g
Valine50™
50mg of L-Valine
4g
Valine1000™
1000mg of L-Valine
4g
™
*Lysine4000™
Product
*
*Not on a carbohydrate base.
Description
Blend of branched chain amino acids
(L-Valine, L-Isoleucine and L-Leucine)
Packet size
5g
TM
A powdered medical food required for the dietary management of individuals
with inborn errors of metabolism such as Urea Cycle Disorders, and is used
under strict medical supervision to provide the specific amounts of arginine
unable to be achieved by dietary modification alone.
Nutrition Information
Calories
Protein equivalent
L-Arginine
Total Carbohydrate
Total Fat
Units
100g
4g packet
kcal
g
mg
g
g
370
10
12500
82.5
0
15
0.4
500
3.3
0
Ingredients: Dried Glucose Syrup, L-Arginine
Availability
Product
Arginine500
Packaging
Reimbursement Code
30x4g packets
50600-0546-92
HCPCS Code B4155
TM
under strict medical supervision to provide the specific amounts of arginine
Calories
Protein equivalent
L-Arginine
Total Carbohydrate
Total Fat
Units
100g
4g packet
kcal
g
mg
g
g
360
42.5
50000
47.5
0
14
1.7
2000
1.9
0
Ingredients: L-Arginine, Maltodextrin
Availability
Product
Arginine2000
47
Packaging
Reimbursement Code
30x4g packets
50600-0502-67
HCPCS Code B4155
TM
A powdered medical food required for the dietary management ofindividuals
under strict medical supervision to provide the specific amounts of citrulline
Calories
Protein equivalent
L-Citrulline
Total Carbohydrate
Total Fat
Units
100g
4g packet
kcal
g
mg
g
g
380
5.0
5000
90
0
15
0.2
200
3.6
0
Ingredients: L-Citrulline, Maltodextrin
Availability
Product
Citrulline200
Packaging
Reimbursement Code
30x4g packets
50600-0502-81
HCPCS Code B4155
TM
under strict medical supervision to provide the specific amounts of citrulline
Calories
Protein equivalent
L-Citrulline
Total Carbohydrate
Total Fat
Units
100g
4g packet
kcal
g
mg
g
g
370
20
25000
72.5
0
15
0.8
1000
2.9
0
Ingredients: Dried Glucose Syrup, L-Citrulline
Availability
Product
Citrulline1000
Packaging
Reimbursement Code
30x4g packets
50600-0550-95
HCPCS Code B4155
48
TM
with inborn errors of metabolism such as Homocystinuria, and is used under
strict medical supervision to provide the specific amounts of cystine unable to
be achieved by dietary modification alone.
Calories
Protein equivalent
L-Cystine
Units
100g
kcal
370
4g packet
15
g
10
0.4
mg
12500
500
Total Carbohydrate
g
82.5
3.3
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Cystine, Xanthan Gum
Availability
Product
Cystine500
Packaging
Reimbursement Code
30x4g packets
50600-0547-77
HCPCS Code B4155
TM
with inborn errors of metabolism such as GAMT deficiency and other disorders of
creatine synthesis, and is used under strict medical supervision to provide specific
amounts of creatine unable to be achieved by dietary modification alone.
Calories
Protein equivalent
Creatine
Units
100g
kcal
293
6g packet
18
g
70
4.2
mg
83333
5000
Total Carbohydrate
g
3.3
0.2
Total Fat
g
0
0
Ingredients: Creatine Monohydrate, Maltodextrin, Xanthan Gum
Availability
Product
Creatine5000
49
Packaging
Reimbursement Code
30x6g packets
50600-0503-04
HCPCS Code B4155
with inborn errors of metabolism such as Isovaleric Acidemia, and is used
under strict medical supervision to provide the specific amounts of glycine
Calories
Protein equivalent
Glycine
Units
100g
4g packet
kcal
370
15
g
10
0.4
mg
12500
500
Total Carbohydrate
g
82.5
3.3
Total Fat
g
0
0
Ingredients: Maltodextrin, Glycine
Availability
Product
Glycine500
Packaging
Reimbursement Code
30x4g packets
50600-0544-56
HCPCS Code B4155
TM
A powdered medical food required for the dietary management of
individuals with inborn errors of metabolism such as Maple Syrup Urine
Disease, and is used under strict medical supervision to provide the specific
amounts of isoleucine unable to be achieved by dietary modification alone.
Calories
Protein equivalent
L-Isoleucine
Units
100g
kcal
384
4g packet
15
g
1.0
0.04
mg
1250
50
Total Carbohydrate
g
95
3.8
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Isoleucine
Availability
Product
Isoleucine50
Packaging
Reimbursement Code
30x4g packets
50600-0543-02
HCPCS Code B4155
50
TM
with inborn errors of metabolism such as Maple Syrup Urine Disease, and is
used under strict medical supervision to provide the specific amounts of
isoleucine unable to be achieved by dietary modification alone.
Calories
Protein equivalent
L-Isoleucine
Units
100g
kcal
370
4g packet
15
g
20
0.8
mg
25000
1000
Total Carbohydrate
g
72.5
2.9
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Isoleucine
Availability
Product
Isoleucine1000
Packaging
Reimbursement Code
30x4g packets
50600-0551-18
HCPCS Code B4155
TM
A powdered medical food required for the dietary management of individuals with
inborn errors of metabolism such as branched chain amino acid metabolism and
Urea Cycle Disorders, and is used under strict medical supervision to provide the
specific amounts of leucine unable to be achieved by dietary modification alone.
Calories
Protein equivalent
L-Leucine
Units
100g
kcal
378
4g packet
15
g
2.0
0.08
mg
2500
100
Total Carbohydrate
g
92.5
3.7
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Leucine
Availability
Product
Leucine100
51
Packaging
Reimbursement Code
30x4g packets
50600-0549-20
HCPCS Code B4155
Lysine 4000
TM
with inborn errors of metabolism such as Gyrate Atrophy, and is used under
strict medical supervision to provide the specific amounts of lysine unable to
Calories
Protein equivalent
L-Lysine
Units
100g
kcal
236
5.6g packet
13
g
59
3.3
mg
71429
4000
Total Carbohydrate
g
0
0
Total Fat
g
0
0
Ingredients: L-Lysine Acetate.
Availability
Product
Lysine4000
Packaging
Reimbursement Code
30x5.6g packets
50600-0544-49
HCPCS Code B4155
TM
with inborn errors of metabolism such as Cobalamin Disorders, and is used
under strict medical supervision to provide the specific amounts of methionine
Calories
Protein equivalent
L-Methionine
Units
100g
kcal
378
4g packet
15
g
2.0
0.08
mg
2500
100
Total Carbohydrate
g
92.5
3.7
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Methionine
Availability
Product
Methionine100
Packaging
Reimbursement Code
30x4g packets
50600-0554-40
HCPCS Code B4155
52
TM
with inborn errors of metabolism such as Tyrosinemia, and is used under strict
medical supervision to provide the specific amounts of phenylalanine unable
to be achieved by dietary modification alone.
Calories
Units
100g
kcal
384
15
g
1.0
0.04
Protein equivalent
L-Phenylalanine
4g packet
mg
1250
50
Total Carbohydrate
g
95
3.8
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Phenylalanine
Availability
Product
Phenylalanine50
Packaging
Reimbursement Code
30x4g packets
50600-0549-44
HCPCS Code B4155
TM
with inborn errors of metabolism such as Phenylketonuria, and is used under
strict medical supervision to provide the specific amounts of tyrosine unable to
Calories
Protein equivalent
L-Tyrosine
Units
100g
kcal
370
4g packet
15
g
20
0.8
mg
25000
1000
Total Carbohydrate
g
72.5
2.9
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Tyrosine, Xanthan Gum
Availability
Product
Tyrosine1000
53
Packaging
Reimbursement Code
30x4g packets
50600-0547-91
HCPCS Code B4155
TM
A powdered medical food required for the dietary management of
individuals with inborn errors of metabolism such as Maple Syrup Urine
Disease, and is used under strict medical supervision to provide the specific
amounts of valine unable to be achieved by dietary modification alone.
Calories
Protein equivalent
L-Valine
Units
100g
kcal
384
4g packet
15
g
1.0
0.04
mg
1250
50
Total Carbohydrate
g
95
3.8
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Valine
Availability
Product
Valine50
Packaging
Reimbursement Code
30x4g packets
50600-0543-33
HCPCS Code B4155
TM
with inborn errors of metabolism such as Maple Syrup Urine Disease, and is
used under strict medical supervision to provide the specific amounts of valine
Calories
Protein equivalent
L-Valine
Units
100g
kcal
370
4g packet
15
g
20
0.8
mg
25000
1000
Total Carbohydrate
g
72.5
2.9
Total Fat
g
0
0
Ingredients: Dried Glucose Syrup, L-Valine
Availability
Product
Valine1000
Packaging
Reimbursement Code
30x4g packets
50600-0551-32
HCPCS Code B4155
54
A powdered medical food containing the branched chain amino acids
(valine, isoleucine and leucine) in a water-soluble form, for use in the
dietary management of Urea Cycle Disorders or other inborn errors
of metabolism requiring branched chain amino acid supplementation.
Suitable from 1 year of age.
Units
Calories
100g
5g packet
kcal
337
17
Protein equivalent
g
82.8
4.1
Total amino acids
g
99.4
5.0
Carbohydrate
g
0
0
Sugars
g
0
0
Total Fat
g
0.6
0.03
Saturates
g
0.08
<0.01
Amino acids
L-Leucine
g
50
2.5
L-Isoleucine
g
24.75
1.24
L-Valine
g
24.75
1.24
Ingredients: L-Leucine, L-Isoleucine, L-Valine, Soy Lecithin
Availability
Product
Solvil
55
Packaging
Reimbursement Code
30x5g packets
50600-0522-85
HCPCS Code B4155
Clinical Nutrition
Therapy
TM
A powdered Docosahexaenoic
acid (DHA) medical food on a
carbohydrate base, specially
formulated for the dietary
management of Inborn Errors
of Metabolism. Suitable from
1 year of age.
Units
100g
Calories
kcal
441
18
Protein
g
3.1
0.1
Carbohydrate
g
79.4
3.2
Sugars
g
7.3
0.3
Total Fat
g
12.3
0.5
Saturates
g
4.3
0.2
mg
5000
200
mg
mmol
240
10.4
10
0.4
Docosahexaenoic acid (DHA)
4g (1packet)
minerals
Sodium
Ingredients: Dried Glucose Syrup, High Docosahexaenoic Acid Single Cell Vegetable
Oil, Sodium Caseinate (Milk), Sodium Ascorbate (Preservative), Potassium Phosphate,
Mono and Diglycerides of Fatty Acids, Calcium Phosphate, Soy Lecithin, Ascorbyl
Palmitate (Preservative), Tocopherol (Preservative).
Availability
Product
DocOmega
Packaging
Reimbursement Code
30x4g packets
50600-0505-40
57
TM
A powdered blend of Arachidonic acid
(AA) and Docosahexaenoic acid (DHA)
on a carbohydrate base, specially
formulated for the dietary management
of Inborn Errors of Metabolism.
nutrition information
units
100g
Calories
kcal
476
4g (1packet)
19
Protein
g
4.37
0.17
Carbohydrate
g
70.5
2.8
Sugars
g
6.4
0.3
Total Fat
g
19.6
0.8
Saturates
g
6.9
0.3
Arachidonic acid (AA)
mg
5000
200
Docosahexaenoic acid (DHA)
mg
2500
100
mg
mmol
330
14.3
13
0.6
Minerals
Sodium
ingredients:DriedGlucoseSyrup,HighArachidonicAcidSingleCellVegetableOil,
HighDocosahexaenoicAcidSingleCellVegetableOil,SodiumCaseinate(Milk),
SodiumAscorbate(Preservative),PotassiumPhosphate,MonoandDiglyceridesofFatty
Acids,CalciumPhosphate,SoyLecithin,AscorbylPalmitate(Preservative),
Tocopherol(Preservative).
availability
Product
KeyOmega
Packaging
ReimbursementCode
30x4gpackets
50600-0555-07
HCPCSCode
B4157&B4162
58
A neutral flavor, powdered, specially formulated
medical food containing protein, fat and carbohydrate
for use in the dietary management of disease
related malnutrition, malabsorption states
and other conditions requiring fortification
with energy and protein under medical
supervision. Suitable from 1 year of age.
Units
100g
15g (1 packet/scoop)
Calories
kcal
667
100
Protein
g
13.6
2.0
Carbohydrate
g
28.2
4.2
Sugars
g
16
2.4
Total Fat
g
55.5
8.3
Saturates
g
37
5.6
Monounsaturated
g
14
2.1
Polyunsaturated
g
3.0
0.5
minerals
Sodium
mg/mmol
210/9.0
31.5/1.4
Potassium
mg/mmol
510/12.8
76.5/1.9
Chloride
mg/mmol
250/7.0
37.5/1.1
Calcium
mg/mmol
385/9.6
57.8/1.4
Phosphorus
mg/mmol
350/11.2
52.5/1.7
Magnesium
mg/mmol
35/1.4
5.3/0.2
Ingredients: Vegetable Oil (Palm Oil), Skim Milk Powder, Glucose Syrup, Milk Protein, Silicon Dioxide
Availability
Product
Packaging
Reimbursement Code
Pro-Cal
Pro-Cal
30x15g packets
510g tub
50600-0500-76
50600-0500-07
59
HCPCS Code B4155
B4155
A neutral-tasting carbohydrate powder
supplement for use in the dietary management
of disease related malnutrition, malabsorption
states, other conditions requiring fortification
with energy and as a carbohydrate source in
modular feeds. Suitable from 1 year of age.
Units
100g
10g (1scoop)
Calories
kcal
380
38
Protein
g
0
0
Carbohydrate
g
96
9.5
Total Fat
g
0
0
mg
mmol
mg
mmol
mg
mmol
2.0
0.9
30
0.8
40
1.1
2
0.1
3
0.1
4
0.1
minerals
Sodium
Potassium
Chloride
Ingredients: Glucose Polymer
Only available in Canada.
Availability
Product
Packaging
Reimbursement Code
Vitajoule
500g tub
50600-0504-41
HCPCS Code B4155
60
Other Nutritionals
TM
Powdered assorted flavor packets designed
to be added to medical foods in the dietary
management of Inborn Errors of Metabolism
and specialized conditions requiring
nutritional support.
Nutrition Facts
Features
• Protein free
• Contains 3g carbohydrate
per serving
• Available in blackcurrant,
lemon, orange, raspberry
and tropical flavors
• Dissolves easily to flavor all gel,
express15 and single dose
amino acid supplements
Serving Size 1 Packet (4g)
Servings Per Container 30
Amount Per Serving
Calories
15
Total Fat
0g
0%
Sodium
0mg
0%
Total Carbohydrate
3g
1%
Sugars
3g
Protein
0g
% Daily Value*
Not a significant source of calories from fat, saturated
fat, trans fat, cholestrol, dietary fiber, vitamin A,
vitamin C, calcium, iron.
*Percent Daily Values are based on a 2,000 calorie diet.
Ingredients: Blackcurrant: Sugar, Malic Acid, Natural and Artificial Flavoring, Red Beet Juice Powder
Color, Acesulfame Potassium. Lemon: Sugar, Citric Acid, Natural and Artificial Flavoring, Acesulfame
Potassium, Beta Carotene Color. Orange: Sugar, Citric Acid, Artificial Flavoring, Acesulfame Potassium,
Beta Carotene Color, Red Beet Juice Powder Color. Raspberry: Sugar, Malic Acid, Artificial Flavoring,
Red Beet Juice Powder Color, Acesulfame Potassium. Tropical: Sugar, Malic Acid, Artificial Flavoring,
Acesulfame Potassium, Beta Carotene Color, Red Beet Juice Powder Color
Availability
Product
FlavourPac
FlavourPac
FlavourPac
FlavourPac
FlavourPac
63
Packaging
Lemon
Orange
Raspberry
Blackcurrant
Tropical
30x4g
30x4g
30x4g
30x4g
30x4g
packets
packets
packets
packets
packets
Reimbursement Code 50600-0540-98
50600-0541-11
50600-0541-35
50600-0541-59
50600-0541-73
TM
A low protein, high
energy chocolate flavored
confection bar for the
dietary management of
inborn errors requiring a
protein restricted diet.
Features
• Low protein
• High energy
• Great chocolate taste
• Can be used in a variety of ways;
it can be melted and used to coat
permitted cakes, cookies, cereal and
fruit. See page 85 for more ideas.
Calories
Protein
Carbohydrate
Sugars
Total Fat
Saturates
Fiber
Units
100g
Per 25g bar
kcal
g
g
g
g
g
g
547
0.22
61.4
59.1
33.4
30.4
0.9
137
0.06
15.4
14.8
8.4
7.6
0.2
mg/mmol
mg/mmol
mg/mmol
<10/<0.4
<100/<2.5
<50/<2
<2.5/<0.1
<25/<0.63
<12.5/<0.4
mg
mg
mg
mg
mg
<8
<16
<10
<5
<15
<2
<4
<2.5
<1.3
<3.8
minerals
Sodium
Potassium
Phosphorus
Amino Acids
L-Isoleucine
L-Leucine
L-Phenylalanine
L-Tyrosine
L-Valine
Ingredients: Lactose (Milk), Vegetable Oil (Fractionated Palm Kernel Oil), Sugar,
Natural and Artificial Flavoring, Carob Flour, Soy Lecithin
Availability
Product
Packaging
Vitabite
7x25g bars
Reimbursement Code n/a
64
metabolic products:
Directions For Use
A powdered medical food for use in
the dietary management of metabolic
disorders in individuals 1 year of age
and older.
Dosage and Administration
To be determined by the clinician or dietitian
and is dependent on age, body weight and
medical condition.
Each 24g packet of gel provides 10g of
protein equivalent.
Important Notice
Must only be consumed by people with a
proven metabolic disorder under strict medical
supervision.
Diet must be supplemented with natural
protein, water and other nutrients in prescribed
quantities to supply the restricted amino acids,
fluid, and general nutritional requirements.
Not to be used as a sole source of nutrition.
Not for intravenous use.
Storage
Store in a cool, dry place. Gel packets are
designed for single use. Any unused powder
in packet should be used within 24 hours.
Preparation Guidelines
Empty the contents
of the packet, plus 1/2 - 1
FlavourPac packet if desired,
into the mixing cup available as
part of a starter pack or on request from Vitaflo.
2
Add 30ml (1 fl. oz.)
of cold water.
m
0
8
0
6
0
4
0
2
3
Leave to stand for 2 minutes
allowing a smooth gel to form.
Consume from spoon.
1
for drink
Empty the contents
of the packet, plus 1 FlavourPac
if desired, into the mixing cup.
2
Add approximately
80ml (2.70 fl. oz.)
of cold water.
l
0
0
1
m
0
8
0
6
0
4
Secure the lid and shake
well for 10 seconds
3
Drink immediately.
67
l
0
0
1
well for 10 seconds
Pack Size: 30 x 24g packets
Flavor Ideas
The unflavored gel product can be flavored
using Vitaflo FlavourPac packets, available in
blackcurrant, lemon, orange, raspberry and
tropical flavors. Simply add ½ to 1 flavor
packet to the unflavored product and prepare
as directed.
for gel
1
0
2
A powdered medical food for use in
the dietary management of metabolic
disorders in individuals 3 years of
age and older.
To be determined by the clinician or
dietitian and is dependent on age, body
weight and medical condition.
Each 25g packet of express15 provides
15g of protein equivalent.
1
Empty the contents
of the packet, plus 1 FlavourPac
if desired, into a cup with lid.
Important Notice
Must only be consumed by people with
a proven metabolic disorder under strict
medical supervision.
l
0
m
0
1
0
8
0
6
0
4
0
2
Suitable from 3 years of age.
protein, water and other nutrients in
prescribed quantities to supply the restricted
amino acids, fluid and general nutrition
requirements.
2
Not for use as a sole source of nutrition.
Add approximately 80ml
(2.70 fl. oz.) of cold water.
well for 10 seconds.
Storage
Store in a cool, dry place. Express15
packets are designed for single use. Any
unused powder in packet should be
refrigerated and used within 24 hours.
Pack Size: 30 x 25g packets
Flavor Ideas
The unflavored express15 can be flavored
using Vitaflo FlavourPac packets, available
in blackcurrant, lemon, orange, raspberry
and tropical flavors. Simply add ½ to1
flavor packet to the product and make up
as directed.
3
Drink immediately.
For best results the product should be
freshly prepared and used immediately.
IMPORTANT - Water or permitted drinks
should be taken after express15.
*Mixing cups available as part of a
starter pack, or on request from Vitaflo.
68
A ready-to-drink medical food for
use in the dietary management of
metabolic disorders in individuals
3 years of age and older.
and is dependent on age, body weight
and medical condition.
cooler10 provides 10g of protein equivalent.
IMPORTANT NOTICE
Shake well before use.
Best served chilled.
IMPORTANT:
Water or permitted drinks should
be taken after the cooler.
1
Shake well
Must only be consumed by people with a
proven metabolic disorder under strict
protein, water and other nutrients in prescribed
quantities to supply the restricted amino acids,
fluid and general nutrition requirements.
2
Open
Storage
Store in a cool, dry place.
Once opened, store in a refrigerator and use
within 24 hours.
Pack Size
cooler10 – 30 x 87ml pouches
69
3
Drink
TM
For use in the dietary management
of Urea Cycle Disorders and other
disorders of protein metabolism
where essential amino acids are
required in individuals from
3 years of age and older.
dietitian and is dependent on age,
body weight and medical condition.
Important Notice
Must only be consumed by people with
proven Urea Cycle Disorders or other
disorders of protein metabolism under
strict medical supervision.
Storage
Packets are designed for single use
and should be used once opened.
1
Empty the contents
of the packet
into a cup*.
2
Add 100ml
(3.38 fl. oz.)
of cold water.
3
Secure the lid
and shake well
before drinking.
*If you require a cup for preparation
please contact Vitaflo USA
70
A nutritionally complete powdered formula containing whey protein,
carbohydrate, fat (high in medium chain triglycerides (MCT) and low
in long chain triglycerices (LCT)), vitamins, minerals and trace elements.
For use in the dietary management of long chain fatty acid oxidation
disorders, fat malabsorption and other disorders requiring dietary
management using a high MCT, low LCT formula. Suitable in
individuals from 1 year of age.
dietitian. The standard dilution of 15%
(20kcal/fl oz) is made by adding 1
level scoop of Lipistart (approx. 5g) to
30ml of water (approx. 1 fluid oz)
Important Notice
Must only be used under strict medical
supervision.
Important Feeding Information
Do not heat Lipistart in a microwave as
uneven heating may occur and could
cause scalding. Do not boil Lipistart.
If preparing formula in advance, cool
quickly under running water before storing in the fridge. Regular teeth cleaning
is recommended.
Storage: Unopened: Lipistart should
be stored in a cool, dry place. Once
opened: Use within one month. Packaged in a protective atmosphere.
71
Please follow these guidelines
carefully as incorrect preparation
can make your child ill.
1. Wash hands well. Sterilize
feeding equipment.
2. Boil water and leave to cool
for no more than 30 minutes
to ensure it remains at a
temperature of at least 158˚F
(70˚C).
3. Measure out the required amount
of water into the feed container.
Do not use artificially softened
water or repeatedly boiled
water.
4. Using the scoop provided, add
the prescribed number of scoops
of Lipistart to the water, leveling
each scoop off with the back of
a clean dry knife.
5. Test the temperature before
feeding – the feed should feel
warm or cool/cold but not hot.
6. Lipistart is now ready to use.
Tube feeding: To be determined
by the clinician or dietitian.
Lipistart is typically mixed with
water as per instructions from
clinicians/dietitians. Discard any
feed remaining 24 hours after
preparation.
TM
A powdered medical food high in medium chain triglycerides (MCT) for use in
the dietary management of disorders of long chain fatty acid oxidation, fat
malabsorption and other disorders requiring a high MCT, low long chain
triglyceride (LCT) supplement.
dietitian and is dependent on age, body
weight and medical condition.
One packet or two scoops of MCT
procal weighs approximately 16g
(0.56 oz) and provides 10g MCT,
105 kcal and 2g protein.
Important Notice
Must only be given to patients under strict
Storage
Unopened: Store in a cool, dry place.
Opened: Packets are designed for single
use and should be used once opened;
any unused powder should be used within
24 hours. Tubs should be used within one
month once opened.
In addition to the following serving
suggestions, please visit www.VitafloUSA.
com for access to a full downloadable
MCTprocal recipe book.
Serving Suggestions
Skim Milk - Add the packet to warm or cold skim or low fat milk (as directed).
Stir until dissolved.
Water - Add the packet to previously boiled warm water or cold water. Stir until dissolved.
Hot Drinks
• Tea - Add the packet to a cup of tea and stir until dissolved.
• Coffee packet
• Hot Chocolate - Add the packet to hot skim or low fat milk (as directed) or previously boiled
hot water. Stir until dissolved.
Low Fat Desserts or Puddings - (e.g. custard, rice pudding)
Make up the pudding as directed. Sprinkle the packet onto the pudding. Stir until dissolved.
Low Fat Yogurt - Add the packet to yogurt (as directed) and mix until smooth.
Oatmeal - Mix the packet into hot oatmeal before serving.
Low Fat Soup - Add the packet to soup and stir until dissolved.
Mashed Potato - Sprinkle the packet onto hot mashed potato and mix well.
72
A hydrothermally processed high
amylopectin starch for use in the
dietary management of Glycogen
Storage Disease (GSD) and other
metabolic conditions where the use
of a long acting starch is indicated.
following appropriate assessment (a fasting
Glycosade load is recommended) and is
dependent on the age, body weight and medical condition of the patient.
Important Notice
Must only be used in patients with proven
GSD or other metabolic conditions where
the use of a long acting starch is indicated
under strict medical supervision.
Storage
Store in a cool, dry place. Ideally packets
should be used immediately after opening.
Any unused powder in an open packet
should be kept in an airtight container
or sealed with a clip and used within
24 hours.
Glycosade™ taken as a drink:
1
Measure the
Glycosade™ dose
into a cup with lid.
2
Add the liquid.
Typically one packet of
Glycosade™ can be added
to 100ml (3.38 fl. oz.) of cold
water or other permitted fluids.
3
Close the lid
tightly and shake
well for 10 seconds.
4
Drink Glycosade™
fresh every time.
Tube Feeding instructions and
additional serving suggestions
are available on request.
Further serving suggestions are
available on request.
73
TM
A neutral tasting carbohydrate
powder drink mix. A medical food
specially formulated for use as an
emergency regimen in the dietary
management of inborn errors of
metabolism.
1
Empty 1 packet
of S.O.S into
the mixing cup.
and is dependant on the age, body weight and
medical condition of the patient.
MAKE SURE TO USE FULL PACKET
Important Notice
Must only be given to patients with proven
Inborn Errors of Metabolism under strict
2
0
m
l
0
5
0
0
3
Make up to
200ml with
water
0
0
4
0
0
2
0
0
1
200 ml
3
200 ml
Storage
Store in a cool, dry place. Packets are intended
for single use and should be used once opened.
Replace lid.
4
Osmolality
At standard dilutions, the osmolality for
each product is as follows:
Shake well. S.O.S
is now ready to use.
• S.O.S. 15 = 189mOsm/kg
• S.O.S. 20 = 280mOsm/kg
• S.O.S. 25 = 390mOsm/kg
S.O.S. is available in three packet sizes:
Product
Packet
Size
Final volume
Carbohydrate
make up to concentration provided
Recommended
Age Group
S.O.S. 15
31g
200ml
15%
1 – 2 years of age
S.O.S. 20
42g
200ml
20%
2 – 10 years of age
S.O.S. 25
52g
200ml
25%
10 years of age & older
74
Single Dose amino acids:
Directions For Use
76
A range of powdered Single Dose Amino Acids for use in the
dietary management of inborn errors of protein metabolism.
Product
Amino acid dose
Packet size
Arginine500™
500mg of L-Arginine
4g
Arginine2000™
2000mg of L-Arginine
4g
Citrulline200™
4g
Citrulline1000™
4g
5000mg of Creatine
6g
Creatine5000™
Cystine500™
500mg of L-Cystine
4g
Glycine500™
500mg of L-Glycine
4g
Isoleucine50™
4g
Isoleucine1000™
4g
100mg of L-Leucine
4g
Leucine
™
*Lysine4000™
4000mg of L-Lysine
5.6g
Methionine100™
100mg of L-Methionine
4g
Phenylalanine50™
50mg of L-Phenylalanine
4g
Tyrosine1000™
1000mg of L-Tyrosine
4g
Valine50™
50mg of L-Valine
4g
Valine1000™
1000mg of L-Valine
4g
* Not on a carbohydrate base.
Dosage and Administration:
dietitian and is dependent on the age,
body weight and medical condition of the
patient.
Important Notice
supervision.
77
Storage: Store in a cool, dry place.
Packets are designed for single use and
should be used once opened.
Preparation Guidelines: To be
determined by the clinician or dietitian.
May be used in low protein diets in a
variety of ways:
• Mixed in with a protein substitute
• Added to modular feeds
• Incorporated into other permitted
food or drink
A powdered medical food containing the branched chain amino
acids (valine, isoleucine and leucine) in a water-soluble form, for
use in the dietary management of Urea Cycle Disorders or other
inborn errors of metabolism requiring branched chain amino acid
supplementation.
To be determined by the clinician or dietitian and is dependant on age,
body weight and medical condition.
Each packet contains 5g of the branched chain amino acids.
Important Notice
Must only be used under strict medical supervision.
Storage
Packets are designed for single use and should be used once opened.
Solvil can be administered in a number of ways:
• Empty a packet of Solvil into a cup with a lid and add 20ml (0.68 fl oz) water.
Secure the lid and shake for 10 seconds. Drink immediately.
• Mix a packet into semi-solid food and serve.
78
Clinical nutrition
therapy:
Directions For Use
A powdered Docosahexaenoic acid (DHA)
medical food on a carbohydrate base, specially
formulated for the dietary management of inborn
errors of metabolism
TM
Dosage and administration
storage
Dosageistobedeterminedbythe
clinicianordietitianandisdependant
ontheage,bodyweightandmedical
conditionofthepatient.
Storeinacool,dryplace.Oncethe
packetisopeneduseimmediately.
each 4g packet of Docomega provides
200mg of Dha.
preparation guidelines
Useasdirectedbytheclinicianor
dietitian.DocOmegamaybeusedin
avarietyofways:
• Mixedwithaproteinsubstitute
important notice
Mustonlybeusedbypeoplewithproven
inbornerrorsofmetabolismunderstrict
medicalsupervision
Suitablefrom1yearofage.
Notforuseasasolesourceof
nutrition.
• Addedintoamodularfeedbolus
• Dissolvedinwater
• Addedintootherfoodordrink
Onceprepareduseimmediately.
Notforintravenoususe.
TM
A powdered blend of Arachidonic acid (AA) and
Docosahexaenoic acid (DHA) on a carbohydrate
base, specially formulated for the dietary
management of inborn errors of metabolism
Dosage and administration
storage
Dosageistobedeterminedbythe
clinicianordietitianandisdependant
ontheage,bodyweightandmedical
conditionofthepatient.
Storeinacool,dryplace.
Oncethepacketisopeneduse
immediately.
each 4g packet of Keyomega provides
200mg of aa and 100mg of Dha.
Useasdirectedbytheclinicianordietitian.
KeyOmegamaybeusedinavarietyofways:
important notice
Mustonlybeusedbypeoplewithproven
inbornerrorsofmetabolismunderstrictmedicalsupervision
Suitablefrom1yearofage.
Notforuseasasolesourceofnutrition.
Notforintravenoususe.
81
preparation guidelines
• Mixedwithaproteinsubstitute
• Addedintoamodularfeedbolus
• Dissolvedinwater
• Addedintootherfoodordrink
Onceprepareduseimmediately.
A neutral flavor, powdered, specially formulated medical
food containing protein, fat and carbohydrate for use in
the dietary management of disease related malnutrition,
malabsorption states and other conditions requiring
fortification with energy & protein under medical
supervision.
Storage
Dosage is to be determined by the clinician or
dietitian and is dependent on the age, body
weight and medical condition of the patient.
Once tub is opened, use within one month;
packets are designed for single use and should
be used once opened.
One packet or one scoop weighs approx.
15g (0.53 oz) of Pro-Cal powder and provides
100kcal and 2g protein.
Important Notice
Must only be given to patients under strict medical supervision.
Only available in Canada.
Sprinkle Pro-Cal powder onto the desired food or
drink, and stir until the powder is dissolved. Not
suitable for addition to fruit juice or cold water.
Serving suggestions for Pro-Cal are available on
request. Add 1 packet or scoop per serving.
A neutral-tasting carbohydrate powder supplement
for use in the dietary management of disease related
malnutrition, malabsorption states, other conditions
requiring fortification with energy and as a
carbohydrate source in modular feeds.
Storage
Dosage is to be determined by the clinician or
dietitian and is dependent on the age, body
weight and medical condition of the patient.
Once tub is opened use within one month.
10g (1 scoop) of Vitajoule provides
approx. 38kcal.
Vitajoule can be added to a wide variety of food
and drink to enhance the energy content with
minimal effect on taste, volume and texture:
Important Notice
supervision.
Sprinkle Vitajoule onto hot or cold food or
drink. Stir well with a fork until the powder has
dissolved. Add 1 - 2 scoops per serving (or as
recommended by dietitian or clinician).
Serving suggestions for Vitajoule are available
on request.
Use with caution in Diabetes Mellitus
82
Other Nutritionals:
Directions For Use
TM
Powdered assorted flavor packets
designed to be added to medical foods in
the dietary management of inborn errors
of metabolism and specialized conditions
requiring nutritional support.
Important Notice
This product is a flavor and does not
contribute to dietary management
Available in blackcurrant, lemon,
orange, raspberry and tropical flavor
options. Artificially flavored.
TM
Storage
Store in a cool, dry place. Once
opened use within 24 hours.
Add 1/2 to 1 FlavourPac packet to
unflavored Gel or Express protein
substitutes.
A low protein, high energy chocolate flavored
confection bar for the dietary management of
inborn errors requiring a protein restricted diet.
VitaBite can be used in many ways to add
variety, fun and energy to your diet.
To be determined by the clinician
or dietitian.
Important Notice
Must only be given to patients with
proven inborn errors of metabolism,
liver or renal disease under strict medical
supervision. For individuals over
1 year of age.
Storage
Vitabite is a versatile product that can
be easily incorporated into the diet in
a variety of ways; e.g. it can be
melted and used to coat permitted
cakes, cookies, ceral and fruit.
85
Melting VitaBite couldn’t be easier - Break up into a
bowl, then either microwave or place over a pan of
boiling water (carefully!) and stir until melted.
VitaBite shapes - Pour into different moulds, refrigerate
for 1 hour and turn out when set.
VitaBite crispy cakes - Mix with permitted amount of
Rice Krispies or other cereals, spoon into cupcake
baking cups and leave to cool.
VitaBite buttons - Using a teaspoon, drip small drops
onto a nonstick tray and leave to set in the refrigerator.
VitaBite cookies - Coat or use as a filling for permitted
cookies and cakes, leave in a cool place until set.
VitaBite fruits - Coat small pieces of fresh fruit and
make a special dessert.
VitaBite Popsicle - Great for sunny days. Simply dip
the permitted Popsicle into the melted VitaBite to coat
and then keep in the freezer for a treat.
VitaBite can also be grated and used to decorate
low protein desserts or cakes. For the best results
refrigerate the VitaBite before grating.
Weights & Household
Measurements
86
87
0.6ml/g
N/A
0.8ml/g
0.8ml/g
0.6ml/g
Powder, single
serve packet,
15g protein
equivalent
Liquid, single
serve pouch,
10g, 15g and
20g protein
equivalent
Powder, 400g
can
Powder, 16g
packet and
480g tub
Powder, 60g
packet
Gel range
Express15
range
Cooler
range
Lipistart
MCT Procal
Glycosade
8g
5g
1 packet (60g) +
100ml water yields
136ml
5g
N/A
N/A
N/A
1 level scoop =
approximate (g)
scoop weight
N/A
1 scoop (5g) +
30ml water yields
34ml
Cooler15 =130ml;
Cooler20 =174ml
Cooler 10 =87ml;
1 packet (25g) +
80ml water yields
95ml
1 packet (24g) +
80ml water yeilds
95ml
Product yield
approximate final
volume (ml)
2.3g
2g
2.3g
N/A
N/A
N/A
1 teaspoon
approximate (g)
6.8g
6g
6.9g
N/A
N/A
N/A
approximate (g)
1 tablespoon
27g
24g
27.6g
N/A
N/A
N/A
1/4 Cup
approximate (g)
36g
32g
36.8g
N/A
N/A
N/A
1/3 Cup
approximate (g)
54g
48g
55.2g
N/A
N/A
N/A
1/2 cup
approximate (g)
Note: All household measurements are for level measures, either taken directly from the can/tub or if from a packet are lightly packed and are approximate. For accuracy a gram scale is always recommended.
0.63ml/g
Powder, single
serve packet,
10g protein
equivalent
ml displaced by
1 gram powder
Displacement factor
Presentation
Product Name
88
0.8ml/g
0.5ml/g
0.4ml/g
0.5ml/g
1.0ml/g
0.8ml/g
N/A
N/A
Powder, single
serve packets
Powder, single
serve
5g packet
Powder, single
serve
4g packet
Powder, single
serve
4g packet
Powder, 15g
packet and
510g tub
Powder, 500g
tub
Powder, single
serve
4 g packet
25g chocolate
flavored bar
SOS
Single Dose
Amino Acids
Solvil
Doc Omega
Key Omega
Pro-Cal
Vitajoule
FlavourPac
Vitabite
N/A
N/A
N/A
N/A
N/A
N/A
1 packet (5g)
+ 20ml water
yields 22.5ml
N/A
N/A
N/A
10g
15g
N/A
N/A
N/A
N/A
N/A
200ml per
packet when
mixed with water
according to
directions
scoop weight
1 level scoop =
approximate (g)
Product yield
approximate final
volume (ml)
N/A
N/A
2.7g
2.2g
N/A
N/A
N/A
N/A
N/A
1 teaspoon
approximate (g)
N/A
N/A
8.3g
6.7g
N/A
N/A
N/A
N/A
N/A
approximate (g)
1 tablespoon
N/A
N/A
33g
26.8g
N/A
N/A
N/A
N/A
N/A
1/4 Cup
approximate
(g)
N/A
N/A
44g
35.7g
N/A
N/A
N/A
N/A
N/A
1/3 Cup
approximate
(g)
N/A
N/A
66g
53.6g
N/A
N/A
N/A
N/A
N/A
1/2 cup
approximate (g)
Note: All household measurements are for level measures, either taken directly from the can/tub or if from a packet are lightly packed and are approximate. For accuracy a gram scale is always recommended.
0.8ml/g
Powder, 31g,
42g and 52g
single serve
packets
ml displaced by 1 gram
powder
Displacement factor
Presentation
Product Name
Fa
Pa
ti
ily
m
ts
en
Friends
Clin
ic
s
ian
cy
ca
Vita
Ad
vo
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NOTE: Products included herein are medical foods as indicated in the table of
contents. At the time of publication, every effort was made to confirm that all
product information was accurate. It is, however, subject to change. The most
current information can always be obtained by referring to the package label.
The contents of this product guide are for informational purposes only and are not
intended to be a substitute for medical advice or clinical judgement.
Vitaflo and all products are trademarks of Société des Produits Nestlé S.A., Vevey, Switzerland.
Code: PG_Oct12

Vitaflo usa product guide

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