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HEPATIC DISEASE Nutrition Information 39 Energy kJ kcal Protein equivalent g Total amino acids g as BCAA g Carbohydrate g as sugars g Fat g Fibre g Hepatamine Minerals Sodium mg mmol Potassium mg mmol Chloride mg mmol Per 100g Powder Per 50g Serve* (50g sachet) 1530 360 25 30 12 (40%) 65 58.5 nil added nil added 765 180 12.5 15 6 (40%) 32.5 29.3 <10 <0.43 <10 <0.26 <10 <0.29 <5 <0.22 <5 <0.13 <5 <0.14 *At the recommended dilution 1:5 (50g sachet plus 250ml water). Osmolality 1204 mosm/kg at a 1:4 dilution – 50g powder plus 200ml water 940 mosm/kg at a 1:5 dilution – 50g powder plus 250ml water* 669 mosm/kg at a 1:7 dilution – 50g powder plus 350ml water Description Presentation 200g box (4x50g sachets) HEPATIC DISEASE - Hepatamine An orange flavoured powdered drink mix containing essential and non-essential amino acids, carbohydrate and colouring. The amino acid profile is low in aromatic amino acids and high in branched chain amino acids (BCAAs). HEPATIC DISEASE Hepatamine Hepatamine is a BCAA drink mix, designed as a supplementary source of nutrition for use in the dietary management of severe liver disease. 1. To the contents of one sachet (50g) of Hepatamine add a small amount of the water prescribed. Stir with a fork until a smooth paste is obtained. Precautions 2. Continue stirring whilst adding the rest of the prescribed water. Must only be used under strict medical supervision. Not for parenteral use. Not intended for use as the sole source of nutrition. Suitable for children over three years of age and adults. Preparation and administration The dosage should be determined by a clinician or dietitian only and is dependent on the age, body weight and medical condition of the patient. 1:5 dilution w/v (i.e. 50g of product plus 250ml water). Hepatamine can be given in a more concentrated form (1:4 dilution w/v), however, care should be taken for osmotically sensitive patients. A lower concentration may be required (1:7 dilution w/v) until tolerance is achieved. The following table can be used to achieve the required dilution: Dilution required Quantity of Hepatamine Volume of water required 1:4 1:5 1:7 50g 50g 50g 200ml 250ml 350ml 3. Once reconstituted, the feed must be stored in a refrigerator and used within 24 hours of preparation. Stir or shake immediately before serving. Storage Store in a cool, dry place. Once a sachet is opened it should be stored in an airtight container and used within 2-3 days. Ingredients Sugar, dried glucose syrup, citric acid, L-leucine, L-isoleucine, L-valine, L-lysine acetate, L-arginine, glycine, L-proline, L-alanine, L-threonine, L-serine, flavouring, L-histidine, L-phenylalanine, L-methionine, L-tryptophan, L-cystine, colour (E162, E160(a)). HEPATIC DISEASE - Hepatamine Indications