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Jevity® 1.2 Cal
high-protein nutrition with FOS and a patented fiber blend
Usage Features Availability Administration Ingredients Protein Fat Carbohydrate Fiber Vitamins
and Minerals Osmotic Concentration Renal Solute Load Analysis References Support Materials
Usage:
JEVITY 1.2 CAL is a high-protein, fiber-fortified formula that provides complete, balanced nutrition for
long- or short-term tube feeding.
z
z
z
For tube feeding
For supplemental or sole-source nutrition
May be used for oral feeding of patients with altered taste perception
Features:
Concentrated calories (1.2 Cal/mL) and high in protein (18.5% of Cal) to help tube-fed patients gain
and maintain healthy weight. Protein is needed for lean body tissue maintenance and repair
z Meets or exceeds 100% of the DVs for 24 essential vitamins and minerals in 1200 Cal (1 liter)
z 22 g of dietary fiber in 1 liter (12 g of a patented soluble and insoluble fiber blend and 10 g of
fructooligosaccharides [FOS]) supplies the minimum recommended daily fiber intake. Fiber helps
maintain bowel function
z Moderate osmolality is beneficial for those intolerant of hyperosmolar feedings
z Includes 2.4 g of FOS/8 fl oz (10 g/L and 15 g/1500 mL). FOS are prebiotics that stimulate the
growth of beneficial bacteria in the colon2
z Lactose- and gluten-free
z Kosher
z Contains milk and soy ingredients
Caloric Distribution
Per 8 fl oz
Per Liter
Per 1500 mL
% Calories
Calories
285
1200
1800
—
Protein, g
13.2
55.5
83.3
18.5
Total Fat, g
9.3
39.3
59.0
29.0
Total Carbohydrate,
g*
40.9
171.5
257
52.5
Water, g†
191
805
1208
—
*Includes 2.9 g/8 fl oz (12.0 g/L and 18.0 g/1500 mL) of total dietary fiber from a patented fiber blend and 2.4 g/8 fl
oz (10.0 g/L and 15.0 g/1500 mL) of FOS.
†1 g water = 1 mL water = 1 cc water.
Availability:
Ready-To-Use
8-fl-oz cans; 24/case
Flavor
List Number
Unflavored
53118
Ross Ready-To-Hang®
1000-mL prefilled containers; 8/case
Flavor
List Number
Unflavored
53124
Ross Ready-To-Hang
1500-mL prefilled containers; 6/case
Flavor
List Number
Unflavored
53114
See the Reimbursement section of Ross.com for third-party reimbursement information. The
Reimbursement link can be found at the top of each page of Ross.com.
Product information and values listed are subject to change. Please refer to product label or
packaging for the most current information.
Administration:
Use under medical supervision. Not for parenteral use.
Use by date on container.
8-fl-oz cans: Oral feeding: May be fed at room temperature or chilled. Tube feeding: Follow
physician's instructions. Adjust flow rate and volume according to patient's condition and tolerance.
Gravity feed at room temperature with a 10 Fr or larger tube; use a pump with smaller tubes.
Additional fluid requirements should be met by giving water between or after feedings, or when
flushing the tube. Avoid contamination during preparation and use.
Ross Ready-To-Hang: Pump feeding is recommended. Gravity feed at room temperature with a 10
Fr or larger tube; use a pump with smaller tubes.
Note: Hang product up to 48 hours after initial spike when clean technique and only one new feeding set are
used. Otherwise, hang no longer than 24 hours. The availability of extended hangtime does not supersede your
institution's policies, procedures, or good clinical practice guidelines. (See attached PDF at the top of this page,
"Ross Ready-To-Hang® Suggested Setup Procedure.")
Click Here To View Administration Schedule.
Ingredients:
-D water, corn maltodextrin, corn syrup solids, sodium and calcium caseinate, high oleic safflower
oil, soy protein isolate, fructooligosaccharides, canola oil, medium chain triglycerides, soy fiber, oat
fiber, calcium phosphate, gum arabic, sodium citrate, magnesium phosphate, soy lecithin, potassium
chloride, potassium citrate, carboxymethylcellulose, magnesium chloride, ascorbic acid, choline
chloride, potassium phosphate, L-carnitine, taurine, zinc sulfate, ferrous sulfate, dl-alpha-tocopheryl
acetate, niacinamide, calcium pantothenate, manganese sulfate, cupric sulfate, thiamine chloride
hydrochloride, pyridoxine hydrochloride, riboflavin, beta-carotene, vitamin A palmitate, folic acid,
biotin, chromium chloride, sodium molybdate, potassium iodide, sodium selenate, phylloquinone,
cyanocobalamin and vitamin D3. Allergy information: Contains milk and soy ingredients. (768103)
Protein:
The total calorie/nitrogen (Cal/N) ratio of JEVITY 1.2 CAL (135:1) has been demonstrated to
maintain nitrogen balance in long-term tube-fed patients.3 The amino acid profile of the protein
system in JEVITY 1.2 CAL meets or surpasses the standard amino acid profile for high-biologicvalue protein.
Protein Profile
Percent of total calories from protein
18.5
Protein content
55.5 g/L
Cal/N ratio
135:1
Nonprotein Cal/N ratio
110:1
Fat:
The fat in JEVITY 1.2 CAL contains high oleic safflower oil, canola oil, MCT oil, and soy lecithin. As
recommended by the American Heart Association, less than 30% of calories in JEVITY 1.2 CAL
come from fat, with less than 10% of calories from polyunsaturated fatty acids and less than 10% of
calories from saturated fatty acids.4
MCTs are added to provide lipid substrates, which are rapidly absorbed, metabolized, and oxidized
by the liver.5 MCTs are an excellent energy source that may be helpful in providing an alternative
source of energy for patients with increased energy needs.
Fat Profile
Percent of total calories from fat
29.0
Total Fat
39.3 g/L
Polyunsaturated fatty acids
6.7 g/L
Monounsaturated fatty acids
20.2 g/L
Saturated fatty acids
9.8 g/L
omega-6/omega-3 ratio
4.2:1
Cholesterol
<20 mg/L
Carbohydrate:
The carbohydrate sources in JEVITY 1.2 CAL are corn syrup solids, corn maltodextrin, the patented
fiber blend, and fructooligosaccharides. The composition of the FOS and patented fiber blend, the
dietary fiber sources in JEVITY 1.2 CAL, is provided in the Fiber section.
Carbohydrate Profile
Percent of total calories from carbohydrate
52.5
Total carbohydrate
171.5 g/L
Fiber:
JEVITY 1.2 CAL contains a unique patented blend of 75% insoluble and 25% soluble fibers, a
proportion that represents the types of fiber found in a diet containing a wide variety of foods.6 The
sources are oat fiber, soy fiber, gum arabic, and carboxymethylcellulose. This blend of fiber sources
was selected for its water-absorbing ability, fermentability, contribution to stool bulking, and minimal
contribution to product viscosity.7, 8 The total dietary fiber content of JEVITY 1.2 CAL is 12 g/L (2.9
g/8 fl oz) or 10 g/1000 Cal, within the recommended range—10 to 13 g/1000 Cal—for daily fiber
intake by the U.S. Department of Health and Human Services.9
The blend of insoluble and soluble fibers in JEVITY 1.2 CAL is an effective fiber source, as
demonstrated in animal models, healthy subjects, and in the clinical setting.10-14 In studies
comparing formulas containing either a fiber blend or soy polysaccharide, animals and healthy
people who consumed the fiber blend produced stools of heavier weight and similar
consistency.10,11 In the clinical setting, long-term care patients receiving formulas containing a
lower level of the fiber blend (10.0 g total dietary fiber/1000 Cal) had stool weights and stool
consistencies similar to those of patients receiving a higher intake of soy fiber (13.6 g total dietary
fiber/1000 Cal).12,13
FOS are indigestible, highly fermentable carbohydrates that occur naturally in many foods, such as
onions, bananas, tomatoes, honey, garlic, barley, and wheat. FOS are prebiotics that stimulate the
growth of beneficial GI bacteria (eg, bifidobacteria) in the colon. FOS are fermented by bacteria in
the colon to short-chain fatty acids (SCFAs), which inhibit the growth of C difficile in at-risk patients.
SCFAs enhance water and electrolyte uptake in the colon, which is important in the management of
diarrhea. The FOS content of JEVITY 1.2 CAL is 2.4 g/8 fl oz (10 g/L and 15.0 g/1500 mL).
Dietary fiber is considered the sum of FOS and total dietary fiber. JEVITY 1.2 CAL provides 5.3 g/8 fl
oz (22 g/L and 33 g/1500 mL).
Vitamins and Minerals:
JEVITY 1.2 CAL meets or exceeds 100% of the DVs for 24 key vitamins and minerals (except
chloride) in 1200 Cal (1000 mL) or about 4.2 eight-fl-oz servings. JEVITY 1.2 CAL is supplemented
with the conditionally essential nutrients L-carnitine and taurine at levels within the range of typical
daily intakes (150 mg/L). JEVITY 1.2 CAL is fortified with beta-carotene (2.5 mg/L; 3320 IU/L), which
makes up approximately 66% of the total vitamin A activity.
Osmotic Concentration:
The main determinants of the osmolality of a formula are simple carbohydrates, electrolytes, and
amino acids or small peptides. JEVITY 1.2 CAL contains corn syrup solids, corn maltodextrin, the
patented fiber blend, and FOS as the carbohydrate sources, and an intact protein system.
Osmolality (mOsm/kg H2O)
450
Osmolarity (mOsm/L)
365
Renal Solute Load:
Renal solute load represents the solutes excreted per liter of product consumed. The major
determinants of renal solute load are dietary protein and electrolytes. Each milliequivalent of sodium,
potassium, and chloride contributes approximately 1 mOsm to the renal solute load; in adults, each
gram of protein contributes approximately 5.7 mOsm.
Renal Solute Load (RSL)
Electrolyte Content (mEq/L)
Contribution to RSL (mOsm/L)
Sodium
58.7
58.7
Potassium
47.4
47.4
Chloride
42.4
42.4
Protein content
55.5 g/L x 5.7 =
316.4
Total RSL
465
Analysis:
Nutrient Facts
8 fl oz
1000 mL
1500 mL
FAN (label number)
7818-03
7681-03
7681-03
Cal/mL
1.20
1.20
1.20
Energy, Cal
285
1200
1800
Protein, g
13.2
55.5
83.3
% of total Calories 18.5
18.5
18.5
Fat, g
39.3
59.0
% of total Calories 29.0
9.3
29.0
29.0
Cholesterol, mg <5
<20
<30
171.5
257
52.5
52.5
Carbohydrate, g
40.9
% of total Calories 52.5
Water, g*
191
805
1208
Dietary Fiber, g
5.3
22.0
33.0
L-carnitine, mg
36
150
225
Taurine, mg
36
150
225
m-Inositol, mg
* 1 g water = 1 mL water = 1 cc water.
Includes 2.4 g/8 fl oz (10.0 g/L and 15.0 g/1500 mL) of FOS and 2.9 g/8 fl oz (12.0 g/L and 18.0 g/1500
mL) of total dietary fiber from a patented fiber blend.
Vitamins
8 fl oz
1000 mL
1500 mL
Vitamin A, IU
1190
5000
7500
Vitamin D, IU
96
400
600
Vitamin E, IU
11
45
68
Vitamin K, mcg
20
80
120
Vitamin C, mg
72
300
450
Folic Acid, mcg
145
600
900
Thiamin (Vitamin B1), mg
0.55
2.3
3.5
Riboflavin (Vitamin B2),
mg
0.62
2.6
3.9
Vitamin B6, mg
0.72
3
4.5
Vitamin B12, mcg
2.2
9
14
Niacin, mg
7.2
30
45
Choline, mg
145
600
900
Biotin, mcg
110
450
675
Pantothenic Acid, mg
3.6
15
23
Includes 795 IU/8 fl oz (3320 IU/L and 4980 IU/1500 mL) of vitamin A activity from 0.60 mg/8 fl oz of
beta-carotene (2.5 mg/L and 3.8 g/1500 mL).
Minerals
8 fl oz
1000 mL
1500 mL
Sodium, mg (mEq)
325 (14.1)
1350 (58.7)
2030 (88.3)
Potassium, mg (mEq)
440 (11.3)
1850 (47.4)
2780 (71.3)
Chloride, mg (mEq)
360 (10.2)
1500 (42.4)
2250 (63.6)
Calcium, mg
285
1200
1800
Phosphorus, mg
285
1200
1800
Magnesium, mg
96
400
600
Iodine, mcg
36
150
225
Manganese, mg
1.2
5
7.5
Copper, mg
0.48
2
3
Zinc, mg
5.5
23
34
Iron, mg
4.3
18
27
Selenium, mcg
17
70
105
Chromium, mcg
29
120
180
Molybdenum, mcg
36
150
225
Amino Acids
8 fl oz
1000 mL
1500 mL
Essential
Histidine, mg
356
1499
2249
Isoleucine*, mg
620
2609
3915
Leucine*, mg
1188
4995
7497
Lysine, mg
950
3996
5998
Methionine, mg
370
1554
2332
Phenylalanine, mg
660
2775
4165
Threonine, mg
528
2220
3332
Tryptophan, mg
145
611
916
Valine*, mg
779
3275
4915
Alanine, mg
383
1610
2416
Arginine, mg
436
1832
2749
Aspartic Acid, mg
924
3885
5831
Cystine, mg
53
222
333
Glutamic Acid, mg
2825
11877
17826
Glycine, mg
238
999
1499
Proline, mg
1399
5883
8830
Serine, mg
726
3053
4582
Tyrosine, mg
647
2720
4082
Nonessential
* Branched-chain amino acids.
Fatty Acids
8 fl oz
1000 mL
1500 mL
Linoleic (18:2), mg
1281
5414
8127
α-Linolenic (18:3), mg
300
1284
1928
Caprylic (8:0), mg
998
4219
6334
Capric (10:0), mg
707
2987
4484
Lauric (12:0), mg
15
63
95
Myristic (14:0), mg
17
71
106
Palmitic (16:0), mg
388
1639
2461
Stearic (18:0), mg
166
702
1054
Oleic (18:1), mg
4789
20236
30379
Arachidic (20:0), mg
24
101
151
Fatty acids equal approximately 95% of total fat.
Key for values In parentheses (carbon atoms:double bonds).
Other Values
Density at 23°C, g/mL
1.045
pH
6.5
Osmolality, mosm/kg H2O
450
Osmolarity, mosm/L
365
Renal Solute Load, mosm/L
465
Cal to meet 100% RDIs
1200
mL to meet 100% RDIs
1000
Total Cal/g nitrogen
135:1
Nonprotein Cal/g nitrogen
110:1
References:
The Effects of Handling on Prolonged Hangtime for Ross Ready-To-Hang Containers. Columbus:
Abbott Laboratories, 2002 (#65472).
1. Royall D, Wolever TMS, Jeejeebhoy KN: Clinical significance of colonic fermentation. Am J
Gastroenterol 1990;85:1307-1312.
2. Mitchell CO, Lipschitz DA: Nitrogen balance in long-term tube feeders on diets of varying
calorie to nitrogen ratios (abstract). J Am Coll Nutr 1984;3:249.
3. Krauss R, Eckel R, Howard B, et al: AHA dietary guidelines: Revision 2000: A statement for
healthcare professionals from the Nutrition Committee of the American Heart Association.
Circulation 2000;102:2296-2311.
4. Bach AC, Babayan VK: Medium-chain triglycerides: An update. Am J Clin Nutr 1982;36:950962.
5. Tisdale MJ, Beck SA: Inhibition of tumour-induced lipolysis in vitro and cachexia and tumour
growth in vivo by eicosapentaenoic acid. Biochem Pharmacol 1991;41:103-107.
6. Wigmore SJ, Fearon KCH, Maingay JP, Ross JA: Down-regulation of the acute-phase
response in patients with pancreatic cancer cachexia receiving oral eicosapentaenoic acid is
mediated via suppression of interleukin-6. Clin Sci 1997;92:215-221.
7. Wigmore SJ, Barber MD, Ross JA, et al: Effect of oral eicosapentaenoic acid on weight loss in
patients with pancreatic cancer. Nutr Cancer 2000;36:177-184.
8. Federation of American Societies for Experimental Biology: Physiological Effects and Health
Consequences of Dietary Fiber. US Dept of Health and Human Services, 1987.
9. Prosky L, Hoebregs H: Methods to determine food inulin and oligofructose. J Nutr 1999;129
(suppl 7):1418S-1423S.
10. Gibson G, Wang X: Bifidogenic properties of different types of fructo-oligosaccharides. Food
Microbiol (London) 1994;11:491-498.
11. Cummings JH, Macfarlane GT: The control and consequences of bacterial fermentation in the
human colon. J Appl Bacteriol 1991;70:443-459.
12. Macfarlane GT, Cummings JH: The colonic flora, fermentation, and large bowel digestive
function, in Phillips SF, Pemberton JH, Shorter RG (eds): The Large Intestine: Physiology,
Pathophysiology, and Disease. New York: Raven Press, 1991, pp 51-92.
13. Jenkins DJ, Kendall CW, Vuksan V: Inulin, oligofructose and intestinal function. J Nutr
1999;129:1431S-1433S.