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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:[email protected] 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 25g (1 packet) + 100ml water = 1470mOsm/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. Ingredient lists for all flavored options available at www.VitafloUSA.com * 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 Wic-eligible Medical Food 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). Ingredient lists for all flavored options available at www.VitafloUSA.com 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 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 • Provides15gofproteinequivalentper130mlpouch • InterchangeablewithPKUexpress15-1x25gpacket=1x130mlpouch • Lowcalorieandlowvolume • Availableinorange,purple,redandwhiteflavors osmolality: 1900mOsm/kg 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 Wic-eligible Medical Food 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 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). Ingredient lists for all flavored options available at www.VitafloUSA.com 7 PKU 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 0.53 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 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 • Provides20gofproteinequivalentper174mlpouch • Lowcalorieandlowvolume • Availableinorange,purple,redandwhiteflavors osmolality: 1900mOsm/kg 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 Wic-eligible Medical Food 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 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). Ingredient lists for all flavored options available at www.VitafloUSA.com 9 PKU cooler20 Nutrition Information 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 • Provides the necessary mixture of amino acids, carbohydrate, vitamins, minerals and trace elements to meet daily nutritional needs • 1 packet provides 10g protein equivalent • 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 24g (1packet) + 80ml water = 1540mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x24g packets 50600-0514-93 HCPCS Code B4162 WIC-Eligible Medical Food 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, Cholecalciferol, Cyanocobalamin. 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 protein substitute for use in the dietary management of Maple Syrup Urine Disease 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 MSUD cooler15 - 1 x 130ml pouch = 1 x 25g packet • Low calorie and low volume • Available as unflavored powder Osmolality 25g (1 packet) + 80ml water = 1896mOsm/kg 25g (1 packet) + 100ml water = 1470mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x25g packets 50600-0535-34 HCPCS Code B4162 & B4157 WIC-Eligible Medical Food 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 • Suitable from 3 years of age • Provides the necessary mixture of amino acids, carbohydrate, vitamins, minerals and trace elements to meet daily nutritional needs • Contains DHA and EPA • Provides 15g of protein equivalent per 130ml pouch • Interchangeable with MSUD express15 - 1 x 25g packet = 1 x 130ml pouch • Low calorie and low volume • 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 HCPCS Code B4162 & B4157 B4162 & B4157 WIC-Eligible Medical Food 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). Ingredient lists for all flavored options available at www.VitafloUSA.com 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 • Suitable from 1 year of age • Provides the necessary mixture of amino acids, carbohydrate, vitamins, minerals and trace elements to meet daily nutritional needs • 1 packet provides 10g protein equivalent • 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 24g (1packet) + 80ml water = 1540mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x24g packets 50600-0514-86 HCPCS Code B4162 WIC-Eligible Medical Food 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, Cholecalciferol, Cyanocobalamin. 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 • 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 HCU cooler15 - 1 x 130ml pouch = 1 x 25g packet • Low calorie and low volume • Available as unflavored powder Osmolality 25g (1 packet) + 80ml water = 1896mOsm/kg 25g (1 packet) + 100ml water = 1470mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x25g packets 50600-0535-58 HCPCS Code B4162 & B4157 WIC-Eligible Medical Food 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 substitute for use in the dietary management of Homocystinuria. 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 • Contains DHA and EPA • Provides 15g of protein equivalent per 130ml pouch • Interchangeable with HCU express15 - 1 x 25g packet = 1 x 130ml pouch • Low calorie and low volume • Available in orange and red flavors Osmolality: 1900mOsm/kg Availability Product Packaging Reimbursement Code Orange Red 30x130ml pouches 30x130ml pouches 50600-0535-27 50600-0504-34 HCPCS Code B4162 & B4157 B4162 & B4157 WIC-Eligible Medical Food 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). Ingredient lists for all flavored options available at www.VitafloUSA.com 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 free protein substitute for use in the dietary management of Tyrosinemia. Features • Suitable from 1 year of age • Provides the necessary mixture of amino acids, carbohydrate, vitamins, minerals and trace elements to meet daily nutritional needs • 1 packet provides 10g protein equivalent • 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 24g (1packet) + 80ml water = 1540mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x24g packets 50600-0515-09 HCPCS Code B4162 WIC-Eligible Medical Food 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 management of Tyrosinemia. 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 TYR cooler15 - 1 x 130ml pouch = 1 x 25g packet • Low calorie and low volume • Available as unflavored powder Osmolality 25g (1 packet) + 80ml water = 1896mOsm/kg 25g (1 packet) + 100ml water = 1470mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x25g packets 50600-0538-48 HCPCS Code B4162 & B4157 WIC-Eligible Medical Food 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, Chromium Chloride, Sodium Selenite, Cholecalciferol, Cyanocobalamin. 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 free protein substitute for use in the dietary management of Tyrosinemia. 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 • Contains DHA and EPA • Provides 15g of protein equivalent per 130ml pouch • Interchangeable with TYR express15 - 1 x 25g packet = 1 x 130ml pouch • Low calorie and low volume • Available in orange and red flavors Osmolality: 1900mOsm/kg Availability Product Packaging Reimbursement Code Orange Red 30x130ml pouches 30x130ml pouches 50600-0539-92 50600-0543-26 HCPCS Code B4162 & B4157 B4162 & B4157 WIC-Eligible Medical Food 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). Ingredient lists for all flavored options available at www.VitafloUSA.com 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 protein substitute for use in the dietary management of Methylmalonic acidemia and Propionic acidemia. Features • Suitable from 1 year of age • Provides the necessary mixture of amino acids, carbohydrate, vitamins, minerals and trace elements to meet daily nutritional needs • 1 packet provides 10g protein equivalent • 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 24g (1packet) + 80ml water = 1540mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x24g packets 50600-0515-23 HCPCS Code B4162 WIC-Eligible Medical Food 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 • 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 • Low calorie and low volume • Available as unflavored powder Osmolality 25g (1 packet) + 80ml water = 1896mOsm/kg 25g (1 packet) + 100ml water = 1470mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x25g packets 50600-0543-71 HCPCS Code B4162 & B4157 WIC-Eligible Medical Food 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, Chromium Chloride, Sodium Selenite, Cholecalciferol, Cyanocobalamin. 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 • Suitable from 1 year of age • Provides the necessary mixture of amino acids, carbohydrate, vitamins, minerals and trace elements to meet daily nutritional needs • 1 packet provides 10g protein equivalent • 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 24g (1packet) + 80ml water = 1540mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x24g packets 50600-0515-16 HCPCS Code B4162 WIC-Eligible Medical Food 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, Cholecalciferol, Cyanocobalamin. 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 • 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 • Low calorie and low volume • Available as unflavored powder Osmolality 25g (1 packet) + 80ml water = 1896mOsm/kg 25g (1 packet) + 100ml water = 1470mOsm/kg Availability Product Unflavored Packaging Reimbursement Code 30x25g packets 50600-0516-22 HCPCS Code B4162 & B4157 WIC-Eligible Medical Food 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 • Suitable from 3 years of age • Balanced mixture of essential amino acids • 1 packet contains 5g protein equivalent • Low calorie and low volume 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 WIC-Eligible Medical Food 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 • Suitable from 1 year of age • 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 HCPCS Code B4150 & B4158 WIC-Eligible Medical Food 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 • Suitable from 1 year of age • 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 WIC-Eligible Medical Food 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 60g (1 packet) + 100ml water = 11mOsm/kg 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 • Suitable from 1 year of age • 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 - SOS 20 = 20% CHO solution - SOS 25 = 25% 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 HCPCS Code B4157 & B4162 B4157 & B4162 B4157 & B4162 WIC-Eligible Medical Food 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™ 1000mg of L-Citrulline 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™ 1000mg of L-Isoleucine 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 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 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 with inborn errors of metabolism such as Urea Cycle Disorders, and is used under strict medical supervision to provide the specific amounts of citrulline unable to be achieved by dietary modification alone. Nutrition Information 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 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 citrulline unable to be achieved by dietary modification alone. Nutrition Information 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 A powdered medical food required for the dietary management of individuals 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. Nutrition Information 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 A powdered medical food required for the dietary management of individuals 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. Nutrition Information 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 A powdered medical food required for the dietary management of individuals with inborn errors of metabolism such as Isovaleric Acidemia, and is used under strict medical supervision to provide the specific amounts of glycine unable to be achieved by dietary modification alone. Nutrition Information 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. Nutrition Information 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 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. Nutrition Information 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. Nutrition Information 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 A powdered medical food required for the dietary management of individuals 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 be achieved by dietary modification alone. Nutrition Information 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 A powdered medical food required for the dietary management of individuals with inborn errors of metabolism such as Cobalamin Disorders, and is used under strict medical supervision to provide the specific amounts of methionine unable to be achieved by dietary modification alone. Nutrition Information 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 A powdered medical food required for the dietary management of individuals 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. Nutrition Information 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 A powdered medical food required for the dietary management of individuals with inborn errors of metabolism such as Phenylketonuria, and is used under strict medical supervision to provide the specific amounts of tyrosine unable to be achieved by dietary modification alone. Nutrition Information 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. Nutrition Information 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 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. Nutrition Information 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. Nutrition Information 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. Nutrition Information 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 WIC-Eligible Medical Food 57 HCPCS Code B4157 & B4162 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. Suitable from 1 year of age. 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 Wic-eligible Medical Food 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. Nutrition Information 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 WIC-Eligible Medical Food 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. Nutrition Information 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 • Suitable from 1 year of age • 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. Nutrition Information 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. Suitable from 1 year of age. 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 Secure the lid and shake 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. Dosage and Administration 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. Preparation Guidelines 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. Diet must be supplemented with natural 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. Secure the lid and shake well for 10 seconds. Not for intravenous use. 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. Dosage and Administration To be determined by the clinician or dietitian and is dependent on age, body weight and medical condition. cooler10 provides 10g of protein equivalent. cooler15 provides 15g of protein equivalent. cooler20 provides 20g of protein equivalent. IMPORTANT NOTICE Preparation Guidelines 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 medical supervision. Suitable from 3 years of age. Diet must be supplemented with natural protein, water and other nutrients in prescribed quantities to supply the restricted amino acids, fluid and general nutrition requirements. Not for use as a sole source of nutrition. 2 Open Not for intravenous use. 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 cooler15 – 30 x 130ml pouches cooler20 – 30 x 174ml 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. Dosage and Administration To be determined by the clinician or 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. Suitable from 3 years of age. Not for use as a sole source of nutrition. Not for intravenous use. Storage Store in a cool, dry place. Packets are designed for single use and should be used once opened. Preparation Guidelines 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. Preparation Guidelines Dosage and Administration To be determined by the clinician or 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. Suitable from 1 year of age. Not for intravenous use. 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. Dosage and Administration To be determined by the clinician or 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 medical supervision. Suitable from 1 year of age. 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. Preparation Guidelines In addition to the following serving suggestions, please visit www.VitafloUSA. com for access to a full downloadable MCTprocal recipe book. Not for use as a sole source of nutrition. Not for intravenous use. 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. Dosage and Administration To be determined by the clinician or dietitian 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. Suitable from 5 years of age. Not for use as a sole source of nutrition. Not for intravenous use. 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. Preparation Guidelines 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. Preparation Guidelines 1 Empty 1 packet of S.O.S into the mixing cup. Dosage and Administration To be determined by the clinician or dietitian 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 medical supervision. 2 0 m l 0 5 0 0 3 Make up to 200ml with water Suitable from 1 year of age. 0 0 4 0 0 2 0 0 1 200 ml Not for use as a sole source of nutrition. 3 Not for intravenous use. 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™ 200mg of L-Citrulline 4g Citrulline1000™ 1000mg of L-Citrulline 4g 5000mg of Creatine 6g Creatine5000™ Cystine500™ 500mg of L-Cystine 4g Glycine500™ 500mg of L-Glycine 4g Isoleucine50™ 50mg of L-Isoleucine 4g Isoleucine1000™ 1000mg of L-Isoleucine 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: To be determined by the clinician or dietitian and is dependent on the age, body weight and medical condition of the patient. Important Notice Must only be used under strict medical supervision. Suitable from 1 year of age. Not for use as a sole source of nutrition. Not for intravenous use. 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. Dosage and Administration 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. Suitable from 1 year of age. Not for use as a sole source of nutrition. Not for intravenous use. Storage Store in a cool, dry place. Packets are designed for single use and should be used once opened. Preparation Guidelines 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. Dosage and Administration 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. Store in a cool, dry place. 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. Suitable from 1 year of age. Not for use as a sole source of nutrition. Not for intravenous use. Only available in Canada. Preparation Guidelines 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. Dosage and Administration 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. Store in a cool, dry place. 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 Must only be used under strict medical supervision. Suitable from 1 year of age. Not for use as a sole source of nutrition. Not for intravenous use. Preparation Guidelines 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 Suitable from 1 year of age. 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. Preparation Guidelines 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. Dosage and Administration 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. Not for use as a sole source of nutrition. Not for intravenous use. Storage Store in a cool, dry place. Preparation Guidelines 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 JoinourVitafloVitaFriendscommunityonFacebookand followusonTwittertolearnmoreaboutVitaflo’sproducts, connectwithothermembersacrossthecountry, andshareyourcomments,questions, storiesandideas! like us on Facebook Vitaflo VitaFriendswww.facebook.com/Vitaflo Follow us on twitter @Vitaflousa www.twitter.com/VitafloUSA A Nestlé Health Science Company www.VitafloUSA.com 1-888-VITAFLO [email protected] 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
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