New ProNourish Low FODMAP Nutritional Drink

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1 New ProNourish Low FODMAP Nutritional Drink For Patients with Food Intolerance A Unique Nutritional Option For patients who suffer with digestive discomfort and are following an exclusion diet.

2 The Science Behind FODMAPs and the Low FODMAP Diet FODMAPs are specific types of short chain carbohydrates that can be poorly absorbed and trigger GI symptoms. Fermentable Oligosaccharides Mechanism of Action for FODMAP Intolerance 1 Ingested FODMAPs are poorly absorbed in the small intestine Disaccharides Small molecular size exerts osmotic effect, drawing fluid into the large bowel Monosaccharides And Rapidly fermented by colonic microflora producing hydrogen and/or methane gas Polyols Increased fluid and gas lead to abdominal pain and distention, bloating, diarrhea, and flatulence

3 Low FODMAP Nutritional Drink Significant Reduction in GI Symptoms Seen in IBS Patients Following a Low FODMAP vs Typical Diet The efficacy of a low FODMAP diet is supported by more than 30 clinical studies. 2 In a 2014 landmark study, symptom reduction was seen in 70% of the participants following the low FODMAP diet vs a traditional diet over a period of 21 days Significant Reduction in GI Symptoms Seen in IBS Patients Following a Low FODMAP vs Typical Diet Typical Diet Low FODMAP Diet Visual Analog Scale Overall Symptoms Bloating Abdominal Pain Dissatisfaction with Stool Consistency The Science Behind ProNourish Low FODMAP Nutritional Drink ProNourish drink is low FODMAP certified by Monash University.* Monash University is an international leader of FODMAP food testing and low FODMAP certification The program was established with the key aim of providing consumers ease of access to reliable information on low FODMAP food choices 4 *Monash University Low FODMAP Certified trademarks used under license in the USA by Nestlé. A strict low FODMAP diet should only be commenced under the supervision of a healthcare professional.

4 More Inside! Great for breakfast, as a snack or mini-meal.

5 ProNourish Drink was Formulated to Be Compliant with a Low FODMAP Diet ProNourish drink has the TruComfort Digestive Care Blend with ingredients carefully selected to be low in FODMAPs, plus it has fiber to support digestive health. ProNourish Nutritional Drink Provides: 3 g Low FODMAP fiber And It Is Different Than Many Other Nutritional Drinks: NO Gluten 15 g High quality protein NO High fructose corn syrup 25 Essential vitamins & minerals NO Sugar alcohols Suitable for lactose intolerance* NO Artificial colors 2 Flavors: French Vanilla & Strawberry Banana NO Inulin NO Fructooligosaccharides ProNourish drink can be found in the nutritional drink aisle or online. *Not for individuals with galactosemia.

6 Get Free Samples For Your Patients Today! NestleNutritionSamples.com Low FODMAP Diet Resources: lowfodmapcentral.com Monash University Resources: Monash University FODMAP Research Team: Monash University Low FODMAP App: Digestive Health, Low FODMAP Diet Expert: Kate Scarlata, RDN, LDN Blog: blog.katescarlata.com** University of Michigan and Cedars-Sinai My Nutrition Health: **These resources are for educational purposes only and do not constitute endorsement of any product or brand. 1. Barrett JS et al. Dietary poorly absorbed, short-chain carbohydrates increase delivery of water and fermentable substrates to the proximal colon. Alimentary Pharmacology & Therapeutics. 2010;31: Mansueto P et al. Role of FODMAPs in Patients with Irritable Bowel Syndrome: Nutrition in Clinical Practice. 2015;30(5): Halmos EP et al. A diet low in FODMAPs reduces symptoms of Irritable Bowel Syndrome. Gastroenterology. 2014;146: The Monash University Low FODMAP Certification Program. Available at: Except where noted, all trademarks are owned by Société des Produits Nestlé S.A., Vevey, Switzerland or used with permission Nestlé. PRON

7 Nutrition You and Your Patients Can Feel Good About Serving Size: 1 bottle: 8 fl oz (237 ml) Available Flavors: Strawberry Banana and French Vanilla INGREDIENTS: WATER, MILK PROTEIN CONCENTRATE, MALTODEXTRIN, CANE SUGAR AND LESS THAN 2% OF CANOLA OIL, VITAMINS AND MINERALS, SOY PROTEIN ISOLATE, CALCIUM CASEINATE, SODIUM CASEINATE, GUM ACACIA (SOLUBLE FIBER), PARTIALLY HYDROLYZED GUAR GUM (SOLUBLE FIBER), CELLULOSE GEL AND GUM, SOY LECITHIN, NATURAL AND ARTIFICIAL FLAVOR, SALT, CARRAGEENAN, SUCRALOSE VITAMINS AND MINERALS: POTASSIUM CITRATE, MAGNESIUM PHOSPHATE, MAGNESIUM CHLORIDE, CALCIUM PHOSPHATE, SODIUM ASCORBATE, POTASSIUM CHLORIDE, CHOLINE BITARTRATE, ASCORBIC ACID, FERROUS SULFATE, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, ZINC SULFATE, CALCIUM PANTOTHENATE, MANGANESE SULFATE, THIAMINE HYDROCHLORIDE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, VITAMIN A PALMITATE, COPPER SULFATE, FOLIC ACID, POTASSIUM IODIDE, VITAMIN K 1, CHROMIUM CHLORIDE, SODIUM SELENITE, BIOTIN, SODIUM MOLYBDATE, VITAMIN D 3, VITAMIN B 12 CONTAINS: MILK AND SOY INGREDIENTS Manufactured for Nestlé Healthcare Nutrition, Inc. Florham Park, NJ USA Nutrition Facts Serving Size 1 bottle (237mL) Amount Per Serving Calories 170 Calories from Fat 35 % Daily Value* Total Fat 4g 6% Saturated Fat 1g 5% Trans Fat 0g Cholesterol 10mg 3% Sodium 150mg 6% Potassium 470mg 13% Total Carbohydrate 19g 6% Dietary Fiber 3g 12% Sugars 6g Protein 15g 30% Vitamin A 10% Vitamin C 150% Calcium 35% Iron 25% Vitamin D 60% Vitamin E 25% Vitamin K 40% Thiamin 25% Riboflavin 25% Niacin 15% Vitamin B 6 30% Folic Acid 10% Vitamin B 12 10% Biotin 2% Pantothenic Acid 15% Phosphorus 30% Iodine 25% Magnesium 25% Zinc 15% Selenium 25% Copper 10% Manganese 30% Chromium 10% Molybdenum 15% Chloride 6% * Percent Daily Values are based on a 2,000 calorie diet. Contains 55 mg choline per serving, which is 10% of the Daily Value (DV) for choline (550 mg). All trademarks are owned by Société des Produits Nestlé S.A., Vevey, Switzerland Nestlé. PRON

8 At a Glance: FODMAPs and the Low FODMAP Diet FODMAPs are specific types of carbohydrates that can be poorly absorbed and cause digestive discomfort in some people. FODMAPs are found in a wide variety of food groups. Fermentable Examples of High FODMAP Foods and Ingredients Oligosaccharides Fructans/GOS: wheat, rye, onions, garlic, artichokes, inulin, baked beans, red kidney beans, cashews Disaccharides Lactose: milk, yogurt, ice cream, pudding, custard Monosaccharides Excess Fructose: high fructose corn syrup, honey, agave, mango, watermelon And Polyols Sorbitol/Mannitol: sugar-free products, blackberries, apples, pears, peaches, cauliflower, mushrooms, snow peas Low FODMAP Diet 101 With the help of a healthcare professional PHASE 1: Trial elimination Foods high in FODMAPs are removed from your diet (2-6 weeks). PHASE 2: Reintroduction Reintroduction of specific FODMAPs in a stepwise process to help distinguish individual FODMAP triggers. Once completed, you can then customize a well-balanced diet designed to address your specific dietary needs. Low FODMAP Diet Resources lowfodmapcentral.com University of Michigan and Cedars-Sinai My Nutrition Health: Low FODMAP Website: Low FODMAP Diet App: au/cecs/gastro/fodmap/iphone-app.html* Kate Scarlata, RDN, LDN The Well-Balanced FODMAPer Blog: blog.katescarlata.com* *The resources are for educational purposes only and do not constitute endorsement of any product or brand.

9 FOOD CATEGORY HIGH FODMAP FOODS LOW FODMAP FOOD ALTERNATIVES Vegetables Asparagus, artichokes, onions, leeks, garlic, mushrooms, sugar snap peas, snow peas, onion & garlic salts Alfalfa sprouts, bean sprouts, green beans, bok choy, bell peppers, carrots, chives, cucumber, lettuce, eggplant, kale, spinach, tomato, zucchini Fruits Apples, pears, mango, watermelon, nectarines, peaches, plums, prunes, cherries Bananas, pineapple, oranges, grapes, blueberries, honeydew melon, kiwifruit, strawberries, cantaloupe Milk and Dairy Cow s milk, yogurt, buttermilk, cream, custard, ice cream Lactose-free cow s milk and yogurt, almond milk, feta cheese, Parmesan cheese, Brie cheese, cheddar cheese Protein Red kidney beans, black beans, baked beans, soy beans (edamame) Fish, chicken, pork, beef, eggs, canned tuna, tofu (firm), small portions of canned and drained chick peas and lentils Nuts and Seeds Pistachios, cashews Walnuts, peanuts, pecans, sesame seeds, sunflower seeds, chia seeds Breads and Grains Rye, wheat, and barley containing products Sourdough breads, quinoa, white rice, brown rice, oats, polenta, corn tortillas Hot Beverages Chamomile tea, fennel tea, oolong tea Coffee, green tea, black tea, peppermint tea This chart is intended to provide examples of foods that are high or low in FODMAPs. It is not meant to be an all-inclusive diet. Check with a healthcare professional to see if the low FODMAP diet is right for you. Sources: Monash University Low FODMAP Diet App. Available at: med.monash.edu/cecs/gastro/fodmap/iphone-app.html. Monash University Low FODMAP Diet. Available at: med.monash.edu/cecs/gastro/fodmap/low-high.html. Monash University Low FODMAP Diet Book. 2015, Edition 5. Available at: med.monash.edu/cecs/gastro/fodmap/education.html. ProNourish.com All trademarks are owned by Société des Produits Nestlé S.A., Vevey, Switzerland or used with permission Nestlé. PRON