TM PRODUCT GUIDE 2017

Transcription

1 TM PRODUCT GUIDE 2017

2 TM WELCOME TO NESTLÉ HEALTH SCIENCE Nestlé Health Science is your strategic partner in enhancing the quality of patient care through comprehensive nutritional solutions. Our range of solutions helps your patients whether their goal is to manage their disease, recover better and faster, or stay healthy. Our range of products addresses standard and disease-specific nutritional needs and our related services include healthcare professional education. Nestlé Health Science is a wholly owned subsidiary of Nestlé S.A. PHONE:

3 TABLE OF CONTENTS ALPHABETIZED PRODUCTS PAGE Beneprotein...8 Boost Original...10 Boost Diabetic...12 Boost High...14 Boost Just...16 Boost Plus Calories...18 Boost Fruit Flavoured Beverage...20 Boost Pudding...22 Boost Carnation Breakfast Essentials TM Powder...26 Carnation Breakfast Essentials TM Ready-To-Drink...28 Compleat...30 Isosource 1.0 HP UPDATED Isosource UPDATED Isosource Fibre 1.0 HP UPDATED Isosource Fibre UPDATED Isosource Fibre UPDATED Isosource HN...32 Isosource VHP Fibre Free...36 Isosource VHN...38 Isosource UPDATED Isosource UPDATED Medium Chain Triglycerides (MCT Oil) Microlipid...44 Novasource Renal...46 Nutren Nutren Optifast Peptamen Peptamen with Prebio 1TM...56 Peptamen AF Peptamen Peptamen Intense High...62 Resource Diabetic Resource ThickenUp Thickened Dairy Beverage Resource ThickenUp Thickened Juice Beverages Resource ThickenUp Thickened Water Resource ThickenUp...72 Resource ThickenUp Clear...74 Resource Tolerex...78 Vivonex Plus...80 Vivonex T.E.N PEDIATRICS PRODUCTS PAGE Compleat Pediatric...84 Modulen IBD Nutren Junior Nutren Junior Fibre...90 Peptamen Junior...92 Peptamen Junior Resource Kid Essentials Vivonex Pediatric GENERAL INFORMATION Expiration Dates Storage Hang Time Good to Know Lactose Gluten Fibre CalciLock TM Halal Good to Remember Recommended Enteral Feeding Tube Sizes Reimbursement Lists Alberta Human Services Drug Benefit Supplement Québec Reimbursement List Ontario Drug Benefit Formulary Dietary Reference Intakes (DRIs)...112

4 TABLE OF CONTENTS B PRODUCT CATEGOR I. TUBE FEEDING FORMULAS PAGE STANDARD FORMULAS Isosource UPDATED Isosource Fibre UPDATED Isosource HN...32 BLENDERIZED FORMULA Compleat...30 CALORICALL DENSE FORMULAS Isosource Fibre UPDATED Isosource UPDATED Isosource UPDATED Nutren Nutren Resource VER HIGH PROTEIN FORMULAS Isosource 1.0 HP UPDATED Isosource Fibre 1.0 HP UPDATED Isosource VHN...38 Isosource VHP Fibre Free...36 DIABETIC FORMULAS Resource Diabetic...64 RENAL FORMULA Novasource Renal...46 SEMI-ELEMENTAL - ELEMENTAL FORMULAS Peptamen...54 Peptamen with Prebio 1TM...56 Peptamen AF Peptamen Peptamen Intense High...62 Tolerex...78 Vivonex Plus...80 Vivonex T.E.N II. PEDIATRIC FORMULAS Compleat Pediatric...84 Modulen IBD Nutren Junior Nutren Junior Fibre...90 Peptamen Junior...92 Peptamen Junior Resource Kid Essentials Vivonex Pediatric III. ORAL SUPPLEMENTS PAGE BOOST Boost Original...10 Boost Diabetic...12 Boost High...14 Boost Just...16 Boost Plus Calories...18 Boost Fruit Flavoured Beverage...20 Boost Pudding...22 Boost CARNATION BREAKFAST ESSENTIALS TM Carnation Breakfast Essentials TM Powder...26 Carnation Breakfast Essentials TM Ready-To-Drink...28 WEIGHT LOSS Optifast RESOURCE Resource Resource Diabetic...64 Novasource Renal...46 IV. DSPHAGIA Resource ThickenUp Thickened Dairy Beverage Resource ThickenUp Thickened Juice Beverages Resource ThickenUp Thickened Water Resource ThickenUp...72 Resource ThickenUp Clear...74 V. MODULARS Beneprotein...8 Medium Chain Triglycerides (MCT Oil) Microlipid...44 VI. GENERAL INFORMATION Expiration Dates Storage Hang Time Good to Know Lactose Gluten Fibre CalciLock TM Halal Good to Remember Recommended Enteral Feeding Tube Sizes Reimbursement Lists Alberta Human Services Drug Benefit Supplement. 106 Québec Reimbursement List Ontario Drug Benefit Formulary Dietary Reference Intakes (DRIs)...112

5 BENEPROTEIN 7 g* % Daily Value Calories 25 0 g 0% Sodium 15 mg 1% Potassium 35 mg 2% 0 g 0% 6 g Calcium 2% Not a significant source of saturated fat, trans fat, cholesterol, fibre, sugars, vitamin A, vitamin C, or iron. * 1 scoop or packet INGREDIENTS: WHE PROTEIN ISOLATE (MILK), SO LECITHIN. Beneprotein instant protein powder is a modular whey protein source. Each 7 g serving provides 6 g of protein. It can be added to most foods, liquids and as a "protein flush" with tube feedings. This product is only suitable for individuals greater than 3 years old. Increased protein requirements Lactose Cal/7 g 100% 0% 0% whey protein isolate (milk) <0.5g/7g serving (not for patients with galactosemia 6 x 227 g canister 75 x 7 g packets 8 9

6 BOOST ORIGINAL The BOOST family of products offers an extensive line of nutrition formulas. BOOST Original is a great tasting, nutritionally complete, meal replacement that can be used as a snack or as a meal. For oral use. Poor appetite Reduced intake: Involuntary weight loss When recovering from Malnutrition illness or surgery During and after cancer treatment After oral surgery Source Lactose Cal/ml 17% 68% 15% milk protein, soy protein isolate sugar, glucose vegetable oils (canola, high oleic sunflower, corn) 197 ml/237 ml 780 m0sm/kg water <0.5 g/237 ml (not for patients with galactosemia) 24 x 237 ml bottles vanilla 24 x 237 ml bottles chocolate 24 x 237 ml bottles strawberry 24 x 237 ml bottles chocolate latte Vanilla Flavoured Units 237 ml Energy Cal 240 Energy kj 1000 g 10 g 4 Linoleic Acid g 0.8 Linolenic Acid g 0.14 Polyunsaturates g 1 Monounsaturates g 2.1 Saturates g 0.7 Cholesterol mg 6.8 g 41 Sodium mg 265 Potassium mg 410 Manganese mg 1.1 Copper mg 0.6 Selenium mg Chloride mg 320 Biotin mg 0.03 Choline mg 55 Chromium mg Molybdenum mg Calcium %* 28 Phosphorus %* 24 Magnesium %* 36 Iron %* 25 Zinc %* 45 Iodide %* 25 Vitamin A %* 30 Vitamin D %* 25 Vitamin E %* 25 Vitamin C %* 25 Thiamine %* 25 Riboflavin %* 27 Niacin %* 30 Pantothenic Acid %* 20 Vitamin B6 %* 23 Folacin %* 29 Vitamin B12 %* 13 * Percentage of recommended daily intake INGREDIENTS: WATER, SUGAR, GLUCOSE, MILK PROTEIN, VEGETABLE OILS (CANOLA, HIGH OLEIC SUNFLOWER, AND CORN OILS), SO PROTEIN ISOLATE, SALT, ARTIFICIAL FLAVOUR, MICROCRSTALLINE CELLULOSE, SO LECITHIN, CARRAGEENAN, SODIUM CARBOXMETHL CELLULOSE, DIMETHLPOLSILOXANE, VITAMINS (VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, ASCORBIC ACID, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, PRIDOXINE HDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE, BIOTIN, CHOLINE BITARTRATE), MINERALS (TRICALCIUM PHOSPHATE, POTASSIUM HDROXIDE, SODIUM CITRATE, DIMAGNESIUM PHOSPHATE TRIHDRATE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, CALCIUM CARBONATE, FERROUS SULPHATE, POTASSIUM IODIDE, MANGANESE SULPHATE, COPPER SULPHATE, ZINC SULPHATE, SODIUM MOLBDATE, SODIUM SELENITE, CHROMIUM TRICHLORIDE). CONTAINS MILK AND SO

7 BOOST DIABETIC The BOOST family of products offers an extensive line of nutrition formulas. BOOST Diabetic is a great tasting, nutritionally complete formula designed to meet the needs of people with diabetes. A unique and calorically balanced blend of protein, fat and carbohydrates. Provides 17 g of carbohydrate per serving. For Oral Use. Diabetes Hyperglycemia Glucose intolerance source Dietary Fibre Fibre Source Sucralose Lactose Cal/ml 34% 33% 33% modified milk ingredients, soy protein isolate tapioca dextrin canola, high oleic sunflower and corn oils 3 g/237 ml 67 % FOS/inulin, 33 % Acacia Gum 40 mg/237 ml - vanilla/strawberry 45 mg/237 ml - chocolate 195 ml/237 ml 200 m0sm/kg water <0.5 g/237 ml (not for patients with galactosemia) N 24 x 237 ml bottles vanilla 24 x 237 ml bottles chocolate 24 x 237 ml bottles strawberry Vanilla Flavoured Units 237 ml Energy Cal 190 Energy kj 790 g 16 g 7 Linoleic Acid g 1.1 Linolenic Acid g 0.2 Saturates g 1 g 17 Sugar g 0.5 Fibre g 3 Sucralose mg 40 Sodium mg 125 Potassium mg 350 Calcium mg 280 Phosphorus mg 260 Magnesium mg 54 Iron mg 2.5 Zinc mg 3 Iodine mg 0.05 Vitamin A RE 210 Vitamin D mg Vitamin E mg 2.1 Vitamin C mg 10.6 Thiamine mg 0.3 Riboflavin mg 0.38 Niacin mg 6.3 Pantothenate mg 1.3 Vitamin B6 mg 0.38 Folacin mg Vitamin B12 mg Manganese mg 0.95 Copper mg 0.32 Biotin mg Chloride mg 115 Selenium mg Chromium mg Molybdenum mg INGREDIENTS: WATER, MODIFIED MILK INGREDIENTS, TAPIOCA DEXTRIN, VEGETABLE OILS (CANOLA, HIGH OLEIC SUNFLOWER, CORN), SO PROTEIN ISOLATE, ACACIA GUM, OLIGOFRUCTOSE, INULIN, VITAMINS (VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, SODIUM ASCORBATE, ASCORBIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN), MINERALS (CALCIUM PHOSPHATE, MAGNESIUM PHOSPHATE, POTASSIUM HDROXIDE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, SODIUM CITRATE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE), CELLULOSE GUM, SODIUM CARBOXMETHL CELLULOSE, SO LECITHIN, SUCRALOSE, ARTIFICIAL FLAVOUR, CARRAGEENAN, DIMETHLPOLSILOXANE

8 BOOST HIGH PROTEIN The BOOST family of products offers an extensive line of nutrition formulas. BOOST High is a great tasting, nutritionally complete formula with 15 g of protein per 237 ml that can be used as a snack or as a meal. For oral use. Chewing or swallowing Poor appetite difficulties Fluid or volume restrictions source Lactose Cal/ml 25% 53% 22% modified milk ingredients, soy protein isolate corn syrup, sugar canola, high oleic sunflower and corn oils 198 ml/237 ml <0.5 g lactose/237 ml (not for patients with galactosemia) 24 x 237 ml bottles chocolate 24 x 237 ml bottles strawberry 24 x 237 ml bottles vanilla Vanilla Flavoured Units 237 ml Energy Cal 240 Energy kj 1000 g 15 g 32 Sugars g 15 g 6 Polyunsaturates g 1.2 Linoleic Acid g 0.8 Linolenic Acid g 0.14 Monounsaturates g 2.7 Saturates g 1 Cholesterol mg 7 Sodium mg 250 Potassium mg 400 Chloride mg 350 Manganese mg 1.2 Copper mg 0.6 Selenium mg Molybdenum mg Chromium mg Biotin mg 0.04 Choline mg 55 Calcium % 34 Phosphorus % 27 Magnesium % 36 Iron % 32 Zinc % 44 Iodide % 25 Vitamin A % 45 Vitamin D % 30 Vitamin E % 25 Vitamin C % 25 Thiamine % 46 Riboflavin % 31 Niacin % 35 Pantothenate % 20 Vitamin B6 % 23 Folacin % 36 Vitamin B12 % 13 INGREDIENTS: WATER, CORN SRUP, MODIFIED MILK INGREDIENTS, SUGAR, VEGETABLE OILS (CANOLA, HIGH OLEIC SUNFLOWER, CORN), SO PROTEIN ISOLATE, SALT, VITAMINS (VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, SODIUM ASCORBATE, ASCORBIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACIN, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CHOLINE BITARTRATE), MINERALS (POTASSIUM CITRATE, POTASSIUM HDRATE, POTASSIUM CHLORIDE, TRICALCIUM PHOSPHATE, MAGNESIUM PHOSPHATE, MAGNESIUM CHLORIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), ARTIFICIAL FLAVOUR, CELLULOSE GEL AND GUM, SO LECITHIN, CARAGEENAN, STEVIA EXTRACT, DIMETHLPOLSILOXANE. CONTAINS MILK AND SO

9 BOOST JUST PROTEIN The BOOST family of products offers an extensive line of nutrition formulas. Units 21 g % Daily Value Energy Cal 80 g 18 g 0 0 g 1 0 Sodium mg 45 2 Potassium mg Calcium mg 6 Not a significant source of saturated fat, trans fat, cholesterol, fibre, sugars, vitamin A, vitamin C, or iron. INGREDIENTS: WHE PROTEIN ISOLATE [99%], SO LECITHIN [1%]. CONTAINS MILK AND SO. This product is only suitable for individuals greater than 3 years old. BOOST Just is an unflavoured instant protein powder that is a modular whey protein source. Each 21 g serving provides 18 g of protein. It can be added to most foods, liquids and as a "protein flush" with tube feedings. Increased protein requirements 80 Cal/21 g 95% 5% 0% whey protein isolate (milk) <0.5g/7g serving (not for patients with galactosemia x 227 g canister 16 17

10 BOOST PLUS CALORIES The BOOST family of products offers an extensive line of nutrition formulas. BOOST Plus Calories is a great tasting, nutritionally complete formula that can be used as a snack or as a meal. It provides a concentrated calorie source in a limited volume for patients with high energy needs. For oral use. Fluid restriction / volume Reduced intake: sensitivity When recovering from Increased energy needs illness or surgery Poor appetite During and after cancer Involuntary weight loss treatment Malnutrition After oral surgery Source Dietary Fibre Fibre Source Inulin Lactose Cal/ml 16% 49% 35% milk protein, soy protein isolate, calcium caseinate, sodium caseinate glucose, sugar canola, high oleic sunflower and corn oils 3 g/237 ml 40% gum arabic, 60% FOS/inulin 0.6 g/237 ml 183 ml/237 ml 890 m0sm/kg water - vanilla/chocolate 850 m0sm/kg water - strawberry <0.5 g/237 ml (not for patients with galactosemia) N 24 x 237 ml bottles vanilla 24 x 237 ml bottles chocolate 24 x 237 ml bottles strawberry Vanilla Flavoured Units 100 ml 237 ml Energy Cal Energy kj g g Linoleic Acid g Linolenic Acid g Polyunsaturates g Monounsaturates g 3 7 Saturates g Cholesterol mg g Dietary Fibre g Sodium mg Potassium mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg Iodine mg Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin C mg Vitamin K mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg Vitamin B6 mg Folic Acid mg Vitamin B12 mg Manganese mg Copper mg Selenium mg Chloride mg Biotin mg Chromium mg Molybdenum mg Choline mg * 50% as Beta-carotene INGREDIENTS: WATER, GLUCOSE, SUGAR, VEGETABLE OILS (CANOLA, HIGH OLEIC SUNFLOWER, AND CORN OILS), MILK PROTEIN, SO PROTEIN ISOLATE, CALCIUM CASEINATE, SODIUM CASEINATE, GUM ARABIC, OLIGOFRUCTOSE, INULIN, SALT, SO LECITHIN, CARRAGEENAN, ARTIFICIAL FLAVOUR, DIMETHLPOLSILOXANE, VITAMINS (VITAMIN A PALMITATE, BETA-CAROTENE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, VITAMIN K 1, ASCORBIC ACID, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NICOTINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, FOLIC ACID, BIOTIN, CANOCOBALAMIN, CHOLINE BITARTRATE), MINERALS (TRICALCIUM PHOSPHATE, DIMAGNESIUM PHOSPHATE TRIHDRATE, MAGNESIUM CHLORIDE, POTASSIUM CHLORIDE, POTASSIUM CITRATE, POTASSIUM HDROXIDE, FERROUS SULPHATE, ZINC SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, MANGANESE SULPHATE, CHROMIUM TRICHLORIDE, SODIUM SELENITE, SODIUM MOLBDATE). CONTAINS MILK AND SO

11 BOOST FRUIT FLAVOURED BEVERAGE The BOOST family of products offers an extensive line of nutrition formulas. BOOST Fruit Flavoured Beverage is a great tasting, nutritionally complete clear liquid diet oral supplement; an alternative to milky formulas. For oral use. Clear liquid diet needs Reduced intake: malabsorption When recovering from Involuntary weight loss illness or surgery Malnutrition During and after cancer treatment After oral surgery Source Lactose Cal/ml 19% 78% 3% whey protein isolate (milk) liquid sugar soybean oil 205 ml/237 ml 790 m0sm/kg water <0.5 g/237 ml (not for patients with galactosemia) 27 x 237 ml Tetra Brik orange 27 x 237 ml Tetra Brik peach 27 x 237 ml Tetra Brik wild berry Orange Flavoured Units 100 ml 237 ml Energy Cal Energy kj g g Linoleic Acid g g Sodium mg Vitamin A IU Vitamin D IU Vitamin E IU Thiamine mg Riboflavin mg Vitamin B6 mg Niacin mg Vitamin C mg Vitamin B12 mg Folic Acid mg Pantothenic Acid mg Biotin mg Vitamin K mg Iron mg Calcium mg Phosphorus mg Chloride mg Magnesium mg Iodine mg Copper mg Manganese mg Zinc mg Choline mg INGREDIENTS: WATER, LIQUID SUGAR, WHE PROTEIN ISOLATE (MILK), PHOSPHORIC ACID, MAGNESIUM GLUCONATE, CITRIC ACID, SOBEAN OIL, CHOLINE BITARTRATE, NATURAL FLAVOUR, CALCIUM CHLORIDE, COLOUR, L-CSTEINE, POLGLCEROL ESTERS OF FATT ACIDS, MANGANESE SULPHATE, FERROUS SULPHATE (IRON), COPPER GLUCONATE, ZINC SULPHATE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA TOCOPHERL ACETATE, VITAMIN K 1, ASCORBIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NICOTINAMIDE, PRIDOXINE HDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), CANOCOBALAMIN, BIOTIN. CONTAINS MILK AND SO

12 BOOST PUDDING The BOOST family of products offers an extensive line of nutrition formulas. BOOST Pudding is great tasting and nutritionally complete in a pudding format. It can be used as a snack or dessert. For oral use. Chewing or swallowing difficulties Fluid or volume restrictions Poor appetite Source Lactose UNTIL FEBRUAR AFTER FEBRUAR Cal/ml 12% 56% 32% modified milk ingredients corn maltodextrin, sugar, modified corn starch canola, high oleic sunflower, corn oils 93 ml/142 g serving <0.5 g/142 g (not for patients with galactosemia) 48 x 142 g cans chocolate 48 x 142 g cans vanilla 48 x 142 g cans chocolate 48 x 142 g cans vanilla Vanilla Flavoured Units 100 g 142 g Energy Cal Energy kj g g Sugar g g Linoleic Acid g Vitamin A IU Retinol IU Beta-Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenate mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg Manganese mg Copper mg Iodide mg Selenium mg Molybdenum mg Chromium mg INGREDIENTS: WATER, CORN MALTODEXTRIN, SUGAR, MODIFIED MILK INGREDIENTS, VEGETABLE OILS (CANOLA, HIGH OLEIC SUNFLOWER, CORN), MODIFIED CORN STARCH, SALT, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA- TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, ASCORBIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (SODIUM PHOSPHATE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, CALCIUM PHOSPHATE, MAGNESIUM PHOSPHATE, FERRIC PROPHOSPHATE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM CHLORIDE), SODIUM STEAROL-2-LACTLATE, NATURAL AND ARTIFICIAL FLAVOUR, CARRAGEENAN, STEVIA EXTRACT. CONTAINS MILK

13 BOOST 1.5 The BOOST family of products offers an extensive line of complete oral nutrition formulas. BOOST 1.5 is a great tasting, nutritionally complete supplement that can be used as a snack or as a meal. It provides concentrated calories in a limited volume for patients with high energy needs. For oral use. Fluid restriction / volume Reduced intake: sensitivity When recovering from Increased energy needs illness or surgery Poor appetite During and after cancer Involuntary weight loss treatment Malnutrition Source Cal/ml 14% 58% 28% sodium and calcium caseinates (milk), soy protein isolate corn syrup, sugar high oleic sunflower oil, canola oil 180 ml/237 ml 920 m0sm/kg water (not for patients with galactosemia) 27 x 237 ml Tetra Brik vanilla 27 x 237 ml Tetra Brik chocolate 27 x 237 ml Tetra Brik strawberry Vanilla Flavoured Units 100 ml 237 ml Energy Cal Energy kj g g Linoleic Acid g g Vitamin A IU Vitamin D IU Vitamin E IU Thiamine mg Riboflavin mg Vitamin B6 mg Niacin mg Vitamin C mg Vitamin B12 mg Folic Acid mg Pantothenic Acid mg Biotin mg Vitamin K mg Iron mg Calcium mg Phosphorus mg Sodium mg Potassium mg Chloride mg Magnesium mg Iodine mg Copper mg Manganese mg Zinc mg Choline mg Selenium mg Chromium mg Molybdenum mg INGREDIENTS: WATER, CORN SRUP, SUGAR, SODIUM CASEINATE (FROM MILK), HIGH OLEIC SUNFLOWER OIL, SO PROTEIN ISOLATE, CANOLA OIL, CALCIUM CASEINATE, POTASSIUM CITRATE, TRICALCIUM PHOSPHATE, NATURAL AND ARTIFICIAL FLAVOUR, SODIUM CITRATE, SO LECITHIN, MAGNESIUM CHLORIDE, CELLULOSE GUM, MICROCRSTALLINE CELLULOSE, CHOLINE CHLORIDE, ASCORBIC ACID, CARRAGEENAN, POTASSIUM HDROXIDE, POTASSIUM CHLORIDE, ZINC SULPHATE, FERROUS SULPHATE (IRON), ALPHA-TOCOPHERL ACETATE, NIACINAMIDE, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), COPPER GLUCONATE, MANGANESE SULPHATE, PRIDOXINE HDROCHLORIDE, THIAMINE MONONITRATE, VITAMIN A PALMITATE, RIBOFLAVIN, CHROMIUM CHLORIDE, FOLIC ACID, BIOTIN, POTASSIUM IODIDE (IODINE), SODIUM MOLBDATE (MOLBDENUM), SODIUM SELENITE (SELENIUM), VITAMIN K 1, CANOCOBALAMIN, VITAMIN D 3, DIMETHLPOLSILOXANE

14 CARNATION BREAKFAST ESSENTIALS TM POWDER Carnation Breakfast Essentials TM is a great tasting, nutritious and convenient breakfast. Carnation Breakfast Essentials TM is a great tasting ready-to-mix beverage; when mixed with milk, provides a source of protein and an excellent source of calcium, vitamin D, iron and vitamin C per serving. It can also be used with snacks or meals. For oral use. Skipped breakfast meal Inadequate oral intake Source Dietary Fibre Fibre Source 1.1 Cal/ml (mixed with whole milk) 20% (mixed with whole milk) 53% (mixed with whole milk) 27% (mixed with whole milk) skim milk powder skim milk powder, sugar, corn maltodextrin, lactose milk fat 3.0 g/serving 100% Prebio 1TM (FOS/inulin) N N N Vanilla Flavoured Amount Dry Powder Prepared** Calories % Daily Value 0.1 g* 1 % 14 % Saturated 0 g 0 % 27 % + Trans 0 g Cholesterol 5 mg 1 % 13 % Sodium 115 mg 5 % 10 % Potassium 340 mg 10 % 21 % 30 g 10 % 14 % Fibre 3 g 12 % 12 % Sugars 20 g* 7 g* Vitamin A 50 % 60 % Vitamin C 50 % 50 % Calcium 20 % 50 % Iron 50 % 50 % Vitamin D 0 % 50 % Thiamine 50 % 60 % Riboflavin 60 % 90 % Niacin 25 % 35 % Vitamin B6 4 % 8 % Folate 0 % 6 % Vitamin B12 30 % 80 % Pantothenate 8 % 20 % Phosphorus 20 % 40 % Iodine 25 % 25 % Magnesium 10 % 25 % Zinc 10 % 20 % * Amount in dry mix. ** When prepared with 250 ml whole milk. Per 1/3 cup (40 g) INGREDIENTS: SKIM MILK POWDER, SUGAR, CORN MALTODEXTRIN, OLIGOFRUCTOSE/INULIN (PREBIO 1TM ), LACTOSE, ARTIFICIAL FLAVOUR, CELLULOSE GUM, VITAMINS AND MINERALS (VITAMIN A PALMITATE, ASCORBIC ACID, THIAMINE MONONITRATE, RIBOFLAVIN, NIACINAMIDE, FERRIC ORTHOPHOSPHATE). CONTAINS MILK. MA CONTAIN SO AND WHEAT x 880 g cans vanilla 6 x 880 g cans chocolate 6 x 880 g cans strawberry 6 x 10 x 40 g packets vanilla 6 x 10 x 40 g packets chocolate 6 x 10 x 40 g packets strawberry 6 x 10 x 40 g packets variety 26 27

15 CARNATION BREAKFAST ESSENTIALS TM READ-TO-DRINK Carnation Breakfast Essentials TM is a great tasting, nutritious and convenient breakfast. Carnation Breakfast Essentials TM is a great tasting ready-to-drink beverage. It is an excellent source of calcium, iron and vitamin D and a source of protein. It can also be used with snacks or meals. For oral use. Skipped breakfast meal Inadequate oral intake Source Lactose 1.01 Cal/ml 17% 68% 15% milk protein, soy protein isolate corn syrup, sugar vegetable oils (canola, sunflower, corn) 197 ml/237 ml 600 MmOsm/kg water <0.5 g/237 ml (not for patients with galactosemia) (6 x 237 ml) bottle vanilla (6 x 237 ml) bottle chocolate (6 x 237 ml) bottle strawberry Vanilla Flavoured Energy Units Cal 237 ml 240 Energy kj 1000 g 10 g 4 Linoleic Acid g 0.8 Linolenic Acid g 0.14 Polyunsaturates g 1 Monounsaturates g 2.1 Saturates g 0.7 Cholesterol mg 6.8 g 41 Sugars g 15 Sodium mg 265 Potassium mg 410 Manganese mg 1.1 Copper mg 0.6 Selenium mg Chloride mg 320 Biotin mg 0.03 Choline mg 55 Chromium mg Molybdenum mg Calcium % 28 Phosphorus % 24 Magnesium % 36 Iron % 25 Zinc % 45 Iodide % 25 Vitamin A % 30 Vitamin D % 25 Vitamin E % 25 Vitamin C % 25 Thiamine % 25 Riboflavin % 27 Niacin % 30 Pantothenic Acid % 20 Vitamin B6 % 23 Folacin % 29 Vitamin B12 % 13 * Percentage of recommended daily intake INGREDIENTS: WATER, CORN SRUP, SUGAR, MILK PROTEIN, VEGETABLE OILS (CANOLA, SUNFLOWER AND CORN), SO PROTEIN ISOLATE, SALT, ARTIFICIAL FLAVOUR, STEVIA LEAF EXTRACT, MICROCRSTALLINE CELLULOSE, SODIUM CARBOXMETHL CELLULOSE, SO LECITHIN, CARRAGEENAN, DIMETHLPOLSILOXANE, VITAMINS (VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, SODIUM ASCORBATE, ASCORBIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CHOLINE BITARTRATE), MINERALS (CALCIUM CARBONATE, TRICALCIUM PHOSPHATE, DIMAGNESIUM PHOSPHATE TRIHDRATE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, POTASSIUM HDROXIDE, SODIUM CITRATE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE). CONTAINS MILK AND SO

16 COMPLEAT The Compleat family of products offers unique, nutritionally complete tube feeding formulas with ingredients from real food. Compleat is the ONL tube feeding formula with real food ingredients including chicken, carrots, peas, tomato, green beans, peaches and cranberry juice. This formula contains a blend of fibre and protein sources, and does not contain corn or soy ingredients. For tube feeding use. Short or long term Nutrient-rich base for whole-protein tube home blenderized tube feeding needs feeding Convenient alternative to Bowel function homemade tube feeding Source Dietary Fibre Fibre source n6:n3 ratio Lactose Meets DRI for 25 micronutrients Cal/ml 18% 48% 34% milk protein, dried chicken meat, pea protein isolate brown rice syrup, fruit and vegetable ingredient blend including: tomato paste, peach purée concentrate, dried green beans, dried green peas, dried carrots, cranberry juice concentrate canola oil 8 g/1000 ml 35% acacia gum, oligofructose, inulin; 65% vegetable fibre 3.0:1 830 ml/1000 ml 450 m0sm/kg water N <0.5 g lactose per 100 ml (not for patients with galactosemia) N 1400 ml (see page 112) 24 x 250 ml Tetra Prisma 6 x 1.0 L ULTRAPAK 2017 Units 100 ml 250 ml Energy Cal Energy kj g g Fibre g g 4 10 Linoleic Acid g Vitamin A IU Retinol IU Beta Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg 2 5 Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg L-Carnitine mg INGREDIENTS: WATER, BROWN RICE SRUP, MILK PROTEIN, CANOLA OIL, DRIED CHICKEN MEAT, TOMATO PASTE, PEACH PURÉE CONCENTRATE, PEA PROTEIN ISOLATE, DRIED GREEN BEANS, PEA FIBRE, DRIED GREEN PEAS, DRIED CARROTS, ACACIA GUM, CRANBERR JUICE CONCENTRATE, OLIGOFRUCTOSE, SALT, INULIN, ROSEMAR EXTRACT, L-CARNITINE, TAURINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, ASCORBIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (SODIUM CITRATE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, POTASSIUM HDRATE, TRICALCIUM PHOSPHATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENATE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), SILICON DIOXIDE, CITRIC ACID, DIMETHLPOLSILOXANE. CONTAINS MILK. 31

17 ISOSOURCE HN The Isosource family of products offers an extensive line of whole-protein, complete balanced nutrition formulas. Isosource HN is a 1.2 Cal/ml, high protein formula with 18% of calories from protein. This formula is fibre free. For oral and tube feeding use. Standard, whole-protein tube feeding needs Elevated calorie needs Fibre restriction/contraindication Source n6:n3 ratio MCT:LCT Meets DRI for 22 micronutrients Cal/ml 18% 51% 31% soy protein isolate, sodium caseinate (milk) corn syrup, maltodextrin canola oil, MCT (coconut and/or palm kernel oil) 2.4:1 20: ml/1000 ml 520 mosm/kg water - ULTRAPAK 460 mosm/kg water - Tetra Prisma (not for patients with galactosemia) 1500 ml (see page 112) 24 x 250 ml Tetra Prisma 4 x 1.5 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g g g Linoleic Acid g Vitamin A IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg INGREDIENTS: WATER, CORN SRUP, SO PROTEIN ISOLATE, CANOLA OIL, SODIUM CASEINATE (FROM MILK), MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), POTASSIUM CITRATE, CELLULOSE GUM, CHOLINE CHLORIDE, TRICALCIUM PHOSPHATE, SODIUM CHLORIDE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM CHLORIDE, SO LECITHIN, CARRAGEENAN, ARTIFICIAL FLAVOUR, MALTODEXTRIN, POTASSIUM IODIDE (IODINE), VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA TOCOPHERL ACETATE (VITAMIN E), VITAMIN K 1, SODIUM ASCORBATE (VITAMIN C), RIBOFLAVIN, THIAMINE HDROCHLORIDE, NIACINAMIDE, PRIDOXINE HDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), CANOCOBALAMIN, BIOTIN, FERROUS SULPHATE (IRON), MANGANESE SULPHATE, ZINC SULPHATE, SODIUM SELENATE (SELENIUM), CHROMIUM CHLORIDE, SODIUM MOLBDATE (MOLBDENUM), COPPER GLUCONATE, DIMETHLPOLSILOXANE

18 2017 UPDATE COMING FALL 2017 UPDATE 2017 ISOSOURCE 1.2 The Isosource family of products offer an extensive line of whole-protein, nutritionally complete formulas. Isosource 1.2 is a 1.2 Cal/ml, whole-protein formula with 18% of calories from protein. This formula does not contain fibre. For oral and tube feeding use. Standard, whole-protein Fibre restriction/ tube feeding needs contraindication Elevated calorie needs 1.2 Cal/ml 18% 53% 29% soy protein isolate, modified milk ingredients (sodium and calcium caseinate) Source corn syrup, corn maltodextrin canola oil, MCT (coconut and/or palm kernel oil) n6:n3 ratio 2.4:1 MCT:LCT 20: ml/1000 ml 510 mosm/kg water (not for individuals with galactosemia) Meets DRI for 1250 ml (see page 112) 25 micronutrients x 250 ml Tetra Prisma 4 x 1.5 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g s g Fibre g 0 0 g 4 10 Linoleic Acid g Vitamin A IU Retinol IU Beta-Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg L-Carnitine mg INGREDIENTS: WATER, CORN SRUP, SO PROTEIN ISOLATE, CANOLA OIL, MODIFIED MILK INGREDIENTS, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), CORN MALTODEXTRIN, SALT, TAURINE, L-CARNITINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA- TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (POTASSIUM CITRATE, POTASSIUM CHLORIDE, TRICALCIUM PHOSPHATE, CALCIUM CITRATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), SO LECITHIN, CARRAGEENAN, DIMETHLPOLSILOXANE. CONTAINS SO AND MILK UPDATED UPDATED

19 2017 UPDATE UPDATE 2017 ISOSOURCE FIBRE 1.2 The Isosource family of products offer an extensive line of whole-protein, nutritionally complete formulas. Isosource Fibre 1.2 is a 1.2 Cal/ml, whole-protein formula with 18% of calories from protein. This formula also contains IS50, a unique blend of soluble and insoluble fibres. For oral and tube feeding use. Standard, whole-protein tube feeding needs Elevated calorie needs Bowel function 1.2 Cal/ml 18% 53% 29% soy protein isolate, modified milk ingredients (sodium and calcium caseinate) Source corn syrup, corn maltodextrin canola oil, MCT (coconut and/or palm kernel oil) Dietary Fibre 15.2 g/1000 ml Fibre Source 50% pea fibre and 50% oligofructose, inulin, and acacia gum n6:n3 ratio 2.4:1 MCT:LCT 20: ml/1000 ml 480 mosm/kg water (not for individuals with galactosemia) N Meets DRI for 1250 ml (see page 112) 25 micronutrients x 250 ml Tetra Prisma 4 x 1.5 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g s g Fibre g g 4 10 Linoleic Acid g Vitamin A IU Retinol IU Beta-Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg L-Carnitine mg INGREDIENTS: WATER, CORN SRUP, SO PROTEIN ISOLATE, CANOLA OIL, MODIFIED MILK INGREDIENTS, PEA FIBRE, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), ACACIA GUM, OLIGOFRUCTOSE, CORN MALTODEXTRIN, INULIN, SALT, TAURINE, L-CARNITINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D3, DL-ALPHA-TOCOPHERL ACETATE, VITAMIN K1, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (POTASSIUM CITRATE, POTASSIUM CHLORIDE, TRICALCIUM PHOSPHATE, CALCIUM CITRATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), SO LECITHIN, CARRAGEENAN, DIMETHLPOLSILOXANE. CONTAINS SO AND MILK UPDATED UPDATED

20 ISOSOURCE VHP FIBRE FREE The Isosource family of products offers an extensive line of whole-protein, complete balanced nutrition formulas. Isosource VHP Fibre Free is a 1.0 Cal/ml, very high protein formula with 25% of calories from protein. This formula is fibre free. For oral and tube feeding use. Standard, whole-protein tube feeding needs Increased protein requirements Pressure ulcers Fibre restriction/contraindication Source n6:n3 ratio MCT:LCT Meets DRI for 23 micronutrients Cal/ml 25% 45% 30% calcium-potassium caseinate (milk) maltodextrin, sugar (Tetra Prisma ) canola oil, MCT (coconut and/or palm kernel oil) 2.4:1 25: ml/1000 ml 300 m0sm/kg water - ULTRAPAK 350 m0sm/kg water - Tetra Prisma (not for patients with galactosemia) 1300 ml (see page 112) 24 x 250 ml Tetra Prisma 6 x 1.0 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU 6 15 Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg * 56% as Beta-carotene INGREDIENTS: WATER, CALCIUM-POTASSIUM CASEINATE (FROM MILK), MALTODEXTRIN, SUGAR, CANOLA OIL, MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), SO LECITHIN, ARTIFICIAL FLAVOUR, CALCIUM CITRATE, DIPOTASSIUM PHOSPHATE, MAGNESIUM CHLORIDE, SODIUM CHLORIDE, SODIUM PHOSPHATE, SODIUM ASCORBATE (VITAMIN C), CITRIC ACID, CHOLINE CHLORIDE, MAGNESIUM OXIDE, SODIUM CITRATE, CARRAGEENAN, ALPHA TOCOPHERL ACETATE (VITAMIN E), POTASSIUM CITRATE, L-CARNITINE, TAURINE, ZINC SULPHATE, FERROUS SULPHATE (IRON), NIACINAMIDE, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), MANGANESE SULPHATE, VITAMIN A PALMITATE, PRIDOXINE HDROCHLORIDE, COPPER SULPHATE, THIAMINE MONONITRATE, VITAMIN D 3, RIBOFLAVIN, BETA-CAROTENE, FOLIC ACID, CHROMIUM CHLORIDE, BIOTIN, SODIUM MOLBDATE (MOLBDENUM), POTASSIUM IODIDE (IODINE), SODIUM SELENATE (SELENIUM), VITAMIN K 1, CANOCOBALAMIN

21 2017 UPDATE COMING FALL 2017 UPDATE 2017 ISOSOURCE 1.0 HP The Isosource family of products offer an extensive line of whole-protein, nutritionally complete formulas. Isosource 1.0 HP is a 1.0 Cal/ml, high protein formula with 25% of calories from protein. This formula does not contain fibre. For oral and tube feeding use. Standard, whole-protein Recovery from illness, tube feeding needs surgery, and burns Increased protein Pressure ulcers requirements Fibre restriction/ contraindication 1.0 Cal/ml 25% 45% 30% modified milk ingredients (sodium and calcium caseinate) Source corn syrup, corn maltodextrin canola oil, MCT (coconut and/or palm kernel oil) n6:n3 ratio 2.4:1 MCT:LCT 20: ml/1000 ml 330 mosm/kg water (not for individuals with galactosemia) Meets DRI for 1500 ml (see page 112) 25 micronutrients x 250 ml Tetra Prisma 4 x 1.5 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g s g Fibre g 0 0 g Linoleic Acid g Vitamin A IU Retinol IU Beta-Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg L-Carnitine mg INGREDIENTS: WATER, CORN SRUP, MODIFIED MILK INGREDIENTS, CORN MALTODEXTRIN, CANOLA OIL, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), SALT, TAURINE, L-CARNITINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (POTASSIUM CITRATE, POTASSIUM CHLORIDE, CALCIUM CITRATE, TRICALCIUM PHOSPHATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), CARRAGEENAN, DIMETHLPOLSILOXANE. CONTAINS MILK UPDATED UPDATED

22 ISOSOURCE VHN The Isosource family of products offers an extensive line of whole-protein, complete balanced nutrition formulas. Isosource VHN is a 1.0 Cal/ml, very high protein formula with 25% of calories from protein. This formula has a blend of partially hydrolyzed guar gum and soy fibre. For oral and tube feeding use. Standard, whole-protein tube feeding needs Pressure ulcers Increased protein requirements Bowel function Source Dietary Fibre Fibre source n6:n3 ratio MCT:LCT Meets DRI for 24 micronutrients Cal/ml 25% 50% 25% sodium and calcium caseinates (milk) maltodextrin MCT (coconut and/or palm kernel oil), canola oil, soybean oil 10.8 g/1000 ml 52% partially hydrolyzed guar gum and 48% soy fibre 3.9:1 50: ml/1000 ml 355 mosm/kg water - ULTRAPAK 335 mosm/kg water - Tetra Prisma (not for patients with galactosemia) N 1500 ml (see page 112) 24 x 250 ml Tetra Prisma 4 x 1.5 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g g * g Linoleic Acid g Vitamin A** IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg * Contains 1.3 g of soy fibre and 1.4 g of partially hydrolyzed guar gum per 250 ml ** 56% as Beta-carotene INGREDIENTS: WATER, MALTODEXTRIN, SODIUM CASEINATE (FROM MILK), CALCIUM CASEINATE, MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), CANOLA OIL, GROUND SO COTLEDON FIBRE, PARTIALL HDROLSED GUAR GUM, SOBEAN OIL, POTASSIUM CITRATE, SODIUM CITRATE, TRICALCIUM PHOSPHATE, ARTIFICIAL FLAVOUR, POTASSIUM CHLORIDE, SO LECITHIN, MAGNESIUM CHLORIDE, CHOLINE CHLORIDE, SODIUM PHOSPHATE, L-CARNITINE, MAGNESIUM OXIDE, POTASSIUM IODIDE (IODINE), VITAMIN A PALMITATE, BETA-CAROTENE, VITAMIN D 3, ALPHA TOCOPHERL ACETATE (VITAMIN E), VITAMIN K 1, SODIUM ASCORBATE (VITAMIN C), THIAMINE MONONITRATE, RIBOFLAVIN, NIACINAMIDE, PRIDOXINE HDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), CANOCOBALAMIN, BIOTIN, TAURINE, FERROUS SULPHATE (IRON), ZINC SULPHATE, COPPER SULPHATE, MANGANESE SULPHATE, SODIUM SELENATE (SELENIUM), CHROMIUM CHLORIDE, SODIUM MOLBDATE (MOLBDENUM), CITRIC ACID, POTASSIUM HDROXIDE

23 2017 UPDATE COMING FALL 2017 UPDATE 2017 ISOSOURCE FIBRE 1.0 HP The Isosource family of products offer an extensive line of whole-protein, nutritionally complete formulas. Isosource Fibre 1.0 HP is a 1.0 Cal/ml, high protein formula with 25% of calories from protein. This formula also contains IS50, a unique blend of soluble and insoluble fibres. For oral and tube feeding use. Standard, whole-protein tube feeding needs Increased protein requirements Recovery from illness, surgery, and burns Pressure ulcers Bowel function 1.0 Cal/ml 25% 45% 30% soy protein isolate, modified milk ingredients (sodium and calcium caseinate) Source corn syrup, corn maltodextrin canola oil, MCT (coconut and/or palm kernel oil) Dietary Fibre 15.2 g/1000 ml Fibre Source 50% pea fibre and 50% oligofructose, inulin, and acacia gum n6:n3 ratio 2.4:1 MCT:LCT 20: ml/1000 ml 300 mosm/kg water (not for individuals with galactosemia) N Meets DRI for 1500 ml (see page 112) 25 micronutrients x 250 ml Tetra Prisma 4 x 1.5 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g s g Fibre g g Linoleic Acid g Vitamin A IU Retinol IU Beta-Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg L-Carnitine mg INGREDIENTS: WATER, CORN SRUP, SO PROTEIN ISOLATE, CORN MALTODEXTRIN, CANOLA OIL, MODIFIED MILK INGREDIENTS, PEA FIBRE, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), ACACIA GUM, OLIGOFRUCTOSE, INULIN, SALT, TAURINE, L-CARNITINE, VITAMINS (BETACAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (POTASSIUM CITRATE, POTASSIUM CHLORIDE, CALCIUM CITRATE, TRICALCIUM PHOSPHATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), SO LECITHIN, CARRAGEENAN, DIMETHLPOLSILOXANE. CONTAINS SO AND MILK UPDATED UPDATED

24 2017 UPDATE UPDATE 2017 ISOSOURCE FIBRE 1.5 The Isosource family of products offer an extensive line of whole-protein, nutritionally complete formulas. Isosource Fibre 1.5 is a 1.5 Cal/ml, whole-protein formula with 18% of calories from protein. This formula also contains IS50, a unique blend of soluble and insoluble fibres. For oral and tube feeding use. Standard, whole-protein Elevated calorie needs tube feeding needs Shortened feeding Volume intolerance schedules Fluid restriction Bowel function 1.5 Cal/ml 18% 47% 35% modified milk ingredients (sodium and calcium caseinate), soy protein isolate Source corn syrup, corn maltodextrin canola oil, MCT (coconut and/or palm kernel oil) Dietary Fibre 15.2 g/1000 ml Fibre Source 50% pea fibre and 50% oligofructose, inulin, and acacia gum n6:n3 ratio 2.4:1 MCT:LCT 20: ml/1000 ml 650 mosm/kg water (not for individuals with galactosemia) N Meets DRI for 1000 ml (see page 112) 25 micronutrients x 250 ml Tetra Prisma 4 x 1.5 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g 7 17 s g Fibre g g 6 15 Linoleic Acid g Vitamin A IU Retinol IU Beta-Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg 2 5 Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg L-Carnitine mg INGREDIENTS: WATER, CORN SRUP, CANOLA OIL, MODIFIED MILK INGREDIENTS, SO PROTEIN ISOLATE, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), PEA FIBRE, ACACIA GUM, OLIGOFRUCTOSE, INULIN, SALT, CORN MALTODEXTRIN, TAURINE, L-CARNITINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D3, DL-ALPHA-TOCOPHERL ACETATE, VITAMIN K1, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (POTASSIUM CITRATE, POTASSIUM CHLORIDE, TRICALCIUM PHOSPHATE, CALCIUM CITRATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), SO LECITHIN, CARRAGEENAN, DIMETHLPOLSILOXANE. CONTAINS MILK AND SO UPDATED UPDATED

25 MEDIUM CHAIN TRIGLCERIDES (MCT OIL) 15 ml (14 g)* % Daily Value Calories g 22 % Saturated 14 g 70 % + Trans 0 g 0 g 0 % 0 g Not a significant source of cholesterol, sodium, fibre, sugars, vitamin A, vitamin C, calcium or iron. Not designed as a sole source of nutrition. * 1 Tbsp INGREDIENTS: MODIFIED COCONUT AND/OR PALM KERNEL OIL (MEDIUM CHAIN TRIGLCERIDES). MCT Oil is a modular Medium Chain Triglyceride (MCT) source for patients who poorly digest or absorb conventional fats. Defect in the intraluminal hydrolysis of fat (decreased pancreatic lipase, decreased bile salts) Defective mucosal fat absorption (decreased mucosal permeability, decreased absorptive surface) Defective lymphatic transport of fat (i.e. intestinal lymphatic obstruction) Ketogenic Diet 7.7 Cal/ml 0% 0% 100% MCT (modified coconut and/or palm kernel oil) 0% x 946 ml bottles 42 43

26 MICROLIPID Units 1 Tbsp (15 ml) Calories kcal 67.5 Total g 7.5 Saturated g 0.75 Trans g 0 Polyunsaturated g 5.6 Monounsaturated g 1.1 Microlipid is a modular 50% fat emulsion for use in oral and tube-feeding formulas. Increased caloric Fluid or volume restriction requirements Ketogenic Diet Decreased carbohydrate tolerance ty Acid Distribution (% of Total ) Saturated 10% Polyunsaturated 75% Monounsaturated 15% P/S Ratio 7.5:1 Not intended as a sole source of nutrition. Safflower oil emulsion providing 5.6 grams of polyunsaturated fat per 15 ml serving. 50% fat emulsion mixes easily and stays mixed with enteral formulas, beverages and food. INGREDIENTS: SAFFLOWER OIL, WATER, POLGLCEROL ESTERS OF FATT ACIDS, SO LECITHIN, XANTHAN GUM, ASCORBIC ACID. Microlipid is a registered trade mark of Covidien AG and is used under licence. 4.5 Cal/ml 0% 0% 100% safflower oil 450 ml/1000 ml x 89 ml bottles 44 45

27 NOVASOURCE RENAL Novasource Renal is a delicious, 2.0 Cal/ml formula with 21.6 g of protein per 237 ml serving and lower potassium and phospohorus levels for patients with renal impairment. For oral and tube feeding use. Acute renal failure Electrolyte restriction Chronic renal failure Fluid restriction Source n6:n3 ratio Meets DRI for 20 micronutrients Cal/ml 18% 37% 45% sodium and calcium caseinates (milk), soy protein isolate corn syrup, sugar canola oil 2.2:1 717 ml/1000 ml 800 m0sm/kg water (not for patients with galactosemia) 1000 ml (see page 112) 27 x 237 ml Tetra Brik vanilla 6 x 1.0 L ULTRAPAK Units 100 ml 237 ml g g Linoleic Acid g g Energy Cal Energy kj Vitamin A* IU Vitamin D IU Vitamin E IU Thiamine mg Riboflavin mg Vitamin B6 mg Niacin mg Vitamin C mg 6 14 Vitamin B12 mg Folic Acid mg Pantothenic Acid mg Biotin mg Vitamin K mg Iron mg Calcium mg Phosphorus mg Sodium mg Potassium mg Chloride mg Magnesium mg Iodine mg Copper mg Manganese mg Zinc mg Choline mg Selenium mg Chromium mg Molybdenum mg L-Carnitine mg Taurine mg * 50% as Beta-carotene INGREDIENTS: WATER, CORN SRUP, CANOLA OIL, SODIUM CASEINATE, CALCIUM CASEINATE, SO PROTEIN ISOLATE, SUGAR, ARTIFICIAL FLAVOUR, SO LECITHIN, MICROCRSTALLINE CELLULOSE, SODIUM CARBOXMETHLCELLULOSE, L-CARNITINE, POTASSIUM CITRATE, CITRIC ACID, TAURINE. VITAMINS AND MINERALS: VITAMIN A PALMITATE, BETA- CAROTENE, CHOLECALCIFEROL, DL-ALPHA-TOCOPHERL ACETATE, ASCORBIC ACID, FOLIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NICOTINAMIDE, PRIDOXINE HDROCHLORIDE, CANOCOBALAMIN, BIOTIN, D-CALCIUM PANTOTHENATE, VITAMIN K 1 (PHTOMENADIONE), POTASSIUM IODIDE, FERROUS SULPHATE, COPPER GLUCONATE, MANGANESE SULPHATE, ZINC SULPHATE, CHROMIUM TRICHLORIDE, SODIUM SELENITE, SODIUM MOLBDATE, CALCIUM CARBONATE, CHOLINE CHLORIDE, SODIUM CHLORIDE, MAGNESIUM OXIDE, VITAMIN C (ASCORBIC ACID), POTASSIUM CHLORIDE

28 NUTREN 1.5 The Nutren family of products offers an extensive line of whole-protein, complete balanced nutrition formulas. Nutren 1.5 is a 1.5 Cal/ml formula with 16% of calories from protein. This formula is fibre free. For oral and tube feeding use. Standard, whole-protein Shortenened feeding tube feeding needs schedule Volume intolerance Fibre restriction/ Fluid restriction contraindication Elevated calorie needs Source n6:n3 ratio MCT:LCT Meets DRI for 23 micronutrients Cal/ml 16% 44% 40% calcium-potassium caseinate (milk) maltodextrin, sugar (vanilla) MCT (coconut and/or palm kernel oil), canola oil, corn oil 5.1:1 50: ml/1000 ml 430 m0sm/kg water - ULTRAPAK 510 m0sm/kg water - vanilla (not for patients with galactosemia) 1200 ml (see page 112) 24 x 250 ml Tetra Prisma vanilla 4 x 1.5 L ULTRAPAK Vanilla Flavoured Units 100 ml 250 ml Energy Cal Energy kj g 6 15 g g Linoleic Acid g Water g Vitamin A IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg 2 5 Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg Calcium mg Phosphorus mg Magnesium mg Zinc mg 2 5 Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg INGREDIENTS: WATER, MALTODEXTRIN, CALCIUM-POTASSIUM CASEINATE (FROM MILK), MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), SUGAR, CANOLA OIL, CORN OIL, SO LECITHIN, ARTIFICIAL FLAVOUR, POTASSIUM CITRATE, SODIUM CHLORIDE, CALCIUM CITRATE, SODIUM PHOSPHATE, CITRIC ACID, DIPOTASSIUM PHOSPHATE, CHOLINE CHLORIDE, SODIUM ASCORBATE (VITAMIN C), MAGNESIUM CHLORIDE, MAGNESIUM OXIDE, CARRAGEENAN, SODIUM CITRATE, L-CARNITINE, TAURINE, ZINC SULPHATE, FERROUS SULPHATE (IRON), TURMERIC, NIACINAMIDE, DL-ALPHA TOCOPHERL ACETATE (VITAMIN E), CALCIUM PANTOTHENATE (PANTOTHENIC ACID), MANGANESE SULPHATE, PRIDOXINE HDROCHLORIDE, COPPER SULPHATE, RIBOFLAVIN, THIAMINE MONONITRATE, VITAMIN A PALMITATE, BIOTIN, FOLIC ACID, VITAMIN D 3, CHROMIUM CHLORIDE, CANOCOBALAMIN, VITAMIN K 1, SODIUM MOLBDATE (MOLBDENUM), POTASSIUM IODIDE (IODINE), SODIUM SELENATE (SELENIUM)

29 2017 UPDATE COMING FALL 2017 UPDATE 2017 ISOSOURCE 1.5 REPLACES NUTREN 1.5 The Isosource family of products offer an extensive line of whole-protein, nutritionally complete formulas. Isosource 1.5 is a 1.5 Cal/ml, whole-protein formula with 18% of calories from protein. This formula does not contain fibre. For oral and tube feeding use. Standard, whole-protein Elevated calorie needs tube feeding needs Shortened feeding Volume intolerance schedule Fluid restriction Fibre restriction/ contraindication 1.5 Cal/ml 18% 47% 35% soy protein isolate, modified milk ingredients (sodium and calcium caseinate) Source corn syrup, corn maltodextrin canola oil, MCT (coconut and/or palm kernel oil) n6:n3 ratio 2.4:1 MCT:LCT 20: ml/1000 ml 530 mosm/kg water (not for individuals with galactosemia) Meets DRI for 1000 ml (see page 112) 25 micronutrients x 250 ml Tetra Prisma 4 x 1.5 L ULTRAPAK Tetra Prisma Units 100 ml 250 ml Energy Cal Energy kj g s g Fibre g 0 0 g 6 15 Linoleic Acid g Vitamin A IU Retinol IU Beta-Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg 2 5 Pantothenic Acid mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg 2 5 Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg L-Carnitine mg INGREDIENTS: WATER, CORN SRUP, CORN MALTODEXTRIN, CANOLA OIL, SO PROTEIN ISOLATE, MODIFIED MILK INGREDIENTS, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), SALT, TAURINE, L-CARNITINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (POTASSIUM CITRATE, POTASSIUM CHLORIDE, TRICALCIUM PHOSPHATE, CALCIUM CITRATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), SO LECITHIN, CARRAGEENAN, DIMETHLPOLSILOXANE. CONTAINS SO AND MILK UPDATED UPDATED

30 NUTREN 2.0 The Nutren family of products offers an extensive line of whole-protein, complete balanced nutrition formulas. Nutren 2.0 is a 2.0 Cal/ml formula with 16% of calories from protein. This formula is fibre free. For tube feeding use. Standard, whole-protein Fluid restrictions tube feeding needs Fibre restriction/ Elevated calorie needs contraindication Source n6:n3 ratio MCT:LCT Meets DRI for 23 micronutrients Cal/ml 16% 38% 46% calcium-potassium caseinate (milk) corn syrup, maltodextrin, sugar MCT (coconut and palm kernel oil), canola oil, corn oil 5.5:1 75: ml/1000 ml 745 m0sm/kg water (not for patients with galactosemia) 800 ml (see page 112) 6 x 1.0 L ULTRAPAK Units 100 ml 1000 ml Energy Cal Energy kj g 8 80 g g Linoleic Acid g Water g Vitamin A IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg INGREDIENTS: WATER, CORN SRUP, CALCIUM-POTASSIUM CASEINATE (FROM MILK), MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND PALM KERNEL OIL), MALTODEXTRIN, SUGAR, CANOLA OIL, SO LECITHIN, CORN OIL, POTASSIUM CITRATE, CALCIUM CITRATE, MAGNESIUM CHLORIDE, SODIUM PHOSPHATE, CHOLINE CHLORIDE, SODIUM CHLORIDE, DIPOTASSIUM PHOSPHATE, SODIUM ASCORBATE (VITAMIN C), SODIUM CITRATE, CITRIC ACID, MAGNESIUM OXIDE, TAURINE, L-CARNITINE, DL-ALPHA-TOCOPHERL ACETATE (VITAMIN E), ZINC SULPHATE, CARRAGEENAN, FERROUS SULPHATE (IRON), NIACINAMIDE, CALCIUM PANTOTHENATE, VITAMIN A PALMITATE, MANGANESE SULPHATE, PRIDOXINE HDROCHLORIDE, TURMERIC (COLOUR), COPPER SULPHATE, RIBOFLAVIN, VITAMIN D 3, THIAMINE MONONITRATE, FOLIC ACID, BIOTIN, SODIUM MOLBDATE, POTASSIUM IODIDE, CHROMIUM CHLORIDE, SODIUM SELENATE, VITAMIN K 1, CANOCOBALAMIN

31 2017 UPDATE COMING FALL 2017 UPDATE 2017 ISOSOURCE 2.0 REPLACES NUTREN 2.0 The Isosource family of products offer an extensive line of whole-protein, nutritionally complete formulas. Isosource 2.0 is a 2.0 Cal/ml, whole-protein formula with 16% of calories from protein. This formula does not contain fibre. For oral and tube feeding use. Standard, whole-protein Elevated calorie needs tube feeding needs Fibre restriction/ Fluid restriction contraindication 2.0 Cal/ml 16% 43% 41% modified milk ingredients (sodium and calcium caseinate), soy protein isolate Source corn syrup, corn maltodextrin canola oil, MCT (coconut and/or palm kernel oil) n6:n3 ratio 2.4:1 MCT:LCT 50: ml/1000 ml 780 mosm/kg water (not for individuals with galactosemia) Meets DRI for 750 ml (see page 112) 25 micronutrients x 1.0 L ULTRAPAK Tetra Prisma Units 100 ml 1000 ml Energy Cal Energy kj g s g Fibre g 0 0 g Linoleic Acid g Vitamin A IU Retinol IU Beta-Carotene IU Vitamin D IU Vitamin E IU 6 60 Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg 2 20 Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg L-Carnitine mg INGREDIENTS: WATER, CORN SRUP, MODIFIED MILK INGREDIENTS, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), CANOLA OIL, SO PROTEIN ISOLATE, CORN MALTODEXTRIN, TAURINE, L-CARNITINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (SODIUM CITRATE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, TRICALCIUM PHOSPHATE, CALCIUM CITRATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), SO LECITHIN, DIMETHLPOLSILOXANE. CONTAINS MILK AND SO UPDATED UPDATED

32 OPTIFAST 900 Optifast is a comprehensive, evidence-based medically supervised weight management program that combines a nutritionally complete meal replacement with behavioural modification. Meal replacement for weight reduction. For oral use. Weight reduction Weight reduction prior in obesity to bariatric surgery Source Cal/ml 40% 30% 30% milk protein isolate, sodium caseinate fructose, corn maltodextrin canola oil, soybean oil (not for patients with galactosemia) 8 (14 x 54 g) vanilla packets 8 (14 x 54 g) chocolate packets Vanilla Flavoured Units 340 ml**(54 g packet) Energy Cal 225 Energy kj 940 g 22.5 g 7.5 Linoleic Acid g 1.9 Linolenic Acid g 0.35 Saturates g 0.8 g 16.8 Aspartame mg 61 Sodium mg 500 Potassium mg 740 Biotin mg Copper mg 0.55 Manganese mg 1.1 Selenium mg Chromium mg Molybdenum mg Chloride mg 415 Choline mg 25 Vitamin A %* 37 Vitamin D3 %* 25 Vitamin E %* 25 Vitamin C %* 33 Thiamine %* 26 Riboflavin %* 29 Niacin %* 42 Vitamin B6 %* 28 Folacin %* 33 Vitamin B12 %* 25 Pantothenic Acid %* 25 Calcium %* 25 Phosphorus %* 25 Magnesium %* 30 Iron %* 25 Zinc %* 39 Iodine %* 31 * Percentage of recommended daily intake ** Each 54 g packet mixed with 300 ml of water yields 340 ml of prepared formula. INGREDIENTS: MILK PROTEIN ISOLATE, FRUCTOSE, CORN MALTODEXTRIN, CANOLA OIL, SOBEAN OIL, SODIUM CASEINATE, SALT, CITRIC ACID, ARTIFICIAL FLAVOUR, MONO- AND DIGLCERIDES, ASPARTAME, VITAMINS (VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA-TOCOPHERL ACETATE, ASCORBIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM-D-PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CHOLINE BITARTRATE), MINERALS (DIPOTASSIUM PHOSPHATE, MAGNESIUM OXIDE, POTASSIUM CITRATE, SODIUM CITRATE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER GLUCONATE, POTASSIUM IODIDE, SODIUM SELENITE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE). ASPARTAME CONTAINS PHENLALANINE. CONTAINS MILK AND SO

33 PEPTAMEN The Peptamen family of products is designed for absorption and tolerance, and is supported by 25+ years of clinical experience and evidence. Peptamen is a 1.0 Cal/ml, peptide-based, 100% whey, 70% MCT formula that supports feeding tolerance. For tube feeding use. GI impairment: Early enteral feeding - Malabsorption Transition from or dual - Delayed gastric emptying feeding with TPN - Diarrhea - Short-bowel syndrome - Cystic fibrosis - Pancreatitis Source n6:n3 ratio MCT:LCT Meets DRI for 25 micronutrients Cal/ml 16% 49% 35% partially hydrolyzed whey protein (milk) maltodextrin, corn starch MCT (coconut and/or palm kernel oil), soybean oil 7.4:1 70: ml/1000 ml 270 m0sm/kg water - unflavoured N (not for patients with galactosemia) 1500 ml (see page 112) 24 x 250 ml Tetra Prisma unflavoured Unflavoured Units 100 ml 250 ml Energy Cal Energy kj g 4 10 g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg * 37% as Beta-carotene INGREDIENTS: WATER, MALTODEXTRIN, PARTIALL HDROLZED WHE PROTEIN (FROM MILK), MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), CORN STARCH, SOBEAN OIL, SO LECITHIN, TRICALCIUM PHOSPHATE, GUAR GUM, POTASSIUM CITRATE, SODIUM PHOSPHATE, MAGNESIUM CHLORIDE, SODIUM ASCORBATE (VITAMIN C), CHOLINE CHLORIDE, CALCIUM CITRATE, POTASSIUM CHLORIDE, SODIUM CITRATE, TRPSIN, MAGNESIUM OXIDE, BETA-CAROTENE, TAURINE, L-CARNITINE, ZINC SULPHATE, FERROUS SULPHATE (IRON), DL-ALPHA TOCOPHERL ACETATE (VITAMIN E), NIACINAMIDE, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), CITRIC ACID, MANGANESE SULPHATE, PRIDOXINE HDROCHLORIDE, COPPER SULPHATE, RIBOFLAVIN, THIAMINE MONONITRATE, VITAMIN A PALMITATE, BIOTIN, FOLIC ACID, VITAMIN D 3, CHROMIUM CHLORIDE, CANOCOBALAMIN, VITAMIN K 1, POTASSIUM IODIDE (IODINE), SODIUM MOLBDATE (MOLBDENUM), SODIUM SELENATE (SELENIUM), DIMETHLPOLSILOXANE

34 PEPTAMEN WITH PREBIO 1TM The Peptamen family of products is designed for absorption and tolerance, and is supported by 25+ years of clinical experience and evidence. Peptamen with Prebio 1TM is a 1.0 Cal/ml, peptide-based, 100% whey, 70% MCT formula that supports feeding tolerance. Includes Prebio 1TM, a unique blend of dietary fibres. For oral and tube feeding use. GI impairment: Bowel function - Malabsorption Early enteral feeding - Delayed gastric emptying Transition from or dual - Diarrhea feeding with TPN - Short-bowel syndrome - Cystic fibrosis - Pancreatitis Source Dietary Fibre Fibre Source Sucralose n6:n3 ratio MCT:LCT Lactose Meets DRI for 25 micronutrients IMPROVED VANILLA TASTE! 1.0 Cal/ml 16% 49% 35% partially hydrolyzed whey protein (milk) corn maltodextrin, corn starch, sugar (vanilla) MCT (coconut and/or palm kernel oil), soybean oil 4 g/1000 ml 100% Prebio 1TM (FOS/inulin) 120 mg/1000 ml (vanilla) 7.4:1 70: ml/1000 ml 300 mosm/kg water - ULTRAPAK 310 mosm/kg water - Tetra Prisma N <0.5 g/100 ml (not for patients with galactosemia) N 1500 ml (see page 112) x 250 ml Tetra Prisma vanilla x 1.5 L ULTRAPAK Vanilla Flavoured Units 100 ml 250 ml Energy Cal Energy kj g 4 10 g g Linoleic Acid g Water g Sucralose mg Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg * 37% as Beta-carotene INGREDIENTS: WATER, CORN MALTODEXTRIN, PARTIALL HDROLZED WHE PROTEIN (FROM MILK), MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), SUGAR, CORN STARCH, SOBEAN OIL, INULIN, OLIGOFRUCTOSE, SO LECITHIN, NATURAL AND ARTIFICIAL FLAVOUR, GUAR GUM, TRPSIN, TAURINE, L-CARNITINE, SUCRALOSE, DIMETHLPOLSILOXANE, VITAMINS: BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, THIAMINE MONONITRATE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE, MINERALS: CALCIUM CITRATE, TRICALCIUM PHOSPHATE, SODIUM PHOSPHATE, MAGNESIUM OXIDE, MAGNESIUM CHLORIDE, POTASSIUM CHLORIDE, POTASSIUM CITRATE, SODIUM CITRATE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENATE, SODIUM MOLBDATE, CHROMIUM CHLORIDE. 56 CONTAINS MILK AND SO. 57

35 PEPTAMEN AF 1.2 The Peptamen family of products is designed for absorption and tolerance, and is supported by 25+ years of clinical experience and evidence. Peptamen AF is a 1.2 Cal/ml, high protein, peptide-based, 100% whey, 50% MCT formula that supports feeding tolerance. Includes Prebio 1TM, a unique blend of dietary fibres, in addition to EPA, DHA and antioxidants. For tube feeding use. Critically ill patients Diarrhea Inflammatory conditions Early enteral feeding Sepsis Transition from or dual GI impairment feeding with TPN Elevated protein needs Source Dietary Fibre Fibre Source n6:n3 ratio MCT:LCT Omega-3 ty acids Meets DRI for 25 micronutrients 1.2 Cal/ml 25% 36% 39% partially hydrolyzed whey protein (milk) maltodextrin, corn starch MCT (coconut and/or palm kernel oil), soybean oil, fish oil 5.2 g/1000 ml 100% Prebio 1TM (FOS/inulin) 1.8:1 50: mg EPA & DHA/1000 ml 810 ml/1000 ml 390 mosm/kg water N (not for patients with galactosemia) N 1300 ml (see page 112) x 250 ml Tetra Prisma unflavoured x 1.0 L ULTRAPAK Units 100 ml 250 ml Energy Cal Energy kj g g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg * 77% as Beta-carotene INGREDIENTS: WATER, PARTIALL HDROLZED WHE PROTEIN (FROM MILK), MALTODEXTRIN, MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), SOBEAN OIL, CORN STARCH, FISH OIL, OLIGOFRUCTOSE, SO LECITHIN, INULIN, GUAR GUM, SODIUM CHLORIDE, TRICALCIUM PHOSPHATE, SODIUM ASCORBATE (VITAMIN C), CHOLINE CHLORIDE, MAGNESIUM CHLORIDE, CALCIUM CITRATE, SODIUM PHOSPHATE, L-CARNITINE, TAURINE, DL-ALPHA TOCOPHERL ACETATE (VITAMIN E), MAGNESIUM OXIDE, CITRIC ACID, ZINC SULPHATE, FERROUS SULPHATE (IRON), TRPSIN, NIACINAMIDE, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), POTASSIUM CHLORIDE, MANGANESE SULPHATE, PRIDOXINE HDROCHLORIDE, COPPER SULPHATE, BETA- CAROTENE, RIBOFLAVIN, THIAMINE MONONITRATE, POTASSIUM IODIDE (IODINE), BIOTIN, FOLIC ACID, VITAMIN A PALMITATE, VITAMIN D 3, CHROMIUM CHLORIDE, VITAMIN K 1, SODIUM MOLBDATE (MOLBDENUM), SODIUM SELENATE (SELENIUM), CANOCOBALAMIN, DIMETHLPOLSILOXANE

36 PEPTAMEN 1.5 The Peptamen family of products is designed for absorption and tolerance, and is supported by 25+ years of clinical experience and evidence. Peptamen 1.5 is a 1.5 Cal/ml, peptide-based, 100% whey, 70% MCT formula that supports feeding tolerance and addresses nutrition needs in a smaller volume. For oral and tube feeding use. GI impairment: Volume sensitivity/restriction Malabsorption Elevated energy needs Delayed gastric emptying Early enteral feeding Diarrhea Transition from or dual Short-bowel syndrome feeding with TPN Cystic fibrosis Pancreatitis Source Sucralose n6:n3 ratio MCT:LCT Lactose Meets DRI for 25 micronutrients IMPROVED VANILLA TASTE! 1.5 Cal/ml 18% 49% 33% partially hydrolyzed whey protein (milk) corn maltodextrin, sugar (vanilla), corn starch MCT (coconut and/or palm kernel oil), soybean oil 128 mg/1000 ml (vanilla) 7.4:1 70: ml/1000ml 550 mosm/kg water N <0.5 g/100 ml (not for patients with galactosemia) 1050 ml (see page 112) x 250 ml Tetra Prisma unflavoured x 250 ml Tetra Prisma vanilla x 1.0 L ULTRAPAK Vanilla Flavoured Units 100 ml 250 ml Energy Cal Energy kj g g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU Sucralose mg Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg * 37% as Beta-carotene INGREDIENTS: WATER, CORN MALTODEXTRIN, PARTIALL HDROLZED WHE PROTEIN (FROM MILK), MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), SUGAR, CORN STARCH, SOBEAN OIL, SO LECITHIN, NATURAL AND ARTIFICIAL FLAVOUR, GUAR GUM, SALT, TRPSIN, TAURINE, L-CARNITINE, SUCRALOSE, DIMETHLPOLSILOXANE, VITAMINS: BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, THIAMINE MONONITRATE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE, MINERALS: CALCIUM CITRATE, TRICALCIUM PHOSPHATE, SODIUM PHOSPHATE, MAGNESIUM OXIDE, MAGNESIUM CHLORIDE, POTASSIUM CHLORIDE, POTASSIUM CITRATE, SODIUM CITRATE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENATE, SODIUM MOLBDATE, CHROMIUM CHLORIDE. CONTAINS MILK AND SO

37 PEPTAMEN INTENSE HIGH PROTEIN The Peptamen family of products is designed for absorption and tolerance, and is supported by 25+ years of clinical experience and evidence. Peptamen INTENSE High is a 1.0 cal/ml, very high protein, peptide-based, 100% whey, 50% MCT formula that supports feeding tolerance. With 37% of calories from protein, Peptamen INTENSE High is formulated to help meet protein needs of patients with elevated requirements. Includes Prebio 1TM, a unique blend of dietary fibres, in addition to EPA and DHA. For tube feeding use. Acutely ill patients Modified carbohydrate Critically ill obese patients requirements Sarcopenia/muscle protein GI impairment wasting Diarrhea Elevated protein needs Early enteral feeding Inflammatory conditions Transition from or dual Stress-induced hyperglycemia feeding with TPN Source Dietary Fibre Fibre Source n6:n3 ratio MCT:LCT Omega-3 ty acids Lactose Meets DRI for 25 micronutrients 1.0 Cal/ml 37% 31% 32% Partially hydrolyzed whey protein (milk) corn maltodextrin, corn starch MCT (coconut and/or palm kernel oil), soybean oil, fish oil 4 g/1000 ml 100% Prebio 1TM (FOS/inulin) 1.8:1 50: mg EPA & DHA/1000 ml 840 ml/1000 ml 345 mosm/kg water N <0.5 g/100 ml (not for patients with galactosemia) N 1500 ml (see page 112) x 250 ml Tetra Prisma unflavoured x 1.0 L ULTRAPAK Units 100 ml 250 ml Energy Cal Energy kj g g Fibre g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg 8 20 Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg * 77% as Beta-carotene INGREDIENTS: WATER, PARTIALL HDROLZED WHE PROTEIN (FROM MILK), CORN MALTODEXTRIN, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), CORN STARCH, REFINED FISH OIL (FROM ANCHOV, SARDINE), OLIGOFRUCTOSE, VEGETABLE OILS (SAFFLOWER AND SOBEAN), INULIN, TAURINE, L-CARNITINE, SO LECITHIN, GUAR GUM, TRPSIN, DIMETHLPOLSILOXANE, VITAMINS: BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, THIAMINE MONONITRATE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE, MINERALS: TRICALCIUM PHOSPHATE, CALCIUM CHLORIDE, MAGNESIUM CHLORIDE, SODIUM PHOSPHATE, POTASSIUM PHOSPHATE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENATE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE

38 2017 RESOURCE DIABETIC Resource family of products offers a wide range of solutions specifically formulated for individuals with special nutritional requirements. Resource Diabetic is a high protein formula with 24% of calories from protein for people with diabetes. For oral and tube feeding use. Diabetes Modified carbohydrate Impaired glucose tolerance requirements Stress-induced Increased protein hyperglycemia requirements Source Dietary Fibre Fibre Source n6:n3 ratio Meets DRI for 21 micronutrients Cal/ml 24% 36% 40% sodium and calcium caseinates (milk), soy protein isolate corn syrup, fructose high oleic sunflower oil, soybean oil 12 g/1000 ml 100% soy fibre 10.7:1 842 ml/1000 ml 450 mosm/kg water (not for patients with galactosemia) N 1300 ml (see page 112) 24 x 250 ml Tetra Prisma vanilla 4 x 1.5 L ULTRAPAK vanilla Units 100 ml 250 ml g g Linoleic Acid g g Dietary Fibre g Energy Cal Energy kj Vitamin A* IU Vitamin D IU Vitamin E IU Thiamine mg Riboflavin mg Vitamin B6 mg Niacin mg Vitamin C mg Vitamin B12 mg Folic Acid mg Pantothenic Acid mg Biotin mg Vitamin K mg Iron mg Calcium mg Phosphorus mg Sodium mg Potassium mg Chloride mg Magnesium mg Iodine mg Copper mg Manganese mg Zinc mg Choline mg Selenium mg Chromium mg Molybdenum mg Inositol mg L-Carnitine mg Taurine mg 8 20 * 50% as Beta-carotene INGREDIENTS: WATER, CORN SRUP, SODIUM CASEINATE (FROM MILK), HIGH OLEIC SUNFLOWER OIL, FRUCTOSE, GROUND SO COTLEDON FIBRE, SOBEAN OIL, CALCIUM CASEINATE, SO PROTEIN ISOLATE, ARTIFICIAL FLAVOUR, TRICALCIUM PHOSPHATE, POTASSIUM CITRATE, MONOGLCERIDES, MAGNESIUM CHLORIDE, POTASSIUM CHLORIDE, POTASSIUM HDROXIDE, SODIUM PHOSPHATE, CHOLINE CHLORIDE, SODIUM ASCORBATE (VITAMIN C), L-CARNITINE, SODIUM CITRATE, INOSITOL, TAURINE, FERROUS SULPHATE (IRON), ZINC SULPHATE, NIACINAMIDE, ALPHA TOCOPHERL ACETATE (VITAMIN E), CALCIUM PANTOTHENATE (PANTOTHENIC ACID), MANGANESE SULPHATE, PRIDOXINE HDROCHLORIDE, FOLIC ACID, COPPER SULPHATE, RIBOFLAVIN, THIAMINE MONONITRATE, BETA CAROTENE, VITAMIN A PALMITATE, SODIUM MOLBDATE (MOLBDENUM), BIOTIN, CHROMIUM CHLORIDE, POTASSIUM IODIDE (IODINE), SODIUM SELENATE (SELENIUM), VITAMIN K 1, VITAMIN D 3, CANOCOBALAMIN, DIMETHLPOLSILOXANE.

39 RESOURCE THICKENUP THICKENED DAIR BEVERAGE Resource ThickenUp family of products offers a wide range of nutrition and hydration solutions for those living with dysphagia. Resource ThickenUp Thickened Dairy Beverage is a ready-to-serve thickened 2% milk in two consistencies; honey-like (purple packaging) and nectar-like (green packaging). For oral use. Dysphagia Hydration in dysphagia Honey Consistency Units 250 ml % Daily Value Calories Cal 190 g 5 8 % Saturated g 3 15 % + Trans g 0 Cholesterol mg 20 7 % Sodium mg % Potassium mg % g 28 9 % Fibre g 0 0 % Sugars g 16 g 9 Vitamin A 10 % Vitamin C 0 % Calcium 30 % Iron 0 % Vitamin D 45 % Phosphorus 25 % INGREDIENTS: 2% PARTL SKIMMED MILK, MODIFIED CORN STARCH, SUGAR, MILK PROTEIN CONCENTRATE, TRICALCIUM PHOSPHATE, ARTIFICIAL FLAVOUR, SODIUM PHOSPHATE, MONO- AND DIGLCERIDES, SODIUM ASCORBATE, VITAMIN A PALMITATE, CHOLECALCIFEROL, DIMETHLPOLSILOXANE. CONTAINS MILK. GLUTEN-FREE. Product Size Packaging NECTAR CONSISTENC x 250 ml Tetra Edge x 1.0 L Tetra Edge HONE CONSISTENC x 250 ml Tetra Edge x 1.0 L Tetra Edge N Nectar Consistency Units 250 ml % Daily Value Calories Cal 180 g 5 8 % Saturated g 3 15 % + Trans g 0 Cholesterol mg 20 7 % Sodium mg % Potassium mg % g 26 9 % Fibre g 0 0 % Sugars g 16 g 9 Vitamin A 10 % Vitamin C 0 % Calcium 30 % Iron 0 % Vitamin D 45 % Phosphorus 25 % INGREDIENTS: 2% PARTL SKIMMED MILK, MODIFIED CORN STARCH, SUGAR, MILK PROTEIN CONCENTRATE, TRICALCIUM PHOSPHATE, ARTIFICIAL FLAVOUR, SODIUM PHOSPHATE, MONO- AND DIGLCERIDES, SODIUM ASCORBATE, VITAMIN A PALMITATE, CHOLECALCIFEROL, DIMETHLPOLSILOXANE. CONTAINS MILK. GLUTEN-FREE

40 RESOURCE THICKENUP THICKENED JUICE BEVERAGES Resource ThickenUp family of products offers a wide range of nutrition and hydration solutions for those living with dysphagia. Apple 250 ml format Nectar Consistency Honey Consistency Calories g (0 %*) 0 g (0 %*) Sodium 25 mg (1 %*) 25 mg (1 %*) Potassium 320 mg (9 %*) 320 mg (9 %*) 46 g (15 %*) 48 g (16 %*) Fibre 0 g (0 %*) 0 g (0 %*) Sugars 34 g 34 g 0.1 g 0.1 g Vitamin A 0 %* 0 %* Vitamin C 100 %* 100 %* Calcium 4 %* 4 %* Iron 0 %* 0 %* Resource ThickenUp Thickened Juice Beverages are great tasting, ready-to-serve and pre-thickened in two consistencies; honey-like (purple packaging) and nectar-like (green packaging). Made from 100% orange juice, 100% apple juice or 28% cranberry juice. For oral use. Dysphagia Hydration in dysphagia Halal (Orange and Cranberry flavours) INGREDIENTS: WATER, APPLE JUICE CONCENTRATE, MODIFIED CORN STARCH, NATURAL FLAVOUR, PHOSPHORIC ACID, ASCORBIC ACID, CALCIUM CARBONATE, CITRIC ACID, DIMETHLPOLSILOXANE. Orange 250 ml format Nectar Consistency Honey Consistency Calories g (0 %*) 0 g (0 %*) Sodium 20 mg (1 %*) 20 mg (1 %*) Potassium 450 mg (13 %*) 450 mg (13 %*) 40 g (13 %*) 42 g (14 %*) Fibre 0 g (0 %*) 0 g (0 %*) Sugars 28 g 28 g 1 g 1 g Vitamin A 0 %* 0 %* Vitamin C 100 %* 100 %* Calcium 4 %* 4 %* Iron 2 %* 2 %* Product Size Packaging/Flavour NECTAR CONSISTENC x 250 ml Tetra Edge - Orange x 250 ml Tetra Edge - Apple x 250 ml Tetra Edge - Cranberry x 1.0 L Tetra Edge - Orange x 1.0 L Tetra Edge - Apple x 1.0 L Tetra Edge - Cranberry HONE CONSISTENC x 250 ml Tetra Edge - Orange x 250 ml Tetra Edge - Apple x 250 ml Tetra Edge - Cranberry x 1.0 L Tetra Edge - Orange x 1.0 L Tetra Edge - Apple x 1.0 L Tetra Edge - Cranberry INGREDIENTS: WATER, ORANGE JUICE CONCENTRATE, MODIFIED CORN STARCH, CALCIUM CARBONATE, ASCORBIC ACID, PHOSPHORIC ACID, CITRIC ACID, NATURAL FLAVOUR, DIMETHLPOLSILOXANE. Cranberry 250 ml format Nectar Consistency Honey Consistency Calories g (0 %*) 0 g (0 %*) Sodium 25 mg (1 %*) 25 mg (1 %*) Potassium 50 mg (1 %*) 50 mg (1 %*) 52 g (17 %*) 52 g (17 %*) Fibre 0 g (0 %*) 0 g (0 %*) Sugars 40 g 38 g 0 g 0 g Vitamin A 0 %* 0 %* Vitamin C 100 %* 100 %* Calcium 4 %* 4 %* Iron 0 %* 0 %* INGREDIENTS: WATER, RECONSTITUTED CRANBERR JUICE, FRUCTOSE, MODIFIED CORN STARCH, CALCIUM CARBONATE, ASCORBIC ACID, PHOSPHORIC ACID, CITRIC ACID, DIMETHLPOLSILOXANE. 68 * Percentage of recommended daily intake 69

41 RESOURCE THICKENUP THICKENED WATER Resource ThickenUp family of products offers a wide range of nutrition and hydration solutions for those living with dysphagia. Honey Consistency Units 250 ml % Daily Value Calories Cal 80 g 0 0 % Sodium mg 25 1 % g 19 6 % Sugars g 8 g 0 Not a significant source of saturated fat, trans fat, cholesterol, fibre, vitamin A, vitamin C, calcium or iron. INGREDIENTS: WATER, MODIFIED CORN STARCH, SUGAR, NATURAL FLAVOUR, PHOSPHORIC ACID. Resource ThickenUp Thickened Water is great tasting, lemon flavoured, pre-thickened and ready-to-serve in two consistencies; honey-like (purple packaging) and nectar-like (green packaging). For oral use. Dysphagia Hydration in dysphagia Nectar Consistency Units 250 ml % Daily Value Calories Cal 70 g 0 0 % Sodium mg 25 1 % g 17 6 % Sugars g 7 g 0 Not a significant source of saturated fat, trans fat, cholesterol, fibre, vitamin A, vitamin C, calcium or iron. INGREDIENTS: WATER, MODIFIED CORN STARCH, SUGAR, NATURAL FLAVOUR, PHOSPHORIC ACID. Product Size Packaging/Flavour/Consistency x 250 ml Tetra Edge - nectar consistency x 250 ml Tetra Edge - honey consistency 70 71

42 RESOURCE THICKENUP Resource ThickenUp family of products offers a wide range of nutrition and hydration solutions for those living with dysphagia. Units 15 ml (4.5 g)* % Daily Value Calories Cal 15 g 0 0 % Sodium mg 10 0 % g 4 1 % g 0 Not a significant source of saturated fat, trans fat, cholesterol, fibre, sugars, vitamin A, vitamin C, calcium or iron. * 1 Tbsp INGREDIENTS: MODIFIED FOOD STARCH (CORN). This product is only suitable for individuals greater than 3 years old. Resource ThickenUp is a starch-based powdered thickener. Can be added to most hot and cold liquids and food. Dysphagia Source 15 Cal/15 ml or 4.5 g 0% 100% 0% modified corn starch Nestlé Health Science recommends using Resource ThickenUp powder in the canister within one month of opening. For the Resource ThickenUp bulk format, use within 2 months once opened. To maintain product quality, ship and store unopened package at room temperature (max. 25 C). Once opened, store in a cool, dry place. After each use, re-seal the canister and tightly re-seal the plastic bag inside the bulk case. Follow sanitary techniques for preparation which includes having clean, appropriate work areas, adequate hand washing and clean equipment during preparation and use x 227 g canister 25 lb bulk box 72 73

43 RESOURCE THICKENUP CLEAR Resource ThickenUp family of products offers a wide range of nutrition and hydration solutions for those living with dysphagia. Units 1.4 g* % Daily Value Calories Cal 4 g 0 0 % Sodium mg 15 1 % Potassium mg 5 0 % g 1 0 % g 0 Not a significant source of saturated fat, trans fat, cholesterol, fibre, sugars, vitamin A, vitamin C, calcium or iron. * 1 tsp or stick pack INGREDIENTS: CORN AND POTATO MALTODEXTRIN, XANTHAN GUM, POTASSIUM CHLORIDE. MA CONTAIN MILK. Resource ThickenUp Clear is a xanthan-based powdered thickener that remains clear, lump-free, tasteless, odourless, and maintains consistency over time after mixing. Resource ThickenUp Clear is clinically demonstrated to improve swallowing safety 1. Can be added to most hot and cold liquids. Dysphagia Source 4 Cal/1.4 g 0% 100% 0% corn and potato maltodextrin, xanthan gum N g stick packs N - 5 kg bulk pail N g canister This product is only suitable for individuals greater than 3 years old. Nestlé Health Science recommends using Resource ThickenUp Clear powder in the canister within two months of opening. To maintain product quality, ship and store unopened package at room temperature (max. 25 C). Once opened, store in a cool, dry place. After each use, re-seal the canister and tightly re-seal the plastic bag inside the bulk pail and cover with lid; sanitize lid before re-use. Follow sanitary techniques for preparation which includes having clean, appropriate work areas, adequate hand washing and clean equipment during preparation and use boxes of (24 x 1.4 g stick packs) 12 x 125 g canister 5 kg bulk pail 1 Leonard R, et al. The Effects of Rheology and Type of Thickening Agent on Objective Swallowing Parameters. Poster presentation; 1st Congress, European Society for Swallowing Disorders, The Netherlands,

44 RESOURCE 2.O Resource family of products offers a wide range of solutions specifically formulated for individuals with special nutritional requirements. Resource 2.0 is a calorie dense, 2.0 Cal/ml, high protein, complete nutrition formula. For oral and tube feeding use. Fluid restriction/volume Patients at risk for, intolerance or with pressure ulcers Elevated calorie Patients prescribed a and protein needs Medication Pass Program Source n6:n3 ratio Meets DRI for 22 micronutrients Cal/ml 17% 43% 40% calcium and sodium caseinates (milk) corn syrup, sugar canola oil 2.3:1 684 ml/1000 ml 790 mosm/kg water (not for patients with galactosemia) 1000 ml (see page 112) 27 x 237 ml Tetra Brik vanilla 12 x 946 ml carton vanilla * This information applies to the 237 ml product format. For 946 ml format, please refer to package label. Units 100 ml 237 ml Energy Cal Energy kj g 8 20 g g Linoleic Acid g Vitamin A IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg 2 5 Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg INGREDIENTS*: WATER, CORN SRUP, CANOLA OIL, CALCIUM CASEINATE (FROM MILK), SUGAR, SODIUM CASEINATE, POTASSIUM CITRATE, DISTILLED MONOGLCERIDES, TRISODIUM CITRATE, MICROCRSTALLINE CELLULOSE, CELLULOSE GUM, CITRIC ACID, SO LECITHIN, NATURAL AND ARTIFICIAL FLAVOUR, POLDIMETHLSILOXANE, VITAMINS AND MINERALS (MAGNESIUM CHLORIDE, POTASSIUM PHOSPHATE, SODIUM ASCORBATE, CHOLINE CHLORIDE, MAGNESIUM OXIDE, TRICALCIUM PHOSPHATE, SODIUM CHLORIDE, DL-ALPHA-TOCOPHEROL ACETATE, FERROUS SULPHATE, ZINC SULPHATE, NIACINAMIDE, CALCIUM PANTOTHENATE, COPPER GLUCONATE, MANGANESE SULPHATE, VITAMIN A PALMITATE, PRIDOXINE HDROCHLORIDE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, FOLIC ACID, VITAMIN D 3, VITAMIN K 1, VITAMIN B 12, BIOTIN, POTASSIUM IODIDE, SODIUM MOLBDATE, SODIUM SELENITE, CHROMIUM TRICHLORIDE). * 76 77

45 TOLEREX The Tolerex and Vivonex family of elemental diets require minimal digestive functionality while providing the benefits associated with continued use of the GI tract. Tolerex is a powdered, nutritonally complete, elemental formula with 100% free amino acids providing 1.0 Cal/ml, with 8.2% protein equivalent and 1.7% calories from fat for the severely compromised GI tract. For oral and tube feeding use. Severely impaired GI function Severe protein and fat malabsorption TPN alternative Transition from TPN Dual feeding with TPN Source Meets DRI for 21 micronutrients Cal/ml 8.2% 90.1% 1.7% free amino acids corn maltodextrin, modified corn starch safflower oil 840 ml/1000 ml 550 m0sm/kg water 1900 ml (see page 112) 10 (6 x 80 g) packets Units 100 g 300 ml* (80 g packet) Energy Cal Energy kj g Linoleic Acid g Sodium mg Potassium mg g g ** ** Vitamin A IU Vitamin C mg Calcium mg Iron mg Vitamin D IU Vitamin E IU Vitamin K mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Vitamin B12 mg Biotin mg Pantothenic Acid mg Phosphorus mg Iodine mg Magnesium mg Zinc mg Selenium mg Copper mg Manganese mg Chromium mg Molybdenum mg Chloride mg Choline mg * Each 80 g packet mixed with 255 ml water yields 300 ml of prepared formula. ** Contains 7.7 g of amino acids per 100 g and 6.2 g of amino acids per 300 ml of prepared product. INGREDIENTS: MALTODEXTRIN (FROM CORN) AND LESS THAN 2% OF MAGNESIUM GLUCONATE, L-GLUTAMINE, CALCIUM GLCEROPHOSPHATE, MODIFIED CORNSTARCH, L-ARGININE ACETATE, L-ASPARTIC ACID, SAFFLOWER OIL, GLCINE, L-LSINE ACETATE, L-LEUCINE, L-PROLINE, POTASSIUM CHLORIDE, L-PHENLALANINE, L-VALINE, POTASSIUM SORBATE (TO PRESERVE FRESHNESS), L-ALANINE, L-METHIONINE, L-ISOLEUCINE, L-THREONINE, POTASSIUM CITRATE, SODIUM PHOSPHATE, L-SERINE, L-HISTIDINE HDROCHLORIDE, SODIUM CITRATE, L-TRPTOPHAN, L-TROSINE, ASCORBIC ACID (VITAMIN C), CHOLINE BITARTRATE, DL-ALPHA-TOCOPHERL ACETATE (VITAMIN E), POLSORBATE 80, FERROUS SULFATE (IRON), ZINC SULFATE, VITAMIN A PALMITATE, NIACINAMIDE, COPPER GLUCONATE, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), VITAMIN D 3 (CHOLECALCIFEROL), ASCORBL PALMITATE AND BHA AND BHT AND TOCOPHEROLS (TO PRESERVE FRESHNESS), MANGANESE SULFATE, PRIDOXINE HDROCHLORIDE (VITAMIN B 6 ), THIAMINE HDROCHLORIDE, RIBOFLAVIN, CHROMIUM CHLORIDE, FOLIC ACID, BIOTIN, SODIUM SELENITE (SELENIUM), POTASSIUM IODIDE (IODINE), VITAMIN K 1 (PHTONADIONE), SODIUM MOLBDATE (MOLBDENUM), VITAMIN B 12 (CANOCOBALAMIN). This product is only suitable for individuals greater than 3 years old

46 VIVONEX PLUS The Tolerex and Vivonex family of elemental diets require minimal digestive functionality while providing the benefits associated with continued use of the GI tract. Vivonex Plus is a powdered, nutritionally complete, elemental formula with 100% free amino acids providing 1.0 Cal/ml with 18% protein equivalent and 6% calories from fat for severely compromised GI tract. For oral and tube feeding use. Severely impaired GI TPN alternative function; Transition from TPN Severe protein and fat Dual feeding with TPN malabsorption Extensive bowel resection Early postoperative feeding Source n6:n3 ratio Meets DRI for 21 micronutrients Cal/ml 18% 76% 6% free amino acids maltodextrin, modified corn starch soybean oil 7.0:1 850 ml/1000 ml 650 m0sm/kg water 1900 ml (see page 112) 6 (6 x 79.5 g) packets Units 100 g 300 ml* (79.5 g packet) g ** ** g Linoleic Acid g g Energy Cal Energy kj Vitamin A IU Vitamin D IU Vitamin E IU Thiamine mg Riboflavin mg Vitamin B6 mg Niacin mg Vitamin C mg Vitamin B12 mg Folic Acid mg Pantothenic Acid mg Biotin mg Vitamin K mg Iron mg Calcium mg Phosphorus mg Sodium mg Potassium mg Chloride mg Magnesium mg Iodine mg Copper mg Manganese mg Zinc mg Choline mg Selenium mg Chromium mg Molybdenum mg Taurine mg L-Carnitine mg * Each 79.5 g packet mixed with 250 ml water yields 300 ml of prepared formula. ** Contains 17 g of amino acids - key building blocks of protein per 100 g; 13.5 g per 300 ml of prepared product; 45 g per 1000 ml. INGREDIENTS: MALTODEXTRIN, MODIFIED CORN STARCH, L-GLUTAMINE, L-LEUCINE, L-ARGININE ACETATE, SOBEAN OIL, MAGNESIUM GLUCONATE, L-LSINE ACETATE, L-ISOLEUCINE, L-VALINE, L-PHENLALANINE, SODIUM CITRATE, L-THREONINE, POTASSIUM CITRATE, L-CSTEINE HDROCHLORIDE MONOHDRATE, CITRIC ACID, L-METHIONINE, L-TROSINE, L-HISTIDINE MONOHDROCHLORIDE MONOHDRATE, L-ASPARTIC ACID, L-PROLINE, DISODIUM PHOSPHATE, L-TRPTOPHAN, POTASSIUM CHLORIDE, CHOLINE BITATRATE, L-SERINE, L-ALANINE, GLCINE, POLGLCEROL ESTER, POTASSIUM SORBATE. VITAMINS AND MINERALS : ASCORBIC ACID, CALCIUM GLCEROPHOSPHATE, TAURINE, L-CARNITINE, VITAMIN E ACETATE, BIOTIN, ZINC SULPHATE, FERROUS SULPHATE, NIACINAMIDE, VITAMIN A PALMITATE, CALCIUM PANTOTHENATE, ALPHA TOCOPHEROL, COPPER GLUCONATE, CANOCOBALAMIN, PHTOQUINONE, FOLIC ACID, MANGANESE SULPHATE, POTASSIUM IODIDE, PRIDOXINE HDROCHLORIDE, CHOLECALCIFEROL, RIBOFLAVIN, THIAMINE HDROCHLORIDE, CHROMIUM CHLORIDE, SODIUM MOLBDATE, SODIUM SELENITE. This product is only suitable for individuals greater than 3 years old

47 VIVONEX T E N The Tolerex and Vivonex family of elemental diets require minimal digestive functionality while providing the benefits associated with continued use of the GI tract. Vivonex T E N is a powdered, nutritionally complete, elemental formula with 100% free amino acids providing 1.0 Cal/ml with 15% protein equivalent and 3% calories from fat for severely compromised GI tract. For oral and tube feeding use. Severely impaired GI TPN alternative function; Transition from TPN Severe protein and fat Dual feeding with TPN malabsorption Extensive bowel resection Early postoperative feeding Source Meets DRI for 20 micronutrients Cal/ml 15% 82% 3% free amino acids corn maltodextrin, modified corn starch safflower oil 833 ml/1000 ml 630 m0sm/kg water 2000 ml (see page 112) 6 (10 x 80.4 g) packets Units 100 g 300 ml* (80.4 g packet) Energy Cal Energy kj g Linoleic Acid g Sodium mg Potassium mg g g ** ** Vitamin A IU Vitamin C mg Calcium mg Iron mg Vitamin D IU Vitamin E IU Vitamin K mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Vitamin B12 mg Biotin mg Pantothenic Acid mg Phosphorus mg Iodine mg Magnesium mg Zinc mg Selenium mg Copper mg Manganese mg Chromium mg Molybdenum mg Chloride mg Choline mg L-Carnitine mg Taurine mg * Each 80.4 g packet mixed with 250 ml water yields 300 ml of prepared formula. ** Contains 14.3 g of amino acids per 100 g; 11.5 g per 300 ml of prepared product. INGREDIENTS: MALTODEXTRIN (FROM CORN), MODIFIED CORNSTARCH, L-LEUCINE AND LESS THAN 2% OF L-GLUTAMINE, MAGNESIUM GLUCONATE, L-ARGININE ACETATE, L-ISOLEUCINE, L-VALINE, CALCIUM GLCEROPHOSPHATE, SAFFLOWER OIL, L-LSINE ACETATE, L-ASPARTIC ACID, L-ALANINE, L-PHENALANINE, L-PROLINE, SODIUM CITRATE, POTASSIUM CITRATE, GLCINE, L-THREONINE, L-HISTIDINE HDROCHLORIDE, L-SERINE, L-CSTEINE HDROCHLORIDE, L-METHIONINE, DISODIUM PHOSPHATE, POTASSIUM CHLORIDE, CHOLINE BITARTRATE, L-TRPTOPHAN, L-TROSINE, ASCORBIC ACID (VITAMIN C), TAURINE, POLSORBATE 80, L-CARNITINE, DL-ALPHA- TOCOPHERL ACETATE (VITAMIN E), ZINC SULFATE, FERROUS SULFATE (IRON), NIACINAMIDE, VITAMIN A PALMITATE, CALCIUM PANTOTHENATE (PANTOTHENIC ACID), COPPER GLUCONATE, POTASSIUM SORBATE AND ASCORBL PALMITATE AND TOCOPHEROLS AND BHA/BHT (TO HELP MAINTAIN FRESHNESS), PRIDOXINE HDROCHLORIDE (VITAMIN B 6 ), MANGANESE SULFATE, VITAMIN D 3 (CHOLECALCIFEROL), RIBOFLAVIN (VITAMIN B 2 ), THIAMINE HDROCHLORIDE (VITAMIN B 1 ), CHROMIUM CHLORIDE, FOLIC ACID, BIOTIN, POTASSIUM IODIDE (IODINE), SODIUM MOLBDATE (MOLBDENUM), SODIUM SELENITE (SELENIUM), VITAMIN K 1 (PHTONADIONE), VITAMIN B 12 (CANOCOBALAMIN). This product is only suitable for individuals greater than 3 years old

48 COMPLEAT PEDIATRIC The Compleat family of products offers unique, nutritionally complete tube feeding formulas with ingredients from real food. Compleat Pediatric is a tube feeding formula with real food ingredients including chicken, peas, carrots, peaches, tomato, green beans, and cranberry juice for children ages 1-13 years. This formula contains a blend of fibre and protein sources, and does not contain corn or soy ingredients. For tube feeding use. Convenient alternative to Short or long-term tube homemade tube feeding feeding regimens Growth failure Nutrient-rich base for home blenderized tube feeding Source Dietary Fibre Fibre Source n6:n3 ratio MCT:LCT Lactose Meets DRI for 25 micronutrients (see page 112) 1.0 Cal/ml 15% 51% 34% dried chicken meat, milk protein, pea protein isolate brown rice syrup, fruit and vegetable ingredient blend including: dried green peas, tomato paste, dried green beans, peach purée concentrate, dried carrots, cranberry juice concentrate canola oil, MCT (coconut and/ or palm kernel oil) 8.0 g/1000 ml 24% acacia gum, oligofructose, inulin; 76% vegetable fibre 3.7:1 20: ml/1000 ml 400 m0sm/kg water N <0.5 g/100 ml (not for patients with galactosemia) N 1000 ml (1-8 years) 1500 ml (9-13 years) Units 100 ml 250 ml Energy Cal Energy kj g g Fibre g g Linoleic Acid g Vitamin A IU Retinol IU Beta Carotene IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Pantothenic Acid mg Vitamin B6 mg Biotin mg Folic Acid mg Vitamin B12 mg Choline mg Sodium mg Potassium mg Chloride mg Calcium mg Phosphorus mg Magnesium mg Iron mg Zinc mg Manganese mg Copper mg Iodine mg Selenium mg Molybdenum mg Chromium mg Taurine mg 8 20 L-Carnitine mg INGREDIENTS: WATER, BROWN RICE SRUP, DRIED CHICKEN MEAT, CANOLA OIL, MILK PROTEIN, PEA PROTEIN ISOLATE, DRIED GREEN PEAS, MEDIUM CHAIN TRIGLCERIDES (FROM COCONUT/AND OR PALM KERNEL OIL), TOMATO PASTE, DRIED GREEN BEANS, PEACH PURÉE CONCENTRATE, PEA FIBRE, DRIED CARROTS, CRANBERR JUICE CONCENTRATE, ACACIA GUM, OLIGOFRUCTOSE, INULIN, SALT, ROSEMAR EXTRACT, TAURINE, L-CARNITINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D 3, DL-ALPHA TOCOPHERL ACETATE, VITAMIN K 1, SODIUM ASCORBATE, ASCORBIC ACID, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PRIDOXINE HDROCHLORIDE, BIOTIN, FOLIC ACID, CANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (SODIUM CITRATE, SODIUM PHOSPHATE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, POTASSIUM HDRATE, TRICALCIUM PHOSPHATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENATE, SODIUM MOLBDATE, CHROMIUM TRICHLORIDE), SILICON DIOXIDE, CITRIC ACID, DIMETHLPOLSILOXANE x 250 ml Tetra Prisma 84 CONTAINS MILK. 85

49 MODULEN IBD Modulen IBD is a great tasting, nutritionally complete powdered formula designed for people with Crohn s disease. The milk protein has been specially processed to retain TGF-ß2. For oral and tube feeding use. FOR THE NUTRITIONAL MANAGEMENT OF PEOPLE WITH CROHN'S DISEASE: During the active phase Improving nutritional status During the remission phase Promoting linear growth Providing nutritional support for mucosal integrity Source n6:n3 ratio MCT:LCT Meets DRI for 22 micronutrients (see page 112) x 400 g can 1.0 Cal/ml (can be concentrated to 1.5 Cal/ml) 14% 44% 42% casein (milk) corn syrup, sugar milk fat, MCT, corn oil 11.5:1 25: ml/1000 ml (in standard dilution) 340 m0sm/kg water (in standard dilution) N N 1000 ml (1-8 years) 1500 ml (9-13 years) Units 100 g 1 serving* Energy Cal Energy kj g g g Linoleic Acid g Sodium mg Potassium mg Vitamin A IU Vitamin C mg Calcium mg Iron mg Vitamin D IU Vitamin E IU Vitamin K mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Vitamin B12 mg Biotin mg Pantothenic Acid mg Phosphorus mg Iodine mg Magnesium mg Zinc mg Selenium mg Copper mg Manganese mg Chromium mg Molybdenum mg Chloride mg Choline mg * In standard dilution (50 g of Modulen IBD powder mixed in 210 ml of water) INGREDIENTS: CORN SRUP, CASEIN (FROM MILK), SUGAR (SUCROSE), MILK FAT, MEDIUM CHAIN TRIGLCERIDES, CORN OIL, SOA LECITHIN, VITAMINS AND MINERALS: POTASSIUM CITRATE, CALCIUM PHOSPHATE, SODIUM CITRATE, CALCIUM CARBONATE, MAGNESIUM CHLORIDE, POTASSIUM HDROXIDE, POTASSIUM CHLORIDE, SODIUM ASCORBATE, CHOLINE BITARTRATE, FERROUS SULPHATE, DL-ALPHA TOCOPHERL ACETATE, ZINC SULPHATE, MAGNESIUM OXIDE, NICOTINAMIDE, CALCIUM PANTOTHENATE, MANGANESE SULPHATE, PRIDOXINE HDROCHLORIDE, THIAMINE HDROCHLORIDE, COPPER SULPHATE, RETINL ACETATE, RIBOFLAVIN, FOLIC ACID, SODIUM MOLBDATE, POTASSIUM IODIDE, CHROMIUM CHLORIDE, PHLLOQUINONE, SODIUM SELENATE, BIOTIN, CHOLECALCIFEROL, CANOCOBALAMIN. This product is only suitable for individuals greater than 3 years old

50 NUTREN JUNIOR The Nutren family of products offers an extensive line of whole-protein, complete balanced nutrition formulas. Nutren Junior is formulated to meet the nutritional needs of children 1-13 years. Nutren Junior is a 1.0 Cal/ml formula that contains 50% whey protein to facilitate gastric emptying. For oral and tube feeding use. Mild to moderate reflux Inadequate oral intake Growth failure Source n6:n3 ratio MCT:LCT Meets DRI for 25 micronutrients (see page 112) 1.0 Cal/ml 12% 44% 44% milk protein concentrate, whey protein concentrate (milk) maltodextrin, sugar soybean oil, canola oil, MCT (coconut and/or palm kernel oil) 5.3:1 21: ml/1000 ml 350 m0sm/kg water (not for patients with galactosemia) 1000 ml (1-8 years) 1500 ml (9-13 years) * 40% as Beta-carotene Units 100 ml 250 ml Energy Cal Energy kj g g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg 8 20 L-Carnitine mg 4 10 Inositol mg 8 20 Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg INGREDIENTS: WATER, MALTODEXTRIN, SUGAR, MILK PROTEIN CONCENTRATE, SOBEAN OIL, WHE PROTEIN CONCENTRATE (FROM MILK), CANOLA OIL, MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), ARTIFICIAL FLAVOUR, SO LECITHIN, DIPOTASSIUM PHOSPHATE, DIMAGNESIUM PHOSPHATE, POTASSIUM CHLORIDE, CALCIUM CITRATE, SODIUM CHLORIDE, CHOLINE CHLORIDE, CARRAGEENAN, SODIUM ASCORBATE (VITAMIN C), SODIUM PHOSPHATE, POTASSIUM HDROXIDE, TAURINE, INOSITOL, L-CARNITINE, FERROUS SULPHATE (IRON), ZINC SULPHATE, DL-ALPHA TOCOPHERL ACETATE (VITAMIN E), NIACINAMIDE, CALCIUM PANTOTHENATE, FOLIC ACID, x 250 ml Tetra Prisma vanilla MANGANESE SULPHATE, THIAMINE MONONITRATE, COPPER SULPHATE, PRIDOXINE HDROCHLORIDE, RIBOFLAVIN, BETA- CAROTENE, VITAMIN A PALMITATE, BIOTIN, POTASSIUM IODIDE, CHROMIUM CHLORIDE, SODIUM SELENATE (SELENIUM), SODIUM MOLBDATE (MOLBDENUM), VITAMIN D 3, CANOCOBALAMIN, DIMETHLPOLSILOXANE

51 NUTREN JUNIOR FIBRE The Nutren family of products offers an extensive line of whole-protein, complete balanced nutrition formulas. Nutren Junior Fibre is formulated to meet the nutritional needs of children 1-13 years. Nutren Junior Fibre is a 1.0 Cal/ml formula that contains 50% whey protein to facilitate gastric emptying, with Pea Fibre and Prebio 1TM which is a unique blend of dietary fibres. For oral and tube feeding use. Mild to moderate reflux Inadequate oral intake Growth failure Where fibre is indicated Source Dietary Fibre Fibre Source 1.0 Cal/ml 12% 44% 44% milk protein concentrate, whey protein concentrate (milk) maltodextrin, sugar soybean oil, canola oil, MCT (coconut and or/palm kernel oil) 5.6 g/1000 ml 64% Pea Hull Fibre and 36% Prebio 1TM (FOS/inulin) 5.3:1 21: ml/1000 ml 350 m0sm/kg water (not for patients with galactosemia) N 1000 ml (1-8 years) 1500 ml (9-13 years) Units 100 ml 250 ml Energy Cal Energy kj g g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg 8 20 L-Carnitine mg 4 10 Inositol mg 8 20 Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg n6:n3 ratio * 40% as Beta-carotene MCT:LCT INGREDIENTS: WATER, MALTODEXTRIN, SUGAR, MILK PROTEIN CONCENTRATE, SOBEAN OIL, WHE PROTEIN CONCENTRATE (FROM MILK), CANOLA OIL, MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), ARTIFICIAL FLAVOUR, PEA HULL FIBRE, SO LECITHIN, OLIGOFRUCTOSE, INULIN, DIPOTASSIUM PHOSPHATE, DIMAGNESIUM PHOSPHATE, POTASSIUM CHLORIDE, CALCIUM CITRATE, SODIUM CHLORIDE, CHOLINE CHLORIDE, CARRAGEENAN, SODIUM ASCORBATE Meets DRI for (VITAMIN C), SODIUM PHOSPHATE, POTASSIUM HDROXIDE, 25 micronutrients TAURINE, INOSITOL, L-CARNITINE, FERROUS SULPHATE (IRON), (see page 112) ZINC SULPHATE, DL-ALPHA TOCOPHERL ACETATE (VITAMIN E), NIACINAMIDE, CALCIUM PANTOTHENATE, FOLIC ACID, MANGANESE SULPHATE, THIAMINE MONONITRATE, COPPER SULPHATE, PRIDOXINE HDROCHLORIDE, RIBOFLAVIN, BETA- CAROTENE, VITAMIN A PALMITATE, BIOTIN, POTASSIUM IODIDE, x 250 ml Tetra Prisma vanilla CHROMIUM CHLORIDE, SODIUM SELENATE (SELENIUM), SODIUM MOLBDATE (MOLBDENUM), VITAMIN D 3, CANOCOBALAMIN, DIMETHLPOLSILOXANE

52 PEPTAMEN JUNIOR The Peptamen family of products is designed for tolerance and is supported by 25+ years of clinical experience and evidence. Peptamen Junior is formulated to meet the nutritional needs of children 1-13 years. Peptamen Junior is a 1.0 Cal/ml formula, with a peptide based, 100% whey protein designed for enhanced digestion and protein absorption and 60% MCT designed for enhanced lipid absorption to support feeding tolerance. For oral and tube feeding use. GI impairment: Early enteral feeding - Malabsorption Transition from or dual - Delayed gastric emptying feeding with TPN - Diarrhea - Short-bowel syndrome - Cystic fibrosis - Radiation enteritis Source n6:n3 ratio MCT:LCT Meets DRI for 25 micronutrients (see page 112) Cal/ml 12% 55% 33% partially hydrolyzed whey protein (milk) maltodextrin, sugar, corn starch MCT (coconut and palm kernel oil), soybean oil, canola oil 4.8:1 60: ml/1000 ml 360 m0sm/kg water N (not for patients with galactosemia) 1000 ml (1-8 years) 1500 ml (9-13 years) 24 x 250 ml Tetra Prisma vanilla Units 100 ml 250 ml Energy Cal Energy kj g g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg 8 20 L-Carnitine mg 4 10 Inositol mg 8 20 Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg * 40% as Beta-carotene INGREDIENTS: WATER, MALTODEXTRIN, PARTIALL HDROLZED WHE PROTEIN (FROM MILK), SUGAR, MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND PALM KERNEL OIL), CORNSTARCH, SOBEAN OIL, CANOLA OIL, ARTIFICIAL FLAVOUR, TRICALCIUM PHOSPHATE, SO LECITHIN, GUAR GUM, POTASSIUM CHLORIDE, CALCIUM CITRATE, DISODIUM PHOSPHATE, POTASSIUM CITRATE, MAGNESIUM CHLORIDE, SODIUM CHLORIDE, CITRIC ACID, CHOLINE CHLORIDE, SODIUM ASCORBATE, DIPOTASSIUM PHOSPHATE, BETA-CAROTENE, TRPSIN, TAURINE, MAGNESIUM OXIDE, INOSITOL, DL-ALPHA TOCOPHERL ACETATE, L-CARNITINE, FERROUS SULPHATE, ZINC SULPHATE, BIOTIN, NIACINAMIDE, CALCIUM PANTOTHENATE, VITAMIN A PALMITATE, CHOLECALCIFEROL, MANGANESE SULPHATE, THIAMINE MONONITRATE, COPPER SULPHATE, PRIDOXINE HDROCHLORIDE, POTASSIUM IODIDE, RIBOFLAVIN, FOLIC ACID, CANOCOBALAMIN, CHROMIUM CHLORIDE, PHLLOQUINONE, SODIUM SELENATE, POTASSIUM HDROXIDE, DIMETHLPOLSILOXANE

53 PEPTAMEN JUNIOR 1.5 The Peptamen family of products is designed for tolerance and is supported by 25+ years of clinical experience and evidence. Peptamen Junior 1.5 is formulated to meet the nutritional needs of children 1-13 years. Peptamen Junior 1.5 is a 1.5 Cal/ml formula for elevated energy needs or volume sensitivities. It includes a peptide based, 100% whey protein for enhanced digestion and protein absorption, 60% MCT for enhanced lipid absorption, with EPA, DHA and Prebio 1TM. Prebio 1TM is a unique blend of dietary fibres. For tube feeding use. GI impairment: Early enteral feeding - Malabsorption Transition from or dual - Delayed gastric emptying feeding with TPN - Diarrhea Volume restrictions - Short-bowel syndrome Increased energy needs - Cystic fibrosis - Radiation enteritis Source Dietary Fibre Fibre Source n6:n3 ratio MCT:LCT Omega-3 ty acids Meets DRI for 25 micronutrients (see page 112) Cal/ml 12% 49% 39% partially hydrolyzed whey protein (milk) maltodextrin, corn starch MCT (coconut and palm kernel oil), soybean oil, canola oil, tuna oil 5.6 g/1000 ml 100% Prebio 1TM (FOS/inulin) 3.6:1 60: mg EPA & 580 mg DHA/1000 ml 772 ml/1000 ml 450 m0sm/kg water N (not for patients with galactosemia) N 750 ml (1-8 years) 1000 ml (9-13 years) 24 x 250 ml Tetra Prisma unflavoured * 40% as Beta-carotene Units 100 ml 250 ml Energy Cal Energy kj g g g Linoleic Acid g Water g Vitamin A* IU Vitamin D IU Vitamin E IU Vitamin K mg Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Vitamin B6 mg Folic Acid mg Pantothenic Acid mg Vitamin B12 mg Biotin mg Choline mg Taurine mg L-Carnitine mg 6 15 Inositol mg Calcium mg Phosphorus mg Magnesium mg Zinc mg Iron mg Copper mg Manganese mg Iodine mg Sodium mg Potassium mg Chloride mg Chromium mg Molybdenum mg Selenium mg INGREDIENTS: WATER, MALTODEXTRIN, PARTIALL HDROLZED WHE PROTEIN (FROM MILK), MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND PALM KERNEL OIL), SOBEAN OIL, CORNSTARCH, CANOLA OIL, OLIGOFRUCTOSE, CALCIUM PHOSPHATE, SO LECITHIN, TUNA OIL, INULIN, POTASSIUM CHLORIDE, SODIUM PHOSPHATE, GUAR GUM, MAGNESIUM CHLORIDE, POTASSIUM CITRATE, CHOLINE CHLORIDE, SODIUM ASCORBATE (VITAMIN C), SODIUM CHLORIDE, TAURINE, BETA-CAROTENE, MAGNESIUM OXIDE, INOSITOL, L-CARNITINE, VITAMIN E ACETATE, FERROUS SULPHATE (IRON), ZINC SULPHATE, BIOTIN, NIACINAMIDE, CALCIUM PANTOTHENATE, VITAMIN A PALMITATE, CITRIC ACID, VITAMIN D 3, VITAMIN K 1, MANGANESE SULPHATE, THIAMINE MONONITRATE, PRIDOXINE HDROCHLORIDE, COPPER SULPHATE, RIBOFLAVIN, POTASSIUM IODIDE, CANOCOBALAMIN, FOLIC ACID, CHROMIUM CHLORIDE, SODIUM SELENATE (SELENIUM), TRPSIN

54 RESOURCE KID ESSENTIALS 1.5 The Resource family of products offers a wide range of solutions specifically formulated for individuals with special nutritional requirements. Resource Kid Essentials 1.5 is formulated to meet the nutritional needs of children 1-13 years. It is a 1.5 Cal/ml, whole-protein formula in vanilla flavour delivering more calories in less volume than standard 1.0 Cal/ml formulas. For oral and tube feeding use. Growth failure Volume restrictions Inadequate oral intake Increased energy needs Source Dietary Fibre Fibre Source n6:n3 ratio MCT:LCT Meets DRI for 25 micronutrients (see page 112) 1.5 Cal/ml 11% 44% 45% sodium and calcium caseinates (milk), whey protein concentrate maltodextrin, sugar soybean oil, high oleic sunflower oil, MCT (coconut and/or palm kernel oil) 9.28 g/1000 ml 77 % partially hydrolyzed guar gum and 23% soy fibre 10:1 11: ml/1000 ml 405 m0sm/kg water N N 1000 ml (1-8 years) 1500 ml (9-13 years) Units 100 ml 237 ml Energy Cal Energy kj g g Linoleic Acid g g * Sodium mg Potassium mg Vitamin A** IU Vitamin C mg Thiamine mg Riboflavin mg Niacin mg Calcium mg Iron mg Vitamin D IU Vitamin E IU Vitamin B6 mg Folic Acid mg Vitamin B12 mg Phosphorus mg Iodine mg Magnesium mg Zinc mg Copper mg Biotin mg Pantothenic Acid mg Vitamin K mg Choline mg Chloride mg Manganese mg Selenium mg Chromium mg Molybdenum mg L-Carnitine mg Taurine mg M-Inositol mg * Contains 0.5 g of soy fibre & 1.7 g of partially hydrolysed guar gum per 237 ml ** 36% as Beta-carotene INGREDIENTS: WATER, MALTODEXTRIN, SOBEAN OIL, SUGAR, SODIUM CASEINATE (FROM COW S MILK), HIGH OLEIC SUNFLOWER OIL, WHE PROTEIN CONCENTRATE, MEDIUM-CHAIN TRIGLCERIDES (FROM COCONUT AND/OR PALM KERNEL OIL), PARTIALL HDROLSED GUAR GUM, CALCIUM CASEINATE, ARTIFICIAL FLAVOUR, TRICALCIUM PHOSPHATE, GROUND SO COTLEDON FIBRE, POTASSIUM CITRATE, SO LECITHIN, TRIMAGNESIUM PHOSPHATE, SALT, CHOLINE CHLORIDE, ASCORBIC ACID, CARRAGEENAN, POTASSIUM CHLORIDE, POTASSIUM HDROXIDE, DIMETHLPOLSILOXANE, VITAMIN A PALMITATE, THIAMINE HDROCHLORIDE, RIBOFLAVIN, NICOTINAMIDE, PRIDOXINE HDROCHLORIDE, FOLIC ACID, CALCIUM PANTOTHENATE x 237 ml Tetra Brik vanilla (PANTOTHENIC ACID), CANOCOBALMIN, BIOTIN, INOSITOL, TAURINE, FERROUS SULPHATE (IRON), COPPER GLUCONATE, ZINC SULPHATE, POTASSIUM IODIDE (IODINE), MANGANESE SULPHATE, SODIUM SELENITE (SELENIUM), SODIUM MOLBDATE (MOLBDENUM), CHROMIUM TRICHLORIDE, BETA-CAROTENE, VITAMIN D 3, ALPHA- TOCOPHERL ACETATE, VITAMIN K

55 VIVONEX PEDIATRIC The Tolerex and Vivonex family of elemental diets require minimal digestive functionality while providing the benefits associated with continued use of the GI tract. Vivonex Pediatric is a powdered, nutritionally complete, elemental formula with 100% free amino acids providing 0.8 Cal/ml in standard dilution, designed for children 1-13 years. Severely impaired Short bowel syndrome GI function Malabsorption syndrome Transition from TPN Inadequate oral intake Source n6:n3 ratio MCT:LCT Meets DRI for 22 micronutrients (see page 112) (6 x 48.7 g) packets 0.8 Cal/ml 12% 63% 25% free amino acids corn maltodextrin, modified corn starch MCT (modified coconut and/or palm kernel oil), soybean oil 7.7:1 68: ml/1000 ml 360 m0sm/kg water (not for patients with galactosemia) 1250 ml (1-8 years) 1875 ml (9-13 years) Units 100 g 1 serving* ** g g Linoleic Acid g g Energy Cal Energy kj Vitamin A IU Vitamin D IU Vitamin E IU Thiamine mg Riboflavin mg Vitamin B6 mg Niacin mg Vitamin C mg Vitamin B12 mg Folic Acid mg Pantothenic Acid mg Biotin mg Vitamin K mg Iron mg Calcium mg Phosphorus mg Sodium mg Potassium mg Chloride mg Magnesium mg Iodine mg Copper mg Manganese mg Zinc mg Choline mg Selenium mg Chromium mg Molybdenum mg L-Carnitine mg Taurine mg * In standard dilution (48.7 g of Vivonex Pediatric powder mixed in 220 ml of water) ** As Amino Acids 44% as Beta-carotene INGREDIENTS: MALTODEXTRIN (CORN), MODIFIED CORN STARCH, MODIFIED COCONUT AND/OR PALM KERNEL OIL (MEDIUM CHAIN TRIGLCERIDES), SOBEAN OIL (WITH BHA/BHT), CALCIUM GLCEROPHOSPHATE, L-GLUTAMINE, MAGNESIUM GLUCONATE, L-LSINE ACETATE, L-LEUCINE, L-ARGININE ACETATE, POTASSIUM CHLORIDE, L-VALINE, CITRIC ACID, L-ISOLEUCINE, L-ASPARTIC ACID, L-ALANINE, L-PHENLALANINE, L-SERINE, L-PROLINE, L-THREONINE, L-TROSINE, L-GLUTAMIC ACID, GLCINE, L-HISTIDINE MONOHDROCHLORIDE MONOHDRATE, L-METHIONINE, POTASSIUM CITRATE, L-CSTINE, CHOLINE BITARTRATE, POLGLCEROL ESTERS OF FATT ACIDS, SODIUM CITRATE, SODIUM PHOSPHATE DIBASIC, L-TRPTOPHAN, POTASSIUM SORBATE, ASCORBIC ACID, TAURINE, ZINC SULPHATE, FERROUS SULPHATE, NIACINAMIDE, L-CARNITINE, ALPHA TOCOPHERL ACETATE, ALPHA TOCOPHEROL, COPPER GLUCONATE, D-CALCIUM PANTOTHENATE, MANGANESE SULPHATE, PRIDOXINE HDROCHLORIDE, RIBOFLAVIN, THIAMINE HDROCHLORIDE, VITAMIN A PALMITATE, BETA-CAROTENE, FOLIC ACID, CHROMIUM CHLORIDE, SODIUM MOLBDATE, POTASSIUM IODIDE, BIOTIN, SODIUM SELENITE, VITAMIN K 1, VITAMIN D 3, CANOCOBALAMIN

56 HANG TIME GENERAL INFORMATION EXPIRATION DATES Nestlé Health Science is committed to offering the highest quality products to those with special nutritional needs. In order to assure this quality, Nestlé Health Science products carry an expiration date. The expiration date is the date up to which the product maintains its quality as well as the nutrient content declared on the label. The product should not be consumed after the expiration date has passed. The expiration date is bilingual and is indicated by EXP followed by the date in a 4 digit year, abbreviated 2 digit month, and 2 digit day format. The following are the Canadian bilingual month abbreviations used for Nestlé expiration date coding. January: JA April: AL July: JL October: OC February: FE March: MR STORAGE May: MA June: JN August: AU September: SE November: NO December: DE The following instructions are regarded as generally applicable to all Nestlé Health Science products in this guide. However, for product-specific instructions always refer to the label. LIQUID FORMULA: To maintain product quality, store unopened package at room temperature (max. 25 C). Avoid freezing or storage at high temperatures. Once the Tetra Pak formula is opened, portion into an appropriate serving/feeding container and use immediately. Tightly cover package and refrigerate any unused portion. Discard opened-refrigerated formula within the time stated on the label. Hang time of spiked 1 L or 1.5 L Ultrapak liquid formulas is 48 hours at room temperature. It is not necessary to store the spiked Ultrapaks in the fridge between intermittent feeds. In order not to compromise product quality and safety, refrigeration temperature must be between 2-4 C. POWDERED FORMULA: Store powdered products in a cool, dry place and protect from moisture. For multi-serve/bulk packages; once opened, use within the time stated on the label. GENERAL GUIDELINES Clean handling techniques must be employed in the preparation of all feedings. These include having clean, appropriate work areas; adequate clean and/or sterilized equipment; and minimal handling and manipulation of formulas during preparation and use. Any contamination during preparation or delivery reduces the hang time of the formula. Re-use of feeding containers and delivery sets increases the likelihood of contamination. CLOSED SSTEM - ULTRAPAK WITH SPIKERIGHT PLUS PORT The UltraPak with SpikeRight PLUS enteral closed system is a pre-filled, commercially sterile, non-air dependent container that may hang for up to 48 hours once spiked with an appropriate administration set. OPEN SSTEM - POWDERS OR TETRA PAK CONTAINERS An open system encompasses reconstituted powders or ready-to-use liquids decanted from a preparation container or original packaging into a feeding container. The A.S.P.E.N. Enteral Nutrition Practice Recommendations* provide the following hang time recommendations: For reconstituted powdered formula or a formula with additives, a 4-hour hang time is recommended For commercially sterile, liquid formulas decanted from a carton, an 8-hour hang time is recommended These hang time recommendations assume the formula is kept at room temperature and is subject to minimal handling and manipulation. The microbial safety of all tube feeding formulas is dependent on clean handling and administrative techniques. While literature states a wide range of actual hang time recommendations, most agree that administration sets and bags used in an open system should be changed every 24 hours. This information also indicates that the bag and administration set should be flushed with water before adding additional formula. *Enteral Nutrition Practice Recommendations Task Force. Enteral Nutrition Practice Recommendations. JPEN 2009;33:

57 GOOD TO KNOW LACTOSE Lactose is a disaccharide sugar (galactose and glucose) that is found in milk. Although Health Canada does not have a specific, quantified limit for lactose-free, the Canadian Food Inspection Agency (CFIA) uses the guideline: Lactose-free means that there is no detectable lactose in the food using an acceptable laboratory method. Nestlé adheres to this guideline. Due to great variation in individual lactose tolerances, a single threshold of lactose for all lactose intolerant people has not been determined. Symptoms of lactose intolerance have been described after intakes of less than 6 g per serving in some people, while the vast majority of lactose maldigesters can tolerate up to 12 g of lactose as a single dose with no or minor symptoms 1. Where low levels of lactose are detected in Nestlé Health Science oral and enteral products, a statement of <0.5 g lactose per serving or <0.5 g lactose per 100 ml is made. All Nestlé Health Science products have been tested to validate if they are lactose-free. Information in this guide is current at the time of printing. Accurate and up-to-date information can be found on all Nestlé Health Science product labels. Products containing a milk ingredient and labelled as lactose-free are also labelled not for individuals with Galactosemia. GLUTEN Gluten is a protein composite (of gliadin and glutenin) found in wheat and related grain species, including but not limited to; barley, rye, oats, spelt, durum, kamut, emmer and triticale. Health Canada views gluten-free products to contain less than 20 parts per million (ppm) of incidental gluten. All Nestlé Health Science products have been tested to validate if they are gluten-free. Information in this guide is current at the time of printing. Accurate and up-to-date information can be found on all Nestle Health Science product labels. FIBRE Nestlé Health Science formulas contain a variety of insoluble (soy fibre, pea hull fibre, from fruits and vegetables) and soluble dietary fibres (inulin, fructooligosaccharides, acacia gum, partially hydrolyzed guar gum and Prebio 1TM : a blend of fructooligosaccharides and inulin). Sources of dietary fibre in each formula are listed in the Features At-A-Glance section on each product page. 1. EFSA Journal 2010;8(9):1777. CALCILOCK TM CalciLock TM is a blend of essential nutrients to help build and maintain strong bones. This nutrient blend includes calcium, phosphorus, magnesium, zinc, and vitamins D, C and K, and is designed to help support healthy bone development. Several nutrients are important for healthy bone development. Although each individual nutrient has a specific role in healthy bone development, the nutrients work together to provide the CalciLock TM benefit. This combination of essential nutrients is important for bone structure, strength, mineralization, and metabolism, as well as collagen structure and synthesis. The roles of these nutrients in bone growth and development are well-established. Nutrient Calcium Phosphorus Magnesium Zinc Vitamin D Vitamin C Vitamin K KOSHER The appropriate kosher symbol, or FISH is displayed on Nestlé Health Science product labels. Products containing dairy ingredients or produced on dairy equipment will have a D following the kosher symbol. Products containing fish ingredients will have FISH following the appropriate or kosher symbol. Unless a food product is labeled as kosher, it cannot be used in a facility that follows Jewish dietary laws or by patients who follow kosher food directives. All kosher-certified products are manufactured under the Rabbinical supervision of the Kashruth Division of the Orthodox Union. HALAL Role in healthy bone development Plays a key role to provide bone structure and bone strength Essential for adequate bone mineralization and bone maintenance Important role in bone metabolism, and contributes to bone structure and strength Co-factor for several key enzymes involved in bone mineralization and the development of the collagen structure in bones Essential for calcium absorption and adequate bone mineralization Necessary for collagen synthesis Plays a key role in the synthesis of important proteins involved in bone metabolism The Crescent M Halal logo is displayed on some Nestlé Health Science product labels. All Halal products are certified by the Islamic Food and Nutrition Council of America (IFANCA), and are fit for consumption by individuals following a Halal diet. TM MC