U.S. AND GLOBAL MARKETS FOR ETHICAL NUTRITION IN HEALTHCARE

Transcription

1 U.S. AND GLOBAL MARKETS FOR ETHICAL NUTRITION IN HEALTHCARE FOD029E January 2015 Mary Anne Crandall Project Analyst ISBN: X BCC Research 49 Walnut Park, Building 2 Wellesley, MA USA (toll-free within the USA), or (+1) info@bccresearch.com

2 TABLE OF CONTENTS CHAPTER 1 INTRODUCTION 2 STUDY GOALS AND OBJECTIVES 2 REASONS FOR DOING THE STUDY 2 SCOPE AND FORMAT 2 METHODOLOGY AND INFORMATION SOURCES 2 ANALYST'S CREDENTIALS 3 RELATED BCC RESEARCH REPORTS 3 BCC RESEARCH WEBSITE 3 DISCLAIMER 4 CHAPTER 2 SUMMARY 6 SUMMARY TABLE GLOBAL MARKET FORECAST FOR ETHICAL NUTRITION PRODUCTS BY SUMMARY FIGURE GLOBAL MARKET FORECAST FOR ETHICAL NUTRITION PRODUCTS BY 6 6 CHAPTER 3 INDUSTRY OVERVIEW 9 DEFINITION OF ETHICAL NUTRITION 9 HUMAN DIGESTION 9 STRUCTURES AND FUNCTIONS OF THE GASTROINTESTINAL SYSTEM 9 Digestion and Absorption 10 EFFECTS OF AGING 14 NUTRITION 15 TABLE 1 ESSENTIAL NUTRIENTS REQUIRED FOR HEALTH 15 FIGURE 1 DAILY MEAN ENERGY INTAKE FOR PERSONS AGED 2 MONTHS TO 19 YEARS (%) MALNUTRITION 17 TYPES OF SUPPLEMENTAL NUTRITION 17 Oral Feeding 17 Tube Feeding 18 Total Parenteral Nutrition 18 IMPORTANCE OF THE INDUSTRY 19 HISTORY OF THE INDUSTRY 19 INFANT NUTRITION 20 PEDIATRIC ENTERAL NUTRITION 21 TABLE 2 CONTINUOUS VERSUS INTERMITTENT FEEDINGS 22 ADULT ENTERAL NUTRITION 22 PARENTERAL NUTRITION 23 U.S. REGULATORY ENVIRONMENT 23 INFANT FORMULA ACT OF Amendments to the Infant Formula Act 25 REALIGNMENT OF THE CENTER FOR FOOD SAFETY AND APPLIED NUTRITION SAFETY 26 COST CONTAINMENT 28 REIMBURSEMENT

3 TABLE 3 HCPCS CODES: ENTERAL FORMULAS*, TABLE 4 HCPCS CODES: PARENTERAL NUTRITION SOLUTIONS*, TABLE 5 NON-COVERED HCPCS CODES: EXCLUDED PRODUCTS, TABLE 6 NON-COVERED HCPCS CODES: HOME SERVICE PER-DIEM*, ADVERTISING 32 WOUND HEALING AND NUTRITION 33 PACKAGING 33 END-USER ISSUES 34 MELAMINE CONTAMINATION 35 CHINESE MARKET 35 PRODUCT RECALLS 37 TABLE 7 INFANT FORMULA PRODUCT RECALLS 37 DEMOGRAPHICS 39 TABLE 8 TOTAL WORLDWIDE BIRTH RATES IN SELECTED REGIONS, (MILLIONS) FIGURE 2 TOTAL WORLDWIDE BIRTH RATES IN SELECTED REGIONS, (MILLIONS) TABLE 9 ESTIMATED WORLD POPULATION BY SELECTED AGE GROUPS AND REGIONS, (MILLIONS) FIGURE 3 ESTIMATED GLOBAL POPULATION OVER THE AGE OF 65, BY REGION, 2014 (MILLIONS) FIGURE 4 WORLD POPULATION BY REGION, 2014 (MILLIONS) 43 FORMULAS WITH DHA AND ARA ADDED 44 DHA, ARA AND INFANT GROWTH 44 GENETICALLY ENGINEERED HUMAN BREAST MILK 46 ENTERAL VS. PARENTERAL NUTRITION 47 INTERNET PRECAUTIONS 47 PERCUTANEOUS ENDOSCOPIC GASTROSTOMY 48 FIBER-BOOSTED FORMULA 48 FUTURE TRENDS CHAPTER 4 INFANT NUTRITION 52 DEFINITION OF INFANT FORMULA 52 INFANT FORMULA REGULATION 52 GENERAL INGREDIENT SAFETY REQUIREMENTS 53 U.S. REQUIREMENTS SPECIFIC TO INFANT FORMULA 53 BREAST MILK VS. INFANT FORMULA 55 TABLE 10 PHASES OF BREAST MILK PRODUCTION 55 TABLE 11 NUTRITIONAL COMPARISON OF BREAST MILK AND COMMERCIAL INFANT FORMULAS TABLE 12 COMPARISON OF VITAMIN COMPOSITION OF BREAST MILK AND COMMERCIAL INFANT FORMULAS (MCG/100 G*) NEW GROWTH CHARTS 61 FACTORS IMPACTING INFANT FORMULA GROWTH 61 WIC PROGRAM 62 TABLE 13 REVISED WIC INCOME GUIDELINES, 2014 ($) 65 WIC Contract Bidding 65 TABLE 14 WIC PARTICIPANTS BY STATE, 2012 AND INFANT FORMULA AND LIFE-LONG OBESITY AND DIABETES

4 MILK-BASED INFANT FORMULA 69 Product Description 69 SOY-BASED INFANT FORMULA 73 Product Description 74 SPECIALIZED AND DISEASE-SPECIFIC INFANT FORMULAS 76 TABLE 15 CONDITIONS AFFECTING NUTRITION 77 Product Description 80 MARKET ANALYSIS OF INFANT NUTRITION PRODUCTS 81 TABLE 16 GLOBAL MARKET FORECAST FOR INFANT NUTRITION PRODUCTS BY FIGURE 5 GLOBAL MARKET FORECAST FOR INFANT NUTRITION PRODUCTS BY TABLE 17 GLOBAL MARKET SHARES OF INFANT NUTRITION PRODUCTS BY CATEGORY, THROUGH 2019 (%) FIGURE 6 REVENUE DISTRIBUTION OF GLOBAL INFANT NUTRITION PRODUCTS BY CATEGORY, (%) GLOBAL MARKET ANALYSIS OF INFANT NUTRITION PRODUCTS BY REGION 84 TABLE 18 GLOBAL MARKET SHARES OF INFANT NUTRITION PRODUCTS BY FIGURE 7 GLOBAL MARKET SHARES OF INFANT NUTRITION PRODUCTS BY MILK-BASED INFANT FORMULAS 86 TABLE 19 GLOBAL MANUFACTURER MARKET SHARES OF MILK-BASED INFANT FIGURE 8 GLOBAL MANUFACTURER MARKET SHARES OF MILK-BASED INFANT SOY-BASED INFANT FORMULAS 87 TABLE 20 GLOBAL MANUFACTURER MARKET SHARES OF SOY-BASED INFANT FIGURE 9 GLOBAL MANUFACTURER MARKET SHARES OF SOY-BASED INFANT SPECIALIZED AND DISEASE-SPECIFIC INFANT FORMULAS 89 TABLE 21 GLOBAL MANUFACTURER MARKET SHARES OF SPECIALIZED AND DISEASE-SPECIFIC INFANT FIGURE 10 GLOBAL MANUFACTURER MARKET SHARES OF SPECIALIZED AND DISEASE-SPECIFIC INFANT CHAPTER 5 ENTERAL NUTRITION 92 INTRODUCTION 92 TABLE 22 ENTERAL FEEDING ROUTES 94 TABLE 23 ENTERAL FEEDING: ADMINISTRATION METHODS 96 FACTORS IMPACTING GROWTH 99 INTACT ENTERAL FORMULA 100 PRODUCT DESCRIPTION 100 MODULAR ENTERAL FORMULAS 101 PRODUCT DESCRIPTION 102 DISEASE-SPECIFIC ENTERAL FORMULA 103 PRODUCT DESCRIPTION 104 ELEMENTAL AND REHYDRATION ENTERAL FORMULA 107 PRODUCT DESCRIPTION 107

5 TABLE 24 SELECTED PEDIATRIC NUTRITIONAL COMPOSITIONS 108 ENTERAL NUTRITION MARKET ANALYSIS 109 TABLE 25 GLOBAL MARKET FORECAST FOR ENTERAL NUTRITION PRODUCTS BY FIGURE 11 GLOBAL MARKET FORECAST FOR ENTERAL NUTRITION PRODUCTS BY TABLE 26 GLOBAL MARKET SHARES OF ENTERAL NUTRITION PRODUCTS BY CATEGORY, THROUGH 2019 (%) FIGURE 12 DISTRIBUTION OF REVENUES FROM GLOBAL ENTERAL NUTRITION PRODUCTS BY CATEGORY, (%) GLOBAL ENTERAL MARKET ANALYSIS BY REGION 112 TABLE 27 GLOBAL MARKET SHARES OF ENTERAL NUTRITION PRODUCTS BY FIGURE 13 GLOBAL MARKET SHARES OF ENTERAL NUTRITION PRODUCTS BY INTACT ENTERAL NUTRITION 113 TABLE 28 GLOBAL MANUFACTURER MARKET SHARES OF INTACT ENTERAL NUTRITIONAL PRODUCTS, 2014 (%) FIGURE 14 GLOBAL MANUFACTURER MARKET SHARES OF INTACT ENTERAL NUTRITIONAL PRODUCTS, 2014 (%) MODULAR ADULT ENTERAL NUTRITION 115 TABLE 29 GLOBAL MANUFACTURER MARKET SHARES OF MODULAR ENTERAL FIGURE 15 GLOBAL MANUFACTURER MARKET SHARES OF MODULAR ENTERAL DISEASE-SPECIFIC ADULT FORMULAS 116 TABLE 30 GLOBAL MANUFACTURER MARKET SHARES OF DISEASE-SPECIFIC ADULT FIGURE 16 GLOBAL MANUFACTURER MARKET SHARES OF DISEASE-SPECIFIC ADULT ELEMENTAL AND REHYDRATION FORMULAS 118 TABLE 31 GLOBAL MANUFACTURER MARKET SHARES OF ELEMENTAL AND REHYDRATION FIGURE 17 GLOBAL MANUFACTURER MARKET SHARES OF ELEMENTAL AND REHYDRATION CHAPTER 6 PARENTERAL NUTRITION 122 INTRODUCTION 122 PHOTODEGRADATION/OXIDATION REACTIONS 123 SORPTION LOSSES 124 HYDROLYSIS REACTIONS 124 COPRECIPITATION FROM DEGRADATION PRODUCTS 124 METABOLIC AND BIOCHEMICAL FACTORS CONTRIBUTING TO VITAMIN DEFICIENCY THIAMINE STATUS IN TPN 125 VITAMIN C 125 OTHER VITAMIN DEFICIENCIES 125 TPN AND CANCER PATIENTS 126 FACTORS IMPACTING GROWTH 127 AMINO ACID PARENTERAL FORMULA

6 PRODUCT DESCRIPTION 129 LIPID PARENTERAL FORMULAS 130 PRODUCT DESCRIPTION 130 DEXTROSE PARENTERAL FORMULAS 130 PRODUCT DESCRIPTION 130 MICRONUTRIENT AND MULTIVITAMIN PARENTERAL FORMULAS 131 PRODUCT DESCRIPTION 132 TABLE 32 RECOMMENDATIONS FOR PARENTERAL VITAMIN INTAKE 132 TABLE 33 RECOMMENDATIONS FOR PARENTERAL MINERAL INTAKE 133 TABLE 34 FACTORS THAT INCREASE OR DECREASE ELECTROLYTE NEEDS 133 GLOBAL PARENTERAL NUTRITION MARKET ANALYSIS 134 TABLE 35 GLOBAL MARKET FORECAST FOR PARENTERAL NUTRITION PRODUCTS BY FIGURE 18 GLOBAL MARKET FORECAST FOR PARENTERAL NUTRITION PRODUCTS BY TABLE 36 GLOBAL MARKET SHARES OF PARENTERAL NUTRITION PRODUCTS BY CATEGORY, THROUGH 2019 (%) FIGURE 19 DISTRIBUTION OF REVENUES FROM GLOBAL PARENTERAL NUTRITION PRODUCTS BY CATEGORY, (%) GLOBAL PARENTERAL MARKET ANALYSIS BY REGION 136 TABLE 37 GLOBAL PARENTERAL NUTRITION PRODUCT REVENUES BY SELECTED GEOGRAPHIC REGION, 2014 ($ MILLIONS) FIGURE 20 GLOBAL NUTRITION PRODUCT REVENUES BY SELECTED GEOGRAPHIC REGION, 2014 ($ MILLIONS) TABLE 38 GLOBAL MARKET SHARES OF PARENTERAL NUTRITION PRODUCTS BY FIGURE 21 GLOBAL MARKET SHARES OF PARENTERAL NUTRITION PRODUCTS BY AMINO ACID PARENTERAL FORMULAS 139 TABLE 39 GLOBAL MANUFACTURER MARKET SHARES OF AMINO ACID PARENTERAL SOLUTIONS, 2014 (%) FIGURE 22 GLOBAL MANUFACTURER MARKET SHARES OF AMINO ACID PARENTERAL SOLUTIONS, 2014 (%) LIPID PARENTERAL FORMULAS 141 TABLE 40 GLOBAL MANUFACTURER MARKET SHARES OF LIPID PARENTERAL FIGURE 23 GLOBAL MANUFACTURER MARKET SHARES OF LIPID PARENTERAL DEXTROSE PARENTERAL FORMULAS 142 TABLE 41 GLOBAL MANUFACTURER MARKET SHARES OF DEXTROSE PARENTERAL FIGURE 24 GLOBAL MANUFACTURER MARKET SHARES OF DEXTROSE PARENTERAL MICRONUTRIENT AND MULTIVITAMIN PARENTERAL FORMULAS 144 TABLE 42 GLOBAL MANUFACTURER MARKET SHARES OF MICRONUTRIENT AND MULTIVITAMIN PARENTERAL FIGURE 25 GLOBAL MANUFACTURER MARKET SHARES OF MICRONUTRIENT AND MULTIVITAMIN PARENTERAL CHAPTER 7 SUMMARY OF THE GLOBAL MARKET FOR ETHICAL NUTRITION PRODUCTS 147

7 TABLE 43 GLOBAL MARKET FORECAST FOR ETHICAL NUTRITION PRODUCTS BY FIGURE 26 GLOBAL MARKET FORECAST FOR ETHICAL NUTRITION PRODUCTS BY GLOBAL MARKET FOR ETHICAL NUTRITION BY REGION 148 TABLE 44 GLOBAL ETHICAL NUTRITION MARKET REVENUES BY SELECTED GEOGRAPHIC REGION, 2014 ($ MILLIONS/%) FIGURE 27 GLOBAL ENTERAL NUTRITION MARKET SHARES BY SELECTED GEOGRAPHIC REGION, 2014 (%) GLOBAL MARKET SHARES BY PRODUCT TYPE 149 TABLE 45 GLOBAL MANUFACTURER REVENUES AND MARKET SHARES OF ETHICAL NUTRITION PRODUCTS BY MARKET SEGMENT, 2014 ($ MILLIONS/%) FIGURE 28 GLOBAL MARKET SHARES OF ETHICAL NUTRITION PRODUCTS BY MARKET SEGMENT, 2014 (%) CHAPTER 8 GLOBAL ETHICAL NUTRITION COMPETITOR MARKET SHARES 152 TABLE 46 GLOBAL ETHICAL NUTRITION COMPETITOR ANALYSIS BY MARKET SHARE, 2014 (%) FIGURE 29 GLOBAL ETHICAL NUTRITION COMPETITOR ANALYSIS BY MARKET SHARE, 2014 (%) INDUSTRY PARTICIPANTS BY PRODUCT TYPE 154 TABLE 47 SELECTED ETHICAL NUTRITION INDUSTRY PARTICIPANTS BY PRODUCT CATEGORY, CHAPTER 9 COMPANY PROFILES 156 ABBOTT LABORATORIES INC. 156 COMPANY HISTORY 156 REVENUES 156 CORPORATE MANAGEMENT 157 BAXTER INTERNATIONAL INC. 157 COMPANY HISTORY 157 REVENUES 157 CORPORATE MANAGEMENT 158 B. BRAUN MELSUNGEN AG 158 COMPANY HISTORY 158 REVENUES 158 CORPORATE MANAGEMENT 158 DANONE 159 COMPANY HISTORY 159 REVENUES 159 CORPORATE MANAGEMENT 160 FRESENIUS KABI LTD. 160 COMPANY HISTORY 160 REVENUES 160 CORPORATE MANAGEMENT 161 MEAD JOHNSON NUTRITIONAL GROUP 161 COMPANY HISTORY 161 REVENUES 162 CORPORATE MANAGEMENT 162

8 NESTLE USA INC. 162 NESTLE NUTRITION 162 COMPANY HISTORY 163 REVENUES 163 CORPORATE MANAGEMENT 163 PERRIGO 163 COMPANY HISTORY 164 REVENUES 164 CORPORATE MANAGEMENT 164 CHAPTER 10 APPENDIX: DIRECTORY OF COMPANIES 166

9 LIST OF TABLES TABLE HEADING SUMMARY TABLE GLOBAL MARKET FORECAST FOR ETHICAL NUTRITION PRODUCTS BY TABLE 1 ESSENTIAL NUTRIENTS REQUIRED FOR HEALTH 15 TABLE 2 CONTINUOUS VERSUS INTERMITTENT FEEDINGS 22 TABLE 3 HCPCS CODES: ENTERAL FORMULAS*, TABLE 4 HCPCS CODES: PARENTERAL NUTRITION SOLUTIONS*, TABLE 5 NON-COVERED HCPCS CODES: EXCLUDED PRODUCTS, TABLE 6 NON-COVERED HCPCS CODES: HOME SERVICE PER-DIEM*, TABLE 7 INFANT FORMULA PRODUCT RECALLS 37 TABLE 8 TOTAL WORLDWIDE BIRTH RATES IN SELECTED REGIONS, (MILLIONS) TABLE 9 ESTIMATED WORLD POPULATION BY SELECTED AGE GROUPS AND REGIONS, (MILLIONS) TABLE 10 PHASES OF BREAST MILK PRODUCTION 55 TABLE 11 NUTRITIONAL COMPARISON OF BREAST MILK AND COMMERCIAL INFANT FORMULAS TABLE 12 COMPARISON OF VITAMIN COMPOSITION OF BREAST MILK AND COMMERCIAL INFANT FORMULAS (MCG/100 G*) TABLE 13 REVISED WIC INCOME GUIDELINES, 2014 ($) 65 TABLE 14 WIC PARTICIPANTS BY STATE, 2012 AND TABLE 15 CONDITIONS AFFECTING NUTRITION 77 TABLE 16 GLOBAL MARKET FORECAST FOR INFANT NUTRITION PRODUCTS BY TABLE 17 GLOBAL MARKET SHARES OF INFANT NUTRITION PRODUCTS BY CATEGORY, THROUGH 2019 (%) TABLE 18 GLOBAL MARKET SHARES OF INFANT NUTRITION PRODUCTS BY SELECTED GEOGRAPHIC REGION, 2014 (%) TABLE 19 GLOBAL MANUFACTURER MARKET SHARES OF MILK-BASED INFANT TABLE 20 GLOBAL MANUFACTURER MARKET SHARES OF SOY-BASED INFANT TABLE 21 GLOBAL MANUFACTURER MARKET SHARES OF SPECIALIZED AND DISEASE-SPECIFIC INFANT TABLE 22 ENTERAL FEEDING ROUTES 94 TABLE 23 ENTERAL FEEDING: ADMINISTRATION METHODS 96 TABLE 24 SELECTED PEDIATRIC NUTRITIONAL COMPOSITIONS 108 TABLE 25 GLOBAL MARKET FORECAST FOR ENTERAL NUTRITION PRODUCTS BY TABLE 26 GLOBAL MARKET SHARES OF ENTERAL NUTRITION PRODUCTS BY CATEGORY, THROUGH 2019 (%) TABLE 27 GLOBAL MARKET SHARES OF ENTERAL NUTRITION PRODUCTS BY TABLE 28 GLOBAL MANUFACTURER MARKET SHARES OF INTACT ENTERAL NUTRITIONAL PRODUCTS, 2014 (%) TABLE 29 GLOBAL MANUFACTURER MARKET SHARES OF MODULAR ENTERAL TABLE 30 GLOBAL MANUFACTURER MARKET SHARES OF DISEASE-SPECIFIC ADULT TABLE 31 GLOBAL MANUFACTURER MARKET SHARES OF ELEMENTAL AND REHYDRATION

10 TABLE HEADING TABLE 32 RECOMMENDATIONS FOR PARENTERAL VITAMIN INTAKE 132 TABLE 33 RECOMMENDATIONS FOR PARENTERAL MINERAL INTAKE 133 TABLE 34 FACTORS THAT INCREASE OR DECREASE ELECTROLYTE NEEDS 133 TABLE 35 GLOBAL MARKET FORECAST FOR PARENTERAL NUTRITION PRODUCTS BY TABLE 36 GLOBAL MARKET SHARES OF PARENTERAL NUTRITION PRODUCTS BY CATEGORY, THROUGH 2019 (%) TABLE 37 GLOBAL PARENTERAL NUTRITION PRODUCT REVENUES BY SELECTED GEOGRAPHIC REGION, 2014 ($ MILLIONS) TABLE 38 GLOBAL MARKET SHARES OF PARENTERAL NUTRITION PRODUCTS BY TABLE 39 GLOBAL MANUFACTURER MARKET SHARES OF AMINO ACID PARENTERAL SOLUTIONS, 2014 (%) TABLE 40 GLOBAL MANUFACTURER MARKET SHARES OF LIPID PARENTERAL TABLE 41 GLOBAL MANUFACTURER MARKET SHARES OF DEXTROSE PARENTERAL TABLE 42 GLOBAL MANUFACTURER MARKET SHARES OF MICRONUTRIENT AND MULTIVITAMIN PARENTERAL TABLE 43 GLOBAL MARKET FORECAST FOR ETHICAL NUTRITION PRODUCTS BY TABLE 44 GLOBAL ETHICAL NUTRITION MARKET REVENUES BY SELECTED GEOGRAPHIC REGION, 2014 ($ MILLIONS/%) TABLE 45 GLOBAL MANUFACTURER REVENUES AND MARKET SHARES OF ETHICAL NUTRITION PRODUCTS BY MARKET SEGMENT, 2014 ($ MILLIONS/%) TABLE 46 GLOBAL ETHICAL NUTRITION COMPETITOR ANALYSIS BY MARKET SHARE, 2014 (%) TABLE 47 SELECTED ETHICAL NUTRITION INDUSTRY PARTICIPANTS BY PRODUCT CATEGORY,

11 LIST OF FIGURES FIGURE TITLE SUMMARY FIGURE GLOBAL MARKET FORECAST FOR ETHICAL NUTRITION PRODUCTS BY FIGURE 1 DAILY MEAN ENERGY INTAKE FOR PERSONS AGED 2 MONTHS TO 19 YEARS (%) FIGURE 2 TOTAL WORLDWIDE BIRTH RATES IN SELECTED REGIONS, (MILLIONS) FIGURE 3 ESTIMATED GLOBAL POPULATION OVER THE AGE OF 65, BY REGION, 2014 (MILLIONS) FIGURE 4 WORLD POPULATION BY REGION, 2014 (MILLIONS) 43 FIGURE 5 GLOBAL MARKET FORECAST FOR INFANT NUTRITION PRODUCTS BY FIGURE 6 REVENUE DISTRIBUTION OF GLOBAL INFANT NUTRITION PRODUCTS BY CATEGORY, (%) FIGURE 7 GLOBAL MARKET SHARES OF INFANT NUTRITION PRODUCTS BY SELECTED GEOGRAPHIC REGION, 2014 (%) FIGURE 8 GLOBAL MANUFACTURER MARKET SHARES OF MILK-BASED INFANT FIGURE 9 GLOBAL MANUFACTURER MARKET SHARES OF SOY-BASED INFANT FIGURE 10 GLOBAL MANUFACTURER MARKET SHARES OF SPECIALIZED AND DISEASE-SPECIFIC INFANT FIGURE 11 GLOBAL MARKET FORECAST FOR ENTERAL NUTRITION PRODUCTS BY FIGURE 12 DISTRIBUTION OF REVENUES FROM GLOBAL ENTERAL NUTRITION PRODUCTS BY CATEGORY, (%) FIGURE 13 GLOBAL MARKET SHARES OF ENTERAL NUTRITION PRODUCTS BY FIGURE 14 GLOBAL MANUFACTURER MARKET SHARES OF INTACT ENTERAL NUTRITIONAL PRODUCTS, 2014 (%) FIGURE 15 GLOBAL MANUFACTURER MARKET SHARES OF MODULAR ENTERAL FIGURE 16 GLOBAL MANUFACTURER MARKET SHARES OF DISEASE-SPECIFIC ADULT FIGURE 17 GLOBAL MANUFACTURER MARKET SHARES OF ELEMENTAL AND REHYDRATION FIGURE 18 GLOBAL MARKET FORECAST FOR PARENTERAL NUTRITION PRODUCTS BY FIGURE 19 DISTRIBUTION OF REVENUES FROM GLOBAL PARENTERAL NUTRITION PRODUCTS BY CATEGORY, (%) FIGURE 20 GLOBAL NUTRITION PRODUCT REVENUES BY SELECTED GEOGRAPHIC REGION, 2014 ($ MILLIONS) FIGURE 21 GLOBAL MARKET SHARES OF PARENTERAL NUTRITION PRODUCTS BY FIGURE 22 GLOBAL MANUFACTURER MARKET SHARES OF AMINO ACID PARENTERAL SOLUTIONS, 2014 (%) FIGURE 23 GLOBAL MANUFACTURER MARKET SHARES OF LIPID PARENTERAL FIGURE 24 GLOBAL MANUFACTURER MARKET SHARES OF DEXTROSE PARENTERAL FIGURE 25 GLOBAL MANUFACTURER MARKET SHARES OF MICRONUTRIENT AND MULTIVITAMIN PARENTERAL

12 FIGURE TITLE FIGURE 26 GLOBAL MARKET FORECAST FOR ETHICAL NUTRITION PRODUCTS BY FIGURE 27 GLOBAL ENTERAL NUTRITION MARKET SHARES BY SELECTED GEOGRAPHIC REGION, 2014 (%) FIGURE 28 GLOBAL MARKET SHARES OF ETHICAL NUTRITION PRODUCTS BY MARKET SEGMENT, 2014 (%) FIGURE 29 GLOBAL ETHICAL NUTRITION COMPETITOR ANALYSIS BY MARKET SHARE, 2014 (%)