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Product Compendium - 2018/19 Complete product list, guidance and support resources

Our purpose is to give patients the best experience possible of medical nutrition whilst delivering the most innovative solutions and better value to the healthcare professional. Founded in 2012 by dietitian Paul Gough, Nualtra is a dedicated supplier of medical nutrition and currently the fastest growing nutrition company in the UK & Ireland. Nualtra s supplements have been proven to achieve up to 96% patient compliance - an industry leading rate that reflects our commitment to produce the best tasting products. Republic of Ireland Office Ground Floor Left of Roselawn Suite 1 Roselawn House National Technology Park Co. Limerick Ireland t: 0035361 518413 e: support@nualtra.ie UK Office Basepoint Business Centre Tewkesbury Gloucestershire GL20 8SD t: 0808 1010926 e: support@nualtra.co.uk

Contents Order Information 4 & 5 Allergen & Religious Information 6 Oral Supplement Range 7 01 Altraplen Compact 8 Product details and 8 nutritional composition 9 02 Altraplen Protein 10 Product details and 10 nutritional composition 11 03 Nutricrem 12 Product details and 12 nutritional composition 13 04 Foodlink Complete 14 Product details and 14 nutritional composition 15 05 Foodlink Complete with Fibre 16 Product details and 16 nutritional composition 17 06 Altrashot 18 Product details and 18 nutritional composition 19 07 Swalloweze Clear 20 Product details and 20 nutritional composition 21 Nutritionally Complete Volumes 22 Nutritionally complete volumes 23 Sample Service 24 Nualtra Academy 25 Resources & Tools 26 3

UK Information Product Unit Pack Type PIP Code Barcode Altraplen Compact Vanilla 4 x 125ml Bottle 381-1460 5392000079908 Product Unit Pack Type PIP Code Barcode Strawberry 4 x 125ml Bottle 381-1452 5392000079915 Hazel Chocolate 4 x 125ml Bottle 394-9534 5392000089921 Banana 4 x 125ml Bottle 394-9526 5392000089938 Starter Pack 4 x 125ml Bottle 395-0870 5391527580003 Altraplen Protein Vanilla 4 x 200ml Bottle 381-1486 5392000079922 Strawberry 4 x 200ml Bottle 381-1478 5392000079939 Starter Pack 2 x 200ml Bottle 408-5981 5391527580294 Nutricrem Vanilla 4 x 125g Pot 381-1445 5392000079946 ordering information Strawberry 4 x 125g Pot 381-1437 5392000079953 Chocolate Orange 4 x 125g Pot 394-9666 5392000089969 Mint Chocolate 4 x 125g Pot 408-6039 5391527580546 Starter Pack (3 pack) 3 x 125g Pot 394-0987 5391527580027 Starter Pack (4 pack) 3 x 125g Pot 409-0858 5391527580560 Foodlink Complete Vanilla 7 x 57g Sachet 405-1363 5391527580171 1 x 1596g Tub 406-6890 5391527580331 Chocolate 7 x 57g Sachet 399-0066 5391527580041 1 x 1596g Tub 406-6874 5391527580379 Strawberry 7 x 57g Sachet 399-0033 5392000106703 1 x 1596g Tub 406-6882 5391527580355 Banana 7 x 57g Sachet 399-0041 5392000106741 1 x 1596g Tub 406-6858 5391527580416 Natural 7 x 57g Sachet 399-0058 5391527580065 1 x 1596g Tub 406-6866 5391527580393 Starter Pack 5 x 57g Sachet 405-8954 5391527580270 Foodlink Complete With Fibre Vanilla 7 x 63g Sachet 399-0074 5392000089983 Chocolate 7 x 63g Sachet 405-6032 5391527580256 Strawberry 7 x 63g Sachet 405-6040 5391527580195 Banana 7 x 63g Sachet 405-6024 5391527580218 Natural 7 x 63g Sachet 405-6156 5391527580232 Starter pack 5 x 63g Sachet 408-0651 5391527580508 Altrashot Vanilla 4 x 120ml Bottle 404-2271 5392000106765 Strawberry 4 x 120ml Bottle 404-2263 5391527580096 Starter Pack 2 x 120ml Bottle 405-0068 5391527580133 Swalloweze Clear UK 4 Clear Gum Thickener 1 x 165g Tub 403-2124 5391527580157 Clear Gum Thickener 48 x 1.6g Sachet 409-0866 5391527580522

Ireland Information Product Unit Pack Type GMS Code Barcode Altraplen Compact Vanilla 4 x 125ml Bottle 82510 5392000079908 Strawberry 4 x 125ml Bottle 82510 5392000079915 Hazel Chocolate 4 x 125ml Bottle 82510 5392000089921 Banana 4 x 125ml Bottle 82510 5392000089938 Starter Pack 4 x 125ml Bottle 82510 5391527580003 Altraplen Protein Vanilla 4 x 200ml Bottle 82500 5392000079922 Strawberry 4 x 200ml Bottle 82500 5392000079939 Nutricrem Vanilla 4 x 125g Pot 83065 5392000079946 Strawberry 4 x 125g Pot 83065 5392000079953 Chocolate Orange 4 x 125g Pot 83065 5392000089969 Mint Chocolate 4 x 125g Pot 83065 5391527580546 Starter Pack 3 x 125g Pot 83065 5391527580027 Foodlink Complete Vanilla 7 x 57g Sachet 85067 5391527580171 Chocolate 7 x 57g Sachet 85067 5391527580041 Strawberry 7 x 57g Sachet 85067 5392000106703 Banana 7 x 57g Sachet 85067 5392000106741 Natural 7 x 57g Sachet 85067 5391527580065 Starter pack 5 x 57g Sachet 83248 5391527580270 Foodlink Complete With Fibre Vanilla 7 x 63g Sachet 85068 5392000089983 Chocolate 7 x 63g Sachet 85068 5391527580256 Strawberry 7 x 63g Sachet 85068 5391527580195 Banana 7 x 63g Sachet 85068 5391527580218 Natural 7 x 63g Sachet 85068 5391527580232 Altrashot Vanilla 4 x 120ml Bottle 85071 5392000106765 Strawberry 4 x 120ml Bottle 85071 5391527580096 Starter Pack 2 x 120ml Bottle 85071 5391527580133 Swalloweze Clear ROI Clear Gum Thickener 1 x 125g Tub 85090 5391527580119 Clear Gum Thickener 48 x 1.6g Sachet - 5391527580522 5

Product Egg Free Free from Fish Products Gluten Free Lactose Free* Milk Free Nut Free Soya Free Wheat Free Suitable for Vegetarian Suitable for Vegan Suitable for Halal Suitable for Kosher Altraplen Compact 1 2 2 Altraplen Protein 1 2 2 Altrashot 1 2 2 Foodlink Complete 3 3 1 2 2 Nutricrem Swalloweze Clear 4 4 *Lactose free is defined in our products as containing < 0.5g/100ml or 100g 1. Strawberry flavour contains colouring E120, which is also known as cochineal or carmine, and is not suitable for many vegetarians 2. Strawberry flavour is not suitable. All other flavours do not contain any ingredients that are forbidden in the Halal or Kosher diets; however, the manufacturing process is not observed by the relevant religious body 3. Does not contain any ingredients that are forbidden in the Halal or Kosher diets; however, the manufacturing process is not observed by the relevant religious body 4. Manufacturing process has certification from the relevant religious body 6

Oral Supplement Range Product details and nutritional composition oral supplement range 7

Altraplen Compact Description: Altraplen Compact is a nutritionally complete, high energy, high protein Food for Special Medical Purposes for use under medical supervision. Altraplen Compact is a ready to drink milkshake style oral nutritional supplement containing 300kcals and 12g protein in 125ml. about product Uses: Can be used for the dietary management of patients with or at risk of disease related malnutrition as determined by appropriate nutritional screening. It can be used as a sole source of nutrition or used to supplement a patient s dietary intake. Additional product information: This product is packaged in a protective atmosphere. Available in Hazel Chocolate, Vanilla, Strawberry or Banana flavours. Indications: ACBS and GMS approved. For enteral use only. storage and how to use Storage and directions for use: Altraplen Compact should be stored in a cool, dry place (below 25 O C). Altraplen Compact can be consumed frozen, chilled, room temperature or heated. Shake well before use. Once opened consume within 4 hours or store in a refrigerator and consume within 24 hours. Discard unused contents thereafter. Shelf Life: 12 months. See side of bottle and outer packaging for best before date. important Contraindications: Not for intravenous use. Not suitable for children under 3 years. Not suitable for patients with galactosaemia or an intolerance to soya. Precautions: Use of this product in children under 6 years should be closely monitored by a dietitian or physician. ingredients 8 Ingredients: (Vanilla flavour) Milk protein concentrate, Glucose syrup, Water, Rapeseed oil, Sucrose, Milk protein, Soya protein, Tri potassium citrate, Magnesium citrate, Flavouring, Colour: Natural carotene, Sodium hydrogen phosphate, Emulsifier: Mono & Diglycerides of fatty acids (E471), Potassium chloride, Potassium phosphate, Choline chloride. Vitamins: (Ascorbic acid, Vit A acetate, Nicotinamide, D-biotin, Vit D3, Vit B12, Pyridoxine HCl, Vit K, Thiamine mononitrate, Riboflavin, Vit E acetate, Calcium D-pantothenate, folic acid), Trisodium citrate, Acidity regulator: Potassium hydroxide, Ferric pyrophosphate, Zinc sulphate, Sodium selenite, Manganese sulphate monohydrate, Copper sulphate, Sodium fluoride, Chromium chloride, Sodium molybdate, Potassium iodide. Gluten free. Allergens: Soya, Milk Protein. For all other flavours please see individual packaging.

Altraplen Compact Average Contents Unit per 100ml per bottle (125ml) Energy kj 1008 1260 kcal 240 300 Protein g 9.6 12 nitrogen g 1.5 1.9 NPC:N 134:1 133:1 % total energy 16 16 Carbohydrate g 28.8 36 sugars g 11.6 14.5 lactose g 0.25 0.3 % total energy 48 48 Fat g 9.6 12 saturates g 0.92 1.15 % total energy 36 36 Dietary Fibre g 0 0 Minerals Unit per 100ml per bottle (125ml) Sodium mg (mmol) 101(4.4) 126 (5.5) Potassium mg (mmol) 240 (6.2) 300 (7.7) Chloride mg (mmol) 89 (2.5) 111 (3.1) Calcium mg (mmol) 168 (4.2) 210 (5.3) Phosphorus mg (mmol) 160 (5.2) 200 (6.5) Magnesium mg (mmol) 32 (1.3) 40 (1.7) Iron mg 3.2 4 Zinc mg 2.5 3.1 Copper µg 410 512 Manganese mg 0.8 1.0 Flouride mg 0.2 0.25 Molybdenum µg 20 25 Selenium µg 14 17.5 Chromium µg 16 20 Iodine µg 30 37.5 Choline mg 60 75 Vitamins Unit per 100ml per bottle (125ml) A µg 200 250 E mgα-te 2.8 3.5 C mg 24 30 B1 (Thiamine) mg 0.5 0.63 B2 (Riboflavin) mg 0.5 0.63 Niacin mg-ne 4.8 6.0 B5 (Pantothenic Acid) mg 1.6 2.0 B6 (Pyridoxine) mg 0.6 0.75 Biotin µg 9.6 12 Folic acid µg 68 85 Vitamin B12 µg 0.8 1.0 Vitamin D3 µg 2 2.5 Vitamin K µg 12 15 Water g 64.4 Osmolality mosm/kg/h 2 0 1360 Osmolarity mosm/l 901 Potential Renal Solute Load mosm/l 723 9

Altraplen Protein Description: Altraplen Protein is a nutritionally complete, high energy, high protein Food for Special Medical Purposes for use under medical supervision. Altraplen Protein is a 200ml ready to drink milkshake style oral nutritional supplement containing 300kcals and 20g protein in 200ml. about product Uses: Can be used for the dietary management of patients with increased nutritional requirements as a result of chronic wounds, post surgery or any patient who is at risk of disease related malnutrition as determined by appropriate nutritional screening. It can be used as a sole source of nutrition or used to supplement a patient s dietary intake. Additional product information: This product is packaged in a protective atmosphere. Available in Vanilla or Strawberry flavours. Indications: ACBS and GMS approved. For enteral use only. storage and how to use Storage and directions for use: Altraplen Protein should be stored in a cool, dry place (below 25 C). Altraplen Protein can be consumed frozen, chilled, room temperature, or heated. Shake well before use. Once opened consume within 4 hours or store in a refrigerator and consume within 24 hours. Discard unused contents thereafter. Shelf Life: 12 months. See side of bottle and outer packaging for best before date. important Contraindications: Not for intravenous use. Not suitable for children under 3 years. Not suitable for patients with galactosaemia or an intolerance to soya. Precautions: Use of this product in children under 6 years should be closely monitored by a dietitian or physician. Monitor patient s protein intake if prescribing >3 bottles per day. ingredients Ingredients: (Vanilla flavour) Water, Milk protein concentrate, Maltodextrin, Glucose syrup, Rapeseed oil, Calcium caseinate (milk), Potassium caseinate (milk), Isolated soya protein, Emulsifier: Soya lecithin E322, Tri potassium citrate E332, Trisodium citrate, Calcium chloride E509, Potassium chloride, Choline chloride, Magnesium citrate, Flavouring, Vitamins: (Ascorbic acid, Vit A acetate, Nicotinamide, D-biotin, Vit D3, Vit B12, Pyridoxine HCl, Vit K, Thiamine mononitrate, Riboflavin, Vit E acetate, Calcium D-pantothenate, Folic acid), Sodium hydroxide E524, Magnesium oxide E530, Colour E100, Acesulfame K E950, Ferric pyrophosphate, Sucralose E955, Zinc sulphate, Sodium selenite, Manganese sulphate monohydrate, Copper sulphate, Sodium fluoride, Chromium chloride, Sodium molybdate, Potassium iodide. Gluten free. Allergens: Soya, Milk Protein. For Strawberry flavour please see individual packaging. 10

Altraplen Protein Average Contents Unit per 100ml per bottle (200ml) Energy kj 632 1264 kcal 150 300 Protein g 10 20 nitrogen g 1.6 3.2 NPC:N 69:1 69:1 % total energy 27 27 Carbohydrate g 15 30 sugars g 4.6 9.2 lactose g 0.1 0.2 % total energy 40 40 Fat g 5.6 11.2 saturates g 0.46 0.92 % total energy 33 33 Dietary Fibre g 0 0 Minerals Unit per 100ml per bottle (200ml) Sodium mg (mmol) 75 (3.3) 150 (6.6) Potassium mg (mmol) 180 (4.6) 360 (9.2) Chloride mg (mmol) 150 (4.2) 300 (8.4) Calcium mg (mmol) 160 (4.0) 320 (8.0) Phosphorus mg (mmol) 100 (3.2) 200 (6.4) Magnesium mg (mmol) 25 (1.0) 50 (2.0) Iron mg 2 4 Zinc mg 1.5 3 Copper µg 260 520 Manganese mg 0.3 0.6 Flouride mg 0.15 0.3 Molybdenum µg 15 30 Selenium µg 8.5 17 Chromium µg 10 20 Iodine µg 20 40 Choline mg 50 100 Vitamins Unit per 100ml per bottle (200ml) A µg-re 120 240 E mgα-te 2 4 C mg 15 30 B1 (Thiamine) mg 0.25 0.5 B2 (Riboflavin) mg 0.25 0.5 Niacin mg-ne 2.7 5.4 B5 (Pantothenic Acid) mg 1 2 B6 (Pyridoxine) mg 0.35 0.7 Biotin µg 6 12 Folic acid µg 55 110 Vitamin B12 µg 0.95 1.9 Vitamin D3 µg 2.5 5 Vitamin K µg 10 20 Water g 68 Osmolality mosm/kg/h 2 0 520 Osmolarity mosm/l 400 Potential Renal Solute Load mosm/l 723 11

Nutricrem Description: Nutricrem is a nutritionally complete, high energy, high protein, dessert style Food for Special Medical Purposes for use under medical supervision. Nutricrem is a ready to eat oral nutritional supplement containing 225kcals and 12.5g protein in 125g. about product Uses: Can be used for the dietary management of patients with increased nutritional requirements secondary to illness or those patients unable to meet their nutritional requirements from other foods. It may also be used by those at risk of disease related malnutrition as determined by appropriate nutritional screening. It can be used as a sole source of nutrition or used to supplement a patient s dietary intake. Additional product information: This product is packaged in a protective atmosphere. Available in Vanilla, Strawberry, Chocolate Orange and Mint Chocolate flavours. storage and how to use Indications: ACBS and GMS approved. For enteral use only. The consistency of Nutricrem makes it an ideal supplement for patients with dysphagia who require nutritional support. Storage and directions for use: Nutricrem should be stored in a cool, dry place (below 25 C). Nutricrem can be consumed chilled or at room temperature. Once opened consume within 4 hours or store in a refrigerator and consume within 24 hours. Discard unused contents thereafter. Nutricrem can be consumed directly from the pot. Shelf Life: 12 months. See side of pot and outer packaging for best before date. important Contraindications: Not for intravenous use. Not suitable for children under 3 years. Not suitable for patients with galactosaemia or an intolerance to soya. Precautions: Use of this product in children under 6 years should be closely monitored by a dietitian or physician. ingredients 12 Ingredients: (Vanilla flavour) Milk protein concentrate, Water, Maltodextrin, Sucrose, Rapeseed oil, Calcium caseinate (milk), Potassium caseinate (milk), Modified maize starch E1442, Emulsifier: Mono & Diglycerides of fatty acids, Isolated soya protein, Tri potassium citrate E332, Trisodium citrate, Stabiliser: Carrageenan E407, Flavouring, Magnesium chloride E511, Potassium Dihydrogen Phosphate E340, Magnesium Citrate, Colour: Natural carotene, Potassium Hydroxide E525, Vitamins: (Ascorbic acid, Vit A acetate, Nicotinamide, D-biotin, Vit D3, Vit B12, Pyridoxine HCl, Vit K, Thiamine mononitrate, Riboflavin, Vit E acetate, Calcium D-pantothenate, Folic acid), Sodium chloride, Potassium chloride, Acidity Regulator: (Potassium hydroxide E525, Sodium Hydroxide E24), Ferric pyrophosphate, Zinc sulphate, Copper gluconate, Sodium Selenite, Manganese sulphate monohydrate, Sodium fluoride, Chromium chloride, Sodium molybdate, Potassium iodide. Gluten free. Allergens: Soya, Milk Protein. For all other flavours please see individual packaging.

Nutricrem Average Contents Unit per 100g per pot (125g) Energy kj 756 945 kcal 180 225 Protein g 10 12.5 nitrogen g 1.6 2 NPC:N 88:1 88:1 % total energy 22 22 Carbohydrate g 18.8 23.5 sugars g 9.7 12.1 lactose g 0.2 0.25 % total energy 42 42 Fat g 7.2 9 saturates g 1.3 1.63 % total energy 36 36 Dietary Fibre g 0 0 Minerals Unit per 100g per pot (125g) Sodium mg (mmol) 74 (3.2) 92.5 (4.0) Potassium mg (mmol) 180 (4.6) 225 (5.8) Chloride mg (mmol) 88 (2.5) 110 ( 3.1) Calcium mg (mmol) 160 (4.0) 200 (5.0) Phosphorus mg (mmol) 135 (4.4) 169 (5.5) Magnesium mg (mmol) 26 (1.1) 32.5 (1.4) Iron mg 2.5 3.1 Zinc mg 2 2.5 Copper µg 360 450 Manganese mg 0.5 0.63 Flouride mg 0.20 0.25 Molybdenum µg 16 20 Selenium µg 12 15 Chromium µg 10.4 13 Iodine µg 24 30 Vitamins Unit per 100g per pot (125g) A µg-re 150 188 E mgα-te 3.2 4 C mg 18 22.5 B1 (Thiamine) mg 0.3 0.38 B2 (Riboflavin) mg 0.6 0.75 Niacin mg-ne 3.7 4.6 B5 (Pantothenic Acid) mg 1.2 1.5 B6 (Pyridoxine) mg 0.4 0.5 Biotin µg 7.2 9 Folic acid µg 62 78 Vitamin B12 µg 0.74 0.93 Vitamin D3 µg 2.48 3.1 Vitamin K µg 16 20 Water g 63 Osmolality mosm/kg/h 2 0 N/A Osmolarity mosm/l N/A Potential Renal Solute Load mosm/l 717 13

Foodlink Complete Description: Foodlink Complete is a high protein powder supplement Food for Special Medical Purposes for use under medical supervision. Foodlink Complete is an oral nutritional supplement containing approximately 383 kcals and 19g protein when prepared with 200ml whole milk. Available in 57g sachets, or 1596g tub complete with measuring scoop. about product Uses: Can be used for the dietary management of patients with increased nutritional requirements secondary to illness or those patients unable to meet their nutritional requirements from other foods. It may also be used by those at risk of disease related malnutrition as determined by appropriate nutritional screening. Foodlink Complete is designed to supplement a patient s dietary intake and is not suitable as a sole source of nutrition. Additional product information: Vanilla, Strawberry, Chocolate, Banana and Natural flavours. Indications: ACBS and GMS approved. For enteral use only. Must be used under Medical Supervision. storage and how to use Storage: Foodlink Complete should be stored in a cool, dry place. Foodlink Complete can be consumed chilled, at room temperature or gently warmed. Once reconstituted consume within 2 hours or store in a refrigerator and consume within 24 hours. Discard unused contents thereafter. Directions for use: Add 50ml of milk to a glass and one 57g sachet/2 rounded scoops of Foodlink Complete and then mix into a smooth paste with a fork or whisk. Top up with another 150ml liquid whilst continuing to mix. Serve when fully mixed. Alternatively if using a Nualtra shaker Add 200ml milk to the shaker along with 57g sachet, close lid and shake vigorously until powder is dissolved. Shelf Life: 24 months from date of manufacture. See individual sachet/tub and outer packaging for best before date. Foodlink Complete 1596g tubs should be used within 2 months of opening. important Contraindications: Not suitable for children under 3 years. Not suitable for patients with galactosaemia or an intolerance to soya or milk. Precautions: Use of this product in children under 6 years should be closely monitored by a dietitian or physician. ingredients 14 Ingredients: (Strawberry flavour) Fat Filled Milk Powder (Skim Milk Solids, Refined Palm Oil, Sugar, Soya Lecithin, Vitamin A, Vitamin D3) Skimmed Milk Powder, Maltodextrin, Caster Sugar, Natural Colour (Beetroot Powder), Flavourings, Vitamin and Mineral Blend [Magnesium Oxide, Ascorbic Acid, Ferric Pyrophosphate, DLa-Tocopherol Acetate (Vitamin E), Nicotinamide, Phytomenadione (Vitamin K1), Zinc Oxide, Copper Gluconate, Calcium D-Pantothenate, Retinyl Acetate (Vitamin A), Manganese Sulphate, Pyridoxine Hydrochloride, Thiamine Mononitrate, D-Biotin, Vitamin D3, Riboflavin, Folic Acid, Potassium Iodide, Sodium Selenite, Chromium Chloride]. Gluten free. Allergens: Milk Protein, Soya. For all other flavours please see individual packaging.

Foodlink Complete Average Contents Unit per 100g Shake per 57g sachet prepared with 200ml whole milk Energy kj 1869 1611 kcal 444 383 Fat g 15 16 of which saturates g 7.4 8.9 of which monounsaturates g 5.4 5.2 of which polyunsaturates g 1.3 0.9 Carbohydrate g 56 41 of which sugars g 43 34 Fibre g 0 0 Protein g 21 19 Salt g 0.62 0.57 Vitamins Unit per 100g with 200ml milk Vitamin A µg-re 666 454 Vitamin D µg 8.8 5.0 Vitamin E mgα-te 8.6 5.0 Vitamin K µg 52 30 Vitamin C mg 61 39 Thiamin (B1) mg 1.4 0.86 Riboflavin (B2) mg 1.8 1.5 Niacin mg-ne 11 6.7 Vitamin B6 mg 2.0 1.3 Folic Acid µg 201 124 Vitamin B12 µg 2.4 3.3 Biotin µg 30 22 Pantothenic Acid mg 5.8 4.5 Minerals Unit per 100g with 200ml milk Sodium mg (mmol) 250 (11) 230 (10) Potassium mg (mmol) 905 (23.1) 839 (21.4) Chloride mg (mmol) 620 (17.5) 536 (15.1) Calcium mg (mmol) 743 (18.5) 671 (16.7) Phosphorus mg (mmol) 518 (16.7) 493 (15.9) Magnesium mg (mmol) 103 (4.24) 81.7 (3.36) Iron mg 6.8 3.9 Zinc mg 5.5 4.1 Copper mg 0.50 0.29 Manganese mg 0.60 0.34 Selenium µg 26 17 Chromium µg 7.0 4.0 Molybdenum µg 24 14 Iodine µg 116 130 Flouride mg 0.0 0.0 Osmolity mosm/l 619 Osmoliity mosmol/kg/h20 900-1150 15

about product Foodlink Complete with Fibre Description: Foodlink Complete with Fibre is a high protein powder supplement Food for Special Medical Purposes for use under medical supervision. Foodlink Complete with Fibre is an oral nutritional supplement containing approximately 397kcals, 19g protein and 4.5g Fibre when prepared with 200ml whole milk. Uses: Can be used for the dietary management of patients with increased nutritional requirements secondary to illness or those patients unable to meet their nutritional requirements from other foods. It may also be used by those at risk of disease related malnutrition as determined by appropriate nutritional screening. Foodlink Complete with Fibre is designed to supplement a patient s dietary intake and is not suitable as a sole source of nutrition. Additional product information: Vanilla, Strawberry, Chocolate, Banana and Natural flavours. Indications: ACBS and GMS approved. For enteral use only. Must be used under Medical Supervision. storage and how to use important ingredients 16 Storage: Foodlink Complete with Fibre should be stored in a cool, dry place. Foodlink Complete with Fibre can be consumed chilled, at room temperature or gently warmed. Once reconstituted consume within 2 hours or store in a refrigerator and consume within 24 hours. Discard unused contents thereafter. Directions for use: Add 50ml of milk to a glass and one 63g sachet of Foodlink Complete with Fibre and then mix into a smooth paste with a fork or whisk. Top up with another 150ml liquid whilst continuing to mix. Serve when fully mixed. Alternatively if using a Nualtra shaker Add 200ml milk to the shaker along with 63g sachet, close lid and shake vigorously until powder is dissolved. Shelf Life: 24 months from date of manufacture. See individual sachet and outer packaging for best before date. Contraindications: Not suitable for children under 3 years. Not suitable for patients with galactosaemia or an intolerance to soya or milk. Precautions: Use of this product in children under 6 years should be closely monitored by a dietitian or physician. Ingredients: (Strawberry flavour) Fat Filled Milk Powder (Skim Milk Solids, Refined Palm Oil, Sugar, Soya Lecithin, Vitamin A, Vitamin D3) Skimmed Milk Powder, Maltodextrin, Inulin, Caster Sugar, Natural Colour (Beetroot Powder), Flavourings, Vitamin and Mineral Blend [Magnesium Oxide, Ascorbic Acid, Ferric Pyrophosphate, DLa-Tocopherol Acetate (Vitamin E), Nicotinamide, Phytomenadione (Vitamin K1), Zinc Oxide, Copper Gluconate, Calcium D-Pantothenate, Retinyl Acetate (Vitamin A), Manganese Sulphate, Pyridoxine Hydrochloride, Thiamine Mononitrate, D-Biotin, Vitamin D3, Riboflavin, Folic Acid, Potassium Iodide, Sodium Selenite, Chromium Chloride]. Gluten Free. Allergens: Milk Protein and Soya. For all other flavours please see individual packaging.

Foodlink Complete with Fibre Average Contents Unit per 100g Shake per 63g sachet prepared with 200ml whole milk Energy kj 1779 1667 kcal 423 397 Fat g 14 16 of which saturates g 6.7 9.0 of which monounsaturates g 4.9 5.2 of which polyunsaturates g 1.2 0.9 Carbohydrate g 52 42 of which sugars g 40 35 Fibre g 7.2 4.5 Protein g 19 19 Salt g 0.57 0.57 Vitamins Unit per 100g with 200ml milk Vitamin A µg-re 642 478 Vitamin D µg 8.3 5.2 Vitamin E mgα-te 8.7 5.6 Vitamin K µg 54 34 Vitamin C mg 63 44 Thiamin (B1) mg 1.4 0.94 Riboflavin (B2) mg 1.7 1.5 Niacin mg-ne 12 8.0 Vitamin B6 mg 2.1 1.4 Folic Acid µg 209 141 Vitamin B12 µg 2.2 3.3 Biotin µg 29 23 Pantothenic Acid mg 5.7 4.8 Minerals Unit per 100g with 200ml milk Sodium mg (mmol) 230 (10) 230 (10) Potassium mg (mmol) 825 (21.1) 843 (21.6) Chloride mg (mmol) 565 (15.9) 539 (15.2) Calcium mg (mmol) 677 (16.9) 674 (16.8) Phosphorus mg (mmol) 472 (15.2) 495 (16.0) Magnesium mg (mmol) 98.8 (4.07) 85.2 (3.51) Iron mg 7.1 4.5 Zinc mg 5.5 4.5 Copper mg 0.52 0.33 Manganese mg 0.62 0.39 Selenium µg 26 18 Chromium µg 6.9 4.3 Molybdenum µg 22 14 Iodine µg 120 140 Fluoride mg 0.0 0.0 Osmolity mosm/l 679 Osmolity mosml/kg/h20 900-1150 17

Altrashot Description: Altrashot is a Food for Special Medical Purposes. A low volume, energy dense 120ml liquid supplement with vitamins and minerals. For the dietary management of people with or at risk from disease related malnutrition. Product ready to drink. about product Uses: Can be used for the dietary management of patients with or at risk of disease related malnutrition as determined by appropriate nutritional screening. Altrashot is designed to supplement a patient s dietary intake and is not suitable as sole source of nutrition Additional product information: This product is packaged in a protective atmosphere. Available in Vanilla or Strawberry flavours. Indications: ACBS and GMS approved. For enteral use only. storage and how to use Storage and directions for use: Altrashot should be stored in a cool, dry place (below 25 O C). Altrashot can be consumed frozen, chilled, room temperature or heated. Shake well before use. Once opened consume within 4 hours or store in a refrigerator and consume within 24 hours. Discard unused contents thereafter. Shelf Life: 12 months. See side of bottle and outer packaging for best before date. Contraindications: Not for intravenous use. Not suitable for children under 3 years. Not suitable for patients with galactosaemia. important Precautions: Use of this product in children under 6 years should be closely monitored by a dietitian or physician. ingredients Ingredients: (Vanilla flavour) Skimmed Milk Concentrate, Rapeseed Oil, Water, Glucose Syrup, Sugar, Milk Protein Isolate, Emulsifier: Mono & Diglycerides of Fatty Acids E471, Potassium Lactate E326, Magnesium Citrate, Dipotassium Phosphate E340, Potassium Chloride E508, Sodium Hydrogen Phosphate E339, Trisodium Citrate E331, Tripotassium Citrate E332, Sodium Chloride, Calcium Lactate E327, Vitamins: (Ascorbic Acid, Vit E, Niacin, Vit A, Pantothenic Acid, Biotin, Folic Acid, Vit B1, Vit B6, Vit D, Vit B2, Vit B12, Vit K1), Tricalcium Citrate E333, Sweetener: Sucralose E955, Potassium Hydroxide E525, Ferric Pyrophosphate, Zinc Sulphate, Stabiliser: Xanthan Gum E415, Sodium Selenite, Manganese Sulphate Monohydrate, Copper Sulphate, Sodium Fluoride, Chromium Chloride, Potassium Iodide, Sodium Molybdate. Gluten free. Allergen: Milk Protein. For all other flavours please see individual packaging. 18

Altrashot Average Contents Unit per 100ml per bottle (120ml) per 30ml shot Energy kj 1451 1741 435 kcal 350 420 105 Fat g 29.1 34.9 9 of which saturates g 2.25 2.7 1 monounsaturates g 18.4 22.1 6 polyunsaturates g 8.5 10.2 3 Carbohydrate g 17 20.4 5 sugars g 7.9 9.5 2 lactose g 0.2 0.24 0.6 Fibre g 0 0 0 Protein g 5 6 2 Salt g 0.3 0.36 0.1 Minerals Unit per 100ml per bottle (120ml) per 30ml shot Sodium mg (mmol) 130 (5.7) 156 (6.9) 36 (1.7) Potassium mg (mmol) 350 (8.9) 420 (10.7) 105 (2.7) Chloride mg (mmol) 150 (4.2) 180 (5) 45 (1.3) Calcium mg (mmol) 160 (4) 192 (4.8) 48 (1.2) Phosphorus mg (mmol) 150 (4.8) 180 (5.8) 45 (1.4) Magnesium mg (mmol) 40 (1.6) 48 (2) 12 (0.5) Iron mg 2.5 3 0.8 Zinc mg 3.5 4.2 1.1 Copper µg 300 360 0.1 Manganese mg 0.5 0.6 0.2 Selenium µg 18 21.6 5.4 Chromium µg 11 13.2 3.3 Molybdenum µg 20 24 6 Iodide µg 40 48 12 Vitamins Unit per 100ml per bottle (120ml) per 30ml shot A µg-re 190 228 57 D3 µg 2.7 3.2 0.8 E mg-te 9 10.8 2.7 K µg 40 48 12 C mg 33 39.6 9.9 Thiamin mg 0.5 0.6 0.2 Riboflavin mg 0.5 0.6 0.2 Niacin mg-ne 4.5 5.4 1.4 Vitamin B6 mg 0.6 0.7 0.2 Folic acid µg 90 108 27 Vitamin B12 µg 0.5 0.6 0.2 Biotin µg 11 13.2 3.3 Pantothenic Acid mg 1.5 1.8 0.5 Osmolality mosm/kg/h 2 0 1490 Osmolarity mosm/l 790 19

about product Swalloweze Clear Description: Swalloweze Clear is an instant food and fluid thickener, Food for Special Medical Purposes for the dietary management of dysphagia. Available in a 165g tub or 48 x 1.6g sachets, Swalloweze Clear is gluten free and lactose free. Swalloweze Clear is also Halal and Kosher certified. Uses: Can be used for the dietary management of patients with dysphagia. Additional product information: This product is packaged in a protective atmosphere. Indications: ACBS and GMS approved. For enteral use only. storage and how to use Storage and directions for use: Swalloweze Clear should be stored in a cool dry place. Once opened, consume within 2 months. Shelf Life: 24 months. See side of tub and outer packaging for best before date. important Contraindications: Not suitable for children under 3 years. Precautions: Swalloweze Clear must be used under medical supervision and should only be used as a food and fluid thickener. ingredients Ingredients: Maltodextrin, Xanthan Gum (E415), Erythritol (E968) Swalloweze Clear is Gluten Free, Lactose Free, Halal and Kosher Certified 20

Swalloweze Clear Average Contents Unit per 100g per 1.6g sachet Energy kj 1199 19 kcal 286 5 Fat g 0 0 of which saturates g 0 0 monounsaturates g 0 0 polyunsaturates g 0 0 Carbohydrate g 57 0.9 sugars g 0 0 Fibre g 29 0.5 Protein g 1 0.0 Salt g 2.4 0 Minerals Unit per 100g per 1.6g sachet Sodium mg (mmol) 1200 (52) 19.2 (0.83) Potassium mg (mmol) 111 (2.78) 1.8 (0.04) Calcium mg (mmol) 11 (0.3) 0.2 (0.0) Magnesium mg (mmol) 23 (0.96) 0.4 (0.02) Iron mg 0.8 0.0 Zinc mg 0.5 0.0 IDDSI Guidelines: Directions for use as per IDDSI Guidelines. Level 1: 1 x 1.6g scoop*/sachet per 200ml liquid Level 2: 2 x 1.6g scoops*/sachets per 200ml liquid Level 3: 3 x 1.6g scoops*/sachets per 200ml liquid Level 4: 7 x 1.6g scoops*/sachets per 200ml liquid *levelled scoops 21

Nutritionally complete volumes nutritionally complete volumes for men and women volumes 22

Nutritionally complete volumes tables United Kingdom Product Females 19-50yrs Males 19-50yrs Females 50+ yrs Males 50+ yrs Altraplen Compact (ml) 500 565 500 565 No. of Bottles 4 4½ 4 4½ Altraplen Protein (ml) 800 900 700 900 No. of Bottles 4 4½ 3½ 4½ Nutricrem (g) 625 625 625 625 No. of Pots 5 5 5 5 Foodlink Complete Foodlink Complete wth Fibre Altrashot Not suitable for sole source of nutrition Not suitable for sole source of nutrition Not suitable for sole source of nutrition Nutritionally complete volumes based on UK Dietary Reference Values for Food Energy and Nutrients for the United Kingdom, Department of Health 1991 (excluding electrolytes and magnesium). Republic of Ireland Product Females 19-50yrs Males 19-50yrs Females 50+ yrs Males 50+ yrs Altraplen Compact (ml) 500 500 500 500 No. of Bottles 4 4 4 4 Altraplen Protein (ml) 700 700 700 700 No. of Bottles 3½ 3½ 3½ 3½ Nutricrem (g) 565 565 565 565 No. of Pots 4½ 4½ 4½ 4½ Foodlink Complete Foodlink Complete with Fibre Altrashot Not suitable for sole source of nutrition Not suitable for sole source of nutrition Not suitable for sole source of nutrition Nutritionally complete volumes based on Ireland Recommended Dietary Allowances, Food Safety Authority of Ireland 1999 (excluding electrolytes) 23

Online Sample Service Nualtra offer a free-of-charge sample service for clinicians that allows you to order products delivered either direct to your patients or to dietetic departments. Nualtra Starter Packs are product-specific and are available for patients to try different flavours before requesting their preferred choice via their nearest pharmacy whilst also allowing the clinician to review compliance to a particular type of ONS. Direct-To-Patient Nualtra offer a next day delivery service for direct-to-patient samples ordered before 2pm. This service offers starter packs only and enables your patients to start ONS treatment as soon as possible following consultation. HCP Samples If your preference is to keep a stock of samples within your department to give to patients directly, use the HCP service where you can order specific flavours or starter packs. Fully Mobile Responsive The Nualtra Sample Website is fully mobile responsive meaning you can order your patient samples from your smartphone with the same simple usability and speed as you expect from your desktop computer. www.nualtra.com 24

ForefrontRx.com Better insights and greater transparency As the NHS continues its focus to get better value from medical nutrition prescribing, greater demands for cost efficiencies will be placed on GPs, medicines management and dietitians. ForefrontRx.com is a dedicated platform for Adult ONS (Oral Nutritional Supplements) prescribing data, offering better insights and greater transparency of the savings opportunities in your organisation. - Review your CCG s / Health Board s prescribing behaviour for medical nutrition, analysing trends in spend and volume. - Identify highest spending GP practices and view potential savings opportunities at practice level. - Compare your CCG versus demographically similar CCGs to understand how cost effective you are (England only). - Access the Forefront toolkit including Standard Operating Procedures, Hospital Discharge Protocols, GP System Templates, Case Studies. www.forefrontrx.com Here at Nualtra we acknowledge the importance of protecting your privacy and we care about how your personal data is used. Our full Privacy Statement can be found online at www.nualtra.com 25

Resources & Tools www.nualtra.com Sample ordering service for HCPs (including direct to patient delivery). Recipes for Nualtra Supplements. Arrange on site nutrition and dietetic education, areas covered include: - Nutritional Screening and Implementation - Malnutrition management - Nualtra Product Education - Nutrition and wound care - Nutrition - Managing nutrition in the Elderly Presentations can be tailored for your specific needs. www.nualtraacademy.com - online learning platform for care homes. www.altraplen.com - website with information for Altraplen Compact and Altraplen Protein. www.forefrontrx.com - better insights and greater transparency www.swallowezeclear.com - resource website for Swalloweze Clear. Nutrition advice email support@nualtra.ie (Ireland) support@nualtra.co.uk (United Kingdom) To order your free samples visit www.nualtra.com 26

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Republic of Ireland Office Ground Floor Left of Roselawn Suite 1 Roselawn House National Technology Park Co. Limerick Ireland t: 0035361 518413 e: support@nualtra.ie UK Office Basepoint Business Centre Tewkesbury Gloucestershire GL20 8SD t: 0808 1010926 e: support@nualtra.co.uk Last updated November 2018 28