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

Contents Order Information & 5 Our purpose is to create better choices in medical nutrition and we aim to transform the market by innovating the best-tasting and most cost-effective products. 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. Irish Office Nexus Innovation Centre Tierney Building University of Limerick Co. Limerick Ireland t: 0035361 51813 e: support@nualtra.ie 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 0 Foodlink Complete 1 Product details and 1 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 2 Nualtra Academy 25 Resources & Tools 26 UK Office Basepoint Business Centre Tewkesbury Gloucestershire GL20 8SD t: 0808 1010926 e: support@nualtra.co.uk 3

UK Order Information Product Unit Pack Type PIP Code Barcode Ireland Order Information Product Unit Pack Type GMS Code Barcode Altraplen Compact Altraplen Compact Vanilla x 125ml Bottle 381-160 5392000079908 Vanilla x 125ml Bottle 82510 5392000079908 Strawberry x 125ml Bottle 381-152 5392000079915 Strawberry x 125ml Bottle 82510 5392000079915 Hazel Chocolate x 125ml Bottle 39-953 5392000089921 Hazel Chocolate x 125ml Bottle 82510 5392000089921 Banana x 125ml Bottle 39-9526 5392000089938 Banana x 125ml Bottle 82510 5392000089938 Starter Pack x 125ml Bottle 395-0870 5391527580003 Starter Pack x 125ml Bottle 82510 5391527580003 Altraplen Protein Altraplen Protein Vanilla x 200ml Bottle 381-186 5392000079922 Vanilla x 200ml Bottle 82500 5392000079922 Strawberry x 200ml Bottle 381-178 5392000079939 Strawberry x 200ml Bottle 82500 5392000079939 ordering information Nutricrem Vanilla x 125g Pot 381-15 539200007996 Strawberry x 125g Pot 381-137 5392000079953 Chocolate Orange x 125g Pot 39-9666 5392000089969 Starter Pack 3 x 125g Pot 395-0987 5391527580027 Foodlink Complete Vanilla 7 x 57g Sachet 05-1363 5391527580171 Nutricrem Vanilla x 125g Pot 83065 539200007996 Strawberry x 125g Pot 83065 5392000079953 Chocolate Orange x 125g Pot 83065 5392000089969 Starter Pack 3 x 125g Pot 83065 5391527580027 Foodlink Complete Vanilla 7 x 57g Sachet 85067 5391527580171 1 x 1596g Tub 06-6890 5391527580331 Chocolate 7 x 57g Sachet 85067 539152758001 Chocolate 7 x 57g 1 x 1596g Sachet Tub 399-0066 06-687 539152758001 5391527580379 Strawberry 7 x 57g Sachet 85067 5392000106703 Strawberry 7 x 57g Sachet 399-0033 5392000106703 Banana 7 x 57g Sachet 85067 539200010671 1 x 1596g Tub 06-6882 5391527580355 Natural 7 x 57g Sachet 85067 5391527580065 Banana 7 x 57g Sachet 399-001 539200010671 Foodlink Complete With Fibre 1 x 1596g Tub 06-6858 539152758016 Vanilla 7 x 63g Sachet 85068 5392000089983 Natural 7 x 57g Sachet 399-0058 5391527580065 1 x 1596g Tub 06-6866 5391527580393 Starter Pack 5 x 57g Sachet 05-895 5391527580270 Foodlink Complete With Fibre Vanilla 7 x 63g Sachet 399-007 5392000089983 Chocolate 7 x 63g Sachet 05-6032 5391527580256 Strawberry 7 x 63g Sachet 05-600 5391527580195 Banana 7 x 63g Sachet 05-602 5391527580218 Natural 7 x 63g Sachet 05-6156 5391527580232 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 x 120ml Bottle 85071 5392000106765 Strawberry x 120ml Bottle 85071 5391527580096 Starter Pack 2 x 120ml Bottle 85071 5391527580133 Altrashot Vanilla x 120ml Bottle 0-2271 5392000106765 Swalloweze Clear ROI Clear Gum Thickener 1 x 125g Tub 85090 5391527580119 Strawberry x 120ml Bottle 0-2263 5391527580096 Starter Pack 2 x 120ml Bottle 05-0068 5391527580133 Swalloweze Clear UK Clear Gum Thickener 1 x 165g Tub 03-212 5391527580157 5

Suitable for Kosher Suitable for Halal Suitable for Vegan Suitable for Vegetarian Wheat Free Soya Free Nut Free Milk Free Lactose Free* Gluten Free Free from Fish Products Egg Free Product 2 2 1 Altraplen Compact 2 2 1 Altraplen Protein 2 2 1 Altrashot 3 3 Foodlink Complete 1 2 2 Nutricrem Swalloweze Clear *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 likely 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. Manufacturing process has certification from the relevant religious body Oral Supplement Range Product details and nutritional composition oral supplement range 6 7

Altraplen Compact Altraplen Compact about product 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. 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. Average Contents Unit per 100ml per bottle (125ml) Energy kj 1008 1260 kcal 20 300 Protein g 9.6 12 nitrogen g 1.5 1.9 NPC:N 13:1 133:1 % total energy 16 16 Carbohydrate g 28.8 36 sugars g 11.6 1.5 lactose g 0.25 0.3 % total energy 8 8 Fat g 9.6 12 saturates g 0.92 1.15 % total energy 36 36 Dietary Fibre g 0 0 Minerals Unit /100ml per bottle (125ml) Indications: ACBS and GMS approved. For enteral use only. Sodium mg (mmol) 101(.) 126 (5.5) Potassium mg (mmol) 20 (6.2) 300 (7.7) 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 hours or store in a refrigerator and consume within 2hrs. Discard unused contents thereafter. Shelf Life: 12 months. See side of bottle and outer packaging for best before date. Chloride mg (mmol) 89 (2.5) 111 (3.1) Calcium mg (mmol) 168 (.2) 210 (5.3) Phosphorus mg (mmol) 160 (5.2) 200 (6.5) Magnesium mg (mmol) 32 (1.3) 0 (1.7) Iron mg 3.2 Zinc mg 2.5 3.1 Copper µg 10 512 Manganese mg 0.8 1.0 Flouride mg 0.2 0.25 Molybdenum µg 20 25 Selenium µg 1 17.5 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. Chromium µg 16 20 Iodine µg 30 37.5 Choline mg 60 75 Vitamins Unit /100ml per bottle (125ml) A µg 200 250 E mgα-te 2.8 3.5 C mg 2 30 B1 (Thiamine) mg 0.5 0.63 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 (E71), 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. B2 (Riboflavin) mg 0.5 0.63 Niacin mg-ne.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 6. Osmolality mosm/kg/h 2 0 1360 Osmolarity mosm/l 901 Potential Renal Solute Load mosm/l 723 9

ingredients important storage and how to use about product 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. 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 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 hours or store in a refrigerator and consume within 2hrs. 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 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: (Vanilla flavour) Water, Milk protein concentrate, Maltodextrin, Glucose syrup, Rapeseed oil, Calcium caseinate, Potassium caseinate, 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 E52, 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. Altraplen Protein Average Contents Unit per 100ml per bottle (200ml) Energy kj 632 126 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.6 9.2 lactose g 0.1 0.2 % total energy 0 0 Fat g 5.6 11.2 saturates g 0.6 0.92 % total energy 33 33 Dietary Fibre g 0 0 Minerals Unit /100ml per bottle (200ml) Sodium mg (mmol) 75 (3.3) 150 (6.6) Potassium mg (mmol) 180 (.6) 360 (9.2) Chloride mg (mmol) 150 (.2) 300 (8.) Calcium mg (mmol) 160 (.0) 320 (8.0) Phosphorus mg (mmol) 100 (3.2) 200 (6.) Magnesium mg (mmol) 25 (1.0) 50 (2.0) Iron mg 2 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 0 Choline mg 50 100 Vitamins Unit /100ml per bottle (200ml) A µg-re 120 20 E mgα-te 2 C mg 15 30 B1 (Thiamine) mg 0.25 0.5 B2 (Riboflavin) mg 0.25 0.5 Niacin mg-ne 2.7 5. 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 00 Potential Renal Solute Load mosm/l 723 10 11

ingredients important storage and how to use about product 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. 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 and Chocolate Orange flavours. 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 hours or store in a refrigerator and consume within 2hrs. 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. 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: (Vanilla flavour) Milk protein concentrate, Water, Maltodextrin, Sucrose, Rapeseed oil, Calcium caseinate, Potassium caseinate, Modified maize starch E12, Emulsifier: Mono & Diglycerides of fatty acids, Isolated soya protein, Tri potassium citrate E332, Trisodium citrate, Stabiliser: Carrageenan E07, Flavouring, Magnesium chloride E511, Potassium Dihydrogen Phosphate E30, 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 E2), 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 95 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 2% 2% Fat g 7.2 9 saturates g 1.3 1.63 % total energy 36% 36% Dietary Fibre g 0 0 Minerals Unit /100g per pot (125g) Sodium mg (mmol) 7 (3.2) 92.5 (.0) Potassium mg (mmol) 180 (.6) 225 (5.8) Chloride mg (mmol) 88 (2.5) 110 ( 3.1) Calcium mg (mmol) 160 (.0) 200 (5.0) Phosphorus mg (mmol) 135 (.) 169 (5.5) Magnesium mg (mmol) 26 (1.1) 32.5 (1.) Iron mg 2.5 3.1 Zinc mg 2 2.5 Copper µg 360 50 Manganese mg 0.5 0.63 Flouride mg 0.20 0.25 Molybdenum µg 16 20 Selenium µg 12 15 Chromium µg 10. 13 Iodine µg 2 30 Vitamins Unit /100g per pot (125g) A µg-re 150 188 E mgα-te 3.2 C mg 18 22.5 B1 (Thiamine) mg 0.3 0.38 B2 (Riboflavin) mg 0.6 0.75 Niacin mg-ne 3.7.6 B5 (Pantothenic Acid) mg 1.2 1.5 B6 (Pyridoxine) mg 0. 0.5 Biotin µg 7.2 9 Folic acid µg 62 78 Vitamin B12 µg 0.7 0.93 Vitamin D3 µg 2.8 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 12 13

ingredients important storage and how to use about product 1 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 385 kcals and 18.3g protein 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 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: Foodlink Complete should be stored in a cool, dry place. Foodlink Complete can be consumed chilled, at room temperature or gently heated. Once reconstituted consume within 2 hours or store in a refrigerator and consume within 2hrs. Discard unused contents thereafter. Directions for use: Add 50ml of milk/water to a glass and one 57g sachet 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/water to the shaker along with 57g sachet, close lid and shake vigorously until powder is dissolved. Shelf Life: 2 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, Palm Oil, Dairy Solids, Emulsifier; Soya Lecithin,) Skimmed Milk Powder, Maltodextrin, Caster Sugar, Natural Colour (Beetroot Red), Flavouring, Vitamin and Mineral Blend [Ascorbic Acid, Potassium Chloride, Sodium Chloride, Nicotinamide, DL-a-Tocopherol Acetate (Vitamin E), Ferric Pyrophosphate, Calcium D-Pantothenate, Zinc Oxide, Pyridoxine Hydrochloride, Thiamine Mononitrate, Manganese Sulphate, Riboflavin, Retinyl Acetate (Vitamin A), Folic Acid, Potassium Iodide, Phytomenadione (Vitamin K1), Copper Gluconate, D-Biotin, Sodium Selenite, Sodium Molybdate, Chromium Chloride, Cyanocobalamin (Vitamin B12)] Magnesium Oxide, Vitamin D3. 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 1839 1612 kcal 37 385 Fat g 13.5 15.7 of which saturates g 8 9.8 of which monounsaturates g.5.6 of which polyunsaturates g 0.9 0.7 Carbohydrate g 58.8 3 of which sugars g 2 33. lactose g 30 25 Fibre g 0.0 0.0 Protein g 20.1 18.3 Salt g 0.5 0.5 Vitamins Unit /100g /200ml milk Vitamin A µg-re 665 1 Vitamin D µg 8.8 5 Vitamin E mgα-te 8.6 5.1 Vitamin K µg 52 30 Vitamin C mg 61. 39 Thiamin (B1) mg 1. 0.9 Riboflavin (B2) mg 1.8 1.5 Niacin mg-ne 11.3 6.8 Vitamin B6 mg 2 1.3 Folic Acid µg 201 131 Vitamin B12 µg 2 2.9 Biotin µg 30 22.2 Pantothenic Acid mg 5.8.5 Minerals Unit /100g /200ml milk Sodium mg (mmol) 218 (9.5) 211 (9.2) Potassium mg (mmol) 620 (15.9) 676 (17.3) Chloride mg (mmol) 650 (18.3) 382 (10.8) Calcium mg (mmol) 735 (18.3) 662 (16.5) Phosphorus mg (mmol) 331 (10.7) 387 (12.5) Magnesium mg (mmol) 96.5 () 78 (3.3) Iron mg 6.8 Zinc mg 5. 3.9 Copper µg 0.5 0.3 Manganese mg 0.6 0.3 Selenium µg 26 17 Chromium µg 7.5 Molybdenum µg 16 16 Iodine µg 119 132 Osmolality mosmol/kg N/A 1028 15

Foodlink Complete with Fibre Foodlink Complete with Fibre important storage and how to use about product 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 20kcals, 19.5g protein and.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: 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 heated. Once reconstituted consume within 2 hours or store in a refrigerator and consume within 2hrs. Discard unused contents thereafter. Directions for use: Add 50ml of milk/water 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/water to the shaker along with 63g sachet, close lid and shake vigorously until powder is dissolved. Shelf Life: 2 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. Average Contents Unit per 100g Shake per 63g sachet prepared with 200ml whole milk Energy kj 1896 1759 kcal 51 20 Fat g 13.5 16.5 of which saturates g 8.0 10.2 of which monounsaturates g.5.8 of which polyunsaturates g 0.9 0.8 Carbohydrate g 58.8 6.5 of which sugars g 1.8 35.8 lactose g 30 26.9 Fibre g 7.2.5 Protein g 20.1 19.5 Salt g 0.5 0.5 Vitamins Unit /100g /200ml milk Vitamin A µg-re 665 81 Vitamin D µg 8.8 5.5 Vitamin E mgα-te 8.6 5.6 Vitamin K µg 52 33 Vitamin C mg 61. 2.7 Thiamin (B1) mg 1. 1 Riboflavin (B2) mg 1.8 1.6 Niacin mg-ne 11.3 7.5 Vitamin B6 mg 2 1. Folic Acid µg 201 13 Vitamin B12 µg 2 2.9 Biotin µg 30 2.2 Pantothenic Acid mg 5.8.8 Minerals Unit /100g /200ml milk Sodium mg (mmol) 218 (9.5) 22 (9.7) Potassium mg (mmol) 620 (15.9) 71 (18.3) Chloride mg (mmol) 350 (9.9) 0 (11.) Calcium mg (mmol) 735 (18.) 706 (17.7) Phosphorus mg (mmol) 331 (10.7) 07 (13.1) Magnesium mg (mmol) 96 () 8 (3.5) Iron mg 6.8. Zinc mg 5..3 Copper µg 0.5 0.3 Manganese mg 0.6 0. Selenium µg 26 16 Chromium µg 7.5 Molybdenum µg 16 17 Iodine µg 119 139 Osmolality mosmol/kg N/A 1103 ingredients 16 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, Palm Oil, Dairy Solids, Emulsifier; Soya Lecithin,) Skimmed Milk Powder, Maltodextrin, Inulin, Caster Sugar, Natural Colour (Beetroot Red), Flavouring, Vitamin and Mineral Blend [Ascorbic Acid, Potassium Chloride, Sodium Chloride, Nicotinamide, DL-a-Tocopherol Acetate (Vitamin E), Ferric Pyrophosphate, Calcium D-Pantothenate, Zinc Oxide, Pyridoxine Hydrochloride, Thiamine Mononitrate, Manganese Sulphate, Riboflavin, Retinyl Acetate (Vitamin A), Folic Acid, Potassium Iodide, Phytomenadione (Vitamin K1), Copper Gluconate, D-Biotin, Sodium Selenite, Sodium Molybdate, Chromium Chloride, Cyanocobalamin (Vitamin B12)] Magnesium Oxide, Vitamin D3.. Gluten Free. Allergens: Milk and Soya. For all other flavours please see individual packaging. 17

ingredients important storage and how to use about product Altrashot Description: Altrashot is a Food for Special Medical Purposes. A low volume, energy dense liquid supplement with vitamins and minerals. For the dietary management of people with or at risk from disease related malnutrition. Product ready to drink. 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 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 hours or store in a refrigerator and consume within 2hrs. 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. Precautions: Use of this product in children under 6 years should be closely monitored by a dietitian or physician. Ingredients: (Vanilla flavour) Skimmed Milk Concentrate, Rapeseed Oil, Water, Glucose Syrup, Sugar, Milk Protein Isolate, Emulsifier: Mono & Diglycerides of Fatty Acids E71, Potassium Lactate E326, Magnesium Citrate, Dipotassium Phosphate E30, 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 E15, 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. Altrashot Average Contents Unit per 100ml per bottle (120ml) Energy kj 151 171 kcal 350 20 Fat g 29.1 3.9 of which saturates g 2.25 2.7 monounsaturates g 18. 22.1 polyunsaturates g 8.5 10.2 Carbohydrate g 17 20. sugars g 7.9 9.5 lactose g 0.2 0.2 Fibre g 0 0 Protein g 5 6 Salt g 0.3 0.36 Minerals Unit /100ml per bottle (120ml) Sodium mg (mmol) 130 (5.7) 156 (6.9) Potassium mg (mmol) 350 (8.9) 20 (10.7) Chloride mg (mmol) 150 (.2) 180 (5) Calcium mg (mmol) 160 () 192 (.8) Phosphorus mg (mmol) 150 (.8) 180 (5.8) Magnesium mg (mmol) 0 (1.6) 8 (2) Iron mg 2.5 3 Zinc mg 3.5.2 Copper µg 300 360 Manganese mg 0.5 0.6 Selenium µg 18 21.6 Chromium µg 11 13.2 Molybdenum µg 20 2 Iodide µg 0 8 Vitamins Unit /100ml per bottle (120ml) A µg-re 190 228 D3 µg 2.7 3.2 E mg-te 9 10.8 K µg 0 8 C mg 33 39.6 Thiamin mg 0.5 0.6 Riboflavin mg 0.5 0.6 Niacin mg-ne.5 5. Vitamin B6 mg 0.6 0.7 Folic acid µg 90 108 Vitamin B12 µg 0.5 0.6 Biotin µg 11 13.2 Pantothenic Acid mg 1.5 1.8 Osmolality mosm/kg/h 2 0 190 Osmolarity mosm/l 790 18 19

about product storage and how to use Swalloweze Clear Description: Swalloweze Clear is an instant food and fluid thickener, Food for Special Medical Purposes for the dietary management of dysphagia. 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 directions for use: Swalloweze Clear should be stored in a cool dry place. Once opened, consume within 2 months. Shelf Life: 2 months. See side of tub and outer packaging for best before date. Swalloweze Clear Average Contents Unit per 100g Energy kj 1199 kcal 286 Fat g 0 of which saturates g 0 monounsaturates g 0 polyunsaturates g 0 Carbohydrate g 57 sugars g 0 Fibre g 29 Protein g 1 Salt g 2. Minerals Unit /100ml Sodium mg (mmol) 1200 (52) Potassium mg (mmol) 111 (2.78) Calcium mg (mmol) 11 (0.3) Magnesium mg (mmol) 23 (0.96) Iron mg 0.8 Zinc mg 0.5 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 (E15), Erythritol (E968) Swalloweze Clear is Gluten Free, Lactose Free, Halal and Kosher Certified 20 21

Nutritionally complete volumes tables United Kingdom Product Females 19-50yrs Males 19-50yrs Females 50+ yrs Males 50+ yrs Nutritionally complete volumes nutritionally complete volumes for men and women Altraplen Compact (ml) No. of Bottles Altraplen Protein (ml) 500 800 565 900 500 700 565 900 No. of Bottles 3½ volumes Nutricrem (g) No. of Pots Foodlink Complete 625 5 625 5 625 5 Not suitable for sole source of nutrition 625 5 Altrashot 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 Altraplen Protein (ml) 700 700 700 700 No. of Bottles 3½ 3½ 3½ 3½ Nutricrem (g) 565 565 565 565 No. of Pots Foodlink Complete Altrashot 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) 22 23

Online Sample Service Nualtra Academy 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. Online Training Platform One of the most important elements of achieving appropriate usage of ONS over time is ensuring nursing home staff are educated to understand when it is appropriate to give residents supplements and when to prioritise food intake. Nualtra have invested in an online learning platform that allows nursing homes to educate their staff members across a range of different modules, and as a result, achieve more appropriate usage of products such as Oral Nutritional Supplements and reduce the burden to provide training for staff. Modules Available MUST Hydration Dementia Dysphagia Infection Control Wound Care End of Life Additional modules to be added 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. Request your Login Nualtra Academy is available for users of Nualtra s products and services and can be used on any computer, tablet or smartphone. If you would like access to the training modules for you and your team, please contact your local account manager or our head office who will be able to set you up on the e-learning platform. www.nualtra.com www.nualtraacademy.com 2 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.nualtrasaver.com - identify savings opportunities for your CCG. www.altraplen.com - website with information for Altraplen Compact and Altraplen Protein. 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 27

Nutrition Advice Line 1800 718 500 Irish Office Nexus Innovation Centre Tierney Building University of Limerick Co. Limerick Ireland t: 0035361 51813 e: support@nualtra.ie UK Office Basepoint Business Centre Tewkesbury Gloucestershire GL20 8SD t: 0808 1010926 e: support@nualtra.co.uk Last updated March 2018 28