TABLE 20-6 -- PREPARATION OF INFANT FORMULAS FOR STANDARD AND SOY FORMULAS^*
Formula Type	Caloric Concentration (kcal/oz)	Amount of Formula	Water (oz)
Liquid concentrates (40 kcal/oz)	20 24 26 28 30	13 oz 13 oz 13 oz 13 oz 13 oz	13 8.5 7 5.5 4.3
Small volume preparation of powder (44 kcal/scoop)	20 24 26 28 30	1 scoop 3 scoops 2 scoops 7 scoops 3 scoops	2 5 3 10 4

*Does not apply to Enfacare, Neocate, Neosure, Elecare. Enfamil AR should not be concentrated greater than 24 kcal/oz. Use a packed measure for Portagen, Nutramigen, and Pregestimil.

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TABLE 20-7 -- COMMON CALORIC SUPPLEMENTS^*
Component	Calories
PROTEIN
Casec	3.7 kcal/g (0.9 g protein) 17 kcal/tbsp (4 g protein)
CARBOHYDRATE
Polycose	Powder: 3.8 kcal/g 8 kcal/tsp Liquid: 2.0 kcal/mL, 10 kcal/tsp
FAT
MCT oil^†	7.7 kcal/mL
Vegetable oil	8.3 kcal/mL

*Use these caloric supplements when you want to increase protein or when you have reached the maximum concentration tolerated and wish to further increase caloric density.
^† MCT oil is unnecessary unless there is fat malabsorption.

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467

TABLE 20-8 -- CLASSIFICATION OF FORMULAS BY CARBOHYDRATE
	Lactose	Sucrose and Glucose Polymers	Glucose Polymers	Minimal Carbohydrate
Common ingredient names		See glucose polymers	Glucose polymers Maltodextrins Corn syrup solids Modified tapioca starch
Comments	Requires lactase enzyme for digestion Contraindicated in galactosemia	Requires sucrase enzyme for digestion (see also glucose polymers)	Easily digested For individuals with lactose malabsorption	For severe carbohydrate intolerance
Infants	America’s Store Brand Formulas (generic) Enfamil Enfamil AR Enfamil Enfacare Enfamil Premature Evaporated milk formula Neosure^* Nestlé Follow-up Nestlé Good Start Similac Similac PM 60/40 Similac Special Care	Alimentum America’s Store Brand Soy Isomil Isomil DF (Fiber) Nestlé Alsoy Nestlé Follow-Up Soy Portagen	Enfamil Lactofree Neocate Nutramigen Pregestimil ProSobee Similac Lactose Free	MJ3232A RCF
Toddlers and young children	Cow’s milk Next Step^* Similac 2	Compleat Pediatric^† Isomil 2 Kindercal TF (Fiber) Neocate One Plus Next Step Soy Nutren Junior PediaSure (also w/Fiber) Pediatric EO28 Peptamen Junior^‡ ProPeptide for Kids Resource Just for Kids	EleCare KetoCal Neocate Junior Pepdite One+ Vivonex Pediatric
Older children and adolescents	Carnation Instant Breakfast Scandishake	All other formulas in Table 20-14	Criticare HN Crucial Deliver 2.0 L-Emental faa Glucerna Glytrol Isocal Jevity (fiber) Nestlé Modulen IBD Nutren (all) Osmolite Promote Peptamen ProPeptide Replete Tolerex Ultracal Vivonex Plus Vivonex TEN

*Also contains glucose polymers.
† Also contains fruit and vegetable purees.
‡ Unflavored contains glucose polymers only.

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TABLE 20-9 -- CLASSIFICATION OF FORMULAS BY PROTEIN
	Cow’s Milk Protein	Soy Protein	Hydrolysate	Free Amino Acids
Common ingredient names	Cow’s milk protein Nonfat milk Demineralized whey Reduced mineral whey Sodium, calcium, magnesium caseinate Casein	Soy protein Soy protein isolate	Casein hydrolysate Hydrolyzed whey, meat, and soy	—
Comments	Requires normal protein digestion and absorption	Requires normal protein digestion and absorption Not recommended for premature infants or those with cystic fibrosis	For individuals with protein allergy and/or malabsorption	For individuals with severe protein allergy and/or severe protein malabsorption
Infants	America’s Store Brand formulas (generic) Enfamil Enfamil AR Enfamil Enfacare Enfamil Lactofree Enfamil Premature Evaporated milk formula Nestlé Follow-up Nestlé Good Start Portagen Similac Similac Lactose Free Similac Neosure Similac PM 60/40 Similac Special Care	America’s Store Brand Soy Isomil Isomil DF Nestlé Alsoy Nestlé Follow-up Soy ProSobee RCF	Alimentum MJ3232A Nutramigen Pregestimil	Neocate
Toddlers and young children	Compleat Pediatric^* Cow’s milk KetoCal Kindercal Next Step Nutren Junior PediaSure Resource Just for Kids Similac 2	Next Step Soy Isomil 2	Pepdite One+ Peptamen Junior Pro-Peptide for Kids	Vivonex Pediatric EleCare Neocate Junior Neocate One+ Pediatric EO28
Older children and adolescents	All other formulas in Table 20-14	Ensure^† Ensure with Nutraflora FOS† Ensure Plus^† Isocal^† Osmolite^† Promote^†	Criticare HN Crucial Peptamen ProPeptide Vital HN	L-Emental faa Tolerex Vivonex TEN Vivonex Plus

* Blenderized protein diet of meat, vegetables, and fruit.
† Also contains cow’s milk.

TABLE 20-10 -- CLASSIFICATION OF FORMULAS BY FAT
	Long-Chain Triglycerides		Medium-Chain and Long-Chain Triglycerides
Common ingredient names	Butterfat Canola oil Coconut oil Corn oil	Palm olein Safflower oil Soy oil Sunflower oil	Fractioned coconut oil Medium-chain triglycerides (MCT oil)
Comments	Requires normal fat digestion and absorption		For individuals with fat malabsorption Bile digestion not required Absorbed directly into portal circulation
Infants	America’s Store Brand formulas (generic) America’s Store Brand Soy Enfamil Enfamil AR Enfamil Lactofree Evaporated milk formula Isomil (all) Neocate Nestlé Alsoy Nestlé Follow-up	Nestlé Follow-up Soy Nestlé Good Start Nutramigen ProSobee RCF Similac Similac Lactose Free Similac PM 60/40	Alimentum Enfamil Enfacare Enfamil Premature MJ3232A Neosure Portagen Pregestimil Similac Special Care
Toddlers and young children	Compleat Pediatric Cow’s milk Isomil 2 KetoCal Next Step Next Step Soy Similac 2		Elecare Kindercal Neocate Junior Neocate One+ powder Nutren Junior PediaSure Pediatric EO28 Peptamen Junior Pepdite One+ ProPeptide for Kids Resource Just For Kids Vivonex Pediatric
Older children and adolescents	Carnation Instant Breakfast Criticare HN Ensure Ensure with Fiber Ensure Plus GlucernaL-Emental Tolerex Vivonex Plus Vivonex TEN	Boost Boost High-Protein Boost Plus Nepro Scandishake Suplena	Crucial Deliver 2.0 faa Isocal Jevity Glytrol Nestlé Modulen   FBD Nutren 2.0 Nutren 1.0 (with Fiber)	Osmolite Peptamen Promote Propeptide Replete Subdue Traumacal Ultracal Vital HN

TABLE 20-12 -- HUMAN MILK AND FORTIFIERS ANALYSIS (PER LITER)
Formula	kcal/mL (kcal/oz)	Protein g (% kcal)	Carbohydrate g (% kcal)	Fat g (% kcal)	Na (mEq)	K (mEq)	Ca (mg)	P (mg)	Fe (mg)	Osmolality (mOsm/kg water)	Suggested Uses
Human milk (mature)	0.69 (20)	10 (6) Human milk protein	72 (42) Lactose	39 (54) Human milk fat	7	13	280	147	0.4	286	Infants
Human milk^*(Preterm)	0.67 (20)	14 (8) Human milk protein	66 (40) Lactose	39 (52) Human milk fat	11	15	248	128	1.2	290	Preterm infants
Enfamil Human Milk Fortifier (per packet) (Mead Johnson)	3.5 (−)	0.3 (29) Whey protein isolate Na caseinate	0.26 (30) Corn syrup solids	0.16 (42) From caseinate	0.12	0.13	23	11	0.36	—	Fortifier for preterm human milk
Similac Human Milk Fortifier (Ross) per packet	3.5 kcal per packet	0.25 (29) Whey protein concentrate Nonfat milk	0.45 (51) Corn syrup solids	0.09 (23) MCT oil	0.16	0.4	29	17	0.09	—	Fortifier for preterm human milk
Similac Natural Care Human Milk Fortifier (Ross)	0.8 (24)	22 (11) Nonfat milk Whey protein concentrate	86 (42) Corn syrup solids (50%) Lactose (50%)	44 (47) MCT oil (50%) Soy oil (30%) Coconut oil (20%)	15	26.6	1694	935	3	280	Fortifier for preterm human milk
Preterm Human Milk |+ Enfamil Human Milk Fortifier (1 pkt/25 mL)	0.79 (24)	27 (13) Human milk protein Whey protein concnetrate Na caseinate	82 (41) Lactose Corn syrup solids	41 (46) Human milk fat	165	18	1140	590	15	410	Preterm infants
Preterm Human Milk + Similac Human Milk Fortifier (1 packet/ 25 ml)	0.79 (24)	23 (12) Nonfat milk Whey protein concentrate Human milk protein	82 (42) Lactose Corn syrup solids	41 (47) MCT oil Human milk fat	17	30	1380	776	4.6	385	Preterm infants
Preterm Human Milk + Similac Natural Care 75:25 ratio	0.7 (21)	16 (9) Human milk protein Nonfat milk Whey protein concentrate	71 (40) Lactose Corn syrup colids	40 (51) Human milk fat MCT oil Soy oil Coconut oil	12	18	610	330	1.65	288	Preterm infants
Preterm Human Milk + Similac Natural Care 50:50 ratio	0.74 (22)	18 (10) Human milk protein Nonfat milk Whey protein concentrate	71 (40) Lactose Corn syrup solids	41 (50) Human milk fat MCT oil Soy oil Coconut oil	13	21	971	531	2.1	285	Preterm infants
From Ross Products Division, Abbott Laboratories, Inc.

*Composition of human milk varies with maternal diet, stage of lactation, within feedings, diurnally, and among mothers.

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TABLE 20-13 -- TODDLER AND YOUNG CHILD FORMULA ANALYSIS (PER LITER)
Formula	kcal/mL (kcal/oz)	Protein g (% kcal)	Carbohydrate g (% kcal)	Fat g (% kcal)	Na (mEq)	K (mEq)	Ca (mg)	P (mg)	Fe (mg)	Osmolality (mOsm/kg water)	Suggested Uses
Compleat Pediatric (Novartis)	1 (30)	38 (15) Beef Na caseinate Ca caseinate	130 (50) Vegeta bles Fruit Hydrolyzed cornstarch Apple juice	39 (35) HO sun oil Soy oil MCT oil	30	38	1000	1000	13	380	For those who desire a blenderized tube feeding
Cow’s milk, whole	0.63 (19)	Cow’s milk 34 (22)	Lactose 48 (31)	34 (49) Butterfat	22	40	1226	956	0.5	285	Children >1 year of age with normal GI tract
Elecare (Ross)	1 (30)	30 (15) Free L-amino acids	107 (43) Corn syrup solids	47.6 (42) HO saff oil (39%) MCT oil (33%) Soy oil (28%)	20	39	1082	808	18	596	Children with malabsorption, protein allergy
Isomil 2 (Ross)	0.67 (20)	17 (10) Soy protisolate Methionine	70 (41) Corn syrup (80%) Sucrose (20%)	37 (49) Ho saff (40%) Coconut (30%) Soy oil (30%)	13	19	912	608	12	200	Milk sensitive 6–18 mo eating cereal and baby foods
KetoCal (SHS North America)	1.44 (43)	30 (8.4) Cow’s milk protein	6 (1.6) Corn syrup solids	144 (90) Soybean oil	26	55	1600	1300	22	197	Children on ketogenic diet
Kindercal TF (contains fiber) (Mead Johnson)	1.06 (32)	30 (11) Milk protein concentrate	135 (52) Maltodextrins Sucrose	44 (37) Canola oil (40%) Ho sun oil (28%) Corn oil (12%) MCT oil (20%)	16	34	1010	850	11	345 institutional and retail 440 vanilla 520 chocolate	Tube feeding and oral supplement for children with normal GI tract
Neocate Junior (SHS North America)	1 (30)	30 (12) Free amino acids	104 (42) Corn syrup solids	50 (46) Canola oil MCT oil (25%) Saff oil	18	35	1130	940	14	602	Children with malabsorption, protein allergy
Neocate One+ Powder (SHS North America)	1 (30)	25 (10) Free amino acids	146 (58) Corn syrup solids	35 (22) MCT oil (35%) Canola oil Saff oil	9	24	620	620	8	610	Children with malabsorption, protein allergy
Next Step (Mead Johnson)	0.67 (20)	18 (10) Nonfat milk protein	75 (45) Lactose Corn syrup solids	34 (45) Palm olein (45%) Soy oil (20%) Coconut oil (20%) HO sun oil (15%)	12	23	810	570	12	270	Toddlers with normal GI tract
Next Step Soy (Mead Johnson)	0.67 (20)	22 (13) Soy protein isolate	80 (47) Corn syrup solids Sucrose	30 (40) Palm olein (45%) Soy oil (20%) Coconut oil (20%) HO sun oil (15%)	13	26	780	610	12	260	Toddlers with cow’s milk allergy, galactosemia
Nutren Junior (also with fiber) (Nestlé)	1 (30)	30 (12) Casein (50%) Whey (50%)	128 (51) Maltodextrins Sucrose (Soy polysacharides)	42 (37) Soy oil MCT oil (25%) Canola oil Soy lecithin	20	34	1000	800	14	350	Tube feeding and oral supplement for children with normal GI tract
PediaSure (also with fiber) (Ross)	1 (30)	30 (12) Na caseinate Whey protein concentrate	110 (44) Maltodextrins Sucrose (soy fibre)	50 (44) HO saff oil (50%) Soy oil (30%) MCT oil (20%)	17	34	970	800	14	335 (institutional) 430 (retail/oral)	Tube feeding and oral supplement for children with normal GI tract
Pediatric EO28 (SHS North America)	1 (30)	25 (10) Free amino acids	146 (58) Maltodextrins Sucrose	35 (32) MCT oil Canola oil HO saff oil	9	24	620	620	8	820	Children with malabsorption, protein allergy
Pepdite One+ (SHS North America)	1 (30)	31 (12) Hydrolized meat and soy protein Free amino acids	106 (42) Corn syrup solids	50 (46) MCT oil Canola oil Saff oil	18	35	1130	940	14	432–440	Children with malabsorption
Peptamen Junior (Nestlé) (also with fiber)	1 (30)	30 (12) Enzymatically hydrolyzed whey protein	138 (55) Maltodextrin Sucrose (flavoured) cornstarch	38.5 (33) MCT oil (60%) Soy oil Canola oil Lecithin	20	33	1000	800	14	260 (unflavored) 360 (flavored)	Children with malabsorption
Propeptide for Kids (Hormel Health Labs)	1 (30)	Enzymatically hydrolyzed whey protein30 (12)	137.5 (55) Maltodextrin Sucrose Cornstarch	38.5 (33) MCT oil (18.5%) Soy oil (22%) Canola oil (60%) Lecithin	20	34	1000	800	14	360	Children with malabsorption
Resource Just for Kids (Novartis)	1 (30)	30 (12) Na caseinate Ca caseinate Whey protein concentrate	110 (44) Hydolyzed cornstarch Sucrose	50 (44) HO Sun oil Soy oil MCT oil	17	33	1140	800	14	390	Tube feeding and oral supplement for children with normal GI tract
Similac 2	0.67 (20)	14 (8) Nonfat milk Whey protein concentrate	72 (43) Lactose	37 (49) HO saff (40%) Coconut oil (30%) Soy oil (30%)	7	18	797	432	12	300	6–18 months eating cereal and baby foods
Vivonex Pediatric (Novartis)	0.8 (24)	24 (12) Free amino acids	130 (63) Maltodextrins Modified starch	24 (25) MCT oil (68%) Soy oil (32%)	17	31	970	800	10	360	Children with malabsorption, protein allergy

TABLE 20-14 -- OLDER CHILD AND ADULT FORMULA ANALYSIS (PER LITER)
Formula	kcal/mL (kcal/oz)	Protein g (% kcal)	Carbohydrate g (% kcal)	Fat g (% kcal)	Na (mEq)	K (mEq)	Ca (mg)	P (mg)	Fe (mg)	Osmolality (mOsm/kg water)	Suggested Uses
Boost (Mead Johnson)	1 (30)	42 (17) Milk protein concentrate	171 (67) Corn syrup solids Sucrose	17 (16) Canola oil HO sun oil Corn oil	24	43	1248	1040	15	610	Oral supplement
Boost High Protein (Mead Johnson)	1 (30)	61 (24) Na caseinate Ca caseinate Milk protein concentrate	139 (55) Corn syrup solids Sucrose	23 (21) Canola oil HO sun oil Corn oil	31	41	1390	1310	19	540	Oral supplement or tube feeding for patients with increased protein needs
Boost Plus (Mead Johnson)	1.5 (45)	59 (16) Na caseinate Ca caseinate Milk protein concentrate	200 (50) Corn syrup solids Sucrose	58 (34) Canola oil HO sun oil Corn oil	31	41	1390	1310	19	720	Oral supplement or tube feeding for patients with high calorie needs, normal GI tract, volume fluid restriction
Carnation Instant Breakfast w/whole milk (Nestlé)	1.2 (36)	53 (18) Cow’s milk	161 (54) Lactose Maltodextrin Sucrose	34 (26) Butterfat	42	67	1632	1400	17	590	High-calorie supplement for patients with normal GI tract
Criticare HN (Mead Johnson)	1.06 (32)	38 (14) Hydrolyzed casein Amino acids	220 (81.5) Maltodextrin Modified cornstarch	5 (4.5) Safflower oil	27	34	530	530	9.7	650	Patients with malabsorption
Crucial (Nestlé)	1.5 (45)	94 (25) Enzymatically hydrolyzed casein arginine glutamine	135 (36) Maltodextrin Cron starch	68 (39) Marine oil MCT oil (50%) Soybean oil	51	48	1000	1000	18	490	Volume-restricted critically ill patients
Deliver 2.0 (Mead Johnson)	2 (60)	75 (15) Ca caseinate Na caseinate	200 (40) Corn syrup	101 (45) Soy oil (70%) MCT oil (30%)	35	43	1010	1010	18	640	Oral supplement or tube feeding for patients with fluid restriction or liver disease increased calorie needs
Ensure (Ross)	1.06 (32)	37 (14) Ca caseinate Na caseinate Soy protein isolate Whey protein isolate	167 (64) Corn syrup Maltodextrin Sucrose	25 (22) HO saff oil (40%) Canola oil (40%) Corn oil (20%)	36	40	1250	1250	18.7	590	Oral supplement or tube feeding for patients with normal GI tract
Ensure Fiber with FOS (Ross)	1.06 (32)	37 (14) Ca caseinate Na caseinate Soy protein isolate Whey protein isolate	175 (64) Maltodextrin (65%) Sucrose (29%) Soy fiber (2%) Oat fiber (2%) Fructoligosacharides (2%)	25 (22) Corn oil (20%) HO saff oil (40%) Canola oil (20%)	37	40	1458	1250	19	500	Oral supplement or tube feeding with fiber, normal GI tract
Ensure Plus (Ross)	1.5 (45)	54 (15) Na caseinate Ca caseinate Soy protein isolate	208 (56) Corn syrup Sucrose Maltodextrin	48 (29) Corn oil (25%) Canola oil (50%) HO saff oil (25%)	43	47	833	833	19	680	Oral supplement or tube feeding for patients with higher calorie needs, normal GI tract
faa (Nestlé)	1.0	50 (20) Free amino acids	176 (70) Maltodextrin	11 (10) Soy oil MCT oil	24	38	800	700	18	700	Tube feeding or oral supplement for malabsorption, not for protein allergy
Glucerna (Ross)	1 (30)	42 (17) Na caseinate Ca caseinate	96 (34) Soy fiber Fructose Maltodextrin	54 (49) HO saff oil (85%) Canola oil (10%) Lecithin (5%)	40	40	705	705	13	355	Patients with impaired glucose tolerance, also contains fiber
Glytrol (Nestlé)	1.0	45 (18) Ca Potassium caseinates	100 (40) Maltodextrin Modified cornstarch Fructose Gum arabic Soy polysacharide Pectin	48 (42) Canola oil HO saff MCT oil Soy lecithin	32	36	720	720	13	380	Tube feeding or oral supplement for patients with impaired glucose tolerance
Isocal (Mead Johnson)	1.06 (32)	34 (13) Na caseinate Ca caseinate Soy protein	135 (50) Maltodextrin	44 (37) MCT oil (20%) Soy oil (80%)	23	34	630	530	10	270	Tube feeding for patients with normal GI tract
Jevity (Ross)	1.06 (32)	44 (17) Na caseinate Ca caseinate	155 (54) Corn syrup Maltodextrin Soy fiber	35 (29) HO saff oil (48%) Canola oil (29%) MCT oil (20%) Lecithin (3%)	40	40	910	760	14	300	Tube feeding with fiber, normal GI tract
L-Emental (Hormel Health Labs)	1 (30)	38 (15) Free amino acids	210 (82) Maltodextrins	2.85 (3) Safflower oil	20	20	500	500	9	630	Patients with malabsorption, protein allergy
Nepro (Ross)	2 (60)	70 (14) Ca caseinate Mg caseinate Na caseinate Milk protein isolate	222 (43) Corn syrup Sucrose Fructo oiligosccharides	96 (43) HO saff oil (67%) Canola oil (29%) Lecithin (4%)	36	27	1370	685	19	665	Patients with renal failure undergoing dialysis
Nestlé Modulen IBD (Nestlé)	1 (30)	36 (14) Acid casein with TGF-β2	108 (44) Corn syrup Sucrose	46 (42) Milk fat MCT oil Corn oil Soy oil Lecithin	15	31	888	600	12	370	Patients with Crohn’s disease
Nutren 1.0 with fiber (Nestlé)	1 (30)	40 (16) K caseinate Ca caseinate	127 (51) Maltodextrin Corn syrup solids (Soy polysacch)	38 (33) Canola oil MCT oil (25%) Corn oil	38	32	668	668	12	315–370	Standard tube feeding with fiber
Nutren 2.0 (Nestlé)	2 (60)	80 (16) K caseinate Ca caseinate	196 (39) Corn syrup solids Maltodextrin Sucrose	106 (45) MCT oil (75%) Canola oil Corn oil Soy lecithin	57	49	1340	1340	24	745	Oral supplement or tube feedings for patients with fluid restriction or increased calorie needs
Osmolite (Ross)	1.06 (32)	37 (14) Na caseinate Ca caseinate Soy protein isolate	151 (57) Maltodextrin	35 (29) HO saff oil (48%) Canola oil (29%) MCT oil (20%) Lecithin (3%)	28	26	535	535	9.6	300	Tube feeding for patients with normal GI tract
Peptamen (Nestlé)	1 (30)	40 (16) Enzymatically hydrolyzed whey protein	127 (51) Maltodextrin Corn starch	39 (33) MCT oil (70%) Soybean oil (30%)	24	39	800	700	18	270–380	Patients with malabsorption
Promote (Ross)	1 (30)	63 (25) Na caseinate Ca caseinate Soy protein isolate	130 (52) Maltodextrin Sucrose	26 (23) HO saff oil (47%) Canola oil (28%) MCT oil (19%) Lecithin (6%)	43	50	1200	1200	18	340	Tube feeding or oral supplement for patients with increased protein needs
ProPeptide (unflavored) (Hormel Health Labs)	1 (30)	40 (16) Hydrolyzed whey	127 (51) Maltodextrins Starch	39 (33) Sunflower oil (30%) MCT oil (70%)	22	32	800	700	14	270	Patients with malabsorption
Replete (with fiber) (Nestlé)	1 (30)	62 (25) Ca Potassium Caseinate	113 (40) Maltodextrin Corn syrup solids	34 (30) Canola oil MCT oil Soy lecithin	38	39	1000	1000	18	300–398	Tube feeding or oral supplement for patients with increased protein needs
Scandishake w/ whole milk (Scandipharm)	2.5 (75)	50 (8) Cow’s milk	292 (47) Lactose Maltodextrin Soy oil	125 (45) Coconut oil Safflower oil Palm oil	240	103	391	478	trace	1094	High-calorie supplement and for fat malabsorption
Subdue (Mead Johnson)	1 (30)	50 (20) Hydrolyzed whey protein concentrate	127 (50) Maltodextrin Corn starch Sucrose	34 (30) Canola oil HO sun Corn oil MCT oil	48	41	1081	1040	15	330	Patients with malabsorption, IBD
Suplena (Ross)	2 (60)	30 (6) Na caseinate Ca caseinate	255 (51) Maltodextrin Sucrose (10%)	96 (43) HO saff oil (86%) Soy oil (10%) Lecithin (4%)	34	29	1430	730	19	600	Patients with renal failure not undergoing dialysis
Tolerex (Novartis)	1 (30)	21 (8) Free amino acids	230 (91) maltodextrin	1.5 (1) Safflower oil	20	30	560	560	10	550	Patients with chylothorax, malabsorption, or severe food allergy
Traumacal (Mead Johnson)	1.5 (45)	82 (22) Na caseinate Ca caseinate	144 (38) Corn syrup Sucrose	68 (40) Soy oil (70%) MCT oil (30%)	51	36	750	750	9	560	Patients with increased protein and calorie needs
Ultracal (Mead Johnson)	1.06 (32)	45 (17) Na caseinate Ca caseinate Milk protein concentrate	132 (50) Maltodextrin soy fiber Microcrystalline cellulose Acacia	39 (33) MCT oil (30%) Canola oil (35%) HO sun oil (25%) Corn oil (10%)	59	47	1000	1000	18	360	Oral supplement or tube feeding with fiber, normal GI tract
Vital HN (Ross)	1 (30)	42 (17) Hydrolyzed whey, meat and soy protein (87%) Free amino acids (13%)	185 (74) Maltodextrin Sucrose Lactose (<0.5%)	11 (9) Safflower oil (55%) MCT oil (45%)	25	36	667	667	12	500	Patients with malabsorption, IBD
Vivonex Plus (Novartis)	1 (30)	45 (18) Free amino acids	190 (76) maltodextrin Modified cornstarch	6.7 (6) Soybean oil	27	27	560	560	10	650	Patients with malabsorption or severe food allergy
Vivonex TEN (Novartis)	1 (30)	38 (15) Free amino acids	210 (82) Maltodextrin Modified cornstarch	2.8 (3) Safflower oil	26	24	500	500	9	630	Patients with malabsorption or severe food allergy

TABLE 20-15 -- ORAL REHYDRATION SOLUTIONS
Solution	Kcal/mL (kcal/oz)	Carbohydrate (g/L)	Na (mEq/L)	K (mEq/L)	Osmolality (mOsm/kg H2 0)
CeraLyte-70 (Cera)	0.16 (4.9)	Rice digest 40	70	20	232
CeraLyte-50 (Cera)	0.16 (4.9)	Rice digest, Glucose 40	50	20	200
Enfalyte (Mead Johnson)	0.12 (3.7)	Rice syrup solids 30	50	25	200
Oral Rehydration Salts (WHO) (Jianas)	0.06 (2)	Dextrose 20	90	20	330
Pedialyte Unflavored (Ross)	0.1 (3)	Dextrose 25	45	20	250
Rehydralyte (Ross)	0.1 (3)	Dextrose 25	75	20	305

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