DIETETICS III

ASSIGNMENT 1

ENTERAL FEEDING SUPPLEMENTS IN PAKISTAN

SUBMITTED TO: Ms. WARDA QAMAR

SUBMITTED BY: GROUP 3

GROUP MEMBERS INCLUDES:

FAWAD HARIS

VIANCA D’SOUZA

SAMIA HAROON GUL

AMNA SHAHID

AREESH AHMED

AMNA NARMEEN
 LIST OF SUPPLEMENTS

S.NO NAME OF SUPPLEMENT

1. Ensure Nutritional Supplement powder

2. Ensure Plus, 250ml

3. Ensure Nutrivigor Nutritional Supplement Powder

4. Complan Nutritional Supplement

5. Peptamen
6. Isocal 430gm
7. Nova source renal
8 Livity Prime
9. Diabeno

10. Delish
11. Glucerna Triple Care
12. Resource diabetes
13. Resource optimum
14. Pediasure
15. Beneprotein
16. Fantomalt
Name of supplement:
Ensure Nutritional Supplement powder
Indication to use:
Have difficulty swallowing or eating orally.
Require supplemental nutrition due to medical conditions, such as cancer, HIV/AIDS, or Crohn's
disease.
Are critically ill or recovering from surgery.
Malnutrition or risk of malnutrition.
Inadequate oral intake or inability to eat orally.
Gastrointestinal disorders, such as Crohn's disease or ulcerative colitis.
Cancer or HIV/AIDS-related malnutrition. Post-surgical patients requiring nutritional support.

1 scoop in grams: 9 grams per scoop

Method of preparation:

Use the scoop provided in the Ensure canister. Each scoop typically contains about 6 grams to 9
grams of powder
Add 195 ml (about 3/4 cup) of water for every 6 scoops of Ensure powder. The exact amount of
powder per serving may vary, so refer to the package instructions.
Stir the powder and water mixture vigorously until the powder is fully dissolved. You can use a
spoon, a shaker bottle, or a blender to ensure a smooth consistency.
Drink the mixture immediately, or refrigerate and consume within 24 hours for the best taste and
nutritional value.

Macro nutrient Content:

Protein: 8.6gram/ serving

Carbohydrates: 30.9gram / serving
Fat: 7.5 / serving 230kcal/ serving
Additional information:
Contains allergen: milk protein concentrate and soy protein isolate (soybeans)

Price:
Rs 2750 / 400gram

---------------------------------------

Name of supplement:
Ensure Plus, 250ml
Indication to use:

Weight Gain or Maintenance

Increased Caloric and Nutrient Needs
Meal Replacement1 scoop in grams :

1 scoop in gram: 53.4 grams.

Method of preparation:
Use 1 scoop (53.4 grams) of Ensure Plus powder. Add Liquid:

Mix the powder with 200 ml (about 1 cup) of cold water. Mix
Thoroughly:

Stir, shake, or blend until the powder is fully dissolved. You can use a
blender for a smoother texture. Use immediately, or refrigerate it for
24 hours.

Macro nutrient content:

Per 250ml can
Protein : 16grams
Carbohydrates : 50grams
Fat : 13grams
Energy : 381kcal

Additional Information:
• Vitamins and Minerals: Ensure Plus is fortified with essential vitamins (such as Vitamins
A, C, D, E, and B-vitamins) and minerals (such as calcium, magnesium, and iron).
• Serving Frequency: Can be taken 1-2 times a day, depending on individual needs.
• Storage: Store the powder in a cool, dry place. Once mixed, refrigerate the shake and
consume within 24 hours.
• Allergens: Contains milk and soy. Check the label for additional allergen information.

Price : Rs. 715 / 250ml

------------------------------------------

Name of supplement:
Ensure Nutrivigor Nutritional Supplement Powder
Indication to use:

Muscle Health and Strength

Nutritional Support
Meal Supplement

1 scoop in grams : 53.1 grams

Method of Preparation:

For one 230ml serving, pour approximately 190ml of cold water into a glass and gradually add 6
level scoops or 51.4g of Ensure nutrivigor. Stir or shale thoroughly to dissolve the powder.

Macro nutrient content:

Protein: 8.61/ serving

Carbohydrates: 30.24/ serving
Fats: 7.58/ serving
Energy: 231kcal / serving

Additional Information:

Vitamins and Minerals: Enriched with essential vitamins (such as Vitamins D, B12, and C) and
minerals (such as calcium and magnesium) to support overall health and immune function.
Special Ingredients: Contains HMB (β-Hydroxy β-Methylbutyrate), which helps support muscle
mass and strength, particularly in aging individuals.
Serving Frequency: Can be taken 1-2 times a day, depending on individual nutritional needs.
Storage: Store in a cool, dry place. Once prepared, refrigerate the drink and consume within 24
hours.
Allergens: Contains milk and soy. Review the label for any additional allergens.

Price: Rs. 3,300/ 400grams

-------------------------------------------------------

Name of supplement:
Complan Nutritional Supplement
Indication to use:

General Nutrition
Meal Replacement
Support for Growth

1 scoop in grams:
33grams

Method of Preparation:
Take 33grams in a cup and Add some warm milk or water Stir till smooth and creamy
Fill up with with warm/cold milk or water.

Macro nutrient content:

Per 33gm:

Protein: 2.8grams
Carbohydrates: 26.2grams
Fat: 1grams
Energy: 125kcal

Additional Information:
Vitamins and Minerals rich
Flavors including chocolate, vanilla, strawberry, and banana.
Serving Frequency: Can be taken 1-2 times a day, depending on individual needs and as directed by
a healthcare professional.
Storage: Store the powder in a cool, dry place. Once prepared, refrigerate the drink and consume
within 24 hours.
Allergens: Contains milk and soy. Check the label for any additional allergens.

Price: Rs. 1550 / 400gram

------------------------------------------------------------------------

Name of supplement:
Peptamen
(Semi elemental diet Hydrolysed, peptide based feed.)

Indications to use:
Malabsorption/ maldigestion including:
Pancreatitis
chronic diarrhoea
gut atrophy
short bowel syndrome
steatorrhoea
malabsorption associated with HIV/ AIDS

1 scoop in gram.
9.16gm

Method of Preparation:
6 scoops + 210 ml water Shake well and use immediately or store for 24hr after making in
refrigerator.

Macronutrient Content.
Energy - 242kcal
Protein- 9.35g
Carbohydrates -30.3g
Lipid -9.35g

Additional information.
-not suitable for children below 10 yrs.
-70% of fat as MCT
-Protein source 100% whey protein
-lactose & Gluten free.

Price- 6,395/430gm

------------------------------------

Name of supplement:
Isocal 430g
TYPE OF SUPPLEMENT:
STANDARD

Indications to use:
General tube feeding
Ventilator dependency
Inadequate oral intake
Congestive Heart failure
Stroke
volume intolerance
unintentional weight loss

1 scoop in gram: 18.33 gm

Method of Preparation
3scoops in 210ml water Shake well and use immediately or store for 24hr after making in
refrigerator.

Macronutrient Content:
Energy= 250 kcal
Protein= 8.1g
Carbohydrates= 31.4g

Additional Information:
- low sucrose
- low sodium
- no cholesterol
- lactose & gluten free
- VIT C & B complex
- MCT
- Isotonic
Storage:
- After preparation it can be kept in a closed system at
- 20°C for 6 hours
- 35°C for 2 hours
- 30°C for 4 hours

Price=4,950

----------------------------------------------------------
Name of supplement:
NOVA SOURCE RENAL

TYPE OF SUPPLEMENT:
Disease specific formula: Renal Disease

Indications to use:
acute renal failure
chronic renal failure
electrolyte restrictions
fluid restrictions
patients on dialysis

Method of preparation:
A ready to drink formula

Macronutrient Content:
Energy: 475 kcal
Protein: 21.6g
Carbohydrate: 43.8g
Lactose: 23.7g

Additional Information:
High Caloric Formula
Low electrolyte content ( Sodium, Potassium, Phosphorus, Calcium)
Excellent source of 29 essential Vitamins & Minerals.
Contains L- Carnitine
Lactose & Gluten Free

Price:
1290/ 200ml

-----------------------------------------------------------------
NAME OF SUPPLEMENT:
Livity Prime
TYPE OF SUPPLEMENT:
Standard Nutritional Supplement

1 SCOOP IN GRAM: 9 gm

METHOD OF PREPARATION:
For standard serving of 230ml, mix 6 scoops (53.8gm) of powder with 195ml of water.

MACRONUTRIENT CONTENT:
Protein: 8.6gm
Carbohydrate: 30.9gm
Fat: 7.5gm
ENERGY: 230kcal

ADDITIONAL INFORMATION:
High in omega 3 (16mg)
Contains 28 minerals and vitamins
For individuals who are 4 years or older
Gluten and lactose free
Not for use in Galactosemia

ALLERGEN INFORMATION:
Whey protein isolate
Soy protein isolate
Storage: Store at room temperature. Keep away from direct heat
PRICE: Rs: 2250/ 400gm
Rs: 303/ 54gm

----------------------------------------------------------
NAME OF SUPPLEMENT:
Diabeno
TYPE OF SUPPLEMENT:
Disease Specific

INDICATION TO USE:
The formulation controls all aspects of Diabetes including long term major complications caused by
Diabetes like Neuropathy, Retinopathy, Cardiovascular complications, High B.P., Nephropathy,
Alzheimer-Dementia.

1 SCOOP IN GRAM:
10gm

METHOD OF PREPARATION:
Add 5 scoops in 180ml of water to prepare 220ml serving of diabeno.

MACRONUTRIENT CONTENT:

Protein: 11gm
Carbohydrate: 24.55gm
Fat: 8.35gm
ENERGY: 217.5kcal

ADDITIONAL INFORMATION:
Contains high quality protein, fiber, prebiotic and probiotic
Helps reduce weight and waistline
Not suitable for individuals with Galactosemia
Lactose and Gluten free

ALLERGEN INFORMATION:
Milk protein concentrate
Storage:keep powder in cool and dry place.
Reconstituted Diabeno should be used immediately.Refrigerated should be used within 24 hours

PRICE: Rs: 2940/400gm

Rs: 368/50gm

--------------------------------------------------------------
NAME OF SUPPLEMENT:
Delish
TYPE OF SUPPLEMENT:
Standard Nutritional Supplement

1 SCOOP IN GRAM: 10gm

METHOD OF PREPARATION:
For 210ml serving, pour approximately 180ml of cold water into a container and gradually add 5
level scoops (50gm) of Delish.

MACRONUTRIENT CONTENT:
Protein: 8.1gm
Carbohydrate: 28.7gm
Fat: 7.05gm
ENERGY: 210.6kcal

ADDITIONAL INFORMATION:
Enriched with 25 vitamins and minerals
High in omega 3 (183.5mg)
Source of FOS
Gluten free
Suitable for individuals with lactose sensitivity
Not for use in Galactosemia

ALLERGEN INFORMATION:
Milk protein concentrate (cow's milk)
Soy protein isolate
Storage: keep it in cool and dry place away from direct sunlight.Use reconstituted Delish
immediately, If Refrigerated use within 24 hours

PRICE: Rs: 2698/400gm

Rs: 337/50gm

----------------------------------------------------------
NAME OF SUPPLEMENT:
Glucerna Triple Care
TYPE OF SUPPLEMENT:
Disease Specific

1 SCOOP IN GRAM:
10.4gm

METHOD OF PREPARATION:
To prepare 237ml of feeding, in 200ml of cold water gradually add 5 pressed scoops or 52.1gm of
Glucerna powder while mixing until dissolved

MACRONUTRIENT CONTENT:
Protein: 10.1gm
Carbohydrate: 21.4gm
Fat: 8.2gm
ENERGY:225.5kcal

ADDITIONAL INFORMATION:
Support heart health
Help reduce weight and waistline

ALLERGEN INFORMATION:
Soy protein isolate
Soy lecithin

Storage:-Store Glucerna powder at room temperature. Protect it from direct sunlight, heat, and
moisture.
-Keep this product away from the reach of children and pets.

PRICE: Rs: 3300/400gm

Rs: 430/52.1gm

-----------------------------------------------------
Name of supplement:
Resource diabetes
Type: disease specific

Indication to use:
For diabetes mellitus type I and II

1 scoop in grams:
50gm

Macro nutrients:
Energy: 253 Kcal (Per 250 mL serving)
Fats: 11 g
Protein: 11.3 g
Carbs: 24.5 g

Method to prepare
Start by measuring 190 ml of pre-boiled water that is at room temperature. Pour this into a clean
container. Take 6 levelled scoops of the Resource diabetic powder, using only the enclosed scoop.
This should equate to approximately 50g. mix in water and shake well. Use immediately after
making.

Additional information:
Lactose , sucrose and fructose free
Contains 50% high quality whey protein
Rich in fibre
More than 60% of fat composition is Monounsaturated fatty acid.
Available in flavours vanilla, strawberry , coffee
No side effects or allergies

Price: 3,949/400ml

----------------------------------------------------
Name of supplement:
Resource optimum
Type:
Standard

Scoop in grams:
N/A
Indication to use:
For Malnutrition, inadequate oral intake
Compensation of major nutrient deficiencies
Recovery from illness

Macro Nutrients:
Energy: 255 kcal per serving
Protein 9.0
Carb 35.1
Fat. 9.0

Method to prepare
Per 230ml serving Measure 190ml of cooled boiled water and pour in a clean bowl or container
Scoop and level 55g of the powder (7 scoops) using the scoop in the tin or weigh by grams Stir
vigorously until the powder had completely dissolved.

Storage
-Store resource optimum milk powder at room temperature
-Protect it from direct sunlight, heat, and moisture
-Keep this product away from the sight and reach of children and pets

Additional information:
Lactose and gluten free
Fortified with all vitamins and minerals
Has high protein content

Price Rs 4915/400 gm

-------------------------------------------------------

Name of supplement:
Pediasure

Type :
Standard

Scoop in gram:
9.1gm

Indication to use:
For children’s growth and development

Method to prepare:
Prepare a 225mL serving. Pour 190mL of room temperature or cold water into a cup. Gradually mix
in 5 levelled scoops (scoop in can) of Pediasure powder

Macro Nutrients:
Energy: 226 kcal
Protein: 6.74
Fats: 8.8
Carb: 29.50

Additional information:
Provide complete balanced nutritional assistance
Enhanced system of essential vitamins and mineral
For children aged from 2-10 years
NOT FOR CHILDREN WITH GALACTOSEMIA.
NOT FOR PARENTERAL USE.

Storage:
Store in cool and dry place keep away from the reach of sunlight and moisture

Price: Rs 2680/400gm

---------------------------------------------------------

NAME OF SUPPLEMENT:
Beneprotein
TYPE OF SUPPLEMENT:
Modular supplement

Indications:
Protein calorie malnutrition.
Patients with increased protein needs.
Wound healing.
Burns cases.
Body builders.
Diabetic foot ulcers.

1 SCOOP IN GRAM:
12gm.

METHOD OF PREPARATION:
Add one scoop of powder into 2-4 fl oz (60-120 ml) of water. Stir until dissolved. Administer by
syringe through feeding tube.

MACRONUTRIENT CONTENT:
Protein: 11gm
Carbohydrate: 0.04gm
Fats: 0.12gm
Energy: 43 kcal

ADDITIONAL INFORMATION:
For use with individuals who require additional protein to bolster their regular diet, help promote
skin health, wound healing, immune response, and muscle strength

ALLERGEN INFORMATION:
Milk protein
Soi lecithin

Storage :
Store in a cool, dry environment with the temperature as close to 70°F as possible.
Use immediately after preparing.

PRICE: Rs: 6766 pkr /264gm

Rs: 308 pkr / 12gm

----------------------------------------------------

NAME OF SUPPLEMENT:
Fantomalt
TYPE OF SUPPLEMENT:
Modular supplement.

Indications:
A food for special medical purpose for dietary management of patients with an insufficient energy
intake or increased energy needs.

1 SCOOP IN GRAM:
5gm

METHOD OF PREPARATION:
Mix the required amount of powder with sufficient cool liquid to form a smooth paste. Stir into the
food/drink.

MACRONUTRIENT CONTENT:
Energy: 19.2 kcal/gm
Protein: 0 g
Carbohydrate: 4.8gm/5gm
Fat: 0 g

ADDITIONAL INFORMATION:
For enteral use only. It is not suitable as a sole source of nutrition.
Glucose and lactose free.It is high energy powder based on maltodextrin
It has neutral taste and can be added to both sweet and savory items.

Storage: keep it in a cool dry place.

Do not refrigerate.
After opening the seal,used within one month.
After preparation, used within 2 hours.

ALLERGEN INFORMATION:
It is a high energy powder based on maltodextin.
It has neutral taste and can be added to both sweet and savoury food/drinks.

PRICE: 2229 pkr /400gm

28 pkr /5gm
--------------------------------------------------------------