For enteral use only. ACBS approved, prescribable on form FP10 (GP10 in Scotland) for the following indications: Crohn' disease; short bowel syndrome; intractable malabsorption; bowel fistulae; radiation enteritis and other conditions where an elemental formula is indicated. Elemental 028 Extra Powder can be used in children from one year of age and it can be used as a sole source of nutrition from children aged 5 years through to adulthood

Not suitable for infants under 1 year of age.

Must be used under medical supervision.

The recommended intake should be determined by a clinician or a dietitian only and is dependent on age, body weight and medical condition of the patient. The standard recommended feed concentration is 20% w/v (100g powder made up with water to a final volume of 500ml water, 0.89kcal/ml). For osmotically sensitive patients, an initial dilution of 13.3% w/v (67g powder made up with water to a final volume of 500ml water, 0.59kcal/ml) is recommended. These dilutions are guidelines only. Elemental 028 Extra Powder can be taken as a more concentrated drink but additional water or diluted drinks must be taken immediately after. To achieve a 1kcal/ml drink, a 22.6% w/v concentration is required (100g powder made up with water to a final volume of 443ml). Preparation 1. Wash hands, use clean equipment to prepare feed 2. Weigh out the prescribed amount of Elemental 028 Extra Powder 3. Add a small amount of the prescribed water. Stir with a fork until a smooth paste is obtained. Continue stirring whilst adding the rest of the prescribed amount of water 4. Once reconstituted, store in a refrigerator and use within 24 hours. Shake or stir immediately before use. If given orally, Elemental 028 Extra Powder is best given as a chilled drink. The unflavoured version may be flavoured with Modjul flavours or other appropriate flavourings.

Unflavoured: Dried glucose syrup, refined vegetable oils (medium chain triglycerides (palm kernel and/or coconut oil), canola oil, hybrid safflower oil), L-lysine L-aspartate, L-glutamine, L-leucine, L-phenylalanine, L-arginine, trisodium citrate, L-proline, calcium phosphate dibasic, L-valine, glycine, L-isoleucine, L-threonine, N-acetyl L-methionine, L-histidine, emulsifiers (E471, E472(e)), L-serine, tripotassium citrate, L-alanine, magnesium acetate, potassium chloride, L-tryptophan, choline bitartrate, dipotassium hydrogen phosphate, L-tyrosine, sodium chloride, calcium chloride, L-cystine, taurine, L-ascorbic acid, stabiliser (E405), L-carnitine, ferrous sulphate, zinc sulphate, DL-alpha tocopheryl acetate, M-inositol, nicotinamide, calcium D-pantothenate, manganese sulphate, copper sulphate, pyridoxine hydrochloride, thiamin hydrochloride, riboflavin, vitamin A acetate, folic acid, sodium molybdate, chromium chloride, potassium iodide, sodium selenite, vitamin K1, D-biotin, vitamin D3, cyanocobalamin. (For all other flavours please see individual packaging). Allergy Advice: For allergens, see ingredients in bold.

24 months

Store in a cool, dry place (5-25°C). Once opened, a sachet should be stored in an airtight container and used within two to three days.

Halal, Kosher and Vegetarian

Nutrients	Unit	per 100g powder	per 100ml
Energy	kcal	443	89
Energy	kJ	1871	374
Protein	g	12.5	2.5
amino acids	g	15	3
Protein	% of total energy	11	11
Carbohydrate	g	59	11.8
sugars	g	5.3	1.1
Carbohydrate	% of total energy	53	53
Fat	g	17.5	3.5
saturates	g	6.7	1.3
monounsaturates	g	7.4	1.5
polyunsaturates	g	2.4	0.5
% LCT	%	65	65
% MCT	%	35	35
Fat	% of total energy	36	36
Fibre	g	nil added	nil added

Nutrients	Unit	per 100g powder	per 100ml
Vitamin A	µg	330	66
Vitamin D	μg	2.5	0.5
Vitamin E	mg (α-TE)	6.1	1.2
Vitamin K	μg	25	5
Thiamin	mg	0.6	0.12
Riboflavin	mg	0.6	0.12
Niacin	mg (mg NE)	4.2 (9.0)	0.84 (1.8)
Pantothenic acid	mg	2.0	0.4
Vitamin B6	mg	0.8	0.16
Folic acid	μg	83	17
Vitamin B12	μg	1.7	0.34
Biotin	μg	18	3.6
Vitamin C	mg	28	5.7

Nutrients	Unit	per 100g powder	per 100ml
Sodium	mg (mmol)	305 (13.3)	61 (2.7)
Potassium	mg (mmol)	466 (11.9)	93 (2.4)
Chloride	mg (mmol)	333 (9.4)	67 (1.9)
Calcium	mg (mmol)	245 (6.1)	49 (1.2)
Phosphorus	mg (mmol)	200 (6.5)	40 (1.3)
Magnesium	mg (mmol)	82 (3.4)	16 (0.7)
Iron	mg	4.2	0.84
zinc	mg	4.2	0.84
Copper	mg	0.4	0.08
Manganese	mg	0.6	0.12
Fluoride	mg	-	-
Molybdenum	μg	33	6.7
Selenium	μg	15	3.0
Chromium	μg	15	3.0
Iodine	μg	33	6.7

Nutrients	Unit	per 100g powder	per 100ml
Choline	mg	92	18
Inositol	mg	9.2	1.8
Taurine	mg	30	6
L-carnitine	mg	20	4
Osmolality†	mOsmol/kgH2O	502	502