Can be used to administer the classical long-chain triglyceride (LCT) ketogenic diet for the dietary management of drug resistant epilepsy and/or other conditions for which the ketogenic diet is indicated. The product is suitable as a sole source of nutrition until 3 years and as a supplementary feed for infants and children aged over 3 years.

Monitor for hypoglycaemia, renal stones, adequate growth and hyperlipidaemia. Use under medical supervision. For enteral use only.

The standard feed concentration is 9.3% w/v (i.e. 9.3g of Ketocal 3:1 with 90ml added water gives a final volume of 100ml). Preparation per 100ml ready to feed:
0.66 kcal/ml: 90ml water + 9.3g powder
1 kcal/ml: 86ml water + 14.1g powder
For Bottle, Tube and Sip feeding:
1. Wash hands thoroughly and clean the preparation area. Sterilise feeding and preparation equipment
2. KetoCal 3:1 must be made up with hot water (45°- 50°C or 113°-122°F) to fully dissolve
3. Boil fresh water (for five minutes) and allow to cool to approx. 50°C using a sterile thermometer. Alternatively, mix water that has been freshly boiled for five minutes, with cool water (that has been previously boiled for five minutes) in a 1:1 ratio to achieve the correct temperature
4. Pour the required amount of hot water into a sterilised feeding bottle or a sterilised container that seals with screw-top lid
5. Weigh out the required amount of KetoCal 3:1
6. Add the weighed KetoCal 3:1 to the water. Replace the cap on the bottle or container and shake vigorously until the powder dissolves. The prepared
formula must be cooled rapidly to the correct temperature before feeding
7. For bottle feeding, test the temperature by placing a few drops on the wrist. Formula should feed warm to the wrist
8. Formula remaining in the bottle after one hour of feeding should be discarded. Formula must not be re-warmed during feeding
9. For sip feeding, chill in a refrigerator if desired. Shake or stir formula before use
10. For tube feeding, flush tube with lukewarm water (approx. 37°C or 99°F) between each feed to avoid blockage

Vegetable Oils (Palm oil, Soybean oil , Sunflower oil), Cow's milk Proteins (casein, whey), Lactose (from cow's milk), Glucose Syrup, Tri calcium phosphate, Potassium citrate, Potassium chloride, Calcium hydrogen phosphate, Choline bitartrate, Glycine, Oil from Mortierella alpina, Oil from Crypthecodinium cohnii, Magnesium chloride, L-Cystine, L-Leucine, Sodium caseinate (from cow's milk), L-Tryptophan, Inositol, Magnesium acetate, L-valine, Sodium L-ascorbate, L-Carnitine, Taurine, Ferrous sulphate, Zinc sulphate, Emulsifier (Mono- and diglycerides of fatty acids), Calcium D-pantothenate, Nicotinamide, DL-alpha tocopheryl acetate, Copper sulphate, Thiamin hydrochloride, Pyridoxine hydrochloride, Riboflavin, Retinyl acetate, Manganese sulphate, Antioxidants (DL-alpha tocopherol, Ascorbyl palmitate), Chromium chloride, Pteroylmonoglutamic acid, Potassium iodide, Sodium molybdate, Sodium selenite, Cholecalciferol, D-Biotin, Cyanocobalamin. Allergy Advice: For allergens, see ingredients in bold.

12 months

Store in a cool, dry place away from sunlight. Once opened, Ketocal 3:1 should be used within 1 month.

Halal, Kosher and Vegetarian

This is intended to show suitability of products for religious or dietary reasons. Some products may be suitable for kosher or halal diets but only products with Kosher approval or Halal certification have been identified here. Some individual flavours/variants may not be suitable and for more information please call our Resource Centre.

Nutrients	Unit	per 100g	per 100ml
Energy	kcal	711	66
Energy	kJ	2935	273
Protein	g	15.4	1.4
Carbohydrate	g	7.2	0.67
sugars	g	5.4	0.50
lactose	g	5.09	0.47
Fat	g	68.6	6.4
saturates	g	26.6	2.5
monounsaturates	g	24	2.2
polyunsaturates	g	18	1.7
Docosahexaenoic acid (DHA)	mg	180	16.5
Fibre	g	0	0

Nutrients	Unit	per 100g	per 100ml
Vitamin A	µg	389	36.2
Vitamin D	µg	17	1.58
Vitamin E	mg (α-TE)	9.02	0.84
Vitamin K	µg	55.4	5.15
Thiamin	mg	0.71	0.07
Riboflavin	mg	0.7	0.07
Niacin	mg NE	11.3	1.05
pantothenic acid	mg	6.03	0.56
Vitamin B6	mg	0.71	0.07
Folic acid	µg	106	9.9
Vitamin B12	µg	1.4	0.13
Biotin	µg	14.2	1.32
Vitamin C	mg	95.6	8.89

Nutrients	Unit	per 100g	per 100ml
Sodium	mg (mmol)	335 (15.5)	33.1 (1.44)
Potassium	mg (mmol)	920 (23.5)	85.6 (2.19)
Chloride	mg (mmol)	545 (15.4)	50.7 (1.43)
Calcium	mg (mmol)	810 (20.2)	75.3 (1.88)
Phosphorus	mg (mmol)	546 (17.6)	50.8 (1.64)
Magnesium	mg (mmol)	78.1 (3.21)	7.27 (0.3)
Iron	mg	12.1	1.12
Zinc	mg	8.53	0.79
Copper	µg	510	48
Manganese	mg	0.14	0.013
Molybdenum	µg	34.9	3.25
Selenium	µg	27	2.51
Chromium	µg	29	2.7
Iodine	µg	104	9.66

Nutrients	Unit	per 100g	per 100ml
Choline	mg	225	20.9
Myo-inositol	mg	155	14.5
Osmolality	mOsm/kg H2O		105
Potential Renal Solute Load	mOsm/l		149