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Ketocal 4:1 Powder

KetoCal 4:1 Powder is a very high fat, low carbohydrate, nutritionally complete powder feed containing a blend of oils, milk protein (casein and whey), supplemental amino acids, carbohydrate, vitamins, minerals, trace elements and fibre. Supplemented with the long chain polyunsaturated fatty acids (LCPs) Docosahexaenoic Acid (DHA) and Arachidonic Acid (AA).
KetoCal 4:1 Powder is a very high fat, low carbohydrate, nutritionally complete powder feed containing a blend of oils, milk protein (casein and whey), supplemental amino acids, carbohydrate, vitamins, minerals, trace elements and fibre. Supplemented with the long chain polyunsaturated fatty acids (LCPs) Docosahexaenoic Acid (DHA) and Arachidonic Acid (AA).
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Product Order Code PIP Code
Ketocal 4:1 300g Tin 601779 409-1088
Ketocal 4:1 Vanilla 300g Tin 601740 409-1294

Indications

KetoCal 4:1 Powder is a Food for Special Medical Purposes for use in the dietary management of drug resistant epilepsy or other conditions for which the ketogenic diet is indicated, providing complete nutritional support or supplementary feeding from 1-10 years of age and may be used for supplementary feeding over the age of 10 years. Must be used under medical supervision. Only to be prescribed on the advice of a secondary care physician with experience of a ketogenic diet. KetoCal 4:1 Powder is suitable as the sole source of nutrition for children aged 1-10 years, or for supplementary feeding over the age of 10 years. For enteral use only. Monitor for hypoglycaemia, renal stones, hyperlipidaemia and adequate growth.
Must be used under medical supervision. For enteral use only.
The recommended feed dilution is 14.2% w/v (i.e. 14.2g KetoCal 4:1 Powder plus 86ml water to give a final volume of 100ml)*. For sip and tube feeding: 1. Measure the required amount of warm water into a container that seals with a screw top lid. KetoCal 4:1 Powder must be made up with hot water (45-50°C or 113-122°F) to fully dissolve. 2. Measure the temperature using a thermometer or mix freshly boiled water and cold tap water in a 1:1 ratio to achieve this temperature. Add the prescribed amount of KetoCal 4:1 Powder to the water. 3. Whisk or shake vigorously until the powder is completely dissolved. Remove the lid carefully. 4. Chill in a refrigerator if desired and use within 24 hours of preparation. Stir before use. 5. On standing, some settling of KetoCal 4:1 Powder may occur which is a normal feature of the product. This settling should not block an enteral tube, however it is recommended that the tube is flushed with water between each feed. 6. If given orally, best served chilled. 7. To ensure that this high fat feed is tolerated when first introducing a ketogenic diet, a less concentrated feed or lower feed volume may need to be provided initially. *A more concentrated dilution may be medically prescribed based on individual requirements.
Unflavoured: Refined vegetable oils (palm oil, soy oil, sunflower oil), milk protein (casein, whey), soy lecithin, dietary fibres (cellulose, inulin, oligofructose, arabic gum, resistant starch, soy polysaccharides), calcium carbonate, dried glucose syrup, anti-caking agent (E551), calcium phosphate tri basic, tri potassium citrate, potassium chloride, sodium chloride, magnesium acetate, L-arginine, L-cystine, choline bitartrate, high arachidonic acid single cell vegetable oil, high docosahexaenoic acid oil from crypthecodinium cohnii, L-tryptophan, maltodextrin, sodium caseinate (from cow's milk), sodium ascorbate, L-phenylalanine, L-ascorbic acid, L-valine, L-tyrosine, L-carnitine, taurine, ferrous sulphate, emulsifier (E471), DL- ɑ tocopheryl acetate, inositol,L-histidine, zinc sulphate, nicotinamide, calcium D-pantothenate, manganese sulphate, copper sulphate, thiamin hydrochloride, pyridoxine hydrochloride, riboflavin, vitamin A acetate, antioxidants (E304, E306), folic acid, potassium iodide, sodium molybdate, chromium chloride, sodium selenite, vitamin K1, D-biotin, vitamin D3, cyanocobalamin. For Vanilla flavour, please see individual packaging. Allergy Advice: For allergens, see ingredients in bold.
Store in a cool, dry place. Once opened, KetoCal 4:1 Powder should be used within one month. Always replace container lid after use. Packaged in a protective atmosphere.
Halal, Kosher and Vegetarian certified.
Nutrients Unit per 100g per 100ml
Energy kcal 703 100
Energy kJ 2897 411
Protein g 14.4 2
Carbohydrate g 2.9 0.41
sugars g 1 0.14
lactose g 0.38 0.05
Fat g 69.2 9.8
saturates g 26.7 3.8
monounsaturates g 22.8 3.2
polyunsaturates g 19.7 2.8
Lct % 100 100
n6:n3 ratio 09:03 09:03
Arachidonic Acid (AA) mg 120 17
Docosahexaenoic Acid (DHA) mg 110 15.6
Fibre g 5.3 0.75
Nutrients Unit per 100g per 100ml
Vitamin A μg 370 52.6
Vitamin D μg 10.5 1.5
Vitamin E mg (a-TE) 10.7 (1.5) -
Vitamin K μg 31 4.4
Thiamin mg 0.7 0.1
Riboflavin mg 0.7 0.1
Niacin mg (mg NE) 4.9 (10.6) 0.69 (1.5)
Pantothenic Acid mg 2.9 0.41
Vitamin B6 mg 0.7 0.1
Folic Acid μg 116 16.5
Vitamin B12 μg 1.3 0.18
Biotin μg 19.1 2.7
Vitamin C mg 40 5.7
Nutrients Unit per 100g per 100ml
Sodium mg (mmol) 529 (23) 75.2 (3.3)
Potassium mg (mmol) 848 (21.7) 120 (3.1)
Chloride mg (mmol) 799 (22.5) 113 (3.2)
Calcium mg (mmol) 770 (19.3) 109 (2.7)
Phosphorus mg (mmol) 462 (14.9) 65.7 (2.1)
Magnesium mg (mmol) 107 (4.4) 15.2 (0.63)
Iron mg 8 1.1
Zinc mg 4 0.57
Copper mg 0.55 0.08
Manganese mg 0.91 0.13
Molybdenum μg 31.7 4.5
Selenium μg 30 4.3
Chromium μg 16.3 2.3
Iodine μg 86.2 12.2
Nutrients Unit per 100g per 100ml
L-Carnitine mg 45 6.4
Choline mg 320 45.5
Inositol mg 19.1 2.7
Taurine mg 33 4.7
Osmolality mOsmol/kg H2O 170 170
Potential Renal Solute Load mOsmol/l 237 237

Important notice

KetoCal 4:1 Powder is a Food for Special Medical Purposes for use as part of the ketogenic diet in the management of epilepsy resistant to drug therapy. Only to be prescribed on the advice of a secondary care physician with experience of a ketogenic diet. KetoCal 4:1 Powder is suitable as the sole source of nutrition for children aged 1-10 years, or for supplementary feeding over the age of 10 years. Monitor for hypoglycaemia, renal stones, hyperlipidaemia and adequate growth.

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