KETOCAL 4:1 NEUTRAL 300 G

Description
Nutritionally complete powdered food, high in fat and low in carbohydrates, containing a blend of oils, milk proteins (casein and whey proteins), with added amino acids, carbohydrates, vitamins, minerals, trace elements and fibre. Contains long-chain polyunsaturated fatty acids (LCPs), docosahexaenoic acid (DHA) and arachidonic acid (AA).
Indicated for the dietary management of drug-resistant epilepsy and other pathologies where the use of a ketogenic diet is indicated (for example, carbohydrate metabolism disorders, pyruvate dehydrogenase deficiency, glucose transporter type 1 deficiency).
It can be used to administer the ketogenic diet with LCT.

Ingredients
Refined vegetable oils (palm oil, soya oil, sunflower oil), milk proteins (casein and whey proteins), soya lecithin, fibres (cellulose, inulin, oligofructose, gum arabic, resistant starch, soya polysaccharides), calcium carbonate, dried glucose syrup, anti-caking agent (E551), tribasic calcium phosphate, tripotassium citrate, potassium chloride, sodium chloride, magnesium acetate, L-arginine, L-cystine, choline bitartrate, vegetable oil with high arachidonic acid content, vegetable oil with high docosahexaenoic acid content, 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-alpha-tocopheryl acetate, inositol, L-histidine, zinc sulphate, nicotinamide, calcium D-pantothenate, manganese sulphate, copper sulphate, thiamine 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.

Average values	per 100 g	For 100ml*	per 100 ml**
Energy value	2.897 kJ 703 kcal	411 kJ 100 kcal	617 kJ 150 kcal
Fats of which: - saturated - monounsaturated - polyunsaturated - arachidonic acid - docosahexaenoic acid	69.2 g 26.7 g 22.8 g 19.7 g 117 mg 110 mg	9.8 g 3.8 g 3.2 g 2.8 g 17.0 mg 15.6 mg	14.7 g 5.7 g 4.9 g 4.2 g 25.5 mg 23.4 mg
Carbohydrates of which sugars	2.9 g 1.0 g	0.41 g 0.14 g	0.62 g 0.21 g
Fibers	5.3 g	0.75 g	1.1 g
Proteins	14.4 g	2.0 g	3.0 g
Salt	1.3 g	0.18 g	0.27 g

Average values vitamins	per 100 g	For 100ml*	per 100 ml**
Vitamin A	370 mcg RE	52.6 mcg RE	78.9 mcg RE
Vitamin D	10.5 mcg	1.5 mcg	2.3 mcg
Vitamin E	10.7 mg alpha-TE	1.5 mg alpha-TE	2.3 mg alpha-TE
Vitamin C	40.0 mg	5.7 mg	8.6 mg
Vitamin K	31.0 mcg	4.4 mcg	6.6 mcg
Thiamine	0.70 mg	0.10 mg	0.15 mg
Riboflavin	0.70 mg	0.10 mg	0.15 mg
Niacin	4.9 mg	0.69 mg	1.0 mg
Vitamin B6	0.70 mg	0.10 mg	0.15 mg
Folic acid	116 mcg	16.5 mcg	24.8 mcg
Vitamin B12	1.3 mcg	0.18 mcg	0.27 mcg
Biotin	19.1 mcg	2.7 mcg	4.1 mcg
Pantothenic acid	2.9 mg	0.41 mg	0.62 mg

Average values minerals	per 100 g	For 100ml*	per 100 ml**
Sodium	529 mg	75.2 mg	113 mg
Potassium	848 mg	120 mg	180 mg
Chlorine	799 mg	113 mg	170 mg
Soccer	770 mg	109 mg	164 mg
Phosphorus	462 mg	65.7 mg	98.6 mg
Magnesium	107 mg	15.2 mg	22.8 mg
Iron	8.0 mg	1.1 mg	1.7 mg
Copper	0.55 mg	0.08 mg	0.12 mg
Zinc	4.0 mg	0.57 mg	0.85 mg
Manganese	0.91 mg	0.13 mg	0.19 mg
Iodine	86.2 mcg	12.2 mcg	18.3 mcg
Molybdenum	31.7 mcg	4.5 mcg	6.8 mcg
Selenium	30.0 mcg	4.3 mcg	6.4 mcg
Chrome	16.3 mcg	2.3 mcg	3.5 mcg

Average values others	per 100 g	For 100ml*	per 100 ml**
Choline	320 mg	45.5 mg	68.3 mg
Inositol	19.1 mg	2.7 mg	4.1 mg
L-carnitine	45.0 mg	6.4 mg	9.6 mg
Taurine	33.0 mg	4.7 mg	7.1 mg

*14.2% weight/volume.
**21.3% weight/volume.

How to use
The amount of formula and dilution should be determined by the doctor, and depends on the age, weight and clinical condition of the patient.
The recommended dilution is 14.2% weight/volume. A higher dilution may be prescribed by the attending physician based on individual needs.
Mix the following quantities to reach the recommended dilution:

Dilution	Dust	Waterfall	Final volume	Osmolality
0.67 kcal/ml	9.5 g	91 ml	100 ml	110 mOsmol/kg H2O
0.8 kcal/ml	11.4 g	89 ml	100 ml	130 mOsmol/kg H2O
1.0 kcal/ml	14.2 g	86 ml	100 ml	170 mOsmol/kg H2O
1.5 kcal/ml	21.3 g	79 ml	100 ml	260 mOsmol/kg H2O

To ensure that this high-fat food is well tolerated, when starting the ketogenic diet, it is recommended to initially feed a small volume at the lowest concentration. Ensure that adequate fluid intake is ensured.

Preparation and administration
For probe and oral use:
- measure the required amount of hot water in a tightly sealed container with a lid. The powder should be reconstituted in hot water (45-50°C) to facilitate its complete dissolution. Measure the temperature with a thermometer or mix boiling water and cold running water in a 1:1 ratio to reach this temperature (do not use hot water directly from the tap);
- weigh the prescribed amount of powder;
- add the weighed powder to the water. Close the sterile container with the cap and shake vigorously until the powder is completely dissolved;
- Carefully remove the lid. Chill in the refrigerator if desired and use within 24 hours of preparation.
Shake or stir before use. Sedimentation is a normal occurrence in this type of formula. If administered by enteral tube, it is recommended to rinse the tube with warm water (approximately 37°C) between administrations. If administered orally, serve chilled.

Warnings
For enteral use only. Do not administer parenterally.
Use only under medical supervision. To be used as the sole source of nutrition in children aged 1 to 10 years. May be used as a dietary supplement for children over 10 years of age.
Monitor for hypoglycemia, renal calculi, hyperlipidemia and adequate growth.

Conservation
Store in a cool, dry place.
Reclose the jar after use.
Validity for intact package: 24 months.
Validity after first opening: 1 month.

Format
300g jar

Code 101778