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NOTE: Many of items below are for use with medical supervision only.

Always check with your physician/nutritionist first.


Many of these items can be expensive. Try calling manufacturer directly to inquire about getting samples before buying
cases to make sure user tolerates formula.

FORMULAS (& calorie supplements )


Compiled by and for use of:
G-Tube Mailing List @ www.gtube.org

PRODUCT CALORIES COMPANY WEBSITE COST Manufacturer’s Description


(range) (Parents’ comments)
A protein hydrolosate formula with
ALIMENTUM 20 cal per oz Ross Pediatrics http://www.rossmn.com/ iron; a formula for hyperallergenic
1-800-515-7677 babies

CARNATION 12 oz of Nestle www.nestle.com Similar in make-up to Pediasure but


INSTANT whole milk + Carnation CIB has more protein (much
BREAKFAST packet = 1-800-782-7766 cheaper than Pediasure but can be
almost 30 cal gritty; not good to use for overnight
per oz continuous feeds because used with
whole milk which can spoil if left in
bag for too long); can call in to get
monthly coupons
Powdered Supplement
DUOCAL 64 cal per SHS International For tube and oral feeds; highly
Tbspn 1-800-365-7354 soluable
Amino Acid-Based Medical Food for
ELECARE 30 cal per oz Ross Pediatrics http://www.rossmn.com or Purchased children with milk allergies,
1-800-515-7677 http://www.elecare.com in case of 6 malabsorption, and GI problems (no
cans ($198) milk or soy protein)
(infants, and 1+)

ENFAMIL AR 1 oz = 20 Enfamil http://www.enfamil.com/


calories 1-800-Baby123 Milk based formula thickened with
added rice starch (can help with
reflux) (If you add Enf AR with
Enfamil FE – concentrate 13 oz),
PRODUCT CALORIES COMPANY WEBSITE COST Manufacturer’s Description
(range) (Parents’ comments)
one can each, it brings formula to 30
cal per oz).

GLUCERNA 237 calories Ross Products http://www.abbott.com Approx Sugar Free – for use with diabetics
Division/Abbott $140 a case
Laboratories
Columbus OH
43215

ISOSOURCE 300 cal per Novartis Nutrition www.info.novartis.com/nutrition/overvie Complete Liquid nutrition; lactose
250 ml can Clinical Products w.html free.
Division
111 Consumers
Drive
Whitby, Ontario
L1N 5Z5
30 cal per oz http://www.meadjohnson.com Highly digestable protein (100% milk
KINDERCAL (6.3 grms of Mead Johnson protein); lactose and gluten free for
fiber per 1-800-831-3959 extra gastrointestinal tolerance; 6.3
1000 ml) grams of fiber per 1000 ml.

MCT Oil 1 Tbspn = Mead Johnson http://www.meadjohnson.com/index.ht A lipid fraction of coconut oil
115 cal. ml consisting primarily of the
tryglycerides of saturated fatty acids;
for persons with poor digestion or
malabsorption.
50% fat emulsion for special dietary
MICROLIPIDS 1 Tbsp = Mead Johnson http://www.meadjohnson.com use in oral and tube feedings
67.5 cal (7.5 /index.html
gm fat)
30 cal per oz SHS International Elemental Formula
NEOCATE 1-800-365-7354
PRODUCT CALORIES COMPANY WEBSITE COST Manufacturer’s Description
(range) (Parents’ comments)

NUTRI- 300 Cal per Novartis Nutrition www.info.novartis.com/nutrition/overvie Complete liquid nutrition with fiber,
SOURCE 250 ml can Clinical Products w.html lactose free
Division
111 Consumers
Drive
Whitby, Ontario
http:///www.nutri-rice.com NutriSelect Products may be purchased at a
NUTRI-RICE 82 cal per Nutri-Rice: Soluable discount to GT fed individuals
serving (3 Distributors: $29.95 (single jar of soluables = $20 plus
Tbspn) Fran Copp Nutri-Select $3.20 shipping; or case of 6 @
(offers at 33% Natural $90.00 + $7.00 shipping); contact:
discount) $19.95 Fran Copp at 1-888-229-6709 or
1-888-229-6709- fcopp@goldensunrise.com)
800-554-5949 ; products are also offered through
“New Visions” catalog at retail
prices. Nutri-Rice Soluables is
stablized rice bran that has much of
insoluble fiber removed, easy to
digest food, rich in essential fatty
acids with over 70 antioxidants,
including naturally occurring
vitamins, minerals and enzymes.
NUTREN 1.5 Nestle Clinical Complete High-Energy Liquid
(Adult formula) 375 cal. per Nutrition Nutrition, Lactose Free, Gluten Free,
250 ml can 1-800-565-1871 low-residue. For children, must
make sure they get sufficient water
since formula is very concentrated –
speak to a nutritionist about how
much water.

PEDIATRIC 250 cal per Novartis Nutrition http://www.info.novartis.com/nutrition/o For children 1-10; medical food
COMPLEAT 8.45 oz verview.html ready to use as a blenderized tube
feed containing meat, vegetables,
and fruit, specially formulated for the
management of malnutrition and
other medical conditions with
increased nutritional needs that
cannot be met through diet
modification alone.
PRODUCT CALORIES COMPANY WEBSITE COST Manufacturer’s Description
(range) (Parents’ comments)
Protein is hydrolized whey (easily
PEPTAMIN approx 30 Nestl Clinical digested protein); fats are medium
JR. cal per oz Nutrition chain triglycerides (fats are broken
PEPTAMIN 1. (Pep. 1.5 is 1-877-463-7853 or down to be easily absorbed).
PEPTAMIN 1.5 45 cal per 1-800-422-2752 (Predigested formula for babies with
oz) (USA) GI problems and malabsorption
(Can be expensive issues; formula helps with motility)
- $120 per case –
insurance may
cover for most
people)
250 cal per
PEPTIDE 250 ml SanoSource $1,000 per Semi-elemental High Nitrogen diet
month appropriate for patients with
approx impaired digestion and aborption;
effective alternative for total
parenteral nutrition except in
patients where enteral feeding may
be contraindicated. High essential
to nonessential amino acid ration,
enhanced arginine and branched
chain amino acid content and
optimal quantity of carbohydrates
make it appropriate for most
stressed, catabolic patients.

POLY-JOULE Per scoop Nutricia, Mix of glucose polymer


30.4 calories Australasia (Maltodextrin) readily absorbable
Karicare source of energy with low osmotic
1-800-060-057 strength & bland taste; can be used
(Australia) with hot or cold foods.
0800-6887-4242
(New Zealand)
Nutricia Ltd.
37 Banks Rd.
Mt. Wellington
Auckland, New
Zealand
PRODUCT CALORIES COMPANY WEBSITE COST Manufacturer’s Description
(range) (Parents’ comments)
POLYCOSE Ross Products http://www.abbott.com carbohydrate powder: composition:
1teaspoon Division/Abbott Pareve, Glucose polymers derived
(2g) 8 cal Laboratories from controlled hydrolysis of corn
1tablespoon Columbus OH starch.
(6g)23 cal 43215

100 cal per Mead Johnson http://www.enfamil.com About $25 Pregestimil is specially designed for
PREGESTIMIL 5 fluid oz Nutritionals USA dollars babies with fat malabsorption
Evansville, IN problems; hypoallergenic formula
47721 USA with MCT oil, easy-to-digest infant
1-800-baby123 formula, iron fortified powder.
NOTE: Contains casein.
Ross Products Protein powder easily dissolvable in
PRO-MOD Division/Abbott water.
Laboratories
Columbus OH
43215

RESOURCE Novartis Nutrition www.info.novartis.com/nutrition/overvie $2 1200 ml. provides 100% of more of


Just for Kids Clinical Products w.html Canadian the recommended nutritional intake
Division per 235 ml for protein and essential vitamins &
111 Consumers carton minerals for children 1-12 years of
Drive (comes age (similar to Pediasure but per
Whitby, Ontario packaged Mom using it, baby tolerates this but
L1N 5Z5 with straw, does not tolerate Pediasure)
not in cans)
Mealshakes are a powdered formula
SHAKLEE Mealshakes Distributors are http://www.shaklee.com to be mixed with either water or a
PRODUCTS mix alone = available dairy product. It is similar in
120 calories nationwide. minerals and vitamins to Pediasure
(w/ 8 oz of: Here is/are some: but uses milk powder from New
lowfat milk = Zealand cattle which are
240; w/whole Shirley Armstrong: hormone/antibiotic free (there are
milk = 330; HealthierChoices@ also lactose free shakes available);
heavy cream aol.com contains natural fruit sugars, protein
= 1160 mix alone is 7 grams protein but
Performance when added to milk is more
(like (Pediasure is 7.1 grams of protein);
Pedialyte) does not contain any artificial colors,
PRODUCT CALORIES COMPANY WEBSITE COST Manufacturer’s Description
(range) (Parents’ comments)
400 cal per flavors, sweeteners or preservatives
liter (Kosher certified).
(Pedialyte is
100 cal per
liter)

1 pkt = 35 Product of Instant Healthcare Food Thickener;


THICK IT calories Precision Foods can be used in tube feedings
(use in 4 oz 1-800-333-0003
formula)

line of products for children with rare


ROSS Depends on Ross Pediatrics http://www.rossmn.com/ metablic disorders (e.g. Phenex,
METABOLIC formula 1-800-515-7677 Calcilo XD, RCF, Pro-Phree, etc.)
Formula selected
Systems

.8 cal per ml. Novartis Nutrition www.info.novartis.com/nutrition/overvie Partially digested formula for babies
(5.88 gms of Company w.html with malabsorption issues;
VIVONEX fat per Minnesota elemental powdered formula for
PEDIATRIC packet) 55440-0370 children 1-10 years of age especially
stressed, catabolic children and
those wit GI impairment (base is
maltodextrin instead of corn syrups
like some formulas)

“Natural” Calorie Enhancers Which can be mixed with Tube Formulas


(FOR G-TUBE ONLY)
(Thanks to Ginny and others for providing)

SWEETENED 135 cal per Make sure user will tolerate as it is


CONDENSED 2 Tbsp heavy and sweet.
MILK
Note: Oils are harder and slower to
OILS 120 digest so use with care (reflux
(Flax calories babies check with GI or nutritionist
Walnut per before adding oils); Flax oil is a
Soybean tablespoon good source of omega 3 fatty acids
PRODUCT CALORIES COMPANY WEBSITE COST Manufacturer’s Description
(range) (Parents’ comments)
Oils)

Useful for diluting other foods (not to


MILKS Generally be used in place of formulas!)
(Rice, Almond 16 cal. per Available in calcium and vitamin
or soy) oz. enriched formulas
Even some organic/non-filtered
JUICES About 20 should work – get pasturized to
cal. per oz avoid other problems.
(use 100%
juice)
Some #1 or #2 baby foods will help
Baby Foods Calories thicken up formulas to help with
vary with reflux problems; if using the baby
type food as a base, will need to dilute
with a formula or other fluid to tube
feeding consistency. Usually an
ordinary blender works fine.

BABY ¼ cup = Baby cereals can help thicken up


CEREALS about 60 formulas and may be helpful for
calories babies suffering from reflux; check
(15 g. or 2 with your pediatrician or GI doctor to
oz) determine how much cereal to add.
Barley cereal clumps less than
some cereals, but rice and others
work to thicken as well as to add
calories. Usually 1-2 tsp. per 8 oz is
a good starting point.

NUT Generally, Be careful of nut allergies; important


BUTTERS 100 to speak to doctor or nutritionist first.
(almond, soy, calories
cashew, per
peanut, etc. tablespoon
Some nutritionists have warned that
WHIPPING Approx 50 dairy products will worsen reflux;
CREAM cal per however, some moms have reported
Tbsp that using whipping cream in the
PRODUCT CALORIES COMPANY WEBSITE COST Manufacturer’s Description
(range) (Parents’ comments)
child’s formula thickens the formula
so much that vomits have been
eliminated and weight gain has
significantly increased with the use
of the cream.

Health Food stores, grocery stores


“WHOLE and private distributors often sell
MEALS” “whole meals’ in a shake form which
may be beneficial for weight gain
and which can be used for tubes.

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