6 7 ENERGY DISTRIBUTION Protein 20% Fat 35% Carbohydrate 45% Fibre 0% ORDER CODE Vanilla: 7447601 Fruits of the Forest: 7482601 Apricot-Peach: 7487601 Cappuccino: 7492601 Toffee: 7494601 Neutral: 7497601 INGREDIENTS VANILLA FLAVOUR Water, glucose syrup, milk protein, vegetable oils (sunflower oil, rapeseed oil), sucrose, maltodextrin, flavourings, potassium citrate, emulsifiers (soya lecithin, E471), sodium chloride, potassium carbonate, acidity regulator (E507), sodium carbonate, vit. C, magnesium oxide, iron pyrophosphate, zinc sulphate, niacin, manganese chloride, pantothenic acid, vit. E, copper sulphate,vit. B2 , vit. B6, sodium fluoride, vit. B1 , ß-carotene, vit. A, folic acid, chromium chloride, potassium iodide, sodium molybdate, sodium selenite, vit. K1 , biotin, vit. D3 , vit. B12. FRUITS OF THE FOREST FLAVOUR Water, glucose syrup, milk protein, vegetable oils (sunflower oil, rapeseed oil), sucrose, flavourings, maltodextrin, potassium citrate, emulsifiers (soya lecithin, colouring food: beetroot powder, E471), sodium chloride, potassium carbonate, acidity regulator (E507), sodium carbonate, vit. C, magnesium oxide, iron pyrophosphate, zinc sulphate, niacin, manganese chloride, pantothenic acid, vit. E, copper sulphate, vit. B2 , vit. B6, sodium fluoride, vit. B1 , ß-carotene, vit. A, folic acid, chromium chloride, potassium iodide, sodium molybdate, sodium selenite, vit. K1 , biotin, vit. D3 , vit. B12. APRICOT-PEACH FLAVOUR Water, glucose syrup, milk protein, vegetable oils (sunflower oil, rapeseed oil), sucrose, maltodextrin, flavourings, potassium citrate, emulsifiers (soya lecithin, E471), sodium chloride, potassium carbonate, acidity regulator (E507), sodium carbonate, vit. C, magnesium oxide, iron pyrophosphate, niacin, zinc sulphate, manganese chloride, pantothenic acid, vit. E, copper sulphate, vit. B2 , vit. B6, sodium fluoride, vit. B1 , ß-carotene, vit. A, folic acid, potassium iodide, chromium chloride, sodium molybdate, sodium selenite, vit. K1 , biotin, vit. D3 , vit. B12. CAPPUCCINO FLAVOUR Water, glucose syrup, milk protein, vegetable oils (sunflower oil, rapeseed oil), sucrose, flavourings, maltodextrin, potassium citrate, emulsifiers (soya lecithin, E471), sodium chloride, potassium carbonate, acidity regulator (E507), sodium carbonate, vit. C, magnesium oxide, iron pyrophosphate, niacin, zinc sulphate, manganese chloride, pantothenic acid, vit. E, copper sulphate, vit. B2 , vit. B6, sodium fluoride, vit. B1 , ß-carotene, vit. A, folic acid, potassium iodide, chromium chloride, sodium molybdate, sodium selenite, vit. K1 , biotin, vit. D3 , vit. B12. TOFFEE FLAVOUR Water, glucose syrup, milk protein, vegetable oils (sunflower oil, rapeseed oil), sucrose, flavourings, maltodextrin, potassium citrate, emulsifiers (soya lecithin, E471), sodium chloride, potassium carbonate, acidity regulator (E507), sodium carbonate, vit. C, magnesium oxide, iron pyrophosphate, niacin, zinc sulphate, manganese chloride, pantothenic acid, vit. E, copper sulphate, vit. B2 , vit. B6, sodium fluoride, vit. B1 , ß-carotene, vit. A, folic acid, potassium iodide, chromium chloride, sodium molybdate, sodium selenite, vit. K1 , biotin, vit. D3 , vit. B12. NEUTRAL FLAVOUR Water, glucose syrup, milk protein, vegetable oils (sunflower oil, rapeseed oil), maltodextrin, potassium citrate, emulsifiers (soya lecithin, E471), potassium carbonate, acidity regulator (E507), sodium chloride, sodium carbonate, vit. C, magnesium oxide, iron pyrophosphate, niacin, zinc sulphate, manganese chloride, pantothenic acid, vit. E, copper sulphate, vit. B2 , vit. B6, sodium fluoride, vit. B1 , ß-carotene, vit. A, folic acid, potassium iodide, chromium chloride, sodium molybdate, sodium selenite, vit. K1 , biotin, vit. D3 , vit. B12. Date of Preparation: September 2019 EN/Gen/014.19 DESCRIPTION A flavoured liquid consisting of protein (milk) vegetable oils (rapeseed oil, sunflower oil), carbohydrates, vitamins, minerals and trace elements. Lactose and gluten free. PRESENTATION Fresubin® Fresubin Original fibre is a nutritionally complete, high calorie (2.0 kcal/ml), high protein (20% energy) oral nutritional supplement, fibre free. High in vitamin D. Fresubin® 2kcal is ready to use and presented in a 200ml EasyBottle with straw. It is available in six flavours: vanilla, fruits of the forest, apricot-peach, cappuccino*, toffee and neutral. *Cappuccino flavour contains trace of caffeine (0.65mg/100ml). CONTRA-INDICATIONS FOR ENTERAL USE ONLY NOT SUITABLE WHERE ENTERAL NUTRITION IS NOT PERMITTED NOT SUITABLE FOR CHILDREN UNDER THREE YEARS NOT SUITABLE FOR PATIENTS WITH GALACTOSAEMIA PRECAUTIONS MUST ONLY BE USED UNDER MEDICAL SUPERVISION USE WITH CAUTION IN CHILDREN UNDER 6 YEARS ENSURE ADEQUATE FLUID INTAKE INDICATIONS FOR USE For the dietary management of patients with or at risk of disease related malnutrition, in particular for patients with increased energy and protein needs or fluid restrictions. Fresubin® 2kcal is a Food for Special Medical Purposes. Fresubin® 2kcal is prescribable on FP10/GP10 for the following indications: For the dietary management of disease related malnutrition, short bowel syndrome, intractable malabsorption, pre-operative preparation of malnourished patient, dysphagia, proven inflammatory bowel disease, following total gastrectomy, bowel fistula. DOSAGE Dosage should be calculated by a clinician or dietitian according to individual requirements. Recommendation for supplementary nutrition 1-2 bottles (400- 800kcal)/ day or complete nutrition 4-5 bottles (1600-2000 kcal) /day. STORAGE Store in a cool place, do not store above 25°C. Once opened, can be stored for up to 24 hours in a refrigerator. Shake well before use. Drink slowly. PACK SIZE 24 x 200ml bottles. SHELF LIFE 15 months from date of manufacture. ® is a registered trademark of Fresenius Kabi AG. Fresenius Kabi Ltd is an authorised user. TYPICAL FATTY ACID PROFILE g Per 100ml V/FF CAP/A-P/T C14:0 Myristic acid 0 <0.01 C16:0 Palmitic acid 0.34 0.34 C18:0 Stearic acid 0.22 0.22 C18:1w9 Oleic acid 5.53 5.53 C18:2w6 Linoleic acid 1.11 1.11 C18:3w3 a-Linolenic acid 0.27 0.27 TYPICAL AMINO ACID PROFILE g Per 100ml TYPICAL CARBOHYDRATE PROFILE g Per 100ml V/FF CAP A-P T N Glucose 0.475 0.50 0.50 0.52 0.55 Fructose - - - - - Maltose 2.05 2.13 2.14 2.10 2.39 Saccharose 3 2.2 2.4 2.26 0 Lactose ≤0.3 ≤0.3 ≤0.3 ≤0.3 ≤0.3 Oligo-/polysaccharides 16.72 17.4 17.2 17.3 19.28 Starch - - - - - * dependent on flavour V - Vanilla FF - Fruits of the Forest CAP - Cappuccino A-P - Apricot-Peach T - Toffee N - Neutral NUTRITIONAL COMPOSITION Per 100ml Per 200ml ENERGY kcal (kJ) 200 (840) 400 (1680) PROTEIN g 10 20 CARBOHYDRATE g 22.5 45 Of which sugars g 3.2-5.8* 6.4-11.6* Of which lactose g ≤0.3 ≤0.6 FAT g 7.8 15.6 Of which saturated fatty acids g 0.6 1.2 Of which monounsaturated fatty acids g 5.8 11.6 Of which polyunsaturated fatty acids g 1.4 2.8 FIBRE g 0 0 SALT g (Na x 2.5) 0.15 0.3 WATER ml 69-70* 138*140* OSMOLARITY mosmol/l 495-640* OSMOLALITY mosmol/kg H2 O 720-920* MINERALS AND TRACE ELEMENTS Per 100ml Per 200ml SODIUM mg (mmol) 60 (2.6) 120 (5.2) POTASSIUM mg (mmol) 160 (4.1) 320 (8.2) CHLORIDE mg (mmol) 80 (2.3) 160 (4.6) CALCIUM mg (mmol) 205 (5.1) 410 (10.2) PHOSPHORUS mg (mmol) 120 (3.9) 240 (7.8) MAGNESIUM mg (mmol) 16 (0.7) 32 (1.4) IRON mg 2.5 5 ZINC mg 1.6 3.2 COPPER µg 375 750 MANGANESE mg 0.5 1 IODINE µg 37.5 75 CHROMIUM µg 12.5 25 MOLYBDENUM µg 18.8 37.6 FLUORIDE mg 0.25 0.5 SELENIUM µg 13.5 27 VITAMINS Per 100ml Per 200ml VITAMIN A µgRE 212.5 425 of which β- carotene µg RE 62.5 125 VITAMIN D3 µg 5 10 VITAMIN E mg TE 3.75 7.5 VITAMIN K1 µg 21 42 VITAMIN B1 mg 0.3 0.6 VITAMIN B2 mg 0.4 0.8 NIACIN mg 3.75(5.58mg NE) 7.5(11.16mg NE) VITAMIN B6 mg 0.43 0.86 VITAMIN B12 µg 0.75 1.5 PANTOTHENIC ACID mg 1.5 3 BIOTIN µg 9.4 18.8 FOLIC ACID µg 62.5 125 VITAMIN C mg 18.8 37.6 FRESUBIN® 2KCAL DRINK ENTERAL NUTRITION TYPICAL AMINO ACID PROFILE g Per 100ml ESSENTIAL Histidine 0.3 Isoleucine 0.57 Leucine 1.01 Lysine 0.84 Methionine 0.29 Phenylalanine 0.52 Threonine 0.46 Tryptophan 0.11 Valine 0.73 CONDITIONALLY ESSENTIAL Cysteine 0.05 Tyrosine 0.57 Taurine - Glycine 0.07 Arginine 0.37 Glutamine 0.94 Proline 1.03 NON-ESSENTIAL Aspartic acid and asparagine 0.92 Glutamic acid 1.28 Alanine 0.33 Serine 0.62