Product description
• 44 % branched chain amino acids to counteract hepatic encephalopathy and to improve nutritional status (1-4)
• Low in volume and sodium (5) to counteract ascites and oedema (6)
• With medium chain triglycerides (MCT) (35 % of fat) for easy absorption (7)
• With fibre (2 g/ bottle) to maintain gut physiology (8)
Reference: 1. Plauth M, Cabre E, Riggio O, et al. ESPEN guidelines on enteral nutrition: liver disease. Clin Nutr. 2006; 25(2): 285–294.
2. Amodio P, Bemeur C, Butterworth R, et al. The Nutritional Management of Hepatic Encephalopathy in Patients With Cirrhosis: International Society for Hepatic Encephalopathy and Nitrogen Metabolism Consensus. Hepatology. 2013; 58(1): 325–336.
3. Gluud LL, Dam G, Les I, et al. Branched-chain amino acids for people with hepatic encephalopathy. Cochrane Library. 2007. CD001939
4. Kawaguchi T, Taniguchi E, Sata M. Effects of oral branched-chain amino acids on hepatic encephalopathy and outcome in patients with liver cirrhosis. Nutrition in Clinical Practice. 2013; 28(5) 580–588.
5. Ginés P, Angeli P, Lenz K, et al. European Association for the Study of the Liver. EASL clinical practice guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrhosis. J Hepatol. 2010; 53(3): 397–417.
6. Runyon BA. Management of adult patients with ascites due to cirrhosis: an update. Hepatology. 2009; 49(6): 2087–2107.
7. Babayan VK. Medium chain triglycerides and structured lipids. Lipids. 1987; 22(6): 417–420.
8. Lochs H, Allison SP, Meier R, et al. Introductory to the ESPEN Guidelines on Enteral nutrition: terminology, definitions and general topics. Clin Nutr. 2006; 25(2): 180–186.
Product efficacy /Target users
■ With or at risk of malnutrition
■ Acute and chronic liver failure
■ Risk of hepatic encephalopathy
Instructions
Nutrition supplement: 2-3 bottles (520-780 kcal)
Complete nutrition: 7-8 bottles (1820-2080 kcal)
Ingredients
Water, maltodextrin, vegetable oils (rapeseed oil, soya oil), medium chain triglycerides (MCT), soya protein, soya polysaccharides, milk protein, l-leucine, flavourings (with maltodextrin from wheat), l-valine, l-arginine hydrochloride, potassium citrate, l-isoleucine, calcium phosphate, sodium citrate, magnesium citrate, sweeteners (E952, E954), choline chloride, vitamin C, acidity regulator (E 330), magnesium oxide, calcium carbonate, iron sulphate, thickener (E 407), zinc sulphate, niacin, vitamin E, manganese chloride, pantothenic acid, sodium fluoride, vitamin B2, vitamin B6, copper sulphate, vitamin B1, vitamin A, ß-carotene, folic acid, chromium chloride, sodium molybdate, potassium iodide, sodium selenite, vitamin K1, biotin, vitamin D3, vitamin B12.
Origin
Germany
