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Nutrison Protein Plus

Features

Suitable as a sole source of nutrition.^
1.25kcal/ml: to prevent overfeeding calories.
63g protein (20%E) per 1000ml: for people with increased protein requirements e.g. due to metabolic stress.¹
Whey-dominant P4 protein blend: in line with international recommendations on protein quality/amino acid profile and for gastro-intestinal tolerance benefits.^2-8
Fish oils: to provide Docosahexaenoic acid (DHA) and Eicosapentaenoic acid (EPA).
Medium chain triglycerides (MCT): for easier fat digestion and absorption.^9-10
Enriched with carotenoids: in line with general health recommendations for their antioxidant properties and positive effect on immune function.¹¹
1000ml OpTri Bottle: suitable for closed system or open system feeding via ISO compliant flip-top screw cap.

Product Information

A nutritionally complete, high protein, fibre free, ready-to-use enteral tube feed.

Indications

For use in the dietary management of:

Disease-related malnutrition with moderate metabolic stress.
Conditions with increased protein requirements e.g. post-surgery, infections, cancer, trauma.

Important Notice

Not for parenteral use.
Not suitable for patients with galactosaemia.
Not suitable for patients with cow’s milk protein allergy.
Not suitable for infants under 1 year of age.
Use with caution in children aged 1-6 years of age.
Use with caution in individuals with a seafood allergy.
Must be used under medical supervision.

Direction for Use

Use at room temperature.
Check appearance before use and shake well.
Handle aseptically to ensure product remains sterile.
Usage to be determined by a healthcare professional.
Do not dilute or add medications to the formula.

Storage

Store in a cool, dry place.
Once opened, close the bottle and store in a refrigerator.
Discard unused contents after 24 hours.

Order Information

Contact Nutricia Customer Experience 0800 688 747

Nutrison Protein Plus	Product Code	Units per carton	Pharmacode
1000ml OpTri bottle	132385	8	2572974

Ingredients

Full ingredients list and nutritional information is available on the product fact sheet.

Allergen & Cultural Information

Contains: milk, soy and fish.
Halal certified.
Nutricia UK and/or Ireland have Kosher approval for this product.
No gluten containing ingredients. No detectable gluten when tested to a sensitivity level of less than 5 parts per million (<5 ppm i.e. <5mg/kg).
Low lactose (lactose <2g/100g).

References

Hurt RT, McClave SA, Martindale RG, et al. Summary Points and Consensus Recommendations From the International Protein Summit. Nutrition in Clinical Practice. 2017;32:142S–151S.
World Health Organization. Protein and amino acid requirements in human nutrition: report of a joint FAO/WHO/UNU expert consultation. 2007; WHO technical report series ; no. 935.
Kuyumcu S, Menne D, Curcic J, et al. Noncoagulating enteral formula can empty faster from the stomach: A double-blind, randomized crossover trial using magnetic resonance imaging. Journal of Parenteral and Enteral Nutrition. 2015;39:544-551.
Van den Braak CC, Klebach M, Abrahamse E, et al. A novel protein mixture containing vegetable proteins renders enteral nutrition products non-coagulating after in vitro gastric digestion. Clinical Nutrition. 2013;32:765-771.
Klebach M, Hofman Z, Bluemel S, et al. Effect of protein type in enteral nutrition formulas on coagulation in the stomach in vivo: Post hoc analyses of a randomized controlled trial with MRI. Abstract presented at Clinical Nutrition Week, January 16–19; Austin, Tx. Journal of Parenteral and Enteral Nutrition. 2016;40:134(21).
Luttikhold J, van Norren K, Rijna H, et al. Jejunal feeding is followed by a greater rise in plasma cholecystokinin, peptide YY, glucagon-like peptide 1, and glucagon-like peptide 2 concentrations compared with gastric feeding in vivo in humans: a randomized trial. Am J Clin Nutr. 2016;103:435–43.
Abrahamse E, van der Lee S, van den Braak S, et al. Gastric non-coagulation of enteral tube feed yields faster gastric emptying of protein in a dynamic in vitro model. Abstract presented at 34th ESPEN Congress. Sept 8-11; Barcelona, Spain. Clinical Nutrition Supplements. 2012;7:PP239(119).
Liu J, Klebach M, Abrahamse E, et al. Specific protein mixture reduces coagulation: An in vitro stomach model study mimicking a gastric condition in critically ill patients. Poster presented at 38th ESPEN Congress. 17-20 September; Copenhagen, Denmark. Clinical Nutrition. 2016;35:MON-P182 (S220).
Beckers EJ, Jeukendrup AE et al. Gastric emptying of carbohydrate-medium chain triglyceride suspensions at rest. Int J Sorts Med. 1992 Nov;13(8):581-4.
Hunt JN, Knox MT. A relation between the chain length of fatty acids and the slowing of gastric emptying. J Physiol.1968 Feb;194(2):327-36.
Cooper DA, Eldridge AL, Peters JC. Dietary carotenoids and certain cancer, heart disease and age-related macular degeneration: A review of recent research. Nutrition Reviews 1999; 57:201-214.

Additional Information

^ In accordance with Australia New Zealand Food Standards Code – Standard 2.9.5