Elemental Diet for Patients with Moderate to Severe Gastrointestinal/Digestive Impairment

Physicians’ Elemental Diet Dextrose Free is intended for use under medical supervision for the dietary management of patients with GI dysfunction.

The elemental diet is designed for the dietary management of:

• Irritable bowel and Crohn’s disease

• Small intestinal bacterial overgrowth (SIBO)

• Moderate to severe impaired gastrointestinal function.

Physicians’ Elemental Diet Dextrose Free contains a balanced blend of macronutrients fortified with essential vitamins, minerals, and electrolytes to assure comprehensive support as a sole source of nutritional intake for limited periods. It has been:

• Specifically formulated to contain free amino acids, partially hydrolyzed carbohydrate, and medium chain triglycerides to aid in their absorption from the GI lumen.

• Designed to maintain nutritional sustenance as a sole source of nutrition for up to four weeks.

• Produced as a strictly hypoallergenic formula, free from yeast, wheat, gluten, dairy products, fructose, sucrose, lactose, disaccharides, sorbitol, mannitol, xylitol, artificial colors, flavors or preservatives.

• Formulated with a well-tolerated flavor for improved patient adherence

Dosing by Caloric Need

Physicians’ Elemental Diet Dextrose Free should be used for 2-4 weeks. It was designed to maintain nutritional sustenance as a sole source of nutrition, and can be used as a half-elemental diet making dosing dependent upon the caloric needs of each patient. One scoop of Physicians’ Elemental Diet Dextrose Free = 35 grams, and 150 calories. Each 1,260g bag contains 36 scoops (5,400 calories).

Dietary Considerations

Wheat Free

Dairy/ Milk Free

Gluten Free

Soy Free

Yeast Free

Preservative Free

Corn Free

Free of Artificial Colors/Flavors

Lactose Free

Serving Size:35 g

Servings Per Container:36

Amount Per Serving

Calories150

Calories from Fat40

Total Fat40 g

Saturated Fat4 g

Total Carbohydrate23 g

Sugars1 g

Sodium140 mg

Potassium150 mg

Vitamin A Beta Carotene250 mcg

Vitamin C20 mg

Calcium85 mg

Iron1.5 mg

Vitamin D31.67 mcg

Vitamin E6.7 mg

Vitamin K10 mcg

Thiamin0.5 mg

Riboflavin (Riboflavin-5’-phosphate)0.56 mg

Niacin3.3 mg

Vitamin B6 (Pyridoxal-5’-phosphate)667 mcg

Folate (as Quatrefolic (6S)-5-methyltetrahydrofolate glucosamine salt)33 mcg

Vitamin B12 (Methylcobalamin)0.5 mcg

Biotin50 mcg

Pantothenic Acid3.3 mg

Choline33.35 mg

Phosphorus82.8 mg

Iodine16.5 mcg

Magnesium33.5 mg

Zinc2 mg

Selenium18 mcg

Copper167 mcg

Manganese332 mcg

Molybdenum8.25 mcg

Chloride164.6 mg

tapioca maltodextrin

medium chain triglycerides

l-glutamine

l-proline

natural flavor

l-aspartic acid

l-serine

l-arginine hydrochloride

l-alanine

potassium citrate

l-leucine

l-lysine hydrochloride

disodium phosphate

l-valine

l-glycine

l-isoleucine

l-threonine

tricalcium phosphate

l-tyrosine

dimagnesium malate

dicalcium malate

l-phenylalanine

choline bitartrate

l-methionine

l-histidine

l-cysteine hydrochloride

potassium malate

magnesium citrate

l-tryptophan

l-carnitine l-tartrate

sodium ascorbate

d-alpha tocopheryl acetate

iron gluconate

l-taurine

zinc sulfate

calcium d-pantothenate

beta carotene

niacinamide

sodium chloride

sodium selenite

manganese citrate

phytonadione

pyridoxyl-5’-phosphate

cholecalciferol

riboflavin-5’-phosphate

thiamine hydrochloride

copper sulfate

Quatrefolic ((6S)-5-methyltetrahydrofolate glucosamine salt)

d-biotin

sodium molybdate

potassium iodide

methylcobalamin

Suggested Use 

Thoroughly mix each heaping scoopful (35 g) in 4-8 oz. (118-236 mL) chilled or room temperature water. Additional water may be added to the mixture or consumed separately as desired. Consume the mixture slowly over a period of 15 to 60 minutes or more, dependent upon individual comfort. Once mixed, any product that is not consumed after 60 minutes should be refrigerated for a maximum of 24 hours, then shaken or stirred prior to consumption. After opening, store remaining powder in a dry place at room temperature.

Warning

Medical Food intended for use under medical supervision. Not intended for use in children.

Packaged by weight, not volume. Settling of contents may occur.

Keep out of reach of children. Do not use if pouch is torn or open.