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 adherenceDosing 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).
Serving size: 1.17 Ounce (oz)
Servings per container: 12

Ingredient

Quantity

Beta Carotene

250 mcg (416.67 IU)

Vitamin C

20 mg

Vitamin D3

1.67 mcg (66.8 IU)

Vitamin K

10 mcg

Calcium

85 mg

Chloride

228.4 mg

Copper

167 mcg

Iodine

16.5 mcg

Iron

1.5 mg

Magnesium

33.5 mg

Manganese

0.33 mg

Molybdenum

8.25 mcg

Phosphorus

82.3 mg

Potassium

150,000 mcg

Selenium

18 mcg

Zinc

2 mg

Biotin

50 mcg

Pantothenic Acid

3.3 mg

Quatrefolic®

33 mcg

Niacin

3.3 mg

Riboflavin 5' Phosphate

0.56 mg

Thiamin

0.5 mg

Methylcobalamin

0.5 mcg

Pyridoxal 5' Phosphate

0.67 mg

Choline

33.35 mg

Vitamin E

-

Gluten free
Dairy free
Soy free
Artificial color free
Artificial flavor free
Wheat free
Corn free
Yeast free

Suggested Use:
Mix each heaping scoopful (33.3 g) in 7-8 oz. (207-236 mL) of cold or room temperature water. Sip the mixture slowly over a period of 15 to 60 minutes based on individual comfort. Additional water may be added to the mixture as desired. Storage: Once mixed, any product that is not consumed after 60 minutes should be refrigerated for up to 24 hours, then stirred prior to consumption. After opening, store remaining powder in a dry place at room temperature.

Serving Size: 1.17oz (33.3g)

Amount Per Serving
Calories ... 150
Calories from Fat ... 50
Total Fat ... 6g
Saturated Fat ... 5g
Total Carbohydrate ... 15g
Sugars ... <1g
Sodium ... 120mg
Potassium ... 150mg
Protein **
Vitamin A ... 250mcg
(Beta Carotene)
Vitamin C ... 20mg
Calcium ... 85mg
Iron ... 1.5mg
Vitamin D3 ... 1.67mcg
Vitamin E ... 6.7mcg
Vitamin K ... 10mcg
Thiamin ... 0.5mg
Riboflavin ... 0.56mg
(Riboflavin-5’-phosphate)
Niacin ... 3.3mg
Vitamin B6 ... 667mcg
(Pyridoxal-5’-phosphate)
Folate ... 33mcg
(as Quatrefolic® (6S)-5-methyltetrahydrofolate glucosamine salt)
Vitamin B12 ... 0.5mcg
(Methylcobalamin)
Biotin ... 50mcg
Pantothenic Acid ... 3.3mg
Choline ... 33.35mg
Phosphorus ... 82.3mg
Iodine ... 16.5mcg
Magnesium ... 33.5mg
Zinc ... 2mg
Selenium ... 18mcg
Copper ... 167mcg
Manganese ... 332mcg
Molybdenum ... 8.25mcg
Chloride ... 228.4mg

Other Ingredients: medium chain triglycerides, tapioca maltodextrin, l-glutamine, l-proline, l-aspartic acid, l-serine, natural flavor, l-arginine hydrochloride, l-alanine, l-leucine, l-lysine hydrochloride, potassium citrate, l-valine, l-glycine, disodium phosphate, l-isoleucine, l-threonine, l-tyrosine, l-phenylalanine, l-methionine, tricalcium phosphate, dimagnesium malate, l-histidine hydrochloride, dicalcium malate, choline bitartrate, l-cysteine, magnesium citrate, potassium malate, l-tryptophan, l-carnitine l-tartrate, sodium ascorbate, l-taurine, d-alpha-tocopheryl acetate, ferrous gluconate, beta carotene, biotin, zinc sulfate, calcium-d-pantothenate, niacinamide, sodium chloride, sodium selenite, cholecalciferol, potassium iodide, manganese citrate, pyridoxal-5’-phosphate, phytonadione, riboflavin-5’-phosphate, sodium molybdate, thiamin hydrochloride, copper sulfate, Quatrefolic® ((6S)-5-methyltetrahydrofolate glucosamine salt), methylcobalamin.



Physicians' Elemental Diet™ Dextrose Free Does Not Contain
No dairy
Fructose
Sucrose
Yeast – Derived Ingredient
Gluten
Corn
Soy
Dairy Products
Artificial Colors
Artificial Flavors
Wheat
Dextrose
Xylitol
Lactose
sorbitol
Mannitol

Other Details
Quatrefolic® is a registered trademark of Gnosis S.p.A. U.S. Patent No. 7,947,662.
 
 

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.

Physicians' Elemental Diet™ Dextrose Free

Integrative Therapeutics

Emerson Item Code

IT2264

Vendor Item Code

12264

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