Nutricia

March 2016:  Nutricia update regarding KetoCal 4:1 powder

Dear Customer

I am pleased to inform you that Nutricia will be introducing a new and improved formulation of KetoCal 4:1 powder 300g in Unflavoured and Vanilla. KetoCal 4:1 powder deliveries despatched via the Homeward delivery service after March 28st 2016 will be the new formulation. There have not been any changes made to KetoCal 3:1 powder or KetoCal 4:1 LQ products.

What are the nutritional changes?
The KetoCal 4:1 powder recipe has been updated to include:

1. Reduced levels of saturated fat and trans fat
2. Added essential fatty acids
3. Added soluble and insoluble fibres
4. Upgraded vitamin and mineral profile including increased Calcium and Vitamin D
5. Now aspartame free

Are there any changes in the appearance of the product?
The new product is darker, coarser and less uniform in appearance, which is a result of removing the trans fatty acids.

Will this affect the nutritional composition of my ketogenic recipes that use KetoCal 4:1 powder?
Yes, all recipes that use the reformulated KetoCal 4:1 will need to be recalculated using the updated macronutrient values. For EKM users this will be:

Protein per 100g = 14.4g
Carbohydrate per 100g = 2.9g
Fat per 100g = 69.2g

Please note that we have updated our range of recipe books and can send replacements upon request. Please contact the Nutricia Homeward team (0800 093 3675) to request an updated recipe book.

Have the mixing guidelines changed for reconstituting KetoCal 4:1 powder into a liquid?
Yes, we recommend that the reformulated KetoCal is made up by mixing 14.2g of powder to 86ml of water. This is a change from 20g powder to 80ml of water. Please note that your dietitian will be able provide further guidance if you are using Ketocal 4:1 powder as a tube feed.

Will my dietitian/ doctor be aware of the change?
Yes, communications have been sent to inform all relevant healthcare professionals.

What does this mean for you?
This means that after 28st March 2016 your next scheduled delivery of KetoCal 4:1 powder will be the new formulation.

Where can I find more information?
If you have any further questions or would like to receive more information on the product update, please do not hesitate to contact the Nutricia Homeward team on 0800 093 3675.
Yours sincerely,

Stephen Anderson
Senior Brand Manager – Metabolics

Calogen

It is a fat ‘emulsion’ and the plain version has no carbs or protein contained in it, so it can prove a useful way of getting the fat into the ketogenic diet. You can use it instead of double cream although you can’t whip it.  It can be used in sugar free jellies or in quiche recipes.

If you want to use it as a sauce for a dinner – when you have cooked everything take it off the heat and just pour over the top.  Don’t ‘fry’ it or it will separate.

Calogen flavoured with sugar free DaVinci syrups can be added to make a kind of ‘milkshake’ drink to go with a meal.

Liquigen

This is an MCT product and you can use liquigen in the same way as Calogen.

NB – Both Calogen and Liquigen need to be stored in the fridge once opened.  Once opened do not keep it for longer than 14 days.  Write the date you opened the bottle in black marker pen on the label – that way you won’t forget and you won’t go over the 14 days.

MCT Oil

This is the pure oil form of MCT unlike Liquigen which is an ‘emulsion’ type white liquid.  MCT oil is clear and you can use it as you would any ordinary oil.

This oil can be very useful for those on the MCT diet or are using MCT to supplement their classical or modified diet.  For those struggling on an MCT diet using liquigen because of the quantities needing to be consumed, then the oil might be more appropriate.  Liquigen has 50% MCT oil in it whereas the oil is 100% MCT – so you only need to use half the amount.  For Example:  if you need to have 50g of Liquigen at every meal time, that could be replaced with 25g of MCT oil.

A mix of the two products can be used to achieve your required prescription amount.

Ketocal

Ketocal Powder comes in 4:1 and 3:1 powders as well as liquids available in original and vanilla flavours. It is frequently used for those patients that are tube fed.  It is also a very useful item for those that are taking a ketogenic diet orally.