Features

• Calorically dense (1.3 Cal/mL) for the elevated energy needs of metabolically stressed patients

• High in protein (20.5% of calories) for the elevated protein needs of metabolically stressed patients

• Peptide-based, hydrolyzed protein for easier absorption. Well tolerated as a tube feeding.^1,2

• 1.6 g of NutraFlora® scFOS®^*/8 fl oz (6.5 g/L and 9.8 g/1500 mL). scFOS are prebiotic soluble fibers that stimulate the growth of beneficial bacteria in the colon

• Arginine (8 g/L total arginine at 2.5% of total calories) for wound healing and immune support

• Meets or exceeds 100% of the RDIs for 24 essential vitamins and minerals in 1500 Cal (1155 mL)

• Gluten-free; suitable for lactose intolerance

• Halal

• Kosher

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Nutrition

Unflavored

• Perative Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Case of 24

• Perative Ready-To-Hang Institutional / 1000-mL (33.8-fl-oz) Bottle / Case of 8

• Perative Ready-To-Hang Institutional / 1500-mL (50.7-fl-oz) Bottle / Case of 6

Serving Size: 8 fl oz (237 mL)
Amount Per Serving	% DV	% RDI*
Characteristics
Nutrient Density, Cal/mL: 1.3
Protein, % Cal: 20.5
Fat, % Cal: 25.0
Carbohydrate, % Cal: 54.5
MCT:LCT: 40:60
Cal to Meet 100% RDIs: 1500
mL to Meet 100% RDIs: 1155
Total Cal:g Nitrogen: 122:1
Nonprotein Cal:g Nitrogen: 97:1
Osmolality, mOsm/kg H2O: 460
Renal Solute Load, mOsm/L: 539
Minimum Tube Size for Gravity/Pump Feeding (Fr): 10/8
Nutrient Data
Protein, g: 15.8
Fat, g: 8.8
Carbohydrate, g: 42.8
Dietary Fiber, g: 1.6†
L-Carnitine, mg: 31
Taurine, mg: 31
Water, g: 187
Energy, Cal: 308
Vitamins
Vitamin A, IU: 2055‡		41
Beta-Carotene, mg: 1.0
Vitamin D, IU: 83		21
Vitamin E, IU: 9.3		31
Vitamin K, mcg: 17		21
Vitamin C, mg: 62		105
Folic Acid, mcg: 125		31
Thiamin (Vitamin B1), mg: 0.47		31
Riboflavin (Vitamin B2), mg: 0.53		31
Vitamin B6, mg: 0.62		31
Vitamin B12, mcg: 1.9		32
Niacin, mg: 6.2		31
Choline, mg: 125		Not established
Biotin, mcg: 93		31
Pantothenic Acid, mg: 3.1		31
Minerals
Sodium, mg: 245		Not established
Sodium, mEq: 10.7
Potassium, mg: 410		Not established
Potassium, mEq: 10.5
Chloride, mg: 390		11
Chloride, mEq: 11.0
Calcium, mg: 210		21
Phosphorus, mg: 210		21
Magnesium, mg: 83		21
Iodine, mcg: 31		21
Manganese, mg: 1.1		55
Copper, mg: 0.42		21
Zinc, mg: 4.7		31
Iron, mg: 3.7		21
Selenium, mcg: 15		21
Chromium, mcg: 25		21
Molybdenum, mcg: 31		41
* RDI percentages for adults and children 4 or more years of age.
† 1.6 g of fructooligosaccharides.
‡ 1325 IU of vitamin A activity supplied by 1.0 mg of beta-carotene.

Serving Size: 1000 mL
Amount Per Serving	% DV	% RDI*
Characteristics
Nutrient Density, Cal/mL: 1.3
Protein, % Cal: 20.5
Fat, % Cal: 25.0
Carbohydrate, % Cal: 54.5
MCT:LCT: 40:60
Cal to Meet 100% RDIs: 1500
mL to Meet 100% RDIs: 1155
Total Cal:g Nitrogen: 122:1
Nonprotein Cal:g Nitrogen: 97:1
Osmolality, mOsm/kg H2O: 460
Renal Solute Load, mOsm/L: 539
Minimum Tube Size for Gravity/Pump Feeding (Fr): 10/8
Nutrient Data
Protein, g: 66.7
Fat, g: 37.3
Carbohydrate, g: 180.3
Dietary Fiber, g: 6.5†
L-Carnitine, mg: 135
Taurine, mg: 135
Water, g: 790
Energy, Cal: 1300
Vitamins
Vitamin A, IU: 8675‡		175
Beta-Carotene, mg: 4.2
Vitamin D, IU: 350		87
Vitamin E, IU: 40		135
Vitamin K, mcg: 70		87
Vitamin C, mg: 260		435
Folic Acid, mcg: 520		130
Thiamin (Vitamin B1), mg: 2.0		135
Riboflavin (Vitamin B2), mg: 2.3		135
Vitamin B6, mg: 2.6		130
Vitamin B12, mcg: 7.9		130
Niacin, mg: 27		135
Choline, mg: 520		Not established
Biotin, mcg: 395		130
Pantothenic Acid, mg: 14		140
Minerals
Sodium, mg: 1040		Not established
Sodium, mEq: 45.2
Potassium, mg: 1735		Not established
Potassium, mEq: 44.4
Chloride, mg: 1650		49
Chloride, mEq: 46.6
Calcium, mg: 870		87
Phosphorus, mg: 870		87
Magnesium, mg: 350		87
Iodine, mcg: 135		90
Manganese, mg: 4.4		220
Copper, mg: 1.8		90
Zinc, mg: 20		135
Iron, mg: 16.0		89
Selenium, mcg: 61		87
Chromium, mcg: 105		87
Molybdenum, mcg: 135		180
* RDI percentages for adults and children 4 or more years of age.
† 6.6 g of fructooligosaccharides.
‡ 5565 IU of vitamin A activity supplied by 4.2 mg of beta-carotene.

Serving Size: 1500 mL
Amount Per Serving	% DV	% RDI*
Characteristics
Nutrient Density, Cal/mL: 1.3
Protein, % Cal: 20.5
Fat, % Cal: 25.0
Carbohydrate, % Cal: 54.5
MCT:LCT: 40:60
Cal to Meet 100% RDIs: 1500
mL to Meet 100% RDIs: 1155
Total Cal:g Nitrogen: 122:1
Nonprotein Cal:g Nitrogen: 97:1
Osmolality, mOsm/kg H2O: 460
Renal Solute Load, mOsm/L: 539
Minimum Tube Size for Gravity/Pump Feeding (Fr): 10/8
Nutrient Data
Protein, g: 100.0
Fat, g: 56.0
Carbohydrate, g: 270.4
Dietary Fiber, g: 9.8†
L-Carnitine, mg: 200
Taurine, mg: 200
Water, g: 1185
Energy, Cal: 1950
Vitamins
Vitamin A, IU: 13,005‡		260
Beta-Carotene, mg: 6.3
Vitamin D, IU: 525		130
Vitamin E, IU: 60		200
Vitamin K, mcg: 105		130
Vitamin C, mg: 395		660
Folic Acid, mcg: 785		195
Thiamin (Vitamin B1), mg: 3.0		200
Riboflavin (Vitamin B2), mg: 3.4		200
Vitamin B6, mg: 3.9		195
Vitamin B12, mcg: 12.0		200
Niacin, mg: 40		200
Choline, mg: 785		Not established
Biotin, mcg: 590		195
Pantothenic Acid, mg: 20		200
Minerals
Sodium, mg: 1560		Not established
Sodium, mEq: 67.8
Potassium, mg: 2600		Not established
Potassium, mEq: 66.7
Chloride, mg: 2470		73
Chloride, mEq: 69.8
Calcium, mg: 1305		130
Phosphorus, mg: 1305		130
Magnesium, mg: 525		130
Iodine, mcg: 200		135
Manganese, mg: 6.5		325
Copper, mg: 2.6		130
Zinc, mg: 30		200
Iron, mg: 24.0		135
Selenium, mcg: 92		130
Chromium, mcg: 160		135
Molybdenum, mcg: 200		265
* RDI percentages for adults and children 4 or more years of age.
† 9.8 g of fructooligosaccharides.
‡ 8350 IU of vitamin A activity supplied by 6.3 mg of beta-carotene.

Ingredients

Unflavored

• Perative Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Case of 24

• Perative Ready-To-Hang Institutional / 1000-mL (33.8-fl-oz) Bottle / Case of 8

• Perative Ready-To-Hang Institutional / 1500-mL (50.7-fl-oz) Bottle / Case of 6

Water, Corn Maltodextrin, Partially Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Canola Oil, Medium-Chain Triglycerides, Fructooligosaccharides, L-Arginine, Corn Oil, Magnesium Chloride, Potassium Citrate, Calcium Phosphate, Citric Acid, Soy Lecithin, Ascorbic Acid, Potassium Phosphate, Choline Chloride, Carrageenan, Potassium Chloride, Taurine, L-Carnitine, Zinc Sulfate, Ferrous Sulfate, dl-Alpha-Tocopheryl Acetate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Beta-Carotene, Riboflavin, Vitamin A Palmitate, Folic Acid, Biotin, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients.

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Preparation

• Instructions for Use: Ready-to-Hang bottle
  
  All liquid medical foods, regardless of type of administration system, require careful handling because they can support microbial growth. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination. NOTE: Failure to follow the Instructions for Use increases the potential for microbial contamination and reduces hangtime.
  • Pump feeding is recommended; use an 8 Fr or larger tube. If gravity feeding, use a 10 Fr or larger tube.
  • Administer product at room temperature.
  • THOROUGHLY wash hands with soap and water before handling container or feeding set.
  • Turn container upside down and SHAKE VIGOROUSLY, using a twisting motion for at least 10 seconds.
  • DO NOT touch any part of the container or feeding set that comes into contact with the formula.
  • Visually inspect foil for signs of leakage. DO NOT use if leakage is apparent.
  • When initiating feeding, follow physician's instructions. Adjust flow rate and volume according to patient's condition and tolerance.
  • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
  • Follow Directions for Use provided with Abbott feeding set.
  For Use with Abbott Screw Cap Set:
  • Remove plastic cap from RTH container taking care NOT to touch the foil seal.
  • Secure 40 mm Screw Cap set onto the RTH container.
  • Close clamp on set before inverting container.
  • Invert container and suspend, using the hanging ring on the bottom of the container.
  • Hang product up to 24 hours when clean technique and only one Screw Cap feeding set is used.
  For Use with Abbott Piercing Pin Set:
  • Lift tab to remove sticker from cap, taking care NOT to touch port. DO NOT remove the plastic cap.
  • Insert spike into preattached cap, completely pierce foil, and turn 1/4 turn.
  • Close clamp on set before inverting container.
  • Invert container and suspend, using the hanging ring on the bottom of the container.
  • Hang product up to 48 hours after initial spike when clean technique and only one new set is used. Otherwise, hang no longer than 24 hours.
  
  
  
• Instructions for Use: 8-fl-oz-can
  • Store unopened at room temperature; avoid extreme temperatures.
  • Shake well. Perative is ready to use
  • Clean top of container thoroughly before opening.
  • Once opened, cover, refrigerate and use within 48 hours.
  Oral Feeding:
  • May by used for total or supplemental nutrition.
  • May be fed at room temperature or chilled.
  Tube Feeding:
  • Follow physician's instructions.
  • Adjust flow rate and volume according to patient's condition and tolerance.
  • Feed by pump at room temperature with an 8 Fr or larger tube; use a 10 Fr or larger tube for gravity feeding.
  • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
  • Avoid contamination during preparation and use.
  
  
  

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