Features

• 1.5 Cal/mL—concentrated calories for fluid-restricted patients

• An advanced blend of hydrolyzed protein, structured lipid and prebiotic (NutraFlora® scFOS®^*), to promote absorption and tolerance

• 1.8 g of NutraFlora® scFOS®^*/8 fl oz (7.5 g/L). scFOS are prebiotic soluble fibers that stimulate the growth of beneficial bacteria in the colon.

• Very high protein (93.8 g/L, 25% of calories) to support protein synthesis, tissue repair and wound healing

• A hydrolyzed, peptide-based protein system

• Omega-3 fatty acids (EPA, 2.6 g/L; DHA, 1.3 g/L) to help modulate inflammation and support immune function^1,2

• MCT/marine oil structured lipid, a well-tolerated^3,4 and absorbed⁴ next-generation fat to promote absorption of fatty acids

• Arginine (13 g/L, 3.5% of calories) to support proliferation and function of immune cells

• Glutamine (inherent) (7.6 g/L) for GI-tract integrity and energy for immune cells

• Elevated antioxidants vitamin C, vitamin E and beta-carotene to help reduce free radical damage

• Meets or exceeds 100% of the RDIs for 24 vitamins and minerals in 1500 Cal (1000 mL)

• Gluten-free; suitable for lactose intolerance

• Halal

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Nutrition

Unflavored

• Pivot 1.5 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Case of 24

• Pivot 1.5 Cal Ready-To-Hang Institutional / 33.8-fl-oz (1000-mL) Bottle / Case of 8

Serving Size: 8 fl oz (237 mL)
Amount Per Serving	% DV	% RDI*
Characteristics
Nutrient Density, Cal/mL: 1.5
Protein, % Cal: 25.0
Fat, % Cal: 30.0
Carbohydrate, % Cal: 45.0
MCT:LCT: 20:80
Cal to Meet 100% RDIs: 1500
mL to Meet 100% RDIs: 1000
Total Cal:g Nitrogen: 100:1
Nonprotein Cal:g Nitrogen: 75:1
Osmolality, mOsm/kg H2O: 595
Renal Solute Load, mOsm/L: 692
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
Nutrient Data
Protein, g: 22.2
Fat, g: 12.0
Carbohydrate, g: 40.9
Dietary Fiber, g: 1.8†
L-Carnitine, mg: 36
Taurine, mg: 36
Water, g: 180
Energy, Cal: 355
Vitamins
Vitamin A, IU: 2370‡		47
Beta-Carotene, mg: 1.2
Vitamin D, IU: 95		24
Vitamin E, IU: 60		200
Vitamin K, mcg: 19		24
Vitamin C, mg: 72		120
Folic Acid, mcg: 145		36
Thiamin (Vitamin B1), mg: 0.54		36
Riboflavin (Vitamin B2), mg: 0.61		36
Vitamin B6, mg: 0.71		36
Vitamin B12, mcg: 2.2		37
Niacin, mg: 7.1		36
Choline, mg: 145		Not established
Biotin, mcg: 110		37
Pantothenic Acid, mg: 3.6		36
Minerals
Sodium, mg: 330		Not established
Sodium, mEq: 14.4
Potassium, mg: 475		Not established
Potassium, mEq: 12.1
Chloride, mg: 380		11
Chloride, mEq: 10.7
Calcium, mg: 240		24
Phosphorus, mg: 240		24
Magnesium, mg: 95		24
Iodine, mcg: 36		24
Manganese, mg: 1.2		60
Copper, mg: 0.48		24
Zinc, mg: 6.0		40
Iron, mg: 4.3		24
Selenium, mcg: 17		24
Chromium, mcg: 29		24
Molybdenum, mcg: 36		48
* RDI percentages for adults and children 4 or more years of age.
† 1.8 g of fructooligosaccharides.
‡ 1590 IU of vitamin A activity supplied by 1.2 mg of beta-carotene.

Serving Size: 1000 mL
Amount Per Serving	% DV	% RDI*
Characteristics
Nutrient Density, Cal/mL: 1.5
Protein, % Cal: 25.0
Fat, % Cal: 30.0
Carbohydrate, % Cal: 45.0
MCT:LCT: 20:80
Cal to Meet 100% RDIs: 1500
mL to Meet 100% RDIs: 1000
Total Cal:g Nitrogen: 100:1
Nonprotein Cal:g Nitrogen: 75:1
Osmolality, mOsm/kg H2O: 595
Renal Solute Load, mOsm/L: 692
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
Nutrient Data
Protein, g: 93.8
Fat, g: 50.8
Carbohydrate, g: 172.4
Dietary Fiber, g: 7.5†
L-Carnitine, mg: 150
Taurine, mg: 150
Water, g: 759
Energy, Cal: 1500
Vitamins
Vitamin A, IU: 10,000		200
Beta-Carotene, mg: 4.8
Vitamin D, IU: 400		100
Vitamin E, IU: 250		835
Vitamin K, mcg: 80		100
Vitamin C, mg: 300		500
Folic Acid, mcg: 600		150
Thiamin (Vitamin B1), mg: 2.3		155
Riboflavin (Vitamin B2), mg: 2.6		155
Vitamin B6, mg: 3.0		150
Vitamin B12, mcg: 9.0		150
Niacin, mg: 30		150
Choline, mg: 600		Not established
Biotin, mcg: 450		150
Pantothenic Acid, mg: 15		150
Minerals
Sodium, mg: 1400		Not established
Sodium, mEq: 60.9
Potassium, mg: 2000		Not established
Potassium, mEq: 51.2
Chloride, mg: 1600		47
Chloride, mEq: 45.1
Calcium, mg: 1000		100
Phosphorus, mg: 1000		100
Magnesium, mg: 400		100
Iodine, mcg: 150		100
Manganese, mg: 5.0		250
Copper, mg: 2.0		100
Zinc, mg: 25		165
Iron, mg: 18		100
Selenium, mcg: 70		100
Chromium, mcg: 120		100
Molybdenum, mcg: 150		200
* RDI percentages for adults and children 4 or more years of age.
† 7.5 g of fructooligosaccharides.
‡ 6360 IU of vitamin A activity supplied by 4.8 mg of beta-carotene.

Ingredients

Unflavored

• Pivot 1.5 Cal Ready-to-Drink Institutional / 8-fl-oz (237-mL) Can / Case of 24

• Pivot 1.5 Cal Ready-To-Hang Institutional / 33.8-fl-oz (1000-mL) Bottle / Case of 8

Water, Corn Syrup Solids, Partially Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Structured Lipid (Interesterified Marine Oil [Contains One or More of the Following: Anchovy, Menhaden, Salmon, Sardine, Tuna], Medium-Chain Triglycerides), Soy Oil, Canola Oil, L-Arginine, Fructooligosaccharides, Potassium Citrate, Citric Acid, Calcium Phosphate, Magnesium Chloride, Soy Lecithin, Natural & Artificial Flavor, Ascorbic Acid, Cellulose Gel, Choline Chloride, Magnesium Phosphate, Potassium Chloride, Carrageenan, Taurine, d-Alpha-Tocopheryl Acetate, L-Carnitine, Cellulose Gum, Zinc Sulfate, Ferrous Sulfate, 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.
  • Feed by pump at room temperature with an 8 Fr or larger tube; gravity feeding not recommended.
  • 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 Piercing Pin Set:
  • Lift tab to remove sticker from cap, taking care NOT to touch port. DO NOT remove the plastic cap.
  • Insert spke 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.
  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.
  
  
  
• Instructions for Use: 8-fl-oz can 
  • Store unopened at room temperature.
  • Shake well. Pivot 1.5 is ready to use.
  • Clean top of container thoroughly before opening.
  • Once opened, cover, refrigerate and use within 48 hours.
  
  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; gravity feeding not recommended.
  • 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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