Features

• In a study of NEPRO as supplemental nutrition¹, patients on dialysis had increased serum albumin, increased serum prealbumin and improved nutritional status (as signified by SGA)

• Contains Carb Steady carbohydrate blend designed to help manage blood glucose response

• Excellent source of high-quality protein (19.1 g /8 fl oz) to help meet nutritional needs and replace protein lost during dialysis

• Vitamin and mineral profile designed for people on dialysis

• Low in phosphorus, potassium, calcium and sodium

• High in calories—1.8 Cal/mL

• A good source of fiber including prebiotics

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Nutrition

Mixed Berry Ready to Drink

• Nepro w Carb Steady Impr Carb Ready-to-Drink Mixed Berry Inst / 8-fl-oz Bottle / Case of 24

Serving Size: 8 fl oz (237 mL)
Amount Per Serving	% DV	% RDI*
Characteristics
Nutrient Density, Cal/mL: 1.8
Energy per fl oz, Cal: 53.1
Protein, % Cal: 18.0
Carbohydrate, % Cal: 34.0
Fat, % Cal: 48.0
Cal to Meet 100% RDIs: 1700
mL to Meet 100% RDIs: 944
Total Cal:g Nitrogen: 139:1
Nonprotein Cal:g Nitrogen: 121:1
Osmolality, mOsm/kg H2O: 745
Viscosity: Nectar-Like (Room Temperature and Chilled)
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
Nutrient Data
Protein, g: 19.1
Fat, g: 22.7
Saturated Fat, g: 2.0
Trans Fat, g: 0.0
Polyunsaturated Fat, g: 4.1
Monounsaturated Fat, g: 16
Cholesterol, mg: 6.5
Carbohydrate, g: 37.9
Dietary Fiber, g: 3.0
Sugars, g: 8.4
Glycerine, g: 2.6
L-Carnitine, mg: 63
Taurine, mg: 38
Water, g: 172
Renal Solute Load, mOsm/L:
Energy, Cal: 425
Vitamins
Vitamin A, IU: 750
Vitamin D, IU: 20
Vitamin E, IU: 23
Vitamin K, mcg: 20
Vitamin C, mg: 25
Folic Acid, mcg: 250
Thiamin (Vitamin B1), mg: 0.56
Riboflavin (Vitamin B2), mg: 0.64
Vitamin B6, mg: 2.0
Vitamin B12, mcg: 2.3
Niacin, mg: 7.5
Choline, mg: 150
Biotin, mcg: 120
Pantothenic Acid, mg: 3.8
Minerals
Sodium, mg: 250
Potassium, mg: 250
Chloride, mg: 200
Calcium, mg: 250
Phosphorus, mg: 170
Magnesium, mg: 50
Iodine, mcg: 38
Manganese, mg: 0.50
Copper, mg: 0.50
Zinc, mg: 6.4
Iron, mg: 4.5
Selenium, mcg: 18
Chromium, mcg: 30
Molybdenum, mcg: 19
* RDI percentages for adults and children 4 or more years of age

Butter Pecan Ready to Feed

• Nepro with Carb Steady Impr Carb Ready-to-Drink Butter Pecan Inst/ 8-fl-oz Bottle / Case of 24

Serving Size: 8 fl oz (237 mL)
Amount Per Serving	% DV	% RDI*
Characteristics
Nutrient Density, Cal/mL: 1.8
Energy per fl oz, Cal: 53.1
Protein, % Cal: 18.0
Carbohydrate, % Cal: 34.0
Fat, % Cal: 48.0
Cal to Meet 100% RDIs: 1700
mL to Meet 100% RDIs: 944
Total Cal:g Nitrogen: 139:1
Nonprotein Cal:g Nitrogen: 121:1
Osmolality, mOsm/kg H2O: 745
Viscosity: Nectar-Like (Room Temperature and Chilled)
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
Nutrient Data
Energy, Cal: 425
Protein, g: 19.1
Fat, g: 22.7
Saturated Fat, g: 2.0
Trans Fat, g: 0.0
Polyunsaturated Fat, g: 4.1
Monounsaturated Fat, g: 16
Cholesterol, mg: 6.5
Carbohydrate, g: 37.9
Dietary Fiber, g: 3.0
Sugars, g: 8.4
Glycerine, g: 2.6
L-Carnitine, mg: 63
Taurine, mg: 38
Water, g: 172
Renal Solute Load, mOsm/L:
Vitamins
Vitamin A, IU: 750
Vitamin D, IU: 20
Vitamin E, IU: 23
Vitamin K, mcg: 20
Vitamin C, mg: 25
Folic Acid, mcg: 250
Thiamin (Vitamin B1), mg: 0.56
Riboflavin (Vitamin B2), mg: 0.64
Vitamin B6, mg: 2.0
Vitamin B12, mcg: 2.3
Niacin, mg: 7.5
Choline, mg: 150
Biotin, mcg: 120
Pantothenic Acid, mg: 3.8
Minerals
Sodium, mg: 250
Potassium, mg: 250
Chloride, mg: 200
Calcium, mg: 250
Phosphorus, mg: 170
Magnesium, mg: 50
Iodine, mcg: 38
Manganese, mg: 0.50
Copper, mg: 0.50
Zinc, mg: 6.4
Iron, mg: 4.5
Selenium, mcg: 18
Chromium, mcg: 30
Molybdenum, mcg: 19
* RDI percentages for adults and children 4 or more years of age

Homemade Vanilla

• Nepro with Carb Steady Impr Carb Ready-to-Drink Homemade Vanilla Inst/ 8-fl-oz Bottle / Case of 24

• Nepro with Carb Steady Impr Carb Ready-to-Drink Homemade Vanilla / 8-fl-oz Bottle / Case of 24

• Nepro with Carb Steady Impr Carb Ready to Hang Vanilla Institutional / 1-L Bottle / Case of 8

Serving Size: 8 fl oz (237 mL)
Amount Per Serving	% DV	% RDI*
Characteristics
Nutrient Density, Cal/mL: 1.8
Energy per fl oz, Cal: 53.1
Protein, % Cal: 18.0
Carbohydrate, % Cal: 34.0
Fat, % Cal: 48.0
Cal to Meet 100% RDIs: 1700
mL to Meet 100% RDIs: 944
Total Cal:g Nitrogen: 139:1
Nonprotein Cal:g Nitrogen: 121:1
Osmolality, mOsm/kg H2O: 745
Viscosity: Nectar-Like (Room Temperature and Chilled)
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
Nutrient Data
Energy, Cal: 425
Protein, g: 19.1
Fat, g: 22.7
Saturated Fat, g: 2.0
Trans Fat, g: 0.0
Polyunsaturated Fat, g: 4.1
Monounsaturated Fat, g: 16
Cholesterol, mg: 6.5
Carbohydrate, g: 37.9
Dietary Fiber, g: 3.0
Sugars, g: 8.4
Glycerine, g: 2.6
L-Carnitine, mg: 63
Taurine, mg: 38
Water, g: 172
Renal Solute Load, mOsm/L:
Vitamins
Vitamin A, IU: 750
Vitamin D, IU: 20
Vitamin E, IU: 23
Vitamin K, mcg: 20
Vitamin C, mg: 25
Folic Acid, mcg: 250
Thiamin (Vitamin B1), mg: 0.56
Riboflavin (Vitamin B2), mg: 0.64
Vitamin B6, mg: 2.0
Vitamin B12, mcg: 2.3
Niacin, mg: 7.5
Choline, mg: 150
Biotin, mcg: 120
Pantothenic Acid, mg: 3.8
Minerals
Sodium, mg: 250
Potassium, mg: 250
Chloride, mg: 200
Calcium, mg: 250
Phosphorus, mg: 170
Magnesium, mg: 50
Iodine, mcg: 38
Manganese, mg: 0.50
Copper, mg: 0.50
Zinc, mg: 6.4
Iron, mg: 4.5
Selenium, mcg: 18
Chromium, mcg: 30
Molybdenum, mcg: 19
* RDI percentages for adults and children 4 or more years of age

Serving Size: 1 L
Amount Per Serving	% DV	% RDI
Characteristics
Nutrient Density, Cal/mL: 1.8
Energy per fl oz, Cal: 53.1
Protein, % Cal: 18.0
Carbohydrate, % Cal: 34.0
Fat, % Cal: 48.0
Cal to Meet 100% RDIs: 1700
mL to Meet 100% RDIs: 944
Total Cal:g Nitrogen: 139:1
Nonprotein Cal:g Nitrogen: 121:1
Osmolality, mOsm/kg H2O: 745
Viscosity: Nectar-Like (Room Temperature and Chilled)
Minimum Tube Size for Gravity/Pump Feeding (Fr): Not Recommended/8
Nutrient Data
Energy, Cal: 1800
Protein, g: 81.0
Fat, g: 96.0
Saturated Fat, g: 8.4
Trans Fat, g: 0
Polyunsaturated Fat, g: 17.3
Monounsaturated Fat, g: 67.5
Cholesterol, mg: 27.4
Carbohydrate, g: 161
Dietary Fiber, g: 12.6
Sugars, g: 36
Glycerine, g: 11
L-Carnitine, mg: 265
Taurine, mg: 160
Water, g: 727
Renal Solute Load, mOsm/L:
Vitamins
Vitamin A, IU: 3180
Vitamin D, IU: 85
Vitamin E, IU: 95
Vitamin K, mcg: 85
Vitamin C, mg: 105
Folic Acid, mcg: 1060
Thiamin (Vitamin B1), mg: 2.4
Riboflavin (Vitamin B2), mg: 2.7
Vitamin B6, mg: 8.5
Vitamin B12, mcg: 9.5
Niacin, mg: 32
Choline, mg: 635
Biotin, mcg: 506
Pantothenic Acid, mg: 16
Minerals
Sodium, mg: 1060
Potassium, mg: 1060
Chloride, mg: 845
Calcium, mg: 1060
Phosphorus, mg: 720
Magnesium, mg: 210
Iodine, mcg: 160
Manganese, mg: 2.1
Copper, mg: 2.1
Zinc, mg: 27
Iron, mg: 19
Selenium, mcg: 74
Chromium, mcg: 125
Molybdenum, mcg: 79

Ingredients

Mixed Berry Ready to Drink

• Nepro w Carb Steady Impr Carb Ready-to-Drink Mixed Berry Inst / 8-fl-oz Bottle / Case of 24

Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar (Sucrose), Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of the Following: Soy Lecithin, Natural & Artificial Flavors, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt (Sodium Chloride), Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, FD&C Red #3, Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, FD&C Blue #1, Vitamin A Palmitate, Magnesium Phosphate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients. Gluten-free; suitable for lactose intolerance.

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Butter Pecan Ready to Feed

• Nepro with Carb Steady Impr Carb Ready-to-Drink Butter Pecan Inst/ 8-fl-oz Bottle / Case of 24

Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar (Sucrose), Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of the Following: Soy Lecithin, Calcium Citrate, Sodium Citrate, Potassium Citrate, Artificial Flavors, Choline Chloride, Salt (Sodium Chloride), Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, Vitamin A Palmitate, Magnesium Phosphate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients. Gluten-free; suitable for lactose intolerance.

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Homemade Vanilla

• Nepro with Carb Steady Impr Carb Ready-to-Drink Homemade Vanilla Inst/ 8-fl-oz Bottle / Case of 24

• Nepro with Carb Steady Impr Carb Ready-to-Drink Homemade Vanilla / 8-fl-oz Bottle / Case of 24

• Nepro with Carb Steady Impr Carb Ready to Hang Vanilla Institutional / 1-L Bottle / Case of 8

Water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar (Sucrose), Corn Maltodextrin, Glycerine, Short-Chain Fructooligosaccharides. Less than 1.0% of the Following: Soy Lecithin, Natural & Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt (Sodium Chloride), Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, Vitamin A Palmitate, Magnesium Phosphate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.
Contains milk and soy ingredients. Gluten-free; suitable for lactose intolerance.

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Preparation

• Oral Feeding
  
  • May be used for total or supplemental nutrition.
  • May be fed at room temperature or chilled.
  
  
• Tube Feeding
  
  • Adjust flow rate and volume according to patient's condition and tolerance.
  • Pump feed at room temperature with 8 Fr or larger tube.
  • When used as a sole source of nutrition, additional water may be required and can be met by giving water between or after feedings or when flushing the tube.
  • Avoid contamination during preparation and use.
• Instructions for Use
  
  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 may reduce hangtime.
  • Pump feeding is recommended; use an 8 Fr or larger tube. Gravity feeding not recommended.
  • 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 container or feeding set that comes in contact with the formula.
  • Visuall 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 fuild 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 spike into preattached cap, completely pierce foils 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.
  
  
• 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 into the RTH container.
  • Close clamp on set before inverting container.
  • Invert container and suspend, using the hanging ring on the bottom of the container.

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