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)

• Has 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, and sodium

• High in calories—1.8 Cal/mL

• A good source of fiber including prebiotics

• Gluten-free; suitable for lactose intolerance

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Nutrition

Mixed Berry Ready to Drink

• Nepro with Carb Steady Ready-to-Drink Mixed Berry Institutional / 8-fl-oz Can / Cs 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
Energy, Cal: 425
Vitamins
Vitamin A, IU: 750		15
Vitamin D, IU: 20		5
Vitamin E, IU: 23		77
Vitamin K, mcg: 20		25
Vitamin C, mg: 25		42
Folic Acid, mcg: 250		63
Thiamin (Vitamin B1), mg: 0.56		37
Riboflavin (Vitamin B2), mg: 0.64		38
Vitamin B6, mg: 2.0		100
Vitamin B12, mcg: 2.3		38
Niacin, mg: 7.5		38
Choline, mg: 150		Not established
Biotin, mcg: 120		38
Pantothenic Acid, mg: 3.8		38
Minerals
Sodium, mg: 250		Not established
Potassium, mg: 250		Not established
Chloride, mg: 200		6
Calcium, mg: 250		25
Phosphorus, mg: 170		17
Magnesium, mg: 50		13
Iodine, mcg: 38		25
Manganese, mg: 0.50		25
Copper, mg: 0.50		25
Zinc, mg: 6.4		43
Iron, mg: 4.5		25
Selenium, mcg: 18		26
Chromium, mcg: 30		25
Molybdenum, mcg: 19		25
* RDI percentages for adults and children 4 or more years of age.

Butter Pecan Ready to Drink

• Nepro with Carb Steady Ready-to-Drink Butter Pecan Institutional / 8-fl-oz Can / 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
Energy, Cal: 425
Vitamins
Vitamin A, IU: 750		15
Vitamin D, IU: 20		5
Vitamin E, IU: 23		77
Vitamin K, mcg: 20		25
Vitamin C, mg: 25		42
Folic Acid, mcg: 250		63
Thiamin (Vitamin B1), mg: 0.56		37
Riboflavin (Vitamin B2), mg: 0.64		38
Vitamin B6, mg: 2.0		100
Vitamin B12, mcg: 2.3		38
Niacin, mg: 7.5		38
Choline, mg: 150		Not established
Biotin, mcg: 120		38
Pantothenic Acid, mg: 3.8		38
Minerals
Sodium, mg: 250		Not established
Potassium, mg: 250		Not established
Chloride, mg: 200		6
Calcium, mg: 250		25
Phosphorus, mg: 170		17
Magnesium, mg: 50		13
Iodine, mcg: 38		25
Manganese, mg: 0.50		25
Copper, mg: 0.50		25
Zinc, mg: 6.4		43
Iron, mg: 4.5		25
Selenium, mcg: 18		26
Chromium, mcg: 30		25
Molybdenum, mcg: 19		25
* RDI percentages for adults and children 4 or more years of age.

Homemade Vanilla

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

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

• Nepro with Carb Steady Ready-to-Drink Homemade Van Institutional / 8-fl-oz Can / 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
Energy, Cal: 425
Vitamins
Vitamin A, IU: 750		15
Vitamin D, IU: 20		5
Vitamin E, IU: 23		77
Vitamin K, mcg: 20		25
Vitamin C, mg: 25		42
Folic Acid, mcg: 250		63
Thiamin (Vitamin B1), mg: 0.56		37
Riboflavin (Vitamin B2), mg: 0.64		38
Vitamin B6, mg: 2.0		100
Vitamin B12, mcg: 2.3		38
Niacin, mg: 7.5		38
Choline, mg: 150		Not established
Biotin, mcg: 120		38
Pantothenic Acid, mg: 3.8		38
Minerals
Sodium, mg: 250		Not established
Potassium, mg: 250		Not established
Chloride, mg: 200		6
Calcium, mg: 250		25
Phosphorus, mg: 170		17
Magnesium, mg: 50		13
Iodine, mcg: 38		25
Manganese, mg: 0.50		25
Copper, mg: 0.50		25
Zinc, mg: 6.4		43
Iron, mg: 4.5		25
Selenium, mcg: 18		26
Chromium, mcg: 30		25
Molybdenum, mcg: 19		25
* 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
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
Energy, Cal: 1800
Vitamins
Vitamin A, IU: 3180		64
Vitamin D, IU: 85		21
Vitamin E, IU: 95		315
Vitamin K, mcg: 85		105
Vitamin C, mg: 105		175
Folic Acid, mcg: 1060		265
Thiamin (Vitamin B1), mg: 2.4		160
Riboflavin (Vitamin B2), mg: 2.7		160
Vitamin B6, mg: 8.5		425
Vitamin B12, mcg: 9.5		160
Niacin, mg: 32		160
Choline, mg: 635		Not established
Biotin, mcg: 506		170
Pantothenic Acid, mg: 16		160
Minerals
Sodium, mg: 1060		Not established
Potassium, mg: 1060		Not established
Chloride, mg: 845		25
Calcium, mg: 1060		105
Phosphorus, mg: 720		72
Magnesium, mg: 210		53
Iodine, mcg: 160		105
Manganese, mg: 2.1		105
Copper, mg: 2.1		105
Zinc, mg: 27		180
Iron, mg: 19		105
Selenium, mcg: 74		105
Chromium, mcg: 125		105
Molybdenum, mcg: 79		105

Ingredients

Mixed Berry Ready to Drink

• Nepro with Carb Steady Ready-to-Drink Mixed Berry Institutional / 8-fl-oz Can / Cs 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.

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Butter Pecan Ready to Drink

• Nepro with Carb Steady Ready-to-Drink Butter Pecan Institutional / 8-fl-oz Can / 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.

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Homemade Vanilla

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

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

• Nepro with Carb Steady Ready-to-Drink Homemade Van Institutional / 8-fl-oz Can / 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 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.

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Preparation

• 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 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; avoid extreme temperatures.
  • Shake well.
  • 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:
  • Adjust flow rate and volumne according to patient's condition and tolerance.
  • Pump feed at room temperature with an 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.
  
  
  

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