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Pivot® 1.5 Cal

Peptide-based, high protein, therapeutic nutrition for metabolic stress

Pivot<sup>®</sup> 1.5 Cal
Pivot<sup>®</sup> 1.5 Cal

Pivot® 1.5 Cal

Peptide-based, high protein, therapeutic nutrition for metabolic stress

PIVOT 1.5 CAL is peptide-based complete, balanced therapeutic nutrition for short- or long-term tube feeding for metabolically stressed surgical, trauma, burn, or head and neck cancer patients who could benefit from an immune-modulating enteral formula. For tube feeding. For sole-source or supplemental nutrition. Use under medical supervision.

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Insurance Coverage May Apply – Learn More.

Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday – Friday, 8:00 a.m. to 5:30 p.m. EST.

Established Abbott accounts can order online at e-Abbott.com.

Values listed below are subject to change. Please refer to the product label or packaging for the most current ingredients, allergen and nutrient profile information.

List Number Item Market
62719 Pivot 1.5 Cal / 33.8 fl oz (1 L) Ready-To-Hang Prefilled Container / 8 ct Institutional
65007 Pivot 1.5 Cal / 8 fl oz (237 mL) Recloseable Carton / 24 ct Institutional-Retail

Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday – Friday, 8:00 a.m. to 5:30 p.m. EST.

33.8 fl oz (1 L)

Nutrition Data

Amount Per Serving %DV
Protein, g 93.8
Fat, g 51
Carbohydrate, g 172.4
Dietary Fiber, g 7.5*
Total Sugars, g 17
Added Sugars, g 17
L-Carnitine, mg 150
Taurine, mg 150
Water, mL 750
Calories 1500

Vitamins

Amount Per Serving %DV
Vitamin A, mcg RAE 1800†
Vitamin D, mcg 27.8
Vitamin E, mg 27
Vitamin K, mcg 126
Vitamin C, mg 304
Folate, mcg DFE 610
Folic Acid, mcg 366
Thiamin (Vitamin B1), mg 1.98
Riboflavin (Vitamin B2), mg 2.11
Vitamin B6, mg 2.32
Vitamin B12, mcg 5.1
Niacin, mg NE 25.3
Choline, mg 760
Biotin, mcg 30
Pantothenic Acid, mg 8.9

Minerals

Amount Per Serving %DV
Sodium, mg 1475
Potassium, mg 1983
Chloride, mg 1603
Calcium, mg 1013
Phosphorus, mg 969
Magnesium, mg 421
Iodine, mcg 169
Manganese, mg 5.1
Copper, mg 2.19
Zinc, mg 30.8
Iron, mg 23.6
Selenium, mcg 78
Chromium, mcg 105
Molybdenum, mcg 168

<sup>*</sup>7.5 g of dietary fiber supplied by short-chain fructooligosaccharides.

<sup>&dagger;</sup>1195 mcg RAE of vitamin A activity supplied by 3 mg of beta-carotene.

8 fl oz (237 mL)

Nutrition Data

Amount Per Serving %DV
Protein, g 22.2
Fat, g 12
Carbohydrate, g 40.9
Dietary Fiber, g 1.8*
Total Sugars, g 4
Added Sugars, g 4
L-Carnitine, mg 36
Taurine, mg 36
Water, mL 178
Calories 355

Vitamins

Amount Per Serving %DV
Vitamin A, mcg RAE 427†
Vitamin D, mcg 6.6
Vitamin E, mg 6.4
Vitamin K, mcg 30
Vitamin C, mg 72
Folate, mcg DFE 145
Folic Acid, mcg 87
Thiamin (Vitamin B1), mg 0.47
Riboflavin (Vitamin B2), mg 0.50
Vitamin B6, mg 0.55
Vitamin B12, mcg 1.2
Niacin, mg NE 6.0
Choline, mg 180
Biotin, mcg 7.1
Pantothenic Acid, mg 2.1

Minerals

Amount Per Serving %DV
Sodium, mg 350
Potassium, mg 470
Chloride, mg 380
Calcium, mg 240
Phosphorus, mg 230
Magnesium, mg 100
Iodine, mcg 40
Manganese, mg 1.2
Copper, mg 0.52
Zinc, mg 7.3
Iron, mg 5.6
Selenium, mcg 19
Chromium, mcg 25
Molybdenum, mcg 40

<sup>*</sup>1.8 g of dietary fiber supplied by short-chain fructooligosaccharides.

<sup>&dagger;</sup>283 mcg RAE of vitamin A activity supplied by 0.70 mg of beta-carotene.

Features
  • Provides very high protein (93.8 g/L, 25% of calories) to support protein synthesis, tissue repair and wound healing.<sup>1,2</sup>
  • Provides 1.5 Cal/mL—concentrated calories for fluid-restricted patients.
  • Immune support: <ul> <li>Arginine (13 g/L, 3.5% of calories) to support proliferation and function of immune cells.<sup>2</sup></li> <li>Glutamine (inherent) (7.6 g/L) for GI-tract integrity and energy for immune cells.<sup>3,4</sup></li> <li>Omega-3 fatty acids (EPA, 2.6 g/L; DHA, 1.1 g/L) to help modulate inflammation and support immune function.<sup>5,6</sup></li> </ul>
  • Tolerance: <ul> <li>Advanced blend of hydrolyzed protein, structured lipid, and prebiotics (scFOS) to promote absorption and tolerance.</li> <li>Hydrolyzed, peptide-based protein system.</li> <li>MCT/fish oil structured lipid, a well-tolerated<sup>7,8</sup> and absorbed<sup>8</sup> next generation fat to promote absorption of fatty acids.</li> <li>1.8 g of scFOS/8 fl oz (7.5 g/L). scFOS are prebiotic soluble fibers that stimulate the growth of beneficial bacteria in the colon.<sup>9</sup></li> </ul>
  • Elevated antioxidants vitamins C and E, selenium and beta-carotene to help reduce tissue and cell damage due to oxidative stress.<sup>10,11</sup>
  • 1950 calories (1300 mL) provides at least 100% of the RDIs for 25 essential vitamins and minerals.
  • Halal.
  • Gluten-free.
  • Suitable for lactose intolerance.

Precautions
  • Not for IV use.
  • Not suitable for people with galactosemia.

<sup>1</sup> Demling RH. Eplasty. 2009;9:65-94.

<sup>2</sup> Weitzel LR, et al. Curr Opin Anaesthesiol. 2009;22(2):177-183.

<sup>3</sup> Rao RK, Samak G. J Epithel Biol Pharmacol. 2012;5(Suppl 1-M7):47-54.

<sup>4</sup> Cruzat V, et al. Nutrients. 2018;10(11):1564-1594.

<sup>5</sup> Calder PC. Prostaglandins Leukot Essent Fatty Acids. 2008;79(3-5):101-108.

<sup>6</sup> Calder PC. Clin Nutr. 2010;29(1):5-12.

<sup>7</sup> Kenler AS, et al. Ann Surg. 1996;223(3):316-333.

<sup>8</sup> McKenna MC, et al. J Pediatr Gastroenterol Nutr. 1985;4(1):45-51.

<sup>9</sup> Robertfroid, M. et al. British Journal of Nutrition 2010;104:S1-S63.

<sup>10</sup> Institute of Medicine (US) Panel on Dietary Antioxidants and Related Compounds. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington (DC): National Academies Press (US);2000.

<sup>11</sup> Sies H. Redox Biol. 2015;4:180-183.

Ready to Hang Liquid
Unflavored Liquid

Water, Corn Syrup Solids, Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Structured lipid (Interesterified Marine Oil [Contains One or More of the Following: Anchovy, Cod, Jack Mackerel, Mackerel, Menhaden, Pollock, Salmon, Sardine, Tuna] and Medium Chain Triglycerides), Soy Oil, Canola Oil, L-Arginine, Short-chain Fructooligosaccharides. Less than 0.5% of: Potassium Citrate, Citric Acid, Calcium Phosphate, Magnesium Chloride, Soy Lecithin, Magnesium Phosphate, Choline Chloride, Natural and Artificial Flavor, Ascorbic Acid, Cellulose Gel, Potassium Chloride, Carrageenan, Potassium Hydroxide, Taurine, L-Carnitine, Cellulose Gum, Zinc Sulfate, Ferrous Sulfate, d-Alpha-Tocopheryl Acetate, Niacinamide, Manganese Sulfate, Calcium Pantothenate, Copper Sulfate, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Beta-Carotene, Vitamin A Palmitate, Chromium Chloride, Folic Acid, Sodium Molybdate, Sodium Selenate, Potassium Iodide, Phylloquinone, Biotin, Vitamin D3, and Vitamin B12.

Water, Corn Syrup Solids, Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Structured lipid (Interesterified Marine Oil [Contains One or More of the Following: Anchovy, Cod, Jack Mackerel, Mackerel, Menhaden, Pollock, Salmon, Sardine, Tuna] and Medium Chain Triglycerides), Soy Oil, Canola Oil, L-Arginine, Short-chain Fructooligosaccharides. Less than 0.5% of: Potassium Citrate, Citric Acid, Calcium Phosphate, Magnesium Chloride, Soy Lecithin, Magnesium Phosphate, Choline Chloride, Natural and Artificial Flavor, Ascorbic Acid, Cellulose Gel, Potassium Chloride, Carrageenan, Potassium Hydroxide, Taurine, L-Carnitine, Cellulose Gum, Zinc Sulfate, Ferrous Sulfate, d-Alpha-Tocopheryl Acetate, Niacinamide, Manganese Sulfate, Calcium Pantothenate, Copper Sulfate, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Beta-Carotene, Vitamin A Palmitate, Chromium Chloride, Folic Acid, Sodium Molybdate, Sodium Selenate, Potassium Iodide, Phylloquinone, Biotin, Vitamin D3, and Vitamin B12.

Contains milk and soy ingredients.

Contains milk and soy ingredients.

Preparation

Instructions for Use:

8 fl oz Container

  • Store unopened at room temperature.
  • Shake well prior to opening.
  • After opening, reclose, 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 at room temperature using a feeding pump or syringe.
  • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
  • Avoid contamination during preparation and use.

Ready-To-Hang Container

All 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.

  • 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.
  • 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.

For Use with Enteral Feeding Pumps:
  • Remove dust cover from RTH Safety Screw Cap.
  • Remove dust cover from feeding set connector.
  • Insert feeding set connector into port of RTH Safety Screw Cap and completely pierce foil.
  • Turn connector collar clockwise until it is securely fastened.
  • Close clamp on set before inverting container.
  • Invert container and suspend, using hanging ring on bottom of container.

Precautions
  • Follow directions for use provided by manufacturer of feeding sets.
  • Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used. Otherwise hang for no more than 24 hours.

Pivot<sup>®</sup> 1.5 Cal

Pivot® 1.5 Cal

Peptide-based, high protein, therapeutic nutrition for metabolic stress

PIVOT 1.5 CAL is peptide-based complete, balanced therapeutic nutrition for short- or long-term tube feeding for metabolically stressed surgical, trauma, burn, or head and neck cancer patients who could benefit from an immune-modulating enteral formula. For tube feeding. For sole-source or supplemental nutrition. Use under medical supervision.

Pivot<sup>®</sup> 1.5 Cal

Features

  • Provides very high protein (93.8 g/L, 25% of calories) to support protein synthesis, tissue repair and wound healing.<sup>1,2</sup>
  • Provides 1.5 Cal/mL—concentrated calories for fluid-restricted patients.
  • Immune support: <ul> <li>Arginine (13 g/L, 3.5% of calories) to support proliferation and function of immune cells.<sup>2</sup></li> <li>Glutamine (inherent) (7.6 g/L) for GI-tract integrity and energy for immune cells.<sup>3,4</sup></li> <li>Omega-3 fatty acids (EPA, 2.6 g/L; DHA, 1.1 g/L) to help modulate inflammation and support immune function.<sup>5,6</sup></li> </ul>
  • Tolerance: <ul> <li>Advanced blend of hydrolyzed protein, structured lipid, and prebiotics (scFOS) to promote absorption and tolerance.</li> <li>Hydrolyzed, peptide-based protein system.</li> <li>MCT/fish oil structured lipid, a well-tolerated<sup>7,8</sup> and absorbed<sup>8</sup> next generation fat to promote absorption of fatty acids.</li> <li>1.8 g of scFOS/8 fl oz (7.5 g/L). scFOS are prebiotic soluble fibers that stimulate the growth of beneficial bacteria in the colon.<sup>9</sup></li> </ul>
  • Elevated antioxidants vitamins C and E, selenium and beta-carotene to help reduce tissue and cell damage due to oxidative stress.<sup>10,11</sup>
  • 1950 calories (1300 mL) provides at least 100% of the RDIs for 25 essential vitamins and minerals.
  • Halal.
  • Gluten-free.
  • Suitable for lactose intolerance.

<sup>1</sup> Demling RH. Eplasty. 2009;9:65-94.

<sup>2</sup> Weitzel LR, et al. Curr Opin Anaesthesiol. 2009;22(2):177-183.

<sup>3</sup> Rao RK, Samak G. J Epithel Biol Pharmacol. 2012;5(Suppl 1-M7):47-54.

<sup>4</sup> Cruzat V, et al. Nutrients. 2018;10(11):1564-1594.

<sup>5</sup> Calder PC. Prostaglandins Leukot Essent Fatty Acids. 2008;79(3-5):101-108.

<sup>6</sup> Calder PC. Clin Nutr. 2010;29(1):5-12.

<sup>7</sup> Kenler AS, et al. Ann Surg. 1996;223(3):316-333.

<sup>8</sup> McKenna MC, et al. J Pediatr Gastroenterol Nutr. 1985;4(1):45-51.

<sup>9</sup> Robertfroid, M. et al. British Journal of Nutrition 2010;104:S1-S63.

<sup>10</sup> Institute of Medicine (US) Panel on Dietary Antioxidants and Related Compounds. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington (DC): National Academies Press (US);2000.

<sup>11</sup> Sies H. Redox Biol. 2015;4:180-183.

Safety Precautions

  • Not for IV use.
  • Not suitable for people with galactosemia.

Availability

List Number Item
62719 Pivot 1.5 Cal / 33.8 fl oz (1 L) Ready-To-Hang Prefilled Container / 8 ct
65007 Pivot 1.5 Cal / 8 fl oz (237 mL) Recloseable Carton / 24 ct

Ingredients

Ready to Hang Liquid

Water, Corn Syrup Solids, Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Structured lipid (Interesterified Marine Oil [Contains One or More of the Following: Anchovy, Cod, Jack Mackerel, Mackerel, Menhaden, Pollock, Salmon, Sardine, Tuna] and Medium Chain Triglycerides), Soy Oil, Canola Oil, L-Arginine, Short-chain Fructooligosaccharides. Less than 0.5% of: Potassium Citrate, Citric Acid, Calcium Phosphate, Magnesium Chloride, Soy Lecithin, Magnesium Phosphate, Choline Chloride, Natural and Artificial Flavor, Ascorbic Acid, Cellulose Gel, Potassium Chloride, Carrageenan, Potassium Hydroxide, Taurine, L-Carnitine, Cellulose Gum, Zinc Sulfate, Ferrous Sulfate, d-Alpha-Tocopheryl Acetate, Niacinamide, Manganese Sulfate, Calcium Pantothenate, Copper Sulfate, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Beta-Carotene, Vitamin A Palmitate, Chromium Chloride, Folic Acid, Sodium Molybdate, Sodium Selenate, Potassium Iodide, Phylloquinone, Biotin, Vitamin D3, and Vitamin B12.

Unflavored Liquid

Water, Corn Syrup Solids, Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Structured lipid (Interesterified Marine Oil [Contains One or More of the Following: Anchovy, Cod, Jack Mackerel, Mackerel, Menhaden, Pollock, Salmon, Sardine, Tuna] and Medium Chain Triglycerides), Soy Oil, Canola Oil, L-Arginine, Short-chain Fructooligosaccharides. Less than 0.5% of: Potassium Citrate, Citric Acid, Calcium Phosphate, Magnesium Chloride, Soy Lecithin, Magnesium Phosphate, Choline Chloride, Natural and Artificial Flavor, Ascorbic Acid, Cellulose Gel, Potassium Chloride, Carrageenan, Potassium Hydroxide, Taurine, L-Carnitine, Cellulose Gum, Zinc Sulfate, Ferrous Sulfate, d-Alpha-Tocopheryl Acetate, Niacinamide, Manganese Sulfate, Calcium Pantothenate, Copper Sulfate, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Beta-Carotene, Vitamin A Palmitate, Chromium Chloride, Folic Acid, Sodium Molybdate, Sodium Selenate, Potassium Iodide, Phylloquinone, Biotin, Vitamin D3, and Vitamin B12.

Contains milk and soy ingredients.

Contains milk and soy ingredients.

Nutrition Information

33.8 fl oz (1 L)
Value%DV
8 fl oz (237 mL)
Value%DV

<sup>*</sup>7.5 g of dietary fiber supplied by short-chain fructooligosaccharides.

<sup>&dagger;</sup>1195 mcg RAE of vitamin A activity supplied by 3 mg of beta-carotene.

<sup>*</sup>1.8 g of dietary fiber supplied by short-chain fructooligosaccharides.

<sup>&dagger;</sup>283 mcg RAE of vitamin A activity supplied by 0.70 mg of beta-carotene.

Preparation

Instructions for Use:

8 fl oz Container

  • Store unopened at room temperature.
  • Shake well prior to opening.
  • After opening, reclose, 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 at room temperature using a feeding pump or syringe.
  • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
  • Avoid contamination during preparation and use.

Ready-To-Hang Container

All 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.

  • 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.
  • 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.

For Use with Enteral Feeding Pumps:
  • Remove dust cover from RTH Safety Screw Cap.
  • Remove dust cover from feeding set connector.
  • Insert feeding set connector into port of RTH Safety Screw Cap and completely pierce foil.
  • Turn connector collar clockwise until it is securely fastened.
  • Close clamp on set before inverting container.
  • Invert container and suspend, using hanging ring on bottom of container.

Precautions
  • Follow directions for use provided by manufacturer of feeding sets.
  • Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used. Otherwise hang for no more than 24 hours.

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