NOTE: Many of items below are for use with medical supervision only. Always check with your physician/nutritionist first.
Many of these items can be expensive. Try calling manufacturer directly to inquire about getting samples before buying
cases to make sure user tolerates formula.
FORMULAS (& calorie supplements )
Compiled by and for use of:
G-Tube Mailing List @ www.gtube.org
PRODUCT
CALORIES
COMPANY
WEBSITE
ALIMENTUM
20 cal per oz
Ross Pediatrics
1-800-515-7677
http://www.rossmn.com/
CARNATION
INSTANT
BREAKFAST
12 oz of
whole milk +
packet =
almost 30 cal
per oz
Nestle
Carnation
1-800-782-7766
www.nestle.com
DUOCAL
64 cal per
Tbspn
SHS International
1-800-365-7354
ELECARE
30 cal per oz
Ross Pediatrics
1-800-515-7677
http://www.rossmn.com or
http://www.elecare.com
ENFAMIL AR
1 oz = 20
calories
Enfamil
1-800-Baby123
http://www.enfamil.com/
COST
(range)
Purchased
in case of 6
cans ($198)
Manufacturer’s Description
(Parents’ comments)
A protein hydrolosate formula with
iron; a formula for hyperallergenic
babies
Similar in make-up to Pediasure but
CIB has more protein (much
cheaper than Pediasure but can be
gritty; not good to use for overnight
continuous feeds because used with
whole milk which can spoil if left in
bag for too long); can call in to get
monthly coupons
Powdered Supplement
For tube and oral feeds; highly
soluable
Amino Acid-Based Medical Food for
children with milk allergies,
malabsorption, and GI problems (no
milk or soy protein)
(infants, and 1+)
Milk based formula thickened with
added rice starch (can help with
reflux) (If you add Enf AR with
Enfamil FE – concentrate 13 oz),
Manufacturer’s Description
(Parents’ comments)
one can each, it brings formula to 30
cal per oz).
PRODUCT
CALORIES
COMPANY
WEBSITE
COST
(range)
GLUCERNA
237 calories
Ross Products
Division/Abbott
Laboratories
Columbus OH
43215
http://www.abbott.com
Approx
$140 a case
ISOSOURCE
300 cal per
250 ml can
Novartis Nutrition
Clinical Products
Division
111 Consumers
Drive
Whitby, Ontario
L1N 5Z5
www.info.novartis.com/nutrition/overvie
w.html
Complete Liquid nutrition; lactose
free.
http://www.meadjohnson.com
Highly digestable protein (100% milk
protein); lactose and gluten free for
extra gastrointestinal tolerance; 6.3
grams of fiber per 1000 ml.
A lipid fraction of coconut oil
consisting primarily of the
tryglycerides of saturated fatty
acids; for persons with poor
digestion or malabsorption.
50% fat emulsion for special dietary
use in oral and tube feedings
KINDERCAL
30 cal per oz
(6.3 grms of
fiber per
1000 ml)
Mead Johnson
1-800-831-3959
MCT Oil
1 Tbspn =
115 cal.
Mead Johnson
http://www.meadjohnson.com/index.ht
ml
MICROLIPIDS
1 Tbsp =
67.5 cal (7.5
gm fat)
30 cal per oz
Mead Johnson
http://www.meadjohnson.com
/index.html
NEOCATE
SHS International
1-800-365-7354
Sugar Free – for use with diabetics
Elemental Formula
PRODUCT
CALORIES
COMPANY
WEBSITE
NUTRISOURCE
300 Cal per
250 ml can
Novartis Nutrition
Clinical Products
Division
111 Consumers
Drive
Whitby, Ontario
www.info.novartis.com/nutrition/overvie
w.html
NUTRI-RICE
82 cal per
serving (3
Tbspn)
Nutri-Rice:
Distributors:
Fran Copp
(offers at 33%
discount)
1-888-229-6709800-554-5949
http:///www.nutri-rice.com
NUTREN 1.5
(Adult formula)
PEDIATRIC
COMPLEAT
375 cal. per
250 ml can
250 cal per
8.45 oz
Manufacturer’s Description
(Parents’ comments)
Complete liquid nutrition with fiber,
lactose free
NutriSelect
Soluable
$29.95
Nutri-Select
Natural
$19.95
Products may be purchased at a
discount to GT fed individuals
(single jar of soluables = $20 plus
$3.20 shipping; or case of 6 @
$90.00 + $7.00 shipping); contact:
Fran Copp at 1-888-229-6709 or
fcopp@goldensunrise.com)
; products are also offered through
“New Visions” catalog at retail
prices. Nutri-Rice Soluables is
stablized rice bran that has much of
insoluble fiber removed, easy to
digest food, rich in essential fatty
acids with over 70 antioxidants,
including naturally occurring
vitamins, minerals and enzymes.
Complete High-Energy Liquid
Nutrition, Lactose Free, Gluten
Free, low-residue. For children,
must make sure they get sufficient
water since formula is very
concentrated – speak to a
nutritionist about how much water.
Nestle Clinical
Nutrition
1-800-565-1871
Novartis Nutrition
COST
(range)
http://www.info.novartis.com/nutrition/o
verview.html
For children 1-10; medical food
ready to use as a blenderized tube
feed containing meat, vegetables,
and fruit, specially formulated for the
management of malnutrition and
other medical conditions with
increased nutritional needs that
cannot be met through diet
modification alone.
PRODUCT
CALORIES
COMPANY
PEPTAMIN
JR.
PEPTAMIN 1.
PEPTAMIN 1.5
approx 30
cal per oz
(Pep. 1.5 is
45 cal per
oz)
Nestl Clinical
Nutrition
1-877-463-7853 or
1-800-422-2752
(USA)
(Can be expensive
- $120 per case –
insurance may
cover for most
people)
PEPTIDE
POLY-JOULE
250 cal per
250 ml
Per scoop
30.4 calories
SanoSource
Nutricia,
Australasia
Karicare
1-800-060-057
(Australia)
0800-6887-4242
(New Zealand)
Nutricia Ltd.
37 Banks Rd.
Mt. Wellington
Auckland, New
Zealand
WEBSITE
COST
(range)
Manufacturer’s Description
(Parents’ comments)
Protein is hydrolized whey (easily
digested protein); fats are medium
chain triglycerides (fats are broken
down to be easily absorbed).
(Predigested formula for babies with
GI problems and malabsorption
issues; formula helps with motility)
$1,000 per
month
approx
Semi-elemental High Nitrogen diet
appropriate for patients with
impaired digestion and aborption;
effective alternative for total
parenteral nutrition except in
patients where enteral feeding may
be contraindicated. High essential
to nonessential amino acid ration,
enhanced arginine and branched
chain amino acid content and
optimal quantity of carbohydrates
make it appropriate for most
stressed, catabolic patients.
Mix of glucose polymer
(Maltodextrin) readily absorbable
source of energy with low osmotic
strength & bland taste; can be used
with hot or cold foods.
PRODUCT
http://www.enfamil.com
About $25
USA dollars
Pregestimil is specially designed for
babies with fat malabsorption
problems; hypoallergenic formula
with MCT oil, easy-to-digest infant
formula, iron fortified powder.
NOTE: Contains casein.
Protein powder easily dissolvable in
water.
Novartis Nutrition
Clinical Products
Division
111 Consumers
Drive
Whitby, Ontario
L1N 5Z5
www.info.novartis.com/nutrition/overvie
w.html
$2
Canadian
per 235 ml
carton
(comes
packaged
with straw,
not in cans)
1200 ml. provides 100% of more of
the recommended nutritional intake
for protein and essential vitamins &
minerals for children 1-12 years of
age (similar to Pediasure but per
Mom using it, baby tolerates this but
does not tolerate Pediasure)
Distributors are
available
nationwide.
Here is/are some:
http://www.shaklee.com
WEBSITE
Ross Products
Division/Abbott
Laboratories
Columbus OH
43215
http://www.abbott.com
1teaspoon
(2g) 8 cal
1tablespoon
(6g)23 cal
Mead Johnson
Nutritionals
Evansville, IN
47721 USA
1-800-baby123
100 cal per
5 fluid oz
Ross Products
Division/Abbott
Laboratories
Columbus OH
43215
PRO-MOD
RESOURCE
Just for Kids
SHAKLEE
PRODUCTS
Manufacturer’s Description
(Parents’ comments)
carbohydrate powder: composition:
Pareve, Glucose polymers derived
from controlled hydrolysis of corn
starch.
COMPANY
POLYCOSE
PREGESTIMIL
COST
(range)
CALORIES
Mealshakes
mix alone =
120 calories
(w/ 8 oz of:
lowfat milk =
240; w/whole
milk = 330;
heavy cream
= 1160
Performance
(like
Shirley Armstrong:
HealthierChoices@
aol.com
Mealshakes are a powdered formula
to be mixed with either water or a
dairy product. It is similar in
minerals and vitamins to Pediasure
but uses milk powder from New
Zealand cattle which are
hormone/antibiotic free (there are
also lactose free shakes available);
contains natural fruit sugars, protein
mix alone is 7 grams protein but
when added to milk is more
(Pediasure is 7.1 grams of protein);
PRODUCT
CALORIES
COMPANY
WEBSITE
COST
(range)
Pedialyte)
400 cal per
liter
(Pedialyte is
100 cal per
liter)
THICK IT
ROSS
METABOLIC
Formula
Systems
VIVONEX
PEDIATRIC
1 pkt = 35
calories
(use in 4 oz
formula)
Product of
Precision Foods
1-800-333-0003
Depends on
formula
selected
Ross Pediatrics
1-800-515-7677
http://www.rossmn.com/
.8 cal per ml.
(5.88 gms of
fat per
packet)
Novartis Nutrition
Company
Minnesota
55440-0370
www.info.novartis.com/nutrition/overvie
w.html
Manufacturer’s Description
(Parents’ comments)
does not contain any artificial colors,
flavors, sweeteners or preservatives
(Kosher certified).
Instant Healthcare Food Thickener;
can be used in tube feedings
line of products for children with rare
metablic disorders (e.g. Phenex,
Calcilo XD, RCF, Pro-Phree, etc.)
Partially digested formula for babies
with malabsorption issues;
elemental powdered formula for
children 1-10 years of age
especially stressed, catabolic
children and those wit GI
impairment (base is maltodextrin
instead of corn syrups like some
formulas)
“Natural” Calorie Enhancers Which can be mixed with Tube Formulas
(FOR G-TUBE ONLY)
(Thanks to Ginny and others for providing)
SWEETENED
CONDENSED
MILK
135 cal per
2 Tbsp
Make sure user will tolerate as it is
heavy and sweet.
OILS
(Flax
120
calories
Note: Oils are harder and slower to
digest so use with care (reflux
babies check with GI or nutritionist
PRODUCT
Walnut
Soybean
Oils)
CALORIES
per
tablespoon
COMPANY
WEBSITE
COST
(range)
Manufacturer’s Description
(Parents’ comments)
before adding oils); Flax oil is a
good source of omega 3 fatty acids
Useful for diluting other foods (not to
be used in place of formulas!)
Available in calcium and vitamin
enriched formulas
Even some organic/non-filtered
should work – get pasturized to
avoid other problems.
MILKS
(Rice, Almond
or soy)
Generally
16 cal. per
oz.
JUICES
About 20
cal. per oz
(use 100%
juice)
Baby Foods
Calories
vary with
type
BABY
CEREALS
¼ cup =
about 60
calories
(15 g. or 2
oz)
Baby cereals can help thicken up
formulas and may be helpful for
babies suffering from reflux; check
with your pediatrician or GI doctor to
determine how much cereal to add.
Barley cereal clumps less than
some cereals, but rice and others
work to thicken as well as to add
calories. Usually 1-2 tsp. per 8 oz is
a good starting point.
NUT
BUTTERS
(almond, soy,
cashew,
peanut, etc.
Generally,
100
calories
per
tablespoon
Be careful of nut allergies; important
to speak to doctor or nutritionist first.
WHIPPING
Approx 50
Some #1 or #2 baby foods will help
thicken up formulas to help with
reflux problems; if using the baby
food as a base, will need to dilute
with a formula or other fluid to tube
feeding consistency. Usually an
ordinary blender works fine.
Some nutritionists have warned that
dairy products will worsen reflux;
PRODUCT
CREAM
“WHOLE
MEALS”
CALORIES
cal per
Tbsp
COMPANY
WEBSITE
COST
(range)
Manufacturer’s Description
(Parents’ comments)
however, some moms have
reported that using whipping cream
in the child’s formula thickens the
formula so much that vomits have
been eliminated and weight gain
has significantly increased with the
use of the cream.
Health Food stores, grocery stores
and private distributors often sell
“whole meals’ in a shake form which
may be beneficial for weight gain
and which can be used for tubes.