Nutricia KetoCal 4:1 Nutritionally Complete Powdered Medical Food

Nutricia KetoCal 4:1 Nutritionally Complete Powdered Medical Food





Nutricia KetoCal 4:1 Nutritionally Complete Powdered Medical Food is a ketogenic formula in a 4:1 ratio (fat:carbohydrate + protein) for the dietary management of intractable epilepsy and other medical conditions where the ketogenic diet is indicated. This Medical Food is designed for individuals over the age of one year. Nutricia KetoCal 4:1 is a medical food and is appropriate for enteral and oral feeding.

KetoCal 4:1 Powdered Medical Food Highlights:

  • Nutritionally complete
  • 4:1 ratio
  • Vanilla flavor
  • No trans fat
  • Contains multi-fiber blend

Item #DescPkg Price 
101777 Vanilla, 300gm, Can Each $13.25
101777 Vanilla, 300gm, Can 6/Case $77.50

Nutricia KetoCal 4:1 Medical Food Features

  • Contains multi fiber blend

  • Convenient one step preparation with a non-modular approach 

  • Supplemented with DHA and ARA

  • No trans fat

  • Aspartame-free (contains sucralose)

  • Nutrient dense for children with low energy requirements

  • Appropriate for enteral or oral feedings

  • Standard dilution = 1 kcal/mL

  • Osmolality (at 1 kcal/mL): 170 mOsm/kg

  • Energy distribution:
    - Protein 8.2%
    - Carbohydrate 3.1%
    - Fiber 1.5%
    - Fat (LCT 100%) 88.7%

  • Displacement 1 mL/g

  • Indications: 
    - Intractable epilepsy
    - Pyruvate dehydrogenase deficiency (PDH)
    - Glucose transporter type-1 deficiency (GLUT1)
    - Other disorders where the ketogenic diet is indicated

More On KetoCal 4:1

  • Ingredients
    - Refined Vegetable Oils (Palm, Soy, High Oleic Sunflower), Casein (Milk), Soy Lecithin, Whey (Milk), Microcrystalline Cellulose, Chicory Root Inulin, Calcium Carbonate, Corn Syrup Solids, Fructooligosaccharide (FOS), Silicon Dioxide, Gum Arabic, Tripotassium Citrate, Potassium Chloride, Sodium Chloride, Calcium Phosphate Tribasic, High Amylose Corn Starch, Artificial Flavor (Vanilla), L-Arginine, L-Cystine, Choline Bitartrate, M. Alpina Oil, C. Cohnii Oil, Soy Fiber, L-Tryptophan, Magnesium Oxide, Sodium Caseinate (Milk), Sodium Ascorbate, L-Phenylalanine, Maltodextrin, L-Ascorbic Acid, L-Valine, L-Tyrosine, L-Carnitine, Taurine, Ferrous Sulfate, Mono- and Diglycerides, DL-alpha Tocopheryl Acetate, Sucralose,M-Inositol, L-Histidine, Zinc Sulfate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Ascorbyl Palmitate, Mixed Tocopherols, Folic Acid, Potassium Iodide, Sodium Molybdate, Chromium Chloride, Sodium Selenite, Phylloquinone, D-Biotin, Cholecalciferol, Cyanocobalamin
  • Directions for Preparation:
    - Intake to be determined by a medical professional and is dependent on the age, body weight and medical condition of the patient
    - Measure the required amount of warm water into a container that seals with a screw top lid
    - To completely dissolve the powder, the water must be at a temperature of 113°F to 122°F
    - Add the prescribed amount of KetoCal to the water
    - Cover and shake until the powder has dissolved
    - Once prepared, the formula should be stored in a refrigerator and kept no longer than 24 hours
    - KetoCal can be kept at room temperature for a maximum of 4 hours
    - Shake or stir immediately before serving
  • Directions for Use:
    - For oral feeding, best served chilled and consumed immediately.
    - For tube feeding, hang time not to exceed 4 hours.
    - It is recommended that the tube is flushed with lukewarm water (approximately 98°F or 37°C) between each feed.
    - Do not boil or microwave formula.
    - Do not freeze. Recommended storage between 39°F-77°F (4°C-25°C).
    - Once powdered formula is prepared or liquid formula is open, use immediately or refrigerate promptly at 39°F/4°C or less and use within 24 hours.
  • Precautions:
    - Use only under strict medical supervision
    - Not for parenteral use
    - Not suitable for children under one year of age
  • Storage:
    - Store unopened can at room temperature
    - Once opened, reseal can and store in a cool, dry place (not in a refrigerator) and use within one month.


NutrientsPer 100 gPer 100 kcal
Protein, g14.42.0
Carbohydrate, g8.21.2
Dietary Fiber, g5.30.75
Soluble, g3.20.45
Insoluble, g2.10.3
Fat, g69.29.8
Saturated, g26.73.8
Monounsaturated, g22.83.2
Polyunsaturated, g19.72.8
DHA, mg12017
ARA, mg11015.6
VitaminsPer 100 gPer 100 kcal
Vitamin A, IU (mcg)1232 (370)175 (52.5)
Vitamin D3, IU (mcg)420 (10.5)59.6 (1.5)
Vitamin E, IU (mg a T.E.)15.9 (10.7)2.3 (1.5)
Vitamin K, mcg0.0310.0044
Thiamin, mg0.890.13
Riboflavin, mg0.70.1
Vitamin B6, mg0.70.1
Vitamin B12, mcg0.00130.00018
Niacin, mg4.90.7
Folic Acid, mcg0.1160.0165
Pantothenic Acid, mg2.90.41
Biotin, mcg0.01910.0027
Vitamin C, mg40.065.7
Choline, mg32045.5
Inositol, mg19.12.7
MineralsPer 100 gPer 100 kcal
Calcium, mg70099.3
Phosphorus, mg42059.6
Magnesium, mg96.313.7
Iron, mg70.99
Zinc, mg3.60.51
Manganese, mg0.830.12
Copper, mg0.50.071
Iodine, mg0.08620.0122
Molybdenum, mg0.02870.0041
Chromium, mg0.01480.0021
Selenium, mg0.0270.0038
Sodium, mg48168.2
Potassium, mg771109
Chloride, mg726103
L-Carnitine, mg456.4
Taurine, mg334.7
Fiber is not included in calculating the ketogenic ratio

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