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for 4:1 |
KetoCal® 4:1 LQ Chocolate
Your Dietitian/Doctor must provide approval to obtain samples or purchase KetoCal prior to shipment of this product. KetoCal products must be used under medical supervision.
KetoCal® 4:1 liquid (LQ) Chocolate is a ketogenic formula with a 4:1 ratio (fat:carbohydrate + protein). KetoCal 4:1 LQ is designed for individuals over 3 years of age. KetoCal is a medical food and is intended for use under medical supervision.
KetoCal 4:1 LQ is indicated for the dietary management of refractory/intractable epilepsy and other epilepsy-related conditions where the ketogenic diet is indicated, including:
|Vitamin A, IU (mcg RE)||264 (79.2)|
|Vitamin D, IU (mcg)||92.0 (2.3)|
|Vitamin E, IU (mg α-TE)||5.8 (3.9)|
|Vitamin K, mcg||10.2|
|Vitamin B6, mg||0.15|
|Vitamin B12, mcg||0.17|
|Folic Acid, mcg||37.8|
|Pantothenic Acid, mg||0.62|
|Vitamin C, mg||9.3|
|Vitamin A, IU (mcg RE)||625 (188)|
|Vitamin D, IU (mcg)||218 (5.5)|
|Vitamin E, IU (mg α-TE)||13.7 (9.2)|
|Vitamin K, mcg||24.2|
|Vitamin B6, mg||0.36|
|Vitamin B12, mcg||0.4|
|Folic Acid, mcg||89.6|
|Pantothenic Acid, mg||1.5|
|Vitamin C, mg||22|
WATER, REFINED VEGETABLE OIL (HIGH OLEIC SUNFLOWER, SOYBEAN, PALM), SODIUM CASEINATE (MILK), AND LESS THAN 2% OF EACH OF THE FOLLOWING: WHEY PROTEIN CONCENTRATE (MILK), APPLE JUICE CONCENTRATE (FOR COLOR), SOY FIBER, CORN STARCH, INULIN, CITREM, DIPOTASSIUM PHOSPHATE, GUM ARABIC, CALCIUM CHLORIDE, MAGNESIUM ACETATE, MICROCRYSTALLINE CELLULOSE, POTASSIUM CHLORIDE, FRUCTOOLIGOSACCHARIDES (FOS), C. COHNII OIL*, M. ALPINA OIL**, TRISODIUM CITRATE, SUGAR, CALCIUM PHOSPHATE MONOBASIC, MONO AND DIGLYCERIDES, CALCIUM PHOSPHATE DIBASIC, CHOLINE CHLORIDE, L-CYSTINE, SODIUM HYDROXIDE, MALTODEXTRIN, L-ASCORBIC ACID, SUCRALOSE, PROPYLENE GLYCOL ALGINATE, L-CARNITINE, FERROUS LACTATE, TAURINE, M-INOSITOL, L-TRYPTOPHAN, ZINC SULFATE, NATURAL & ARTIFICIAL FLAVORS, SOY LECITHIN, NIACINAMIDE, DL-ALPHA TOCOPHERYL ACETATE, VITAMIN A ACETATE, CALCIUM D-PANTOTHENATE, VITAMIN D3, MANGANESE SULFATE, ASCORBYL PALMITATE, CUPRIC SULFATE, THIAMIN HYDROCHLORIDE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, MIXED TOCOPHEROLS, DL-ALPHA TOCOPHEROL, FOLIC ACID, POTASSIUM IODIDE, CHROMIUM CHLORIDE, SODIUM SELENITE, SODIUM MOLYBDATE, D-BIOTIN, PHYLLOQUINONE, CYANOCOBALAMIN.CONTAINS: MILK, SOY.
*A SOURCE OF DOCOSAHEXAENOIC ACID (DHA)
**A SOURCE OF ARACHIDONIC ACID (ARA)
Suitable as sole source of nutrition for children 3-10 years or as supplementary formula over 10 years of age. Intake to be determined by a healthcare professional and is dependent on the age, body weight and medical condition of the patient.
Directions for Preparation and Use:
For oral and tube feeding:
Store unopened product in a cool, dry place, away from sunlight.
Once opened, use immediately or refrigerate promptly at 39°F or less and use within 24 hours. Shake or stir immediately before use.
|Product Code||Reimbursement Code||HCPCS Code||Packaging||Calories per 8 fl oz carton|
|175809||49735-0100-60||B4154, B17, B4162||27 x 237 mL (8 fl oz)||363|
* Nutricia North America does not represent these codes to be National Drug Codes (NDCs). NDC-format codes are product codes adjusted according to standard industry practice to meet the format requirements of pharmacy and health insurance systems.
KetoCal may be covered by private insurance, Medicaid, WIC, or the National School Lunch Program. Find out more at Nutricia-NA.com/NutriciaNavigator/ or call 1-800-365-7354, 8:30 AM-6:00 PM EST, Monday-Friday.
On this site, you will find information about the ketogenic diet & KetoCal, and resources available to make managing the ketogenic diet as easy as possible.
Access resources and information that can help you find cost assistance for KetoCal.