Physicians' Elemental Diet™ Dextrose Free

Elemental Diet for Patients with Moderate to Severe Gastrointestinal/Digestive Impairment

Physicians’ Elemental Diet Dextrose Free is intended for use under medical supervision for the dietary management of patients with GI dysfunction.

The elemental diet is designed for the dietary management of:

• Irritable bowel and Crohn’s disease
• Small intestinal bacterial overgrowth (SIBO)
• Moderate to severe impaired gastrointestinal function.

Physicians’ Elemental Diet Dextrose Free contains a balanced blend of macronutrients fortified with essential vitamins, minerals, and electrolytes to assure comprehensive support as a sole source of nutritional intake for limited periods. It has been:

• Specifically formulated to contain free amino acids, partially hydrolyzed carbohydrate, and medium chain triglycerides to aid in their absorption from the GI lumen.
• Designed to maintain nutritional sustenance as a sole source of nutrition for up to four weeks.
• Produced as a strictly hypoallergenic formula, free from yeast, wheat, gluten, dairy products, fructose, sucrose, lactose, disaccharides, sorbitol, mannitol, xylitol, artificial colors, flavors or preservatives.
• Formulated with a well-tolerated flavor for improved patient adherence

Dosing by Caloric Need

Physicians’ Elemental Diet Dextrose Free should be used for 2-4 weeks. It was designed to maintain nutritional sustenance as a sole source of nutrition, and can be used as a half-elemental diet making dosing dependent upon the caloric needs of each patient. One scoop of Physicians’ Elemental Diet Dextrose Free = 35 grams, and 150 calories. Each 1,260g bag contains 36 scoops (5,400 calories).

Suggested Use / Directions:
Mix each heaping scoopful (33.3 g) in 7-8 oz. (207-236 mL) of cold or room temperature water. Sip the mixture slowly over a period of 15 to 60 minutes based on individual comfort. Additional water may be added to the mixture as desired. Storage: Once mixed, any product that is not consumed after 60 minutes should be refrigerated for up to 24 hours, then stirred prior to consumption.

Serving Size:
1 heaping scoop (33.3 g)

Amount Per Serving:

Calories ... 150
Calories from Fat ... 50
Total Fat ... 6 g
Saturated Fat ... 5 g
Total Carbohydrate ... 15 g
Sugars ... <1 g
Sodium ... 120 mg
Potassium ... 150 mg
Vitamin A (Beta-Carotene) ... 250 mcg
Vitamin C ... 20 mg
Calcium ... 85 mg
Iron ... 1.5 mg
Vitamin D3 ... 1.67 mcg
Vitamin E ... 6.7 mg
Vitamin K ... 10 mcg
Thiamin ... 0.5 mg
Riboflavin (Riboflavin-5'-phosphate) ... 0.56 mg
Niacin ... 3.3 mg
Vitamin B6 (Pyridoxal-5'-phosphate) ... 667 mcg
Folate (as Quatrefolic® brand (6S)-5-methyltetrahydrofolate glucosamine salt) ... 33 mcg
Vitamin B12 (Methylcobalamin) ... 0.5 mcg
Biotin ... 50 mcg
Pantothenic Acid ... 3.3 mg
Choline ... 33.35 mg
Phosphorus ... 82.3 mg
Iodine ... 16.5 mcg
Magnesium ... 33.5 mg
Zinc ... 2 mg
Selenium ... 18 mcg
Copper ... 167 mcg
Manganese ... 332 mcg
Molybdenum ... 8.25 mcg
Chloride ... 228.4 mg

Amino Acid Profile
l-glutamine ... 10 g
l-proline ... 3.3 g
l-aspartic acid ... 2.2 g
l-serine ... 1.4 g
l-arginine hydrochloride ... 1.4 g
l-alanine ... 1.3 g
l-leucine ... 1.2 g
l-lysine hydrochloride ... 1.2 g
potassium citrate ... 1.1 g
l-valine ... 1 g
l-glycine ... 0.9 g
disodium phosphate ... 0.8 g
l-isoleucine ... 0.8 g
l-threonine ... 0.7 g
l-tyrosine ... 0.4 g
l-phenylalanine ... 0.4 g
l-methionine ... 0.3 g
tricalcium phosphate ... 0.3 g
dimagnesium malate ... 0.3 g
l-histidine ... 0.3 g
dicalcium malate ... 0.3 g
choline bitartrate ... 0.3 g
l-cysteine hydrochloride ... 0.2 g
magnesium citrate ... 0.2 g
potassium malate ... 0.2 g
l-tryptophan ... 0.1 g
l-carnitine l-tartrate ... 0.1 g
sodium ascorbate ... 0.1 g
l-taurine ... 0.1 g
d-alpha-tocopheryl acetate ... 0.1 g

Other Ingredients:
medium chain triglycerides, tapioca maltodextrin, l-glutamine, l-proline, l-aspartic acid, l-serine, natural flavor, l-arginine hydrochloride, l-alanine, l-leucine, l-lysine hydrochloride, potassium citrate, l-valine, l-glycine, disodium phosphate, l-isoleucine, l-threonine, l-tyrosine, l-phenylalanine, l-methionine, tricalcium phosphate, dimagnesium malate, l-histidine hydrochloride, dicalcium malate, choline bitartrate, l-cysteine, magnesium citrate, potassium malate, l-tryptophan, l-carnitine l-tartrate, sodium ascorbate, l-taurine, d-alpha-tocopheryl acetate, ferrous gluconate, beta carotene, biotin, zinc sulfate, calcium-d-pantothenate, niacinamide, sodium chloride, sodium selenite, cholecalciferol, potassium iodide, manganese citrate, pyridoxal-5’-phosphate, phytonadione, riboflavin-5’-phosphate, sodium molybdate, thiamin hydrochloride, copper sulfate, Quatrefolic® ((6S)-5-methyltetrahydrofolate glucosamine salt), methylcobalamin.

Physicians' Elemental Diet™ Dextrose Free Does Not Contain
No dairy
Fructose
Sucrose
Yeast – Derived Ingredient
Gluten
Corn
Soy
Dairy Products
Artificial Colors
Artificial Flavors
Wheat
Dextrose
Xylitol
Lactose
sorbitol
Mannitol

Warning
Medical food intended for use under medial supervision.

Not intended for use in children.

Keep out of reach of children.

Do not use if open or torn. Keep tightly sealed. Store at room temperature. Avoid excessive heat and direct sunlight.