142 Vital ® 1.0 Cal Peptide-Based, Therapeutic Nutrition for Tolerance Usage VITAL 1.0 CAL is peptide-based therapeutic nutrition that provides complete, balanced nutrition for long- or short-term patients who require tube feeding and are experiencing malabsorption, maldigestion, or impaired GI function and/or GI intolerance. • For tube or oral feeding. • For supplemental or sole-source nutrition. • Use under medical supervision. Features • Designed to promote tolerance: • Advanced blend of hydrolyzed protein, structured lipid, and prebiotics (short-chain fructooligosaccharides) to support absorption and tolerance. • Hydrolyzed, peptide-based protein system • 1 g of short-chain fructooligosaccharides/8 fl oz (4.2 g/L). Short-chain fructooligosaccharides are prebiotic fibers that stimulate the growth of beneficial bacteria in the colon. 1-3 • Contains MCT/canola oil structured lipid. Structured lipids are well-tolerated 4,5 and absorbed 4 next- generation fats to promote absorption of fatty acids. • 1500 Calories (1500 mL) provide at least 100% of the RDIs for 25 essential vitamins and minerals. • Contains elevated levels of the antioxidants vitamins C & E and selenium to help reduce free radical damage. 6,7 • Gluten-free, suitable for lactose intolerance. Precautions • Not for IV use. • Not for people with galactosemia. Availability List No. NDC Format Code — 33.8-fl oz ( 1.0-L) Ready to Hang Prefilled Container; 8/case Ready to Hang . . . . . . . . . . . . . . . . . . . . . . . . . 62711 . . . . . . . . . . . . 70074-0627-12 — 8.0-fl oz ( 237.0-mL) Recloseable Carton; 24/case Vanilla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64832 . . . . . . . . . . . 70074-0648-29 1 Bornet FR, et al. Nutr Rev. 2002;60(11):326-334. 2 Tokunaga T, et al. Bifidus. 1993;6(2):143-150 . 3 Bouhnik Y, et al. Nutr J. 2007;6:42-48. 4 Kenler AS, et al. Ann Surg. 1996;223(3):316-333. 5 McKenna MC, et al. J Pediatr Gastroenterol Nutr. 1985;4(1):45-51. 6 Institute of Medicine. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Caretenoids. Washington, DC: National Academies Press; 2000. 7 Sies H. Redox Biol. 2015;4:180-183.