167 PRIMARY ISSUE Product Benefits ASPEN Adult Nutrition Support Therapy Guidelines 1,2 – Updates Made in 2022* IMMUNE SUPPORT Trauma Burns Surgery Head/neck cancer PIVOT ® 1.5 CAL • Arginine (supplemental) • Glutamine (inherent) • Omega-3 fatty acids (fish oil) • Elevated antioxidants • High protein DIALYSIS Acute and chronic kidney disease Renal failure NEPRO ® WITH CARBSTEADY ® • CARBSTEADY ®† • High protein THERAPEUTIC NUTRITION FOR CRITICAL CARE C4 E2 M1 b M2 b O3 Used with permission of SCCM and A.S.P.E.N. If no grade is listed after the guideline, it is ungraded; based on expert consensus. * Updates were made to the guidelines in 2022, but they currently do not fully replace the 2016 guidelines. Compher C, et al. J Parenter Enteral Nutr . 2022;46(1):12-41. † CARBSTEADY carbohydrate blend designed to help minimize blood glucose response. References: 1. Taylor BE, et al. Crit Care Med. 2016;44(2):390-438. 2. McClave SA, et al. JPEN J Parenter Enteral Nutr. 2016;40(2):159-211. J1 J2