148 Vital ® HP Peptide-Based, High Protein, Therapeutic Nutrition for Tolerance Usage VITAL HP is specialized therapeutic nutrition for immune support, to promote GI tolerance, and to help manage inflammation and is suitable for patients who could benefit from a high-protein, low-fat diet. • For tube or oral feeding. • For supplemental or sole-source nutrition. • Use under medical supervision. Features • 87.3 g/L peptide-based protein (35%). • 20% of total calories from fat. • EPA (2.3 g/L) and DHA (0.9 g/L) from fish oil to help modulate inflammation and support immune function. 1,2 • Has the recommended lipid profile for the severely critically ill patient, including EPA and DHA from fish oil, to help modulate inflammation. 1-3 • 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. 4,5 • Contains at least 100% of the RDI for vitamin D per 1500 Calories to: a) Help maintain normal circulating levels of vitamin D, which has been shown to be decreased in critically ill patients 6,7 /patients with malabsorption 8 b) Help meet the increased vitamin D needs of critically ill patients. 6-8 • 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 Unflavored . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63081 . . . . . . . . . . . 70074-0630-82 — 8.0-fl oz ( 237.0-mL) Recloseable Carton; 24/case Unflavored . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64820 . . . . . . . . . . . 70074-0648-17 1 Calder PC. Prostaglandins Leukot Essent Fatty Acids. 2008;79(3-5):101-108. 2 Calder PC. Clin Nutr. 2010;29(1):5-12. 3 McClave SA, et al. JPEN J Parenter Enteral Nutr. 2016;40(2):159-211. 4 Institute of Medicine (US) Panel on Dietary Antioxidants and Related Compounds. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington (DC): National Academies Press (US);2000. 5 Sies H. Redox Biol. 2015;4:180-183. 6 Lee P, et al. N Engl J Med. 2009;360(18):1912-1914. 7 Lee P, et al. Intensive Care Med. 2009;35(12):2028-2032. 8 Kuwabara A, et al. Osteoporos Int. 2009;20(6):935-942.