121 PEDIASURE ® PEPTIDE 1.0 CAL HCPCS Code B4161 www.AbbottNutrition.com PediaSure ® Peptide 1.0 Cal Ingredients Unflavored Water, Corn Maltodextrin, Whey Protein Hydrolysate, Structured Lipid (Interesterified Canola Oil & Medium Chain Triglycerides), Medium-Chain Triglycerides, Hydrolyzed Sodium Caseinate, Less than 0.5% of the Following: Vitamins & Minerals (Calcium Phosphate, Potassium Citrate, Potassium Chloride, Magnesium Phosphate, Ascorbic Acid, Choline Chloride, Sodium Citrate, Ferrous Sulfate, Zinc Sulfate, dl- Alpha-Tocopheryl Acetate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Copper Sulfate, Vitamin A Palmitate, Folic Acid, Chromium Chloride, Biotin, Potassium Iodide, Sodium Selenate, Sodium Molybdate, Phylloquinone, Vitamin D3, Vitamin B12), Short-chain Fructooligosaccharides, Canola Oil, Cellulose Gel, Soy Lecithin, Tuna Oil § , Cellulose Gum, Carrageenan, Inositol, Potassium Hydroxide, Taurine, L-Carnitine, Lutein § Source of docosahexaenoic acid (DHA). Contains milk and soy ingredients. Nutrition Information Unflavored 8 fl oz 1 L 1.5 L Protein, g 7 30 45 Total Fat, g 9.6 41 61 Saturated Fat, g 5 21 31 Polyunsaturated Fat, g 0.5 (1.1 Choc.) 2 3 Monounsaturated Fat, g 1.5 (2.3 Choc.) 6 9 Trans Fat, g 0 0 0 Cholesterol, mg 10 40 60 Total Carbohydrate, g 31.7 134 201 Dietary Fiber, g 0.7 (1.4 Choc.) 3 5 scFOS, g 0.7 3 4 Total Sugars, g 1* 5 † 8 ‡ Added Sugars, g 1* 5 † 8 ‡ L-Carnitine, mg 4 17 25 Taurine, mg 30 127 190 Water, mL 201 845 1268 Calories 237 1000 1500 Vitamin A, mcg RAE 140 570 854 Vitamin D, mcg 5.9 25 37.5 Vitamin E, mg 2.5 10.4 15.5 Vitamin K, mcg 16 68 101 Vitamin C, mg 24 101 152 Folate, mcg DFE 120 500 750 Folic Acid, mcg 71 300 450 Vit B1 (Thiamin), mg 0.60 2.5 3.8 Vit B2 (Riboflavin), mg 0.5 2.1 3.2 Vitamin B6, mg 0.6 2.5 3.8 Vitamin B12, mcg 1.4 5.9 8.9 Niacin, mg NE 5.2 21.9 32.8 Choline, mg 80 340 510 Biotin, mcg 20 84 127 Pantothenic Acid, mg 2.4 10.1 15.2 Inositol, mg 32 135 203 Unflavored 8 fl oz 1 L 1.5 L Sodium, mg 170 717 1076 Sodium, mEq 7.4 31.24 46.8 Potassium, mg 470 1980 2970 Potassium, mEq 12.1 50.8 76.3 Chloride, mg 240 1010 1515 Chloride, mEq 6.8 28.5 42.9 Calcium, mg 330 1390 2085 Calcium, mEq 16.5 69.5 104.4 Phosphorus, mg 250 1055 1582 Phosphorus, mmol 8.1 34.1 51 Magnesium, mg 40 170 255 Magnesium, mEq 3.3 14 21 Iodine, mcg 23 97 146 Manganese, mg 0.46 1.7 2.6 Copper, mg 0.14 0.60 0.90 Zinc, mg 2.8 11.8 17.7 Iron, mg 3.3 13.9 20.9 Selenium, mcg 8 34 51 Chromium, mcg 9 38 57 Molybdenum, mcg 9 38 57 Free Water, % 85 84.5 84.5 Unflavored Caloric Density, Cal/mL 1.0 Protein, % Cal 12 Carbohydrate, % Cal 53 Fat, % Cal 35 Omega-6:Omega-3 2.66:1 MCT:LCT 60:40 Total Cal:g Nitrogen 216:1 Nonprotein Cal:g Nitrogen 190:1 Osmolality, mOsm/kg H2O 290 (390 Van., Str .) Renal Solute Load, mOsm/L 279 Recommended Tube Size for Gravity/Pump Feeding (Fr) 10/10 Technical Data * (7 Van., Str.). † (30 Van., Str.). ‡ (45 Van., Str.).