## Description

Nutricia Elemental 028 Extra Liquid is a Food for Special Medical Purposes (FSMP): a nutritionally complete, ready-to-drink elemental formula based on free amino acids. It is designed for the dietary management of severe gastrointestinal impairment and is intended for oral or enteral use. The formula features a high-MCT fat profile and provides carbohydrate, fats, essential and non‑essential amino acids, vitamins, minerals and trace elements.

### Indications for Use (dietary management)

- Crohn’s disease, short bowel syndrome, intractable malabsorption, bowel/enterocutaneous fistulae, radiation enteritis.

- Situations where an elemental diet is indicated, including eosinophilic oesophagitis, inflammatory bowel disease, and for patients with multiple food allergies requiring enteral feeding.

### Suitability and Important Notices

- May be used from 1 year of age as a supplement.

- Suitable as a sole source of nutrition from 5 years of age and for adults.

- Not suitable for infants under 1 year.

- For enteral/oral use only; not for parenteral use.

- Must be used under medical supervision.

### Nutritional Profile

- Energy density: 0.86 kcal/mL (86 kcal/100 mL; 215 kcal/250 mL).

- Protein equivalent (from free amino acids): 2.5 g/100 mL (6.3 g/250 mL).

- Carbohydrate: 11 g/100 mL (27.5 g/250 mL); of which sugars 4.7 g/100 mL (11.8 g/250 mL); lactose: nil.

- Fat: 3.5 g/100 mL (8.8 g/250 mL); saturates 1.3 g/100 mL; monounsaturates 1.6 g/100 mL; polyunsaturates 0.45 g/100 mL.

- Fat blend: 65% LCT / 35% MCT; omega‑6:omega‑3 ratio ≈3.5:1.

- Fibre: no added fibre.

- Selected micronutrients (per 250 mL): sodium 153 mg (6.8 mmol), potassium 233 mg, calcium 113 mg, phosphorus 100 mg, magnesium 40.8 mg, chloride 166.5 mg; Ca:P ≈1.13:1. Includes a full vitamin and trace‑element profile; other components include choline (~45.8 mg/250 mL) and inositol (~4.5 mg/250 mL).

- Osmolality (mOsmol/kg H2O): Summer Fruits ≈695; Orange & Pineapple ≈725; Grapefruit ≈673.

- Potential renal solute load: ~243 mOsmol/L.

### Dietary and Allergen Information

- Lactose‑free; milk‑protein‑free.

- Contains sugars and sweetener (acesulfame K).

- Suitable for vegetarians.

### Ingredients (example: Orange & Pineapple flavour; may vary by flavour/market)

- Water

- Carbohydrate sources (maltodextrin, sugar, dried glucose syrup)

- Fat blend [fractionated coconut oil (MCT), high‑oleic sunflower oil, canola oil]

- Free amino acids (e.g., L‑lysine L‑aspartate, L‑leucine, L‑arginine, L‑phenylalanine, L‑proline, L‑valine, L‑isoleucine, glycine, N‑acetyl L‑methionine, L‑threonine, L‑histidine, L‑serine, L‑alanine, L‑tryptophan, L‑tyrosine, L‑cystine)

- Minerals; vitamins

- Choline bitartrate; taurine; L‑carnitine; inositol

- Stabilisers (E460i, E466); emulsifiers (E472e, E471); acidity regulators (E330, E296)

- Sweetener (acesulfame K); antioxidant (E307); colours (E160a, E162); flavourings

### Formats and Flavours

- 250 mL ready‑to‑drink units; best served chilled.

- Flavours: Summer Fruits; Orange & Pineapple; Grapefruit.

- Outer pack: 18 × 250 mL units.

### Directions for Use and Storage

- Intake to be determined by a clinician/dietitian according to age, body weight and clinical condition.

- Serve chilled. Once opened, refrigerate and use within 24 hours.

- Store unopened in a cool, dry place (typically 5–25°C).