Elemental Diet for Patients with Moderate to Severe Gastrointestinal/Digestive Impairment
Physicians’ Elemental Diet Dextrose Free is intended for use under medical supervision for the dietary management of patients with GI dysfunction.
The elemental diet is designed for the dietary management of:
• Irritable bowel and Crohn’s disease• Small intestinal bacterial overgrowth (SIBO)• Moderate to severe impaired gastrointestinal function.Physicians’ Elemental Diet Dextrose Free contains a balanced blend of macronutrients fortified with essential vitamins, minerals, and electrolytes to assure comprehensive support as a sole source of nutritional intake for limited periods. It has been:
• Specifically formulated to contain free amino acids, partially hydrolyzed carbohydrate, and medium chain triglycerides to aid in their absorption from the GI lumen.• Designed to maintain nutritional sustenance as a sole source of nutrition for up to four weeks.• Produced as a strictly hypoallergenic formula, free from yeast, wheat, gluten, dairy products, fructose, sucrose, lactose, disaccharides, sorbitol, mannitol, xylitol, artificial colors, flavors or preservatives.• Formulated with a well-tolerated flavor for improved patient adherenceDosing by Caloric Need
Physicians’ Elemental Diet Dextrose Free should be used for 2-4 weeks. It was designed to maintain nutritional sustenance as a sole source of nutrition, and can be used as a half-elemental diet making dosing dependent upon the caloric needs of each patient. One scoop of Physicians’ Elemental Diet Dextrose Free = 35 grams, and 150 calories. Each 1,260g bag contains 36 scoops (5,400 calories).

Dietary considerations

Gluten free

Dairy free

Soy free

Artificial color free

Artificial flavor free

Wheat free

Corn free

Yeast free

Suggested use

Mix each heaping scoopful (33.3 g) in 7-8 oz. (207-236 mL) of cold or room temperature water. Sip the mixture slowly over a period of 15 to 60 minutes based on individual comfort. Additional water may be added to the mixture as desired. Storage: Once mixed, any product that is not consumed after 60 minutes should be refrigerated for up to 24 hours, then stirred prior to consumption. After opening, store remaining powder in a dry place at room temperature.

Serving Size: 1.17oz (33.3g)

Amount Per Serving

Calories ... 150

Calories from Fat ... 50

Total Fat ... 6g

Saturated Fat ... 5g

Total Carbohydrate ... 15g

Sugars ... <1g

Sodium ... 120mg

Potassium ... 150mg

Vitamin A ... 250mcg
(Beta Carotene)

Vitamin C ... 20mg

Calcium ... 85mg

Iron ... 1.5mg

Vitamin D3 ... 1.67mcg

Vitamin E ... 6.7mcg

Vitamin K ... 10mcg

Thiamin ... 0.5mg

Riboflavin ... 0.56mg

(Riboflavin-5’-phosphate)
Niacin ... 3.3mg

Vitamin B6 ... 667mcg

(Pyridoxal-5’-phosphate)

Folate ... 33mcg

(as Quatrefolic (6S)-5-methyltetrahydrofolate glucosamine salt)

Vitamin B12 ... 0.5mcg

(Methylcobalamin)

Biotin ... 50mcg

Pantothenic Acid ... 3.3mg

Choline ... 33.35mg

Phosphorus ... 82.3mg

Iodine ... 16.5mcg

Magnesium ... 33.5mg

Zinc ... 2mg

Selenium ... 18mcg

Copper ... 167mcg

Manganese ... 332mcg

Molybdenum ... 8.25mcg

Chloride ... 228.4mg

Other Ingredients

Medium chain triglycerides, tapioca maltodextrin, l-glutamine, l-proline, l-aspartic acid, l-serine, natural flavor, l-arginine hydrochloride, l-alanine, l-leucine, l-lysine hydrochloride, potassium citrate, l-valine, l-glycine, disodium phosphate, l-isoleucine, l-threonine, l-tyrosine, l-phenylalanine, l-methionine, tricalcium phosphate, dimagnesium malate, l-histidine hydrochloride, dicalcium malate, choline bitartrate, l-cysteine, magnesium citrate, potassium malate, l-tryptophan, l-carnitine l-tartrate, sodium ascorbate, l-taurine, d-alpha-tocopheryl acetate, ferrous gluconate, beta carotene, biotin, zinc sulfate, calcium-d-pantothenate, niacinamide, sodium chloride, sodium selenite, cholecalciferol, potassium iodide, manganese citrate, pyridoxal-5’-phosphate, phytonadione, riboflavin-5’-phosphate, sodium molybdate, thiamin hydrochloride, copper sulfate, Quatrefolic ((6S)-5-methyltetrahydrofolate glucosamine salt), methylcobalamin.

Physicians' Elemental Diet Dextrose Free Does Not Contain

No dairy

Fructose

Sucrose

Yeast – Derived Ingredient

Gluten

Corn

Soy

Dairy Products

Artificial Colors

Artificial Flavors

Wheat

Dextrose

Xylitol

Lactose

sorbitol

Mannitol

Warnings

Medical Food intended for use under medical supervision. Not intended for use in children.

Packaged by weight, not volume. Settling of contents may occur.

Keep out of reach of children. Do not use if pouch is torn or open.