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Enteral formulas used for individuals with cystic fibrosis[1-4]

Enteral formulas used for individuals with cystic fibrosis[1-4]
Formula Company MCT:LCT ratio LCT, g/1000 mL  kCal/mL Protein source Osmolarity, mOsm/kg water
Pregestimil Mead-Johnson 55:45 17.1  0.67 Hydrolyzed casein 320
Peptamen Junior Nestle 60:40 14.4 1.0 Hydrolyzed whey 260 (unflavored)
Peptamen Junior 1.5  Nestle  60:40  27.2  1.5  Hydrolyzed whey  430 
Peptamen* Nestle 70:30 11.4  1.0 Hydrolyzed whey 340 (unflavored)
Pediasure Peptide  		 Abbott   60:40  16.2  1.0  Hydrolyzed whey  250 (unflavored)  
Pediasure Peptide 1.5   Abbott      60:40  24.3  1.5  Hydrolyzed whey, hydrolyzed casein  450 
Two Cal HN*     Abbott      19:81  73  2.0  Caseinate  725 (flavored) 
Nutren 1.5* Nestle 20:80 48  1.5 Caseinate, soy protein isolate 530 (unflavored)
Nutren 2.0* Nestle 50:50 46  2.0 Caseinate, soy protein isolate 780
Elecare Infant Abbott 33:67 22  0.68 Free amino acids 350

Elecare Junior 

(unflavored/vanilla)   

 Abbott          33:67  33  1.01  Free amino acids  590
Neocate Infant Nutricia 33:67 23  0.67 Free amino acids 340

Neocate Junior

(unflavored/vanilla)

 Nutricia 35:65 32.5  1.0 Free amino acids 600
Vivonex Pediatric Nestle 70:30 7  0.8 Free amino acids 360
MCT: medium-chain triglycerides; LCT: long-chain triglycerides; kcal: kilocalories.
* Appropriate selections for adolescents and adults.
¶ LCT is the main determinant of the lipase requirement for patients requiring pancreatic enzyme replacement. Pancrelipase should be dosed as 1600 to 2000 lipase units per gram LCT.
Modified from: Pediatric Nutrition for Patients with Cystic Fibrosis. Consensus Conference: Concepts in CF Care 2001; 10:31. Cystic Fibrosis Foundation.
Updated with information from:
  1. Mead-Johnson Nutrition. Available at: ​https://www.hcp.meadjohnson.com/ (Accessed on May 15, 2020).
  2. Nestle Health Science. Available at: https://www.nestlehealthscience.us/ (Accessed on May 15, 2020).
  3. Abbott. Available at: https://abbottnutrition.com/ (Accessed on May 15, 2020).
  4. Nutricia North America. Available at: https://www.neocate.com/ (Accessed on May 15, 2020).
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