A nutritionally complete,ready-to-feed ketogenic formula in a 4:1 ratio (fat : carbohydrate + protein)for the dietary management of intractable epilepsy and other medical conditions where the ketogenic diet is indicated; designed for individuals over 1 year of age. A medical food.Nutritionally complete4:1 ratioConvenient ready-to-feed liquidGreat vanilla flavor or unflavoredContains a multi-fiber blend of insoluble and soluble fiberSupplemented with DHA and ARAAppropriate for enteral or oral feedingsNo trans fatAspartame-free (contains sucralose)Nutrient dense for children with low energy requirementsOsmolality (at 1.5 kcal/mL): Vanilla 260 mOsm/kg,Unflavored 280 mOsm/kgEnergy Distribution:Protein 8.2%Carbohydrate 3.1%Fiber 1.5%Fat (LCT 100%) 88.7%Free water 77.8%Density 1.01g/mLIndication:Intractable epilepsyPyruvate dehydrogenase deficiency (PDH)Glucose transporter type-1 deficiency (GLUT1DS)Other disorders where the ketogenic diet is indicatedIngredients:Water, Refined Vegetable Oil (High Oleic Sunflower, Soy, Palm), Sodium Caseinate (Milk), Whey Protein Concentrate (Milk), Soy Fiber, Corn Starch, Inulin, CAEM (an Emulsifier), Dipotassium Phosphate, Gum Arabic, Calcium Chloride, M. Alpina Oil*, Magnesium Acetate, Potassium Chloride, C. Cohnii Oil**, Microcrystalline Cellulose, Fructooligosaccharide , L-Ascorbic Acid, Calcium Phosphate Monobasic, Mono and Diglycerides, Trisodium Citrate, Sodium Hydroxide, Choline Chloride, L-Cystine, Calcium Phosphate Dibasic, Propylene Glycol Alginate, Ferrous Lactate, L-Carnitine, Taurine, M-Inositol, L-Tryptophan, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Soy Lecithin, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Ascorbyl Palmitate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Mixed Tocopherols, DL-Alpha Tocopherol, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenite, Sodium Molybdate, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.Unflavored version also contains: Sugar. Vanilla flavored version also contains:Artificial Flavor, Sugar, Artificial Sweetener: Sucralose, Sodium Hydroxide, Choline Chloride.*A source of Arachidonic Acid (ARA)**A source of Docosahexaenoic Acid (DHA).Precautions:Use only under strict medical supervision. Not for use when planning or during pregnancy.Seek medical advice before using with serotonergic medications.