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TwoCal Bolus 200ml

TwoCal Bolus 200ml

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    BOLUS FEEDING - VERY HIGH ENERGY - 2.0 KCAL/ML - WITH FOS
    📦 Product Essentials
    Product TwoCal Bolus
    Preparation Ready to Use - Bolus Feeding
    Age Adults
    Pack Size 200ml Bottle
    Energy Density 2.0 kcal/ml (Very High Energy)
    Product Type Nutritionally Complete Tube Feed
    ⚠️ Dietary Information
    Contains: Milk, Soya
    FOR ENTERAL USE ONLY (Bolus Feeding via Tube)
    Gluten Free
    Clinically Lactose Free
    Suitable for Vegetarians

    Note: Nutritionally complete - suitable as sole source of nutrition under medical supervision. Complete for vitamins and minerals in 1750ml (875ml excluding electrolytes). Designed specifically for bolus feeding via a feeding tube.

    🔥 Nutritional Highlights
    399
    Calories per 200ml bottle - ideal for bolus feeding
    Protein 16.8g per bottle (16.8% of energy)
    Carbohydrates 42.0g per bottle
    Fat 17.8g per bottle
    Fibre (FOS) 2.0g per bottle (100% soluble)
    Detailed Information

    Allergen Information

    Contains: Milk, Soya
    FOR ENTERAL USE ONLY - Designed for bolus feeding via feeding tube
    Gluten Free
    Clinically Lactose Free
    Suitable for Vegetarians

    Nutrition Facts

    TwoCal Bolus is presented in 200ml (399 kcal) bottles designed specifically for bolus feeding via a feeding tube. Values shown are per 100ml and per 200ml bottle.

    Macronutrients

    Nutrient per 100ml per 200ml
    Energy (kcal) 200 399
    Energy (kJ) 837 1674
    Protein (g) 8.40 (1.34) 16.8 (2.69)
    Carbohydrate (g) 21.0 42.0
    - of which sugars (g) 4.65 9.30
    Fat (g) 8.90 17.8
    - of which saturates (g) 0.85 1.70
    - of which MCT** (g) 0.01 0.02
    Fibre (g) 1.00 2.00
    - of which FOS (g) 1.00 2.00
    Salt (g) 0.33 0.66
    Water (g) 70.3 141

    Protein & Amino Acids

    Protein Source g/100g protein g/100ml g/200ml
    Milk protein isolate 80.0 6.72 13.4
    Sodium caseinate 20.0 1.68 3.36
    Essential Amino Acids
    Histidine 2.56 0.21 0.42
    Isoleucine 5.03 0.42 0.84
    Leucine 8.94 0.75 1.50
    Lysine 7.66 0.64 1.28
    Methionine 2.49 0.21 0.42
    Phenylalanine 4.62 0.39 0.78
    Threonine 4.61 0.39 0.78
    Tryptophan 1.47 0.12 0.24
    Valine 6.10 0.51 1.02
    Arginine 3.28 0.28 0.56
    Non-Essential Amino Acids
    Alanine 3.05 0.26 0.52
    Aspartic acid 3.47 0.29 0.58
    Cystine 0.58 0.05 0.10
    Glutamic acid 9.26 0.78 1.56
    Glycine 1.82 0.15 0.30
    Proline 10.1 0.85 1.70
    Serine 5.52 0.46 0.92
    Tyrosine 5.00 0.42 0.84
    Asparagine 3.65 0.31 0.62
    Glutamine 10.8 0.91 1.82
    Non-protein calorie: N 124:1

    Fat & Fatty Acids

    Fat Source % total fatty acids g/100ml g/200ml
    High oleic sunflower oil 60.6 5.39 10.8
    Soy oil 27.0 2.40 4.81
    Canola oil 10.0 0.89 1.78
    Lecithin 2.40 0.21 0.43
    Essential Fatty Acids
    Linoleic acid (C18:2) 21.6 1.93 3.86
    Linolenic acid (C18:3) 2.35 0.21 0.42
    Monounsaturated Fatty Acids
    Palmitoleic acid (C16:1) 0.14 0.01 0.02
    Oleic acid (C18:1) 61.1 5.44 10.9
    Petroselinic acid (C18:1) 0.08 0.01 0.02
    Gadoleic acid (C20:1) 0.21 0.02 0.04
    Erucic acid (C22:1) 0.07 0.01 0.02
    Saturated Fatty Acids
    Caproic acid (C6:0) - - -
    Caprylic acid (C8:0) - - -
    Capric acid (C10:0) - - -
    Lauric acid (C12:0) 0.06 0.01 0.02
    Myristic acid (C14:0) 0.03 trace trace
    Palmitic acid (C16:0) 5.85 0.52 1.04
    Margaric acid (C17:0) 0.07 0.01 0.02
    Stearic acid (C18:0) 2.76 0.25 0.50
    Arachidic acid (C20:0) 0.37 0.03 0.06
    Behenic acid (C22:0) 0.62 0.06 0.12
    Tricosanoic acid (C23:0) - - -
    Lignoceric acid (C24:0) 0.15 0.01 0.02
    P/S ratio 2.43
    n6:n3 ratio 9.2:1

    Fibre

    Fibre Source % total fibre g/100ml g/200ml
    Oligofructose (FOS) 100.0 1.00 2.00
    Soluble fibre content 100%

    Carbohydrates

    Carbohydrate Source % total carbohydrates g/100ml g/200ml
    Corn syrup 52.7 11.1 22.1
    Maltodextrin 34.9 7.33 14.7
    Sucrose 12.0 2.52 5.04
    Oligofructose (fructo-oligosaccharides) 0.31 0.07 0.13

    Vitamins

    Vitamin per 100ml per 200ml
    Vitamin A (μg RE) 158 316
    - of which β-carotene (μg RE) 0 0
    Vitamin D₃ (μg) 1.70 3.40
    Vitamin E (mg α TE) 3.4 6.8
    Vitamin K₁ (μg) 8.5 17
    Vitamin C (mg) 20 40
    Folacin/Folic Acid (μg) 48 96
    Thiamin/Vitamin B₁ (mg) 0.30 0.60
    Riboflavin/Vitamin B₂ (mg) 0.29 0.58
    Vitamin B₆ (mg) 0.34 0.68
    Vitamin B₁₂ (μg) 0.64 1.28
    Niacin (mg NE) 3.4 6.8
    Pantothenic Acid (mg) 1.6 3.2
    Biotin (μg) 8.0 16

    Minerals

    Mineral per 100ml per 200ml
    Sodium (mg) 130 (5.65 mmol) 260 (11.3 mmol)
    Potassium (mg) 200 (5.12 mmol) 400 (10.2 mmol)
    Chloride (mg) 180 (5.08 mmol) 360 (10.2 mmol)
    Calcium (mg) 150 (3.74 mmol) 300 (7.49 mmol)
    Phosphorus (mg) 120 (3.87 mmol) 240 (7.75 mmol)
    Magnesium (mg) 40 (1.65 mmol) 80 (3.29 mmol)
    Iron (mg) 2.1 4.2
    Zinc (mg) 2.4 4.8
    Manganese (mg) 0.55 1.1
    Copper (mg) 0.24 0.48
    Iodine (μg) 16 32
    Selenium (μg) 9.0 18
    Chromium (μg) 10 20
    Molybdenum (μg) 16 32

    Other Nutrients

    Nutrient per 100ml per 200ml
    Taurine (mg) 16 32
    L-carnitine (mg) 16 32
    Choline (mg) 63 126
    Osmolarity (mOsm/L) 560 -
    Osmolality (mOsm/kg H₂O) 800 -
    Renal Solute Load (mOsm/L) 637 -

    Ingredients

    Water, hydrolysed corn starch, milk proteins, vegetable oils (high oleic sunflower, soy, canola), maltodextrin, sucrose, FOS, minerals (sodium citrate, potassium chloride, magnesium phosphate dibasic, magnesium chloride, potassium citrate, ferrous sulphate, zinc sulphate, manganese sulphate, cupric sulphate, sodium molybdate, chromium chloride, sodium selenate, potassium iodide), emulsifier: soy lecithin, choline chloride, vitamins (C, niacinamide, calcium pantothenate, E, B₆, B₁, B₂, vitamin A palmitate, folic acid, biotin, K₁, D₃, B₁₂), taurine, l-carnitine, acidity regulator: E525.

    Product Description

    TwoCal Bolus is a 2.0 kcal/ml complete, balanced, energy dense liquid enteral tube feed with FOS (fructo-oligosaccharides). It is specifically designed for bolus feeding via a feeding tube, providing a convenient and nutritionally complete solution for patients requiring high energy nutrition in a small volume.

    Presented in 200ml (399 kcal) bottles, TwoCal Bolus is ideal for patients who need concentrated nutrition but cannot tolerate large volumes of feed. The high energy density allows patients to meet their nutritional requirements with less fluid intake, making it particularly suitable for fluid-restricted patients or those with limited gastric capacity.

    The formula contains 100% soluble fibre in the form of FOS (fructo-oligosaccharides), which may help support digestive health and normal bowel function. With 16.8% of energy from protein and a non-protein calorie to nitrogen ratio of 124:1, TwoCal Bolus provides balanced nutrition for patients with increased energy needs.

    Manufactured by Abbott Laboratories Ltd, a global leader in clinical nutrition, TwoCal Bolus is nutritionally complete for vitamins and minerals in 1750ml (875ml excluding electrolytes, calculated using the UK Reference Nutrient Intake for men aged 19-50 years). The product is gluten-free, clinically lactose-free, and suitable for vegetarians.

    TwoCal Bolus is designed for enteral use only and should be administered via bolus feeding through a feeding tube. It is suitable as a sole source of nutrition or as a nutritional supplement for patients who cannot or will not eat sufficient quantities of everyday food and drink to meet their nutritional requirements. Suitable for people with diabetes provided that routine glucose checks are performed.

    Note: TwoCal is also available in 1000ml (1997 kcal) Ready to Hang (RTH) containers for tube feeding via continuous or intermittent feeding methods.

    Usage Instructions

    ⚠️ FOR ENTERAL USE ONLY - This product is designed for bolus feeding via a feeding tube and must not be taken orally.

    TwoCal Bolus is ready for use and requires no preparation. The volume and frequency of bolus feeds should be adjusted to meet the patient's nutritional needs and tolerance.

    Administration Method

    Bolus Feeding: TwoCal Bolus is specifically designed for bolus feeding via a feeding tube. Administer at room temperature. Shake well before use. The 200ml bottle size is ideal for convenient bolus administration.

    Dosage Recommendations

    • For supplementary nutrition: As recommended by healthcare professional
    • For sole source nutrition: 1750ml provides complete vitamins and minerals (excluding electrolytes) for adults aged 19-50 years
    • Use under medical supervision
    • Suitable for people with diabetes provided that routine glucose checks are performed
    • Suitable for patients requiring high energy nutrition in a small volume
    • Many nutritional products contain sucrose and other sugars - important for patients who are taking supplements as sip feeds to observe good oral hygiene

    Community Use - Prescriptions

    TwoCal Bolus can be prescribed on a FP10 (GP10 in Scotland) for the following indications:

    • Patients with disease-related malnutrition
    • Catabolic patients
    • Fluid-restricted patients
    • Other patients requiring a 2kcal/ml feed

    All prescriptions should be endorsed ACBS (Advisory Committee on Borderline Substances).

    Contraindications

    • FOR ENTERAL USE ONLY
    • Not for use in galactosaemia
    • Suitable for people with diabetes provided that routine glucose checks are performed

    Precautions

    • In patients receiving some medications there may be a risk of drug nutrient interactions (e.g. warfarin and vitamin K). Careful prescribing and monitoring practices will serve to reduce the risk (please refer to pharmacist)
    • Unless recommended by a qualified healthcare professional, not intended for use in children
    • Patients should not make any additions to the feed without consulting their pharmacist or dietitian

    Storage & Directions for Use

    • Ready for use
    • Store unopened at room temperature
    • Shake well. Once opened, unused product should be resealed and stored in a refrigerator
    • Unused contents should be discarded after 24 hours

    Manufacturer Information

    Manufacturer Abbott Laboratories Ltd
    Address Abbott House, Vanwall Business Park, Vanwall Road, Maidenhead, Berkshire, SL6 4XE, United Kingdom
    Website abbottnutrition.co.uk
    Customer Care 0800 252882
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