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Medical Foods

8/ 01

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AUTHOR: GHLF Staff

DATE: Aug 01, 2017

TAGS: medical foods, nutrition, vitamins,

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MEDIA CONTACT
Name : Jessica Daitch
Phone: 917-816-6712
Email: jdaitch@ghlf.org

Medical Foods

The term “medical food” can be confusing. It is not “food” in the traditional sense. Rather, medical foods are prescription medicines created from food-based, natural molecules. They deliver highly purified, pharmaceutical-grade ingredients to the body to help restore its own balance and normal metabolic processes.

Medical foods must have proven effectiveness and contain only ingredients designated as GRAS (Generally Recognized as Safe), a strict food-safety standard set by the U.S. Food and Drug Administration (FDA). GRAS designated food substances are proven safe by qualified experts who are toxicologists. Medical foods are intended for the metabolic management of a disease and must be used under a doctor’s supervision, according to federal laws.

Prescription medical foods contain highly-concentrated and purified natural ingredients such as flavonoids, the healthy nutrients found in foods like green tea, red wine and dark chocolate. Flavonoids are proven to have anti-inflammatory effects and powerful antioxidants; however, a change in diet cannot pack the same powerful punch as one highly-concentrated medical food capsule or tablet.

Medical foods may help manage the underlying cause of many different chronic diseases. Some of these include inborn errors of metabolism or metabolic issues caused by diseases.


Click on one of the conditions below to see how medical foods can help manage your symptoms:


 

Osteoarthritis

Limbrel

Limbrel is a prescription medical food product for the clinical dietary management of the metabolic processes of osteoarthritis to be dispensed under a physician’s supervision.

OA activates an “inflammation cascade” that results in chronic discomfort. Inflammation is a natural way the body heals itself, but it can become unbalanced. Limbrel works with the body to restore its natural balance – reducing physical discomfort with fewer side effects. It does this through dual inhibition, or partially limiting both COX (cyclooxygenase) and LOX (lipoxygenase) enzyme systems. These are two major inflammatory pathways that break down arachidonic acid into inflammatory molecules. Limbrel balances COX-1 and COX-2 metabolism by inhibiting both enzymes relatively equally, in addition to inhibiting 5-LOX. Limbrel is also a potent antioxidant that helps “absorb” free radicals that can cause damage to joints. The antioxidant power of Limbrel is higher than Vitamin C and E, as well as concentrated sources of antioxidants such as blueberry juice.

Limbrel unlocks natural molecules found in foods. It is made up of flavocoxid and citrated zinc bisglycinate. Flavocoxid is a blend of the flavonoids baicalin and catechin, which have been studied around the world and are recognized for their anti-inflammatory and antioxidant properties. Each Limbrel capsule also has approximately 10 mg of elemental zinc. Zinc is an essential mineral required by many enzymes in the body. The National Academy of Sciences recommends a 40 mg/day limit of elemental zinc per day, the equivalent of four Limbrel capsules. Limbrel is also available in a non-zinc formula.

Take 1 capsule every 12 hours with or without food, or as direted by a physician.

Does Limbrel cause side effects?
Limbrel uses a different approach than many drugs because it addresses the dietary imbalances involved in joint disease, rather than focusing only on the symptoms. Safe flavonoid ingredients (found in many foods we eat), unique dual inhibition and antioxidant action are the foundation of Limbrel’s safety and efficacy.

The most common side effects of Limbrel are nausea, diarrhea and flatulence, which are often mild and do not usually require stopping use. If this should happen to you, take Limbrel with food. Clinical experience by physicians has shown Limbrel to be well tolerated in patients with a history of GI issues. Mild elevations in liver tests and rare cases of severe liver reaction (e.g. jaundice) have been reported, and were completely resolved within 2-4 weeks after patients stopped taking Limbrel. Liver abnormalities may be the result of a hypersensitivity to one of the ingredients in Limbrel. Extremely rare cases of allergic lung reactions that required treatments have also been reported. No kidney toxicity has been reported. If you experience any discomfort while taking Limbrel, inform your doctor immediately.

Who should not take Limbrel?
Limbrel is not intended for patients with hypersensitivity to flavonoids or who are allergic to zinc. Flavonoids are a family of healthy ingredients generally found in colored vegetables, fruits, red wine and green tea. Limbrel has not been tested in pregnant or lactating women, pediatric patients, or patients with an active bleeding gastrointestinal ulcer.

 

Rheumatoid Arthritis

Rheumate

For patients on methotrexate (MTX) therapy for RA and other autoimmune diseases.

Rheumate is a prescription medical food product for the clinical dietary management of the metabolic effects of methotrexate therapy to be used under a physician’s supervision.

Rheumate replenishes folate by delivering a bioavailable form (L-5-methyltetrahydrofolate) that doesn’t need to be converted by the body. This is different from folic acid, which has to be converted to active folate before the body can use it. The folate in Rheumate is superior because MTX can decrease the conversion of folic acid into folate. Also, nearly half of the US population has a genetic defect (MTHFR polymorphism) that blocks the conversion of folic acid into the active form, folate.

Rheumate is a mixture of active folate (L-5-methyltetrahydrofolate), curcumin and vitamin B-12. Curcumin is a powerful antioxidant and addresses methotrexate induced oxidative stress (too many free radicals in the body). Vitamin B- 12 is added to avoid masking borderline deficiency of B-12 from taking folate supplements.

Take one capsule by mouth once or twice a day as directed by a physician.

 

Chronic Venous Disease

Vasculera

Vasculera is a prescription medical food product for the clinical dietary management of the metabolic processes of chronic venous disease to be used under a physician’s supervision.

It is made from flavonoids with powerful antioxidant and anti-inflammatory benefits. Vasculera brings back the natural balance of microcirculatory processes associated with CVD and its symptoms, including venous hypertension, venous acidosis (acidity in the blood) and inflammation.

Vasculera is a 630mg diosmiplex tablet. Diosmiplex is a combination of purified diosmin (600mg) and alka4-complex (30mg). Diosmin is a MPFF (micronized flavonoid fraction) derived from hesperidin found in oranges and other citrus fruit, with the highest concentration in the rinds. Alka4-complex is an antacid. It works against acidity in the blood, which damages veins.

For managing CVD, take one tablet of Vasculera (diosmiplex 630 mg) per day. For hemorrhoid flares, the recommendation is to begin with one tablet three times a day for four days. Then, take one tablet twice daily for nine days, or as directed by a physician. To manage chronic hemorrhoidal disease absent of a flare, take one tablet daily. If indigestion occurs, take Vasculera with food.

 

Osteopenia and Osteoporosis

Fosteum PLUS

Fosteum PLUS is a prescription medical food product for the clinical dietary management of the metabolic processes of osteopenia and osteoporosis to be used under a physician’s supervision.

Fosteum PLUS contains key bone-building ingredients including genistein, zinc, calcium, phosphate, Vitamin K2, and Vitamin D in a single capsule. It also contains dicalcium malate, pentacalcium hydroxide triphosphate, citrated zinc bisglycinate, trans-menaquinone-7, cholecalciferol, micro-crystaline cellulose, magnesium stearate, silicon dioxide, and sodium copper chlorophyllin in a gelatin capsule with titanium dioxide as coloring.

 

Attention-deficit/hyperactivity disorder (ADHD)

Vayarin

Vayarin is a prescription medical food product for the management of attention-deficit/hyperactivity disorder (ADHD) and lipid imbalances associated with ADHD. There is growing evidence that low levels of certain lipids (fats) are associated with ADHD. Compared to healthy children of the same age, children with ADHD have been found in studies to have lower blood levels of omega-3 fatty acids. These fats, which are also found in the brain, play an essential role in brain development and function.

Vayarin contains phosphatidylserine-omega-3, enriched with EPA (eicosapentaenoic acid), a type of omega-3 fatty acid found in fish and shellfish that has the strongest link to behavioral and mood improvement. Clinically shown to safely and effectively manage ADHD and improve quality of life, Vayarin addresses certain nutritional deficiencies, specifically lipid deficiencies that are not addressed by ADHD prescription drug treatments. It works to gradually build in the system to balance lipid levels.

Take two capsules per day either by mouth or open the capsules and sprinkle on food.

Does Vayarin cause side effects?
There are virtually no side effects reported from those taking Vayarin. Vayarin has been shown in clinical studies to be safe and well tolerated in children. The most common side effect reported is gastrointestinal discomfort.

Who should not take Vayarin?
Do not take Vayarin if you are allergic to any of its ingredients. Vayarin should be used with caution in those who are allergic or have hypersensitivity to shellfish. Vayarin could potentially interact with cholinergic and anticholinergic drugs, so consult with your doctor if you are taking these medications. No interactions with ADHD medications have been reported.

 

Gastrointestinal Disorders

Tolerex

Tolerex formulated liquid diet is a prescription powdered medical food that works as a diet supplement for people with severely impaired gastrointestinal function or digestive problems, including difficulty digesting or absorbing fat. It provides complete nutrition, with 100 percent free amino acids and low fat levels, and is gluten and lactose free. It is not designed as a weight loss tool, but as a helpful supplement for people who would benefit from a diet that requires minimal digestion and maximum nutrient absorption.

Tolerex meets 100 percent of the recommended daily allowance for 24 key micronutrients (essential vitamins, minerals and amino acids) including L-glutamine, calcium glycerophosphate, modified corn starch, L-arginine acetate, L-aspartic acid, L-alanine, L-methionine, L-isoleucine, L-threonine, potassium citrate, sodium phosphate, L-serine, L-histadine hydrochloride, sodium citrate, L-tryptophan, L-tyrosine, ascorbic acid, DL-alpha-tocopheryl acetate, polysorbate 80, ferrous sulfate (iron), zinc sulfate, vitamin A palmitate, niacinamide and vitamin D.

Mix one packet manually or in a blender with eight and one half ounces of water. Tolerex can be used for tube feeding or oral supplementation.

Does Tolerex cause side effects?
None listed.

Who should not take Tolerex?
Do not use Tolerex as a weight loss tool. Because it is formulated with low quantities of fat which, under some circumstances, may be insufficient to meet the essential fatty acid requirements of some people, Tolerex should be used only under medical supervision. Tolerex should not be used in those below the age of three.

 

Hyperhomocysteinemia

Cerefolin

For people with abnormally high levels of homocysteine in the blood
Cerefolin is a vitamin supplement used to support the nutritional requirements of people with hyperhomocysteinemia or to supplement the diet. It may also be used to treat other conditions as determined by a health provider. It works by providing the body with folate, vitamin B12, and a form of antioxidant, which helps to reduce or eliminate oxidative stress and lower homocysteine levels.

Take one to two tablets daily. Cerefolin may be taken with or without food.

Does Cerefolin cause side effects?
The most common side effects are mild diarrhea, nausea and stomach upset. Seek medical attention immediately if you experience any of the following severe side effects: severe allergic reactions (rash, hives, itching, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips, or tongue, feeling of swelling of the entire body, or numbness or tingling of the skin.

Who should not use Cerefolin?
Do not use Cerefolin if you are allergic to any ingredient in Cerefolin and do not use in children under age 12. Cerefolin may interact with certain health conditions and medications. Before using, tell your doctor if you are pregnant, plan to become pregnant, are breast-feeding, if have Leber hereditary optic atrophy (an eye disease) or megaloblastic anemia. Cerefolin may cause incorrect test results with some ketone tests in people with diabetes.

Tell your doctor if you are taking antibiotics, NSAIDs, barbiturates, fluorouracil (Cerefolin may increase the actions and side effects of this medication), or hydantoins such as phenytoin because their effectiveness may be decreased by Cerefolin, leading to increased seizure frequency.


Foltx

Foltx tablets are indicated for the distinct nutritional requirements of people who are under a physician’s treatment for hyperhomocysteinemia, with particular emphasis for people with or at risk for atherosclerotic vascular disease in the coronary, peripheral, or cerebral blood vessels, or vitamin B12 deficiency. Hyperhomocysteinemia is a medical condition characterized by an abnormally high level of homocysteine in the blood. This condition makes the person more prone to inflammation in the blood vessels and heart disease.

Foltx contains a combination of vitamin B-6, vitamin B-12 and folic acid, along with the following inactive ingredients: Dibasic Calcium Phosphate Dihydrate, Microcrystalline Cellulose, Opadry II Beige 40L174427 (Titanium Dioxide, Polydextrose, Hypromellose 3cP, Hypromellose 6cP, Triacetin, Hypromellose 50cP, Polyethylene Glycol 8000, FD&C Yellow # 6-Lake, FD&C Blue # 2-Lake, FD&C Red #40-Lake), Crospovidone, Croscarmellose Sodium, Magnesium Stearate (Vegetable Source), Opadry II Clear #Y-19-7483 (Hypromellose 6cP, Maltodextrin, Hypromellose 3cP, PEG 400 and Hypromellose 50cP.

Take one to two tablets daily with a glass of water, with or without food, as directed by a physician.

Does Foltx cause side effects?
The most common side effects include nausea, stomach upset, diarrhea, drowsiness, flushing, numbness and tingling, headaches, itching, skin rash, or a feeling of swelling of the entire body.

Who should not take Foltx?
Foltx may interact with certain medications including altretamine, cisplatin, levodopa (when used without carbidopa), folic acid antagonists (e.g., methotrexate), hydantoins (e.g., phenytoin, diphenylhydantoin), pyrimethamine, as well as other vitamin/nutritional supplements. Tell your doctor about all medications or supplements you are taking. Foltx should be used only when prescribed during pregnancy. Because this medication passes into breast milk, it’s important to consult your doctor before breastfeeding if you’re taking Foltx.

Tell your doctor before taking this medicine if you have any of the following: bleeding or clotting disorder, history of anemia, an unusual or allergic reaction to vitamins, other medicines, foods, dyes, or preservatives or are pregnant or trying to get pregnant.
Foltx is not recommended for use in children. Do not take Foltx if you are allergic to any of its ingredients.

 


Pain and Inflammation

Trepadone

Trepadone is a medical food used to manage and relieve pain and inflammation related to joint disorders. It provides the nutrients the brain needs to reduce pain, decrease inflammation and stimulate the production of joint cartilage. It is typically used as part of an overall program to manage osteoarthritis symptoms.

Trepadone contains several non-essential amino acids (L-arginine, L-histadine, L-glutamine, L-serine), GABA, griffonia seed, whey protein, grape seed extract, chondroitin sulfate and glucosamine (which supply the building blocks of cartilage repair) and omega-3-FFA from tuna oil and cocoa, believed to lower inflammation. Low levels of GABA, a neurotransmitter that blocks impulses between nerve cells in the brain, has been linked to chronic pain.

Take two capsules every four hours as needed with water on an empty stomach at least 30 minutes before or after eating. Do not take Trepadone with food. Trepadone can be taken with prescription medicines under a doctor’s supervision.

Does Trepadone cause side effects?
The most common side effects with Trepadone are mild headache, stomach upset, nausea and dry mouth. These symptoms are usually mild and temporary and can be managed by drinking plenty of fluids and lowering the dose.

Who should not take Trepadone?
You should not take Trepadone if you are taking MAO inhibitors.


Theramine

Theramine is a specially formulated medical food product, consisting of a proprietary blend of amino acids and polyphenol ingredients in specific proportions, for the dietary management of the metabolic processes associated with pain disorders and inflammatory conditions.

Patients with pain disorders and inflammatory conditions are known to have increased nutritional requirements for tryptophan, choline, arginine, GABA, flavonoids, and certain antioxidants. Theramine works by restoring and maintaining the balance of the neurotransmitters GABA, nitric oxide, serotonin, and acetylcholine that are associated with pain disorders and inflammatory conditions.

Theramine contains a proprietary formulation of GABA (Gamma Aminobutyric Acid), Choline Bitartrate, Whey Protein Hydrolysate (Milk Sourced Isolate), L-Arginine, L-Histidine, L-Glutamine, Theobromine, Griffonia Seed, Grape Seed, L-Serine, and cinnamon in specific proportions. It also contains the following “inactive” or other ingredients, as fillers and colorings: Gelatin, Silicon Dioxide, Tricalcium Phosphate, Microcrystalline Cellulose, Vegetable Magnesium Stearate, FD&C Blue#1 and FD&C Red #3 (food dyes) and titanium dioxide.

Take two capsules every four hours with water but without food to maximize absorption. Take at least 30 minutes before or after eating. Theramine can be taken with prescription medicines under a doctor’s supervision.

Does Theramine cause side effects?
L-tryptophan, L-arginine, or choline at high doses of up to 15 grams daily is generally well tolerated. The most common adverse reactions of higher doses — from 15 to 30 grams daily — are nausea, abdominal cramps, and diarrhea. Theramine contains less than 1 gram per dose of amino acids; however, some patients may experience these symptoms at lower doses. The total combined amount of amino acids in each Theramine capsule does not exceed 300 mg.

Who should not take Theramine?
Do not take Theramine if you are allergic to any of its ingredients.


Percura

For pain inflammation and loss of sensation due to peripheral neuropathy.

Percura is a specially formulated medical food containing a proprietary blend of amino acids in specific proportions, for the dietary management of the altered metabolic processes associated with pain, inflammation and loss of sensation due to peripheral neuropathy. The formula is designed to provide the nervous system with the amino acids and nutrients it needs to effectively manage neuropathic pain, in¬flammation and numbness, helping restore balance to the nervous system.

The formulation consists of the nonessential and essential amino acids L-Arginine HCL, L-Histidine HCL, L-Glutamine, L-Serine, L-Lysine, L-Ornithine, Acetyl L-Carnitine, L-Tyrosine, the nonstandard amino acid Gamma Aminobutyric Acid, Choline Bitartrate, Glucose, Inositol, Griffonia Extract and Creatinine

Take two capsules twice daily without food to maximize absorption.

Does Percura cause side effects?
L-tryptophan, L-arginine, or choline taken at high doses of up to 15 grams daily is generally well tolerated. The most common adverse reactions of higher doses — from 15 to 30 grams daily — are nausea, abdominal cramps, and diarrhea. Percura contains less than 1 gram per dose of amino acids; however, some patients may experience these symptoms at lower doses. One in five thousand patients may experience a skin rash after increased absorption of histamine. This rash is temporary and will subside within 24-hours.

Who should not take Percura?
Do not take Percura if you have hypersensitivity to any of its ingredients.

 

Sleep Disorders

GABAdone

For anxiety-related sleep disorders.

GABAdone is a specially formulated medical food product, consisting of a proprietary formulation of amino acids and polyphenol ingredients in specific proportions, for the nutritional management of the altered metabolic processes of sleep disorders associated with anxiety. The formula is designed to induce and promote restorative sleep in patients who sleep disorders related to anxiety.

GABAdone provides amino acids that act as precursors to the neurotransmitters in the brain that are required in order to maintain good quality, deep sleep. It is typically used as part of a larger program to manage sleep, mood, anxiety and fatigue. It also contains choline bitartrate, glutamic acid, 5-hydroxytryptophan, GABA, grape seed extract, griffonia extract, whey protein, valerian extract, ginkgo biloba and cocoa.

Take one or two capsules daily without food at bedtime. If you awaken during the night, an additional dose of one or two capsules may be taken.

Does GABAdone cause side effects?
Ingestion of L-tryptophan, GABA or choline at high doses of up to 15 grams daily is generally well tolerated. The most common adverse reactions of higher doses — from 15 to 30 grams daily — are nausea, abdominal cramps, and diarrhea. GABAdone contains less than 1 gram of amino acids per dose; however, some patients may experience these symptoms at lower doses. When first starting any amino acid therapy, some people may experience mild headaches, nausea or dry mouth. These symptoms are usually mild and transient. Feeling jittery or overstimulated are less common side effects that can be relieved by lowering the dose.

Who should not take GABAdone?
Do not take GABAdone if you have a hypersensitivity to any of its ingredients or if you are taking MAO inhibitors.


Sentra AM/ Sentra PM

For sleep disorders associated with depression; fatigue; cognitive disorders

Sentra is a proprietary blend of amino acids and polyphenol ingredients in specific proportions indicated for the dietary management of sleep disorders associated with depression (Sentra PM) and the dietary management of the metabolic processes associated with fatigue and cognitive disorders (Sentra AM).

Sentra AM provides specific amino acids and nutrients the body needs to restore and maintain muscle function, mental alertness, arousal and memory. Sentra PM provides specific amino acids and nutrients required to make neurotransmitters that help induce sleep and promote restorative sleep.

Sentra AM contains choline bitartrate, cocoa extract, L-glutamic acid, acetyl L-carnitine, dextrose, ginkgo biloba, and hawthorne berry, along with the inactive ingredients gelatin, vegetable magnesium stearate, silicon dioxide, lac-resin and carmine (color). Sentra PM contains choline bitartrate, cocoa, L-glutamic acid, acetyl L-carnitine HCL, dextrose, ginkgo biloba, hawthorne berry and griffonia seed extract, along with the inactive ingredients gelatin, tricalcium phosphate, silicon dioxide, vegetable magnesium stearate and cellulose.
Sentra AM – take two capsules daily between meals without food.

Sentra PM – take two capsules daily at bedtime without food. An additional dose of one or two capsules may be taken after awakenings during the night.

Do Sentra AM/Sentra PM cause side effects?
Reported cases of mild rash and itching have been associated with allergies to Sentra AM and Sentra PM flavonoid ingredients, including hawthorne berry, cinnamon, gingko biloba and cocoa. Ingestion of the amino acids L-tryptophan, L-arginine or choline, L-glutamic acid and acetyl L-carnitine at high doses of up to 15 grams daily is generally well tolerated. The most common adverse reactions of higher doses — from 15 to 30 grams daily — are nausea, abdominal cramps, and diarrhea. Sentra AM and Sentra PM contain less than 1 gram of amino acids per dose; however, some patients may experience these symptoms at lower doses. The total combined amount of amino acids in each Sentra AM and Sentra PM capsule does not exceed 400 mg.

Who should not take Sentra AM/Sentra PM?
Do not take Sentra AM or Sentra PM if you are hypersensitive to any of their ingredients.

 

Hypertension (high blood pressure)

Hypertensa

Hypertensa is a specially formulated medical food product consisting of amino acids and polyphenol ingredients in specific proportions, for the dietary management of the metabolic processes associated with high blood pressure and to maintain vascular health. Its balance of amino acids and nutrients is designed to meet the increased nutritional requirements of people with hypertension by stimulating the body to make certain neurotransmitters that are responsible for regulating blood pressure and vascular function. Specifically, Hypertensa is designed to produce the neurotransmitter acetylcholine that controls dilation of the peripheral arteries.

Hypertensa contains the amino acids L-arginine, L-glutamine, L-histadine and L-cysteine; choline, a macronutrient important for nerve function; and grape seed extract, ginseng, cocoa extract, cinnamon, caffeine and dextrose.

Take two capsules twice daily with water on an empty stomach at least 30 minutes before or after eating.

Does Hypertensa cause side effects?
Some people experience slight nausea when beginning therapy, which can usually be managed by lowering the dose.

Who should not take Hypertensa?
Do not take Hypertensa if you are hypersensitive to any of its ingredients or you are taking MAO inhibitors.

 

Viral Infections

Lister V

Lister V is a medical food product indicated for the dietary management of the altered metabolic processes associated with viral infection. The central and peripheral nervous systems communicate with the immune system through the activity of neurotransmitters in order to fight off viral and other infections. Lister V is designed to provide a balance of neurotransmitters, amino acids, antioxidants, and other ingredients that support the activities of the immune system to protect against viral infection.

Lister V contains a patented blend of amino acids that act as neurotransmitter precursors (L-arginine, choline bitartrate, L-glutamine, L-lysine, L-cysteine, and L-histidine); stimulators of precursor uptake (cinnamon); antioxidants (grape seed extract, green tea extract, cinnamon bark, cocoa extract); whey protein hydrolysate, immune-boosting herbs (Echinacea); caffeine; and cocoa extract. Lister V is also a source of zinc, which influences neurotransmitter activity and is critical to immune function.

Take two capsules two to four times daily at the first sign of viral infection for five to seven days.

Does Lister V cause side effects?
As with any amino acid therapy, headache, nausea, or dry mouth may be experienced in some people after beginning treatment with Lister V. These symptoms are mild and temporary, and readily managed by increasing fluid intake.

Who should not take Lister V?
Do not take Lister V if you have a hypersensitivity to any of its ingredients, are pregnant or nursing. People with kidney or liver failure should exercise caution when using of supplemental L-arginine including Lister V.

 

Obesity, Morbid Obesity and Metabolic Syndrome

AppTrim/AppTrim D

AppTrim and AppTrim D contain a proprietary formula of amino acids (fuel that the nervous system needs to communicate effectively, e.g., nerves that tell the brain the stomach is full), polyphenol ingredients and other dietary factors in specific proportions. It is designed for the nutritional management of the metabolic processes associated with obesity, morbid obesity, and metabolic syndrome. The AppTrim D formula does not contain caffeine.

Designed to suppress the appetite and carbohydrate cravings and help you feel full longer, AppTrim and AppTrim D are clinically proven to reduce appetite, carbohydrate cravings and weight when used in addition to a daily exercise and nutrition plan. The product is not nor is it designed to be used as a weight loss drug.

AppTrim contains amino acids and other dietary factors to stimulate the production of specific neurotransmitters responsible for controlling appetite, hunger and satiety: L-Glutamic Acid, Choline Bitartrate, L-Histidine HCL, L-Tyrosine, L-Serine, Whey Protein Isolate (Milk), Griffonia Seed Extract, Cocoa Extract, Caffeine (AppTrim only), and Grape Seed Extract.

Take two capsules twice daily, once in mid-morning and once in mid-afternoon without food. An additional evening dose of two capsules may be added to the daily dose.

Does AppTrim cause side effects?
Mild rash and itching, which may have been associated with allergies to AppTrim flavonoid ingredients, have been reported. Taking choline at high doses of up to 15 grams daily is generally well tolerated. The most common adverse reactions of higher doses — from 15 to 30 grams daily — are nausea, abdominal cramps, and diarrhea; however, some patients may experience these symptoms at lower doses. The total combined amount of amino acids in each AppTrim and AppTrim D capsule does not exceed 400 mg.

Who should not take AppTrim?
Do not take AppTrim nor AppTrim D if you are hypersensitive to the ingredients in either formula. Products containing L-tyrosine, including AppTrim and AppTrim D should not be used by those with metabolism alkaptonuria and tyrosinemia type I and type II, or those who are taking MAO inhibitors.

 

Pulmonary Conditions

Pulmona

For pulmonary artery pressure caused by high blood pressure and asthma-related bronchospasm.

Pulmona is a medical food formulated for the management of pulmonary artery pressure in the presence of high blood pressure and to reduce bronchospasm related to asthma. Pulmona is designed to help the body produce the neurotransmitters nitric oxide and acetylcholine. Nitric oxide initiates dilatation of the pulmonary arteries in the presence of pulmonary hypertension and dilates the airways leading to the lungs when these airways are constricted due to asthma. Acetylcholine is the neurotransmitter that helps nitric oxide act on the pulmonary arteries and airways.

Pulmona contains L-arginine and choline bitartrate (which enhance production of nitric oxide); the amino acids L-glutamine, L-distidine, L-leucine, L-cysteine, as well as whey protein hydrolysate, cinnamon, ginkgo biloba, grape seed extract, caffeine and cocoa extract.
Take two capsules two to three times daily. An additional dose of Pulmona may be used if shortness of breath continues.

Does Pulmona cause side effects?
When first starting any amino acid therapy, some people experience mild headaches, stomach upset, nausea or mouth dryness. These symptoms are mild and temporary and can be managed by drinking fluids and carefully changing the dose. Oral supplementation with L-arginine at high doses up to 15 grams daily is generally well tolerated. The most common adverse reactions of higher doses — from 15 to 30 grams daily — are nausea, abdominal cramps, and diarrhea, though some people may experience these symptoms at lower doses. A two capsule dose of Pulmona contains 126 mg of L-arginine.

Who should not take Pulmona?
Do not take Pulmona if you have hypersensitivity to any of its ingredients or are pregnant. People with kidney or liver failure should exercise caution in the use of Pulmona. Tell your doctor if you are taking sildenafil citrate or the herb yohimbe, as Pulmona may enhance or strengthen their effects.

 

Anemia

Foltrin

Foltrin is a multivitamin product used to treat or prevent low blood levels of iron (e.g., for anemia or during pregnancy). It contains folic acid, intrinsic factor (a type of protein produced by the stomach that facilitates absorption of vitamin B12), iron (ferrous fumarate) and vitamin B12 (cyanocobalamin). Iron is an important mineral the body needs to produce red blood cells and maintain good health. Vitamin B12 is important for growth, cell production and nerve function.

Take one tablet daily with a full glass of water on an empty stomach, one hour before or two hours after a meal. Don’t take antacids, dairy products, tea, or coffee within two hours before or after taking Foltrin because they will decrease its effectiveness.

Does Foltrin have any side effects?
Foltrin, like any iron supplement, may cause constipation, flushing, diarrhea, or upset stomach. These effects are usually temporary and may disappear as the body adjusts to this medication. Stools may turn black, but this is not harmful. Though rare, severe allergic reaction may occur, causing rash, itching/swelling (especially of the face/tongue/throat), severe dizziness and trouble breathing. If any of these symptoms are present, seek medical attention.

Who should not take Foltrin?
Do not take Foltrin if you are allergic to any of its ingredients. Consult your provider before taking Foltrin if you have iron overload disorder, are pregnant, drink alcohol in excess, have liver, stomach or intestinal disorders such as an ulcer or colitis, or vitamin B12 deficiency. Foltrin may decrease the body’s absorption of other drugs such as bisphosphonates, levodopa, penicillamine, quinolone antibiotics such as ciproflaxin, thyroid medications and tetracycline antibiotics. Separate your doses of these medications as far as possible from your doses of Foltrin. If unsure how far apart to take them, ask your doctor of pharmacist.

 

Diseases of or that Affect the Pancreas

Ultrase MT

Ultrase MT contains digestive enzymes that help the body break down and digest fats, starch, and proteins in food. It is used in conditions where the pancreas cannot make or does not release enough digestive enzymes to digest food, including chronic pancreatitis, cystic fibrosis, cancer of the pancreas, after surgical removal of the pancreas or after gastrointestinal bypass surgery.

Ultrase MT contains porcine (from pigs) pancreatic enzyme concentrate, predominantly pancreatic lipase, amylase, and protease, along with the following inactive ingredients: gelatin, hydrogenated castor oil, silicon dioxide, magnesium stearate, croscarmellose sodium, microcrystalline cellulose, hydroxypropyl methylcellulose phthalate (HP 55) (as dry substance), talc, triethyl citrate, iron oxides and titanium dioxide.

Take one capsule daily by mouth with a glass of water or juice, with either meals or snacks. If you have difficulty swallowing the capsule, it can be opened so that the contents can be mixed in a small amount of liquid or soft food that does not need to be chewed (such as room-temperature applesauce). Drink a glass of water or juice after eating the food. Do not mix with alkaline food or liquid (such as milk, ice cream or tea).

Does Ultrase MT cause side effects?
Common side effects include diarrhea, constipation, headache, abdominal pain/cramps/bloating, gas, cough, nausea, or vomiting. Rare but serious side effects may occur. These include severe constipation, severe stomach/abdominal discomfort, frequent/painful urination and joint pain. Tell your doctor immediately if you experience any of these side effects. If you notice any of the following signs of a severe allergic reaction, seek medical attention immediately: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness and trouble breathing.

Who should not take Ultrase MT?
Do not take Ultrase MT if you allergic to any of its ingredients or to pork protein. If you have diabetes, Ultrase MT may affect your blood sugar. Consult your doctor if you are pregnant and before breast feeding before taking Ultrase MT.

 

Kidney Disease

Nepro

For people on dialysis for kidney disease.

The recommended energy and protein intakes for people on dialysis are high, and many people are not meeting the recommendations. Along with the needs for additional energy and protein, people on dialysis need to limit their intake of potassium, phosphorus, and sodium because these stress the kidneys.

Nepro is a liquid high-calorie nutritional supplement formulated with carbohydrates, fiber, high-quality protein, vitamins and minerals (while low in phosphorus, potassium, and sodium), designed to be given during dialysis to meet the nutritional needs of people on dialysis. Nepro also helps raise and maintain albumin levels, a type of protein in the blood that is a good indicator of overall nutritional well-being. Adequate albumin lowers the risk of complications such as infection.

Nepro contains water, Corn Syrup Solids, Caseinates (Calcium, Magnesium, Sodium), High Oleic Safflower Oil, Canola Oil, Milk Protein Isolate, Sugar, Corn Maltodextrin, Glycerine and Short-Chain Fructooligosaccharides. It contains less than 1.0% of: Soy Lecithin, Natural and Artificial Flavor, Calcium Citrate, Sodium Citrate, Potassium Citrate, Choline Chloride, Salt, Ascorbic Acid, L-Carnitine, Taurine, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, FD&C Red #3 (coloring), Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, FD&C Blue #1 (coloring), Vitamin A Palmitate, Magnesium Phosphate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin and Vitamin D3.

Nepro may be used for oral or tube feeding, as a supplement to the diet or as the sole-source of nutrition. Shake can well prior to opening and clean the top of the can thoroughly before opening. Once opened, reclose or cover, refrigerate and use within 48 hours.

Does Nepro cause side effects?
The most common side effects are upset stomach, nausea, diarrhea and burping.

Who should not take Nepro?
Nepro should not be consumed by people with galactosemia, a disorder that affects how the body processes the simple sugar galactose.


Suplena

Nutritional support for stage 3 or 4 chronic kidney disease.

Suplena is a liquid therapeutic nutrition product specifically designed for people with Stage 3/4 chronic kidney disease. It may be used for tube or oral feeding, and for supplemental or sole-source nutrition. It is designed to help people with stage 3/4 kidney disease maintain their nutritional status while following their renal diets. Suplena is calorie-dense with low glycemic index carbohydrates to help minimize blood sugar spikes. It is a good source of fiber and is low in phosphorus, potassium, and sodium, which can stress the kidneys. Your doctor may prescribe Suplena if your blood tests indicate you need less protein and more calories in your diet, to use as a quick, easy meal replacement any time, or if you have lost weight without trying.

Suplena contains: Water, Corn, Maltodextrin, High Oleic safflower Oil, Milk Protein Isolate, Isomaltulose, Sugar, Canola Oil, Sodium Caseinate, Glycerine, Short-Chain Fructooligosaccharides and less than 1.0% of: Soy Lecithin, Natural & Artificial Flavor, Potassium Citrate, Sodium Citrate, Magnesium Chloride, Choline Chloride, Magnesium Phosphate, Calcium Carbonate, Ascorbic Acid, L-Carnitine, Calcium Phosphate, Carrageenan, Potassium Chloride, Taurine, Salt, Zinc Sulfate, d-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Pyridoxine Hydrochloride, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Riboflavin, Vitamin A Palmitate, Folic Acid, Chromium Chloride, Biotin, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin and Vitamin D3.

Typical use is one to two cans daily or as directed by a health provider. Shake well and clean top of container before opening. Once opened, cover, refrigerate and use within 48 hours.

Does Suplena cause side effects?
The most common side effects are upset stomach, nausea, diarrhea and burping.

Who should not take Suplena?
Do not take Suplena if you are allergic to any of its ingredients or have galactosemia.

 

Cancer

Resource Support Plus

Resource Support Plus is a high protein, high-calorie medical food supplement enriched with omega-3 fatty acids. It is specifically formulated for the increased nutritional needs of cancer patients who are undergoing chemotherapy or radiation therapy, have dose-limiting toxicity resulting from chemotherapy or radiotherapy, or who are undernourished or at risk of malnutrition. It provides 250 kcal and 11.5 g of protein in a 125ml serving.

Resource Support Plus contains milk protein, water, glucose syrup, vegetable oil (rapeseed), prebiotics that feed the good bacteria in the gut (galacto-oligosaccharides and fructo-oligosaccharides), fish oil, sucrose, minerals (sodium citrate, potassium citrate, potassium chloride, magnesium oxide, sodium chloride, ferric pyrophosphate, zinc sulphate, copper gluconate, manganese sulphate, sodium fluoride, sodium molybdate, potassium iodide, chromium chloride, sodium selenate), emulsifier (E471), and vitamins (C, E, niacin, calcium pantothenate, B6, B1, A, B2 and folic acid).

Drink one to three bottles per day in addition to the diet (or according to your doctor’s advice if used as the sole nutritional source). Shake before use. Store in the refrigerator after opening and consume within 24 hours.

Does Resource Support Plus Cause Side Effects?
If used as the sole source of nutrition, Resource Support Plus may have an anticoagulant (blood thinning) effect due to the omega-3 fatty acids it contains.

Who should not take Resource Support Plus?
Do not take Resource Support Plus if you are allergic to any of its ingredients. It should not be used in children younger than three years of age.

 

Medically Ventilated Patients

Oxepa

Oxepa is a liquid therapeutic nutrition supplement designed to modulate the inflammatory response in critically ill, mechanically ventilated patients, especially those with SIRS (systemic inflammatory response syndrome, such as from trauma or burns), ALI (acute lung injury) or ARDS (acute respiratory distress syndrome). It provides concentrated calories with a unique oil blend containing the omega-3 fatty acids eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA) from refined fish oil, gamma-linolenic acid (GLA) from borage oil, and the antioxidants vitamin C, vitamin E and beta-carotene. Oxepa meets or exceeds 100 percent of the recommended daily allowance for 24 essential vitamins and minerals.

Oxepa contains water, Sodium & Calcium Caseinates, Sugar, Corn Maltodextrin, Canola Oil, Medium-Chain Triglycerides, Marine Oil (May Contain One or More of the Following: Anchovy, Cod, Menhaden, Pollock, Salmon, Sardine, Tuna), Borage Oil, Magnesium Chloride, Calcium Phosphate, Soy Lecithin, Potassium Citrate, Sodium Citrate, Ascorbic Acid, Potassium Phosphate, Natural & Artificial Flavor, Choline Chloride, Taurine, d-Alpha-Tocopheryl Acetate, L-Carnitine, Salt, Gellan Gum, Zinc Sulfate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Beta-Carotene, Vitamin A Palmitate, Folic Acid, Biotin, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin and Vitamin D3.

Shake well and clean the top of the can thoroughly before opening. Once opened, reclose or cover, refrigerate and use within 48 hours. Oxepa is for tube feeding only.

Does Oxepa cause side effects?
The most common side effects with Oxepa are upset stomach, nausea and diarrhea.

Who should not take Oxepa?
Do not take Oxepa if you are allergic to any of its ingredients or you have galactosemia.

 

Patients Who Require Tube Feeding

Isosource

Isosource 1.5 Complete Liquid Formula is a nutritionally complete, calorically dense tube feeding formula that contains a proprietary blend of insoluble and soluble fibers to help support digestive health and bowel function, and a high quality casein-soy protein blend to help support lean body mass. The primary fat source is canola oil which is naturally rich in monounsaturated fat and contains ALA, an omega-3 fatty acid.

Isosource contains water, corn syrup, canola oil, milk, soy protein isolate and less than 2% of medium chain triglycerides, calcium caseinate, pea fiber, gum acacia, fructooligosaccharide, potassium chloride, calcium phosphate, maltodextrin, inulin, magnesium phosphate, soy lecithin, salt, sodium ascorbate, cholin chloride, calcium citrate, L-carnitine, taurine, carrageenan, magnesium oxide, zinc sulfate, ferrous sulfate, DL-alpha tocopheryl acetate, dextrose, niacinamide, calcium pantothenate, manganese sulfate, pyridoxine hydrochloride, thiamine hydrochloride, copper sulfate, riboflavin, beta-carotene, vitamin A palmitate, folic acid, chromium chloride, potassium iodide, sodium molydate, sodium selenite, vitamin K1, biotin, vitamin D3, and vitamin B12.

Does Isosource cause side effects?
The most common side effects are upset stomach, nausea and diarrhea.

Who should not take Isosource?
Isosource should not be used in individuals with galactosemia.


Perative

For metabolically stressed patients who require tube feeding (e.g., those with fractures, wounds, burns, surgery or pressure ulcers).

Perative is a therapeutic peptide-based liquid nutrition medical food product designed for metabolically stressed patients who can benefit from an enteral formula supplemented with arginine, either because they have malabsorption or because they experience symptoms of poor feed tolerance. Perative is for tube feeding only, for supplemental or sole-source nutrition. Tube feeding is for people who cannot take in all of the calories and nutrients they need orally. Tube feeding usually starts in the hospital, and involves delivering a nutritionally complete liquid feed directly into the stomach or small bowel through a narrow tube.

Perative is calorically dense for the elevated energy needs of metabolically stressed patients, and high in protein (20.5% of calories) for the elevated protein needs of metabolically stressed patients with hydrolyzed, peptide-based protein for easier absorption.

Perative contains Water, Corn Maltodextrin, Partially Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Canola Oil, Medium-Chain Triglycerides, Fructooligosaccharides, L-Arginine, Corn Oil, Magnesium Chloride, Potassium Citrate, Calcium Phosphate, Citric Acid, Soy Lecithin, Ascorbic Acid, Potassium Phosphate, Choline Chloride, Carrageenan, Potassium Chloride, Taurine, L-Carnitine, Zinc Sulfate, Ferrous Sulfate, dl-Alpha-Tocopheryl Acetate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Beta-Carotene, Riboflavin, Vitamin A Palmitate, Folic Acid, Biotin, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.

To use, follow your physician’s instructions. Adjust the flow rate and volume according to the patient’s condition and tolerance. Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.

Does Perative cause side effects?
The most common side effects are constipation, diarrhea, nausea and vomiting.

Who should not take Perative?
Perative should not be used by people who are allergic to any of its ingredients or who have galactosemia.

 

Mild Cognitive Impairment

CerefolinNAC

CerefolinNAC caplets is a prescription nutritional supplement specially formulated to meet the nutritional needs of people with a type of memory loss called mild cognitive impairment. It contains L-methylfolate, an active form of folate and one of the body’s essential B vitamins, and other essential nutrients to provide nourishment to the brain and address the metabolic imbalances in the brain associated with memory loss: methylcobalamin (vitamin B12) and N-acetylcysteine (a form of glutathione, an antioxidant).

Take one caplet daily.

Does CerefolinNAC cause side effects?
In rare cases, CerefolinNAC may cause nausea, mild transient diarrhea, itching, flushing, constipation, stomach ache and headache. If taken with nitrates, CerefolinNAC may cause an increased risk of headaches. Development of kidney stones is a rare side effect; discontinue use if kidney stones occur.

Who should not use CerefolinNAC?
Do not take CerefolinNAC if you have kidney stones, a history of stomach ulcer or chronic liver disease or are nursing. CerefolinNAC should not be used in critically ill patients. Folic acid may mask vitamin B12 deficiency, including pernicious anemia. CerefolinNAC may cause false-positive results in urine ketone tests. Taking CerefolinNAC along with the chemotherapy drug leucovorin increases the risk of toxicity.

 

Vitamin Deficiency

Folgard RX

Folgard Rx is a prescription vitamin supplement that provides vitamin B-6, vitamin B-12 and folic acid to people who do not have enough of these vitamins for good health or to prevent vitamin deficiency.

Each tablet of Folgard Rx contains 2.2 mg Folic Acid, 25 mg Vitamin B-6 (as pyridoxine HCl) and 1 mg Vitamin B-12 (as cyanocobalamin). Other Ingredients: calcium phosphate dibasic, carnauba wax, citric acid, food dyes (FD&C blue #2 aluminum lake, FD&C red #40 aluminum lake, FD&C yellow #5/tartrazine aluminum lake), hypromellose, magnesium stearate, microcrystalline cellulose, modified food starch, polyethylene glycol, polysorbate 80, silicon dioxide, sodium citrate, sodium starch glycolate, stearic acid and titanium dioxide.
Take one tablet daily by mouth with or without food.

Does Folgard Rx cause side effects?
The most common side effects are nausea, stomach upset, diarrhea, drowsiness, flushing, and numbness or tingling. Very rare but serious side effects include mental/mood changes, unusual weakness and symptoms of a serious allergic reaction, including rash, itching/swelling (especially of the face/tongue/throat), severe dizziness and trouble breathing. Seek medical attention immediately if you develop any of these symptoms.

Who should not take Folgard Rx?
Do not take Folgard Rx if you are allergic to any of its ingredients. Tell your doctor before taking Folgard Rx if you have certain blood disorders (e.g., pernicious anemia or other anemias) or are pregnant. Folgard Rx should not be taken with any of the following medications as serious drug interactions may occur: altretamine, cisplatin, and levodopa (when used without carbidopa). Before taking Folgard Rx, tell your doctor if you are taking: a folic acid antagonist (e.g., methotrexate), hydantoins (e.g., phenytoin, diphenylhydantoin), pyrimethamine, or other vitamin/nutritional supplements. Folgard Rx can also affect the results of certain lab tests (e.g., intrinsic factor antibodies and certain urobilinogen tests).

 

Maple Syrup Urine Disease (MSUD)

BCAD 2

BCAD 2 is an iron-fortified medical food powder that is used for the dietary management of infants, toddlers, children and adults with maple syrup urine disease (MSUD). MSUD is an inherited disorder in which the body is unable to process certain protein building blocks (amino acids) properly. The condition gets its name from the distinctive sweet odor of affected infants’ urine. If untreated, maple syrup urine disease can lead to seizures, coma and death.

BCAD 2 is free of the branched chain amino acids isoleucine, leucine, and valine, and provides all other essential amino acids as well as nonessential amino acids, carbohydrates, fat, essential fatty acids, vitamins and minerals. It contains corn syrup solids, amino acids (L-glutamine, L-lysine hydrochloride, potassium aspartate, L-proline, L-alanine, L-arginine, L-phenylalanine, L-tyrosine, L-threonine, L-serine, glycine, L-histidine, L-methionine, L-tryptophan and L-cystine), sugar, soy oil, modified corn starch, calcium phosphate, and less than 1% of: sodium citrate, magnesium phosphate, potassium chloride, sodium phosphate, potassium citrate, choline chloride, ascorbic acid, taurine, inositol, ferrous sulfate, L-carnitine, zinc sulfate, niacinamide, vitamin E acetate, vitamin A palmitate, calcium pantothenate, cupric sulfate, manganese sulfate, vitamin B12, thiamin hydrochloride, vitamin B6 hydrochloride, riboflavin, folic acid, vitamin D3, chromic chloride, sodium molybdate, sodium iodide, biotin, sodium selenite, vitamin K1, ethyl vanillin.

Measure the correct amount of water per label instructions into a suitable container for mixing. Then add the required amount of BCAD 2 powder as recommended by your doctor. Mix well until blended. Consume the prepared beverage immediately or cover and refrigerate. Use within 48 hours of preparation. Mix before drinking.

Does BCAD 2 cause side effects?
The most common side effects are drowsiness, nausea and vomiting.

Who should not take BCAD 2?
Do not take BCAD 2 if you are allergic to any of its ingredients. BCAD 2 is not nutritionally complete. Continuing medical supervision and frequent blood tests are required. BCAD 2 must be supplemented using other food sources or protein and fluid to provide enough isoleucine, leucine, and valine to support the dietary requirements of children and adults.

 

Phenylketonuria (PKU)

Phlexy-10

Phlexy-10 tablets is a medical food for the dietary management of proven phenylketonuria (PKU) in adults and children age 8 years and older. PKU is an inherited disorder that causes an amino acid called phenylalanine to build up in the body due to a defect in a gene that helps make the enzyme necessary to process phenylalanine. Without this enzyme, phenylalanine can build to dangerous levels when the person eats high-protein foods, which can eventually lead to serious health problems.

Phlexy-10 doesn’t contain phenylalanine, but provides a balanced mixture of essential and non-essential amino acids for phenylalanine-free protein. Every 10 tablets provides 10g of amino acids. Phlexy-10 contains microcrystalline cellulose, L-leucine, L-tyrosine, L-lysine hydrochloride, L-proline, L-arginine, L-aaline, L-aspartic acid, partially pregelatinised corn starch, glycine, L-isoleucine, L-threonine, L-glutamine, L-serine, L-alanine, L-histidine, L-cystine, hydroxypropyl methyl cellulose, L-tryptophan, acacia gum, L-methionine, stearic acid, magnesium stearate, glycerol, taurine and L-carnitine.

Take with water or diluted drinks as directed by your health provider. Dosage depends on age, weight and body composition.

Does Phlexy-10 cause side effects?
None listed. I could not find these online and called a pharmacist who could not find them either – she said it may be because it’s a newer product?

Who should not take Phlexy-10?
Do not take Phlexy-10 if you are allergic to any of its ingredients. Phlexy-10 should only be used by people with proven phenylketonuria while under strict medical supervision. It is not suitable as a sole source of nutrition or for infants under one year of age.