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📌 Used when: ✔️ Oral intake is inadequate ✔️ The gut is functional 🟢 ASPEN Golden Rule: 👉 “If the gut works, use it or loose it .” ✨🔹 𝟐️⃣ Core Components of EN Formulas All EN formulas contain: • Protein (intact, peptides, or amino acids) • Carbohydrates • Fat • Water • Electrolytes • Vitamins & Trace Elements 🔍 What really differentiates formulas: ✔️ Protein form ✔️ Fat composition ✔️ Osmolality ✔️ Fiber content ✔️ Disease-specific modifications ✨🔹 𝟑️⃣ Classification of EN Formulas (ASPEN-Based) 🅰️ 𝐏𝐨𝐥𝐲𝐦𝐞𝐫𝐢𝐜 𝐅𝐨𝐫𝐦𝐮𝐥𝐚𝐬 • Intact protein • Require normal digestion & absorption 📌 Used in: ✔️ Normal GI function ✔️ Most hospitalized patients 🧾 Examples: Ensure® | Jevity® | Osmolite® 🅱️ 𝐒𝐞𝐦𝐢-𝐄𝐥𝐞𝐦𝐞𝐧𝐭𝐚𝐥 (𝐏𝐞𝐩𝐭𝐢𝐝𝐞-𝐁𝐚𝐬𝐞𝐝) • Protein as peptides • Often enriched with MCTs • Easier absorption 📌 Used in: ✔️ Mild–moderate malabsorption ✔️ Pancreatitis ✔️ Partial short bowel syndrome ✔️ Feeding intolerance 🧾 Examples: Peptamen® | Vital® | Monogen® 🅲 𝐄𝐥𝐞𝐦𝐞𝐧𝐭𝐚𝐥 𝐅𝐨𝐫𝐦𝐮𝐥𝐚𝐬 • Free amino acids • Minimal fat • High osmolality 📌 Used in: ✔️ Severe malabsorption ✔️ Severe short bowel syndrome ✔️ Refractory intolerance 🧾 Example: Vivonex® To view or add a comment, sign in One major nutraceutical trend: Targeted nutrition

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