• Nutrition
TwoCal® HN - Vanilla

TwoCal® HN

Calorie- and protein-dense liquid formula

Indications for use

TwoCal® HN is a nutritionally complete, high-calorie formula designed to meet the needs of people with increased protein and calorie requirements and for people requiring low-volume feedings.

Suggested indications:

  • For people with elevated energy and protein requirements.
  • For people requiring low-volume feedings.
  • For people with fluid restrictions.
  • For supplemental or as a sole source of nutrition.

Safety precautions:

  • Not for parenteral use.
  • Not suitable for people with galactosemia.

AVAILABILITY

List number
Product
Format
62241825
TwoCal® HN, Vanilla
235-mL cans;
24/case
62709803
TwoCal® HN, Vanilla
1000-mL ready-to-hang containers;
8/case

Ready to use

Ready to use

Preparation — CAN

Instructions:

  • Use under medical supervision.
  • Expiration date on end of can.
  • Store unopened at room temperature.
  • Shake well and clean top of can thoroughly before opening.
  • Once opened, store covered in refrigerator and use within 48 hours.

Oral feeding:

  • May be used for total or supplemental nutrition.
  • May be fed at room temperature or chilled.
  • Serving TwoCal® HN chilled enhances its flavour.

Tube feeding:

  • Adjust flow rate and volume according to patient’s condition and tolerance.
  • Feed at room temperature.
  • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
  • Care should be taken to avoid contamination of this product during preparation and administration.

NOT FOR IV USE.

Preparation — READY-TO-HANG CONTAINER

Use under medical supervision. For enteral use only. Not for IV use.

All liquid medical foods, regardless of type of administration system, require careful handling because they can support microbial growth. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination.

NOTE: Failure to follow the INSTRUCTIONS FOR USE increases the potential for microbial contamination and may reduce hangtime.

Precautions:

  • Follow directions for use provided by manufacturer of feeding sets.
  • Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used. Otherwise hang for no more than 24 hours.

Instructions for use:

  • Pump feeding is recommended; use an 8 Fr or larger tube. Gravity feeding is not recommended.
  • Administer product at room temperature.
  • THOROUGHLY wash hands with soap and water before handling container or feeding set.
  • Turn container upside down and SHAKE VIGOROUSLY, using a twisting motion, for at least 10 seconds.
  • DO NOT touch any part of container or feeding set that comes in contact with the formula.
  • Visually inspect for signs of leakage. DO NOT use if leakage is apparent.
  • When initiating feeding, follow health care professional's instructions. Adjust flow rate and volume according to patient’s condition and tolerance.
  • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.

Features and Benefits

  • Calorically dense, with 2 Cal/mL.
  • 20 g protein/235-mL can (83.5 g protein/L).
  • Contains 1.97 g/235-mL can and 5.0 g/L of short-chain fructooligosaccharides (scFOS).
  • TwoCal® HN has been clinically shown to help improve weight status when provided in 60-mL doses, four times per day, along with medication.1,2
  • For oral or tube feeding use.

Suitable for people with lactose intolerance Yes
Gluten-free Yes
Kosher Yes
Halal Yes
REFERENCES:

1. Jukkola K, McLennan P. Improving the efficacy of nutritional supplementation in the hospitalized elderly. Austr J Ageing 2005;24:119-24.

2. Kerrigan ER et al. Dispensing of a calorically dense oral supplement with medication pass: a creative approach to oral supplementation. J Am Diet Assoc 1996;96(Suppl):A32.

Nutrition

  • Per 235 mL
  • Per 1000 mL
  • Energy
  • ENERGY (Cal [kJ])
  • 470 (1966)
  • 2000 (8368)
  • PROTEIN (g)
  • 19.7
  • 83.5
  • % of total energy
  • 16.8
  • 16.7
  • Taurine (mg)
  • 38
  • 160
  • Carnitine (mg)
  • 38
  • 160
  • Source
  • Sodium and calcium caseinates
  • Sodium and calcium caseinates
  • FAT (g)
  • 20.9
  • 90.5
  • % of total energy
  • 39.4
  • 40.1
  • Polyunsaturated fatty acids (g)
  • 9.4
  • 11.8
  • Linoleic acid (g)
  • 8.2
  • 10.1
  • Linolenic acid (g)
  • 0.16
  • 1.03
  • Omega-6:Omega-3 ratio
  • 53:1
  • 9.7:1
  • Monounsaturated fatty acids (g)
  • 4.7
  • 50.2
  • Saturated fatty acids (g)
  • 6.3
  • 23.2
  • Cholesterol (mg)
  • 4.4
  • 20
  • Source
  • Corn oil, MCT oil, soy lecithin
  • High oleic safflower oil, MCT oil, canola oil, soy lecithin
  • MCT oil (% of total fats)
  • 18.7
  • 19.2
  • CARBOHYDRATE (g)
  • 52.6
  • 218.5
  • % of total energy
  • 43.8
  • 43.2
  • Total dietary fibre (g)
  • 1.97
  • 5.0
  • Short-chain fructooligosaccharides (scFOS) (g)
  • 1.97
  • 5.0
  • Source
  • Corn maltodextrin, sucrose, scFOS
  • Corn syrup solids, corn maltodextrin, sucrose, scFOS
  • Acesulfame-potassium (mg)
  • -
  • -
  • Sucralose (mg)
  • 9
  • 19
  • Vitamins
  • Vitamin A (RE [IU])
  • 371 (1238)
  • 1583 (5270)
  • Vitamin D3 (mcg [IU])
  • 2.47 (99)
  • 10.6 (425)
  • Vitamin E (mg [IU])
  • 8.0 (9.9)
  • 38 (51)
  • Vitamin K1 (mg)
  • 0.0298
  • 0.085
  • Vitamin C (mg)
  • 47
  • 320
  • Thiamine (mg)
  • 0.59
  • 2.6
  • Riboflavin (mg)
  • 0.68
  • 2.9
  • Niacin (mg)
  • 4.5
  • 34
  • Vitamin B6 (mg)
  • 0.80
  • 3.4
  • Folic acid (mg)
  • 0.106
  • 0.675
  • Vitamin B12 (mg)
  • 0.0015
  • 0.010
  • Pantothenic acid (mg)
  • 3.1
  • 17
  • Biotin (mg)
  • 0.018
  • 0.510
  • Choline (mg)
  • 129
  • 635
  • Inositol (mg)
  • -
  • -
  • Minerals
  • Sodium (mg [mmol])
  • 343 (15)
  • 1450 (63)
  • Potassium (mg [mmol])
  • 576 (15)
  • 2440 (62.6)
  • Chloride (mg [mmol])
  • 428 (12)
  • 1810 (51)
  • Calcium (mg)
  • 249
  • 1050
  • Phosphorus (mg)
  • 249
  • 1050
  • Magnesium (mg)
  • 99
  • 425
  • Iron (mg)
  • 6.3
  • 19
  • Zinc (mg)
  • 5.66
  • 24
  • Iodine (mg)
  • 0.038
  • 0.160
  • Copper (mg)
  • 0.825
  • 2.1
  • Manganese (mg)
  • 1.29
  • 5.3
  • Selenium (mg)
  • 0.0298
  • 0.074
  • Chromium (mg)
  • 0.0294
  • 0.130
  • Molybdenum (mg)
  • 0.038
  • 0.160

† Fructooligosaccharides (FOS) have been listed as an accepted source of dietary fibre by Health Canada in April 2013. Labels will be revised accordingly as part of Abbott Nutrition’s ongoing label review.

Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information.

  • Per 235 mL
  • Per 1000 mL
  • Energy
  • ENERGY (Cal [kJ])
  • 470 (1966)
  • 2000 (8368)
  • PROTEIN (g)
  • 19.7
  • 83.5
  • % of total energy
  • 16.8
  • 16.7
  • Taurine (mg)
  • 38
  • 160
  • Carnitine (mg)
  • 38
  • 160
  • Source
  • Sodium and calcium caseinates
  • Sodium and calcium caseinates
  • FAT (g)
  • 20.9
  • 90.5
  • % of total energy
  • 39.4
  • 40.1
  • Polyunsaturated fatty acids (g)
  • 9.4
  • 11.8
  • Linoleic acid (g)
  • 8.2
  • 10.1
  • Linolenic acid (g)
  • 0.16
  • 1.03
  • Omega-6:Omega-3 ratio
  • 53:1
  • 9.7:1
  • Monounsaturated fatty acids (g)
  • 4.7
  • 50.2
  • Saturated fatty acids (g)
  • 6.3
  • 23.2
  • Cholesterol (mg)
  • 4.4
  • 20
  • Source
  • Corn oil, MCT oil, soy lecithin
  • High oleic safflower oil, MCT oil, canola oil, soy lecithin
  • MCT oil (% of total fats)
  • 18.7
  • 19.2
  • CARBOHYDRATE (g)
  • 52.6
  • 218.5
  • % of total energy
  • 43.8
  • 43.2
  • Total dietary fibre (g)
  • 1.97
  • 5.0
  • Short-chain fructooligosaccharides (scFOS) (g)
  • 1.97
  • 5.0
  • Source
  • Corn maltodextrin, sucrose, scFOS
  • Corn syrup solids, corn maltodextrin, sucrose, scFOS
  • Acesulfame-potassium (mg)
  • -
  • -
  • Sucralose (mg)
  • 9
  • 19
  • Vitamins
  • Vitamin A (RE [IU])
  • 371 (1238)
  • 1583 (5270)
  • Vitamin D3 (mcg [IU])
  • 2.47 (99)
  • 10.6 (425)
  • Vitamin E (mg [IU])
  • 8.0 (9.9)
  • 38 (51)
  • Vitamin K1 (mg)
  • 0.0298
  • 0.085
  • Vitamin C (mg)
  • 47
  • 320
  • Thiamine (mg)
  • 0.59
  • 2.6
  • Riboflavin (mg)
  • 0.68
  • 2.9
  • Niacin (mg)
  • 4.5
  • 34
  • Vitamin B6 (mg)
  • 0.80
  • 3.4
  • Folic acid (mg)
  • 0.106
  • 0.675
  • Vitamin B12 (mg)
  • 0.0015
  • 0.010
  • Pantothenic acid (mg)
  • 3.1
  • 17
  • Biotin (mg)
  • 0.018
  • 0.510
  • Choline (mg)
  • 129
  • 635
  • Inositol (mg)
  • -
  • -
  • Minerals
  • Sodium (mg [mmol])
  • 343 (15)
  • 1450 (63)
  • Potassium (mg [mmol])
  • 576 (15)
  • 2440 (62.6)
  • Chloride (mg [mmol])
  • 428 (12)
  • 1810 (51)
  • Calcium (mg)
  • 249
  • 1050
  • Phosphorus (mg)
  • 249
  • 1050
  • Magnesium (mg)
  • 99
  • 425
  • Iron (mg)
  • 6.3
  • 19
  • Zinc (mg)
  • 5.66
  • 24
  • Iodine (mg)
  • 0.038
  • 0.160
  • Copper (mg)
  • 0.825
  • 2.1
  • Manganese (mg)
  • 1.29
  • 5.3
  • Selenium (mg)
  • 0.0298
  • 0.074
  • Chromium (mg)
  • 0.0294
  • 0.130
  • Molybdenum (mg)
  • 0.038
  • 0.160

† Fructooligosaccharides (FOS) have been listed as an accepted source of dietary fibre by Health Canada in April 2013. Labels will be revised accordingly as part of Abbott Nutrition’s ongoing label review.

Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information.

Ingredients

TwoCal® HN, Vanilla, Can: Water, corn maltodextrin, sodium caseinate, corn oil, sucrose, medium chain triglycerides (modified coconut and/or palm kernel oils), short-chain fructooligosaccharides, potassium citrate, calcium caseinate, magnesium chloride, calcium phosphate tribasic, soy lecithin, artificial flavour, sodium citrate, choline chloride, ascorbic acid, taurine, L-carnitine, ferrous sulphate, citric acid, zinc sulphate,
dl -α-tocopheryl acetate, manganese sulphate, niacinamide, calcium d-pantothenate, cupric sulphate, pyridoxine hydrochloride, vitamin A palmitate, thiamine hydrochloride, riboflavin, chromium chloride, sodium molybdate, folic acid, sodium selenate, potassium iodide, phylloquinone, biotin, vitamin D 3 , cyanocobalamin. Contains: Milk, soy.

Ingredients associated with food intolerances and/or sensitivities: Corn, coconut oil, citric acid, artificial flavour, lactose, other soy components.

Ingredients

TwoCal® HN, Vanilla, Ready-to-hang container: Water, corn syrup solids, sodium and calcium caseinates, corn maltodextrin, high oleic safflower oil, sucrose, medium chain triglycerides (modified coconut oil and/or palm kernel oil), canola oil, fructooligosaccharides (FOS), potassium citrate, magnesium chloride, calcium phosphate, natural and artificial flavours, soy lecithin, sodium citrate, ascorbic acid, choline chloride, taurine, L-carnitine, zinc sulphate, ferrous sulphate, dl- α-tocopheryl acetate, niacinamide, d-calcium pantothenate, manganese sulphate, cupric sulphate, thiamine chloride hydrochloride, pyridoxine hydrochloride, riboflavin, vitamin A palmitate, folic acid, biotin, chromium chloride, sodium molybdate, potassium iodide, sodium selenate, phylloquinone, cyanocobalamin, vitamin D 3 . Contains: Milk, soy.

Ingredients associated with food intolerances and/or sensitivities: Corn, coconut oil, citric acid, natural and artificial flavours, lactose, other soy components.

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