TwoCal® HN

TWOCAL^® HN

Calorie- and protein-dense liquid formula

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. 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. For oral or tube feeding use.

Download Product Guide (PDF 83 KB)

Availability

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

LIST NUMBER

ITEM

6224113

TwoCal^® HN, Vanilla; 235-mL cans; 24/case

Features

Calorically dense, with 2 Cal/mL.
20 g protein/235-mL can (84 g protein/L).
Contains 2.0 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
Gluten-free.
Kosher.
Halal.

PRECAUTIONS

Not for parenteral use.

¹ Jukkola K, McLennan P. Austr J Ageing. 2005;24:119-24.

² Kerrigan ER, et al. J Am Diet Assoc. 1996;96(Suppl):A32.

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

Preparation

INSTRUCTIONS FOR 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.

235-mL Can

Shake well and clean top of can thoroughly before opening.

Oral Feeding

May be fed at room temperature or chilled.
Serving TwoCal® HN chilled enhances its flavour.

Tube Feeding:

Minimum tube size: enteral feeding pump 8 Fr. Gravity feeding is not recommended.
Administer product at room temperature.
THOROUGHLY wash hands with soap and water before handling can or feeding set.
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.

Ready-to-Hang Container

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.

For use with Feeding Set with Safety Screw Cross-Spike Connector:

Remove protective cover from READY-TO-HANG (RTH) cap.
Remove protective cover from feeding set connector.
Insert feeding set connector into port of RTH Safety Screw Cap and pierce foil.
Turn feeding set connector collar clockwise until it is securely fastened.
Close clamp on feeding set before inverting container.
Invert container and suspend, using hanging ring on bottom of container.

Storage

235-mL Can

Store unopened at room temperature; avoid extreme temperatures.
When carefully poured from the can into an enteral feeding setup, hang for 8–12 hours.^1,2
Once opened, store covered in refrigerate and use within 48 hours.

Ready to Hang Container

Store away from heat; avoid freezing.
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.

1 Boullata JI, Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103.,

2 Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103.

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

Nutrition

Vanilla Ready to Use

TwoCal^® HN, Vanilla; 235-mL cans; 24/case

Serving size: 100 mL

Value

Product Characteristics

Caloric Density (Cal/mL)
2.0

Protein (% of total energy)
16.8

Protein Source
Sodium and calcium caseinates

Fat (% of total energy)
39.4

MCT oil (% of total fats)
18.7

Omega-6:Omega-3 Ratio
53:1

Fat Source
Corn oil, MCT oil, soy lecithin

Carbohydrate (% of total energy)
43.8

Carbohydrate Source
Corn maltodextrin, sucrose, scFOS

Total Cal:g Nitrogen Ratio
152:1

Nonprotein Cal:g Nitrogen Ratio
127:1

Water (g/L)
690

Osmolality (mOsm/kg water)
725

Renal Solute Load (mOsm/L)
656

Recommended Tube Size for Gravity/Pump Feeding (Fr)
N/A/8

Fibre
Yes

Amount per Serving

Nutrient Data

ENERGY, Cal (kJ)
200 (837)

Protein, g
8.4

Taurine, mg
16

Carnitine, mg
16

Fat, g
8.9

Linoleic Acid, g
3.5

Linolenic Acid, g
0.1

Carbohydrate, g
22

Fibre, g
0.8

Short-chain fructooligosaccharides (scFOS), g
0.8

Water, g
69

Vitamins

Vitamin A, IU
527

Vitamin D, IU
42

Vitamin E, IU
4.2

Vitamin K, mg
0.013

Vitamin C, mg
20

Thiamine, mg
0.25

Riboflavin, mg
0.29

Niacin, mg
1.9

Vitamin B6, mg
0.34

Folic Acid, mg
0.045

Vitamin B12, mg
0.00064

Pantothenic Acid, mg
1.3

Biotin, mg
0.0076

Choline, mg
55

Minerals

Sodium, mg
146

Potassium, mg
245

Chloride, mg
182

Calcium, mg
106

Phosphorus, mg
106

Magnesium, mg
42

Iron, mg
2.7

Zinc, mg
2.4

Iodine, mg
0.016

Copper, mg
0.35

Manganese, mg
0.55

Selenium, mg
0.013

Chromium, mg
0.013

Molybdenum, mg
0.016

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

Ingredients

Vanilla Ready to Use

TwoCal^® HN, Vanilla; 235-mL cans; 24/case

Water, Corn Maltodextrin, Sodium Caseinate, Corn Oil, Sugar, Modiﬁed Coconut and/or Palm Kernel Oils (Medium Chain Triglycerides), Short-Chain Fructooligosaccharides (scFOS), Calcium Caseinate, Soy Lecithin, Artificial Flavour, Taurine, L-Carnitine, MINERALS (Potassium Citrate, Magnesium Chloride, Tricalcium Phosphate, Sodium Citrate, Ferrous Sulphate, Zinc Sulphate, Manganese Sulphate, Cupric Sulphate, Chromium Chloride, Sodium Molybdate, Sodium Selenate, Potassium Iodide), VITAMINS (Choline Chloride, Ascorbic Acid, Citric Acid, DL-Alpha-Tocopheryl Acetate, Niacinamide, Calcium D-Pantothenate, Pyridoxine Hydrochloride, Vitamin A Palmitate, Thiamine Chloride Hydrochloride, Riboflavin, Folic Acid, Phylloquinone, D-Biotin, Vitamin D3, and Cyanocobalamin).

Contains: Milk, Soy.

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

Availability

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

LIST NUMBER

ITEM

6224113

TwoCal^® HN, Vanilla; 235-mL cans; 24/case

Features

Calorically dense, with 2 Cal/mL.
20 g protein/235-mL can (84 g protein/L).
Contains 2.0 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
Gluten-free.
Kosher.
Halal.

PRECAUTIONS

Not for parenteral use.

¹ Jukkola K, McLennan P. Austr J Ageing. 2005;24:119-24.

² Kerrigan ER, et al. J Am Diet Assoc. 1996;96(Suppl):A32.

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

Preparation

INSTRUCTIONS FOR USE:

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

235-mL Can

Shake well and clean top of can thoroughly before opening.

Oral Feeding

May be fed at room temperature or chilled.
Serving TwoCal® HN chilled enhances its flavour.

Tube Feeding:

Minimum tube size: enteral feeding pump 8 Fr. Gravity feeding is not recommended.
Administer product at room temperature.
THOROUGHLY wash hands with soap and water before handling can or feeding set.
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.

Ready-to-Hang Container

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.

For use with Feeding Set with Safety Screw Cross-Spike Connector:

Remove protective cover from READY-TO-HANG (RTH) cap.
Remove protective cover from feeding set connector.
Insert feeding set connector into port of RTH Safety Screw Cap and pierce foil.
Turn feeding set connector collar clockwise until it is securely fastened.
Close clamp on feeding set before inverting container.
Invert container and suspend, using hanging ring on bottom of container.

Storage

235-mL Can

Store unopened at room temperature; avoid extreme temperatures.
When carefully poured from the can into an enteral feeding setup, hang for 8–12 hours.^1,2
Once opened, store covered in refrigerate and use within 48 hours.

Ready to Hang Container

Store away from heat; avoid freezing.
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.

1 Boullata JI, Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103.,

2 Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103.

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

Nutrition

Vanilla Ready to Use

TwoCal^® HN, Vanilla; 235-mL cans; 24/case

Serving size: 235 mL

Value

Product Characteristics

Caloric Density (Cal/mL)
2.0

Protein (% of total energy)
16.8

Protein Source
Sodium and calcium caseinates

Fat (% of total energy)
39.4

MCT oil (% of total fats)
18.7

Omega-6:Omega-3 Ratio
53:1

Fat Source
Corn oil, MCT oil, soy lecithin

Carbohydrate (% of total energy)
43.8

Carbohydrate Source
Corn maltodextrin, sucrose, scFOS

Total Cal:g Nitrogen Ratio
152:1

Nonprotein Cal:g Nitrogen Ratio
127:1

Water (g/L)
690

Osmolality (mOsm/kg water)
725

Renal Solute Load (mOsm/L)
656

Recommended Tube Size for Gravity/Pump Feeding (Fr)
N/A/8

Fibre
Yes

Amount per Serving

Nutrient Data

ENERGY, Cal (kJ)
470 (1966)

Protein, g
20

Taurine, mg
38

Carnitine, mg
38

Fat, g
21

Linoleic Acid, g
8.2

Linolenic Acid, g
0.2

Carbohydrate, g
53

Fibre, g
2.0

Short-chain fructooligosaccharides (scFOS), g
2.0

Water, g
162

Vitamins

Vitamin A, IU
1238

Vitamin D, IU
99

Vitamin E, IU
9.9

Vitamin K, mg
0.03

Vitamin C, mg
47

Thiamine, mg
0.59

Riboflavin, mg
0.68

Niacin, mg
4.5

Vitamin B6, mg
0.8

Folic Acid, mg
0.11

Vitamin B12, mg
0.0015

Pantothenic Acid, mg
3.1

Biotin, mg
0.018

Choline, mg
129

Minerals

Sodium, mg
343

Potassium, mg
576

Chloride, mg
428

Calcium, mg
249

Phosphorus, mg
249

Magnesium, mg
99

Iron, mg
6.3

Zinc, mg
5.7

Iodine, mg
0.038

Copper, mg
0.83

Manganese, mg
1.3

Selenium, mg
0.03

Chromium, mg
0.029

Molybdenum, mg
0.038

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

Ingredients

Vanilla Ready to Use

TwoCal^® HN, Vanilla; 235-mL cans; 24/case

Contains: Milk, Soy.

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

Availability

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

LIST NUMBER

ITEM

6804813

TwoCal^® HN; 1-L ready-to-hang containers; 8/case

Features

Calorically dense, with 2 Cal/mL.
20 g protein/235-mL can (84 g protein/L).
Contains 2.0 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
Gluten-free.
Kosher.
Halal.

PRECAUTIONS

Not for parenteral use.

¹ Jukkola K, McLennan P. Austr J Ageing. 2005;24:119-24.

² Kerrigan ER, et al. J Am Diet Assoc. 1996;96(Suppl):A32.

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

Preparation

INSTRUCTIONS FOR USE:

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

235-mL Can

Shake well and clean top of can thoroughly before opening.

Oral Feeding

May be fed at room temperature or chilled.
Serving TwoCal® HN chilled enhances its flavour.

Tube Feeding:

Minimum tube size: enteral feeding pump 8 Fr. Gravity feeding is not recommended.
Administer product at room temperature.
THOROUGHLY wash hands with soap and water before handling can or feeding set.
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.

Ready-to-Hang Container

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.

For use with Feeding Set with Safety Screw Cross-Spike Connector:

Remove protective cover from READY-TO-HANG (RTH) cap.
Remove protective cover from feeding set connector.
Insert feeding set connector into port of RTH Safety Screw Cap and pierce foil.
Turn feeding set connector collar clockwise until it is securely fastened.
Close clamp on feeding set before inverting container.
Invert container and suspend, using hanging ring on bottom of container.

Storage

235-mL Can

Store unopened at room temperature; avoid extreme temperatures.
When carefully poured from the can into an enteral feeding setup, hang for 8–12 hours.^1,2
Once opened, store covered in refrigerate and use within 48 hours.

Ready to Hang Container

Store away from heat; avoid freezing.
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.

1 Boullata JI, Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103.,

2 Carrera AL, Harvey L, et al. ASPEN safe practices for enteral nutrition therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103.

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

Nutrition

Ready to Hang Ready to Hang

TwoCal^® HN; 1-L ready-to-hang containers; 8/case

Serving size: 1000 mL

Value

Product Characteristics

Caloric Density (Cal/mL)
2.0

Protein (% of total energy)
16.7

Protein Source
Milk protein concentrate, Sodium and calcium caseinate

Fat (% of total energy)
40.1

MCT oil (% of total fats)
19.2

Omega-6:Omega-3 Ratio
4.1:1

Fat Source
Canola oil, corn oil

Carbohydrate (% of total energy)
43.2

Carbohydrate Source
Corn syrup solids, corn maltodextrin, sucrose, scFOS

Total Cal:g Nitrogen Ratio
153:1

Nonprotein Cal:g Nitrogen Ratio
127:1

Water (g/L)
710

Osmolality (mOsm/kg water)
725

Renal Solute Load (mOsm/L)
654

Recommended Tube Size for Gravity/Pump Feeding (Fr)
N/A/8

Fibre
Yes

Amount per Serving

Nutrient Data

ENERGY, Cal (kJ)
2000 (8368)

Protein, g
84

Taurine, mg
200

Carnitine, mg
200

Fat, g
91

Polyunsaturates, g
27

Linoleic Acid, g
19

Linolenic Acid, g
4.0

Omega-6, g
19

Omega-3, g
4.0

Monounsaturates, g
44

Carbohydrate, g
219

Fibre, g
5.0

Short-chain fructooligosaccharides (scFOS), g
5.0

Water, g
700

Vitamins

Vitamin A, IU
5273

Vitamin D, IU
960

Vitamin E, IU
75

Vitamin K, mg
0.17

Vitamin C, mg
316

Thiamine, mg
2.5

Riboflavin, mg
2.7

Niacin, mg NE
34

Vitamin B6, mg
3.6

Folic Acid, mg
0.69

Vitamin B12, mg
0.01

Pantothenic Acid, mg
17

Biotin, mg
0.084

Choline, mg
844

Minerals

Sodium, mg
844

Potassium, mg
2110

Chloride, mg
970

Calcium, mg
1371

Phosphorus, mg
1321

Magnesium, mg
414

Iron, mg
25

Zinc, mg
24

Iodine, mg
0.21

Copper, mg
2.1

Manganese, mg
5.5

Selenium, mg
0.076

Chromium, mg
0.051

Molybdenum, mg
0.063

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

Ingredients

Ready to Hang Ready to Hang

TwoCal^® HN; 1-L ready-to-hang containers; 8/case

Water, Corn Syrup Solids, Corn Maltodextrin, Canola Oil, Milk Protein Concentrate, Sodium Caseinate, Sugar, Corn Oil, Calcium Caseinate, Short-Chain Fructooligosaccharides (scFOS), Natural and Artificial Flavour, Soy Lecithin, Taurine, L-Carnitine, MINERALS (Potassium Citrate, Magnesium Sulphate, Potassium Phosphate Dibasic, Magnesium Chloride, Sodium Citrate, Potassium Hydroxide, Ferrous Sulphate, Zinc Sulphate, Manganese Sulphate, Copper Sulphate, Potassium Iodide, Chromium Chloride, Sodium Selenate, Sodium Molybdate), VITAMINS (Ascorbic Acid, Choline Chloride, DL-Alpha-Tocopheryl Acetate, Niacinamide, Calcium D-Pantothenate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Folic Acid, D-Biotin, Phylloquinone, Vitamin D3, and Cyanocobalamin).

Contains: Milk, Soy.

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

TWOCAL^® HN

Calorie- and protein-dense liquid formula

Availability

Features

PRECAUTIONS

Preparation

Nutrition

Ingredients

Availability

Features

PRECAUTIONS

Preparation

Nutrition

Ingredients

Availability

Features

PRECAUTIONS

Preparation

Nutrition

Ingredients

For health care professionals

Site Pages

Abbott

TWOCAL® HN

Calorie- and protein-dense liquid formula

Availability

Features

PRECAUTIONS

Preparation

Nutrition

Ingredients

Availability

Features

PRECAUTIONS

Preparation

Nutrition

Ingredients

Availability

Features

PRECAUTIONS

Preparation

Nutrition

Ingredients

For health care professionals

Site Pages

Abbott

TWOCAL^® HN