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.
AVAILABILITY
FEATURES
- 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
- Low-residue.
- 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.
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 & Handling
STORAGE AND RECOMMENDED HANG TIMES
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 unopened at room temperature; avoid extreme temperatures.
- 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.
NUTRITION
Ready to Hang Ready to Hang
- TwoCal® HN, vanilla; 1000-mL 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
- Sodium and calcium caseinates
- Fat (% of total energy)
- 40.1
- MCT oil (% of total fats)
- 19.2
- Omega-6:Omega-3 Ratio
- 9.7:1
- Fat Source
- High oleic safflower oil, MCT oil, canola oil, soy lecithin
- 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)
- 700
- Osmolality (mOsm/kg water)
- 725
- Renal Solute Load (mOsm/L)
- 652
- Minimum Tube Size for Gravity/Pump Feeding (Fr)
- N/A/8
- Amount per Serving
- Nutrient Data
- ENERGY, Cal (kJ)
- 2000 (8368)
- Protein, g
- 83.5
- Taurine, mg
- 160
- Carnitine, mg
- 160
- Fat, g
- 90.5
- Linoleic Acid, g
- 10.1
- Linolenic Acid, g
- 1.03
- Carbohydrate, g
- 218.5
- Total dietary fibre, g
- 5.0
- Short-chain fructooligosaccharides (scFOS), g
- 5.0
- Vitamins
- Vitamin A, RE (IU)
- 1583 (5270)
- Vitamin D3, mcg (IU)
- 10.6 (425)
- Vitamin E, mg (IU)
- 38 (51)
- Vitamin K1, mg
- 0.085
- Vitamin C, mg
- 320
- Thiamine, mg
- 2.6
- Riboflavin, mg
- 2.9
- Niacin, mg
- 34
- Vitamin B6, mg
- 3.4
- Folic Acid, mg
- 0.675
- Vitamin B12, mg
- 0.010
- Pantothenic Acid, mg
- 17
- Biotin, mg
- 0.510
- Choline, mg
- 635
- Minerals
- Sodium, mg
- 1450
- Potassium, mg
- 2440
- Chloride, mg
- 1810
- Calcium, mg
- 1050
- Phosphorus, mg
- 1050
- Magnesium, mg
- 425
- Iron, mg
- 19
- Zinc, mg
- 24
- Iodine, mg
- 0.160
- Copper, mg
- 2.1
- Manganese, mg
- 5.3
- Selenium, mg
- 0.074
- Chromium, mg
- 0.130
- Molybdenum, mg
- 0.160
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
- Minimum Tube Size for Gravity/Pump Feeding (Fr)
- N/A/8
- Amount per Serving
- Nutrient Data
- ENERGY, Cal (kJ)
- 470 (1966)
- Protein, g
- 19.7
- Taurine, mg
- 38
- Carnitine, mg
- 38
- Fat, g
- 20.9
- Linoleic Acid, g
- 8.2
- Linolenic Acid, g
- 0.16
- Carbohydrate, g
- 52.6
- Total dietary fibre, g
- 1.97
- Short-chain fructooligosaccharides (scFOS), g
- 1.97
- Vitamins
- Vitamin A, RE (IU)
- 371 (1238)
- Vitamin D3, mcg (IU)
- 2.47 (99)
- Vitamin E, mg (IU)
- 8.0 (9.9)
- Vitamin K1, mg
- 0.0298
- Vitamin C, mg
- 47
- Thiamine, mg
- 0.59
- Riboflavin, mg
- 0.68
- Niacin, mg
- 4.5
- Vitamin B6, mg
- 0.80
- Folic Acid, mg
- 0.106
- 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
- 5.66
- Iodine, mg
- 0.038
- Copper, mg
- 0.825
- Manganese, mg
- 1.29
- Selenium, mg
- 0.0298
- Chromium, mg
- 0.0294
- Molybdenum, mg
- 0.038
INGREDIENTS
Ready to Hang Ready to Hang
- TwoCal® HN, vanilla; 1000-mL ready-to-hang containers; 8/case
Water, Corn Syrup Solids, Sodium and Calcium Caseinates, Corn Maltodextrin, High Oleic Safflower Oil, Sucrose, Medium Chain Triglycerides (Modified Coconut and/or Palm Kernel Oils), 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-Alpha-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, and Vitamin D3.
Contains: Milk, Soy.
Vanilla Ready to Use
- TwoCal® HN, vanilla; 235-mL cans; 24/case
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-Alpha-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 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.