Physicians&
Physicians&

Physicians' Elemental Dex Free 36 srvngs

IT2264

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Elemental Diet for Patients with Moderate to Severe Gastrointestinal/Digestive Impairment

Physicians’ Elemental Diet Dextrose Free is intended for use under medical supervision for the dietary management of patients with GI dysfunction.

The elemental diet is designed for the dietary management of:

• Irritable bowel and Crohn’s disease
• Small intestinal bacterial overgrowth (SIBO)
• Moderate to severe impaired gastrointestinal function.

Physicians’ Elemental Diet Dextrose Free contains a balanced blend of macronutrients fortified with essential vitamins, minerals, and electrolytes to assure comprehensive support as a sole source of nutritional intake for limited periods. It has been:

• Specifically formulated to contain free amino acids, partially hydrolyzed carbohydrate, and medium chain triglycerides to aid in their absorption from the GI lumen.
• Designed to maintain nutritional sustenance as a sole source of nutrition for up to four weeks.
• Produced as a strictly hypoallergenic formula, free from yeast, wheat, gluten, dairy products, fructose, sucrose, lactose, disaccharides, sorbitol, mannitol, xylitol, artificial colors, flavors or preservatives.
• Formulated with a well-tolerated flavor for improved patient adherence

Dosing by Caloric Need

Physicians’ Elemental Diet Dextrose Free should be used for 2-4 weeks. It was designed to maintain nutritional sustenance as a sole source of nutrition, and can be used as a half-elemental diet making dosing dependent upon the caloric needs of each patient. One scoop of Physicians’ Elemental Diet Dextrose Free = 35 grams, and 150 calories. Each 1,260g bag contains 36 scoops (5,400 calories).



Serving Size: 35 g
Servings Per Container: 36

  Amount Per Serving % of Daily Value
Calories 150
Calories from Fat 40
Total Fat 40 g
Saturated Fat 4 g
Total Carbohydrate 23 g
Sugars 1 g
Sodium 140 mg
Potassium 150 mg
Vitamin A Beta Carotene 250 mcg
Vitamin C 20 mg
Calcium 85 mg
Iron 1.5 mg
Vitamin D3 1.67 mcg
Vitamin E 6.7 mg
Vitamin K 10 mcg
Thiamin 0.5 mg
Riboflavin (Riboflavin-5’-phosphate) 0.56 mg
Niacin 3.3 mg
Vitamin B6 (Pyridoxal-5’-phosphate) 667 mcg
Folate (as Quatrefolic® (6S)-5-methyltetrahydrofolate glucosamine salt) 33 mcg
Vitamin B12 (Methylcobalamin) 0.5 mcg
Biotin 50 mcg
Pantothenic Acid 3.3 mg
Choline 33.35 mg
Phosphorus 82.8 mg
Iodine 16.5 mcg
Magnesium 33.5 mg
Zinc 2 mg
Selenium 18 mcg
Copper 167 mcg
Manganese 332 mcg
Molybdenum 8.25 mcg
Chloride 164.6 mg
tapioca maltodextrin
medium chain triglycerides
l-glutamine
l-proline
natural flavor
l-aspartic acid
l-serine
l-arginine hydrochloride
l-alanine
potassium citrate
l-leucine
l-lysine hydrochloride
disodium phosphate
l-valine
l-glycine
l-isoleucine
l-threonine
tricalcium phosphate
l-tyrosine
dimagnesium malate
dicalcium malate
l-phenylalanine
choline bitartrate
l-methionine
l-histidine
l-cysteine hydrochloride
potassium malate
magnesium citrate
l-tryptophan
l-carnitine l-tartrate
sodium ascorbate
d-alpha tocopheryl acetate
iron gluconate
l-taurine
zinc sulfate
calcium d-pantothenate
beta carotene
niacinamide
sodium chloride
sodium selenite
manganese citrate
phytonadione
pyridoxyl-5’-phosphate
cholecalciferol
riboflavin-5’-phosphate
thiamine hydrochloride
copper sulfate
Quatrefolic® ((6S)-5-methyltetrahydrofolate glucosamine salt)
d-biotin
sodium molybdate
potassium iodide
methylcobalamin




Wheat Free, Dairy/ Milk Free, Gluten Free, Soy Free, Yeast Free, Preservative Free, Corn Free, Free of Artificial Colors/Flavors, Lactose Free


Recommended Use: Thoroughly mix each heaping scoopful (35 g) in 4-8 oz. (118-236 mL) chilled or room temperature water. Additional water may be added to the mixture or consumed separately as desired. Consume the mixture slowly over a period of 15 to 60 minutes or more, dependent upon individual comfort. Once mixed, any product that is not consumed after 60 minutes should be refrigerated for a maximum of 24 hours, then shaken or stirred prior to consumption. After opening, store remaining powder in a dry place at room temperature.



Medical Food intended for use under medical supervision. Not intended for use in children.
Packaged by weight, not volume. Settling of contents may occur.
Keep out of reach of children. Do not use if pouch is torn or open.

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