Medifast is a ketogenic diet

Ketogenic bottle food Fat: protein + carbohydrates 3: 1 for babies and toddlers

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1 ketogenic bottle food fat: protein + carbohydrates 3: 1 for babies and toddlers GER / 08 Instructions for use

2 Dear parents! You use KetoCal Infant for ketogenic diet therapy for your child. KetoCal Infant is a bottle formula for babies and toddlers. The composition of this ready-made food is tailored to the special nutritional needs of children from birth up to the age of 3 years. KetoCal Infant contains all the essential nutrients for your child. Protein, fat, carbohydrates, vitamins, minerals and trace elements, which are important for the age-appropriate development of your child, are contained in KetoCal Infant. As prescribed for the ketogenic diet, the fat percentage is higher than in the conventional diet. The ratio of fat to protein and carbohydrates is 3: 1, i.e. H. for every 3 g of fat there is 1 g of protein and carbohydrates. KetoCal Infant is a complete bottle formula. KetoCal Infant can be used for exclusive and supplementary nutrition (milk substitute). You can give KetoCal Infant as a vial. This brochure is intended to provide you with valuable tips and advice on using KetoCal Infant. If you have any questions, please get in touch with your contact person at the clinic. We will be happy to advise you at any time if you have any questions about our KetoCal Infant product. Your SHS team

3 What KetoCal Infant is and what it is used for KetoCal Infant is a complete bottle formula for carrying out the ketogenic diet in infants and young children with epilepsy. KetoCal Infant is a fully balanced diet: It contains all essential nutrients such as fat, protein, carbohydrates, vitamins, minerals and trace elements. These nutrients are tailored to the specific nutritional needs of children under 3 years of age. The proportion of fat to protein and carbohydrates is 3: 1, i.e. H. for every 3 g of fat there is 1 g of protein and carbohydrates. Properties of KetoCal Infant Ketogenic bottle food for babies and toddlers Ketogenic ratio 3: 1 Easy to use Pleasant taste Addition of complementary foods possible without any problems Contains all essential nutrients in sufficient quantities Composition of KetoCal Infant per 100 g per 100 kcal per 100 ml (14.3 g Powder) ready to drink (10%) Nutritional values ​​Energy 2887 kj 413 kj 289 kj 699 kcal 100 kcal 70 kcal protein 15.3 g 2.2 g 1.5 g carbohydrates 7.2 g 1.0 g 0.72 g of which sugar 7.2 g 1.0 g 0.72 g fat 67.7 g 9.7 g 6.8 g of which saturated fatty acids 25.8 g 3.7 g 2.6 g monounsaturated fatty acids 22.6 g 3.2 g 2.3 g polyunsaturated fatty acids 16.3 g 2.3 g 1.6 g LCT fat 100% 100% 100% fat: protein + carbohydrates 3: 1 3: 1 3: 1 fiber 0 g 0 g 0 g

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5 What you need to know before you use KetoCal Infant KetoCal Infant contains cow's milk protein. If your child has a cow's milk allergy, you should not use KetoCal Infant for use in ketogenic diet therapy. What should you watch out for while taking KetoCal Infant? Please inform your doctor if your child is taking any other medicines / food supplements, including those obtained without a prescription. Medicines / food supplements can contain carbohydrates or sugar substitutes, which can reduce the effect of the ketogenic diet. Dosage and use of KetoCal Infant The daily dose of KetoCal Infant is specified by your doctor or dietitian. It depends on the age, body weight and clinical condition of your child. The conversion of your child's traditional diet to the ketogenic diet takes place in the hospital. The illness, physical condition and individual needs of your child are taken into account. Your doctor or dietitian will explain to you exactly how you should feed your child during the initiation of ketogenic diet therapy. In the end, the ketogenic bottle formula KetoCal Infant replaces the conventional bottle formula and is administered exactly like this over the course of the day. Always follow the instructions of your contact person in the clinic exactly and stick to the diet plan drawn up there. The addition of complementary foods to KetoCal Infant is possible without any problems. You will find suggestions further down in the instructions for use.

6 Standard resolution 10g KetoCal Infant + 90ml water = 100 ml ready-to-drink food KetoCal Infant water Total amount of calories per ml (g) (ml) (ml) (kcal),,, 7 Preparing a bottle of food C C Boil drinking water. Pour the required amount into a sterilized vial and allow to cool to C. Weigh and add the specified amount of KetoCal Infant. Close the bottle and shake well. Let cool down to drinking temperature (37 C) (15-20 min.), Shake again briefly and feed. Make sure you use C warm water for the preparation! Do not mix KetoCal Infant with other ingredients! Prepare each serving fresh and feed them immediately! Do not heat the meal in the microwave! Do not cook the finished meal anymore!

7 Preparation of complementary food milk porridge (1 portion, ketogenic ratio 3: 1) Ingredients: 100 ml water 2 g carob gum 5 g Pre Aptamil, Milupa 10 g KetoCal Infant 12 g butter Preparation: Scatter the carob gum into the cold water, stir until smooth and bring to the boil leave until it binds. Then let the porridge cool to 50 C and stir in the baby milk and the KetoCal Infant. Finally add the butter and, if necessary, season with sweetener. Nutritional values: Energy Carbohydrates Protein Fat kj / kcal g g g 812/195 3.5 2.5 18.3 Ketogenic ratio 1 3 Please prepare each portion fresh! Vegetable porridge with meat (1 portion, ketogenic ratio 3: 1) Ingredients: 100 ml water 2 g carob gum 10 g KetoCal Infant 12 g rapeseed oil 40 g HIPP potato vegetables with organic beef Preparation: Scatter the carob gum into the cold water, stir until smooth and bring to the boil leave until it binds. Then let the porridge cool to 50 C, stir in the KetoCal Infant first, then add the rapeseed oil and the potato vegetables with organic beef. Nutritional values: Energy Carbohydrates Protein Fat kj / kcal g g g 802/88 3.71 2.53 18.83 Ketogenic ratio 1 3 Please prepare each portion fresh!

8 vegetable puree (1 portion, ketogenic ratio 3: 1) Ingredients: 100 ml water 2 g carob gum 10 g KetoCal Infant 12 g rapeseed oil 40 g HIPP vegetables All kinds of preparation: Sprinkle the carob gum into the cold water, stir until smooth and bring to the boil . Then let the porridge cool down to 50 C, stir in the KetoCal Infant first, then add the rapeseed oil and the vegetables. Nutritional values: Energy Carbohydrates Protein Fat kj / kcal g g g 706/171 3.11 2.21 16.62 Ketogenic ratio 1 3 Please prepare each portion fresh! Grain porridge (1 portion, ketogenic ratio 3: 1) Ingredients: 80 ml water 10 ml HIPP apple-carrot juice 1 g locust bean gum 2 g melted flakes, whole grain 10 g KetoCal Infant 10 g butter sweetener Preparation: Mix the cold water with the juice, the carob gum and sprinkle in the melted flakes, stir until smooth and bring to the boil until it binds. Then let the porridge cool to 50 C, first stir in the KetoCal Infant, then add the butter and season with sweetener. Nutritional values: Energy Carbohydrates Protein Fat kj / kcal g g g 650/156 2.95 1.96 15.33 Ketogenic ratio 1 3 Please prepare each portion fresh!

9 fruit puree with blackberries (1 portion, ketogenic ratio 3: 1) Ingredients: 100 ml water 2 g carob gum 10 g KetoCal Infant 11 g butter 35 g blackberries, possibly sweetener Preparation: Sprinkle the carob gum into the cold water, stir until smooth and bring to the boil until it binds. Then let the porridge cool to 50 C, stir in the KetoCal Infant first, then add the butter. Finally the blackberries are added. If necessary, it can be flavored with a sweetener. Nutritional values: Energy Carbohydrates Protein Fat kj / kcal g g g 702/169 3.16 2.10 16.37 Ketogenic ratio 1 3 Please prepare each portion fresh! Storage Store in a cool and dry place. Once opened, use up the can within one month. Please do not use KetoCal Infant after the expiration date stated on the can. Delivery unit single pack: jar of 300 g Minibox: 6 jars of 300 g Maxibox: 12 jars of 300 g Company SHS Society for Clinical Nutrition GmbH Happenbacher Str. 5 D Heilbronn Germany Order service: Tel .: (D + A + CH free of charge) Fax: (D + A + CH free of charge)

10 Ketogenic bottle food Fat: protein + carbohydrates 3: 1 for babies and toddlers Instructions for use