Description
Food for special medical purposes for the dietary management of subjects with malnutrition resulting from chronic renal failure, where malnutrition and sarcopenia are very common. In these conditions branched chain amino acids and HMB are essential for the ability to stop protein loss and improve nutritional status more effectively than the exclusive use of diet.
HYDROXIRAM is indicated for the dietary regime of both subjects requiring enteral nutrition and subjects with normal swallowing function, also facilitating the transition from enteral to oral nutrition.
With sweeteners.

Ingredients
L-leucine, maltodextrin, calcium hydroxymethylbutyrate (HMB), L-isoleucine, L-valine, flavourings, acidity regulator: citric acid; sweeteners: sucralose, acesulfame K; zinc oxide.

Gluten free.
Lactose free.

Nutritional characteristics

Average values	for 1 envelope (5 g)	for 2 envelopes (10 g)	per 100 g of dust
Energy	54 kJ 13 kcal	108 kJ 26 kcal	1.076 kJ 253 kcal
Fats of which saturated fatty acids	0.0 g 0.0 g	0.0 g 0.0 g	0.0 g 0.0 g
Carbohydrates of which sugars	1.3 g 0.3 g	2.6 g 0.6 g	25.6 g 5.4 g
Fibers	0.0 g	0.0 g	0.5 g
Proteins*	0 g	0 g	0 g
Salt	0.00 g	0.00 g	0.00 g
HMB	750 mg	1,500 mg	15,000 mg
L-leucine	1,250 mg	2,500 mg	25,000 mg
L-isoleucine	625 mg	1,250 mg	12,500 mg
L-valine	625 mg	1,250 mg	12,500 mg
Zinc	5 mg	10 mg	100 mg

Osmolality: 308 mOsmol/kg dispersing the contents of 1 sachet in 100 ml of water

*Protein equal to 0 as the product contains exclusively free form amino acids

How to use
It is recommended to take 1-2 sachets per day, separately, according to the doctor's advice, preferably away from main meals.

- Enteral administration:
Do not combine the product with other enteral nutrition formulas in the same bag.
1. Pour the contents of one sachet into a suitable, dry glass container; disperse in 100 ml of water at room temperature or slightly warm.
2. Mix until completely dispersed.
3. Administer via a tube connected to a syringe.
4. Wash the probe with 30 ml of water before and after administering the product.
Use preferably immediately after preparation, within 4 hours if stored at room temperature, within 24 hours if stored in the refrigerator.

- Oral administration:
1. Pour the contents of one sachet into a dry glass and disperse in 100 ml of water at room temperature.
2. Mix until completely dispersed.
Preferably consume immediately after reconstitution.

Warnings
The product must be used under medical supervision and indication. Not indicated as the sole source of nutrition.
It must not be administered parenterally.
Do not take in case of known or suspected allergy and/or intolerance to one or more of the ingredients.

Conservation
Store in a cool, dry place, out of reach of children.
The minimum durability date refers to the product in intact packaging, correctly stored.
Validity with intact packaging: 30 months.

Format
Box of 30 sachets of 5.0 g
Net weight 150 g