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Frequently Asked Questions and Answers for Patients, Parents, Family and Friends.

This FAQ is a supplemental documentation to this website. If you cannot find the answer to your question then please contact us.

  • 1. Using Oral Nutritional Supplements - General
    • What are oral nutritional supplements?

      Oral nutritional supplements contain energy (calories), protein, vitamins and minerals. They are specially designed for people who may not be able to eat enough food to meet their body’s daily needs for energy and nutrients because of illness. Most oral nutritional supplements are flavoured liquid drinks; they are sometimes called ‘sip feeds’ because people tend to sip them. Oral nutritional supplements also come as powders that are made up into drinks or are added to drinks or foods like tea, coffee, custard and cereal. There are also some dessert-style or soup style oral nutritional supplements. The idea is to have a range of tastes and textures so that everyone who needs them can find something they like.

    • Who recommends oral nutritional supplements? How do I get them?

      A dietitian, nurse or doctor may recommend an ONS if a patient requires extra nutrition to meet their nutritional requirements. In hospitals there will be a local system in place to ensure that patients receive the ONS they need. In the community, patients will need to have their ONS prescribed by a GP or other prescribing healthcare professional. Once an individual has a prescription, local pharmacies are able to dispense prescribed supplements.

    • How should I take my oral nutritional supplement?

      Oral nutritional supplements contain energy (calories), protein, vitamins and minerals. They are specially designed for people who may not be able to eat enough food to meet their body’s daily needs for energy and nutrients because of illness. Most oral nutritional supplements are flavoured liquid drinks; they are sometimes called ‘sip feeds’ because people tend to sip them. Oral nutritional supplements also come as powders that are made up into drinks or are added to drinks or foods like tea, coffee, custard and cereal. There are also some dessert-style or soup style oral nutritional supplements. The idea is to have a range of tastes and textures so that everyone who needs them can find something they like.

    • How many oral nutritional supplements should I take?

      A dietitian, nurse or doctor should recommend the specific product and number of ONS a patient requires depending on their needs and medical condition. In general 2-3 servings are prescribed each day as a ‘top up’ to normal food intake. If a patient is unclear or has not been given advice on how many ONS they should take, then they should go back to their healthcare professional who will be able to advise.

    • What should I do if I don’t want my oral nutritional supplement anymore?

      ONS are classed as ‘food for special medical purposes’. They are products that should be used under medical supervision. Therefore, you should see the relevant healthcare professional who will assess whether an ONS is required.

  • 2. Using Oral Nutritional Supplements - In the Kitchen
    • Can I heat oral nutritional supplements?

      Yes. Some people may prefer to take oral nutritional supplements warm, especially if they want to incorporate certain flavours into soup or custard. Pour the supplement into a pan and warm through gently without boiling, as boiling may alter the taste and destroy the heat sensitive vitamins.

    • Can I freeze oral nutritional supplements?

      Yes. Some people may prefer to take oral nutritional supplements frozen either as a change to sipping them, or because they find them more palatable or easier to take if they have a sore mouth. Pour the supplement into a freezer safe container (or ice cube tray) and freeze. You can also freeze supplements in ice-lolly moulds.

    • Can I use oral nutritional supplements in cooking or with other foods?

      Yes. Some people prefer to take oral nutritional supplements that have been incorporated into other foods and drinks, either as a change to sipping them or because they find them more palatable. Nutricia oral nutritional supplements for adults and children can both be used to fortify a variety of drinks, savoury and sweet foods, including muffins, macaroni cheese and hot chocolate. Check out the recipe pages on this website to find recipes for your oral nutritional supplement.

  • 3. Ingredients in Nutricia products
    • Are Nutricia products lactose free?

      Many of the products in the Nutricia oral nutritional supplement range are clinically lactose free (i.e. contain a level of lactose <0.030g per 100ml) and are therefore suitable for patients with lactose intolerance. These are Fortisip, Fortisip Multi Fibre, Fortisip Savoury Multi Fibre, Fortisip Fruit Dessert, Fortijuce, Fortini, Fortini Multi Fibre, Polycal Liquid, Polycal Powder, FortiCare, Calogen and Nutricia preOp. Those that are not clinically lactose free are: Fortisip Yogurt Style, Fortisip Extra, Fortimel, Forticreme Complete, Protifar, Scandishake Mix, Renilon 7.5 and Infatrini. All of the Nutricia tube feeds for adults and children, including the specialised tube feeds are clinically lactose free, with the exception of Nutrison Peptisorb, Nutrini Peptisorb and Infatrini.

    • Are Nutricia products nut free and egg free?

      For information about specific ingredients used in Nutricia’s products and their suitability for people with food allergies or intolerances please call the Nutricia Resource Centre helpline (01225 751 098).

  • 4. Suitability of Nutricia products for people with certain conditions
    • Which products are suitable for people with Diabetes?

      It is important to note that, as with any patient who is not managing to achieve an adequate diet from ‘normal’ foods, it is essential that a patient with diabetes receives some form of nutritional support to ensure that their nutritional requirements are met. In addition, patients with diabetes on medication should receive a regular intake of carbohydrate in order to prevent low blood sugar levels. Fortisip Multi Fibre and Fortisip Neutral are good choices. Many of the other Nutricia oral nutritional supplements may be considered, however these should be used under medical supervision and advice sought from a dietitian or doctor as to the most appropriate sip feed for that patient and how it should be used. Where oral nutritional supplements are being given the following is recommended: . Supplements should be sipped slowly over a period of approximately 20 minutes in order to avoid any rapid rise in blood glucose levels. . Blood glucose levels should be monitored regularly and oral hypoglycaemic tablets/insulin modified accordingly. . The number of cartons a patient requires should be decided by a dietitian or doctor.

    • Are Nutricia products suitable for people with Coeliac disease?

      Yes. All Nutricia’s products (tube feeds and oral nutritional supplements) are gluten free and are suitable for people with coeliac disease and gluten intolerance.

    • Are Nutricia products suitable for people with Cows’ milk protein allergy?

      Nutricia produces the Neocate range of products which are specially designed for infants and children with cows’ milk protein allergy. Most of the other Nutricia oral nutritional supplements are based on cows’ milk protein so are not suitable for these patients. Nutricia produces an adult tube feed called Nutrison Soya, which is prescribable for disease related malnutrition in patients who have cows’ milk protein intolerance. This is unflavoured and so if taken orally needs to be decanted into a suitable drinking vessel and appropriate flavourings added to increase palatability.

    • Are Nutricia’s oral nutritional supplements suitable for use during pregnancy?

      During pregnancy an excessive intake of vitamin A should be avoided as it may cause harm to the unborn baby. Many of Nutricia’s oral nutritional supplements are designed to provide the complete range of micronutrients including vitamin A. The level of vitamin A present in Nutricia’s oral nutritional supplements is within the upper limit suggested during pregnancy, however, intake of vitamin A from normal dietary foods should also be considered and intakes of vitamin A rich foods should be limited (e.g. liver). The decision to use oral nutritional supplements during pregnancy should be made by a dietitian or doctor.

    • Is Fortini suitable for children with diabetes?

      The Fortini range contains some sugars as part of the carbohydrate blend. For patients with diabetes it is recommended that a bottle of Fortini Multi Fibre or Fortini should be sipped slowly over about 20 minutes to minimise sharp rises in blood sugar levels. The total number of bottles of Fortini Multi Fibre or Fortini that should be taken per day should be advised by a dietitian.

  • 5. Suitability of Nutricia products for specific cultural or religious diets
    • Are Nutricia’s products suitable for vegetarians and vegans?

      The majority of Nutricia’s tube feeds and oral nutritional supplements are suitable for vegetarians as defined by The Vegetarian Society. Carminic Acid, a colouring derived from cochineal, may not be acceptable to some patients and is used in the following sip feeds: . Fortisip Yogurt Style: raspberry, peach & orange . Fortimel: strawberry, forest fruits . Fortisip: orange, strawberry, tropical fruits . Fortisip Compact Strawberry: Strawberry . Fortisip Multi Fibre: strawberry, orange . Forticreme Complete: banana, forest fruits . Scandishake Mix: strawberry . Fortisip Extra: strawberry, forest fruits . Renilon 7.5: apricot . FortiCare: peach-ginger . Calogen: strawberry . Calogen Extra: Strawberry Infatrini and FortiCare contain fish oil. Only Nutricia preOp, Calogen, Polycal liquid, Polycal powder, and Nutilis are suitable for vegans as they do not contain animal products. Nutrison Soya may not be suitable for vegans as the Vitamin D is derived from sheep’s wool.

    • Are Nutricia’s products suitable as part of a Halal or a Kosher diet?

      Some diets followed by ethnic populations require food and drink to be vegetarian and alcohol free. Nutricia’s oral nutritional supplements and tube feeds do not contain alcohol, details of their vegetarian status is given in the previous question. Call the Nutricia Resource Centre helpline (01225 751098) for the latest information on products that are suitable for Halal and Kosher diets.

    • Is Infatrini suitable for Halal, vegetarian and vegan diets?

      Infatrini does not contain any non-vegetarian ingredients but may not be suitable for all vegetarians due to the processing of some ingredients, and because it contains LCPs from fish oil. Regarding its suitability for Halal diets, there are no ‘forbidden’ ingredients in Infatrini but the manufacturing process has not had official Halal certification. Infatrini is not suitable for vegans as it contains milk and other non-vegan ingredients.

  • 6. Using Nutilis: Thickening drinks, foods and supplements
    • How do I thicken drinks using Nutilis?

      The label on your tin of Nutilis tells you the number of scoops you will need to use. With hot drinks, always add the sugar and milk first 1. Pour the drink you wish to thicken into a Nutilis Shaker (if provided), glass, cup or mug. 2. Add the prescribed number of scoops of Nutilis to the drink and mix with a fork or whisk, or replace the lid on the shaker and shake vigorously until the powder is well mixed with the drink. 3. Leave the drink to stand for a few minutes to achieve the required consistency. 4. Serve.

    • How do I thicken pureed foods using Nutilis?

      1. Puree the food you are going to thicken so it is completely smooth and free from any lumps. Ideally sieve the puree, especially for foods with ‘husks’ and seeds (e.g. peas, sweet corn and strawberries). 2. Add the necessary number of scoops of Nutilis to the puree and stir in well. 3. Allow the food to stand for a few minutes to reach the required consistency. 4. The food can now be served or chilled/frozen for later use. 5. When reheating food, make sure food is piping hot throughout before serving.

    • Can I thicken oral nutritional supplements using Nutilis?

      Yes, oral nutritional supplements can be thickened using Nutilis. The label on your tin of Nutilis tells you the number of scoops you will need to use. With hot drinks, always add the sugar and milk first 1. Pour the drink you wish to thicken into a Nutilis Shaker, glass, cup or mug. When thickening oral nutritional supplements (e.g. Fortisip, Fortijuce) you should ideally use the Nutilis Shaker. 2. Add the prescribed number of scoops of Nutilis to the drink and mix with a fork or whisk, or replace the lid on the shaker and shake vigorously until the powder is well mixed with the drink. 3. Leave the drink to stand for a few minutes to achieve the required consistency. 4. Serve.

  • 7. Using Nutricia products for Infants and Children
    • Are Nutricia’s oral nutritional supplements suitable for children?

      The Nutricia oral nutritional supplements Fortini and Fortini Multi Fibre are specifically designed for young children and are, therefore, the recommended sip feed for children over 1 year. Fortisip, Fortisip Compact, Fortisip Multi Fibre, Fortisip Yogurt Style, Fortijuce, Fortisip Extra, Fortimel, Fortisip Savoury Multi Fibre, Fortisip Fruit Dessert and Forticreme Complete, are not suitable for use in children under 3 years of age and are not designed for use as a sole source of nutrition in children under 6 years. However, their use in children aged 3-6 years is a clinical decision which should be made by a doctor or dietitian.

    • Are there any colouring agents in the Fortini range?

      Colouring agents are not permitted in foods specifically designed for infants and young children under 3 years of age. As the Fortini range are all foods for special medical purposes specifically designed for children, we have not added colouring agents. Note: Fortini Multi Fibre chocolate has a ‘chocolatey’ colour due to natural colouring agents.

    • Can I freeze Infatrini?

      We do not recommend that Infatrini is frozen straight from the bottle as on thawing the LCPs in Infatrini may affect the taste making it less palatable.

    • What should I do if I don’t see any change in my baby’s weight?

      It is important to talk to your healthcare professional about your baby’s diet and weight. When your baby was prescribed Infatrini your healthcare professional may have discussed with you how they expected the feed to influence your baby’s growth. If you are at all concerned contact your healthcare professional to discuss how your baby has got on since you last saw them and what you should do next.

    • Can I get a teat to fit the Infatrini bottle?

      Infatrini in 200ml bottles is designed to be decanted, so there is no teat available for this presentation

    • I have a question about the ingredients in Infatrini, who can I ask?

      Your health professional will be able to answer questions about Infatrini. You can also call the Nutricia Resource Centre helpline to ask questions about the ingredients or nutritional composition. If you have a question about how much Infatrini to give your baby, it is best to ask your healthcare professional as they will be able to check your baby’s needs and give you individual advice.

This site is intended for use by Healthcare Professionals. These products are to be used under medical supervision, if you have any concerns please refer to your Healthcare Professional.