The recommended intake should be determined by a clinician or a dietitian only and is dependent on age, body weight and medical condition of the patient. The standard recommended feed concentration is 20% w/v (100g powder made up with water to a final volume of 500ml water, 0.89kcal/ml). For osmotically sensitive patients, an initial dilution of 13.3% w/v (67g powder made up with water to a final volume of 500ml water, 0.59kcal/ml) is recommended. These dilutions are guidelines only. Elemental 028 Extra Powder can be taken as a more concentrated drink but additional water or diluted drinks must be taken immediately after. To achieve a 1kcal/ml drink, a 22.6% w/v concentration is required (100g powder made up with water to a final volume of 443ml). Preparation 1. Wash hands, use clean equipment to prepare feed 2. Weigh out the prescribed amount of Elemental 028 Extra Powder 3. Add a small amount of the prescribed water. Stir with a fork until a smooth paste is obtained. Continue stirring whilst adding the rest of the prescribed amount of water 4. Once reconstituted, store in a refrigerator and use within 24 hours. Shake or stir immediately before use. If given orally, Elemental 028 Extra Powder is best given as a chilled drink. The unflavoured version may be flavoured with Modjul flavours or other appropriate flavourings.