Typically used for, but not limited to, increasing the nutrient density of: foods and beverages as part of a “food first” program or enteral formulas to meet the increased protein and calorie needs of metabolically stressed patients, those with malabsorption syndromes, and/or those with inadequate intakes to prevent unwanted weight loss or to promote weight gain and/or wound healing.
- Unintentional weight loss
- Clear-liquid diets
- Celiac disease
- Cystic fibrosis
- Fat malabsorption
- Protein Energy Malnutrition
- Fluid-restricted diets
- Pressure injury
- Short Bowel Syndrome
- Chronic diarrhea
- Recovery from surgery
- Pancreatic insufficiency
- Tube feeding: Patients who are at high risk for aspiration and/or have poor tolerance to high-volume or hyperosmotic formulas and require additional protein and calories.
XtraCal Plus is uniquely formulated with a special class of fatty acids called medium-chain triglycerides (MCTs) along with hydrolyzed collagen and whey protein to yield a preferred pattern of absorption resulting in better outcomes.
About 97 percent of dietary fats and oils are made up of long-chain triglycerides (LCTs). LCTs contain 16 to 24 carbon atoms which require extensive processing by the body to break into smaller units for absorption. Diseases of the pancreas, liver, or small intestine impair this process, resulting in malabsorption and diarrhea.
MCTs are much shorter in length, containing only 8 to 12 carbon atoms, and are more water-soluble. As a result, MCTs are well tolerated and are easily digested, absorbed, and utilized. Once they enter the blood stream they are transported directly into the liver where they can be rapidly converted for cellular energy. Scientific studies have shown that MCTs benefit patients suffering from malnutrition, fat malabsorption, chronic diarrhea, short bowel syndrome, and weight loss caused by AIDS as they require less energy for absorption, utilization, and storage.
Stressed or critically ill patients have a decreased ability to digest LCTs which makes MCT oil a better calorie source. Standard high-calorie supplements rely on sugar for calories and as such are not appropriate for individuals with metabolic stress or diabetes. Excess sugar during critical illness can heighten inflammation. By providing calories from MCTs, XtraCal Plus promotes weight gain without contributing to hyperglycemia or the inflammatory response in metabolically stressed or diabetic patients.
Metabolic stress also reduces digestive enzyme availability and activity involved in protein digestion. XtraCal Plus contains hydrolyzed collagen and whey protein containing 100 percent of all essential and non-essential amino acids. The hydrolyzed protein in XtraCal Plus is broken down by enzymes into free amino acids and polypeptides that are more easily digested and absorbed by the intestines. Standard oral supplements contain intact or whole dietary proteins (long chains of amino acids known as polypeptides) which are hydrolyzed by digestive enzymes and then absorbed.