MEDICAL FOOD INTENDED FOR USE UNDER MEDICAL SUPERVISION
Not intended for use in children.
Physicians’ Elemental Diet ™ Dextrose Free is a 100% free form amino acid-based
powdered elemental formula intended for distinctive nutritional requirements. Physicians’
Elemental Diet Dextrose Free requires minimal digestive functionality for assimilation.
Physicians’ Elemental Diet Dextrose Free formula provides 150 calories per serving,
distributed as approximately 20% protein, 60% carbohydrate and 20% fat.

Thoroughly mix each heaping scoopful (35 g) in 4-8 oz. (118-327 mL) chilled or room temperature water. Additional water may be added to the mixture or consumed separately as desired. Consume the mixture slowly over a period of 15 to 60 minutes or more, dependent upon individual comfort. Once mixed, any product that is not consumed after 60 minutes should be refrigerated for a maximum of 24 hours, then shaken or stirred prior to consumption.

Serving Size: 1.26oz (36g)

Amount Per Serving
Calories … 150
Calories from Fat … 30
Total Fat … 4g
Saturated Fat … 4g
Total Carbohydrate … 23g
Sugars … <1g
Sodium … 105mg
Potassium … 150mg
Protein **
Vitamin A … 250mcg
(Beta Carotene)
Vitamin C … 20mg
Calcium … 85mg
Iron … 1.5mg
Vitamin D3 … 1.67mcg
Vitamin E … 6.7mcg
Vitamin K … 10mcg
Thiamin … 0.5mg
Riboflavin … 0.56mg
(Riboflavin-5’-phosphate)
Niacin … 3.3mg
Vitamin B6 … 667mcg
(Pyridoxal-5’-phosphate)
Folate … 33mcg
(as Quatrefolic® (6S)-5-methyltetrahydrofolate glucosamine salt)
Vitamin B12 … 0.5mcg
(Methylcobalamin)
Biotin … 50mcg
Pantothenic Acid … 3.3mg
Phosphorus … 82.8mg
Iodine … 16.5mcg
Magnesium … 33.5mg
Zinc … 2mg
Selenium … 18mcg
Copper … 167mcg
Manganese … 332mcg
Molybdenum … 8.25mcg
Chloride … 164.6mg
Choline … 33.35mg

Ingredients: tapioca maltodextrin, medium chain triglycerides, l-glutamine, l-proline, natural flavor, l-aspartic acid, l-serine, l-arginine hydrochloride, l-alanine, potassium citrate, l-leucine, l-lysinehydrochloride, disodium phosphate, l-valine, l-glycine, l-isoleucine, l-threonine, tricalcium phosphate, l-tyrosine, dimagnesium malate, dicalcium malate, l-phenylalanine, choline bitartrate, l-methionine, l-histidine, l-cysteine hydrochloride, potassium malate, magnesium citrate, l-tryptophan, l-carnitine l-tartrate, sodium ascorbate, d-alpha tocopheryl acetate, iron gluconate, l-taurine, zinc sulfate, calcium d-pantothenate, beta carotene, niacinamide, sodium chloride, sodium selenite, manganese citrate, phytonadione, pyridoxyl-5’-phosphate, cholecalciferol, riboflavin-5’-phosphate, thiamine hydrochloride, copper sulfate, Quatrefolic® ((6S)-5-methyltetrahydrofolate glucosamine salt), d-biotin, sodium molybdate, potassium iodide, methylcobalamin

**Contains 7.5 g free form amino acids per 35 g serving.

Quatrefolic® is a registered trademark of Gnosis S.p.A.

This product does not contain

• corn
• yeast
• wheat
• gluten
• soy
• dairy products
• dextrose
• fructose
• sucrose
• lactose
• sorbitol
• mannitol
• xylitol
• artificial colors
• artificial flavors
• preservatives

After opening, store remaining powder in a dry place at room temperature.