Optimental - 8 oz cans- Case of 24
- Only Available for purchase by healthcare providers/facilities for treating patients in an institutional setting while under the care of a licensed healthcare professional.
- Contains a specialized protein system
- Designed for those with malabsorptive conditions
- Ready-to-feed elemental formula
- Vanilla flavor
OPTIMENTAL is a ready-to-feed elemental formula containing
a specialized protein system, structured lipids,
fructooligosaccharides (FOS), and elevated levels of
antioxidants. It is scientifically designed for the dietary
management of patients with malabsorptive conditions, such
as Crohn's disease or metabolic stress, and acute
Malabsorptive conditions such as:
8-fl-oz cans, 24/case
HCPCS Code B4153 (for 8-fl-oz can)
Product information and values listed are subject to change. Please refer to product label or packaging for the most current information.
Use under medical supervision. Not for parenteral
|-D Water, maltodextrin (corn), sugar (sucrose), soy protein hydrolysate, structured lipid [interesterified sardine oil and medium-chain triglycerides (fractionated coconut oil)], partially hydrolyzed sodium caseinate, fructooligosaccharides (FOS), canola oil, soy oil, calcium phosphate tribasic, natural and artificial flavors, L-arginine, sodium citrate, magnesium phosphate dibasic, diacetyl tartaric acid esters of mono-diglycerides, magnesium chloride, potassium citrate, ascorbic acid, choline chloride, gellan gum, taurine, d-alpha-tocopheryl acetate, L-carnitine, zinc sulfate, ferrous sulfate, niacinamide, calcium pantothenate, manganese sulfate, thiamine chloride hydrochloride, pyridoxine hydrochloride, beta-carotene, riboflavin, cupric sulfate, vitamin A palmitate, folic acid, biotin, potassium iodide, sodium selenate, phylloquinone, cyanocobalamin and vitamin D3.|
OPTIMENTAL contains a protein blend that includes soy
protein hydrolysate (SPH). Animal research has indicated
that SPH may be enterotropic by increasing cell number and
reducing cell death in the GI tract.1 This
characteristic of a hydrolyzed protein source may help
support normal gut structure, reduce epithelial cell loss,
and facilitate absorption. The amino acid profile of
OPTIMENTAL meets or surpasses the standard amino acid
profile for high-biologic-value protein set by the National
Academy of Sciences.2
OPTIMENTAL contains a structured lipid combining fish oil
with MCTs. Structured triglycerides are formed by randomly
re-esterifying the fatty acids from long-chain
triglycerides (LCTs) and MCTs.3 This
rearrangement can result in improved absorption and
metabolism of long-chain fatty acids (LCFAs) compared to
absorption of LCFAs from physical mixes of fish oil and MCT
oil.4 Fish oil (refined, deodorized sardine oil)
is an abundant source of omega-3 fatty acids, including EPA
and docosahexaenoic acid (DHA). EPA functions as a
precursor of certain prostaglandins and leukotrienes that
have inflammation-modulating properties.5
OPTIMENTAL contains EPA at a level of 540 mg/8 fl oz (2290
mg/L) and DHA at a level of 230 mg/8 fl oz (970 mg/L). The
level of MCT oil in OPTIMENTAL is 1.9 g/8-fl-oz serving
(8.0 g/L), which provides 28% of fat calories. As
recommended by the American Heart Association,6
less than 30% of calories in OPTIMENTAL are provided from
fat. The fat calories supply a balanced amount of
polyunsaturated, monounsaturated, and saturated fatty
The carbohydrate sources in OPTIMENTAL are maltodextrin,
sucrose, and FOS. FOS are indigestible sugars that occur
naturally in onions, barley, bananas, and other common
foods.7 FOS are not digested by the
gastrointestinal enzymes.8 These
oligosaccharides remain intact through the small intestine
and pass into the large intestine, where they are fermented
by bifidobacteria and other microorganisms in the colon to
lactate and the short-chain fatty acids (SCFAs) acetate,
propionate, and butyrate,9,10 which serve as a
nutrient source for the cells that line the
|Vitamins and Minerals:|
OPTIMENTAL provides at least 100% of the RDIs for 24 key
vitamins and minerals in 1422 Cal (six 8-fl-oz servings).
Carnitine and taurine are conditionally essential nutrients
that may become depleted during periods of metabolic
stress.16,17 OPTIMENTAL contains 25 mg/8 fl oz
(110 mg/L) of both L-carnitine and taurine.
The main determinants of the osmolality of a formula are
simple carbohydrates, electrolytes, amino acids, and small
peptides. OPTIMENTAL contains maltodextrin, sucrose, and
FOS as the carbohydrate sources, and a hydrolyzed protein
system containing small peptides and free amino acids.
* Measured on undiluted product using vapor pressure methodology.
|Renal Solute Load:|
Renal solute load represents the solutes excreted per
liter of product consumed. The major determinants of
renal solute load are dietary protein and electrolytes.
Each milliequivalent of sodium, potassium, and chloride
contributes approximately 1 mosm to the renal solute
load; in adults, each gram of protein contributes
approximately 5.7 mosm.
Griffiths AM, Pendley FC, Issenman RM, et al: Elemental versus polymeric enteral nutrition as primary therapy for active Crohn's Disease: A multi-centre pediatric randomized controlled trial (abstract). J Ped Gastroenterol Nutr 2000;31(suppl 2):S75.
1. Birke H, Thorlacius-Ussing O, Hessov I: Trophic effect of dietary peptides on mucosa in the rat small bowel (abstract). JPEN 1990;14(suppl):26S.
2. National Research Council: Recommended Dietary Allowances, ed 10. Washington, DC: National Academy Press, 1989.
3. Merolli A, Lindemann J, Cerrito E, Del Vecchio AJ: Medium-chain lipids: New sources, uses. Inform 1997;8:597-603.
4. Kenler AS, Swails WS, Driscoll DF, et al: Early enteral feeding in postsurgical cancer patients: Fish oil structured lipid-based polymeric formula versus a standard polymeric formula. Ann Surg 1996;233:316-333.
5. Gottschlich MM: Selection of optimal lipid sources in enteral and parenteral nutrition. Nutr Clin Pract 1992;7:152-165.
6. Dietary guidelines for healthy American adults: A statement for physicians and health professionals by the Nutrition Committee, American Heart Association. Circulation 1988;77:721A-724A.
7. Spiegel JE, Rose R, Karabell P, et al: Safety and benefits of fructooligosaccharides as food ingredients. Food Technol 1994;48:85-89.
8. Molis C, Flourie B, Ouarne F, et al: Digestion, excretion, and energy value of fructooligosaccharides in healthy humans. Am J Clin Nutr 1996;64:324-328.
9. Hidaka H, Eida T, Takizawa T, et al: Effects of fructooligosaccharides on intestinal flora and human health. Bifidobacteria Microflora 1986;5:37-50.
10. May T, Mackie RI, Fahey GC Jr, et al: Effect of fiber source on short-chain fatty acid production and on the growth and toxin production by Clostridium difficile. Scand J Gastroenterol 1994;19:916-922.
11. Cummings JH, Macfarlane GT: A review: The control and consequences of bacterial fermentation in the human colon. J Appl Bacteriol 1991;70:443-459.
12. Macfarlane GT, Cummings JH: The colonic flora, fermentation, and large bowel digestive function, in The Large Intestine: Physiology, Pathophysiology, and Disease. New York: Raven Press Ltd, 1991, pp 51-92.
13. Mitsuoka T, Hidaka H, Eida T: Effect of fructooligosaccharides on intestinal microflora. Die Nahrung 1987;31:427-436.
14. Garleb KA, Snook JT, Marcon MJ, et al: Effect of fructooligosaccharide containing enteral formulas on subjective tolerance factors, serum chemistry profiles, and faecal bifidobacteria in healthy adult male subjects. Microb Ecol Health Dis 1996;9:279-285.
15. Modler HW, McKellar RC, Yaguchi M: Bifidobacteria and bifidogenic factors. Can Institute Food Sci Tech J 1990;23:29-41.
16. Iapichino G, Radrizzani D, Colombo A, Ronzoni G: Carnitine excretion: A catabolic index of injury. JPEN 1988;12:35-36.
17. Paauw JD, Davis AT: Taurine concentrations in serum of critically injured patients and age- and sex-matched healthy control subjects. Am J Clin Nutr 1990;52:657-660.
18. Sies H, Stahl W, Sundquist AR: Antioxidant functions of vitamins: Vitamins E and C, beta-carotene, and other carotenoids. Ann N Y Acad Sci 1992;669:7-20.
19. Sokol RJ, Butler-Simon N, Conner C, et al: Multicenter trial of d-a-tocopheryl polyethylene glycol 1000 succinate for treatment of vitamin E deficiency in children with chronic cholestasis. Gastroenterology 1993;104:1727-1735.
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Optimental - 8 oz cans
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what is an equivalent
Asked on Jan 21, 2012 7:14:40 AM by nurse b from homecare
0 people had the same question
I was told this product was being discontinued and replaced with VITAL 1.0. Is ths true and can you still get OPTIMENTAL with MARCO 3. Vanilla #54638
Answered on Mar 8, 2012 6:13:23 PM by Jim from Huntsville AL 35806
2 people found this helpful
Helpful | Report
Part Number(s): 827 0175
Mfg Part Number(s): 54638
Scrip Part Number(s): 827 0175
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