Compleat^®

COMPLEAT^® tube feeding formulas are made with real food ingredients to support those looking for real food options, including chicken, various fruits and vegetables, and cranberry juice concentrate. COMPLEAT^® formulas can be used as a complete nutrition tube feeding or as a nutrient-rich base for real food homemade tube feeding recipes.

Features At A Glance

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Caloric Density	1.06 Cal/mL
Protein	18%
Carbohydrate	48%
Fat	34%
Protein Source	Milk protein, dried chicken meat, pea protein isolate
Carbohydrate Source	Brown rice syrup, fruit and vegetable ingredient blend including: tomato paste, peach purée concentrate, dried green beans, dried green peas, dried carrots, cranberry juice concentrate
Fat Source	Canola oil
Dietary Fibre	8.0 g/1000 mL
Fibre Source	40% oligofructose, acacia gum, inulin; 60% vegetable fibre
n6:n3 Ratio	3.0:1
Water Content	830 mL/1000 mL
Osmolality	450 m0sm/kg water
Kosher	N
Gluten Free	Y
Lactose Free	<0.5 g lactose per 100 mL (not for patients with galactosemia)
Low Residue	N

Ingredients

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INGREDIENTS: WATER, BROWN RICE SYRUP, MILK PROTEIN, CANOLA OIL, DRIED CHICKEN MEAT, TOMATO PASTE, PEACH PURÉE CONCENTRATE, PEA PROTEIN ISOLATE, DRIED GREEN BEANS, PEA FIBRE, DRIED GREEN PEAS, OLIGOFRUCTOSE, ACACIA GUM, DRIED CARROTS, CRANBERRY JUICE CONCENTRATE, INULIN, SALT, ROSEMARY EXTRACT, L-CARNITINE, TAURINE, VITAMINS (BETA-CAROTENE, VITAMIN A PALMITATE, VITAMIN D3, DL-ALPHA TOCOPHERYL ACETATE, VITAMIN K1, SODIUM ASCORBATE, ASCORBIC ACID, THIAMINE HYDROCHLORIDE, RIBOFLAVIN, NIACINAMIDE, CALCIUM PANTOTHENATE, PYRIDOXINE HYDROCHLORIDE, BIOTIN, FOLIC ACID, CYANOCOBALAMIN, CHOLINE CHLORIDE), MINERALS (SODIUM CITRATE, POTASSIUM CITRATE, POTASSIUM CHLORIDE, POTASSIUM HYDRATE, TRICALCIUM PHOSPATE, TRIMAGNESIUM PHOSPHATE, MAGNESIUM OXIDE, FERROUS SULPHATE, ZINC SULPHATE, MANGANESE SULPHATE, COPPER SULPHATE, POTASSIUM IODIDE, SODIUM SELENATE, SODIUM MOLYBDATE, CHROMIUM TRICHLORIDE), SILICON DIOXIDE, CITRIC ACID, DIMETHYLPOLYSILOXANE. CONTAINS MILK.

Nutrition Panel

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	Units	100mL	250mL
Energy	Cal	106	265
Energy	kJ	440	1110
Protein	g	4.8	12
Carbohydrate	g	13	33
Fibre	g	0.8	2
Fat	g	4	10
Linoleic Acid	g	0.52	1.3
Vitamin A	IU	360	900
Retinol	IU	200	500
Beta Carotene	IU	160	400
Vitamin D	IU	56	140
Vitamin E	IU	3.2	8
Vitamin K	mg	0.01	0.025
Vitamin C	mg	24	60
Thiamine	mg	0.16	0.4
Riboflavin	mg	0.2	0.5
Niacin	mg	1.44	3.6
Pantothenate	mg	1.2	3
Vitamin B6	mg	0.28	0.7
Biotin	mg	0.004	0.01
Folic Acid	mg	0.02	0.05
Vitamin B12	mg	0.0008	0.002
Choline	mg	44	110
Sodium	mg	100	250
Potassium	mg	156	390
Chloride	mg	88	220
Calcium	mg	88	220
Phosphorous	mg	84	210
Magnesium	mg	30	75
Iron	mg	1.3	3.2
Zinc	mg	2	5
Manganese	mg	0.32	0.8
Copper	mg	0.16	0.4
Iodine	mg	0.012	0.03
Selenium	mg	0.006	0.015
Molybdenum	mg	0.012	0.03
Chromium	mg	0.014	0.035
Taurine	mg	12	30
L-Carnitine	mg	12	30

Ordering Info

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Product Code	Product Size
12303988	24 x 250 mL Tetra Prisma^®
12303987	6 x 1.0 L ULTRAPAK^®

COMPLEAT® tube feeding formula

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250 mL carton

Calories	265
Fat	10 g
Sodium	250 mg
Potassium	390 mg
Total Carbohydrate	34 g
Dietary Fibre	2 g
Protein	12 g

Nutrition information for all recipes was generated using the Food Processor Nutrition Analysis Software, Ver. 10.12.0 which references the US Department of Agriculture, Agricultural Research Service, Nutrient Data Laboratory. USDA National Nutrient Database for Standard Reference, Release 28. Version Current: September 2015.

HOMEMADE TUBE FEEDINGS

Also known as blenderized diets, blended diets, or pureed foods - homemade tube feedings are one way of providing all or some of an individual's nutrition through a feeding tube.

Homemade tube feedings can be made exclusively from real food ingredients, or a commercial formula can be used as a base to which other food ingredients are added. For some complex medical conditions, a homemade tube feeding may not be advised.

KITCHEN TIPS

Use safe food handling practices.
Wash hands for 20 seconds with soap and running water before and after handling food.
Wash cutting boards, dishes, utensils, equipment, and counter tops with hot, soapy water before starting and after preparing each food item and before going on to the next item.
Avoid cross contaminating foods. Use a separate cutting board and knives for fresh produce and another cutting board and knives for raw meat, poultry or seafood. Use separate plates and utensils for raw and cooked foods. Wash all product with cool running water before food preparation begins

PREPARATION TIPS

A high-speed blender is recommended to help make sure all food is blended smooth.
Fresh herbs can be used to add flavour and aroma; their use is optional. Chop herbs finely before blending so they do not clog the feeding tube. If you find herbs are getting stuck in the tube, omit them from the recipes.
To help make preparation quick and easy, cut fruits and vegetables in advance and freeze in small containers or storage bags. Do not freeze COMPLEAT® tube feeding formula.
Water may need to be added in order to blend each recipe to a smooth consistency (see Preparation Instructions for suggested amounts).
Blend until mixture is completely smooth and liquefied to make sure it flows through the tube. Chunks or pieces of food should not be present.

FEEDING TIPS

Administer the homemade tube feeding at room temperature.
Typically, homemade tube feeding formulas are held for up to 2 hours at room temperature. Discard unused feeding after 2 hours.
To help reduce chance of clogging and to make feeding easier, a 14-French feeding tube is recommended; smaller tubes are more likely to clog.
Homemade tube feeding formulas may be thicker and may run through the feeding tube more slowly than commercial enteral formulas. Feeding with a syringe may work best as you can provide gentle pressure on the syringe when needed to help improve formula flow through the feeding tube.
Remember to flush the feeding tube with water before and after the administration of each tube feeding to help keep the feeding tube working well. Water is essential for hydration, and many other functions in the body.

STORAGE TIPS

Keep foods at proper temperatures: 4°C for refrigerator and -15°C or below for freezer.
Store unopened cartons of COMPLEAT® tube feeding formula at room temperature. Do not store near a heat source and do not freeze.
Cover and store opened cartons of COMPLEAT® tube feeding formula in the refrigerator for up to 24 hours. Do not freeze.
If making multiple servings at once, divide the batch of homemade tube feeding into individual servings. Store in tightly covered containers in the refrigerator for up to 24 hours.
To warm a formula that has been refrigerated, run the container under warm water. Avoid using a microwave, as microwaves may heat unevenly and overheating may destroy some of the nutrient content.

RESOURCES AND REFERENCES

Nutrition information for all recipes was generated using the Food Processor Nutrition Analysis Software, Ver. 10.12.0 which references the US Department of Agriculture, Agricultural Research Service, Nutrient Data Laboratory. USDA National Nutrient Database for Standard Reference, Release 28. Version Current: September 2015.

Websites http://healthycanadians.gc.ca/eating-nutrition/healthy-eating-saine-alimentation/safety-salubrite/tips-conseils/index-eng.php http://befoodsafe.ca/ www.foodfortubies.org www.mealtimenotions.com https://ndb.nal.usda.gov/ www.oley.org www.mytubefeeding.caJournal Articles O’Flaherty T, et al. ICAN:Infant Child Adolescent Nutrition. 2011;3:361-364. Pentiuk S, et al. JPEN J Parenter Enteral Nutr. 2011;35:375-379. Walia C, et al. J Acad Nutr Diet. 2016. (http://dx.doi.org/10.1016/j.jand.2016.02.007). Books Dunn Klein M, Evans Morris S. Homemade Blended Formula Handbook.

RECIPES

The recipes below use COMPLEAT^® as a nutrient-rich base for homemade tube feeding that may be used for breakfast, lunch, dinner, and snacks. They incorporate real food ingredients for a nutritionally balanced homemade tube feeding.

Click here for a printable version of the recipe booklet.

The recipes on this website are not intended to be used as a daily or weekly meal plan. They are examples of recipes using COMPLEAT® tube feeding formulas as a base for homemade tube feeding formulas. Recipes may be adjusted if they do not contain the appropriate amount of calories, protein, fat or any other nutrients to meet a specific need. Please note that if the volume of COMPLEAT® tube feeding formula or other ingredients is changed, the Nutrition Information provided with the recipe will also change.

PREPARATION INSTRUCTIONS

1. Before preparing a recipe, review the ingredient list and take into consideration any special dietary needs or restrictions.
2. Place all ingredients in the blender.
3. Blend until mixture is completely smooth and liquefied (no chunks or pieces of food should be present).
4. Water may need to be added to the mixture to achieve proper consistency for tube feeding:
- About ½ to 1 cup (125 to 250 mL) of water may be added to recipes that use a half carton of COMPLEAT® tube feeding formula
- About ¼ to ½ cup (60 to 125 mL) may be added to recipes that use one carton of COMPLEAT® tube feeding formula, however you may find that no additional water is needed when using one whole carton of COMPLEAT® tube feeding formula
5. The nutrient content of COMPLEAT® tube feeding formula is included in the Nutrition Information for each recipe. See chart below for nutrient content of one 250 mL carton.