Nestle Vivonex Plus Elemental High-Nitrogen Diet

Nestle Vivonex Plus Elemental High-Nitrogen Diet

Brand/Manufacturer: NESTLE NUTRITION

Nestle Vivonex Plus Elemental High-Nitrogen Diet is a complete 100 percent free amino acid formula for severely compromised GI (gastro intestinal) tracts. Six percent fat for improved gastric emptying, tolerance and reduced pancreatic stimulation. Additional free glutamine, enhanced arginine and branched-chain amino acid (BCAA) contents make it especially useful in stressed, catabolic patients.

Item # Desc Pkg Price
7129800 Unflavored, 2.8oz Packets Each
7129800 Unflavored, 2.8oz Packet 6/Pack
7129800 Unflavored, 2.8oz Packets 6/Pack, 6Pk/Case


  • Nestle Vivonex Plus Elemental High-Nitrogen Diet is suitable for these diets: lactose-free, gluten-free, low-residue and kosher
  • May be used post-operatively as an enteral alternative to TPN and may also benefit patients with severe gastrointestinal impairment
  • Can be used for tube feeding or oral supplementation
  • Protein source: free amino acids (30% from BCAA)
  • Meets 100% RDI for 24 key micronutrients: 1800ml
  • Osmolality (mOsm/kg water): 650
  • Caloric distribution (% of kcal)
    - Protein: 17%
    - Carbohydrate: 77%
    - Fat: 6%
  • Supplemental L-Glutamine: 9.5gm/L
  • Supplemental L-Arginine: 6.3gm/L
  • NPC:N ratio: 115:1
  • n6:n3 ratio: 7.0:1
  • Free water 83%
  • kcal/mL: 1.0
  • Note: This product is not appropriate for use in individuals 0 to 3 years old.

More Information

  • Ingredients:
    - Maltodextrin (Corn), L-Glutamine, Food Starch Modified, L-Leucine, L-Arginine Acetate, Soybean Oil, L-Lysine Acetate, Magnesium Gluconate, L-Isoleucine, L-Valine, Calcium Glycerophosphate, L-Phenylalanine, L-Threonine, Potassium Citrate, L-Cysteine Hydrochloride Monohydrate, Citric Acid, L-Methionine, L-Tyrosine, L-Histidine Monohydrochloride Monohydrate, L-Aspartic Acid, L-Proline, Sodium Citrate, Sodium Phosphate Dibasic, L-Tryptophan, Potassium Chloride, Choline Bitartrate, L-Serine, L-Alanine, Glycine, Ascorbic Acid, Potassium Sorbate, Polyglycerol Esters Of Fatty Acids, L-Carnitine, Taurine, Zinc Sulfate, Niacinamide, Ferrous Sulfate, Alpha Tocopheryl Acetate, D-Calcium Pantothenate, BHA/BHT (To Preserve Freshness), Alpha Tocopherol (To Preserve Freshness), Copper Gluconate, Pyridoxine Hydrochloride, Manganese Sulfate, Vitamin A Palmitate, Riboflavin, Thiamine Hydrochloride, Folic Acid, Biotin, Chromium Chloride, Potassium Iodide, Sodium Molybdate, Sodium Selenite, Phytonadione (Vitamin K1), Cyanocobalamin (Vitamin B12), Cholecalciferol (Vitamin D3)
  • Nutritional Applications:
    Severely impaired GI function, which may result from the following conditions:
    - Severe protein, fat malabsorption
    - Transitional feeding
    - Extensive bowel resection
    - Malabsorption syndrome
    - Select trauma/surgery
    - Early post-operative feeding
    - Intestinal failure
    - Pancreatitis
    - Chylothorax
    - Trophic feeding
    - TPN alternative
    - Dual feeding with TPN
  • Caution:
    - Not for parenteral use
    - This product is a medical food for use as directed by a medical professional
    - It is not intended to diagnose, treat, cure or prevent disease


Nutrition Information (Unflavored)

300ml (1 Packet)

Calories (kcal)

Total Fat (g) 2.0
Sodium (mg) 183
Sodium (mEq) 8.0
Potassium (mg) 294
Potassium (mEq) 8

Total Carbohydrate (g)


Protein (g)


Vitamin A (IU)

Vitamin C (mg) 20
Calcium (mg) 167
Iron (mg) 3.0
Vitamin D (IU) 135
Vitamin E (IU) 6.5
Vitamin K (mcg) 13
Thiamin (mg) 0.5
Riboflavin (mg) 0.57
Niacin (mg) 6.67
Vitamin B6 (mg) 0.67
Folic Acid (mcg) 133
Vitamin B12 (mcg) 2.0
Biotin (mcg) 100
Pantothenic Acid (mg) 3.3
Phosphorus (mg) 167
Iodine (mcg) 27
Magnesium (mg) 66.7
Zinc (mg) 3.7
Selenium (mcg) 12
Copper (mg) 0.33
Manganese (mg) 0.33
Chromium (mcg) 20
Molybdenum (mcg) 13
Chloride (mg) 283
Chloride (mEq) 8.0
L-Carnitine (mg) 20
Taurine (mg) 20
Choline (mg) 66.7
Water (ml) 250


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