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KetoCal 4:1


KetoCal 4:1

A nutritionally complete, ketogenic formula in a 4:1 ratio (fat:carbohydrate + protein) for the dietary management of intractable epilepsy; designed for individuals over 1 year of age. A medical food.

Main Features

  • Nutritionally complete
  • 4:1 ratio
  • Vanilla flavor
  • Convenient one step preparation with a non-modular approach
  • Supplemented with DHA and ARA
  • Contains multi-fiber blend (mf6â„¢)
  • No trans fat
  • Aspartame-free (contains sucralose)
  • Nutrient dense for children with low energy requirements
  • Appropriate for enteral or oral feedings
  • Standard dilution = 1 kcal/mL
  • Osmolality (at 1 kcal/mL): 170 mOsm/kg
  • Energy distribution:
    • Protein 8.2%
    • Carbohydrate 3.1%
    • Fiber 1.5%
    • Fat (LCT 100%) 88.7%
  • Displacement 1 mL/g


  • Intractable epilepsy
  • Pyruvate dehydrogenase deficiency (PDH)
  • Glucose transporter type-1 deficiency (GLUT1DS)
  • Other medical conditions where a ketogenic diet is indicated


Refined Vegetable Oils (Palm, Soy, High Oleic Sunflower), Casein (Milk), Soy Lecithin, Whey (Milk), Microcrystalline Cellulose, Chicory Root Inulin, Calcium Carbonate, Corn Syrup Solids, Fructooligosaccharide (FOS), Silicon Dioxide, Gum Arabic, Tripotassium Citrate, Potassium Chloride, Sodium Chloride, Calcium Phosphate Tribasic, High Amylose Corn Starch, Artificial Flavor (Vanilla), L-Arginine, L-Cystine, Choline Bitartrate, M. Alpina Oil*, C. Cohnii Oil**, Soy Fiber, L-Tryptophan, Magnesium Oxide, Sodium Caseinate (Milk), Sodium Ascorbate, L-Phenylalanine, Maltodextrin, L-Ascorbic Acid, L-Valine, L-Tyrosine, L-Carnitine, Taurine, Ferrous Sulfate, Mono- and Diglycerides, DL-alpha Tocopheryl Acetate, Sucralose§,M-Inositol, L-Histidine, Zinc Sulfate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Ascorbyl Palmitate, Mixed Tocopherols, Folic Acid, Potassium Iodide, Sodium Molybdate, Chromium Chloride, Sodium Selenite, Phylloquinone, D-Biotin, Cholecalciferol, Cyanocobalamin.
Contains: Milk, Soy
* A source of Arachidonic Acid (ARA)
** A source of Docosahexaenoic Acid (DHA)
§ Contains sucralose 14.2 mg/100 mL

Ordering Information

Product Code Reimbursement Code HCPCS Code Packaging Calories Per Can




6 x 300 g (11 oz)