Our Products
KetoCal 4:1 LQ


KetoCal 4:1 LQ

A nutritionally complete, ready-to-feed 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
  • Convenient ready-to-feed liquid
  • Great vanilla flavor or unflavored
  • Contains a multi-fiber blend of insoluble and soluble fiber
  • Supplemented with DHA and ARA
  • Appropriate for enteral or oral feedings
  • No trans fat
  • Aspartame-free (contains sucralose)
  • Nutrient dense for children with low energy requirements
  • Osmolality (at 1.5 kcal/mL):
    • Vanilla 260 mOsm/kg
    • Unflavored 280 mOsm/kg
  • Energy distribution:
  • Protein 8.2%
  • Carbohydrate 3.1%
  • Fiber 1.5%
  • Fat (LCT 100%) 88.7%
    • Free water 77.8%
    • Density 1.01g/mL


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


Water, Refined Vegetable Oil (High Oleic Sunflower, Soy, Palm), Sodium Caseinate (Milk), Whey Protein Concentrate (Milk), Soy Fiber, Corn Starch, Inulin, CAEM (an Emulsifier), Dipotassium Phosphate, Gum Arabic, Calcium Chloride, M. Alpina Oil*, Magnesium Acetate, Potassium Chloride, C. Cohnii Oil**, Microcrystalline Cellulose, Fructooligosaccharide , L-Ascorbic Acid, Calcium Phosphate Monobasic, Mono and Diglycerides, Trisodium Citrate, Sodium Hydroxide, Choline Chloride, L-Cystine, Calcium Phosphate Dibasic, Propylene Glycol Alginate, Ferrous Lactate, L-Carnitine, Taurine, M-Inositol, L-Tryptophan, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Soy Lecithin, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Ascorbyl Palmitate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Mixed Tocopherols, DL-Alpha Tocopherol, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenite, Sodium Molybdate, Phylloquinone, D-Biotin, Vitamin D3, Cyanocobalamin.

Unflavored version also contains: Sugar.

Vanilla flavored version also contains: Artificial Flavor, Sugar, Artificial Sweetener: Sucralose, SodiumHydroxide, Choline Chloride.

*A Source of Arachidonic Acid (ARA)

**A Source of Docosahexaenoic Acid (DHA)

Ordering Information

Product Code Reimbursement Code HCPCS Code Packaging Calories Per 8 fl oz Prism



27 x 237 mL (8 fl oz)





27 x 237 mL (8 fl oz)