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AMINOLEBAN-ORAL

Medical food for patients with hepatic impairment

AMINOLEBAN-ORAL is an enteral formula containing amino acids, carbohydrates, fats, vitamins and minerals to supplement the dietary intake in patients with hepatic impairments.

AMINOLEBAN-ORAL also helps in providing adequate nutritional support to the patients.

Use under medical supervision

Food advertising no.1532/2565
Net weight 450 grams

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Nutrition Fact

Nutrients

Per 100 kcal

Per 200 mL

 

Percent amount compared to RNI suggested by WHO(*) in 200 mL

 

Energy, kcal

100

210

**

 Protein, g

6.4

13.5

**

Carbohydrate, g

15.4

32.4

**

 Fat, g

1.7

3.5

**

Amino acids

 

 

 

 Valine, g

0.78

1.635

104.8

Leucine, g

0.97

2.03

86.8

Isoleucine, g

0.84

1.76

146.7

Threonine, g

0.14

0.29

32.2

Tryptophan, g

0.04

0.08

33.3

Methionine, g

0.03

0.06

10.0

Phenylalanine, g

0.08

0.16

**

Alanine, g

0.31

0.655

**

Arginine, g

0.33

0.695

**

Histidine, g

0.11

0.235

39.2

Proline, g

0.47

0.98

**

Serine, g

0.10

0.215

**

Tyrosine, g

0.02

0.04

**

Lysine, g 0.20 0.42 23.3
Aspartic acid, g

0.20

0.43

**

Glutamic acid, g

0.41

0.855

**

Glycine, g

0.80

1.68

**

Carnitine, mg

11.9

25.00

**

Vitamins

 

 

 

Vitamin A, mcg

66.57

139.80

23-28

Vitamin D, mcg

0.55

1.17

12-23

Vitamin B1, mg

0.04

0.09

8

Vitamin B2, mg

0.07

0.16

12-15

Vitamin B6, mg

0.10

0.20

12-15

Vitamin B12, mcg

0.24

0.50

21

Vitamin C, mg

3.45

7.24

16

Vitamin E, mg

4.7

9.86

99-131

Vitamin K1, mcg

2.60

5.50

8-10

Folic acid, mg

0.02

0.05

21

Pantothenic acid, mg

0.52

1.09

22

Nicotinic acid, mg

0.67

1.40

9-10

Biotin, mcg

11.90

25.00

83

Choline, mg

2.40

5.05

**

Minerals

 

 

 

Sodium, mg

22.60

47.45

**

Potassium, mg

77.10

162.00

**

Calcium, mg

32.9

69.00

5-7

Magnesium, mg

9.60

20.20

8-9

Chloride, mg

104.3

218.95

**

Phosphorus, mg

39.90

83.75

**

Iron, mg

0.60

1.32

4-12

Zinc, mg

2.4

5.00

71-102

Copper, mcg

67.10

141.00

**

Iodine, mcg

4.50

9.55

6.4

 Manganese, mg

0.08

0.18

**

(*) % of nutrients compared to recommended nutrient intake according to WHO criteria

(**) daily amount not established by WHO

Food advertising no.1532/2565

Main Composition

Main composition in approximate

% W / W

 Maltodextrin

52.5
Gelatin hydrolysate

13.0

Amino acids

13.0

Rice bran oil

7.0

Sucrose 5.1

Multi minerals

 2.204
Sodium caseinate 1.0
Multi vitamins 0.094

Food advertising no.1532/2565

Food Allergy

Contains casein (protein from milk) and soy

Remark

  • Food serial no. 74-1-21431-1-0005
  • Manufacturer is certified HACCP for enteral nutrition products by SGS (Thailand) Limited
  • Registration No. CICOT. HL. 99 B533 004 03 53
  • Manufactured by: Thai Otsuka Pharmaceutical Co., Ltd 50, Sethakij 1 Road, Khlong Madua Kra Tum Ban, Samutsakorn, Thailand

Date of manufacture and expiry, see bottom of can

Food advertising no.1532/2565

Preparation

Mix powder of AMINOLEBAN-ORAL 50 g (approximate 5 spoons) in 180mL lukewarm water (about 50C), stir by electric mixer or shake in closed container. The dissolved solution is about 200 mL, which supply energy about 210 Kilocalories (Osmolarity 600 mOsm/L).

1 can (450 g) of AMINOLEBAN-ORAL for consumption of 9 times

Syrup can be added for adjusting flavor but acidic ingredients such as sour fruit juice should not be mixed.

Instruction for use

By oral supplementation or tube feeding 3 times a day (150 g per day) during the meals and before bedtime. After mixing, the dissolved solution should be used immediately.

Precaution

If the large volume of product preparation for several meals is required, the prepared solution should be kept in the refrigerator and consumed within 24 hours.

Suspension and precipitation can be happened after preparation, the prepared solution can be homogeneous again by shaking before consumption.

Storage

Close the container tightly after opened and keep in the dry and cool place (not exceed 30C).
Once opened, the product should be consumed within 1 month.

Medical food must be used under medical supervision

Food advertising no.1532/2565

Related Research

Prospective randomized control study on the effect of branched-chain amino acids in patients with liver resection for hepatocellular carcinoma. Click here.

FAQ

What nutrients does AMINOLEBAN-ORAL provide?  

1. High protein up to 25% includes
-  BCAA (Branched Chain Amino Acid) 48%  plays an important role that stimulates muscle protein synthesis, boosts immune system and improves symtoms of Hepatic Encephalopathy.
- Gelatin hydrolysate 48%
- Casein 4% is high quality protein, easily digested and absorbed
2. Fat
- Rice bran oil 100% provides completely essential fatty acid. As the patients with liver disease have problems in fatty metabolism, this ingredient is given in moderate amount in order that patients would acquire adequate essential fatty acid.
3. Carbohydrate
- Dextrin 90% great quality, easily digested and absorbed
- Sucrose 10% source of energy for patients and make the taste better.
4. Containing fat-soluable vitamin including A, D, E and K
5. Containing Zinc, of  patients with liver disease lack

Why do Patients with liver disease have BCAA (Branched Chain Amino Acid) deficiency?

• Because the liver is responsible for the synthesis of BCAA , and because patients with liver illness consume protein and store half of it in the liver and half in the muscles, reduced functioning occurs, resulting in an inability to use nutrients as effectively as before.
• For the patients with liver disease, liver is unable to systhesize and store BCAA as well as before while the body need to utilise BCAA more. In order to get BCAA, this leads to an increase in muscle depletion. Patients with liver illness have less muscle mass and less BCCAA stored in their muscles. As a result, the patients are deficient in BCAA.

What are the disadvantages of BCAA insufficiency in liver disease patients?

• It causes a drop in blood protein levels as well as a reduction in the body's immunity system.
• It causes a rise in protein depletion in muscles and other organs, resulting in reduced muscles in the arms and legs, atrophy, and increased fatigue.
• It increases AAA (Aromatic Amino Acids) in the body, which enter the brain more than BCAA, which causes an imbalance of neurotransmitters in the brain, which causes dementia from a liver illness known as Hepatic Encephalopathy.

How to drink AMINOLEBAN-ORAL. It is recommended to drink as a dietary supplement

• Mix 5 spoons (50g) with 200 ml water. A glass will give 210 kilocalories which contains 13.5 g of protein.

  *The portion can be adjusted depending on the amount of energy required per day.

• Mix the powder with warm water to drink or feed through a tube three times a day, at brunch, afternoon, and before bed (MOST IMPORTANT)

Brief properties of AMINOLEBAN-ORAL

• A medical food rich in essential nutrients, ideal for people suffering from liver disorders such as cirrhosis, cancer, or Hepatic Encephalopathy.
• Contains BCAA that help raise protein levels and promote the balance of brain chemicals in patients.
• Reduces protein and energy deficiency in liver disease patients
• Improves the quality of life for patients with liver diseases
• Reduce the rate of death from liver illness

Limitation to the use of AMONOLEBAN-ORAL

Patients with amino acid metabolism disorders

Why does AMINOLEBAN-ORAL taste unfavorable ?

The amino acid, which is an important nutrient, causes an unpleasant taste. It is recommended that you mix it with something sweeter or your favorite beverage.
*Caution* Avoid mixing with any other acidic beverage, such as citrus juice.

How many sizes is AMINOLEBAN-ORAL available in? What is the shelf life of this product?

AMINOLEBAN-ORAL is formulated as power and offered in two distinct packages

1. 450 g packaged in can
2. 50 g in sachet, portable size ( 6 sachets per box)
*The product has a two-year shelf life.

For whom is AMINOLEBAN-ORAL deal?

1.Patients suffering from liver disease and severe liver disorder
2. Patients suffering from liver cirrhosis
3. Patiests suffering from liver cancer
4. People with cerebral symptoms due to liver disease

Tips that you need to know about AMINOLEBAN-ORAL

High temperature water may cause any change of protein structure (protein denaturation)