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ONCE Complete®

Complete nutritional formula with fiber medical food (milk flavor).

• Optimum for malnourished patients and people at risk of malnutrition.
• No sucrose added formula. Lactose free.  
• Good quality of proteins from whey protein isolate and casein.
• Contributes to a source of essential amino acids for body protein synthesis.
• Vitamin C and E contribute to the protection of cells from oxidative stress.

Description

• Contains canola oil, safflower oil with high oleic acid, rice bran oil and MCT oil as energy source.
• Consists of essential fatty acids: omega 3 (117.6 mg) and omega 6 (1,140 mg) in 56 g ONCE Complete.
• Consists of 2,240 mg omega 9 fatty acid in 56 g ONCE Complete.
• Vitamin A has a role in body growth.
• Vitamin C contributes to normal collagen formation for the normal function of skin.

Net weight 400 grams.

- Food serial no. 74-1-21431-5-0003
- Manufacturer is certified HACCP for enteral nutrition products by SGS (Thailand) Limited.
- Registration no. CICOT. HL. 99 B533 011 03 63
- Manufactured by: Thai Otsuka Pharmaceutical Co., Ltd. 50, Sethakij 1 Road, Khlong Madua, Kra Tum Ban, Samutsakorn, Thailand.

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Nutrition Fact

Nutrients

Per 56 g Per 100 g Per 1000 kcal Percent amount compared to RNI suggested by WHO (*) per 56 g powder Percent amount compared to THAI RDI (***) per 56 g powder

Energy, kcal

240

428

1000

**

12.00

Protein, g

10.74

19.17

44.79

**

21.48

Carbohydrate, g

29.08

51.93

121.3

**

9.69

 Fat, g

9.31

16.62

38.83

**

14.32

Dietary fiber, g

1.43

2.56

5.98

**

5.72

Vitamin A, IU

318.1

568.1

1327

16-19

11.94

Beta-carotene, IU

0.12

0.21

0.49

**

****

Vitamin D, IU

23.86

42.60

99.53

6-12

11.93

Vitamin E, IU

3.56

6.35

14.84

24-32

23.90

Vitamin C, mg

47.71

85.20

199.1

106

79.52

Vitamin B1, mg

0.72

1.28

2.99

60-65

48.00

Vitamin B2, mg

0.72

1.28

2.99

55-65

42.35

Vitamin B6, mg

0.72

1.28

2.99

42-55

36.00

Vitamin B12, mcg

1.43

2.56

5.98

60

71.50

Pantothenic acid, mg

1.43

2.56

5.98

29

23.83

Niacin, mg

7.16

12.78

29.86

45-51

35.80

Folic acid, mcg

71.57

127.8

298.6

30

59.64

Biotin, mcg

35.79

63.91

149.3

119

23.86

Vitamin K1, mcg

9.55

17.05

39.84

15-17

11.94

Calcium, mg

128.9

230.1

537.6

10-13

16.11

Phosphorus, mg

95.42

170.4

398.1

**

11.93

Magnesium, mg

41.75

74.56

174.2

16-19

11.93

Sodium, mg

161.1

287.6

672.0

**

8.06

Potassium, mg

238.6

426.1

995.6

**

6.82

Chloride, mg

238.6

426

995.3

**

7.02

Iron, mg

2.51

4.48

10.47

9-22

16.73

Zinc, mg

1.79

3.19

7.45

26-37

11.93

Copper, mg

0.24

0.43

1.00

**

12.00

Manganese, mg

0.56

1.00

2.34

**

16.00

Iodine, mcg

17.89

31.95

74.65

12

11.93

Carnitine, mg

33.40

59.64

139.3

**

****

Chromium, mcg

15.51

27.70

64.72

**

11.93

Selenium, mcg

8.35

14.91

34.84

25-32

11.93

Molybdenum, mcg

19.08

34.08

79.63

**

11.93

Alpha-linolenic acid (Omega 3), mg

117.6

210

490.7

**

****

Linoleic acid (Omega 6), mg

1140

2035

4755

**

****

Oleic acid (Omega 9), mg

2240

4000

9346

**

****

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

(**)    Daily amount not established by WHO

(***)  THAI RDI = Thai recommended daily intake for ages of 6 years and up

(****) Daily amount not established by THAI RDI

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Main Composition

Main composition in approximate

(% W/W)

Maltodextrin

 42.41%

Sodium caseinate

17.04%

Isomaltulose

6.82%

MCT oil

6.82%

Rice bran oil

5.11%

Whey protein isolate

4.26%

Fructooligosaccharide

2.56%

Canola oil

2.56%

High oleic acid-safflower oil

2.13%

Total minerals

1.92%

Milk and vanilla flavor

0.66%

Total vitamins

0.16%

Sweet flavor

0.15%

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Food Allergy

Contains protein from milk and lecithin from soy.

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Preparation

By drinking: 56 grams ONCE Complete (7 spoons) dissolved in 180 mL water (room temperature, lukewarm or cool water), then adjust with water to reach a final volume of 240 mL.

By tube feeding: for preparation of ONCE Complete concentration at 1 kcal/mL, dissolve approximately 233 g ONCE Complete in 750 mL water, then adjust with water to reach a final volume of 1,000 mL (1 spoon = 8 grams). Osmolarity is approximately 400 mOsm/L.

Recommendation

  • Uses by oral supplement for daily meal.
  • After the preparation, suspension and precipitation can be appeared, therefore, the prepared solution sould be homogeneous by shaking gently prior to use or administration.
  • Intravenous administration is prohibited.
  • For patients who required tube feeding, rate and volume and dilution according to the patient condition should be adjusted.
  • Uses under medical supervision.

Storage

  • After mixing with water, the prepared solution should be consumed immediately or kept in closed container. The solution of ONCE Complete can be kept in the refrigerator (2-8°C) and should be consumed within 24 hours.
  • Closes the container tightly after opened and keep in dry place and the product should be consumed within 1 month.

Medical food must be used under medical supervision.

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Related Research

Moderately high-protein enteral formula improved retinol-binding protein in tube-fed patients: A multicentre open study. Click here.

FAQ

ONCE Complete is ideal for whom?

• Patients who eat less than usual
• Health - conscious
• Those with anorexia
• Those at risk of malnutrition
• The elderly

What distinguishes ONCE Complete from others?

• Complete formula medical food with fiber added, containing protein, carbohydrate, and fat in a ratio of 18:47:35, ideal for those at risk of malnutrition
• No sugar and lactose added
• Contains good quality of whey protein isolate and casein
• Provide amino acid that support protein systhesis in body
• Provide Omega 3,6,9, beneficial cardiovascular health
• Provide MCT Oil, the fat that is rapidly absorbed

How to prepare ONCE Complete

• 1 spoon equals to 8 g offering 86 kcal
• Mix 7 spoons of ONCE Complete (56g) with water to make the final volume of 240 cc
   This portion gives 237 kcal

How many portions should be taken per day? Can I drink it on a regular basis?

It is recommended that you take 1-2 portions per day. It can be consumed as a meal replacement or a dietary supplement.
ONCE Complete can be taken on a regular basis, just like any other dietary supplement, because it is regarded as a medical food.

How many sizes is ONCE Complete available in? How long does its shelf life last?

Formulated as a powder and packaged in a 400g can
*The product has a two-year shelf life.

I have kidney disease and received dialysis. Can I take ONCE Complete?

ONCE Complete is not ideal for those suffering from kidney disease.
If you have chronic kidney disease, please consult your doctor in order to plan all-day diet appropriate for patients with distinctive stage of kidney disease.

Can a pregnant woman and breastfeeding mother take ONCE Complete?

Definitely yes. ONCE Complete is complete formula medical food with no sugar and lactose added.
It is also recommended that those who are pregnant take any other pregnancy supplements.

What is the difference between ONCE Complete  and ONCE PRO?

ONCE Complete is complete formula medical food, ideal for the health-conscious and those who tends to eat less while ONCE PRO is formulated with low glycemic index to help patients with diabetes control their blood sugar level.

Limitation to the use of ONCE Complete

• Those allergic to its ingredients including milk, soy milk and any other ingredients listed
• Those suffering from a gastrointestinal blockage
• Those who have a serious illness in absorbing nutrition
• Patients with kidney failure or liver failure

I am vegetarian. Can I drink ONCE Complete?

ONCE Complete is not recommended for the vegetarians as it contains whey protein and sodium caseinate which is derived from cow's milk.

Product Mixing Table

1 Serving = 56 grams (8 spoons) Water 240 mL (Energy 240 kcal)
Powder 1 g = 4.2857 kcal, 1 spoon = 8 grams

0.5

1.0

Powder

Volume Powder Mix with Water Energy Powder Volume Powder Mix with Water Energy

(g)

(spoon)

(mL)

(kcal)

(g)

(spoon)

(mL)

(kcal)

12

1.5

100

50

23

2.9

100

100

23

2.9

200

100

47

5.8

200

200

29

3.6

250

125

58

7.3

250

250

35

4.4

300

150

70

8.7

300

300

41

5.1

350

175

82

10.2

350

350

47

5.8

400

200

93

11.7

400

400

58

7.3

500

250

117

14.6

500

500

117

14.6

1,000

500

233

29.1

1,000

1,000

140

17.5

1,200

600

280

35.0

1,200

1,200