Food for special medical purposes for handling dietetics of subjects with malnutrition resulting from chronic renal failure, where malnutrition and sarcopenia are very frequent. Under these conditions branched chain amino acids and HMB are indispensable for capacity; to stop protein loss and improve nutritional status more; effective compared to the exclusive use of the food diet.
HYDROXIRAM é; indicated for the diet of both subjects requiring enteral nutrition and subjects with normal swallowing function, also facilitating the transition from enteral to oral nutrition.
With sweeteners.

Ingredients
L-leucine, maltodextrin, calcium hydroxymethylbutyrate (HMB), L-isoleucine, L-valine, flavorings, acidity regulator: citric acid; sweeteners: sucralose, acesulfame K; zinc oxide.

Gluten free .
Lactose free .

Nutritional characteristics

Average values	for 1 envelope (5 g)	for 2 envelopes (10 g)	per 100 g of powder
Energy	54 kJ 13 kcal	108 kJ 26 kcal	1.076 kJ 253 kcal
Fat of which saturated fatty acids	0.0 g 0.0 g	0.0 g 0 , 0 g	0.0 g 0.0 g
Carbohydrates of which sugars	1.3 g 0.3 g	2.6 g 0.6 g	25.6 g 5.4 g
Fiber	0.0 g	0,0 g	0,5 g
Proteins *	0 g	0 g	0 g
Sale	0.00 g	0.00 g	0.00 g
HMB	750 mg	1,500 mg	15,000 mg
L-leucine	1.250 mg	2.500 mg	25,000 mg
L-isoleucine	625 mg	1,250 mg	12,500 mg
L-valine	625 mg	1,250 mg	12,500 mg
Zinc	5 mg	10 mg	100 mg

Osmolality ;: 308 mOsmol / kg dispersing the content of 1 sachet in 100 ml of water

* Proteins equal to 0 as the product contains only amino acids in free form

Modality; of use
It is recommended to take 1-2 sachets a day, separately, according to the doctor's opinion, preferably away from main meals.

- Enteral administration:
Not combine the product with other enteral nutrition formulas in the same bag.
1. Pour the contents of one bag into a suitable, dry glass container; disperse in 100 ml of water at room temperature or slightly lukewarm.
2. Mix until completely dispersed.
3. Administer via a probe connected to a syringe.
4. Wash the probe with 30 ml of water before and after administration of the product.
Use preferably immediately after preparation, within 4 hours if stored at room temperature, within 24 hours if stored in the refrigerator.

- Oral administration:
1. Pour the contents of an envelope into a dry glass beaker and disperse in 100 ml of water at room temperature.
2. Stir until completely dispersed.
Consume preferably immediately after reconstitution.

Warnings
The product must be used under instruction and under medical supervision. Not indicated as sole source of nourishment.
Must not be administered parenterally.
Do not take in case of known or suspected allergy and / or intolerance towards one or more; of the ingredients.

Storage
Store in a cool and dry place, out of the reach of children.
The minimum conservation term refers to the product unopened, correctly preserved.
Validity; unopened: 30 months.

Format
Box of 30 sachets of 5.0 g.