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Used when: Oral intake is inadequate The gut is functional ASPEN Golden Rule: If the gut works, use it or loose it . Core Components of EN Formulas All EN formulas contain: Protein (intact, peptides, or amino acids) Carbohydrates Fat Water Electrolytes Vitamins & Trace Elements What really differentiates formulas: Protein form Fat composition Osmolality Fiber content Disease-specific modifications Classification of EN Formulas (ASPEN-Based) Intact protein Require normal digestion & absorption Used in: Normal GI function Most hospitalized patients Examples: Ensure | Jevity | Osmolite - (-) Protein as peptides Often enriched with MCTs Easier absorption Used in: Mildmoderate malabsorption Pancreatitis Partial short bowel syndrome Feeding intolerance Examples: Peptamen | Vital | Monogen Free amino acids Minimal fat High osmolality Used in: Severe malabsorption Severe short bowel syndrome Refractory intolerance Example: Vivonex To view or add a comment, sign in Foundations & Classification What Are Enteral Nutrition (EN) Formulas

This metabolic disturbance is accompanied by intestinal microbiota dysbiosis, specifically reflected in the altered ratio of Bacteroidetes to Firmicutes

Further, thrombo-elastogram mapping of urine 11-DH-TXB 2 (dehydro-thromboxane B 2 ), serum glycoprotein VI, and mRNA levels showed higher thrombolysis absorption and attenuated brain damage in patients with silent cerebral infarction [53]

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Necroptosis and ferroptosis are alternative cell death pathways that operate in acute kidney failure