Elemental 028 - for the special nutritional needs of Crohns disease Elemental 028 is our ready-to-drink, balanced diet based on free amino acids for nutritional therapy in cases of impaired nutrient absorption. In addition to its excellent taste, Elemental 028 is distinguished by its special composition and improved tolerability. Elemental 028 contains 35% MCT fats. These are quickly broken down and absorbed in the body, resulting in better tolerability. Elemental 028 is based on free amino acids, which cannot trigger allergic reactions. This is important because chronic inflammatory bowel diseases are often associated with intolerances to certain foods. Elemental 028 is also free from milk protein, lactose, gluten and carrageenan and contains no dietary fiber. Due to its special composition, Elemental 028 is particularly suitable for the dietary management of patients with nutrient absorption disorders, such as Crohns disease, ulcerative colitis, radiation enteritis, or short bowel syndrome. Elemental 028 can also be used in cases of milk protein intolerance. 3 delicious flavors offer enjoyment and variety for every day: grapefruit Orange-pineapple Summer fruitsRecommended daily amount For supplementary and exclusive nutrition depending on individual, age- and gender-specific needs, according to medical advice. Indications For dietary management in disease-related malnutrition, especially in cases of impaired nutrient absorption (e.g., in Crohns disease, ulcerative colitis, radiation enteritis, short bowel syndrome) and milk protein intolerance. Instructions for use Elemental 028 is ready to eat and available in a convenient Tetra Pak (250 ml). It tastes especially good chilled. Note: Use only under medical supervision. For enteral nutrition only. Elemental 028 is a food for special medical purposes (balanced diet). Malnutrition and gastrointestinal diseases Many diseases of the gastrointestinal tract can lead to problems with digestion and nutrient absorption. Impaired nutrient absorption is also medically referred to as malabsorption. It occurs particularly frequently in inflammatory diseases of the pancreas (pancreatitis), short bowel syndrome, and chronic inflammatory bowel diseases (IBD). If the body is unable to properly absorb nutrients from our daily meals due to illness, deficiencies can occur. These should be avoided through nutritional therapy. Recommendations for nutritional therapy in IBD The most common chronic inflammatory bowel diseases (IBD) are Crohns disease and ulcerative colitis. They are usually accompanied by chronic diarrhea, loss of appetite, and abdominal pain. In the majority of patients with IBD, a deficiency of nutrients, sometimes leading to malnutrition, develops over the course of the disease. Since being underweight and malnourished is associated with an increased susceptibility to inflammatory flare-ups, nutritional therapy is of particular importance in IBD. Nutritional requirements can change repeatedly throughout the course of the disease and necessitate regular adjustments to the nutritional therapy. Especially during an acute flare-up, normal food intake can be limited due to severe gastrointestinal discomfort. In this phase, enteral nutrition with special medicated oral nutritional supplements (or tube feeding, if necessary) can sometimes ensure adequate energy and nutrient supply. Subsequently, a gradual and slow reintroduction of the usual diet should be implemented. During symptom-free periods, a light, balanced diet is recommended. Recommendations for nutritional therapy in short bowel syndrome Short bowel syndrome results from the surgical removal of parts of the small intestine (a procedure called resection). Depending on the extent of the small bowel removal, there may be insufficient absorption of nutrients, vitamins, minerals, and water. This often leads to symptoms such as diarrhea, fatty stools (steatorrhea), or lactose intolerance. Dietary measures should always be adapted to the remaining absorption capacity of the intestine. Once the intestine has stabilized after resection, a high-calorie, high-protein diet is generally recommended. If necessary, dietary fats can be partially replaced with so-called MCT fats, which the body can utilize more easily. If nutritional needs are not met through a normal diet, the doctor may recommend supplemental nutrition using special oral or tube feeding formulas. In cases of severe malabsorption, so-called low-molecular-weight formulas can be used. These contain easily digestible nutrients that support adequate energy and nutrient intake. Formulas containing MCT fats may be beneficial for patients with fat malabsorption.