Vivonex Plus Elemental Powder is a complete, 100% free amino acid formula for complete tube feeding or oral supplementation designed for patients with severely compromised GI tracts. This unique formula's additional free glutamine, enhanced arginine, and branched-chain amino acid (BCAA) contents make it especially useful in stressed, catabolic patients. Since this unique formula requires minimal digestive functionality for assimilation while providing benefits associated with continued use of the GI tract, it provides nutritional support for individuals with severely impaired GI function such as severe protein/fat malabsorption, transitional feeding, extensive bowel resection, malabsorption syndrome, select trauma/surgery, early post-operative feeding, intestinal failure, pancreatitis, chylothorax, trophic feeding, TPN alternative, or dual feeding with TPN. Plus, only 6% of its calories are from fat for improved gastric emptying, tolerance and to reduce pancreatic stimulation. Vivonex Plus Elemental Powder is suitable for lactose-free, gluten-free, low-residue, and kosher diets and for individuals older than 3 years of age, but it is intended for use under medical supervision. Each serving (one packet) offers 300 calories.