The Core Composition: Water, Carbohydrates, and Fats
Nutrison Multifibre is a ready-to-use, liquid formulation where the primary ingredient is water. This ensures it is easily administered and provides essential hydration. For carbohydrates, the main source is maltodextrin, a polysaccharide that provides a readily available energy source. It is combined with other sources to create a balanced energy profile.
The fat component is a mixture of vegetable oils designed for both ease of digestion and a beneficial fatty acid profile.
- Sunflower Oil: A source of polyunsaturated fats.
- Rapeseed Oil: Provides a balance of mono- and polyunsaturated fats.
- MCT Oil: Medium-Chain Triglyceride (MCT) oil is included to facilitate easier fat digestion and absorption, which is particularly beneficial for certain patients.
It also contains fish oil, which supplies beneficial long-chain polyunsaturated fatty acids, namely Docosahexaenoic acid (DHA) and Eicosapentaenoic acid (EPA).
Protein and the P4 Blend
Protein is a crucial macronutrient for muscle maintenance, tissue repair, and overall body function. Nutrison Multifibre utilizes a proprietary P4 protein blend derived from four different sources to provide a complete amino acid profile. This blend is whey-dominant, which supports better gastric emptying and tolerance for many patients. The specific proteins are:
- Whey protein (from cow's milk)
- Casein protein (from cow's milk)
- Soy protein
- Pea protein
The MF6 Multi-Fibre Blend
One of the defining features of Nutrison Multifibre is its patented MF6 blend, which includes six different soluble and insoluble fibres designed to support normal bowel function. The blend composition is based on the fibre profile of a healthy diet.
- Soy polysaccharides: A type of fibre derived from soy.
- Resistant starch: A carbohydrate that functions as a fibre.
- Inulin: A soluble fibre that acts as a prebiotic.
- Gum arabic: A soluble fibre.
- Cellulose: An insoluble fibre.
- Oligofructose: A soluble fibre and prebiotic.
Vitamins, Minerals, and Other Nutrients
To ensure complete nutrition, Nutrison Multifibre is fortified with a comprehensive range of vitamins, minerals, and trace elements. The specific quantities of each can vary slightly depending on the variant (e.g., standard vs. energy-dense), but the overall profile is robust. Key inclusions are:
- Vitamins: A, D3, E, K, C, thiamin, riboflavin, niacin, pantothenic acid, B6, folic acid, B12, and biotin.
- Minerals: Sodium, potassium, chloride, calcium, phosphorus, magnesium, iron, zinc, copper, manganese, fluoride, molybdenum, selenium, chromium, and iodine.
- Carotenoids: Enriched with carotenoids like beta-carotene, lutein, and lycopene for their antioxidant properties.
- Choline: An important nutrient involved in various metabolic processes.
Comparison with Nutrison Energy Multi Fibre
While standard Nutrison Multifibre is a 1kcal/ml feed, Nutrison Energy Multi Fibre is a more calorie-dense option at 1.5kcal/ml. The core ingredients are similar, but the proportions differ to increase the energy and macronutrient content, making it suitable for patients with higher energy requirements.
| Feature | Nutrison Multi Fibre | Nutrison Energy Multi Fibre |
|---|---|---|
| Energy Density | 1 kcal/ml | 1.5 kcal/ml |
| Protein Content | Approx. 40g per 1000ml | Approx. 60g per 1000ml |
| Carbohydrate Content | Approx. 123g per 1000ml | Approx. 185g per 1000ml |
| Fat Content | Approx. 39g per 1000ml | Approx. 58g per 1000ml |
| Fibre Content | 15g per 1000ml (MF6 blend) | 15g per 1000ml (MF6 blend) |
| Target Patients | General malnutrition | Higher energy needs, disease-related malnutrition |
Potential Allergens and Dietary Suitability
Nutrison Multifibre is formulated to be gluten and lactose-free, making it suitable for patients with intolerance to these components. However, it is essential to be aware of the allergens it does contain. The product includes ingredients derived from milk, soy, and fish. This is important for healthcare providers and patients to check before use. For detailed information and suitability for specific diets (e.g., Kosher or Halal certified batches), one should always refer to the specific product packaging or consult a healthcare professional. For more details, consult the official Nutricia website.
Conclusion
In summary, Nutrison Multifibre is a complex and nutritionally complete formula designed for enteral tube feeding. Its ingredient list is carefully balanced to provide all necessary macronutrients, a beneficial multi-fibre blend, essential vitamins, and minerals. The inclusion of a unique P4 protein blend, specific vegetable oils including MCTs, and the patented MF6 fibre blend sets it apart as a specialized medical food. Understanding its full composition is vital for appropriate and safe nutritional management under medical supervision.
