Understanding Fresubin Level 3 Thickened
Fresubin Level 3 Thickened is a nutritionally complete, high-calorie, high-protein oral nutritional supplement developed by Fresenius Kabi. Its key feature is its pre-thickened consistency, which corresponds to Level 3, or 'moderately thick,' on the International Dysphagia Diet Standardisation Initiative (IDDSI) framework. This specific consistency is crucial for individuals who have difficulty swallowing, a condition known as dysphagia, as it helps to reduce the risk of choking and aspiration (food or liquid entering the airway).
Unlike traditional thin liquids, Fresubin Level 3 Thickened is formulated to be more cohesive and to flow more slowly, allowing the person swallowing more time and control. This makes it a safer option for those with impaired tongue control or delayed swallowing reflexes. Beyond its texture, the supplement is packed with energy and protein, addressing the nutritional needs of patients who may be at risk of disease-related malnutrition.
Key Features and Nutritional Profile
Fresubin Level 3 Thickened provides a concentrated source of nutrition in a convenient, ready-to-drink bottle. Its formulation includes a comprehensive blend of macronutrients, vitamins, and minerals. Key nutritional characteristics include:
- High Energy: At 1.5 kcal per milliliter, a single 200ml bottle delivers a significant 300 kcal, providing a substantial energy boost.
- High Protein: It is rich in protein, with 20 grams per 200ml bottle, making up 27% of its total energy content. This is vital for muscle mass maintenance and recovery.
- With Fibre: The supplement also contains fibre, which helps maintain gut physiology and regularity.
- Lactose and Gluten-Free: Its formulation is low in lactose and clinically gluten-free, making it suitable for individuals with related sensitivities.
- Essential Nutrients: In addition to protein, fat, and carbohydrates, it provides a full spectrum of essential vitamins, minerals, and trace elements.
Who Needs Fresubin Level 3 Thickened?
This specific product is used under medical supervision for patients who have been assessed by a healthcare professional, such as a speech pathologist or dietitian, and require a moderately thick oral nutritional supplement. Target populations often include:
- Individuals with Dysphagia: Patients with conditions like stroke, head injury, or neurological disorders that affect swallowing.
- Elderly Patients: Older adults who experience age-related swallowing difficulties.
- Patients with Increased Nutritional Needs: Those who are at risk of or suffering from disease-related malnutrition and require a high-energy, high-protein intake in a manageable form.
- Patients on Fluid Restriction: The concentrated nutrition density helps provide energy without adding excessive fluid volume.
Comparison of Thickened Nutritional Supplements
| Feature | Fresubin Level 3 Thickened | Standard Liquid Supplement | Powder Thickener (e.g., Nutilis Powder) |
|---|---|---|---|
| Consistency | Pre-thickened (Moderately thick) | Thin (water-like) | Needs to be mixed to desired consistency |
| Preparation | Ready to drink | Ready to drink | Requires manual mixing and measurement |
| Convenience | High—no mixing required | High | Lower—manual steps introduce potential for error |
| Consistency Control | Consistent and standardized from the manufacturer | Naturally consistent | Dependent on careful measurement and mixing |
| Nutritional Profile | High-energy, high-protein, nutritionally complete | Variable (often complete, but may require higher volume) | Adds thickness but not significant nutritional value |
| Best for | Patients requiring standardized, moderately thick ONS | Patients without swallowing issues | Individuals who need to thicken multiple liquids/foods |
Practical Considerations for Use
Proper use of Fresubin Level 3 Thickened is important for both safety and effectiveness. It is a food for special medical purposes and must be used under a clinician's guidance. Here are some practical tips:
- Serve at Room Temperature: To maintain the correct consistency, it is best served at room temperature. It should not be heated, as this can alter the texture.
- Shake Gently: Before opening, give the bottle a gentle shake to ensure the contents are well-mixed.
- Storage: Store in a cool place, and once opened, any unused portion should be refrigerated and consumed within 24 hours.
- Sipping, Not Gulping: Patients should be advised to drink slowly to ensure swallow safety. While it can be consumed from a cup, its thicker nature may require sipping rather than gulping.
Conclusion
Fresubin Level 3 Thickened provides a specialized, safe, and nutritionally dense option for individuals with dysphagia and related malnutrition. Its pre-thickened, moderately thick consistency, aligned with IDDSI guidelines, significantly reduces the risk of aspiration, while its high-protein, high-calorie content helps meet increased dietary requirements. When used under medical supervision, it serves as a reliable tool for managing nutritional needs and improving swallow safety. The convenience of a ready-to-drink supplement removes the risk of human error associated with mixing thickeners, ensuring a consistent and safe product every time. IDDSI guidelines offer a comprehensive framework that supports the safe use of products like Fresubin Level 3.
