For People on Dialysis

Nepro HP

Title
Nepro® HP
Description

Nepro® HP (Higher* Protein) is a source of calories and protein (17.82g per bottle) and provides complete renal nutrition to help meet the nutritional needs of people on dialysis. Low in Glycemic Index (GI), it is also suitable for people who have both chronic kidney disease (CKD) and diabetes.

Complete Renal Nutrition System

Scientifically designed to help improve nutritional status for people on dialysis.

Higher* in protein to replace protein lost in dialysis. Helps maintain muscle mass and strength.

CarbSteady®– Advanced, slow-digesting, low GI carbohydrate complex for steady energy.

A good source of calories to meet the increased energy needs of patients on dialysis (401 kcal / bottle).

Complete & balanced with 28 vitamins and minerals to improve nutritional status.

Low in Sodium, Potassium^ and Phosphorus^ to meet current expert recommendations.**

Contains Omega-3 & monounsaturated fatty acids (MUFA).

Reduced water content to cater to fluid restrictions (161ml / 220ml bottle).

Lactose-free and gluten-free.

* 118% higher than Ensure® Life.
^ 25% lower in potassium and phosphorus as compared to Ensure® Liquid (per 100ml).
** European Best Practice Guidelines (EBPG); ESPEN (European Society for Clinical Nutrition and Metabolism); US National Kidney Foundation KDOQI and KDIGO guidelines when used as sole source of nutrition.

Nutritional Table

View Full Nutritional List

NUTRIENT

Per 100ml

Per 220ml

Energy (kcal) 182 401
Protein (g) 8.10 17.82
Fat (g) 9.77 21.49

Linolenic Acid (Omega 3) (mg)

230 506

Linoleic Acid (g)

1.1 2.4

Saturated Fatty Acids (g)

0.73 1.6

Monounsaturated Fatty Acids (g)

7.4 16

Polyunsaturated Fatty Acids (g)

1.4 3.1
Carbohydrate (g) 14.74 32.43

Polyols (g)

1.10 2.4

Sugar (g)

3.20 7.0
Fiber (g) 1.26 2.77

Dietary Fiber (g)

0.42 0.92

FOS (g)

0.84 1.85
Water (g) 73.29 161
Taurine (mg) 16 35
Carnitine (mg) 26.5 58
Choline (mg) 63.5 140

VITAMINS

Vitamin A (palmitate) (IU) 318 700
Vitamin D3 (IU) 46 101
Vitamin E (IU) 5.0 11
Vitamin K1 (mcg) 9.0 20
Vitamin C (mg) 10.5 23
Folic acid (mcg) 60 132
Vitamin B1 (mg) 0.42 0.92
Vitamin B2 (mg) 0.50 1.1
Vitamin B6 (mg) 0.50 1.1
Vitamin B12 (mcg) 0.85 1.9
Niacin Equivalent (mg) 3.4 7.5
Pantothenic acid (mg) 1.6 3.5
Biotin (mg) 9.0 20

MINERALS

Sodium (mg) 70 154
Potassium (mg) 106 233
Chloride (mg) 84 185
Calcium (mg) 106 233
Phosphorus (mg) 72 158
Magnesium (mg) 21 46
Iron (mg) 1.9 4.2
Zinc (mg) 1.9 4.2
Manganese (mg) 0.21 0.46
Copper (mcg) 210 462
Iodine (mcg) 16 35
Selenium (mcg) 7.4 16
Chromium (mcg) 4.5 9.9
Molybdenum (mcg) 8.0 18

Comparison Table

  Nepro® LP
Specialised Nutrition for People with Reduced Kidney Function
Nepro® HP
Specialised Nutrition for People on Dialysis
Suitable For: Non-dialysed people with reduced kidney function requiring a low protein diet. Patients on dialysis with elevated protein needs.
Protein: Lower+ Protein: 4.52g / 100ml (9.94g / bottle) to help slow progression of chronic kidney disease and maintain nutritional status. Higher* Protein: 8.10g / 100ml (17.82g / bottle) to help replace protein lost during dialysis and meet nutritional needs.
Rich in Calories
To meet energy needs
Yes
401 kcal / bottle
Yes
401 kcal / bottle
Reduced Water Content Yes
162ml / 220ml bottle
Yes
161ml / 220ml bottle
Carbsteady®
Advanced, slow-digesting, low Glycemic Index (GI) carbohydrate complex.
Yes Yes
Contains Omega-3
& monounsaturated fatty acids (MUFA)
Yes Yes
Low Glycemic Index 34
Suitable for people who have both reduced kidney function and diabetes.
35
Suitable for people who are on dialysis and who have diabetes.
Low Potassium, Phosphorus & Sodium Yes Yes
Lactose-free and Gluten-free Yes Yes
For oral or tube-feeding
As supplement or sole source of nutrition
Yes Yes

+ 44.2% less protein (9.94g vs 17.82g) for Nepro® LP vs Nepro® HP per serving.
* 118% higher than Ensure® Life.

Use It Right

Recommended Intake:

  • For oral supplementation or tube-feeding.
  • 1 – 3 servings per day as supplement.
  • For use as sole source of nutrition, under medical supervision.
  • Additional fluid requirements should be met by giving water.

Usage Instructions:

  • Ready for use.
  • Shake well before use.
  • Once opened, cover, refrigerate and use within 24 hours. Discard unused feed after this time.

Frequently Asked Questions

What is the difference between Nepro LP & HP?

The main difference between the products is the protein content. Nepro HP has 118% higher in protein per serving (17.82g) vs Nepro LP (9.94g). Thus, these products cater to patients of different stages of Chronic Kidney Disease.

Nepro LP (Lower Protein) – suitable for pre-dialysis patients as it helps patients to meet low protein diet requirements. Low protein diet is crucial for maintaining kidney function and delaying onset of dialysis to maintain strength and quality of life. 

Nepro HP (Higher Protein) – suitable for patients on dialysis, as it helps patients to replace protein lost during dialysis sessions.

Consult your doctor or dietitian for further advice. 

If I am not yet on dialysis, which product should I consume?

Nepro LP. It helps to slow the progression of CKD and maintain the nutritional status of people with reduced kidney function but are not on dialysis. Consult your doctor or dietitian for further advice.

What is the water content in Nepro?

Nepro LP: 162ml per 220ml bottle

Nepro HP: 161ml per 220ml bottle

Is Nepro suitable for patients with diabetes?

Yes! Nepro LP (GI: 34) is suitable for people who have both reduced kidney function and diabetes. Nepro HP (GI: 35) is suitable for patients on dialysis and diabetes. Consult your doctor or dietitian for further advice.

Is Nepro low GI?

Yes. Nepro LP has a GI of 34, while Nepro HP has a GI of 35.

Can Nepro be used for tube-feeding?

Yes. Consult your doctor or dietitian for further advice.

Why is this product called Nepro LP?

Nepro LP stands for Nepro Lower Protein. It has 44.2% less protein per serving (9.94g) as compared to Nepro HP (17.82g). The lower in protein formulation helps slow progression of chronic kidney disease and maintain nutritional status. Consult your doctor or dietitian for further advice.

Why is this product called Nepro HP?

Nepro HP stands for Nepro Higher Protein. It has 118% higher in protein per serving (17.82g) as compared to Ensure Life. The higher in protein formulation helps to replace protein lost in dialysis, maintains muscle mass and strength. Consult your doctor or dietitian for further advice.

References:
* 118% higher than Ensure®) Life.

SG.2022.30054.NEP.1 (v1.1)

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