TwoCal® HN — High-Calorie, High-Protein Nutrition for Weight Support

TwoCal® HN is a calorie- and protein-dense nutrition formula designed for individuals who require high energy intake in a small volume. Ideal for patients with fluid restrictions or volume intolerance, it provides complete, balanced nutrition for both tube feeding and oral use. Whether used as sole-source nutrition or as part of a Med Pass program, TwoCal® HN supports healthy weight gain, muscle maintenance, and recovery.

Key Features & Benefits

• High-calorie formula (2 Cal/mL) — provides 475 calories per 8 fl oz, helping support weight gain or maintenance with less feeding volume.
• Rich in protein (19.9 g per serving) — promotes lean body mass, strength, and wound healing.
• Prebiotic fiber support — includes 1.2 g of short-chain fructooligosaccharides (scFOS) per serving to promote digestive health and encourage beneficial gut bacteria growth
• Micronutrient-rich — provides at least 25% of the RDIs for 24 essential vitamins and minerals in each 8 fl oz serving (and 100% in 1900 Calories).
• Versatile use — suitable for oral or tube feeding, and ideal for Med Pass programs (2 fl oz four times daily).
• Dietary-friendly formulation — gluten-free, kosher, halal, and suitable for lactose intolerance (not for individuals with galactosemia).

Directions for Use

For Oral Feeding:

• Can be used as sole-source or supplemental nutrition.
• Serve chilled or at room temperature.
• Often administered in 2 fl oz servings four times daily (Med Pass) to promote weight gain and calorie intake

For Tube Feeding:

• Use under medical supervision.
• Feed at room temperature with a feeding pump or syringe.
• Adjust flow rate and volume according to patient tolerance and physician instructions.
• Flush tube with water before and after feeding.

Storage Instructions:

• Store unopened cartons at room temperature.
• Shake well before opening.

After opening:

• Refrigerate immediately and consume within 48 hours (or 24 hours if drunk directly from the carton).

For Ready-To-Hang containers:

• Hang for up to 48 hours using clean technique and a single new set (otherwise limit to 24 hours)

Shelf Life & Safety

• Shelf life: Refer to package for expiration date.
• Safety: Not for IV use. Not suitable for people with galactosemia.