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Nestle Vivonex T.E.N. Elemental Nutritional Powder Home Page
Nestle Vivonex T.E.N. Elemental Nutritional Powder Home Page
Nestle Vivonex T.E.N. Elemental Nutritional Powder Home Page
Nestle Vivonex T.E.N. Elemental Nutritional Powder Home Page

Nestle Vivonex T.E.N. Elemental Nutritional Powder Home Page

Nestle Vivonex® T.E.N. is an elemental formula containing 100% free amino acids and a very low fat content to provide easily absorbed nutritional support for those with severe GI impairment. This glutamine enriched powder helps to support the cells in the GI tract while the low fat content helps improve tolerance for those with severe malabsorption. May be used for either oral supplementation or for tube feeding. Each packet provides 300 calories, 11.5g protein as amino acids, and only 0.8g of fat. Sold by Case of 6 Boxes (10 packets per box for total of 60 pkts)and by the Box (10 packets).

Free Shipping for orders over $50. Flat rate shipping of $6.50.

Nestle Vivonex T.E.N. Elemental Nutritional Powder, Case of 6 Boxes (60 Packets)
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Nestle Vivonex T.E.N. Elemental Nutritional Powder, Box of 10 Packets
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  • Manufacturer: Nestle Nutrition
  • Product Name: Vivonex T.E.N.
  • Product Number: 07127400
  • Flavor: Unflavored
  • Packaging: 2.84 oz Packets, by the Box (10 individual packets), or by the Case (6 boxes, total 60 packets)

Nestle Vivonex® T.E.N. Powder delivers 100% free amino acids with only 3% fat for a nutritionally complete and elemental formula that provides excellent nutrition with minimal digestive function required for the nutritional management of patients with impaired digestion and absorption.


  • Complete 100% free amino acid formula
  • 3% of calories from fat to help support gastric emptying and reduce pancreatic stimulation
  • Contains glutamine to meet the nutritional needs of patients with GI impairment
  • Can be used for oral supplementation or tube feeding
  • Requires minimal digestive functionality for assimilation while providing benefits associated with continued use of the GI tract
  • Unflavored
  • Available in 2.84 oz packets by the Box of 10 packets, or by the Case of 60 packets (6 boxes of 10 packets)
  • Lactose free
  • Gluten free
  • Low residue
  • Kosher certified

Recommended for:

  • Transitional feeding
  • Extensive bowel resection
  • Severe protein and fat malabsorption
  • Malabsorption syndrome
  • Select trauma/surgery
  • Early post-operative feeding
  • Intestinal failure
  • Chylothorax
  • Trophic feeding
  • TPN alternative
  • Dual feeding with TPN
  • Gluten intolerance
  • Lactose intolerance



  • kcal/mL: 1.0
  • Caloric Distribution (% of kcal):
    • Protein: 15%
    • Carbohydrate: 82%
    • Fat: 3%
  • Protein Source: free amino acids
  • NPC:N Ratio 149:1
  • Osmolality (mOsm/kg water): 630
  • Free Water: 83%
  • Meets 100% RDI for 24 key micronutrients: 2000 ml
  • Supplemental Glutamine: 4.8 g/L
  • Supplemental L-Arginine: 3.9 g/L
  • HCPCS Code: B4153

Nutrition Panel for Vivonex T.E.N.:

Each 2.84 oz dry packet mixed with 250 mL water yields 300 mL of formula

  • Nutrient: 300 mL (1 Packet)
  • Calories (kcal): 300
  • Total Fat (g): 0.8
  • Sodium (mg): 185
  • Sodium (mEq): 8
  • Potassium (mg): 281
  • Potassium (mEq): 7
  • Total Carbohydrate (g): 61.7
  • Protein (g): 11.5 (as amino acids)
  • Vitamin A (IU): 760
  • Vitamin C (mg): 18
  • Calcium (mg): 150
  • Iron (mg): 2.7
  • Vitamin D (IU): 60
  • Vitamin E (IU): 4.5
  • Vitamin K (mcg): 12
  • Thiamine (mg): 0.45
  • Riboflavin (mg): 0.51
  • Niacin (mg): 6.0
  • Vitamin B6 (mg): 0.6
  • Folic Acid (mcg): 120
  • Vitamin B12 (mcg): 1.8
  • Biotin (mcg): 90
  • Pantothenic Acid (mg): 3.0
  • Phosphorus (mg): 150
  • Iodine: 24
  • Magnesium (mg): 60
  • Zinc (mg): 3.38
  • Selenium (mcg): 11
  • Copper (mg): 0.3
  • Manganese (mg): 0.3
  • Chromium (mcg): 18
  • Molybdenum (mcg): 11
  • Chloride (mg): 255
  • Chloride (mEq): 7.0
  • L-Carnitine (mg): 18
  • Taurine (mg): 18
  • Choline (mg): 60
  • Water (mL): 250

Ingredients: Maltodextrin (from corn), Modified Food Starch, L-Leucine, less than 2% of L-Glutamine, Magnesium Gluconate, L-Arginine Acetate, L-Isoleucine, L-Valine, Calcium Glycerophosphate, Safflower Oil, L-Lysine Acetate, L-Aspartic Acid, L-Alanine, L-Phenylalanine, L-Proline, Sodium Citrate, Potassium Citrate, Glycine, L-Threonine, L-Histidine Hydrochloride, L-Serine, L-Cysteine Hydrochloride, L-Methionine, Sodium Phosphate, Potassium Chloride, Choline Bitartrate, L-Tryptophan, Potassium Sorbate (to maintain freshness), L-Tyrosine, Ascorbic Acid (Vitamin C), Taurine, Polysorbate 80, L-Carnitine, Alpha Tocopheryl Acetate (Vitamin E), Zinc Sulfate, Ferrous Sulfate (iron source), Niacinamide, Vitamin A Palmitate, Calcium Pantothenate, Copper Gluconate, Ascorbyl Palmitate and Tocopherols and BHA/BHT to maintain freshness, Pyridoxine Hydrochloride (Vitamin B6), Manganese Sulfate, Vitamin D3 (Cholecalciferol), Riboflavin (Vitamin B2), Thiamine Hydrochloride (Vitamin B1), Chromium Chloride, Folic Acid, Biotin, Potassium Iodide, Sodium Molybdate, Sodium Selenite, Vitamin K1 (Phytonadione), Vitamin B12 (Cyanocobalamin)

Appropriate for these diets: Lactose-Free, Gluten-Free, Low-Residue, Kosher

Not for individuals with galactosemia

Not for parenteral use.

This Product is NOT Appropriate For Use in Infants 0-12 Months Old

This product is a medical food for use as directed by a medical professional. It is not intended to diagnose, treat, cure, or prevent disease.

Product information and values are subject to change. Ingredient and nutrition information current as of May 2009.

Orders under $50 ship for a flat rate of $6.50. Orders over $50 ship for FREE!

Due to the nature of this product and our adherence to strict safety precautions, this product is NOT returnable. View Return Policy.

2nd Day or Overnight Shipping: Due to the weight of these types of products, nutrition orders cannot be 2nd Day or Overnight. If you need expedited shipping services, please call or email us to obtain rates specific to your shipping zone prior to placing your order.

We do not ship nutritional products to Hawaii or Alaska.

While we cannot administer medical advice, our Customer Service Team members are available to assist you with the ordering of nutritional products or other medical supplies. Our toll-free number is 1-866-774-9513 - Monday through Friday, 9:00 am to 5:00 pm CST (7:00 am to 3:00 PST / 10:00 am to 6:00 pm EST). If you prefer to correspond by email, our address is

MetroMedicalOnline has a large selection of nutritional products for many medical needs such as cancer, kidney and dialysis, diabetes, weight management, protein, and fiber.

Several products are available that supply concentrated amounts of protein. Most are specific for either oral supplementation or tube feeding. Tolerex is a nutritionally complete and elemental formula delivering 100% free amino acids with only 1.3% fat and may also be used similar to Vivonex T.E.N.

Nestle offers a complete elemental diet specifically formulated for children, Peptamen Junior Complete Elemental Nutrition. This product supports the GI-Impaired child between the ages of 1 and 10. The balance peptide profile supports nitrogen absorption and growth and it is 100% whey-based to facilitate gastric emptying.

MetroMedicalOnline has a large selection of nutritional products for those who require very specific nutritional needs and requirements such as are found with cancer, kidney and dialysis, diabetes, weight management, malabsorption, gastric impairment issues. We have a great variety of products for those with special caloric, protein, and fiber needs. Please browse our Nutrition Section for all of your nutritional needs.

We also carry many wound care products, including difficult-to-find dressings. Please browse our Wound Care Section for a wide selection of brands and products.

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