Better Than Osmolite 1.5 Homemade Formula (Two Versions)

Good morning! (its morning here anyway)

This is the last in the current series of recipes for making  homemade formula intended for tube fed adults.

There are two recipes in this post, both created to closely echo the same balance of protein, carbs, fats, and calories that Osmolite 1.5 has.

Osmolite 1.5 is the formula that was prescribed for me when I first got my peg tube.  I doubt I used even one entire case of it. The aftertaste–even though it bypassed my mouth–was how  a stale protein bar tasted, and   it had a distinct chemical  aura to it too.  Needless to say, Osmolite  and I did not have a long relationship.

Abbott has actually registered the words “Complete, Balanced Nutrition”  as  trademark of theirs.  Yes, the ® symbol follows those words in their literature.

Osmolite 1.5 is a low residual formula.  It is devoid of fiber.

When I first constructed Recipes #1 & #2, I used coconut palm nectar as the main carbohydrate source, because  it is low on the glycemic scale, and is a natural unrefined food.  But, it concerned me, because the commercial formula this recipe is geared toward, is  low residual.

It frustrated me beyond words to not find any natural carbohydrate food, other than  a simple sugar, which contained no fiber. Something as uncomplicated as using applesauce in a recipe is a great way to work in carbs, but even two ounces contains one fiber gram.

Therefore, I have edited the recipe to offer the option to use a non gmo organic version  of tapioca maltodextrin.  I did this to have the carbohydrate profile more in line by having larger starch particles, thus slower transit time. I didn’t like doing it, and feel that if you use this formula recipe and only add the coconut nectar, and have good digestive results, the tapioca starch can be left out of it.

If you’re willing to use a variety of formula recipes, its better than using just one.  And using just one recipe for a homemade formula, is better than the ingredients in commercial formula.

Feeling it necessary to make this change with  carbohydrate ingredients  is a good example of why a homemade formula is not as “close to the farm” as a blenderized food for the tube. With a blenderized diet, you can literally blend up what you would have eaten orally, and put it through the tube. But, the homemade version is still so many times better nutritionally than the commercial version it is modeled after.  It uses fresh milk, and all organic and non gmo ingredients.

I would urge you to choose a  formula version other than the Osmolite ones unless you have a real physical/nutritional reason to use a formula with no fiber.  If, for example,  you, or the one you are caregiver to, are immobile, and because of this you want to reduce the number of bowel movements you have, sure, that is a very good reason to choose this.  But, otherwise, consider other recipes to use, either in addition to these, or in place of them.

osmolite-1-5-for-blog

OSMOLITE 1.5 INGREDIENTS: Water, Corn Maltodextrin, Sodium & Calcium Caseinates, High Oleic Safflower Oil, Canola Oil, Soy Protein Isolate, Medium-Chain Triglycerides, Magnesium Chloride, Potassium Citrate, Calcium Phosphate, Sodium Citrate, Soy Lecithin, Choline Chloride, Ascorbic Acid, Taurine, L-Carnitine, Carrageenan, Zinc Sulfate, dl-Alpha-Tocopheryl Acetate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Beta-Carotene, Folic Acid, Biotin, Chromium Chloride, Sodium Molybdate, Potassium Iodide, Sodium Selenate, Phylloquinone, Cyanocobalamin, and Vitamin D3.

 Contains milk and soy ingredients.

 

Osmolite 1.5 

Serving Size: 8 fl oz (237 mL)

Nutrient Data
Protein, g: 14.9
Fat, g: 11.6
Carbohydrate, g: 48.2
Calories: 355

********

 

Recipe #1 is not vegetarian, nor is it non-dairy.  It is free of all soy and corn byproducts and it is simple to make. It is a  better alternative to Osmolite 1.5

Whole milk is used as a base

One essential piece of equipment you really need to have is a digital scale.  The only way to be truly accurate when measuring dry ingredients is by weight.  I have one by Cuisinart .  It  cost me about $22 when I purchased it five  years ago.  In addition to daily use, it has been dropped onto  a ceramic tile floor in my kitchen, accidentally plunged into a bowl of banana bread batter, and generally suffered more abuse than any scale should have to survive, and it has never malfunctioned or even needed a new battery! A link to the scale will be at the end of this post.

This recipe calls for a gelatin protein powder.  The drawback to using gelatin is it has to be dissolved into hot liquid. It is not difficult to work with, but it has to go into hot first. Don’t worry, if you put the gelatin into hot milk (or other liquid) and stir well, if used in the ratios given for this recipe, it won’t be too thick when the formula is cold.  BUT, it has to first be dissolved into hot liquid.

INGREDIENTS: (given for single serving, multiply quantities as desired)

Six ounces by volume  (177.4 ml) whole milk

9 g  Protein Essentials  Gelatin Protein Powder

40  g  Mike’s Mix Tapioca Maltodextrin Non-GMO Complex Carbohydrate

(OR) 2 Tbsp Big Tree Farms Organic Coconut Nectar (leaving out the tapioca)

1 tsp Tropical Oasis Mega Plus liquid multivitamin & mineral supplement

  1. You can add a tiny bit of  Xanthan Gum to make this a thicker  consistency.  It does not have to be heated.  It will reduce  settling/separation when stored. Try the recipe with it if you want a thicker (slower) flow. You probably won’t need it, due to the gelatin.
Better than Osmolite Recipe #1

Serving Size: 8 fl oz (237 mL)

Nutrient Data
Protein, g: 14.35
Fat, g: 11.36
Carbohydrate g:46.03* /48.03^
Calories: 369.28*/346.6^
 (* with coconut nectar)
 (^ with tapioca )

 DIRECTIONS:

 

Heat part of the milk, and stir in the coconut milk powder, and gelatin protein powder. The coconut milk powder can go in right away, but don’t add the gelatin until after the milk is close to boiling. Stir with a whisk, and set aside.

In a separate container, stir the unheated milk into the tapioca starch until well blended, then pour in the heated milk mixture. Add the multivitamin last.

One gallon of milk will make a little over 21 servings.

image

In a pitcher or measuring cup, stir the  milk into the tapioca maltodextrin (if you’re using the tapioca) with a whisk, then add the multivitamin supplement into the milk.

Then add the  heated coconut milk/nectar/gelatin  mixture into the cold milk mixture.  Stir well again, and you’re done.

One gallon of  milk will make a little over 21 servings.

Data used to derive nutritional content of  this homemade formula: 

6 ounces whole milk has 117 kcal 6.75  g fat 8.2 carbs 6 g protein

9 g  Protein Essentials  Gelatin  Protein Powder contains  30.85  kcal,  7.71 g protein

Use either:

  • 40 g Mike’s Mix Tapioca Maltodextrin Non-GMO Complex Carbohydrate 151.3 kcal  38 carbs

or

  • 2 Tbsp   Big Tree Farms Organic Coconut  (this brand is more calorie dense than others)  = 36g carbs 174 kcals

2 tsp (7.33 g) Native Forest Coconut Milk Powder has  45.83  kcal, 4.58 g fat  carbs 1.83

1 tsp Tropical Oasis Mega Plus liquid multivitamin & mineral supplement 1.6   kcal

***

Recipe #2 is a Vegetarian Homemade replacement for Osmolite 1.5

INGREDIENTS:(given for single serving, multiply quantities as desired)

6 ounces of 1%  cows milk

32 g Whole Milk Powder

1  tsp  Nature’s Way Liquid Coconut Premium Oil  

20 g  Mike’s Mix Tapioca Maltodextrin Non-GMO Complex Carbohydrate

or

1 tbsp + 1/2 tsp Big Tree Farms Organic Coconut Nectar

You can add a tiny bit of  Xanthan Gum to make this a thicker  consistency.  It does not have to be heated.  It will reduce  settling/separation when stored.

1 tsp Tropical Oasis Mega Plus liquid multivitamin & mineral   supplement

 

Better than Osmolite Recipe #2 

Serving Size: 8 fl oz (237 mL)

Nutrient Data
Protein, g: 16
Fat, g: 11.36
Carbohydrate, g:36.13* or 40.13^
Calories: 355.1*or 355.7^
 *using coconut nectar
 ^ using tapioca

DIRECTIONS:

Heat  a portion of the milk until small bubbles form at edges (no need to bring to a boil, it just needs to be very warm to hot)  Add in the oil, and if using coconut palm nectar, pour it into the hot milk too.

agave nectar

Slowly stir the hot mixture into the milk powder.  Use the back of a spoon to smash any remaining bits of powdered milk against the side of container.

Measure the tapioca into a separate container, and whisk in some of the milk (doesn’t matter if you use the heated milk or not)  Combine all milk, add  in the vitamin mineral supplement and stir thoroughly.

One gallon of  milk will make a little over 21 servings.   If making a single serving at a time, at least half the milk should be heated before stirring  it into the whole milk powder.

Data used to derive nutritional content of  this homemade formula: 

6 ounces of 1%  cows milk has  76.5  kcal,  9.13 g carbs, 1.7  g fat  6.16 g protein

32 g Whole Milk Powder  159 kcal,  12 g carbs, 5 g fat, 8 g protein

1   tsp  Nature’s Way Liquid Coconut Premium Oil  (43 kcal  4.66 g fat)

  • 20 g Mike’s Mix Tapioca Maltodextrin Non-GMO  Complex Carbohydrate 75.6  kcal  19 g carbs

or

  • 1 tbsp + 1/2 tsp    Big Tree Farms Organic Coconut Palm Nectar (this brand is more calorie dense than some)  = 15 g carbs 75 kcals  30 total carbs for recipe 369.28 (this brand is more calorie dense than others)

1 tsp Tropical Oasis Mega Plus liquid multivitamin & mineral supplement is 1/6 the daily suggested serving.  (10 kcal per serving. ) Recipe calls for 1/6 of this for each 8 ounces/237 mL.  That works out to 1.6 kcal as the recipe is written.

This particular supplement has  CoQ10 and grape seed extract,  two forms of the amino acid cystine (which is helpful with breaking down the thickness of mucous) and is truly superior to vitamins and minerals used by the pharmaceutical companies in their enteral formula.

  • Keep in mind the fact that any formula is nutrient dense.  Even if its not thick, there’s a lot in it that the body has to process.  Its not the same as knocking back a milkshake that maybe has as many calories.  If  you were having a meal by mouth that had the same nutritional density, you’d (hopefully) take longer to consume it than it does to pour eight ounces through a tube. So, take your time with any formula meal.

 

SHOPPING LINKS:

Cuisinart digital scale http://amzn.to/2fDV2WH

Whole Milk Powder     http://amzn.to/2fUaDk1

Nature’s Way Liquid Coconut Premium Oil  http://B0090PQNG6

Mike’s Mix Tapioca Maltodextrin Non-GMO Complex Carbohydrate – http://amzn.to/2fMjrIG

Tropical Oasis Mega Multivitamin Mineral Supplement http://B000JZWL30  At the time of my writing this, it is slightly less by ordering through Swansons, (and you can get a free ship coupon probably, if you’re a first time customer.  Here is the link to their website: http://www.swansonvitamins.com/tropical-oasis-mega-multiple-vitamin-mineral-tropical-plus-32-fl-oz-liquid

Native Forest Coconut Milk Powder  http://amzn.to/2gfhY2h

Protein Essentials Gelatin Protein Powder http://amzn.to/2g7kzKD

Big Tree Farms Organic Coconut Nectar http://amzn.to/2gkQ4kv

Kiva All Natural, Xanthan Gum http://amzn.to/2fBDGs8

I used this tiny saucepan for a couple of photos with these instructions: http://amzn.to/2f0jPmf  I continue to love this little pan!  It is so nice and heavy on the bottom, and it cost less than $8!…

and this the whisk shown:

http://amzn.to/2f05mH7

 

 

 

 

 

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