Indications : Indicated for the improvement of nutritional state in chronic liver impairment including those with hepatic encephalopathy. DOSAGE AND ADMINISTRATION : In adults the usual dosage is 50 grams (1 sachet) daily. 50 grams of powder (about 5 level scoops) should be mixed with 180 mL of warm water (50 C). Stir thoroughly. The dissolved solution is about 200 mL and provides energy about 1 kcal/mL. Boiling water should not be used as it may cause denaturation of proteins. The dosage may be reduced in the elderly to 50 grams twice daily.