VIVONEX PLUS Elemental Powder. This elemental formula contains 100% free amino acids for those with severe GI disorders. VIVONEX PLUS combines 100% free amino acids with additional free glutamine, enhanced arginine and branched-chain amino acids (BCAA) for individuals with severely impaired GI function or extensive bowel resection. Intended for tube feeding. Appropriate for these diets: lactose-free, gluten-free, low-residue, kosher Ingredients: Maltodextrin (from Corn), L-Glutamine, Modified Cornstarch, L-Leucine, L-Arginine Acetate, Soybean Oil and less than 2% of Magnesium Gluconate, L-Lysine Acetate, Calcium Glycerophosphate, L-Isoleucine, L-Valine, L-Phenylalanine, Sodium Citrate, L-Threonine, Potassium Citrate, L-Cysteine Hydrochloride, Citric Acid, L-Methionine, L-Tyrosine, L-Histidine Hydrochloride, L-Aspartic Acid, L-Proline, L-Tryptophan, Disodium Phosphate, Potassium Chloride, Choline Bitartrate, L-Serine, L-Alanine, Glycine, Ascorbic Acid, Polyglycerol Esters of Fatty Acids, Taurine, L-Carnitine, Alpha-Tocopheryl Acetate, Zinc Sulfate, Potassium Sorbate and Bha and Bht and Tocopherols (To Maintain Freshness), Ferrous Sulfate, Niacinamide, Vitamin A Palmitate, Calcium Pantothenate, Copper Gluconate, Vitamin D3, Pyridoxine Hydrochloride, Manganese Sulfate, Riboflavin, Thiamine Hydrochloride, Folic Acid, Chromium Chloride, Biotin, Potassium Iodide, Sodium Molybdate, Sodium Selenite, Phytonadione, Vitamin B12. 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.