Pro-Stat® FAQs
Medical Nutrition has compiled a list of frequently asked questions regarding Pro-Stat®, the concentrated liquid protein supplement. The questions below pertain to topics such as:
Does Pro-StatŪ need to be
mixed?
No. Pro-StatŪ is in liquid form and
ready to use. Each 30 ml (one ounce)
dose contains 15 grams of hydrolyzed
protein making it very easy for
patient consumption.
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What are the differences
between Pro-StatŪ formulas?
All Pro-StatŪ liquid protein
formulas are enzyme- hydrolyzed
protein fortified with L-tryptophan.
Per serving, Pro-StatŪ 64 has 15
grams of protein and 60 calories per
30 ml (one ounce). Pro-StatŪ 101 has
15 grams of protein per 30 ml (one
ounce) and 101 calories per 30 ml.
The additional calories per dose in
Pro-StatŪ 101 come from 10.2 grams
of fructose. Pro-StatŪ 64 is
sweetened with sucralose (SPLENDAŪ
No Calorie Sweetener), which is
non-nutritive. The 64 and 101
formulas are available in wild
cherry, butter pecan and natural
flavors. Pro-StatŪ AWC (Advanced
Wound Care)has 17 g of protein and
calories with added L-Arginine,
L-Cystine, Zinc and Vitamin C and is
available in wild cherry flavor.
Pro-StatŪ RC (Renal Care)has 15 g of
protein and 60 K/cal per 30 ml plus
added vitamins, zinc and FOS and is
available in wild cherry flavor.
Pro-StatŪ Profilehas 10 g of
protein and 101 K/cal per 30 ml with
a PDCAAS score of 100%. It is
available in wild cherry flavor.
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Can diabetics use Pro-StatŪ?
Pro-StatŪ 64 is sugar and
carbohydrate free. Pro-StatŪ 101,
AWC, RC and Profile contain
fructose, a low glycemic sweetener
acceptable for diabetics. Diabetic
patients should however, continue
their regular, individualized blood
glucose monitoring schedule under
the supervision of their doctor. For
those patients following a CHO
restricted diet, a serving of
Pro-StatŪ has less carbohydrate
content than a serving of juice.
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How is Pro-StatŪ administered?
a. Serve as a nutritional supplement
alone.
b. Stir into nutritional supplements
and shakes.
c. Stir into soft foods or
beverages.
d. Use feeding tube.
For those facilities wanting to use
as a food fortifier, Pro-Stat nicely
mixes with many foods and beverages
without clumping or decreasing the
food's palatability. (See the
kitchen testing results in the
Literature section of this site).
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Is Pro-StatŪ eligible for
Medicare Part B reimbursement?
Pro-StatŪ has been assigned a
Medicare billing code: B4155 Enteral
formulae; category V: modular
components, administered through an
enteral feeding tube, 100 calories =
1 unit. If the product is
administered orally, the "BO"
modifier (Orally administered
nutrition, not by feeding tube) is
to be used with the HCPCS code
B4155. This assignment of a code
does not imply or guarantee claim
reimbursement or coverage. However,
the application for reimbursement is
easily calculated as Pro-StatŪ 101
has 3030 kcal per bottle (887 ml)
that would reimburse if eligible as
30 billing units.
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Is Pro-StatŪ eligible for
reimbursement by Medicaid?
It varies by state. On an outpatient
basis, hemodialysis and other
patients with prescriptions through
pharmacies may be eligible for
reimbursement.
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Can I contact a staff member
in a facility using Pro-StatŪ to ask
questions about the use?
We have testimonials from a variety
of health care workers who have used
Pro-StatŪ in both long-term and
acute care settings including
dietitians, a physician, and a
nurse. We also have a Board of
Advisors who is available to answer
questions. Please call the company
and we can refer you to the
appropriate person.
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Are there any dyes used in
Pro-Stat?
There are no dyes used in Pro-Stat.
The color is naturally occurring.
Any added dyes would have to be
included in the ingredient listing.
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How do you measure protein
quality?
There are several methods of
assessing protein quality. A method
called Protein Efficiency Ratio
(PER) has been applied since 1919.
It is used in the US and Canada as
the basis for regulations regarding
food labeling and for the protein
RDA. Eggs, milk and cheese, meat and
fish, peanut butter and refined
wheat have the highest true
digestibility according to the RDA,
1989.
Net protein utilization (NPU) is the
ratio of amino acids converted to
protein to the ratio of amino acids
supplied. It is calculated by
determining dietary protein intake
and measuring nitrogen excretion.
Values range from 1 to 0 (1
indicating 100% utilization of
dietary nitrogen as protein, 0
indicating none of the nitrogen
supplied was converted to protein).
Eggs and milk equal 1 NPU.
PDCAAS (Protein Digestibility
Corrected Amino Acid Score) measures
the essential amino acids. See the
PDCAAS and Pro-StatŪ Profile pages
for more information.
When comparing 100 grams of protein
of Pro-Stat to 100 grams of protein
of whole egg protein, Pro-Stat
exceeds the essential amino acid
content of whole eggs (which have a
high PER and NPU). It also exceeds
the adult requirement for amino
acids by about four times (per 100
grams protein).
Pro-Stat contains essential amino
acids and conditionally essential
amino acids for those in a stressed
state. Because it is in the form of
polypeptides and amino acids, it is
easy for ill persons to digest. It
is easy to deliver due to its
concentrated nutrients in a small
volume (Pro-Stat 101 has 15 grams of
protein and 101 calories in 30 ml.
In addition, arginine, glycine,
proline, and hydroxyproline
contained in the product are high
nitrogen producers and have been
shown to optimize wound healing and
help preserve lean body mass.
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Does Pro-StatŪ contain
purines?
Pro-StatŪ has no purine content.
Patients with gout must restrict
their intake of purines. Gout, a
form of arthritis that is
characterized by sudden, severe
attacks of pain, redness and
tenderness in joints is caused by a
high level of uric acid. Uric acid
is a waste product formed from the
breakdown of purines, substances
which are found naturally in the
body as well as in certain foods.
Smaller amounts of purines are found
in all meats, fish and poultry. When
the kidneys cannot remove high
levels of uric acid, then gout
sufferers must restrict their intake
of foods containing elevated levels
of purines. Pro-Stats collagen is
bovine in nature and has naturally
occurring small amounts of purines.
The production process removes all
purines to produce a
pharmaceutically elegant material. Back to top
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