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-Stat® need to be
mixed?
No. Pro-Stat® is in liquid form and
ready to use, shelf stable liquid.
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What are the different Pro-Stat® formulas?
Click here for information on the Pro-Stat formulas
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Can diabetics use Pro-Stat®?
Pro-Stat® 64 is sugar and
carbohydrate free. Pro-Stat® 101,
AWC, RC and Profile contain
fructose, a low glycemic sweetener
acceptable for diabetics. Diabetic
should continue
their regular their regular blood
glucose monitoring and consult with
their doctor. For
those following a carbohydrate
restricted diet, a serving of
Pro-Stat® 101, AWC, RC or Profile™ has
fewer grams of carbohydrates than a serving of juice.
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How is Pro-Stat® administered?
a. Orally; Pro-Stat may be served
alone without additional mixing.
b. Orally; mixed with other
commercial nutritional supplements
and shakes.
c. Orally; mixed into
soft foods or beverages.
Pro-Stat mixes easily without
clumping or decreasing the
food's palatability. Suggested
foods are: Canned Pineapple &
Pears, Applesauce, Farina,
Vanilla/Cinnamon Instant Oatmeal
and Apple/Cinnamon Instant
Oatmeal.
Suggested beverages are: juice,
soda, coffee and tea.
Do not refrigerate, cook, or
reheat foods/beverages mixed
with Pro-Stat.
d. Through a feeding tube.
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Is Pro-Stat® eligible for
Medicare Part B reimbursement?
Pro-Stat® 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-Stat® 101
has 3030 kcal per bottle (887 ml)
that would reimburse if eligible as
30 billing units.
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Is Pro-Stat® eligible for
reimbursement by Medicaid?
Reimbursement varies by state.
Reimbursement eligibility, most
often seen with hemodialysis, would
be dependant on medical necessity
and physician prescription.
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Which Pro-Stat® is best for advanced wounds?
Pro-Stat AWC (Advanced Wound Care) is formulated for advanced wounds (Stage III and IV.) It provides 17 grams/protein and 108 K/cal per 30ml, with 3.3 grams L-Arginine,
10mg elemental Zinc and 175 mg
Vitamin C. Recommended dosage is
three times daily for 4-6 weeks, or
the duration of the facility’s Zinc
protocol. If the wound has not
healed, transition to Pro-Stat 64 or
101 three times daily until healed.
A maintenance dose of Pro-Stat 64 or
101 once daily may reduce the risk
of pressure ulcer recurrence (which
can be as high as 80% for previous
wound sites).
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Which Pro-Stat® is best for ESRD/CHD patients?
Pro-Stat® RC (Renal Care) is a
protein/vitamin supplement
specifically formulated for the ESRD/CHD
patient. A 30ml dose contains
15grams of complete protein and 60
K/cal plus Thiamin, Riboflavin,
Niacin, Pantothenic Acid,
Pyridoxine, Cobalamin, Folic Acid,
Biotin, Ascorbic Acid, Zinc and FOS
( for prebiotic intestinal health).
Pro-Stat RC provides for the
increased protein and vitamin needs
of the dialysis patient without the
added fluid required to reconstitute
powdered protein supplements. It is
sugar and carbohydrate free.
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Who can I talk to about using Pro-Stat®?
Use the “Contact Us” link above to ask for referrals or call the Company at 800 221 0308 and ask for clinical support.
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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.
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How does Pro-Stat compare on NPU, PER and PDCAAS?
Net Protein Utilization (NPU) is calculated by
determining dietary protein intake
and measuring nitrogen excretion.
It evaluates protein digestibility
as well as the content of essential
amino acids.
NPU measures the retention of absorbed
nitrogen. (Nitrogen = protein).
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.
Pro-Stat equals 1 NPU.
Protein Efficiency Ratio (PER)
measures protein quality by
determining how well a given protein
supports weight gain in laboratory
rats. From 1919 until very recently,
PER had been a widely used method
for evaluating the quality of
protein in food. PER is no longer
widely used owing to its animal
(rat) methodology and its total
reliance on the then 8 essential
amino acids ( now 9 ). (For example,
PER overestimates the methionine
requirement owing to the greater
need for methionine in rats for hair
production.) PER calculations are
rarely, if ever, performed in
clinical settings because of the
difficulties of collection and
analysis of body wastes.
Pro-Stat provides a greater total
amount of the essential amino acids
per 100 grams of protein than whole
eggs (which have a high PER and NPU).
Protein Digestibility Corrected
Amino Acid Score (PDCAAS)
was developed by the Food and
Agriculture Organization of the
World Health Organization (FAO/WHO)
for the measurement of protein value
in human nutrition. The method is
based on comparison of the
concentration of the first limiting
indispensable amino acid (IAA) in
the test protein with the
concentration of that amino acid in
a reference (scoring) pattern, which
was updated by the Institute of
Medicine (IOM) in 2005. This scoring
pattern is derived from the IAA
requirements of the preschool-age
child. The chemical score obtained
in this way is corrected for true
fecal digestibility of the test
protein. PDCAAS values higher than
100% are not accepted as such but
are truncated to 100%.
Although the principle of the PDCAAS
method has been widely accepted,
questions have been raised in the
scientific community about 1) the
validity of the preschool-age child
amino acid requirement values, 2)
the validity of correction for fecal
instead of ileal digestibility and
3) the truncation of PDCAAS values
to 100%. Also, the scoring pattern
does not include conditionally
indispensable amino acids, which
also contribute to the nutrition
value of a protein.
The PDCAAS of any individual protein
source is most meaningful when the
protein being evaluated is the sole
source of dietary protein. Because
dietary intake generally includes
multiple protein sources with
varying amino acid patterns, an
individual's protein requirements
are affected by the other components
of the diet as well as the overall
level of dietary protein and energy.
Accurate evaluation of any
individual diet should include the
cumulative amounts of all amino
acids consumed.
The PDCAAS of Pro-Stat Profile is
100%.
Click here for more information.
Pro-Stat contains essential amino
acids and conditionally essential
amino acids necessary for those in a
stressed state. Pro-Stat’s unique
formulation of polypeptides and
amino acids is easily absorbed and
assimilated in medically compromised
individuals, including the elderly.
This nutrient dense product supplies
up to 15 grams of protein and 101
calories in 30ml, ideal for those
with reduced appetites, or for those
requiring an additional source of
protein such as obese patients. In
addition, arginine, glycine, proline,
and hydroxyproline found in Pro-Stat
are high nitrogen producers, have
been shown to optimize wound
healing, and help preserve lean body
mass.
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Does Pro-Stat® contain
purines?
Pro-Stat® contains no purines. Any
naturally occurring purines are
removed during production. Back to top
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