Fresubin Powder Extra Fresubin Powder Extra is a powdered oral nutritional supplement rich in vitamins, minerals & trace elements for people with dysphagia, disease related malnutirion, short bowel syndrome, intractable malabsorption, proven inflammatory bowel disease or bowel fistulae. It is also suitable for patients after total gastrectomy & for the pre-operative preparation of patients who are undernourished. When reconstituted with 200ml whole milk, Fresubin Powder Extra provides Approx. 1.6kcal/ml & 7.3g protein/100ml. The energy distribution of the strawberry, vanilla & neutral flavours is: protein 17%, fat 23%, carbohydrate 60% & fibre 0%. The energy distribution of the chocolate flavour is: protein 17%, fat 23%, carbohydrate 59% & fibre 1%. Fresubin Powder Extra contains milk protein & lactose but is free from gluten, egg, soya, nuts & wheat. All flavours except chocolate are also free from fibre. All flavours are Kosher & Halal approved.