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Ensure Two Cal is a food for special medical purposes for the diet regimen of patients at risk or already undergoing malnutrition, with very high nutritional requirements or restriction of liquids. Gluten-free. Complete and balanced nutritional food with high calorie density Fruit-Oligosaccharide Fiber (FOS): 1% (1.1 g/100 mL; 2 g/bottle) Food for special medical purposes: this product can be used as a sole nutritional source or as a supplement, under medical supervision Ready to use, shake well; once opened store covered in refrigerator and use within 24 hours