KetoCal 4:1® Powder

KetoCal 4:1 ® powder is a ketogenic powder formula made to help manage the medical ketogenic diet of individuals with refractory epilepsy and other epilepsy-related conditions.

Ask your Healthcare Professional if KetoCal® is Right for Your Child

KetoCal 4:1® powder is a ketogenic formula with a 4:1 ratio (fat: carbohydrate + protein), that has been designed for individuals over 1 year old.

KetoCal is recommended for the dietary management of intractable epilepsy and other epilepsy-related conditions.. These include super refractory status epilepticus (SRSE), Dravet syndrome, glucose transporter type 1 deficiency syndrome (Glut1), and pyruvate dehydrogenase deficiency (PDHD).

KetoCal 4:1 LQ must be approved by your child’s doctor or dietitian. Do not make changes to your diet or your child’s diet before speaking to a clinician.

Good to Know

  • 4:1 ratio
  • Nutritionally complete
  • Contains DHA and ARA
  • Multiple-fibre blend
  • Casein and whey protein blend
  • Vanilla flavoured
  • Powder, easy to mix with warm water
Product Code Product Packaging Calories Per Can
101777 6 x 300 g (11 oz) 2115
Per 100g
Energy, kcal (kJ) 705 (2950)
Protein, g 14.4
Carbohydrate, g 8.2
Fibre, g 5.3
Soluble, g 3.2
Insoluble, g 2.1
Fat g 69.2
Saturated, g 26.7
Trans, g 0
Monounsaturated, g 22.8
Polyunsaturated, g 19.7
Arachidonic Acid, mg 120
Docosahexaenoic Acid, mg 110
Vitamin A, IU (mcg RE) 1232 (370)
Vitamin D3, IU (mcg) 420 (10.5)
Vitamin E, IU (mg α TE) 15.9 (10.7)
Vitamin K, mg 0.031
Thiamine, mg 0.89
Riboflavin, mg 0.7
Vitamin B6, mg 0.7
Vitamin B12, mg 0.0013
Niacin, mg 4.9
Folic Acid, mg 0.116
Pantothenic Acid, mg 2.9
Biotin, mg 0.0191
Vitamin C, mg 40
Choline, mg 320
Inositol, mg 19.1
Calcium, mg 700
Phosphorus, mg 420
Magnesium, mg 96.3
Iron, mg 7
Zinc, mg 3.6
Manganese, mg 0.83
Copper, mg 0.5
Iodine, mg 0.0862
Molybdenum, mg 0.0287
Chromium, mg 0.0148
Selenium, mg 0.027
Sodium, mg 481
Potassium, mg 771
Chloride, mg 726
L-Carnitine, mg 45
Taurine, mg 33
Per 100 kcal
Energy, kcal (kJ) 100 (411)
Protein, g 2.0
Carbohydrate, g 1.2
Fibre, g 0.75
Soluble, g 0.45
Insoluble, g 0.3
Fat g 9.8
Saturated, g 3.8
+ Trans, g 0
Monounsaturated, g 3.2
Polyunsaturated, g 2.8
Arachidonic Acid, mg 17.0
Docosahexaenoic Acid, mg 15.6
Vitamin A, IU (mcg RE) 175 (52.5)
Vitamin D3, IU (mcg) 59.6 (1.5)
Vitamin E, IU (mg α-TE) 2.3 (1.5)
Vitamin K, mg 0.0044
Thiamine, mg 0.13
Riboflavin, mg 0.10
Vitamin B6, mg 0.10
Vitamin B12, mg 0.00018
Niacin, mg 0.70
Folic Acid, mg 0.0165
Pantothenic Acid, mg 0.41
Biotin, mg 0.0027
Vitamin C, mg 5.7
Choline, mg 45.5
Inositol, mg 2.7
Calcium, mg 99.3
Phosphorus, mg 59.6
Magnesium, mg 13.7
Iron, mg 0.99
Zinc, mg 0.51
Manganese, mg 0.12
Copper, mg 0.071
Iodine, mg 0.0122
Molybdenum, mg 0.0041
Chromium, mg 0.0021
Selenium, mg 0.0038
Sodium, mg 68.2
Potassium, mg 109
Chloride, mg 103
L-Carnitine, mg 6.4
Taurine, mg 4.7

Refined Vegetable Oils (Palm, Soy, High Oleic Sunflower), Casein (Milk), Soy Lecithin, Whey (Milk), Microcrystalline Cellulose, Chicory Root Inulin, Calcium Carbonate, Corn Syrup Solids, Fructooligosaccharide (FOS), Silicon Dioxide, Gum Arabic, Tripotassium Citrate, Potassium Chloride, Sodium Chloride, Calcium Phosphate Tribasic, High Amylose Corn Starch, Artificial Flavour (Vanilla), L-Arginine, L-Cystine, Choline Bitartrate, M. Alpina Oil*, C. Cohnii Oil**, Soy Fibre, L-Tryptophan, Magnesium Oxide, Sodium Caseinate (Milk), Sodium Ascorbate, L-Phenylalanine, Maltodextrin, L-Ascorbic Acid, L-Valine, L-Tyrosine, L-Carnitine, Taurine, Ferrous Sulfate, Mono- and Diglycerides, DL-alpha Tocopheryl Acetate, Sucralose§ ,M-Inositol, L-Histidine, Zinc Sulfate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Ascorbyl Palmitate, Mixed Tocopherols, Folic Acid, Potassium Iodide, Sodium Molybdate, Chromium Chloride, Sodium Selenite, Phylloquinone, D-Biotin, Cholecalciferol, Cyanocobalamin. Contains: Milk, Soy

*A source of Arachidonic Acid (ARA)
**A source of Docosahexaenoic Acid (DHA)
§ Contains sucralose 14.2 mg/100 mL

Your healthcare professional will determine the right amount of KetoCal to consume
based on age, weight, energy needs and medical condition.

Directions for Preparation and Use :

For Tube or Oral Feeding :

  1. Measure lukewarm water into a container with a lid. The recommended temperature of the water is 45°C – 50°C (113°F-122°F) for the powder to completely dissolve.
  2. To the warm water, add the prescribed amount of KetoCal 4:1®.
  3. Cover and shake or stir the mixture until full dissolution of the powder. KetoCal 4:1® is best served chilled for oral feeding.
  4. Prepared formula can be refrigerated for up to 24 hours. Once feeding has begun, use the mixture within one hour.

Recommended Precautions :

Once combined, KetoCal 4:1® may separate. Simply shake or stir the mixture before serving. If using a feeding tube, it should be flushed with warm water (37°C) before feeding. It is recommended to flush the tube with warm water between each feeding to avoid blockage.

It is advised not to use boiling water when preparing the formula. Do not boil or microwave formula.

Storage :
It is recommended to store KetoCal 4:1® in a cool and dry place away from sunlight.
Once opened, replace the lid and store in the same manner.
Do not store in the refrigerator. Use within one month of opening.

Is KetoCal® Reimbursed in My Province?

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Where to Buy KetoCal®

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We were recommended the ketogenic diet… Chloe has now been on the diet for 3 years and has been seizure-free ever since… it has exceeded all expectations.

Chloe’s mother

We started out slowly by using her formula mixed with KetoCal® 4:1 powder. Then we kept adding more KetoCal® while decreasing the other formula until she was getting all KetoCal… I started noticing a decrease in seizures.*


Approximately 10-15% of individuals will be symptom free, 1 in 3 will have 90% symptom improvement, and 50% will have at least a 50% improvement in symptoms. Individual results may vary.

*Individual results may vary.
**A patient’s story from the US

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KetoCal is indicated for the dietary management of refractory epilepsy and is intended for use under medical supervision. Talk to your healthcare provider to determine if KetoCal is right for you.

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