KetoCal 4:1® LQ Unflavoured

KetoCal 4:1® LQ (liquid) is a nutritionally complete ready-to-feed ketogenic formula made for children over 1 year of age and adults. It is designed for the dietary management of intractable epilepsy and epilepsy-related conditions where a medical ketogenic diet is required.

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

KetoCal 4:1 LQ unflavoured is a ketogenic formula with a 4:1 ratio (fat: carbohydrate + protein). KetoCal 4:1 LQ is intended for individuals over 1 year of age.

KetoCal is indicated for the dietary management of intractable epilepsy and 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 child’s diet before speaking to a healthcare professional.

Good to Know

  • 4:1 ketogenic ratio
  • Vanilla and unflavoured
  • Ready-to-feed: open and drink, or pour into a feeding tube.
  • Contains DHA and ARA
  • Multi-fibre blend
  • Casein and whey protein blend
  • Nutritionally complete
Product Code Product Packaging Calories Per Carton
113357 – Unflavoured 27 x 237 mL (8 fl oz) 356
Per 100mL
Energy, kcal (kJ) 150 (620)
Protein, g 3.09
Carbohydrate, g 1.73
Dietary Fibre, g 1.12
Soluble, g 0.56
Insoluble, g 0.56
Fat g 14.8
Saturated, g 2.2
+ Trans, g 0
Monounsaturated, g 8.3
Polyunsaturated, g 3.7
Arachidonic Acid, mg 55.0
Docosahexaenoic Acid, mg 55.0
Vitamin A, IU (mcg RE) 264 (79.2)
Vitamin D3, IU (mcg) 92.0 (2.3)
Vitamin E, IU (mg α-TE) 2.3 (1.5)
Vitamin K, mg 0.0056
Thiamine, mg 0.15
Riboflavin, mg 0.15
Vitamin B6, mg 0.15
Vitamin B12, mg 0.00017
Niacin, mg 1.5
Folic Acid, mg 0.0287
Pantothenic Acid, mg 0.62
Biotin, mg 0.0041
Vitamin C, mg 9.3
Choline, mg 51.5
Inositol, mg 4.1
Calcium, mg 88.4
Phosphorus, mg 88.4
Magnesium, mg 22.7
Iron, mg 1.5
Zinc, mg 1.2
Manganese, mg 0.18
Copper, mg 0.12
Iodine, mg 0.0185
Molybdenum, mg 0.0062
Chromium, mg 0.0032
Selenium, mg 0.0071
Sodium, mg 103
Potassium, mg 165
Chloride, mg 155
Carnitine, mg 8.3
Taurine, mg 6.3
By Carton (237 mL)
Energy, kcal (kJ) 356 (1469)
Protein, g 7.32
Carbohydrate, g 4.1
Dietary Fibre, g 2.65
Soluble, g 1.33
Insoluble, g 1.33
Fat g 35.1
Saturated, g 5.2
+ Trans, g 0
Monounsaturated, g 19.7
Polyunsaturated, g 8.8
Arachidonic Acid, mg 131
Docosahexaenoic Acid, mg 131
Vitamin A, IU (mcg RE) 626 (188)
Vitamin D3, IU (mcg) 220 (5.5)
Vitamin E, IU (mg α-TE) 5.5 (3.6)
Vitamin K, mg 0.0132
Thiamine, mg 0.36
Riboflavin, mg 0.36
Vitamin B6, mg 0.36
Vitamin B12, mg 0.0004
Niacin, mg 3.6
Folic Acid, mg 0.068
Pantothenic Acid, mg 1.5
Biotin, mg 0.0097
Vitamin C, mg 22.0
Choline, mg 122
Inositol, mg 9.7
Calcium, mg 210
Phosphorus, mg 210
Magnesium, mg 53.8
Iron, mg 3.6
Zinc, mg 2.8
Manganese, mg 0.427
Copper, mg 0.284
Iodine, mg 0.0438
Molybdenum, mg 0.0147
Chromium, mg 0.0076
Selenium, mg 0.0168
Sodium, mg 244
Potassium, mg 391
Chloride, mg 367
Carnitine, mg 19.7
Taurine, mg 14.9

Water, Refined Vegetable Oil (High Oleic Sunflower, Soy, Palm), Sodium Caseinate (Milk), Whey Protein Concentrate (Milk), Soy Fibre, Sugar, Corn Starch, Chicory Root Inulin, Citric Acid Esters of Mono- and Diglycerides, Dipotassium Phosphate, Gum Arabic, Calcium Chloride, Mortierella Alpina Oil*, Magnesium Acetate, Potassium Chloride, Crypthecodinium Cohnii Oil**, Microcrystalline Cellulose, Fructooligosaccharides (FOS), L-Ascorbic Acid, Calcium Phosphate Monobasic, Mono- and Diglycerides, Trisodium Citrate, Sodium Hydroxide, Choline Chloride, L-Cystine, Calcium Phosphate Dibasic, Propylene Glycol Alginate, Ferrous Lactate, L-Carnitine, Taurine, M-Inositol, L-Tryptophan, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Soy Lecithin, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Ascorbyl Palmitate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Mixed Tocopherols, DL-Alpha Tocopherol, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Selenite, Sodium Molybdate, Phylloquinone, D-Biotin, Cholecalciferol, Cyanocobalamin.
Contains: Milk, Soy.
*A source of Arachidonic Acid (ARA)
**A source of Docosahexaenoic Acid (DHA)

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


  1. Shake the carton vigorously for about 5 seconds before opening.
  2. For oral feeding, best served chilled and consumed immediately.
  3. For tube feeding: Nutricia recommends formula can be safely kept at room temperature for up to 4 hours, at which time unused formula should be discarded. It is recommended that the tube is flushed with lukewarm water (approximately 37°C or 98°F) between each feed.
  4. Do not boil or microwave formula. Do not freeze.


Always store KetoCal 4:1® LQ in a cool and dry location, away from direct sunlight.
Recommended storage between 4°C-25°C (39°F-77°F).
Once opened, use the formula immediately or store in the refrigerator and use within 24 hours. Immediately before feeding, shake or stir.

Is KetoCal® Reimbursed in My Province?

Find out if KetoCal® can be reimbursed in your province.

Where to Buy KetoCal®

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We travel often, and KetoCal 4:1 LQ is easy to pack and take anywhere! Coco has been on the ketogenic diet for 6 years now, and KetoCal has been an invaluable aide every step of the way.*

Shelly**, Coco’s mom

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

My dietitian helped me obtain the KetoCal 4:1 LQ formula to reduce the stress of meal planning since I was attending work, school, and the swim team. For the first time since my seizures began, I went two months seizure-free.*


*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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