is an easily soluble supplementary food for a balanced energy enrichment of the diet with carbohydrates (maltodextrin) and fat:

high energy supply in the form of easily available carbohydrates and oils/fats with reduced osmotic effect - gluten free optimal fat composition regarding saturated, monounsaturated and polyunsaturated fatty acids with a ratio of approx. 1/3 each the ratio of linoleic acid : α-Linolenic acid (ω - 6 : ω - 3) = 5,4 : 1 is in accordance with latest recommendations for intake of dietary fat free from fructose, lactose, galactose and sucrose free from dietary fibre  strictly low in sodium, low in electrolytes odourless and almost tasteless, low sweetness stable during baking and cooking; no thickening or swelling properties easily soluble in beverages, cream, puddings, mueslis, cereals and in tube feeds  Definition and Indication Energy enriched diets - enhanced energy supply in the form of easily available carbohydrates and fat, e.g.: in pre- and post-operative situation to improve the nutritional status in short gut syndrom, cystic fibrosis or anorexia Carbohydrate substitution: in  cases of fructose-, lactose-, sucrose indigestion or intolerance in a low fibre diet, e.g. in case of acute inflammatory bowel disease Elemental diets, e.g. in disease related maldigestion and malabsorption conditions: Crohn's disease, colitis ulcerosa, celiac disease or short bowel syndrome post-operative nutrition, tumour cachexia or radiotherapy, HIV/Aids Liquid feeds and tube feeds: in disorders where normal food supply is too difficult, impossible or inefficient, such as post-operative nutrition, impaired digestive function Low protein and/or elektrolyte-defined  diets: for securing energy supply in order to avoid gluconeogenesis in patients with renal failure, phenylketonuria or urea cacle disorders low-potassium, energy-rich supplementary food in haemodialysis Dosage The daily amount of BiCal5 should be determined in a diet plan considering the individual energy- and fat requirements of the patient. Ideally the daily amount is distributed in several single portions.