Renastart Oral Supplement for Pediatric Kidney Disease

Renastart is a powdered formula of whey protein, carbohydrate, fat, vitamins, and minerals, for a diet restricted in protein, calcium, chloride, potassium, phosphorus, and vitamin A. Use Under Medical Supervision.

Indications: For the dietary management of pediatric kidney disease. Suitable from 1 year of age.

Dosage and Administration: To be determined by the clinician or dietitian and is dependent on the age, body weight, and medical condition of the patient.

Preparation Guidelines

Renastart is typically mixed with water. Follow the preparation instructions given by your dietitian or clinician.

The standard dilution of approximately 30 kcal/fl oz or 1 kcal/ml is made by adding 1 level scoop of Renastart (7 g) to 30 ml of water (1 fl oz). Use the scoop provided in the can or a gram scale for the greatest accuracy.

• Wash your hands and clean surfaces, utensils, and the feeding container.
• Boil water and leave it to cool for no more than 30 minutes to ensure it remains at a temperature of at least 158°F (70°C).
• Measure out the required amount of water into the feed container. Do not use artificially softened water or repeatedly boiled water.
• Using the scoop provided, add the prescribed number of scoops of Renastart to the water, leveling off each scoop with the back of a clean, dry knife. Return the dry scoop to the Renastart can.
• Seal the feed container and shake well until the powder is dissolved. Test the temperature before feeding; the feed should feel warm or cool but not hot.
• Renastart is now ready to use.

Any prepared feed should be refrigerated and used within 24 hours. Re-shake before use.

Do not heat Renastart in a microwave, as uneven heating may occur and could cause a burn. Do not boil Renastart.

Ingredients

Classic: Dried Corn Syrup, Vegetable Oil (High Oleic Sunflower, Coconut, Canola, Sunflower), Whey Protein Concentrate (Milk), Mono- and Diglycerides, Magnesium Gluconate, M. Alpina Oil, Sodium Citrate, Choline Bitartrate, Maltodextrin, C. Cohnii Oil, L-Tyrosine, Sodium Caseinate, L-Phenylalanine, L-Valine, Calcium Phosphate, Dipotassium Phosphate, Sodium Ascorbate, L-Isoleucine, Calcium Chloride, L-Histidine, L-Threonine, L-Cystine, Taurine, L-Leucine, L-Tryptophan, Potassium Chloride, Inositol, L-Carnitine L-Tartrate, Zinc Gluconate, Calcium Citrate, Sodium Selenite, Ferrous Sulfate, Potassium Iodide, Tocopherols (Preservative), Vitamin D3, Ascorbyl Palmitate (Preservative), Niacinamide, Calcium Pantothenate, Copper Gluconate, Biotin, L-Methionine, Vitamin A Acetate, Chromium Chloride, Folic Acid, Pyridoxine Hydrochloride, Vitamin B12, Vitamin K1, Manganese Gluconate, Riboflavin, Thiamine Hydrochloride, Citric Acid, Sodium Molybdate. Contains: Milk.

• A source of Arachidonic Acid (ARA).
• A source of Docosahexaenoic Acid (DHA).

Renovated: Maltodextrin, Vegetable oil (high oleic sunflower, coconut, canola, sunflower), Whey protein concentrate (milk), and 2% or less of Soy lecithin, Magnesium chloride, M. alpina oil, Sodium citrate, Choline bitartrate, Schizochytrium sp oil, Calcium phosphate, Potassium hydroxide, Sodium ascorbate, Taurine, Inositol, L-carnitine, Magnesium oxide, Zinc sulfate, Sodium selenate, Ferrous sulfate, Potassium iodide, Tocopherols (preservative), Vitamin D3, Ascorbyl palmitate (preservative), Niacinamide, Calcium pantothenate, Copper sulfate, Biotin, Vitamin A acetate, Chromium chloride, Folic acid, Pyridoxine hydrochloride, Vitamin B12, Vitamin K1, Manganese sulfate, Riboflavin, Thiamine mononitrate, Citric acid, Sodium molybdate. Contains: Soy, Milk.

• A source of Arachidonic Acid (ARA).
• A source of Docosahexaenoic Acid (DHA).

At 30 kcal/fl oz or 1 kcal/mL:

Potential renal solute load: 125 mOsm/L(Classic), 122 mOsm/L(Renovated)

Osmolality: 230 mOsm/kg(Classic), 243 mOsm/kg(Renovated)

Storage: Store in a cool, dry place. Once opened, Renastart powder must be tightly sealed and consumed within 4 weeks.

Important Notice:

• Not for intravenous use.
• For enteral use only (orally or tube feeding).
• Not suitable for use as a sole source of nutrition.
• Must only be used under strict medical supervision.
• Regular monitoring of nutritional status and electrolyte levels is required.
• Vitaflo will discontinue its Renovated Renostart item (#812539025979). The classic Renastart formulation will be available for purchase (#812539021490).
• For California customers:
  •  The renovated version will remain the approved formula on the Medi-Cal Rx enteral nutrition list and can be purchased through 2026. No action is needed at this time to transition patients to the classic formulation.
  • Starting January 2027, California will then transition to the classic formulation.

• The product warranty is applicable as per the terms and conditions provided by the product manufacturer.

Please call us for specific details.

• No returns will be accepted after 30 days from the date of shipment.
• All returns are subject to a restocking fee as per manufacturers terms and conditions.
• All returns must have an RGA number (Returned Goods Authorization), unauthorized returns will not be accepted.
• We do not guarantee fulfillment of any desired purpose or product suitability to the user and this will not be considered as a valid reason for return.
• The products must be new, unused condition, not tampered with, in original packaging and returned at the customers expense in the original packaging.
• If your return is not due to any manufacturing defect then the original shipping cost will be deducted from the total refund.
• Hygiene, bath and toilet items cannot be returned once opened or used.
• Standard manufacturer terms and conditions apply for return policy of this product.

Please call us for specific details.

What is the Same?

• Both are powdered formulas for pediatric kidney disease management.
• Both are packaged as 6 x 400 g cans.
• Both use the same scoop (7 g).
• Both require use under medical supervision.

How to Tell Them Apart at a Glance?

• Vitaflo logo and band at the bottom
• Check for the B Corp logo
• Look for the place of manufacture
• Check allergens
• Powder color
• Product codes and item numbers

What do you need to do?

• If you are a prescriber:
  • Due to the minor nutritional changes, you should not need to change current formula prescriptions. However, you should consult with your healthcare provider to ensure current prescriptions continue to meet micronutrient needs.
  • If you use a formula calculator, please ensure the appropriate nutritional information for Renastart is added into the program.
  • Contact your healthcare provider with any additional questions