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Complex™ Essential MSD

Medical foods for the dietary management of Maple Syrup Urine Disease (MSUD) in children and adults, including pregnant women and woman of child-bearing age.



  • Free from isoleucine, leucine and valine
  • Vanilla flavor
  • Complete with essential vitamins and minerals
  • Low in saturated fat
  • 1.5 g of soluble fiber per serving
  • Provides 25 g of protein equivalent per 100 g of powder
  • Contains a 4:1 ratio of Omega-6 to Omega-3
  • Osmolalilty (mOsm/kg): 813 Based on standard dilution of 40 g powder to 7 fl oz water (210 mL)


  • Maple syrup urine disease (MSUD)



Nutrients Per 100g Powder Per 10 g Protein
Equivalent (1 scoop)
Calories 380 152
Protein Equivalent, g 25 10
Amino Acids, g 30 12
Isoleucine, mg 0 0
Leucine, mg 0 0
Valine, mg 0 0
Carbohydrate, g 47 19
Soluble Fiber, g 3.9 1.5
Fat, g 12 5
Saturated Fat, g 2.1 0.85
Monounsaturated Fat, g 6.8 2.7
Polyunsaturated Fat, g 2.6 1
Linoleic Acid, mg 1871 748
a-Linolenic Acid, mg 493 197
Amino Acids,g Per 100g Powder Per 10 g Protein
Equivalent (1 scoop)
L-Alanine 2.7 1.08
L-Arginine 1.28 0.51
L-Asparagine 1.45 0.58
L-Cystine 0.56 0.22
L-Glutamic Acid 0.86 0.35
L-Glutamine 7.17 2.87
Glycine 0.67 0.27
L-Histidine 1.79 0.71
L-Isoleucine 0 0
L-Leucine 0 0
L-Lysine 2.27 0.91
L-Methionine 0.74 0.3
L-Phenylalanine 2.2 0.88
L-Proline 1.48 0.59
L-Serine 1.12 0.45
L-Threonine 1.81 0.72
L-Tryptophan 1.33 0.53
L-Tyrosine 2.2 0.88
L-Valine 0 0
L-Carnitine 0.06 0.02
Taurine 0.14 0.06
Nutrients Per 100g Powder Per 10 g Protein
Equivalent (1 scoop)
Vitamin A, IU (mcg R.E.)
(25% as beta-carotene)
1700(637) 680(225)
Vitamin D, IU (mcg) 600(15) 240(6)
Vitamin E, IU (mg a T.E.) 18.4(12.3) 7.3(4.9)
Vitamin K, mcg 50 20
Thiamine, mg 1.5 0.6
Riboflavin, mg 1.5 0.6
Vitamin B6, mg 1.3 0.52
Vitamin B12, mcg 2 0.8
Niacin, mg 12 4.8
Folic Acid, mcg 250 100
Pantothenic Acid, mg 5.5 2.2
Biotin, mcg 30 12
Vitamin C, mg 60 24
Choline, mg 100 40
Inositol, mg 40 16
Minerals Per 100g Powder Per 10 g Protein
Equivalent (1 scoop)
Calcium, mg 886 355
Phosphorus, mg 864 346
Magnesium, mg 200 80
Iron, mg 13 5
Zinc, mg 12 4.8
Manganese, mg 1.5 0.6
Copper, mg 1 0.4
Iodine, mcg 120 48
Molybdenum, mcg 75 30
Chromium, mcg 40 16.1
Selenium, mcg 100 40
Sodium, mg 600 240
Potassium, mg 1301 520
Chloride, mg 860 344


Sugar, L- Glutamine, Modified Food Starch, Dextrin, Canola Oil, Maltodextrin, Safflower Oil, L-Lysine Acetate, L-Alanine, Natural and Artificial Flavor, Tricalcium Phosphate, Potassium Citrate, L-Phenylalanine, L-Tyrosine, L-Threonine, L-Histidine, L-Asparagine Monohydrate, Magnesium Phosphate, Sodium Chloride, L-Proline, Dipotassium Phosphate, L-Tryptophan, L-Arginine, L-Serine, Coconut Oil, Soybean Oil, L-Glutamic Acid, L-Methionine, Glycine, L-Cystine, Flaxseed Oil, Titanium Dioxide, Choline Bitartrate, Ascorbyl Palmitate, Mixed Tocopherols, Rosemary Extract, Sodium Citrate, Taurine, Ascorbic Acid, L-Carnitine, Ferrous Sulfate, Inositol, Vitamin E Acetate, Zinc Sulfate, Calcium Phosphate, Niacinamide, Copper Gluconate, D-Calcium Pantothenate, Vitamin D3, Vitamin A Palmitate, Vitamin K1, Manganese Sulfate, Mono and Diglycerides, D-Biotin, Beta-carotene, Chromium Chloride, Sodium Selenite, Pyridoxine Hydrochloride, Riboflavin, Potassium Iodide, Thiamine Mononitrate, Folic Acid, Sodium Molybdate and Vitamin B12.

Preparation & Storage

Medical food for the dietary management of maple syrup urine disease (MSUD) in toddlers, children, teens and adults, including pregnant women and woman of child-bearing age.

Use only under the direction of a physician or dietitian. Complex MSD Essential must be consumed in conjunction with natural protein, fluid and other nutrients in quantities prescribed by a physician or dietitian to meet total protein and general nutrient requirements. Fat, carbohydrate and low protein sources may be used to supply needed calories and to fulfill essential fatty acid requirements.

The recommended intake of Complex MSD Essential will vary depending on the age, body weight and medical condition of the individual. Intake is adjusted to maintain normal growth and development. The daily intake of Complex MSD Essential should be divided into equal portions and distributed throughout the day.

Mixing Instructions
Add prescribed amount of Complex MSD Essential to recommended amount of cold water, shake or stir until completely mixed together. For better accuracy, powder should be weighed on a gram scale. Dilution may be adjusted to taste. Once prepared, store formula in a refrigerator for no more than 24 hours from the time of preparation. Shake or stir prepared formula immediately before use. Do not heat, bake or add to food or beverages above 130°F. Best served chilled. Additional fluids should be offered at the same time.

Recommended Dilution
Complex MSD Essential - Add contents of 1 scoop or pouch (40g) to approx. 7 fl oz (210 mL) of cold water.

Must be consumed by individuals with proven maple syrup urine disease (MSUD) while under strict medical supervision. Not intended for infants. Not intended as the sole source of nutrition. Not for parenteral use.

Store unopened can at room temperature. Do not store at extreme temperatures. Once opened, reseal can and store in a cool, dry place (not in refrigerator) and use within one month of opening.

Ordering Information

Product Code
Reimbursement Code
Product Packaging
Calories Per Unit



B4157 or B4162 4 x 454 g (1 lb) 1725