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IMPACT ADVANCED RECOVERY®

IMPACT ADVANCED RECOVERY®

IMPACT ADVANCED RECOVERY® Drink is a unique beverage specially formulated to support the body’s immune system after major surgery. IMPACT® formulas have been studied in dozens of clinical trials and thousands of patients, and have been shown to help promote better outcomes in patients undergoing major surgery. Ask your health care provider if IMPACT Advanced Recovery® Drink is right for you.

  • Only IMPACT® formulas contain a unique studied blend of L-arginine, omega-3 fatty acids and nucleotides*. Used perioperatively, this blend of immunonutrients helps support the immune system and reduces risk of postoperative infectious complications by 51% and prolonged hospital length of stay.1,2 These immunonutrients have been found most efficacious for use in major cancer surgery.3
  • Immune-modulating ingredients supported for perioperative use by the Critical Care Nutrition Guidelines.4**
  • Very high protein (37% of calories) and supplemented with L-arginine to support wound management.5,6
  • For best outcomes, recommend two cartons per day for five days prior to surgery and for at least five days following surgery.1
Download Product Information

Impact Advanced Recovery® Vanilla
kcal/mL 1.1
Caloric Distribution Protein (% of kcal)
 		Protein 37%
Carbohydrate 28%
Fat 35%
L-Arginine (g)
L-Glutamine (g)
Sodium (mEq) 12
Calcium (mEq) 19
Potassium (mEq) 15
Chloride (mEq) 17
NPC:N Ratio 34:1
MCT:LCT Ratio 16:84
n6:n3 Ratio 1.1:1
Free Water (%) 81
Dietary Nucleotides (g) 0.645*
EPA + DHA (g) 1.65
Source of Oil
Osmolality (mOsm/kg water) 704
Density (g/mL)
Renal Solute Load (mOsm/L)
mL to Meet 100% DRI
ARA (mg)
  • Pre-operative preparation and post-operative recovery from major elective surgery: Gastrointestinal cancer (esophageal, gastric, pancreatic, colonic), Bladder cancer, Gynecological cancer, Head and neck cancer, Non-small cell lung cancer, Cardiac, Hernia and Orthopedic.
  • Trauma patients
  • Burns
  • Wounds
  • Pressure injuries (Stages 2, 3, 4, unstageable)
  • Metabolic stress

Important Notes:

NOT FOR PARENTERAL USE
This product is intended for use under medical supervision.
Suitable for use in ages 14 and older.
Not indicated when immune suppression is desired.

  • Lactose intolerance*
  • Gluten-free
  • Kosher
  • Halal

Important Notes:

*Not for individuals with galactosemia

  • Calcium Caseinate (Milk)
  • Sodium Caseinate
  • L-arginine
  • Refined Fish Oil (Anchovy, Sardine)
  • Corn Oil
  • Medium Chain Triglycerides
  • Sugar
WATER, SUGAR, CALCIUM CASEINATE (MILK), SODIUM CASEINATE, L-ARGININE, REFINED FISH OIL (ANCHOVY, SARDINE), AND LESS THAN 2% OF CORN OIL, CITRIC ACID, MEDIUM CHAIN TRIGLYCERIDES, RNA SODIUM SALT, POTASSIUM CITRATE, POTASSIUM CHLORIDE, CALCIUM PHOSPHATE, CELLULOSE GEL AND GUM, MAGNESIUM PHOSPHATE, SALT, MAGNESIUM CHLORIDE, SODIUM ASCORBATE, CHOLINE CHLORIDE, NATURAL AND ARTIFICIAL FLAVOR, SUCRALOSE, CARRAGEENAN, ZINC SULFATE, FERROUS SULFATE, D-ALPHA TOCOPHEROL, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, CALCIUM PANTOTHENATE, COPPER GLUCONATE, MANGANESE SULFATE, PYRIDOXINE HYDROCHLORIDE, BETA-CAROTENE, RIBOFLAVIN, VITAMIN A PALMITATE, THIAMINE HYDROCHLORIDE, FOLIC ACID, POTASSIUM IODIDE, CHROMIUM CHLORIDE, SODIUM MOLYBDATE, SODIUM SELENITE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12

By Nature:
MILK

Impact Advanced Recovery® Vanilla 10 x 250 mL
HCPCS Code B4154
NDC-Format Number 43900-0229-10
Case UPC 00043900943114
Each UPC 00043900229102
Product Code 4390094311

Protein Source

  • Calcium Caseinate (Milk)
  • Sodium Caseinate
  • L-arginine

Fat Source

  • Refined Fish Oil (Anchovy, Sardine)
  • Corn Oil
  • Medium Chain Triglycerides

Carbohydrate Source

  • Sugar
  • Pre-operative preparation and post-operative recovery from major elective surgery: Gastrointestinal cancer (esophageal, gastric, pancreatic, colonic), Bladder cancer, Gynecological cancer, Head and neck cancer, Non-small cell lung cancer, Cardiac, Hernia and Orthopedic.
  • Trauma patients
  • Burns
  • Wounds
  • Pressure injuries (Stages 2, 3, 4, unstageable)
  • Metabolic stress

Important Notes:

NOT FOR PARENTERAL USE This product is intended for use under medical supervision. Suitable for use in ages 14 and older. Not indicated when immune suppression is desired.

  • Lactose intolerance*
  • Gluten-free
  • Kosher
  • Halal

Important Notes:

*Not for individuals with galactosemia

WATER, SUGAR, CALCIUM CASEINATE (MILK), SODIUM CASEINATE, L-ARGININE, REFINED FISH OIL (ANCHOVY, SARDINE), AND LESS THAN 2% OF CORN OIL, CITRIC ACID, MEDIUM CHAIN TRIGLYCERIDES, RNA SODIUM SALT, POTASSIUM CITRATE, POTASSIUM CHLORIDE, CALCIUM PHOSPHATE, CELLULOSE GEL AND GUM, MAGNESIUM PHOSPHATE, SALT, MAGNESIUM CHLORIDE, SODIUM ASCORBATE, CHOLINE CHLORIDE, NATURAL AND ARTIFICIAL FLAVOR, SUCRALOSE, CARRAGEENAN, ZINC SULFATE, FERROUS SULFATE, D-ALPHA TOCOPHEROL, DL-ALPHA TOCOPHERYL ACETATE, NIACINAMIDE, CALCIUM PANTOTHENATE, COPPER GLUCONATE, MANGANESE SULFATE, PYRIDOXINE HYDROCHLORIDE, BETA-CAROTENE, RIBOFLAVIN, VITAMIN A PALMITATE, THIAMINE HYDROCHLORIDE, FOLIC ACID, POTASSIUM IODIDE, CHROMIUM CHLORIDE, SODIUM MOLYBDATE, SODIUM SELENITE, VITAMIN K1, BIOTIN, VITAMIN D3, VITAMIN B12

By Nature: MILK

Impact Advanced Recovery® Vanilla 10 x 250 mL
HCPCS Code B4154
NDC-Format Number 43900-0229-10
Case UPC 00043900943114
Each UPC 00043900229102
Product Code 4390094311

Notes & Disclaimers for Key Benefits (Healthcare Professionals)

  • 1. Adiamah A, et al. Ann Surg. 2019;270(2):247-256.
  • 2. Drover JW, et al. JACS. 2011; 212:385-399.
  • 3. Yu K, et al. JPEN. 2020;44(5):742-767.
  • 4. McClave S, et al. JPEN. 2016;40(2):159-211.
  • 5. EPUAP, NPIAP & PPPIA. Emily Haesler (Ed.). Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide. 2019.
  • 6. Chow O & Barbul A. Adv Wound Care. 2014;3(1):46-53.
  • *From RNA salt containing purines and pyrimidines
  • **This statement does not constitute an endorsement of IMPACT Advanced Recovery® Drink or any other Nestlé HealthCare Nutrition product by SCCM or ASPEN