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This is a three-in-one parenteral nutrition formulation containing a fat emulsion (typically based on soybean oil), a mixture of essential and non-essential amino acids, and glucose. It is designed for intravenous administration to provide calories, essential fatty acids, amino acids (for protein synthesis), and carbohydrates to patients who cannot receive adequate nutrition orally or enterally. The product is typically supplied in multi-chamber bags that keep the components separate until use; before administration the contents are mixed. The mechanism of action is nutritional support—supplying substrates for energy production and tissue maintenance when oral or enteral feeding is not possible or insufficient. Indications include total parenteral nutrition in patients with gastrointestinal insufficiency or contraindications to oral/enteral feeding[3][4][5][7][8].
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