Suplena 1.8 with Carb Steady is a therapeutic nutrition supplement that is specifically designed for those with chronic kidney disease (stages 3 & 4). Suplena Drink can help people with this disease maintain their nutritional status while adhering to their renal diets. The Carb Steady is a carbohydrate blend designed to help manage blood glucose response. Suplena is high in calories, low in protein, phosphorous, potassium and sodium, and it is a good source of fiber. Kosher, Halal, gluten-free, low-residue, and suitable for lactose intolerance. Can be used as a supplement or sole-source nutrition. Homemade Vanilla flavor.