For those with swallowing difficulties, refrigerate for nectar-like consistency (IDDSI level 2)22 grams of protein and 520 calories per cartonSome ingredients are natural, including milk and soy8.45-ounce carton --> Shop About Us Contact Us Reviews and Ratings Hormel Vital Cuisine 500 Shakes Oral Supplement Chocolate 8.45 oz Carton 27 Ct Hormel Vital Cuisine 500 Shakes | MFG #72502 Vital Cuisine 500 is a creamy delicious nutritional shake that will be a treat for those needing more calories or protein in their diet due to poor appetite or illness and who also have difficulty swallowing due to dysphagia or other cause. Hormel's chocolate Vital Cuisine 500 Shake has a "nectar consistency" (level 2 consistency as determined by the International Dysphagia Diet Standardisation Initiative). For those with swallowing difficulties, refrigerate for nectar-like consistency (IDDSI level 2)22 grams of protein and 520 calories per cartonSome ingredients are natural, including milk and soy8.45-ounce carton Color Size Material --> Product Count: 27 Packaging Count: 1 Total Quantity: 27 Product Specifications Hormel Food Sales Hormel Vital Cuisine 500 Shakes Oral Supplement