Medical food
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Medical foods are foods that are specially formulated and intended for the dietary management of a disease that has distinctive nutritional needs that cannot be met by normal diet alone. In the United States they were defined in the
Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a List of United States federal agencies, federal agency of the United States Department of Health and Human Services, Department of Health and Human Services. The FDA is respon ...
's 1988 Orphan Drug Act Amendments and are subject to the general food and safety labeling requirements of the Federal Food, Drug, and Cosmetic Act. In Europe the
European Food Safety Authority The European Food Safety Authority (EFSA) is the agency of the European Union (EU) that provides independent scientific advice and communicates on existing and emerging risks associated with the food chain. EFSA was established in February 2002, ...
established definitions for "foods for special medical purposes" (FSMPs) in 2015.


Definition

Medical foods, called "food for special medical purposes" in Europe, are distinct from the broader category of foods for special dietary use, from traditional foods that bear a health claim, and from dietary supplements. In order to be considered a medical food the product must, at a minimum: * be a food for oral ingestion or tube feeding ( nasogastric tube) * be labeled for the dietary management of a specific medical disorder, disease or condition for which there are distinctive nutritional requirements, and * be intended to be used under medical supervision. Medical foods can be classified into the following categories: * Nutritionally complete formulas * Nutritionally incomplete formulas * Formulas for metabolic disorders * Oral rehydration products


Regulation

Medical foods are regulated by the
US Food and Drug Administration The United States Food and Drug Administration (FDA or US FDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food ...
under the Food Drug and Cosmetic Act regulations. 21 CFR 101.9(j) (8). The term ''medical food'', as defined in section 5(b) of the
Orphan Drug Act The Orphan Drug Act of 1983 is a law passed in the United States to facilitate development of orphan drugs—drugs for rare diseases such as Huntington's disease, myoclonus, ALS Amyotrophic lateral sclerosis (ALS), also known as motor neu ...
(21 U.S.C. 360ee (b) (3)) is "a food which is formulated to be consumed or administered enterally under the supervision of a physician and which is intended for the specific dietary management of a disease or condition for which distinctive nutritional requirements, based on recognized scientific principles, are established by medical evaluation." Medical foods are not required to undergo premarket review or approval by FDA. Additionally, they are exempted from the labeling requirements for health claims and nutrient content claims under the Nutrition Labeling and Education Act of 1990. In 2016 the FDA published an update: Guidance for Industry: Frequently Asked Questions About Medical Foods; Second Edition. Definitions and labeling requirements are included.


See also

*
Clinical nutrition Clinical nutrition centers on the prevention, diagnosis, and management of nutritional changes in patients linked to chronic diseases and conditions primarily in health care. Clinical in this sense refers to the management of patients, including no ...
*
Parenteral nutrition Parenteral nutrition (PN) is the feeding of nutritional products to a person intravenously, bypassing the usual process of eating and digestion. The products are made by pharmaceutical compounding companies. The person receives a nutritional mi ...
* Nutraceutical *
Lipid emulsion Lipid emulsion or fat emulsion refers to an emulsion of lipid for human Parenteral nutrition, intravenous use, especially catering critically-ill patients that cannot consume food and administer their required nutrients enterally. It is often refer ...
*
Fad diets A fad diet is a diet that becomes popular for a short time, similar to fads in fashion, without being a standard dietary recommendation, and often making unreasonable claims for fast weight loss or health improvements. There is no single defi ...


References


External links

* FDA Presentation dated March 2012 o
Regulation of Medical Foods
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