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In 2013, HMR became a subsidiary of Merck & Co., Inc. and was part of Merck's Healthcare Services & Solutions, a separate entity from the pharmaceutical business, which focuses on improving the healthcare experience for patients, providers, and payers. [2] In January 2020, HMR was acquired by Providence St. Joseph Health. [3] [4]
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Meal replacement products can be regulated as conventional or functional foods. [4] In Canada, meal replacements are regulated by the Canadian Food Inspection Agency and must meet minimum calorie, protein and vitamin requirements, causing some American products to be rejected. [5] [6]
Ensure is an American brand of nutritional supplements and meal replacements manufactured by Abbott Laboratories.. A 237-ml (8-fl oz) bottle of Ensure Original contains 220 calories, six grams of fat, 15 grams of sugar, and nine grams of protein.
The Dietary Approaches to Stop Hypertension or the DASH diet is a diet to control hypertension promoted by the U.S.-based National Heart, Lung, and Blood Institute, part of the National Institutes of Health (NIH), an agency of the United States Department of Health and Human Services.
The routine use of VLCDs is not recommended due to safety concerns, but this approach can be used under medical supervision if there is a clinical rationale for rapid weight loss in obese individuals, as part of a "multi-component weight management strategy" with continuous support and for a maximum of 12 weeks, according to the NICE 2014 guidelines. [12]