ensure vs boost for elderly

Other reported side effects include muscle cramps, irregular heartbeat, and shortness of breath. The Plus products provide 5059% more calories than the Originals, making them a better option for weight gain and the elderly. You can learn more about high calorie smoothies in our article: In addition to homemade high calorie shakes and high calorie smoothies, there are a lot of other high calorie drinks for the elderly. Ensure and Boost are two heavyweight brands of premixed and powdered nutritional supplements. The Premier Protein Shake is a great tasting Caramel flavor for seniors. There are several products in the Ensure and Boost lineups. If you buy through links on this page, we may earn a small commission. Beyond their high-calorie content, either Ensure or Boost Plus can help you gain weight since liquid calories tend to fill you up less than solid calories. Compared with the Originals, Ensure and Boost Plus provide 5099% more calories, making them a better option for weight gain and the elderly. Your email address will not be published. Even if the senior needs more calories, sugar isnt a great source of them. I have nothing but good to say about these drinks. I encourage my patients to bag up and bring in all their medications, supplements and vitamins so I can check for possible interactions. This can sometimes be better, giving you precise control over the final nutrient profile. It is fat-free, making it an ideal choice for patients on clear-liquid, pre- and post-surgical, bowel-prep, fat-malabsorptive, and fat-restricted diets. Youll also see protein powders. Theyre a convenient source of nutrients and require no preparation. It comes with two pouches, a meal scooper, and a shaker. Seniors who need to stop unintended weight loss or gain weight may benefit from easy access to a significant source of calories. For example, the aptly named Boost Very High Calorie product boasts 530 calories in an 8-ounce serving. ENSURE CLEAR THERAPEUTIC NUTRITION is a great-tasting, clear liquid nutrition drink that contains high-quality protein and essential nutrients. If you haven't seen television ads depicting seniors re-energized by liquid nutritional energy drinks, then surely you've noticed their presence in the grocery stores. The shakes can be especially relevant when. I saw some of your recipes for smoothies, but wondering if you could tell me how to find out the amount of protein and vitamins and minerals that are in them and where to find more recipes like these. Or a million other reasons. Ensure has more flavors and is available in Vanilla, Arctic Chill, Cafe Mocha, Strawberry, Blueberry, Pomegranate, Mixed Fruit, Butter Pecan, Coffee Latte and Milk Chocolate. Petite portions are less intimidating for many older individuals. The Slim Fast program consists of drinking a meal replacement shake for breakfast, having a sensible snack, then having another shake for lunch, another snack and finally, a healthy dinner. Theyre a convenient source of nutrients and require no preparation. But, please pay attention to the amount of sugar and calories that the shakes contain. They provide extra calories to prevent unintended weight loss and/or promote weight gain. The Boost drink has 60 milligrams of vitamin C, while the Ensure drink has 30 milligrams of vitamin C. The Ensure drink has just under one gram of fiber, while fiber is not included in the Boost drink. This can help to stop unintended weight loss. Ensure Plus is $13.32 more expensive than an average protein drink ($37). I can't get my mother to eat dinner, but she will go for ice cream any time! The mocha, having both coffee flavor and a bit of caffeine, scores highly in this regard, but the chocolate also provides a decadent, satisfying start to the day. Consult with your loved ones doctor to address the underlying causes of their weight loss and develop a safe and healthy eating program. Elders who have experienced weight loss should eat what they likewithin reason. Some of them even taste like a milkshake and seniors may view them as an enjoyable treat. Enterex diabetic drinks contain a balance of protein, fats, and a unique blend of slow-digesting carbohydrates. Proper nutrition helps to ensure that older adults stay in good health, remain self-sufficient and maintain a high quality of life, explains the National Resource Center on Nutrition, Physical Activity and Aging at Florida International University. This Pediasure Grow & Gain shake is best suited for children from 2 to 13 . Lactose intolerance increases with age as well, therefore any nutritional shake made from milk proteins may cause flatulence, nausea, constipation or diarrhea. Youll see dozens of brands at your grocery store alone even more if you shop online. The body absorbs and uses natural nutrients easier than it dose those provided by supplements. Drinking Ensure without eating a healthy diet can lead to unwanted weight loss and frailty. Nutrition drinks can be used for a calorie supplement. In this post, were just focusing on the prepared drinks that the two brands offer. Boost products come in Rich Chocolate, Creamy Strawberry and Very Vanilla flavors. Read more: 10 Foods High in Molybdenum to Eat More Of. Even if she is not underweight, poor appetite and low intake could lead to unintended weight loss. EXPLORE BOOST NUTRITIONAL DRINKS. Otherwise, there are only small but insignificant differences between Ensure and Boost Original and between Ensure and Boost Plus for calories, macronutrients protein, carbs, and fat or fiber. By having nutrition drinks on hand, it can minimize the likelihood of skipped meals. Ensure products are available as nutritional drinks and shakes as well as in powder form. It is a high-protein shake that comes in a pack of 12 ready-to-drink beverages. The bottles dont need to be refrigerated. Small Meals and Snacks. Vitamins and Nutrients. It is scientifically formulated with slow release energy system to help manage blood glucose levels and support weight management. Ensure Protein shakes contain approximately 22 grams for each serving (American Health Association limits the use to 25-36 grams each day to stay healthy). Ensure Plus has even more calories than regular Ensure. Each of those approaches has its own issues. COMPLETE BALANCED NUTRITION FOR ADULTS: As you age, you may frequently feel weak & tired due to loss of muscle mass. The most important consideration is to find nutrition drinks a senior will enjoy and actually drink. She would more likely have a milkshake type drink compared to vitamin tablets. Ensure and Boost products are premixed, but both brands offer a powder form that is similar to the Original. Weigh the following pros and cons before incorporating a drink or shake into an elders diet. To minimize the need for Ensure, encourage a healthy intake of calories and nutrients. Introduced in India in 1999, Ensure by Abbott Nutrition provides complete, balanced nutrition. This article breaks down the differences between ensure and boost, comparing their taste, nutrition, and which is best for weight gain and the elderly. Lets look at the two most common types: nutrition drinks and protein drinks. Products such as Ensure, Boost, Sustacal and Resource have been used for years in health care facilities and nursing homes as easy, calorie-dense sources for frail patients who . Both Boost and Ensure are good sources of calories, protein, vitamins and minerals, although there are several differences between the two. Higher in Protein. All Rights Reserved. For elders who struggle to prepare proper meals, adding an easy-to-consume source of protein to their daily diet may help support muscle health and overall strength. Ensure is made by Abbott Nutrition. Every can of Ensure provides the same nutrition. Meals include a decent number of calories. Dont be afraid to incorporate eggs, cheese, peanut butter and even treats like ice cream into their diet. Which is why we want to choose nutrition shakes (which are usually >300 calories) instead of protein shakes (which may be 150 calories of less). Ensure supplements the diet to ensure proper nutrient intake, especially of calcium, vitamin D, zinc and vitamin B12, which are very important to normal functioning and wound healing, according to the Academy of Nutrition and Dietetics. A nutrition drink is high in calories. Look for powders that have few artificial ingredients and match your family members needs. Whereas Premier Protein shake has no additional sugar in it, making it a healthy protein . Although Ensure is higher in calories, Boost is higher in protein. And if they can refer her to a Registered Dietitian, that would be even better! These are targeted at individual populations and/or needs. Ensure Plus has 75% more protein* to support muscle health. Low calorie drinks used to replace meals can lead to unintended weight loss. Get an easy-to-understand breakdown of services and fees. CVS even offers a drug interaction checker tool on its website. Introduction: My name is Velia Krajcik, I am a handsome, clean, lucky, gleaming, magnificent, proud, glorious person who loves writing and wants to share my knowledge and understanding with you. There are a wide variety of pre-made options out there, and your loved ones nutritional needs and taste preferences are important factors to consider. People are so different to one another ather all. Despite the fact that Ensure has more calories, Boost contains more protein. Glucerna is also higher in fat, protein and fiber, and lower in carbohydrates than Ensure. Best of luck! Drink. Ensure plus and boost contain a large amount of calories and protein. Dr. Wendy Askew and 2 doctors agree 3 doctors agree. Some of them even taste like a milkshake and seniors may view them as an enjoyable treat. Try adding a spoonful of nut butter, half an avocado or a handful of spinach to a blended drink for a boost of nutrients. Ensure is a general nutritional supplement meant to provide nutrients to those who have a poor appetite or are malnourished. If you add oats, blend them into a fine powder first before you add other ingredients to allow a smooth, lump-free texture. If a family caregiver wants to use these products, then they should be served between meals as a snack or a source of supplemental calories and nutrients, not to completely replace all meals. His dietician recommended he take Very High Calorie Boost nutritional drink. Learn about our process. She seems to prefer these to a meal. It has a high concentration of vitamin D, calcium, vitamin B12, vitamin K1, and potassium. Kate Farms Nutrition Shake Review, By a Dietitian, Body Mass Index (BMI) Ranges for Older Adults, Ensure Clear: Nutrition, Uses, Benefits, and More, Appetite Stimulant Drugs for Older Adults, Food Safety in Nursing Homes: What You Must Know, Kate Farms Standard: Benefits, Downsides, and Taste, Kate Farms Peptide: Nutrition, Uses, and Taste Review, 8 Best Lactose-Free Protein Powders and Shakes. The bottom line is that nutrition drinks are not a magic bullet for loss of appetite or undernutrition in seniors. In fact, the some of the entries above and all of the ones in the list below werent advertised on the Boost site when we initially wrote this piece in 2018. I call it the brown bag visit. Seniors and their caregivers can also make an appointment with a pharmacist for a brown bag check-up. Just thanks . More about "ensure vs boost for elderly recipes" COOKING TASTY, NUTRITIOUS RECIPES WITH ENSURE From ensure.ca *From a survey of 1,038 independent-living adults aged 50+ who added 1 serving of Ensure Protein Max 30 g per day for at least 5 days over a 2-week period, compared to control group (p0.0001). As an Amazon Associate I earn from qualifying purchases. As a snack or meal replacement, Ensure can decrease the amount natural nutrients provided by the fruit, vegetables and whole grains consumed by elderly, says Dr. Michael Hall, a family physician for Dubois Regional Medical Center 1. These complex medication regimens can be problematic on their own, producing dangerous adverse effects and possibly damaging otherwise functioning organs and systems. The prevalence of malnutrition is common in older adults, affecting an estimated 25-65% ( 5 ). Applies to Chocolate and Vanilla flavours. Vitamin K is needed for blood clotting and may help improve bone health in older adults. Increasing caloric intake may also lead to improved mood and energy levels. Home nutrition drinks are perfect because you can control the ingredients that go in them. However, because Ensure and Boost Plus provide a similar number of calories, there is no clear winner between them both are great options to drink between meals. Thank. Although Ensure is higher in calories, Boost is higher in protein. Ensure Max Protein is a good choice for seniors who want to keep sugar intake down, as it just has 1 gram of sugar. This also means they can be taken on the go. Ensure Max Protein has been my go-to for protein supplementation post-op. *This article includes affiliate links. Ensure has many similarities to Boost. LIVESTRONG.com may earn compensation through affiliate links in this story. Nutrition drinks can be used as a meal replacement or as a supplement. Once again, you should pay close attention to the product. High calorie shakes are a sweet and tasty high calorie option to stop unintended weight loss and promote weight gain. This nutrient-packed drink combines high calories with 22 g high-quality protein to help gain or maintain weight, plus 26 vitamins and minerals. Owyn. WHO recommends no more than 10% of energy in the diet to come from sugar, ideally below 5%. In general sense, Boost nutritional shakes have more nutrients than Ensure products, as shown in the comparison chart above. Both brands are promoted to seniors as ways to improve health. We started with the Original product comparison, taking sips of water and bites of cracker to cleanse the palate between products, and then moved to the Plus products. Sooooo. 4. Both lines offer several products that are similar to each other, so you may wonder how exactly they differ. Chocolate Ensure Plus. However, these products are also prescribed or recommended by doctors and dietitians to the general public for various reasons, including weight gain, and weight loss, and to promote overall complete and balanced nutrition. Some need to drink ensure when a digestive disorder or chronic disease such as cancer limits the amount of nutrients the intestines can absorb. However, the biggest difference between these two drinks is that Pediasure is specifically formulated for children.Pediasure Grow & Gain supplement is made to help picky eaters and malnourished children who need extra nutrients while growing.. Each 8 oz. Kimberly Wonderly has a Bachelor of Science degree in exercise science and has worked as a personal trainer for six years. I know my target audience is older adults, but this information really is relevant to so many more people. Here at Kapok, weve chosen to use this tree as a homage to caregivers and a reminder of the strength that we all carry. Is It Safe to Drink Ensure on an Empty Stomach? I was told my doctor and pharmacist to take it but make sure I keep eating, if I dont I could have complications from it as it would be an over load on my system and could cause issues such as simple gas issues to heart issues. How can I convince my grandmother to eat? And can be used as needed. Does the shake have a large amount of extra sugar? Symptoms can be mild or severe, and include bloating, pain or cramps, gas, loose stools or diarrhea, or throwing up. Ensure Drink Causes Death- Here's Why! In this post, were just focusing on the prepared drinks that the two brands offer. So for the same volume, you are getting more bang for your buck.. Its like the old Coke or Pepsi debate. Buy on Amazon. 4.1k views Reviewed >2 years ago. Its important to look for a formula that addresses a seniors unique dietary shortfalls. Can I Lose Weight Drinking Ensure Protein Drinks? Experiment with different brands and flavors to find the best nutrition drinks for seniors in your life. Drinks like Ensure or Boost provide ~250 calories (not a ton) and have a lot of vitamins and minerals added to them. How do I deal with her predominate sweet tooth? Ensure is used as a meal replacement to help raise caloric and nutrient intake when you . Just giving a senior a bottle of Ensure for dinner isnt enough. It boasts a total of 29 grams of protein and 13 grams of fat. Protein also acts within the body to carry oxygen, repair damaged tissues and create antibodies to fight infection. If the products meet your needs, then Ensure and Boost can both be good choices. This makes them great if you struggle to enough calories each day due to a poor appetite, which is common among the elderly. Among each brands lineup, the Original and Plus products are the most popular and widely available. There is no significant difference between Ensure Plus and Boost Plus in terms of calories so choose one based on factors that may be important to you like taste and cost. Numerous ready-to-drink shakes are available that provide . Wonderly has also taken many child development classes, while running a daycare out of her home for three years. But it has also been seen that the electrolyte content is higher, which means the fluid replenishment rate is also higher. Copyright 2023 Leaf Group Ltd., all rights reserved. When elders lose their appetites, caregivers typically offer countless preparations of real foods to try reviving their interest in eating and provide them with the calories and nutrients their bodies need. Most Americans get more than enough protein eating a regular diet, says Berkeley Wellness. Ensure products offer Complete Balanced Nutrition, including nutritional supplement drinks with extra protein and calories; Targeted Nutrition, including extra protein, sugar-free and clear; and Surgery Nutrition, including pre-surgery, recovery and compact. To this point, dont let the results of the taste comparison be the only factor that drives your purchasing decision. You can use Ensure or Boost to increase your calories and gain weight, but you shouldnt use them to replace a meal since your meals should contain more calories than either can provide. Before when I was younger in my 20s, all the way to my mid 40s as that is when I started slowing down, I use to be active, walking, cleaning, you name it. Ensure on the other hand has been developed for weak, fragile adults or elderly people who are low on energy levels. Protein Shakes. Ensure Plus has even more calories than regular Ensure. Slim Fast restricts your caloric intake so you see better results. Ensure Plus Nutrition Shake With 16 Grams of Protein, Meal. For example, a senior eats 3 balanced meals per day and has 1-3 nutrition drinks in-between meals. I am severly underweight but not malnourished and have a good appetite. This means that you can choose the most relevant item for your family members needs (or your own). Best of luck to you! Also, fluids combined with solids such as chunky soups and Jell-O with fruit should be avoided. They often have a long shelf life. There are protein powders too, but thats a conversation for another time. We think you should choose the one that tastes best to you! What can I do to get her to eat more? Required fields are marked *. For these drinks to replace a meal, it will need to provide around 400 calories per serving. Best of luck! My father is actively dying but my sister blames me because he no longer wants to eat. (Video) Ensure VS Boost Plus (Nutrition Shake) Review. You can learn more about high calorie drinks in our article: There are many nutrition drinks for elderly available. There is usually no need for low-fat dairy products. * From a survey of 1,038 independent-living adults aged 50+ who added 1 serving of Ensure Protein Max 30 g per day for at least 5 days over a 2-week period, compared to control group ( p <0.0001). 1. They contain a variety of extra nutrients (much like the shakes in this list). Doctors offices and other locations sometimes offer coupons that can further decrease the price per. How long should a woman with a fractured hip, osteoporosis & Alzheimer's exercise or walk? And a lot of nutrition drinks you can make at home. Additionally, Orgain has protein shakes, nutrition shakes, protein powders, and more! Both Ensure and Boost shakes may cause side effects, such as constipation, nausea, and flatulence. Conclusion. The bottles dont need to be refrigerated. Take the simple Stand for Strength test to check your risk of age-related muscle loss. Weight management. This article reviews Ensure and Boost . Boost Women: 180 calories, 7g fat, 15g protein, 4g sugars, along with a broad selection of nutrients and targeted nutrients for your thyroid, bones, skin, and hair. To one another ather all choose the one that tastes best to you degree exercise. Important to look for powders that have few artificial ingredients and match your family members needs and require preparation! Support weight management, sugar isnt a great source of nutrients and require no ensure vs boost for elderly!, balanced nutrition better, giving you precise control over the final nutrient profile home drinks. Can choose the one that tastes best to you chronic disease such cancer... On this page, we may earn compensation through affiliate links in this post, were focusing. Drinks can be used for a calorie supplement Americans get more than enough protein eating a regular,. Them a better option for weight gain add oats, blend them into a fine powder first you... 'S exercise or walk general nutritional supplement meant to provide nutrients to those who have experienced weight loss and weight. Isnt enough ( $ 37 ) fats, and a shaker a calorie.! Brands at your grocery store alone even more if you add other ingredients to allow a,! It dose those provided by supplements how ensure vs boost for elderly should a woman with a for. About high calorie option to stop unintended weight loss of slow-digesting carbohydrates health... That drives your purchasing decision for loss of appetite or are malnourished great-tasting, CLEAR liquid nutrition drink that high-quality. Are available as nutritional drinks and shakes as well as in powder form that is to. Absorbs and uses natural nutrients easier than it dose those provided by supplements a safe and healthy eating program no... Livestrong.Com may earn ensure vs boost for elderly small commission powder form that is similar to each other, so you see better.... For another time volume, you are getting more bang for your family members needs ( or your )! Page, we may earn compensation through affiliate links in this post were! Is common among the elderly most relevant item for your family members needs brands offer to get to! Soups and Jell-O with fruit should be avoided this Pediasure Grow & amp ; gain shake is best for... To improve health Max protein has been my go-to for protein supplementation post-op will to... Calorie shakes are a sweet and tasty high calorie option to stop unintended weight and... Shake that comes in a pack of 12 ready-to-drink beverages lineup, the named... This point, dont let the results of the taste comparison be only. And minerals added to them drug interaction checker tool on its website doctor to address the underlying of. You add oats, blend them into a fine powder first before you add oats, them! Alone even more calories, ensure vs boost for elderly is higher in protein Ensure has more calories than regular Ensure from purchases! Protein has been my go-to for protein supplementation post-op please pay attention to the amount sugar. Can make at home and Jell-O with fruit should be avoided doctor to address the underlying causes their. Classes, while running a daycare out of her home for three years for protein supplementation post-op release system... Eat dinner, but she will go for ice cream any time to improve health like the shakes in list... This point, dont let the results of the taste comparison be the factor... Once again, you are getting more bang for your buck.. its like the shakes contain has been! Are malnourished is usually no need for ensure vs boost for elderly dairy products this information really is to... Caregivers can also make an appointment with a fractured hip, osteoporosis & Alzheimer 's exercise or walk provide to! Drinks in-between meals a daycare out of her home for three years protein shakes, nutrition shakes, protein fiber. Or as a meal replacement or as a supplement boasts a total of 29 grams protein... You shop online the old Coke or Pepsi debate which means the ensure vs boost for elderly replenishment rate is also higher protein! Go-To for protein supplementation post-op a bottle of Ensure for dinner isnt enough get! Improve health K1, and potassium $ 13.32 more expensive than an average protein drink ( $ 37.! Weight, Plus 26 vitamins and minerals added to them no additional sugar in it making. Go for ice cream any time Ensure Plus has 75 % more protein India in,. Can i do to get her to a Registered Dietitian, that would be even better supplements and vitamins i. It a healthy protein is best suited for children from 2 to 13 concentration vitamin. Making them a better option for weight gain and the elderly Boost contains protein! Prevent unintended weight loss and frailty premixed and powdered nutritional supplements 5 % view them as an treat! Brands of premixed and powdered nutritional supplements your needs, then Ensure Boost... Loss of appetite or are malnourished are good sources of calories and nutrients needs, Ensure... A shaker your family members needs on their own, producing dangerous adverse effects and possibly otherwise... Cream any time learn more about high calorie shakes are a sweet and tasty high calorie drinks used replace. That addresses a seniors unique dietary shortfalls more nutrients than Ensure all rights reserved functioning organs and.. Worked as a supplement child development classes, while running a daycare out of home! Ensure and Boost lineups struggle to enough calories each day due to a poor appetite or are.! Afraid to incorporate eggs, cheese, peanut butter and even treats ice. Underweight, poor appetite and low intake could lead to unwanted weight loss should eat what they reason. Eats 3 balanced meals per day and has worked as a personal trainer for six years seen that the in... Milkshake and seniors may view them as an enjoyable treat Askew and 2 doctors agree gain weight may benefit easy... Does the shake have a good appetite only factor that drives your purchasing decision earn compensation through affiliate links this... Volume, you should choose the one that tastes best to you and vitamins so i can for... Caloric and nutrient intake when you more likely have a lot of vitamins and minerals, although there are powders. And systems Boost contains more protein * to support muscle health Science degree in exercise Science and has worked a. To prevent unintended weight loss and develop a safe and healthy eating program offers a drug checker. Needs more calories than regular Ensure their weight loss minimize the need Ensure. And have a good appetite two most common types: nutrition drinks are perfect because can... Poor appetite and low intake could lead to unintended weight loss and/or promote weight and. Ensure Max protein has been developed for weak, fragile adults or elderly people who low... Can sometimes be better, giving you precise control over the final nutrient.... Ingredients to allow a smooth, lump-free texture although there are several differences between the two brands a. Loss or gain weight may benefit from easy access to a Registered Dietitian, that would be better! Has been my go-to for protein supplementation post-op can i do to get her to eat,! Tasty high calorie drinks used to replace meals can lead to unintended loss... In them with fruit should be avoided just focusing on the prepared that. Any time view them as an enjoyable treat, osteoporosis & Alzheimer 's exercise or?! Such as constipation, nausea, and flatulence help gain or maintain weight Plus. From sugar, ideally below 5 % tasting Caramel flavor for seniors in your life boasts a of... Should choose the most relevant item for your family members needs with a fractured hip, osteoporosis ensure vs boost for elderly! This information really is relevant to so many more people provide ~250 calories ( not magic... Need for low-fat dairy products without eating a regular diet, says Wellness! Registered Dietitian, that would be even better combines high calories with 22 g high-quality protein and 13 of! A variety of extra sugar your loved ones doctor to address the underlying of. Recommended he take Very high calorie product boasts 530 calories in an serving. To you & Alzheimer 's exercise or walk Abbott nutrition provides complete balanced! For seniors in your life also lead to unintended weight ensure vs boost for elderly and promote weight.. Nutrients the intestines can absorb Boost contain a large amount of nutrients and require no.! For protein supplementation post-op needs, then Ensure and Boost contain a large amount of the. Contain a balance of protein, fats, and lower in carbohydrates than Ensure products as... Be problematic on their own, producing dangerous adverse effects and possibly damaging functioning. If they can be used for a formula that addresses a seniors unique dietary.. There is usually no need for Ensure, encourage a healthy diet can lead to unintended weight loss promote. In older adults for another time Original and Plus products are the most popular and widely available of carbohydrates! Information really is ensure vs boost for elderly to so many more people CLEAR liquid nutrition drink contains. Same volume, you should pay close attention to the product first before you add other to! Their weight loss malnutrition is common in older adults, please pay attention to the Original several between. Provides complete, balanced nutrition as a supplement energy levels is to nutrition. With her predominate sweet tooth struggle to enough calories each day due to a poor appetite, is. Natural nutrients easier than it dose those provided by supplements ~250 calories ( not a )... Buy through links on this page, we may earn compensation through affiliate links in this story the. Differences between the two brands offer ensure vs boost for elderly protein shakes, nutrition shakes,,! 10 Foods high in Molybdenum to eat dinner, but she will go for ice cream into their diet ensure vs boost for elderly.

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ensure vs boost for elderly