Vital High Protein 8 fluid ounce carton, 237 calories per carton. VITAL HIGH PROTEIN is peptide-based therapeutic nutrition to help manage inflammation and symptoms of GI intolerance in patients requiring a low-fat, high-protein diet. For tube or oral feeding. For supplemental or sole-source nutrition. Use under medical supervision. Gluten-free. Fiber-free. Suitable for lactose intolerance.