Nepro with Carb Steady, Homemade Vanilla, 425 calories per 8 ounce (237 mL) institutional carton. NEPRO WITH CARBSTEADY is therapeutic nutrition specifically designed to help meet the nutritional needs of patients on dialysis (Stage 5 chronic kidney disease). For tube or oral feeding. For supplemental or sole-source nutrition. Use under medical supervision. Nepro with Carb Steady, Homemade Vanilla, 8 oz. Institutional Carton - 1 Each