Are Pivot 1.5 and Jevity 1.5 the Same Product?
No, Pivot 1.5 and Jevity 1.5 are not the same enteral nutrition formula—they are distinct products manufactured by different companies with different nutritional compositions and intended uses.
Key Differences Between Products
Jevity 1.5 Characteristics
- Jevity 1.5 is a standard high-calorie polymeric enteral formula (1.5 kcal/mL) manufactured by Abbott Nutrition, containing intact whole proteins, fiber, and designed for patients requiring calorie-dense nutrition in fluid-restricted situations 1, 2.
- This formula is widely referenced in clinical guidelines as an example of a concentrated high-energy formula appropriate for patients with ascites or fluid restrictions 1, 2.
- Jevity formulations are lactose-free, gluten-free, and nutritionally complete, suitable as sole source nutrition 2, 3.
Pivot 1.5 Characteristics
- Pivot 1.5 is a specialized therapeutic enteral formula designed specifically for patients with inflammatory conditions, containing higher levels of anti-inflammatory nutrients and specialized protein blends.
- Unlike standard polymeric formulas like Jevity, Pivot contains disease-specific modifications intended to address metabolic derangements in inflammatory states 2.
Clinical Implications of the Difference
When to Use Standard Polymeric Formulas (Like Jevity 1.5)
- Standard polymeric formulas are recommended as first-line choice for the vast majority of patients with functioning gastrointestinal tracts, including those with inflammatory bowel disease 1, 2.
- High-energy concentrated formulations (1.5 kcal/mL) like Jevity 1.5 should be preferred in patients with ascites or fluid restrictions to support achievement of nutritional requirements 1.
- These formulas are appropriate for stroke patients, critically ill children, and post-transplant patients when standard caloric density is insufficient 1, 3.
When Disease-Specific Formulas Might Be Considered
- Disease-specific formulas lack strong evidence for superiority in most conditions and should only be used when specific indications exist 2.
- For inflammatory bowel disease specifically, ESPEN explicitly recommends standard polymeric formulas over specialized formulations, as no clear benefit of disease-specific formulas (including those enriched with omega-3 fatty acids, glutamine, or other modifications) has been demonstrated 1, 4.
Critical Pitfalls to Avoid
- Do not assume higher-cost specialized formulas are superior without evidence-based indications—standard polymeric formulas are appropriate for most patients and are more cost-effective 2.
- Never substitute one formula for another without verifying nutritional composition, as caloric density, protein content, fiber content, and micronutrient profiles may differ significantly between products 1, 2.
- When prescribing concentrated formulas (1.5 kcal/mL), ensure adequate free water is provided separately to prevent dehydration, particularly in patients with fluid restrictions 1.
Practical Recommendation
If a prescription specifies one product, do not automatically substitute the other—verify with the prescribing clinician whether the specific formula characteristics are required, or whether any standard 1.5 kcal/mL polymeric formula would be acceptable 2. For most patients requiring high-calorie enteral nutrition, standard polymeric formulas at 1.5 kcal/mL concentration (including Jevity 1.5) are the evidence-based first choice 1, 2.