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CONFIDENTIAL<br />

Regulatory Affairs &<br />

Nutrition Communication – AJ/Se<br />

28 May 2008<br />

Page 5 of 16<br />

(250ml) and biscuits (140g) for breakfast after overnight fasting, followed by hourly<br />

collection of the ileostoma bags over an 8-hour period. On average, 96% (drinks) or 99%<br />

(drinks + biscuits) of the 50g isomaltulose intake was digested (hydrolysed), and 94%<br />

(drinks) or 96% (drinks + biscuits) was absorbed in the small intestine. There was no<br />

significant effect of the food type. This study confirms that isomaltulose is a fully digestible<br />

carbohydrate.<br />

Its gastrointestinal tolerance is similar to sucrose<br />

While low-digestible carbohydrates are known to have the potential to cause<br />

gastrointestinal discomfort as they are osmotically active and fermented in the large<br />

intestine to short chain fatty acids and gases, isomaltulose shows a slow but virtually<br />

complete absorption and is therefore tolerated well, similar to sucrose.<br />

In conclusion, the totality of in vitro and in vivo data shows that isomaltulose is a<br />

well tolerated carbohydrate that is absorbed slowly but virtually completely in form<br />

of glucose and fructose.

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