Integrative Therapeutics Physicians Elemental Diet 36 scoops LARGE (1296 g)Integrative Therapeutics Physicians Elemental Diet for the management of Irritable bowel, Crohns disease, small intestinal bacterial overgrowth (SIBO) and moderate to severe impaired gastrointestinal function. Intended for use under medical supervision for the dietary management of patients with GI dysfunction. For patients who have limited or impaired capacity to digest, absorb, or metabolize ordinary foods and nutrients. Dosing by Caloric Need: