The science of better fat absorption.

Encala® helps patients absorb more calories, essential fatty acids, and fat-soluble vitamins.

About Encala


Why Clinicians Choose It

Encala isn’t a generic fat supplement. It’s a structured lipid technology, engineered to help people with cystic fibrosis and many other GI and liver malabsorption conditions absorb calories and nutrients more completely.

Encala provides calories in two ways

The powder itself boosts absorption of the whole meal, without relying on lipase or bile acids.

Unlocks more from every meal

Helps the body pull more fat and fat-soluble vitamins (A, D, E, K) from the food it’s mixed into, not just its own calories.

Closes common nutrient gaps

Delivers linoleic acid, alpha-linolenic acid, and choline, nutrients that patients with fat malabsorption often lack in their diet.

Technology backed by real clinical evidence

Supported by a 12-month, NIH-funded, randomized, double-blind, placebo-controlled trial.

Clean, simple, and easy to use

A taste-neutral formulation that’s plant-based, vegan, gluten-free, non-GMO, and dairy-free.

Insurance Reimbursement

May be reimbursed under CMS/HCPCS code S9432 or other programs.

Encala is flavor-neutral and mixes into meals, snacks, and beverages. Based entirely on personal food choices and variety, it is well-suited for long-term nutritional support.

Who It’s For

Encala is a medical food for the dietary management of fat malabsorption. Our lipid technology was  developed for and clinically studied in people with cystic fibrosis, and is used today across a range of conditions where fat absorption is compromised, including:

Exocrine pancreatic insufficiency (EPI):

  • Cystic fibrosis
  • Recurrent acute and chronic pancreatitis
  • Pancreatic cancer or resection
  • Protein energy malnutrition
  • Rare diseases: Shwachman-Diamond, Johanson-Blizzard, Pearson’s pancreas/marrow syndromes
  • Isolated enzyme deficiency: lipase, lipase/colipase

Non-pancreatic fat malabsorption:

  • Liver and bile-acid disorders (cholestasis, cirrhosis, pre-transplant)
  • Inflammatory bowel disease
  • Short bowel syndrome
  • Chronic motility disorders

Disease-related weight loss and growth faltering:

  • Cancer treatment malnutrition 
  • Transplant care: pre- and post-transplant
  • Growth faltering in infants, children, and adolescents
  • Frail elderly

The Science Behind It

Most fat malabsorption treatments still rely on the body’s own lipase and bile acids to break down and absorb fat, which is exactly what’s missing or reduced in many of the patients who need Encala most.

Encala works differently. Its structured lipid technology combines three components (lysophosphatidylcholine, or LPC; long-chain essential fatty acids; and monoglycerides) into a micelle-like structure that the gut can absorb directly, without needing lipase digestion or bile acids.

Encala Structured Lipid Micelle Mechanism

Diagram of the Encala structured lipid matrix: lysophosphatidylcholine, long-chain essential fatty acids, and monoglycerides form a micelle-like structure that the gut absorbs directly, without lipase or bile acids.

Micelle-like structure enables efficient absorption without lipase digestion or bile acids for micelles and absorption

That absorption doesn’t stop with Encala’s own calories. Once absorbed, the LPC is recycled back into the gut via a membrane transporter, where it also helps the body absorb fat from the rest of the meal.

In a 12-month, NIH-funded, randomized, double-blind, placebo-controlled trial, this translated into measurably improved fat absorption, weight, height, and essential fatty acid status, not just from the structured lipid’s contribution but from the diet as a whole.

Side view of an Encala jar showing the nutrition information and ingredients label.

What’s in a Serving

One serving is 2 Encala scoops (18.4 g). Most people begin with one or two scoops per day, mixed into a favorite food or beverage for a meal or snack, and increase gradually under their care team’s guidance.

100

Calories per 18.4 g serving

220mg

Choline, 40% daily value

6g

Total fat, 3.5 g polyunsaturated and 1.5 g monounsaturated

15

Servings per container
Plant-based Vegan Gluten-free Non-gmo Dairy-Free

Ingredients: tapioca maltodextrin, monoglycerides, soybean lecithin, oleic acid and linolenic acid, calcium chloride, water. Made without milk, egg, fish, crustacean, tree nuts, peanut, wheat, and sesame.


Guidelines for Use

– Encala powder is mixed into food and drinks or delivered through a feeding tube, making it adaptable to the patient’s nutritional needs.
– Getting started is simple: start low and grow!

How it Works


Backed by Clinical Research


Outcomes

A 12-month, NIH-funded, randomized, double-blind, placebo-controlled trial in 110 children and adolescents with cystic fibrosis and exocrine pancreatic insufficiency demonstrated that:

Our structured lipid significantly improves fat absorption. In patients with the greatest need, the coefficient of fat absorption (CFA) improved significantly.

Patients with Greatest Need

Coefficient of fat absorption improved in patients with the greatest baseline need.

Supports real catch-up growth. In just three months, treated patients showed meaningful gains in BMI-for-age, weight-for-age, and height-for-age Z-scores, a change researchers describe as clinically significant for a population that often struggles to grow.

Change in Height, Weight, and BMI at 3 months 

Change in BMI-for-age, weight-for-age, and height-for-age Z-scores at three months.

Essential fatty acid levels increased. Plasma linoleic acid and alpha-linolenic acid both increased from baseline to three months.

Improved Essential Fatty Acid Status

Plasma EFA improved from baseline to three months

Plasma linoleic acid and alpha-linolenic acid increased from baseline to three months.

Rich in easily absorbable EFA

Encala's linoleic and alpha-linolenic acid content at one, two, and three doses, compared with Dietary Reference Intakes.

How Encala Was Developed

In 1996, Virginia A. (Ginanne) Stallings, MD, began collaborating with the inspired biochemist David Yesair, PhD, inventor of the structured lipid approach behind Encala, and lipid researcher and manufacturer Walter Shaw, PhD. Backed by over $7 million in NIH funding, they designed and ran the seminal clinical trial in 110 participants with cystic fibrosis, which showed participants absorbed more food, gained weight, grew taller, and improved their essential fatty acid and fat-soluble vitamin levels.

Encala, originally from Envara Health Inc., is now provided by Structured Lipid Nutrition (SLN) in partnership with Solace Nutrition (www.solacenutrition.com).  Encala is available for patient care in the US and Argentina. Additional medical nutrition products are in development. The methods behind Encala are the subject of Structured Lipid Nutrition pending patent applications in the US and Canada. Two studies using Encala as the nutrition intervention are underway: one in adults with pancreatic cancer, funded by the Department of Defense, and one in children with severe cerebral palsy and malnutrition who require gastrostomy tube feeding.

Dr. Stallings is Professor of Pediatrics at the University of Pennsylvania Perelman School of Medicine and Director of the Nutrition Center at Children’s Hospital of Philadelphia, where she holds the Jean A. Cortner Endowed Chair in Gastroenterology and Nutrition. She is an elected Fellow of the National Academy of Medicine and has chaired its committees on dietary reference intakes, school nutrition, and food allergy. She has authored more than 300 scientific papers.

Portrait of Dr. Virginia Stallings smiling in a yellow jacket.
  • Over many years, I have worked to translate the excellent efficacy and safety findings of the unique structured lipid compound from our NIH SBIR CF Clinical Trial into a medical food now broadly available for people with disease-related malnutrition and malabsorption.

Publications

Peer-reviewed research on Encala and structured lipid technology:


2

2023

Tindall AM, Mascarenhas MR, Maqbool A, Stallings VA
Lysophosphatidylcholine-rich nutrition therapy increased gut absorption of coingested dietary fat: a randomized controlled trial. Curr Dev Nutr. 2023;7(9):101985.


3

2020

Stallings VA, Tindall AM, Mascarenhas MR, Maqbool A, Schall JI
Improved residual fat malabsorption and growth in children with cystic fibrosis treated with a novel oral structured lipid supplement: a randomized controlled trial. PLoS ONE. 2020;15(5):e0232685.


4

2016

Stallings VA, Schall JI, Maqbool A, et al.
Effect of oral lipid matrix supplement on fat absorption in cystic fibrosis: a randomized placebo-controlled trial. J Pediatr Gastroenterol Nutr. 2016;63(6):676-680.


5

2016

Schall JI, Mascarenhas MR, Maqbool A, et al., Stallings, VA.
Choline supplementation with a structured lipid in children with cystic fibrosis: a randomized placebo-controlled trial. J Pediatr Gastroenterol Nutr. 2016;62(4):618-626.


6

2016


7

2014

Bertolaso C, Groleau V, Schall JI, Maqbool A, Mascarenhas M, Latham NE, et al., Stallings, VA
Fat-soluble vitamins in cystic fibrosis and pancreatic insufficiency: efficacy of a nutrition intervention. J Pediatr Gastroenterol Nutr. 2014;58(4):443-448.


8

2002