Vegetarian Tube Feed Study

Inclusion Criteria: * Patients from 1 -15 years requiring more than 50% of energy from tube feeding or to take alongside home-made blended diet as part of their dietary management for disease related malnutrition. * Patients well-established and stable on current nutritional support regimen. Willingly given, written, informed consent from patient/caregiver Exclusion Criteria: * No established tube feed. * Inability to comply with the study protocol, in the opinion of the investigator. * Under 1 years of age * Patients on parenteral nutrition * Known food allergies, including to any ingredients listed in appendix 1. * Participation in another interventional study within 2 weeks of this study. * Patients with known or suspected ileus or mechanical bowel obstruction