KetoCal 2.5:1 LQ with MCT Multi-Fiber, Ready-to-Feed Liquid, Vanilla flavor, 363 calories per 8 fluid ounce (237 mL) Tetra Pak. KetoCal 2.5:1 LQ with MCT is the first and only ketogenic formula in a 2.5:1 ratio (fat: protein + carbohydrates) specifically designed to meet the nutritional needs of adults and children over 8 years of age with refractory epilepsy on the ketogenic diet.