You're probably already aware of this, but Clinicare is made by the same company that makes Ensure. It's terrible that they charge so much for this just because it is formulated as a pet product, but this is not unusual. In comparing labels, it appears Clinicare may contain less sugar -- Ensure has three sources of sugar (corn and cane) while the Clinicare only lists a corn source. I don't understand why pet food and treats have sugar in them, but I won't use this post to get on that soapbox.
Clinicare Canine Ingredients:
WATER, SODIUM CASEINATE, CORN MALTODEXTRINS, SOYBEAN OIL, WHEY PROTEIN CONCENTRATE, NATURAL TURKEY FLAVOR, CHICKEN FAT, CALCIUM PHOSPHATE, POTASSIUM CITRATE, LECITHIN, SARDINE OIL, POTASSIUM CHLORIDE, L-ARGININE, CALCIUM CARBONATE, CHOLINE CHLORIDE, MAGNESIUM SULFATE, TAURINE, MAGNESIUM CHLORIDE, CITRIC ACID, CARRAGEENAN, ZINC SULFATE, FERROUS SULFATE, ASCORBIC ACID, NIACINAMIDE, dl-ALPHA-TOCOPHERYL ACETATE, CALCIUM PANTOTHENATE, COPPER SULFATE, MANGANESE SULFATE, THIAMINE HYDROCHLORIDE, PYRIDOXINE HYDROCHLORIDE, RIBOFLAVIN, VITAMIN A PALMITATE, FOLIC ACID, POTASSIUM IODIDE, BIOTIN, VITAMIN D3 SUPPLEMENT, SODIUM SELENATE AND VITAMIN B12 SUPPLEMENT.
Ensure ingredients:
Water, sugar (sucrose), corn syrup, maltodextrin (corn), calcium caseinate, high-oleic safflower oil, canola oil, soy protein isolate, whey protein concentrate, corn oil, calcium phosphate tribasic, potassium citrate, magnesium phosphate dibasic, natural and artificial flavor, soy lecithin, sodium citrate, magnesium chloride, salt (sodium chloride), carrageenan, choline chloride, potassium chloride, ascorbic acid, ferrous sulfate, alpha-tocopheryl acetate, zinc sulfate, niacinamide, calcium pantothenate, manganese sulfate, cupric sulfate, vitamin A palmitate, thiamine chloride hydrochloride, pyridoxine hydrochloride, riboflavin, folic acid, chromium chloride, biotin, sodium molybdate, sodium selenate, potassium iodide, phylloquinone, vitamin D3 and cyanocobalamin.
* Note chocolate flavored Ensure has cocoa powder in it.
I understand your concern about that much sugar, but don't know what your other options are unless you put together your own liquid diet for him from unsweetened protein powder, oils, and supplements. I wouldn't begin to know how to do this in a nutritionally complete manner. Perhaps an alternative or complementary veterinarian or canine nutritionist could help with this? If I come across anything, I'll let you know.
I'm glad you are encouraged after the visit with the acupuncturist. I'm a firm believer in "alternative" medicine. I will continue to send Alex healing thoughts and will check for updates.