KetoCal 4:1 LQ Chocolate, Ready-to-Feed Liquid 8 oz. (237 mL), 363 Calories per 8 fluid ounces.KetoCal 4:1 LQ Chocolate is a medical food for the dietary management of refractory epilepsy and other conditions where the medical ketogenic diet is indicated. It can be consumed orally or tube fed, and is suitable as a sole source of nutrition for children age 3-10 years, or as supplemental nutrition for individuals 3 years and older depending on age, weight, energy needs, and medical condition.