LINDT LES GRANDES DARK HAZELNUT

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Lindt LES GRANDES Dark Hazelnut is a premium dark chocolate bar from Lindt’s luxury Les Grandes line, containing 43% cocoa solids and 34% hazelnuts in the form of whole roasted hazelnuts and crunchy caramelised hazelnut pieces. A 30 g serving (2 squares) provides approximately 170 kcal, 12 g fat, 11 g sugar, 2 g protein, and 2 g fibre. For the dietitian and geriatrician, this product offers concentrated calories for cachectic patients, plant protein and fibre for frail elderly patients, and dual antioxidant support from cocoa flavanols and hazelnut vitamin E for cardiovascular health. The combination of smooth dark chocolate and crunchy hazelnut pieces provides multi-textural sensory stimulation useful for mood enhancement in palliative care, dementia, and depression settings. However, whole and crunchy hazelnut pieces pose a significant choking hazard – this product is not suitable for patients with oropharyngeal dysphagia, poor dentition, cognitive impairment, or anyone requiring texture‑modified diets. Contains hazelnuts (tree nuts), milk, and soya. Dark chocolate may contain measurable cadmium and lead – caution in pregnancy and children. For appropriate patients without swallowing or allergy concerns, a few squares deliver indulgent pleasure with meaningful nutritional and sensory benefits.
Description

LINDT LES GRANDES DARK HAZELNUT

PRIMARY CLINICAL & DIAGNOSTIC USES

1. High-Density Calorie Supplement for Patients with Unintentional Weight Loss or Cachexia
  • Primary Use: Provides an energy-dense dark chocolate bar (approximately 573 kcal per 100 g) containing 34% whole roasted hazelnuts and caramelised hazelnut pieces, designed to supplement oral intake in patients with cancer cachexia, advanced COPD, heart failure, or dementia-related anorexia who require calorie-dense, low-volume nutrition.
  • How it helps: For the dietitian, geriatrician, and palliative care physician, each 30 g serving (2 squares) provides approximately 170 kcal, 12 g fat (including heart‑healthy monounsaturated fats from hazelnuts), 11 g sugar, 2 g protein, and 2 g fibre. The combination of smooth dark chocolate (43% cocoa solids) with whole roasted hazelnuts offers a satisfying, nutrient-dense treat. For the patient, a few squares help maintain weight without feeling overly full, turning a nutritional need into an enjoyable moment.
2. Plant Protein and Dietary Fibre for Malnourished or Frail Elderly Patients
  • Primary Use: The hazelnut component contributes plant-based protein (approximately 2.4 g per serving) and dietary fibre (approximately 2 g per serving), complementing the energy density of dark chocolate, making this product suitable for frail elderly patients with sarcopenia, poor appetite, or those requiring increased protein and fibre intake without large food volumes.
  • How it helps: For the geriatrician and dietitian, hazelnuts provide approximately 8 g of protein per 100 g, plus fibre, vitamin E (antioxidant), and magnesium. A 30 g serving provides a meaningful contribution to daily protein and fibre goals, supporting muscle maintenance and digestive regularity. For the patient, a small, enjoyable treat can support strength and comfort.
3. Antioxidant Support for Cardiovascular Health via Cocoa Flavanols and Vitamin E
  • Primary Use: The combination of dark chocolate flavanols (from 43% cocoa solids) and vitamin E from hazelnuts provides dual antioxidant support to reduce oxidative stress, support endothelial function, and modestly lower blood pressure in patients with early cardiovascular disease, hypertension, or metabolic syndrome.
  • How it helps: For the cardiologist and dietitian, cocoa flavanols improve nitric oxide bioavailability and have been associated with reductions in blood pressure. The vitamin E in hazelnuts (approximately 15 mg per 100 g) acts as a fat-soluble antioxidant, protecting cell membranes. A 30 g serving provides meaningful flavanols and a contribution to daily vitamin E requirements. For the patient, this chocolate offers a heart‑friendly way to enjoy a sweet treat.
4. Mood Enhancement and Sensory Stimulation in Palliative Care, Dementia, and Depression
  • Primary Use: Used as a small, comforting treat to elevate mood, provide multi-textural sensory stimulation (smooth chocolate, crunchy whole hazelnuts, crisp caramelised pieces), and evoke positive memories in patients receiving palliative care, those with mild to moderate depression, or individuals with dementia.
  • How it helps: For the palliative care physician, hospice nurse, and occupational therapist, the combination of three distinct textures engages multiple senses, improves alertness, and can trigger positive autobiographical memories. Dark chocolate triggers endorphin and serotonin release; the act of chewing hazelnuts provides proprioceptive and oral motor stimulation. For the patient, a small piece can bring a moment of joy and connection during a difficult illness trajectory.

SECONDARY USES

1. Small, portion‑controlled treat for patients with diabetes (in moderation): A 30 g serving (2 squares) contains 11 g sugar. The fibre and fat from hazelnuts help slow gastric emptying and attenuate the glycaemic response compared to milk chocolate. Can be incorporated into a diabetic meal plan as an occasional treat.
2. Source of magnesium for patients with muscle cramps or mild deficiency: Hazelnuts are rich in magnesium (approximately 160 mg per 100 g). A 30 g serving provides a small contribution to daily requirements, potentially helping reduce nocturnal leg cramps.
3. Non‑medical comfort for needle phobia or distressing procedures: Offering a square of LES GRANDES Dark Hazelnut as a reward or distraction during venepuncture, cannulation, or vaccinations can reduce anxiety, with the crunchy hazelnut pieces providing additional sensory focus.
4. Long shelf‑life, portable snack for homebound or low‑resource patients: Individually packaged 150 g bars have a shelf life of approximately 364 days, making them a practical non‑perishable energy reserve for patients with limited access to fresh snacks.
5. Reward to improve adherence to oral nutritional supplements (ONS): For patients who refuse or struggle to consume prescribed oral nutritional supplements, a small piece offered as positive reinforcement can improve long‑term adherence.
6. Alternative for patients who find very high‑cocoa dark chocolate too bitter: With 43% cocoa solids, this bar is smoother and less bitter than 70‑85% dark chocolate, while still providing flavanol benefits. Suitable for patients who dislike intense bitterness.
KEY PRODUCT FEATURES

1. BASIC IDENTIFICATION ATTRIBUTES

  • Device Type: Solid dark chocolate bar with whole roasted hazelnuts and caramelised hazelnut pieces.
  • Designation: Lindt LES GRANDES Dark Hazelnut, Lindt Les Grandes Dark Chocolate with Hazelnut.
  • Key Components: Sugar, hazelnuts (34%) (whole and ground), cocoa mass, cocoa butter, caramelised hazelnuts (7%) [hazelnuts (70%), sugar], milk fat, emulsifier (soya lecithin), flavourings.
  • Cocoa Solids: 43% minimum.
  • Hazelnut Content: 34% of total weight.

2. TECHNICAL & PERFORMANCE PROPERTIES

  • Physical Form: Solid bar (breakable squares) with visible whole roasted hazelnuts and smaller caramelised hazelnut pieces.
  • Flavour Profile: Smooth, mildly bitter dark chocolate with rich, roasted, nutty notes from hazelnuts and sweet, crunchy caramelised pieces.
  • Texture: Variable – smooth chocolate matrix with firm, crunchy whole hazelnuts and crispy, sweet caramelised pieces.
  • Energy Density: Approximately 573 kcal per 100 g; 170 kcal per 30 g serving (2 squares).
  • Fat Content: 40 g per 100 g (saturated 13 g).
  • Carbohydrate Content: 42 g per 100 g (sugars 39 g).
  • Protein Content: 8 g per 100 g; 2.4 g per 30 g serving.
  • Fibre Content: Approximately 6‑7 g per 100 g.
  • Shelf Life (unopened): Approximately 364 days when stored at 14‑18°C (57‑64°F).
  • Packaging: Foil‑wrapped bar inside outer packaging. Standard size: 150 g.
  • Allergen Information: Contains hazelnuts (tree nuts), milk (anhydrous milk fat), and soya (soya lecithin). May contain other tree nuts (almonds etc.). Not suitable for patients with tree nut allergy, cow's milk protein allergy, or soya allergy.

3. PHYSICAL & OPERATIONAL PROPERTIES

  • Preparation: No preparation required. Break into squares. Serve at room temperature (18‑20°C).
  • Usage Instructions: Unwrap and enjoy. Chew carefully due to whole hazelnuts and crunchy pieces. Not suitable for patients with dysphagia, poor dentition, cognitive impairment, or anyone requiring texture‑modified diets.
  • Storage Conditions: Store in a cool (14‑18°C), dry, dark place, away from strong odours. Avoid temperature fluctuations to prevent chocolate bloom.
  • Portion Size: 15‑30 g (1‑2 squares) per day as an occasional treat.

4. SAFETY & COMPLIANCE ATTRIBUTES

  • Allergens: Contains hazelnuts, milk, soya. Contraindicated in patients with tree nut allergy, cow's milk protein allergy, or soya allergy. May contain other tree nuts.
  • Nutritional Caution: High in sugar (39 g per 100 g) and saturated fat (13 g per 100 g). Patients with diabetes, hypertriglyceridemia, obesity, or hypercholesterolaemia should use sparingly.
  • Heavy Metal Caution: Dark chocolate may contain measurable cadmium and lead. Pregnant and lactating individuals should limit intake to occasional small portions (≤15‑20 g per day). Children under 6 years should avoid regular consumption.
  • Choking Hazard: Whole hazelnuts and crunchy pieces pose a significant risk of airway obstruction. Contraindicated in patients with oropharyngeal dysphagia, following stroke, with Parkinson's disease, advanced dementia, poor dentition, or any condition requiring texture‑modified diets.
  • Quality Assurance: Manufactured under GMP and HACCP in Switzerland.

5. STORAGE & HANDLING ATTRIBUTES

  • Storage: Keep unopened in a cool, dark cupboard (14‑18°C). Avoid temperature fluctuations.
  • Shelf Life: Refer to "best before" date on package (approx. 364 days).
  • Usage: Remove wrapper before serving. Do not give to patients with swallowing difficulties or young children.
  • Inspection: Discard if mould, rancid odour, or significant colour change (green/grey) is observed. Rancid hazelnuts have a bitter, paint‑like smell. White surface bloom is harmless.
SAFETY HANDLING PRECAUTIONS

1. SAFETY PRECAUTIONS

Choking hazard – contraindicated in dysphagia, poor dentition, cognitive impairment: Whole hazelnuts and crunchy caramelised pieces can cause airway obstruction. Do not use in patients with oropharyngeal dysphagia, after stroke, with Parkinson's disease, advanced dementia, poor dentition, or anyone requiring texture‑modified diets (IDDSI Levels 0‑5). For patients cleared for solid crunchy foods, extreme caution (supervision, small pieces, careful chewing) is required.
Tree nut allergy – contraindicated: Contains hazelnuts (34% of product weight). Patients with confirmed tree nut allergy (including hazelnut) must avoid. Cross‑contamination with other nuts is possible.
Milk allergy – contraindicated: Contains milk fat. Patients with cow's milk protein allergy must avoid.
Soya allergy – contraindicated: Contains soya lecithin.
Heavy metal (cadmium, lead) – caution in pregnancy and children: Pregnant and lactating individuals should limit intake to occasional small portions (≤15‑20 g per day, not daily). Children under 6 years should avoid regular consumption.
Sugar content – monitor in diabetes: 30 g serving contains 11 g sugar. Account in carbohydrate counting.
Saturated fat – caution in hypercholesterolaemia: 30 g serving contains approximately 4 g saturated fat.
Dental caries risk – sugar and sticky texture: Advise brushing or rinsing after consumption. Hazelnut pieces may lodge between teeth.
Dental damage – hard hazelnuts may fracture teeth: Patients with fragile teeth or dental restorations should avoid or exercise extreme caution.
Theobromine sensitivity: Excessive consumption (>75 g daily) may cause nausea, headache, tremors, palpitations, insomnia.
Migraine trigger – avoid in patients with known chocolate or nut sensitivity.
Pet toxicity – keep away from animals: Dark chocolate and hazelnuts are harmful to dogs and cats.
Infant and toddler safety – not suitable for children under 3 years: Choking hazard, high sugar, and theobromine.
Training requirement: Assess swallowing, dental, and allergy status before recommending. Educate on portion control, choking risk, and heavy metal precautions.

2. FIRST AID MEASURES

Choking: Standard back blows and abdominal thrusts. Call emergency services if obstruction persists.
Ingestion of large quantity (50‑75 g): May cause nausea, vomiting, abdominal pain, diarrhoea, headache, palpitations. Large amounts of hazelnuts may cause gastrointestinal obstruction. Seek medical attention for severe symptoms.
Allergic reaction (hazelnuts, milk, soya): Administer epinephrine if prescribed and seek emergency care immediately.
Dental injury (fractured tooth): Advise dental evaluation. Rinse mouth with warm water. Apply cold compress if swelling.

3. FIRE FIGHTING MEASURES

Flammability: Fat‑ and sugar‑based; flammable if exposed to open flame. Hazelnut oils intensify burning.
Extinguishing Media: Use foam, dry chemical, or CO₂. Do not use water.
Fire Response: For small fires, smother or use an extinguisher. Evacuate for larger fires.