It was first made in America in 1873 as an artificial infant food. Later it was sold as a powdered meal replacement drink for people who couldnt eat properly. It is now sold as a nutritional supplement and is manufactured by GlaxoSmithKline. In the United Kingdom it is made with a mixture of wheat flour and malted wheat (46%), and malted barley (26%). In different countries it may be made and advertised differently. 