Nutramigen PURAMINO Description Hypoallergenic amino acid formula designed for infants and children with severe cows milk protein allergies, multiple food intolerances or when an elemental diet is required. Nutramigen Puramino is lactose-free and contains DHA, an omega-3 fatty acid that supports normal infant visual development*. Medium-chain triglyceride oil provides a readily available source of fat and energy in cases of fat malabsorption. Do not change formulas without consulting your pediatrician, who will also recommend the introduction of complementary foods into the diet during weaning. Nutramigen Puramino, due to its special formula, does not taste or smell like powdered infant formulas. Infants fed Nutramigen Puramino may have frequent, soft, greenish to dark colored stools. *With a daily DHA intake of 100 mg. ingredients Glucose syrup, vegetable oils (sunflower oleic acid, medium chain triglycerides from coconut/palm, soybean), tapioca starch, L-aspartate, L-leucine, L-proline, L-lysine hydrochloride, L-alanine, potassium citrate, monosodium glutamate, calcium phosphate, L-valine, L-isoleucine, L-threonine, L-serine, L-tyrosine, L-arginine, L-phenylalanine, magnesium phosphate, glycine, L-histidine, L-cystine, L-tryptophan, oils derived from unicellular organisms (ARA from Mortierella alpina and DHA from Crypthecodinium cohnii), L-methionine, sodium citrate, calcium citrate, choline chloride, calcium hydroxide, potassium chloride, inositol, ascorbic acid, ferrous sulfate, taurine, zinc sulfate, DL-alpha-tocopheryl, L-carnitine, niacin, retinyl palmitate, calcium pantothenate, copper sulfate, riboflavin, thiamine hydrochloride, pyridoxine hydrochloride, cholecalciferol, manganese sulfate, folic acid, sodium iodide, sodium selenite, phytomenadione, D-biotin, cyanocobalamin. Lactose- free. Nutritional characteristics Media analysisper 100g of dustper 100 ml ready to use Energy 500 kcal 2,100 kJ 68 kcal 290 kJ Fats, of which: -saturated linoleic acid alpha-linolenic acid 26 grams 10 grams 4.3g 400 mg 3.6g 1.36 grams 0.58g 54 mg Carbohydrates, of which: -sugars 53 grams 4.1g 7.2 grams 0.56g PROTEIN 13.9 grams 1.89g Salts 0.58g 0.08g Vitamin A (RE) 450 mcg RE 61 mcg RE Vitamin D 6.3 mcg 0.85 mcg Vitamin E 6.7 mg alpha-TE 0.91 mg alpha-TE Vitamin K 45 mcg 6.1 mcg Vitamin C 60 mg 8.1 mg thiamin 0.4 mg 0.054 mg Riboflavin 0.45 mg 0.061 mg Niacin 5mg 0.68 mg Vitamin B6 0.3 mg 0.041 mg Folic acid 80 mcg 10.8 mcg Vitamin B12 1.49 mcg 0.2 mcg Biotin 14.9 mcg 2 mcg Pantothenic acid 2.5 mg 0.34 mg Sodium 230 mg 32 mg Potassium 550 mg 74 mg chloride 430 mg 58 mg Football 470 mg 64 mg Phosphorus 260 mg 35 mg Magnesium 55 mg 7.4 mg Iron 9 mg 1.22 mg Zinc 5mg 0.68 mg Copper 0.37 mg 0.051 mg Manganese 0.12 mg 0.017 mg Selenium 13.9 mcg 1.89 mcg Iodine 75 mcg 10.1 mcg Osmolarity 310 mOsm/l - Arachidonic acid (ARA) 169 mg 23 mg Docosahexaenoic acid (DHA) 85 mg 11.5 mg hill 119 mg 16.2 mg Inositol 85 mg 11.5 mg taurine 30 mg 4.1 mg L-carnitine 9.9 mg 1.35 mg How to use 1. Wash your hands thoroughly. Wash and boil bottles, nipples, rings, caps, and utensils in water for 1 minute. 2. Boil more water for 1 minute and let it cool to room temperature before starting the preparation. Pour the appropriate amount of cooled water into the bottle. 3. Add the appropriate amount of powder to the water (see feeding table). Keep the dry measuring spoon in the jar. 4. Close the bottle, roll it between your hands and then shake vigorously. Check the temperature on the inside of your wrist. Once prepared, the product deteriorates rapidly. Administer immediately after preparation, otherwise cover the preparation and refrigerate at 2-4°C for a maximum of 24 hours. Do not freeze prepared formula and do not use if it has been out of the refrigerator for more than 2 hours. Use the preparation that has come into contact with the infants mouth within one hour and do not put the bottle back in the refrigerator. Discard any product left in the bottle and clean utensils thoroughly. Power supply table AgeAverage weightNumber of tables within 24 hoursWater (ml) + Measuring cups*Ready-made product for use (ml) 0-2 weeks <3-3.5kg 6-7 90 + 3 100 2-4 weeks 3.5-4kg 5-6 120 + 4 130 1-2 months 4-5 kg 5 150 + 5 170 2-4 months 5-6.5 kg 4-5 180 + 6 200 4-6 months 6.5-7.5 kg 4 210 + 7 230 6-12 months 7.5-9.5 kg 2-3** 240 + 8 260 >1 year 9.5 kg 2-3** 240 + 8 260 *Use the measuring cup included in the jar. Add one measuring cup of grated, uncompressed powder (4.5 g) to 30 ml of water. When the child is not consuming adequate amounts of solid foods, the required amount of Nutramigen Puramino should be added strictly following the doctors instructions. warnings For the health of your baby, please follow the instructions below carefully. Proper hygiene, preparation, dilution, use and storage are important when preparing the bottle. Do not use a microwave to warm the formula. Powdered infant formula is not sterile. Your doctor will assess the use of the product in appropriate cases. Always ask your doctor which formula is most suitable for your baby. Once prepared, the product is subject to rapid deterioration. Feed immediately after preparation, otherwise cover the formula and store in the refrigerator at 2-4°C for a maximum of 24 hours. Do not freeze prepared formula or use it if it has been out of the refrigerator for more than 2 hours. Use the formula that has come into contact with the baby’s mouth within one hour and do not put the bottle back in the refrigerator. Discard any formula left in the bottle and clean the utensils thoroughly. Breast milk is the ideal food for infants. Nutramigen Puramino is indicated for the nutritional management of severe cows milk protein allergy and multiple food intolerances. It is suitable for infants from birth, if breastfeeding is not possible, and for children. Nutramigen Puramino is a nutritionally complete food and can be used as the sole source of nutrition for infants up to 6 months of age or as part of a varied diet for older infants and children. Do not use parenterally. Nutramigen Puramino should be used under the supervision of a pediatrician. Conservation Store the jar in a cool, dry place. Close the container tightly after use, store in a dry place and use the contents within 1 month of first opening. Do not freeze the powder. Avoid exposure to heat sources. Shelf life in intact packaging : 15 months. Shelf life after opening : 1 month. Format 400g jar.