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NUTRICIA PRODUCTREFERENCE GUIDEFOR CLINICIANSUpdated as of February 2019
Nutricia ContactsHow to Contact Nutricia Nutricia is a Global Health CompanyNutricia’s Customer Service: Phone: (800) 365-7354 Nutricia Leads the Development and Use of Advanced Medical Nutritionfor Specialized Care Fax: (301) 795-2301 Email: CustomerService@nutricia.comNutricia Products and Services Transform the Daily Lives of Millions ofInfants, Children, Adults and Aging Seniors Live Chat: www.Neocate.com (M-F 8:30 am – 7 pm ET)My Nutricia sales representative(s):Name:.Phone:.Email:.Nutricia’s Nutrition Services: Phone: (800) 365-7354 – Option 2Name:. Email: NutritionServices@nutricia.com Live Chat: www.Neocate.com (M-F 8:30 am – 5 pm ET)Phone:.Email:.Nutricia Metabolics: Phone: (800) 605-0410 Name:.Phone:.Email:.2Email: MetaCustomerCare@Nutricia.comInternet:For information on Nutricia products, reimbursement,*and other helpful resources, visit www.Nutricia-NA.com.For a complete listing of our websites, see Resources.* For reimbursement information, please see Resources. 2018 Nutricia North America. All rights reserved. Nutricia and its brands are registered trademarks. See product labels for more specifics.This guide is a convenient reference for clinicians to the full range of Nutricia’smedical nutritional products. Nutricia strives to develop quality products thatoffer choice and flexibility to today’s patients to enhance diet acceptance.Please note that all of our products require medical supervision. For additionalinformation, please call our Nutrition Services team or visit our web site atwww.Nutricia-NA.com. Our staff is comprised of individuals with the highestlevel of expertise ready to offer support and reliability to our customers.We look forward to hearing from you.Consumers and Patients:Nutricia products are available for convenient home delivery directly fromNutricia North America. Consumers can call our toll free number or visit one ofour websites. See Resources for a list of our websites.Consumers can also purchase Nutricia products through retail pharmacies.Pharmacies can special order Nutricia products from their wholesaler ordirectly from Nutricia North America.3
CONTENTSCONTENTS – Alphabetical IndexOrdering Information. 2-3Contents by Product Indications. 6-8GI/Allergy. 9-38Mixing Instructions. 22-23Household Measurements.24Volume Prescription.25Dilution Charts. 26-37Update on Monitoring Micronutrients.38Metabolics. 39-140Household Measurements: Metabolics. 128-129Mixing Instructions: Metabolics. 130-140Low Protein Foods. 141-142Ketogenic Diet. 143-154Mixing Instructions: KetoCal.152Volume & Ordering Guide.153Specialized Adult Nutrition. 155-170Other Medical Nutritionals. 171-188Resources. 189-1984GI/AllergyMetabolicsLow Protein FoodsKetogenic DietSpecialized Adult NutritionOther Nutritionalspage 9-38page 39-140page 141-142page 143-154page 155-170page 171-188Complete Amino Acid Mix. 180Complex Essential MSD Drink Mix. 80Complex Junior MSD Drink Mix. 78Complex MSD Amino Acid Blend. 82Diff-Stat. 166Duocal. 176Essential Amino Acid Mix. 182Fiber-Stat. 168GA-1 Anamix Early Years. 94GlutarAde Amino Acid Blend. 100GlutarAde Essential GA-1 Drink Mix. 98GlutarAde Junior GA-1 Drink Mix. 96HCU Anamix Early Years. 102HCU Anamix Next. 104HCU Lophlex LQ. 108IVA Anamix Early Years. 88IVA Anamix Next. 90KetoCal 2.5:1 LQ. 150KetoCal 3:1 Powder. 144KetoCal 4:1 LQ. 148KetoCal 4:1 Powder. 146Lanaflex. 64Liquigen. 174Low Protein Foods. 142MMA/PA Anamix Early Years. 110MMA/PA Anamix Next. 112Monogen. 172MSUD Anamix Early Years . 76MSUD Lophlex LQ. 86MSUD Maxamum. 84Neocate Infant DHA/ARA. 12Neocate Junior.16-19Neocate Nutra. 14Neocate Splash. 20Neocate Syneo Infant. 10Periflex Advance. 44PKU Periflex Early Years. 40PKU Periflex Junior Plus. 42Periflex LQ. 46PhenylAde40 Drink Mix. 56PhenylAde60 Drink Mix. 58PhenylAde Amino Acid Blends. 60PhenylAde Essential Drink Mix. 54PhenylAde GMP Drink Mix. 48PhenylAde GMP MIX-IN. 52PhenylAde GMP READY. 50PhenylAde PheBLOC LNAA. 62Phlexy-10 Tablets. 72Phlexy-10 Drink Mix. 74Phlexy-Vits. 184PKU Lophlex LQ. 68PKU Lophlex Powder. 70Polycal. 178Pro-Stat MAX. 160Pro-Stat Renal Care. 162Pro-Stat Sugar Free. 156Pro-Stat Sugar Free AWC. 158Single Amino Acids. 186SOD Anamix Early Years. 126TYR Anamix Early Years. 116TYR Anamix Next. 118TYR Lophlex GMP MIX-IN. 122TYR Lophlex LQ. 120UCD Anamix Junior. 124UTI-Stat. 164XLeu Maxamum. 92XMet Maxamum. 106XMet, XCys Maxamaid. 127XMTVI Maxamum. 114XPhe Maxamum. 665
CONTENTS – By Indication and Diet Need*Allergies, Cow Milk and Multiple Food AllergiesNeocate Infant DHA/ARA.12Neocate Nutra.14Neocate Junior. 16-19Neocate Splash.20Neocate Syneo Infant.10Complete Amino Acid Mix.180Amino Acid-Based ProductsNeocate Infant DHA/ARA.12Neocate Nutra.14Neocate Junior. 16-19Neocate Splash.20Neocate Syneo Infant.10Nutricia Metabolic Formulas. 40-127Complete Amino Acid Mix.180Essential Amino Acid Mix.182Single Amino Acids.186ChylothoraxLiquigen. 174Monogen. 172Critical Illness Requiring Increased ProteinPro-Stat MAX. 160DialysisPro-Stat Renal Care.162Eosinophilic Esophagitis (EoE)Neocate Nutra.14Neocate Junior. 16-19Neocate Splash.20Neocate Syneo Infant.10Complete Amino Acid Mix.1806Food Protein-Induced Enterocolitis Syndrome (FPIES)Neocate Junior. 16-19Neocate Splash.20Neocate Syneo Infant.10Gastrointestinal Health (Adult)Fiber-Stat. 168Diff-Stat. 166Gastroesophageal Reflux (GER)Neocate Nutra.14Neocate Junior. 16-19Neocate Splash.20Neocate Syneo Infant.10Glutaric Acidemia Type IGlutarAde Junior GA-1 Drink Mix.96GlutarAde Essential GA-1 Drink Mix.98GlutarAde Amino Acid Blend.100GA-1 Anamix Early Years.94Homocystinuria/HypermethioninemiaHCU Anamix Early Years.102HCU Anamix Next.104XMet Maxamum.106HCU Lophlex LQ.108Inborn Errors of MetabolismNutricia Metabolic Formulas.40-127Low Protein Foods. 141Liquigen. 174Monogen. 172Duocal. 176Polycal. 178Complete Amino Acid Mix. 180Essential Amino Acid Mix. 182Phlexy-Vits. 184Single Amino Acids. 186Isovaleric AcidemiaIVA Anamix Early Years. 88IVA Anamix Next. 90XLeu Maxamum. 92Ketogenic DietKetoCal 2.5:1 LQ. 150KetoCal 3:1 Powder. 144KetoCal 4:1 LQ. 148KetoCal 4:1 Powder. 146Liquigen. 174MalabsorptionDuocal. 176Neocate Nutra. 14Neocate Junior.16-19Neocate Splash. 20Liquigen. 174Complete Amino Acid Mix. 180Maple Syrup Urine DiseaseComplex Junior MSD Drink Mix. 78Complex Essential MSD Drink Mix. 80Complex MSD Amino Acid Blend. 82MSUD Anamix Early Years. 76MSUD Maxamum. 84MSUD Lophlex LQ. 86Modular DietsDuocal. 176Liquigen. 174Polycal. 178Complete Amino Acid Mix. 180Essential Amino Acid Mix. 182Phlexy-Vits. 184Long Chain Fatty Acid Oxidation DisordersLiquigen. 174Monogen. 172Low Protein DietsLow Protein Foods. 141Duocal. 176Low Serum Protein LevelsPro-Stat MAX. 160Pro-Stat Sugar Free AWC. 158Pro-Stat Sugar Free. 156Pro-Stat Renal Care. 162*Not a complete listing7
PhenylketonuriaPKU Periflex Early Years. 40PKU Periflex Junior Plus. 42Periflex LQ. 46Periflex Advance. 44PhenylAde40 Drink Mix. 56PhenylAde60 Drink Mix. 58PhenylAde Amino Acid Blends. 60PhenylAde Essential Drink Mix. 54PhenylAde GMP Drink Mix. 48PhenylAde GMP MIX-IN. 52PhenylAde GMP READY. 50PhenylAde PheBLOC LNAA. 62XPhe Maxamum Powder. 66PKU Lophlex LQ. 68PKU Lophlex Powder. 70Phlexy-10 Tablets. 72Phlexy-10 Drink Mix. 74Lanaflex. 64Propionic/Methylmalonic AcidemiaMMA/PA Anamix Early Years. 110MMA/PA Anamix Next. 112XMTVI Maxamum. 114Protein-Energy Malnutrition (PEM)Pro-Stat MAX. 160Pro-Stat Sugar Free AWC. 158Pro-Stat Sugar Free. 156Pro-Stat Renal Care. 1628Short Bowel SyndromeLiquigen. 174Neocate Nutra. 14Neocate Junior.16-19Neocate Splash. 20Complete Amino Acid Mix. 180Sulphite Oxidase DeficiencySOD Anamix Early Years. 126XMet, XCys Maxamaid. 127TyrosinemiaTYR Anamix Early Years. 116TYR Anamix Next. 118TYR Lophlex GMP MIX-IN. 122TYR Lophlex LQ. 120Unintentional Muscle LossPro-Stat MAX. 160Pro-Stat Sugar Free. 156Pro-Stat Sugar Free AWC. 158Pro-Stat Renal Care. 162Urea Cycle DisordersUCD Anamix Junior. 124Essential Amino Acid Mix. 182Urinary Tract HealthUTI-Stat. 164Wound/Pressure Injury ManagementPro-Stat MAX. 160Pro-Stat Sugar Free AWC. 158Pro-Stat Sugar Free. 156Pro-Stat Renal Care. 162
GI/ALLERGYTobeyDiagnosed with multiple food allergiesTMFind more information and resources on these and all of ourproducts at www.NutriciaLearningCenter.com9
A nutritionally complete, powdered amino acid-based exempt infant formulawith prebiotics and probiotics specifically designed for food-allergic infants,containing iron and nucleotides.Nutrition Information:NutrientsPer 100 gCaloriesGI/ALLERGY10 Cow milk allergy Hypoallergenic Multiple food allergies Backed by 3 clinical trials, clinically shown to:1 Effectively resolve food allergy symptoms Related GI and allergic conditions:1,2 Food protein-induced enterocolitis syndrome (FPIES) Support growth and development Eosinophilic esophagitis (EoE) Help balance the gut microbiota of3 Gastroesophageal refluxfood-allergic infants Probiotic Bifidobacterium breve M-16VFor details on scoop size, household measures, and administration, Prebiotic blend of scFOS and lcFOS*please see the end of this section. Osmolality**: 360 mOsm/kgFor guidance on monitoring micronutrients, please see page 38. Free water**: 90.0% Energy distribution:Ordering/Reimbursement ngPer CanFat (MCT 33%/LCT 67%) 43.5%11143649735-0114-36B41614x400g(14.1oz)1900 Potential Renal Solute Load**: 176 mOsm/L HalalFor more reimbursementWIC‡: Contact your state WIC Displacement 0.71 mL/goffice to determine availability.information see Resources.5493882.8Phosphorus, mg4.8Magnesium, mg3348396Per 100 gCalcium, mg23.0Per 100 kcal11681.750.010.5Iron, mg7.11.583.4Zinc, mg5.27051.1DHA, mg77.016.2Manganese, mcg19040.0ARA, mg40084.277.016.2Copper, mcgCarbohydrate, g53.511.3Iodine, mcg98.020.6Soluble Fiber, g4.5Molybdenum, mcg11.02.3VitaminsChromium, mcg10.42.2Vitamin A, IU (mcg RE) 1352 (406)Selenium, mcg14.2Vitamin D3, IU (mcg)Vitamin E, IU (mg a-TE)Vitamin K, mcg352 (8.8)6.5 (4.4)42.50.95285 (85.5)74.1 (1.9)Sodium, mg1851.4 (0.93)Potassium, mg5159.0Chloride, mg378Thiamin, mcg540110Riboflavin, mcg540114Vitamin B6, mcg540114Vitamin B12, mcgNiacin, mcgFolic Acid, mcgPantothenic Acid, mcg1.3490064.029000.27103213.5611Biotin, mcg19.04.0Vitamin C, mg51.610.995.420.1Inositol, mgNot recommended for use in infants with a centralvenous catheter or post-pyloric feeding tube unlessdirected by a healthcare professional.Minerals13.5Choline, mg1. Burks, et al. Pediatr Allergy Immunol. 2015;26:316-22. 2. Harvey, et al. Pediatr Res.2014;75:343-51. 3. Candy, et al. Pediatr Res. 2018;83:677-86.* short- and long-chain fructooligosaccharides ** At standard concentration, 20 kcal/fl oz100Fat, ga-Linolenic Acid, mgIndications:Per 100 kcal475Protein Equivalent, gLinoleic Acid, mgMain Features:Ingredients:10822.73.038.910879.6Corn Syrup Solids (51%), RefinedVegetable Oil (Medium Chain Triglycerides(8%), High Oleic Sunflower Oil (6%),Sunflower Oil (4%), Canola Oil (4%)),Fructooligosaccharides (Oligofructose(4%) and Inulin (0.5% ), and less than 2%of each of the following: DipotassiumPhosphate, Tricalcium Phosphate, CalciumCarbonate, Calcium Glycerophosphate,L-Arginine, L-Aspartate, Calcium PhosphateDibasic, L-Leucine, L-Lysine Acetate,Tripotassium Citrate, L-Glutamine,L-Proline, L-Valine, Citric Acid Estersof Mono- and Diglycerides (CITREM),Glycine, L-Isoleucine, L-Threonine,L-Phenylalanine, L-Tyrosine, L-Serine,L-Histidine, L-Alanine, Sodium Chloride,L-Cystine, L-Tryptophan, MagnesiumChloride, Choline Bitartrate, L-Methionine,Tricalcium Citrate, Magnesium L-Aspartate,M. alpina Oil*, C. cohnii Oil**, M-Inositol,L-Ascorbic Acid, Taurine, FerrousSulfate, Zinc Sulfate, L-Carnitine, Uridine5’-Monophosphate Disodium Salt,Cytidine 5’-Monophosphate, Niacinamide,Inosine 5’-Monophosphate DisodiumSalt, Adenosine 5’-Monophosphate,Calcium D-Pantothenate, Guanosine5’-Monophosphate Disodium Salt, DL-alphaTocopheryl Acetate, Bifidobacterium breveM-16V, Ascorbyl Palmitate, ManganeseSulfate, Thiamin Chloride Hydrochloride,Pyridoxine Hydrochloride, Cupric Sulfate,Riboflavin, Vitamin A Acetate, DL-alphaTocopherol, Potassium Iodide, MixedTocopherols, Folic Acid, ChromiumChloride, Phylloquinone, Sodium Selenite,Sodium Molybdate, D-Biotin, Vitamin D3,Cyanocobalamin.* A Source of Arachidonic Acid (ARA)** A Source of Docosahexaenoic Acid (DHA)Neocate Syneo InfantUpdated asof April 2018Neocate Syneo Infant11
Neocate Infant DHA / ARANutrition Information:NutrientsA nutritionally complete, powdered amino acid-based exempt infant formulacontaining iron and nucleotides.Per 100 gCaloriesGI/ALLERGY Hypoallergenic Nucleotides, present in human milk4.8 mg per 100 kcals DHA at 0.35% fatty acidsDHA and ARA at 1:1 ratio Over 100 publications and countingsupport Neocate Osmolality (at 0.67 kcal/mL):340 mOsm/kg Free water (at 0.67 kcal/mL): 90.3% Energy distribution:Protein11.2%Carbohydrate43.1%Fat (MCT 33% / LCT 67%) 45.7% Potential Renal Solute Load:168 mOsm/L Halal & Ko
Vegetable Oil (Medium Chain Triglycerides Sunflower Oil (4%), Canola Oil (4%)), Fructooligosaccharides (Oligofructose (4%) and Inulin (0.5% ), and less than 2% of each of the following: Dipotassium Phosphate, Tricalcium Phosphate, Calcium Carbonate, Calcium Gly
