TYROS 2

Phenylalanine and tyrosine-free powder for dietary management of children and adults (3 years and older) with inborn errors of tyrosine metabolism including tyrosinemia type II.

Indication

Phenylalanine and tyrosine-free powder for dietary management of children and adults (3 years and older) with inborn errors of tyrosine metabolism including tyrosinemia type II.

Product Forms


Product	Format	Unit Size	Approximate Product Yield at Normal Dilution	Shelf Life	Item Number
TYROS 2	Powder	454 g	Yield Not Applicable to Metabolics	24 Months	1281396

Preparation Of Feedings

POWDER

Mead Johnson TYROS 2 is to be used only in the dietary management of children and adults with documented inborn errors of tyrosine metabolism including tyrosinemia type II while under direct and continuing medical supervision.

WARNING: This product is nutritionally incomplete. Continuing medical supervision and frequent blood tests are required. TYROS 2 must be supplemented using other food sources of protein and fluid to provide enough tyrosine and phenylalanine to support dietary requirements of children and adults.

INSTRUCTIONS FOR PREPARATION AND USE

Your medical professional will provide the correct amount of powder to mix with water for consumption.*

It is important to follow the directions below.

Measure the correct amount of water into a suitable container for mixing. Then add the required amount of TYROS 2. Mix well until blended. Consume the prepared beverage immediately or cover and refrigerate. Use within 48 hours of preparation. Mix before drinking.

*If instructed to use the scoop in the can, each unpacked, level scoop delivers approximately 14.5 g of powder. Store the DRY scoop in this can.

Powder Storage: Store cans at room temperature. After opening can, keep tightly covered, store in a dry area and use contents within 1 month. Do not freeze powder and avoid excessive heat.

WARNING: Not for parenteral (I.V.) use.

Nutrients


Analysis	per 100 mL	per 100 g
Energy (kcal/kJ)	85/360	410/1720
Protein equivalent (g)	4.6	22
% of total energy	22	22
Source: Amino Acid Premix
Carbohydrate (g)	12.5	60
% of total energy	59	59
Source: Corn syrup solids, sugar, modified corn starch
Fat (g)	1.77	8.5
% of total energy	19	19
Source: Soy oil
Linoleic Acid (g)	0.87	4.2
Linolenic Acid (g)	0.108	0.52
Minerals
Calcium (mg)	152	730
Calcium (mMol)	3.8	18.2
Phosphorus (mg)	152	730
Phosphorus (mMol)	4.9	24
Magnesium (mg)	34	163
Magnesium (mMol)	1.4	6.7
Iron (mg)	2.5	12.2
Zinc (mg)	2.5	12.2
Manganese (mg)	0.27	1.3
Copper (mg)	0.25	1.22
Iodine (mg)	0.0131	0.063
Selenium (mg)	0.0058	0.028
Sodium (mg)	127	610
Sodium (mMol)	5.5	27
Potassium (mg)	230	1100
Potassium (mMol)	5.9	28
Chloride (mg)	177	850
Chloride (mMol)	5.0	24
Vitamins
Vitamin A (IU)	300	1420
Vitamin D (IU)	58	280
Vitamin E (IU)	2	9.8
Vitamin K (mg)	0.0085	0.041
Vitamin C (mg)	10.2	49
Thiamine (mg)	0.25	1.22
Riboflavin (mg)	0.2	0.98
Niacin (mg)	4.6	22
Pantothenic Acid (mg)	1.02	4.9
Vitamin B6 (mg)	0.2	0.98
Folic Acid (mg)	0.073	0.35
Vitamin B12 (mg)	0.0005	0.0024
Biotin (mg)	0.0102	0.049
Choline (mg)	20	98
Inositol (mg)	10.2	49
Carnitine (mg)	10.2	49
Taurine (mg)	10.2	49


Other Characteristics
Potential Renal Solute Load (mOsm/100 mL)1	48
Osmolality (mOsm/kg H2O)*	830
Osmolarity (mOsm/L)*	710
Water (g/100 mL)	86

Use only as directed by a medical professional.

Powder medical foods are not sterile.

WARNING: This protein is incomplete since it does not contain the essential amino acids tyrosine and phenylalanine.

*100 mL values and Other Characteristics information is based on this product mixed with water to a caloric density of 0.85 kcal/mL

1. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.

Nutrient values are subject to change. Consult actual product labels for most current information.

Ingredients

Corn Syrup Solids, Amino Acids (L-Glutamine, L-Leucine, Potassium Aspartate, L-Lysine Hydrochloride, L-Proline, L-Valine, L-Isoleucine, L-Alanine, Larginine, L- Threonine, L-Serine, Glycine, L-Histidine, L-Methionine, L-Tryptophan, L-Cystine), Sugar, Soy Oil, Modified Corn Starch, Calcium Phosphate, Sodium Citrate, Magnesium Phosphate, Potassium Chloride, And Less Than 1%: Sodium Phosphate, Potassium Citrate, Choline Chloride, Ascorbic Acid, Taurine, Inositol, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, Niacinamide, Vitamin E Acetate, Vitamin A Palmitate, Calcium Pantothenate, Cupric Sulfate, Manganese Sulfate, Vitamin B12, Thiamin Hydrochloride, Vitamin B6 Hydrochloride, Riboflavin, Folic Acid, Vitamin D3, Chromic Chloride, Sodium Molybdate, Sodium Iodide, Sodium Selenite, Biotin, Vitamin K1, Ethyl Vanillin.