PURAMINO A^+® JUNIOR

Hypoallergenic, 100% free amino acid-based powder for the dietary management of children over 12 months of age with severe cow’s milk protein and multiple food allergies or other conditions requiring an amino acidbased formulation.

ⓊD IFANCA®

Indication

Product Forms


Product	Format	Unit Size	Approximate Product Yield at Normal Dilution	Shelf Life	Item Number
PURAMINO A+® JUNIOR	Powder	400 g	2000 mL (8 bottles x 8 fl oz)	15 Months	2047834

Preparation Of Feedings

POWDER

USE ONLY AS DIRECTED BY YOUR MEDICAL PROFESSIONAL. PURAMINO A+® JUNIOR IS NOT DESIGNED FOR USE AS AN INFANT FORMULA.

INSTRUCTIONS FOR PREPARATION AND USE FOR ORAL FEEDING: 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. Next, add the required amount of PURAMINO A^+® JUNIOR powder. Mix well until blended.

Failure to follow these instructions could result in severe harm. Once prepared, this product can spoil quickly. Either consume the prepared beverage immediately or cover and store in refrigerator at 2-4°C (35-40°F). Use within 24 hours of preparation. Shake well before each use. Do not use prepared product if it is unrefrigerated for more than a total of 2 hours. Do not freeze prepared product. After feeding begins, consume the prepared beverage within one hour or discard.

^‡lf instructed to use the scoop in the can to make 30 kcal/30 mL: For every 30 mL (1 US fl. oz.) of water, 1 unpacked level scoop of powder (6.8 g) will make approximately 35 mL (1.2 US fl. oz.) of prepared product.

To make approximately 177 mL (approximately 6 US fl. oz.) of prepared product, add 5 unpacked level scoops (34 g) of powder to 152 mL (5 US fl. oz.) of water. To make approximately 246 mL (approximately 8 US fl. oz.) of prepared product, add 7 unpacked level scoops (47.6 g) of powder to 211 mL (7 US fl. oz.) of water.

This 400 g can of PURAMINO A^+® JUNIOR will make approximately 2 L (2.1 US quarts) of beverage at 30 kcal/30 mL.

WARNING: Do not boil product. Do not use a microwave oven to prepare or warm product. Serious burns may result.

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

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

References

1. Fomon SF, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr 1999;134:11-14. 2. International Formula Council. Infant Feeding: Safety Issues for Health Care Professionals. Atlanta, GA: International Formula Council; 2004:4. 3. Robbins ST, Meyers R, eds. Infant Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities. Chicago, Ill: American Dietetic Association; 2011. 4. Telang S, Berseth CL, Ferguson PW, et al. Fortifying fresh human milk with commercial powdered human milk fortifiers does not affect bacterial growth during 6 hours at room temperature. J Am Diet Assoc. 2005;105:1567-1572

Nutrients


Analysis	per 100 mL normal dilution	per 100 g
Energy (kcal/kJ)	100/420	490/2050
Protein equivalent (g)	2.8	14
% of total energy	11	11
Source: Amino acid premix
Carbohydrate (g)	12	59
% of total energy	49	49
Source: Corn syrup solids, modified corn starch
Fat (g)	4.5	22
% of total energy	40	40
Source: High olein sunflower oil (46%), MCT oil (33%), soy oil (20%), DHA single cell oil (1.3%)
Linoleic Acid (g)	0.6	2.9
Linolenic Acid (g)	0.06	0.3
ARA (mg)	0	0
DHA (mg)	23	113
Minerals
Calcium (mg)	100	490
Phosphorus (mg)	60	290
Magnesium (mg)	16	78
Iron (mg)	1	4.9
Zinc (mg)	0.9	4.4
Manganese (mg)	0.057	0.28
Copper (mg)	0.11	0.54
Iodine (mg)	0.015	0.074
Selenium (mg)	0.0032	0.0157
Chromium (mg)	0.003	0.0147
Molybdenum (mg)	0.0045	0.022
Sodium (mg)	40	196
Potassium (mg)	100	490
Chloride (mg)	61	300
Vitamins
Vitamin A (IU)	200	990
Vitamin D (IU)	56	270
Vitamin E (IU)	1.79	8.8
Vitamin K (mg)	0.004	0.02
Vitamin C (mg)	10	49
Thiamine (mg)	0.075	0.37
Riboflavin (mg)	0.01	0.49
Niacin (mg)	1	4.9
Pantothenic Acid (mg)	0.43	2.1
Vitamin B6 (mg)	0.1	0.49
Folic Acid (mg)	0.015	0.074
Vitamin B12 (mg)	0.00025	0.00123
Biotin (mg)	0.0022	0.0108
Choline (mg)	22	108
Inositol (mg)	17	83
Carnitine (mg)	2	9.8
Taurine (mg)	6	29


Other Characteristics
Renal Solute Load (mOsm/100 mL)1	24
Osmolality (mOsm/kg H2O)	570
Osmolarity (mOsm/L)	480
Water (g/100 mL)	85

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

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

Ingredients

Corn Syrup Solids, High Oleic Sunflower Oil, Amino Acids (Potassium Aspartate, L-Leucine, L-Lysine Hydrochloride, L-Proline, L-Alanine, L-Valine, L-Isoleucine, Monosodium Glutamate, L-Threonine, L-Serine, L-Tyrosine, L-Aspartic Acid, L-Arginine, L- Phenylalanine, L-Histidine, L-Cystine, Glycine, L-Tryptophan, L-Methionine), Medium Chain Triglycerides (Fractionated Coconut Oil), Soy Oil, Modified Tapioca Starch, Schizochytrium Sp. Oil§, Taurine, L-Carnitine, Ascorbyl Palmitate, Mixed Tocopherols Minerals: (Calcium Citrate, Calcium Phosphate, Chromic Chloride, Cupric Sulfate, Ferrous Sulfate, Magnesium Phosphate, Manganese Sulfate, Sodium Citrate, Sodium Iodide, Sodium Molybdate, Sodium Selenite And Zinc Sulfate), Vitamins: (Ascorbic Acid, Biotin, Calcium D-Pantothenate, Choline Chloride, Dl- α -Tocopheryl Acetate, Folic Acid, Inositol, Niacinamide, Pyridoxine Hydrochloride, Riboflavin, Thiamine Hydrochloride, Vitamin A Palmitate, Vitamin B12, Vitamin D3 And Vitamin K1).

§ Source of DHA