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Other conditions where restriction of amino acid methionine is indicated

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SP MMA/PA-C: Isoleucine, Threonine, Methionine & Valine Free Formula for Children above 2 years, for the management of Methylmalonic Acidemias (MMA) or Propionic Acidemia (PA). It’s a blend of essential and nonessential amino acids with carbohydrate, fat, vitamins, minerals, trace elements without amino acids Isoleucine, Threonine, Methionine & Valine

Use under medical supervision

NOT FOR MEDICINAL USE.

Not to exceed recommended daily usage

Product is not to be used as a substitute for varied diet

Store out of reach of children

Description

• “SP MMA/PA-C” a protein substitute containing essential & nonessential amino acids
• Free from Isoleucine, Threonine, Methionine & Valine
• Provides carbohydrate, fat, vitamins, minerals and trace elements
• Choline – a nutrient similar to B vitamins plays a crucial role in brain health for individuals

Suitable for above 2 years of age

Indications

• For the use of dietary management of proven cases of Methylmalonic Acidemias and Propionic Acidemia for above 2 years of age
• Can be used in other conditions where restriction of amino acids Isoleucine, Threonine, Methionine & Valine is indicated.
• For enteral use only
• Not for parenteral use
• Not Suitable for Infants
• Nonsterile formula
• “Nutritionally Incomplete with a standard formulation or nutrient adopted formulation specific for a disease, disorder or medical condition, which is not suitable to be used as sole source of nourishment”.

Dosage 

• To be determined by the Clinician/Dietician.
• Dose is dependent on age, body weight, complications of the disorder if any and medical condition of the patient
•  ‘Not to exceed the recommended daily usage’.

Direction for Preparation

• The child’s health depends on carefully following the instructions. Proper hygiene, preparation, dilution, use and storage are important when preparing the formula. Failure to follow these instructions could result in severe harm.
• SP MMA/PA-C Formula should be mixed with calculated amounts of drinks like water, fruit juices; fruits purees, etc. or as suggested by the Clinician/Dietician. If using water to prepare the formula you need to use boiled cooled, water.
• Use boiled clean utensils, bottles and nipples in water before use. Pour the required amount of water into the bottle/utensil.
• Add the correct amount of SP formula powder, cap the bottle or cover the utensil and shake vigorously for some time.
• IF YOU FIND FORMULA IS NOT DISSOLVING PROPERLY THEN TAKE A MEASURED FORMULA IN BOTTLE OR UTENSIL ADD LITTLE LIQUID TO MAKE A PASTE. IF CHILD CAN TAKE THAT MUCH THICK FORMULA, THEN FEED IT AND THEN GIVE REMAINING MEASURED JUICE OR WATER. IF UNABLE TO TAKE PASTE, THEN ADD REMAINING CALCULATED FLUID. SHAKE WELL.
• If instructed to use the scoop unpacked and use a levelled scoop.
• Once prepared, product can spoil quickly. Either feed immediately or after feeding begins, use within 1 hour otherwise discard. Do not freeze prepared product.

Important Notice

• Should not be boiled nor added to hot food & if wish can give only at lukewarm temperature.

Storage

Unopened: SP MMA/PA-C nutrition formula should be stored in a cool dry place below 25 °C.

• Always store DRY scoop in a container.
• Open only one sachet at a time for use.
• Seal properly after the use
• Once opened: Use within one month.

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Ingredients Used

Maltodextrin, Sucrose, Anhydrous MCT Fat Powder, L-Alanine, L-Arginine, L-Cystine, L-Glutamic Acid, Glycine, L-Histidine, L-Isoleucine, L-Leucine (trace), L-Lysine, L-Methionine, L-Phenylalanine, L-Threonine, L-Tyrosine, L-Tryptophan, L-Valine, Vitamins, Minerals, Inositol, Taurine, L-Carnitine, Antioxidants.

Direction of Use

• Use only under the supervision of a clinician/dietitian.

• Add the recommended amount of SP WA-C powder to previously boiled and cooled water.

• Use clean utensils and shake/stir until fully dissolved.

• Feed the prepared solution immediately or within 1 hour of preparation.

• Do not boil or reheat the mixed formula.

• The quantity and frequency should be based on the specific condition and recommendation of the healthcare provider.

Storage Guidelines

• Store unopened SP WA-C formula in a cool, dry place below 25°C.

• Once opened, use the contents within one month.

• Always seal the sachet properly after each use.

• Do not freeze the product.

• Keep out of reach of children.

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L – Carnitine and maltodextrin
Concentration 100 mg in 1 g

Direction

Mix one gram of powder in 5 ml water
Store in cool and dry place (below 25 degree centigrade) away from sunlight.
Once opened, keep the zip locked sachet in an airtight container
Store out of reach of children

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Provides vitamins, minerals and trace elements

Choline – a nutrient similar to B vitamins plays a crucial role in brain health

Indications

• Energy enhancer
• In situations where protein and fat restriction is indicated
• Can be used as emergency dietary management including suspected IEMs before Diagnosis
• Not for use as sole source of nutrition.
• For enteral use only
• Not for parenteral use
• Non sterile formula
• To meet the total nutrient requirements, formula can be used with some natural food

Dosage 

To be determined by the Clinician/Dietician. Dose is dependent on age, body weight and medical condition of the patient.

Direction for Preparation

• The child’s health depends on carefully following the instructions. Proper hygiene, preparation, dilution, use and storage are important when preparing the formula. Failure to follow these instructions could result in severe harm.
• SP CARB Formula should be mixed with calculated amounts of drinks like water, fruit juices etc. or as suggested by the Clinician/Dietician. If using water to prepare the formula you need to use boiled cooled, water. Use boiled clean utensils, bottles and nipples in water before use. Pour the required amount of water into the bottle/utensil. Add the correct amount of SP formula powder, cap the bottle or cover the utensil and shake vigorously for some time.
• If instructed to use the scoop unpacked and use a levelled scoop.
• Once prepared, product can spoil quickly. Either feed immediately or after feeding begins, use within 1 hour otherwise discard.
• Do not freeze prepared product.

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