Description
Hypoallergenic amino acid-based formula for infants and children with severe cow's milk protein allergy, multiple food intolerances, or when an elemental diet is required. Nutramigen Puramino is lactose-free and contains DHA, omega-3 fatty acids that support normal visual development in infants*. Medium-chain triglyceride oil provides an easily available source of fat and energy in cases of fat malabsorption. Do not change formula without consulting a pediatrician who will also advise on the introduction of complementary foods into the weaning diet. Due to its specific formulation, Nutramigen Puramino does not have the taste and smell of infant formulas. Infants fed Nutramigen Puramino may produce frequent, soft, green-to-dark stools.
*With a daily DHA intake of 100 mg.

Ingredients
Glucose syrup, vegetable oils (high oleic sunflower, medium-chain triglycerides from coconut/palm, soy), 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 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 tocopherol acetate, 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

Average analysis	per 100 g of powder	per 100 ml ready to use
Energy	500 kcal 2,100 kJ	68 kcal 290 kJ
Fat, of which: -saturated -linoleic acid -alpha-linolenic acid	26 g 10 g 4.3 g 400 mg	3.6 g 1.36 g 0.58 g 54 mg
Carbohydrates, of which: -sugars	53 g 4.1 g	7.2 g 0.56 g
Protein	13.9 g	1.89 g
Salt	0.58 g	0.08 g
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
Thiamine	0.4 mg	0.054 mg
Riboflavin	0.45 mg	0.061 mg
Niacin	5 mg	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
Calcium	470 mg	64 mg
Phosphorus	260 mg	35 mg
Magnesium	55 mg	7.4 mg
Iron	9 mg	1.22 mg
Zinc	5 mg	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
Choline	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

Directions for use
1. Wash your hands thoroughly. Wash and boil feeding bottles, teats, rings, caps, and utensils in water for 1 minute.
2. Boil other water for 1 minute and let it cool to room temperature before preparing. Pour the correct amount of cooled water into the feeding bottle.
3. Add the correct amount of powder to the water (see feeding chart). Keep the dry scoop in the can.
4. Close the feeding bottle, roll it between your hands, then shake it vigorously. Check the temperature on the inside of your wrist.
The product, once prepared, is subject to rapid deterioration. Administer immediately after preparation, otherwise cover the prepared formula and store it in the refrigerator at a temperature of 2-4°C for no more than 24 hours. Do not freeze the prepared formula and do not use it if it has been out of the refrigerator for more than 2 hours. Use the prepared formula that has been in contact with the infant's mouth within 1 hour and do not put the bottle back in the refrigerator. Discard any remaining product in the bottle and thoroughly clean the utensils.

Feeding chart

Age	Average weight	No. of feeds in 24 hours	Water (ml) + Scoops*	Prepared product ready to use (ml)
0-2 weeks	<3-3.5 kg	6-7	90 + 3	100
2-4 weeks	3.5-4 kg	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 scoop enclosed in the can. One level, unpacked scoop (4.5 g) is added to 30 ml of water.
**When the child does not consume adequate amounts of solid foods, the required amount of Nutramigen Puramino must be added strictly following medical advice.

Warnings
For the child's health, it is recommended to strictly follow the instructions below. Proper hygiene, preparation, dilution, use, and storage are important when preparing the bottle. Do not use microwaves to heat the formula. Powdered infant formulas are not sterile. The doctor will evaluate the use of the product in appropriate cases. Always ask your doctor which formula is best for your child. The product, once prepared, is subject to rapid deterioration. Administer immediately after preparation, otherwise cover the prepared formula and store it in the refrigerator at a temperature of 2-4°C for no more than 24 hours. Do not freeze the prepared formula and do not use it if it has been out of the refrigerator for more than 2 hours. Use the prepared formula that has been in contact with the infant's mouth within 1 hour and do not put the bottle back in the refrigerator. Discard any remaining product in the bottle and thoroughly clean the utensils. Breast milk is the ideal food for infants. Nutramigen Puramino is indicated for the dietary management of severe cow's milk protein allergy and multiple food intolerances. It is suitable for feeding infants from birth, if breastfeeding is not possible, and children. Nutramigen Puramino is a nutritionally complete food and can be used as the sole source of nutrition for infants up to 6 months, or as part of a diversified diet for older infants and children. Do not use parenterally. Nutramigen Puramino must be used under the supervision of a pediatrician.

Storage
Store the can 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 of unopened package: 15 months.
Shelf life after opening: 1 month.

Format
400 g can.