Nutramigen Pure Amino Acid ( 400g)

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NUTRAMIGEN - PROVEN TO SUPPORT VISUAL DEVELOPMENT

Nutramigen AA Formula (Amino Acid) is an amino acid based formula for babies with a severe cow's milk protein allergy or with multiple food alergies, who may not tolerate an extensively hydrolysed formula. The protein in Nutramigen AA has been completely broken down into amino acids, the building blocks of protein.

What is the difference between Nutramigen LIPIL and Nutramigen AA?

The key difference between Nutramigen LIPIL 1/2 and Nutramigen AA is the structure of the protein. The LIPIL formula is an extensively hydrolysed whereas the AA formula is an Amino acid formula. Amino acids are the building blocks of protein and essentially the AA formula is suitable for babies who require a protein feed which is stripped down to it's original starting form.

Nutramigen LIPIL and AA are both significantly differnet from cows milk protein which is a chain of whole protein which can be difficult for some babies to tolerate.

What is LIPIL?

LIPIL® is a special blend of nutrients DHA and ARA, also known as Omega 3 and Omega 6 fatty acids. DHA and ARA are present in breast milk and are important building blocks for baby's brain and eye.

If your baby has a cow's milk allergy and difficulty absorbing fat your healthcare professional may recommend Pregestimil Lipil.

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Feeding Tips

Due to their special formulation Nutramigen LIPIL and AA smell and taste different to routine formulas. The following tips will help your baby to get used to the new taste:

• If you need to supplement your breastfeeds with Nutramigen Lipil, try to express some breast milk and mix it 50:50 with freshly prepared Nutramigen Lipil. Your dietitian can give you more advice about this.

• It may take a few days for your baby to get used to the taste of Nutramigen Lipil. Try to be positive during feeding times, even if you don't like the smell. Babies often respond to parents' reactions! Remember your sense of taste and smell is different from your baby's which is not so well developed at this age.

• Older children may prefer to take the formula from a covered cup. They may also prefer to have the formula as a cold drink.

Babies fed Nutramigen Lipil, Nutramigen AA or Pregestimil Lipil may produce frequent loose stools of a greenish colour - this is quite normal.

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Milk Allergies and Intolerances

What is Cow’s Milk Protein Allergy?

Cow’s milk protein allergy is most common in newborns and young children and predominantly occurs when the immune system has an allergic reaction to proteins which are found in cow’s milk.

What is Cow’s Milk Protein Intolerance?

Cow’s milk protein intolerance is also most common in infants and young children. The differences between allergy and intolerance is that cow’s milk protein allergy is systematically related to the immune system whereas an intolerance could be for a number of different reasons which may or may not be related to the immune system.

How do I know if I child is suffering from Cow’s Milk Protein Allergy and/or Cow’s Milk Protein Intolerance?

There are several key indicators which help to establish whether a child is suffering from CMPA/I. The most accurate/relevant symptoms are listed below:

• Eczema

• Itchy Skin

• Persistent Diarrhoea

• Repeated Vomiting

• Refusal to eat

• Colic

Making a diagnosis can be difficult as it is entirely possible that symptoms can occur several hours after feeding. It is possible that a child can have more then one symptom.

Which is the most common indicator for Cow’s Milk Protein Allergy/Intolerance?

The inflammatory skin condition called eczema is the most common and accurate indicator of an infant suffering from Cow’s Milk Protein Allergy/Intolerance. It has been heavily researched that food allergies occur in combination with atopic eczema. Statistical evidence shows that as many as 50-60% of infants who suffer from atopic eczema also suffer from Cow’s Milk Protein Allergy/Intolerance which further reinforces the link between the two. If a child is suffering from both Eczema and CMPA/I then their skin condition can get deteriorate with time.

Note: there is an increased risk of an infant developing atopic eczema if there is history of allergic symptoms in the family (mother/father). Examples would include eczema, hay-fever and asthama.

How can I help a child suffering from Cow’s Milk Protein Allergy/Intolerance?

Breast is Best! To offer more protection to infants who might be at risk of developing Cow’s Milk Protein Allergy/Intolerance it is recommended to choose breastfeeding over any other type of feeding method. A mother’s breast milk can reduce the risk of developing CMPA/I as the proteins contained in breast milk are better tolerated and utilised by the baby. Furthermore, breast milk is rich in unique ingredients which protect the undeveloped gut from unknown substances (food protein) and further reduces the risk of developing CMPA/I.

What infant formulas can be used to treat Cow’s Milk Protein Allergy/Intolerance?

It is well known that not all mother’s are in a position in breastfeed and if an infant is at risk of developing CMPA/I then a standard milk-based formula should be replaced with an hydrolysed hypoallergenic formula (Nutramigen Formula) or an amino-acid based formula (Neocate LCP). Soya formulas are not recommended as a treatment for newborns suffering from CMPA/I.

Can Soya Milk be used to Cow’s Milk Protein Allergy/Intolerance?

Cow’s milk is regarded as a suitable feed for infants and young children as Cow’s milk is high in all the beneficial nutrients which are necessary for optimum growth and development in infants and young children. There are many infant formulas which are based on soya, particularly targeted as a substitute feed to cow’s milk. As soya based infant feeds do not contain the essential vitamins and minerals for growth and development it is not advisable to choose a soya feed.

Nutramigen AA Formula is an amino acid formula for babies with a severe cow's milk protein allergy. Nutramigen AA is available in a 400g tin for £34.45.