HUMAN



3

FEED

|Kcal |Protein grams |Protein

source |Whey:

Casein |Fat

grams |Fat

source |CHO

gram |CHO

source |Na

mmol |K

mmol |Cl

mmol |Ca

mmol |PO4

mmol |Fe

mg |Vit A (ug) |Vit D

(ug) |mOsm/ kg H20

|Indications for use | |INFANT (0-1 YR) | | | | | | | | | | | | | | | | | | | |HUMAN MILK * (mature) |70 |1.1 |Lactalbumin casein |70:30 |4.2 |Human milk fat |7.2 |Lactose |0.9 |1.4 |1.1 |0.7 |0.5 |0.05 |61 |- |290 |Preferred feeding for term and preterm infants | | SIMILAC ADVANCE + IRON

Ross |68 |1.4 |Nonfat milk, whey protein | |3.7 |Safflower, coconut, soy |7.2 |Lactose |0.7 |1.8 |1.2 |1.3 |0.9 |1.2 |61 |1.0 |300 |Iron fortified term infant formula with added DHA (5 mg) and ARA (13 mg) | | ENFAMIL A+

Mead Johnson |68 |1.4 |Modified milk ingredients | |3.6 |Palm olein, soy, coconut,sunflower |7.4 |Lactose, corn syrup solids |0.8 |1.9 |1.2 |1.3 |0.9 |1.2 |60 |1.0 |300 |Iron fortified term infant formula with added DHA (11.5 mg) and ARA (23 mg) | | GOODSTART

Nestle |67 |1.5 |Whey hydrolysate |100:0 |3.4 |Palm olein, soy, coconut, safflower |7.5 |Lactose, corn maltodextrins |0.8 |1.8 |1.2 |1.1 |0.8 |1.0 |60 |1.0 |260 |Hydrolyzed whey-for infants at risk for milk protein allergy or mild reflux. ( PO4, DHA (10 mg) and ARA (20 mg) | |ENFAMIL A+ THICKENED

Mead Johnson |68 |1.7 |Nonfat milk | |3.4 |Palm olein, soy, coconut, sunflower |7.4 |Rice starch lactose maltodextrin |1.2 |1.9 |1.4 |1.3 |1.2 |1.2 |60 |1.0 |230 |Thickens when combines with stomach acids- for reflux. Do not concentrate beyond 24 kcal/oz. DHA (11.5) ARA (23 mg) | |ENFAMIL LACTOSE FREE

Mead Johnson |68 |1.4 |Milk protein isolates | |3.6 |Coconut, sunflower soy, palm olein |7.4 |Corn syrup solids maltodextrin |0.9 |1.9 |1.3 |1.4 |1.0 |1.2 |60 |1.0 |200 |Milk-based, lactose free formula. NOT suitable for galactosemia | |ENFAMIL SOY

Mead Johnson |68 |1.7 |Soy protein isolates |- |3.6 |Coconut, sunflower soy, palm olein |7.2 |Corn syrup solids

|1.0 |2.0 |1.5 |1.8 |1.5 |1.2 |60 |1.0 |170 |Soy based formula. Milk, lactose and sucrose free. Suitable for vegans. Use powdered form for galactosemia. | | ALIMENTUM

Ross |68 |1.9 |Hydrolyzed casein | |3.8 |MCT, safflower, soy |6.9 |Sucrose, mod tapioca starch |1.3 |2.1 |1.5 |1.8 |1.6 |1.2 |61

|0.8 |370 |Hydrolyzed casein for milk protein allergy (60 % amino acids), 33% MCT. Lactose-free. Not kosher. ( ODB | | NUTRAMIGEN

Mead Johnson |68 |1.9 |Hydrolyzed casein |0:100 |3.6 |Palm olein, soy, coconut, sunflower |7.0 |Corn syrup solids, mod. corn starch |1.4 |1.9 |1.6 |1.6 |1.1 |1.2 |60 |0.8 |270 rtf

300 pdr |Hydrolyzed casein for milk protein allergy. Lactose/sucrose free. Not kosher. DHA (11.5 mg) & ARA (23mg) ( ODB | | PREGESTIMIL

Mead Johnson |68 |1.9 |Hydrolyzed casein |0:100 |3.8 |MCT, corn, soy, high oleic sunflower |6.9 |Corn syrup solids, mod. Cornstarch |1.4 |1.9 |1.6 |1.6 |1.1 |1.2 |72 |0.8 |320 rtf

320 pdr |Hydrolyzed casein for milk protein allergy, fat malabsorption. 55% MCT. Lactose/ucrose free. DHA (11.5 mg) & ARA (23mg) Not kosher ( ODB | |NEOCATE

Nutricia |67 |2.1 |Free amino acids | |3 |Safflower, coconut, soy |7.8 |Corn syrup solids |1.1 |2.7 |1.5 |2.1 |2.0 |1 |64 |0.9 |375 |Amino acid-based for milk protein allergy, malabsorption. 5% MCT ,95% LCT ( ODB | |PORTAGEN

Mead Johnson |67 |2.4 |Sodium caseinates |0:100 |3.1 |MCT, corn, coconut |7.7 |Corn syrup solids

Sucrose |1.5 |2.2 |1.6 |1.6 |1.5 |1.3 |66 |0.5 |230 |Fat malabsorption, , chylothorax ,defective lymphatic transport. 80% MCT Ccnsult RD for recipe ( ODB | |SIMILAC ADVANCE NEOSURE 22 Ross |75 |2.1 |Nonfat milk, whey protein | |4.1 |Soy safflower, MCT, coconut |7.6 |Corn syrup solids, lactose |1.1 |2.7 |1.6 |2.0 |1.5 |1.4 |104 |1.3 |250 |Preterm discharge formula with more kcal, protein, vitamins, minerals. DHA (6 mg) ARA (15 mg) 25% MCT ( ODB | | SIMILAC SPECIAL CARE 24 Ross |81 |2.4 |N nonfat milk

Whey protein |60:40 |4.4 |MCT, soy, coconut |8.4 |Maltodextrin, lactose |1.8 |2.5 |2.2 |3.0 |2.3 |0.3 |244 |4 |270 |For preterm Infants < 2 kg birthweight when human milk not available. 50% MCT | |SIMILAC HMF ** (Ross)

(100 mL EBM + 4pkg HMF ) |79 |2.3 |Nonfat milk, whey protein | |4.1 |MCT oil |8.2 |Corn syrup solids

|1.7 |3.0 |2.5 |3.5 |2.5 |0.5 |295

|3

|385 |To fortify human milk fed to premature infants

< 1800 grams birthweight | |PEDIATRICS (1-10 YR) | | | | | | | | | | | | | | | | | | | |PEDIASURE

Ross |100 |3.0 |Na caseinate, whey protein |18:82 |5 |Safflower, soy MCT, sunflower |11 |Maltodextrin, sucrose |1.6 |3.3 |2.8 |2.4 |2.6 |1.4 |78 |0.8 |310 |Sole source of nutrition or supplement, oral/tube feed. Gluten and lactose free . 20% MCT. ( ODB | |PEDIASURE PLUS with fiber

Ross |150 |4.2 |Na & Ca caseinate,

Whey protein |18:82 |7.5 |Safflower, soy, MCT, sunflower |18 |Maltodextrin, soy sucrose, oat hulls, gum arabic, FOS |2.8 |4.6 |3.4 |2.2 |2.6 |1.4 |99 |1.1 |345 |High calorie (1.5 kcal/mL). Oral/tube feed. Lactose and gluten free. 20% MCT, 0.75g fiber/100mL

FOS = 0.35g/100 ml) ( ODB | |NUTREN JR

Nestle |100 |3 |Isolated casein, whey protein |50:50 |5 |Soy, canola, MCT |11 |Maltodextrin, sucrose |2.0 |3.4 |3.0 |2.5 |2.6 |1.4 |89 |0.8 |350 |Sole source nutrition or supplement. Oral/tube feed.

21% MCT Lactose & gluten free ( ODB | |NUTREN JR + fiber

Nestle |100 |3 |Isolated casein, whey protein |50:50 |5 |Soy, canola, MCT |11 |Maltodextrin, sucrose, FOS/ inulin, pea fibre |2.0 |3.4 |3.0 |2.5 |2.6 |1.4 |90 |1.3 |350 |Supplement/tube feed. 20% MCT Lactose and gluten free. 0.36g pea fiber and 0.22g FOS/inulin per 100 mL. ( ODB | |PEPTAMEN JR

Nestle |100 |3 |Hydrolyzed whey | |3.8 |MCT, soy, canola |14 |Maltodextrin, sugar |2.0 |3.4 |3.0 |2.5 |2.6 |1.4 |89 |0.8 |380 |Partially hydrolyzed protein . 60% MCT, 100% whey peptides ( ODB | |NEOCATE JR (unflavoured)

Nutricia |100 |3.3 |100% amino acids | |5 |Coconut, canola,safflower |10.4 |Corn syrup solids |1.8 |3.5 |1.8 |2.8 |2.2 |1.5 |75 |1.1 |590

|Amino acid formula for allergy, protein intolerance, malabsorption. Fruit/choc flavours avail. 35% MCT ( ODB | |COMPLEAT PEDIATRIC

Nestle |100 |3.8 |Chick/,pea/,gr bean/,peach,

Na caseinate | |3.9 |Canola, coconut/palm |13 |Cranberry juice, corn syrup solids |3.3 |4.2 |1.6 |3.6 |3.2 |1.3 |100 |0.8 |380 |Made with pureed food/juice. For 1-12yrs. 20% MCT. 0.68 g fiver/100 mL from veg/fruit fiber and guar gum ( ODB | |

AUGUST 2009

FEED

|Kcal |Protein grams |Protein

source |Whey:

Casein |Fat

grams |Fat

source |CHO

gram |CHO

source |Na

mmol |K

mmol |Cl

mmol |Ca

mmol |PO4

mmol |Fe

mg |Vit A (ug) |Vit D (ug) |mOsm/ kg H20 |Indications for use | |PEDIATRICS (10+ yr) | | | | | | | | | | | | | | | | | | | |JEVITY 1.2 CAL

Ross |120 |5.55 |Na/ ca caseinate

Soy protein | |3.9 |Safflower, canola, MCT |17.3 |Corn syrup solids, maltodextrin, FOS, oat/soy fibre |5.9 |4.7 |4.2 |3 |3.9 |1.8 |120 |0.75 |450 |High kcal, high protein , fiber containing tube feed. 1.2 g fiber /100 mL-soluble & insolubleFOS = 1.0 g/100 mL. 19% MCT Lactose, gluten free NOT low residue ( ODB | |RESOURCE 2.0

Novartis |200 |8.0 |Na + ca caseinate | |9.0 |Canola |22 |Corn syrup, sugar, maltodextrin |3.5 |3.9

|3.3 |2.6 |3.4 |2.0 |159 |1.1 |790 |High nitrogen, calorically dense.for fluid restriction. Oral supplement / tube feed. ( ODB | |ENSURE

Ross |106 |4.0 |Milk & soy pro concentrates | |2.9 |Soy, canola, corn oils. Soy lecithin |16 |Sugar, corn maltodextrin |4.6 |4.1 |3.0 |3.2 |3.8 |1.5 |160 |0.6 |642 |Oral supplement/ tube feed. Lactose & gluten free. Vanilla, strawb, choc. NOT ODB covered (Ensure w fiber IS ( ODB) | |ENSURE PLUS

Ross |151 |5.7 |Milk/ soy/ whey pro concentrates | |4.7 |Canola, corn oil. Soy lecithin |21.5 |Corn maltodextrin, sucrose |4.6 |4.4 |3.2 |3.2 |3.8 |1.6 |160 |0.6 |633 |Oral supp. Calorically dense, high pro for fluid restrictions. Lactose/gluten free. Strawb/van/butter pecan. No fiber ( ODB | |ENSURE HP

Ross |96 |5.1 |Na/ ca caseinate soy protein | |2.6 |Safflower, canola, corn oils |13.2 |Sucrose, corn maltodextrin |5.3 |4.7 |3.0 |2.9 |3.8 |1.5 |149 |0.5 |546 |High protein supplement/ tube feed. Lactose and gluten free. NOT ODB covered. Van/choc/straw. No fiber | |JEVITY 1.5 CAL

Ross |150 |6.4 |Na , ca caseinate, soy | |5.0 |MCT, canola, corn |21.6 |Maltodextrin, corn syrup, FOS, soy & oat fiber, guargum |6.1 |5.5 |3.8 |3.0 |3.9 |1.8 |112 |1.0 |525 |High pro& kcal for fluid restriction/elevated energy needs. 19% fat as MCT. 1.2g fiber & 1g FOS/100 mL.75% insol fibre. Lactose and gluten free. ( ODB 1 & 1.5 litre only | |ISOSOURCE VHN

Novartis |100 |6.2 |Na , ca caseinate | |2.9 |Canola, MCT, soy |12.8 |Maltodextrin, soy fiber, guar gum |5.6 |4.1 |3.8 |2.0 |2.6 |1.4 |87 |0.7 |300 |High nitrogen, isotonic. Tube or oral feed. 50% of fat as MCT. 1.0 g fiber per 100 mL. Lactose and gluten free ( ODB | |OXEPA

Ross |150 |6.25 |Na, ca caseinates | |9.4 |Canola, MCT, sardine/borage oils |10.6 |Sucrose, maltodextrin |5.7 |5.0 |4.8 |2.65 |3.4 |2 |357 |1.1 |535 |Low CHO, calorically dense feed for critically ill/Sepsis/ARDS.( EPA&GLA oils, 25% of fat as MCT. Lactose/gluten free. NOT kosher | |OPTIMENTAL

Ross |100 |5.1 |Soy/na caseinate hydrolysates, free arginine | |2.8 |Sardine, MCT, canola, soy oils |14 |Maltodextrin, sucrose, FOS |4.6 |4.5 |3.8 |2.6 |3.4 |1.3 |247 |0.7 |540 |Elemental for malabsorption syndromes. EPA (2.3 g/L) DHA (1g/L) Arginine 5.5g/L. FOS 5g/L. 60% fat as sardine/MCT oil. Lactose/gluten free. ( ODB. NOT kosher | |PEPTAMEN

Nestle |100 |4.0 |Whey |100:0 |3.9 |Coconut, palm, soybean, 70% MCT |13 |Maltodextrin, corn starch |2.4 |3.8 |2.8 |2.0 |2.3 |1.8 |97 |0.7 |380 |Elemental diet for impaired GI function/malabsorption. Oral & tube. 100% whey protein. 70% MCT. Vanilla flavour ( ODB | |PEPTAMEN 1.5

Nestle |150 |6.8 |Whey |100:0 |5.6 |Coconut, palm, soybean, 70% MCT |19 |Maltodextrin, corn starch |4.4 |4.8 |4.9 |2.5 |3.2 |2.7 |146 |1.0 |550 |High calorie diet for impaired GI function/malabsorption. 100% whey protein. Vanilla flavour 70% MCT. ( ODB | |VIVONEX PEDIATRIC

Novartis |80 |2.4 |100% free amino acids | |2.4 |Coconut, soybean |13 |Maltodextrin, corn starch, |1.7 |3.1 |2.9 |2.4 |2.6 |1.0 |74 |0.8 |360 |Elemental low fat formula for fat malabsorption 68% MCT

1 pkg powder + 220 mL water = 250 mL(0.8 kcal/mL) ( ODB | |NEPRO

Ross |200 |7.0 |Milk protein, Ca, mg, na caseinates | |9.6 |Safflower, soy lecithin, canola |22 |Corn syrup solids sucrose, FOS |3.7 |2.7 |2.8 |3.4 |2.2 |1.9 |127 |0.2 |665 |Acute or chronic renal failure requiring dialysis. Oral/tube feed. FOS 1.6g/L ( ODB Vanilla | |SUPLENA

Ross |200 |3.0 |Na + ca caseinate | |9.6 |Safflower, soy, soy lecithin |25 |Maltodextrin, sucrose |3.0 |3.0 |3.0 |3.5 |2.4 |1.9 |32 |0.2 |600 |Low protein for chronic/acute renal failure patient not on dialysis. Oral/ tube feed. ( ODB | |

* Jensen, RD (ed) Handbook of Milk Composition. San Diego, Academic Press, 1995. ** HMF = Human Milk Fortifier

Conversion factors: Ca - 40mg per mmol PO4 – 31mg per mmol Na – 23mg per mmol Cl – 35.5 mg per mmol K – 39 mg per mmol ( ODB indicates product covered by Ontario Drug Benefits

Vitamin A – 3.33 IU = 1 mcg Vitamin D – 40 IU = 1 mcg

MARCH, 2008

FEED

|Kcal |Protein grams |Protein

source |Whey:

Casein |Fat

grams |Fat

source |CHO

gram |CHO

source |Na

mmol |K

mmol |Cl

mmol |Ca

mmol |PO4

mmol |Fe

mg |Vit A (ug) |Vit D (ug) |mOsm/ kg H20 |Indications for use | |METABOLICS | | | | | | | | | | | | | | | | | | | |RCF

(per 100mL concentrate) Ross |81 |4 |Soy protein isolates |- |7.2 |soy, coconut, safflower |.008 |- |2.6 |3.7 |2.3 |3.5 |3.2 |2.4 |122 |2 |- |Carbohydrate-free soy formula for carbohydrate intolerance - water and CHO source required. . ( ODB | |PROPHREE

(per 100g powder) Ross |510 |trace |Taurine |- |28 |Safflower, coconut, soy |65 |Corn syrup solids

|10.9 |22.4 |9.9 |18.8 |16.9 |11.9 | 600 |7.5 |- |For reduced protein diet, specific amino acid disorders, or increased energy, minerals, vitamins. | |KETOCAL

Nutricia |144 |3 |Dry whole milk | |14.4 |Soy oils, soy lecithin |0.6 |Corn syrup solids |2.6 |5.5 |2.8 |4.0 |4.2 |2.2 |90 |1.0 |197 |Used in treatment of intractable epilepsy with ketogenic diet . Contains aspartame. ( ODB | |TYREX 1

(per 100 g powder) Ross |480 |15 |L-amino acids | |21.7

|Safflower, coconut, soy |53 |Corn syrup solids |8.3 |17.3 |9.2 |14.4 |12.9 |9.0 |420 |7.5 | |For infants with tyrosinemia. No PHE or TYR–must be from diet.1 cup powder = 105 grams; 2.73 mosm/g powder. | |PHENEX 1

(per 100 g powder) Ross |480 |15 |L-amino acids | |21.7 |Safflower, coconut, soy |53 |Corn syrup solids |8.3 |17.3 |9.2 |14.4 |12.9 |9 |420 |7.5 | |For infants with phenylketonuria. No PHE – must be obtained from diet.1 cup powder = 105 grams; 2.72 mosm/g powder. | |PROPIMEX 1

(per 100 g powder) Ross |480 |15 |L-amino acids | |21.7 |Safflower, coconut, soy |53 |Corn syrup solids |8.3 |17.3 |11.6 |14.4 |12.9 |9 |420 |7.5 | |For infants with propionic academia/methylmalonic academia. No VAL, MET, low THR, ILE - must be obtained from diet. 1 cup powder =105 grams; 2.76 mosm/g powder. | |CYCLINEX 1

(per 100 g powder) Ross |510 |7.5 |L-amino acids | |24.6 |Safflower, coconut, soy |57 |Corn syrup solids |9.4 |19.4 |11 |16.3 |14.7 |10 |480 |7.5 | |For infants with urea cycle disorders. Low protein – additional protein generally obtained from diet. 1 cup powder = 105 grams; 2.20 mosm/g powder. | |GLUTAREX 1

(per 100 g powder) Ross |480 |15 |L-amino acids | |21.7 |Safflower, coconut sou |53 |Corn syrup solids |8.3 |17.3 |9.2 |14.4 |12.9 |9 |420 |7.5 | |For infants/children with glutaric aciduria Type 1or 2-Ketoadipic Aciduria. 1 cup powder = 105g 2.73 mosm/g pwdr. | |CALCILO XD

(PER 100 g powder) Ross |513 |11.4 |Whey, sodium caseinate | |28.7 |Coconut, corn oil |52.3 |Corn syrup |5.4 |10.7 |8.2 | ................
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