Description
Hypoallergenic amino acid formula designed for infants and children with severe cow's milk protein allergies, multiple food intolerances, or when an elemental diet is necessary. Nutramigen Puramino is lactose-free and contains DHA, an omega-3 fatty acid that supports normal infant visual development*. Medium-chain triglyceride oil provides a readily available source of fat and energy in cases of fat malabsorption. Do not switch formulas without consulting your pediatrician, who will also recommend introducing complementary foods into the diet during weaning. Nutramigen Puramino, due to its special formulation, does not taste or smell like infant formula. Infants fed Nutramigen Puramino may have frequent, soft, green to dark stools.
*With a daily DHA intake of 100 mg.

Ingredients
Glucose syrup, vegetable oils (sunflower oleic acid, 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 derived 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 tocopheryl 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.

Free of lactose.

Nutritional characteristics

Average analysis	per 100 g of dust	per 100 ml ready to use
Energy	500 calories 2.100 kJ	68 kcal 290 kJ
Fats, of which: -saturated -linoleic acid -alpha-linolenic acid	26g 10g 4.3g 400 mg	3,6 g 1,36 g 0,58 g 54 mg
Carbohydrates, of which: -sugars	53g 4.1g	7,2 g 0,56 g
Proteins	13,9 g	1,89 g
hall	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 alfa-TE	0,91 mg alfa-TE
Vitamin K	45 mcg	6,1 mcg
Vitamin C	60 mg	8,1 mg
Thiamin	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
Vitamina 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
Soccer	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
Hill	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

How to use
1. Wash your hands thoroughly. Wash and boil bottles, nipples, rings, caps, and utensils in water for 1 minute.
2. Boil more water for 1 minute and let it cool to room temperature before starting the preparation. Pour the appropriate amount of cooled water into the bottle.
3. Add the appropriate amount of powder to the water (see feeding table). Store the dry measuring spoon in the jar.
4. Close the bottle, roll it between your hands, and then shake vigorously. Check the temperature on the inside of your wrist.
Once prepared, the product is subject to rapid deterioration. Administer immediately after preparation, otherwise cover the preparation and store it in the refrigerator at 2-4°C for no longer 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 product that has been in contact with the infant's mouth within 1 hour and do not place the bottle in the refrigerator. Discard any remaining product in the bottle and thoroughly clean the utensils.

Power supply table

Age	Medium Weight	Pasta number in the 24 hours	Water (ml) + Measuring cups*	Ready product for use (ml)
0-2 weeks	<3-3,5 kg	6-7	90 + 3
2-4 weeks	3,5-4 kg	5-6	120 + 4
1-2 months	4-5 kg		150 + 5
2-4 months	5-6,5 kg	4-5	180 + 6
4-6 months	6,5-7,5 kg		210 + 7
6-12 months	7,5-9,5 kg	2-3**	240 + 8
>1 year	>9,5 kg	2-3**	240 + 8

*Use the measuring cup included in the jar. Add one level, uncompressed measuring cup (4.5 g) to 30 ml of water.
**When the child is not taking adequate amounts of solid foods, the necessary amount of Nutramigen Puramino must be added strictly following the doctor's instructions.

Warnings
For your baby's health, it is recommended that you carefully follow the instructions below. Correct hygiene, preparation, dilution, use, and storage are important when preparing a bottle. Do not use a microwave to heat the formula. Powdered infant formula is not sterile. Your doctor will evaluate the use of the product in appropriate cases. Always ask your doctor which formula is best for your baby. Once prepared, the product is subject to rapid deterioration. Administer immediately after preparation, otherwise cover the preparation and store it in the refrigerator at 2-4°C for no longer than 24 hours. Do not freeze prepared formula or use it if it has been out of the refrigerator for more than 2 hours. Use the preparation that has been in contact with the infant's mouth within 1 hour and do not return the bottle to the refrigerator. Discard any remaining product in the bottle and clean utensils thoroughly. Breast milk is the ideal food for infants. Nutramigen Puramino is indicated for the nutritional management of severe forms of cow's milk protein allergy and multiple food intolerances. It is suitable for infants from birth if breastfeeding is not possible, and for 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 varied diet for older infants and children. Do not use parenterally. Nutramigen Puramino should be used under the supervision of a pediatrician.

Conservation
Store the jar 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.
Validity with intact packaging: 15 months.
Validity after opening: 1 month.

Format
400g jar.