Description
Hypoallergenic formula based on amino acids designed for infants and children with severe cow's milk protein allergy, multiple food intolerances or when an elementary diet is necessary. Nutramigen Puramino is lactose-free and contains DHA, omega-3 fatty acids that support normal infant visual development*. Medium chain triglyceride oil provides a readily available source of fat and energy in cases of fat malabsorption. Do not change formula without consulting your pediatrician who will also recommend the introduction of complementary foods into the diet at weaning. Nutramigen Puramino, due to its special formulation, does not have the taste and odor of infant formula. Infants fed Nutramigen Puramino may produce frequent soft stools that are green to dark in color.
*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 sulphate, taurine, zinc sulphate, 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.

Lactose free.

Nutritional characteristics

Average analysis	per 100 g of dust	per 100 ml ready to use
Energy	500 kcal 2,100 kJ	68 kcal 290 kJ
Fats, 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
Proteins	13.9 g	1.89 g
Salts	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
Chlorides	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
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

How to use
1. Wash your hands thoroughly. Wash and boil in water for 1 minute bottles, teats, rings, caps and utensils.
2. Boil more water for 1 minute and let it cool to room temperature before starting the preparation. Pour the right amount of cooled water into the bottle.
3. Add the right amount of powder to the water (see feeding table). Store the dry measuring spoon in the jar.
4. Close the bottle, first rotate it in your hands and 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 preparation and store it in the refrigerator at a temperature of 2-4°C for no more than 24 hours. Do not freeze the already prepared formula and do not 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 put the bottle back in the refrigerator. Throw away any residual product in the bottle and carefully clean the utensils.

Power table

Age	Average weight	No. of meals within 24 hours	Water (ml) + Measuring cups*	Ready product for use (ml)
0-2 weeks	<3-3.5kg	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 measuring cup included in the jar. One level, uncompressed measuring cup (4.5 g) is added to 30 ml of water.
**When the child does not take adequate amounts of solid foods, the amount of Nutramigen Puramino needed must be added strictly following the doctor's instructions.

Warnings
For the health of your baby, it is recommended to carefully follow the instructions below. Correct hygiene, preparation, dilution, use and storage are important when preparing the bottle. Do not use microwave ovens to heat the preparation. 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 a temperature of 2-4°C for no longer than 24 hours. Do not freeze the formula already prepared and do not 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 put the bottle back in the refrigerator. Throw away any residual product in the bottle and clean the utensils carefully. Breast milk is the ideal food for infants. Nutramigen Puramino is indicated for the diet of severe forms of allergy to cow's milk proteins and multiple food intolerances. It is suitable for feeding 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 the 6th month, 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.

Conservation
Store the jar in a cool, dry place. Close the package 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.