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Complex™ Junior MSD w/ DHA-ARA

Medical foods for the dietary management of Maple Syrup Urine Disease (MSUD) in children and adults, including pregnant women and woman of child-bearing age.



  • Free from isoleucine, leucine and valine
  • 13 g of protein equivalent per 100 g of powder
  • DHA & ARA to provide an additional source for young children with MSUD
  • Mild neutral flavor
  • Essential vitamins and minerals to help meet needs of young children with MSUD
  • Recommended for young children with proven MSUD or beta-ketothiolase deficiency
  • Osmolalilty (mOsm/kg): 282 Based on standard dilution of 20 calories per 1 fl oz of water (30 mL)


  • Maple syrup urine disease (MSUD)


Nutrients Per 100g Powder Per 100 kcal
Calories 494 100
Protein Equivalent, g 13 2.6
Amino Acids, g 15.4 3.1
Isoleucine, mg 0 0
Leucine, mg 0 0
Valine, mg 0 0
Carbohydrate, g 46 9
Fat, g 29 6
Saturated Fat, g 8.3 1.7
Monounsaturated Fat, g 14.7 3
Polyunsaturated Fat, g 5.1 1
Linoleic Acid, mg 4296 870
ARA, mg 88 17.9
DHA, mg 88 17.9
Amino Acids,g Per 100g Powder Per 100 kcal
L-Alanine 1.4 0.28
L-Arginine 0.66 0.13
L-Asparagine 0.75 0.15
L-Cystine 0.29 0.06
L-Glutamic Acid 0.45 0.09
L-Glutamine 3.71 0.75
Glycine 0.35 0.07
L-Histidine 0.92 0.19
L-Isoleucine 0 0
L-Leucine 0 0
L-Lysine 1.17 0.24
L-Methionine 0.38 0.08
L-Phenylalanine 1.14 0.23
L-Proline 0.76 0.16
L-Serine 0.58 0.12
L-Threonine 0.94 0.19
L-Tryptophan 0.69 0.14
L-Tyrosine 1.14 0.23
L-Valine 0 0
L-Carnitine 0.03 0.01
Taurine 0.07 0.01
Vitamins Per 100g Powder Per 100 kcal
Vitamin A, IU (mcg R.E.)
(25% as beta-carotene)
1187(336) 240(72)
Vitamin D, IU (mcg) 429(10.7) 87(2.2)
Vitamin E, IU (mg a T.E.) 13.8(9.2) 2.8(1.9)
Vitamin K, mcg 62 12.6
Thiamine, mg 1.1 0.22
Riboflavin, mg 0.81 0.16
Vitamin B6, mg 0.78 0.16
Vitamin B12, mcg 2 0.4
Niacin, mg 5.8 1.2
Folic Acid, mcg 140 28
Pantothenic Acid, mg 3.4 0.69
Biotin, mcg 36 7.2
Vitamin C, mg 78 15.8
Choline, mg 244 49
Inositol, mg 148 30
Minerals Per 100g Powder Per 100 kcal
Calcium, mg 596 121
Phosphorus, mg 444 90
Magnesium, mg 68 13.8
Iron, mg 14.7 3
Zinc, mg 29 5.8
Manganese, mg 0.44 0.09
Copper, mg 0.95 0.19
Iodine, mcg 96 19.4
Molybdenum, mcg 15.8 3.2
Chromium, mcg 16.2 3.3
Selenium, mcg 44 8.9
Sodium, mg 303 61
Potassium, mg 797 161
Chloride, mg 384 78


Corn Syrup Solids, Maltodextrin, Modified Corn Starch, Canola Oil, Safflower Oil, Coconut Oil, L-Glutamine, Soybean Oil, Tricalcium Phosphate, L-Lysine Acetate, L-Alanine, L-Phenylalanine, L-Tyrosine, Sodium Citrate, Dipotassium Phosphate, L-Threonine, L-Histidine, L-Asparagine Monohydrate, L-Proline, L-Tryptophan, Choline Bitartrate, L-Arginine, Ascorbyl Palmitate, Mixed Tocopherols, Magnesium Chloride, Rosemary Extract, L-Serine, Potassium Citrate, Potassium Chloride, L-Glutamic Acid, L-Methionine, Glycine, Silica, L-Cystine, C. Cohnii Oil, Glucose Syrup Solids, Mono- and Diglycerides, M. Alpina Oil, Inositol, Ascorbic Acid, Zinc Sulfate, Taurine, Ferrous Sulfate, High Oleic Sunflower Oil, Mannitol, L-Carnitine, Vitamin E Acetate, Glycerol, Mono- and Distearate, Natural Flavor, Sodium Polyphosphate, Sunflower Lecithin, Sodium Ascorbate, Vitamin K1, Niacinamide, Vitamin A Palmitate, Vitamin D3, D-Calcium Pantothenate, D-Biotin, Copper Sulfate, Manganese Sulfate, Thiamine Hydrochloride, Potassium Iodide, Pyridoxine Hydrochloride, Sodium Selenite, Riboflavin, Vitamin B12 , Folic Acid, Chromium Chloride and Sodium Molybdate.

Preparation & Storage

Medical food for the dietary management of maple syrup urine disease (MSUD) in young children over the age of 12 months.

Use only under the direction of a physician or dietitian. Complex MSD Junior must be consumed in conjunction with natural protein, fluid and other nutrients in quantities prescribed by a physician or dietitian to meet protein and general nutrient requirements. Fat, carbohydrate and low protein sources may be used to supply needed calories and to fulfill essential fatty acid requirements.

The recommended intake of Complex MSD Junior will vary depending on the age, body weight and medical condition of the individual. Intake is adjusted to maintain normal growth and development. The daily intake of Complex MSD Junior should be divided into equal portions and distributed throughout the day.

Mixing Instructions
Add prescribed amount of Complex MSD Junior to recommended amount of cold water, shake or stir until completely mixed together. For better accuracy, powder should be weighed on a gram scale. Dilution may be adjusted to taste. Once prepared, store formula in a refrigerator for no more than 24 hours from the time of preparation. Shake or stir prepared formula immediately before use. Do not heat, bake or add to food or beverages above 13°F. Best served chilled with meals. Additional fluids should be offered at the same time.

Recommended Dilution
Dilution of Approximately 20 Calories Per 1 Fluid Ounce (30mL)

To Make Approx. Water Amount of Powder
2 fl oz (60mL) 2 fl oz (60mL) 1 level scoop (8.5g)
4 fl oz (120mL) 4 fl oz (120mL) 2 level scoops (17g)
6 fl oz (180mL) 6 fl oz (180mL) 3 level scoops (26g)
8 fl oz (240mL) 8 fl oz (240mL) 4 level scoops (34g)

The above numbers are approximate. For better accuracy, use a gram scale.
4g Powder = 20 Calories

Must be consumed by young children with proven maple syrup urine disease (MSUD). Not intended for infants. Not intended as the sole source of nutrition. Not for parenteral use.

Store unopened bars at room temperature. Do not store at extreme temperatures.

Ordering Information

Product Code
Reimbursement Code
Product Packaging
Calories Per Unit

5910 00847-0591-02 B4157 or B4162 4 x 400g (14.1 oz) 1976