Features
• Phenylalanine-free
• Complete with essential vitamins and minerals
• Only ½ gram of fat and 83 calories per serving
• PhenylAde40 Drink Mix provides 40 g of protein equivalent per 100 g of powder
• Available in citrus and unflavored single serve pouches
• Suitable for individuals over 1 year of age
• Osmolalilty (mOsm/kg): 1110 Based on standard dilution of 25 g powder to 4 fl oz water (120 mL)
- Phenylketonuria
Nutrition
Nutrients | Per 100g |
Per 10 g Protein Equivalent (1 scoop/pouch) |
Weight, g | 100 | 25 |
Calories | 330 | 83 |
Protein Equivalent, g | 40 | 10 |
Carbohydrate, g | 38 | 9.5 |
Fat, g | 2 | 0.5 |
Saturated Fat, g | 0.32 | 0.08 |
Monounsaturated Fat, g | 1.2 | 0.31 |
Polyunsaturated Fat, g | 0.42 | 0.11 |
Amino Acids,g | Per 100g |
Per 10 g Protein Equivalent (1 scoop/pouch) |
L-Alanine | 3.85 | 0.96 |
L-Arginine | 3.27 | 0.82 |
L-Asparagine | 5.04 | 1.26 |
L-Cystine | 0.55 | 0.14 |
L-Glutamine | 6.34 | 1.59 |
Glycine | 2.47 | 0.62 |
L-Histidine | 1.02 | 0.26 |
L-Isoleucine | 1.64 | 0.41 |
L-Leucine | 3.64 | 0.91 |
L-Lysine | 2.98 | 0.75 |
L-Methionine | 1.08 | 0.27 |
L-Phenylalanine | 0 | 0 |
L-Proline | 2.47 | 0.62 |
L-Serine | 4.08 | 1.02 |
L-Threonine | 1.92 | 0.48 |
L-Tryptophan | 0.61 | 0.15 |
L-Tyrosine | 3.78 | 0.95 |
L-Valine | 2.74 | 0.69 |
L-Carnitine | 0.06 | 0.01 |
Taurine | 0.12 | 0.03 |
Vitamins | Per 100g |
Per 10 g Protein Equivalent (1 scoop/pouch) |
Vitamin A, IU (mcg R.E.) (25% as beta-carotene) |
1557 (584) | 389 (146) |
Vitamin D, IU (mcg) | 347 (8.7) | 87 (2.2) |
Vitamin E, IU (mg a T.E.) | 15.4 (10.3) | 3.9 (2.6) |
Vitamin K, mcg | 60 | 15 |
Thiamine, mg | 1.4 | 0.35 |
Riboflavin, mg | 1.3 | 0.32 |
Vitamin B6, mg | 1.5 | 0.38 |
Vitamin B12, mcg | 2.8 | 0.7 |
Niacin, mg | 16.4 | 4.1 |
Folic Acid, mcg | 468 | 117 |
Pantothenic Acid, mg | 5.8 | 1.5 |
Biotin, mcg | 35 | 8.8 |
Vitamin C, mg | 75 | 18.9 |
Choline, mg | 284 | 71 |
Inositol, mg | 86 | 22 |
Minerals | Per 100g |
Per 10 g Protein Equivalent (1 scoop/pouch) |
Calcium, mg | 894 | 224 |
Phosphorus, mg | 809 | 202 |
Magnesium, mg | 209 | 52 |
Iron, mg | 12 | 3 |
Zinc, mg | 8 | 2 |
Manganese, mg | 1.8 | 0.45 |
Copper, mg | 0.87 | 0.22 |
Iodine, mcg | 133 | 33 |
Molybdenum, mcg | 40 | 10 |
Chromium, mcg | 27 | 6.7 |
Selenium, mcg | 56 | 13.9 |
Sodium, mg | 424 | 106 |
Potassium, mg | 776 | 194 |
Chloride, mg | 1322 | 331 |
Ingredients
Corn Syrup Solids, Sugar, L-Glutamine, L-Asparagine Monohydrate, L-Serine, L-Alanine, L-Tyrosine, L-Lysine Monohydrochloride, L-Leucine, L-Arginine, L-Valine, Citric Acid (Citrus Flavored), Tricalcium Phosphate, Glycine, L-Proline, Natural Flavor (Citrus Flavored), L-Threonine, L-Isoleucine, Magnesium Phosphate, L-Methionine, Sodium Citrate, L-Histidine, Dipotassium Phosphate, Modified Food Starch, Canola Oil, Maltodextrin, Safflower Oil, Choline Bitartrate, Potassium Chloride, L-Tryptophan, L-Cystine, Sodium Chloride, Coconut Oil, Soybean Oil, Taurine, Silica, Inositol, Ascorbic Acid, L-Carnitine, Ascorbyl Palmitate, Mixed Tocopherols, Rosemary Extract, Ferric Orthophosphate, Vitamin E Acetate, Zinc Sulfate, Niacinamide, Sucralose, D-Calcium Pantothenate, Vitamin K1, Manganese Sulfate, Vitamin A Palmitate, D-Biotin, Vitamin D3, Betacarotene, Copper Sulfate, Pyridoxine Hydrochloride, Potassium Iodide, Thiamine Mononitrate, Riboflavin, FD&C Yellow #5 (Citrus Flavored), Sodium Selenite, Folic Acid, Vitamin B12, Chromium Chloride and Sodium Molybdate.
Preparation & Storage
Medical food for the dietary management of phenylketonuria (PKU) in children, teens
and adults, including pregnant women and woman of child-bearing age.
Administration
16 – Use only under the direction of a physician or dietitian. PhenylAde®
40 must be consumed in conjunction with natural protein, fluid and other nutrients
in quantities prescribed by a physician or dietitian to meet the phenylalanine 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 PhenylAde40 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 PhenylAde40 should be divided into equal portions
and distributed throughout the day.
Mixing Instructions
Add prescribed amount of PhenylAde® 40 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 130°F. Best served chilled. Additional fluids should
be offered at the same time.
Recommended Dilution
PhenylAde® 40 - Add contents of 1 scoop or pouch (25g) to approx.5 fl oz (150
mL) of cold water
Precautions
Must be consumed by individuals with proven phenylketonuria while under strict medical
supervision. Not intended for infants. Not intended as the sole source of nutrition.
Not for parenteral use.
Storage
Store unopened can or cases at room temperature. Do not store at extreme temperatures.
Once can is opened, reseal and store in a cool, dry place (not in refrigerator)
and use within one month of opening.
Ordering Information
Product Code
|
Reimbursement Code
|
HCPCS Code
|
Product Packaging
|
Calories Per Unit
|
|
|
|
||
95404 (Unflavored) | 00847-0954-04 | B4157 or B4162 | 20x 25g (0.88 oz) | 83 |
95414 (Citrus) | 00847-0954-14 | B4157 or B4162 | 20x 25g (0.88 oz) | 83 |