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PhenylAde®40 Drink Mix

A phenylalanine-free, powdered medical food for the dietary management of phenylketonuria (PKU) in children and adults, including pregnant women and women of child-bearing age.

Price: $78.10


 

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)
Indications
  • 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
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