Products

GA

An iron-fortified infant formula and medical food powder for infants, children and adults with documented glutaric acidemia type 1

Indication

GA is an iron-fortified infant formula and medical food powder that is free of the essential amino acids lysine and tryptophan for infants, children and adults with documented glutaric acidemia type 1. The product has the other essential amino acids as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals. Use under direct and continuing supervision of a doctor.

Ingredients

Ingredients: Corn syrup solids, vegetable oil (palm olein oil, coconut oil, soy oil, high oleic sunflower oil), amino acids (L-alanine, L-leucine, potassium aspartate, L-proline, L-valine, L-isoleucine, L-arginine, glycine, L-threonine, L-phenylalanine, L-tyrosine, L-serine, L-histidine, L-methionine, L-cystine), modified corn starch, sugar, calcium phosphate and less than 1%: Mortierella alpina oil*, Crypthecodinium cohnii oil†, ethyl vanillin, sodium citrate, potassium citrate, potassium chloride, magnesium oxide, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, choline chloride, inositol, ascorbic acid, niacinamide, calcium pantothenate, vitamin B6 hydrochloride, thiamin hydrochloride, riboflavin, vitamin D3, folic acid, biotin, vitamin K1, vitamin E acetate, vitamin A palmitate, vitamin B12, taurine, L-carnitine.

*A source of arachidonic acid (ARA).
†A source of docosahexaenoic acid (DHA).

Nutrients

	Per 100 grams Powder
Calories	500
Protein equivalent, g*	15.1
Fat, g	26
Linoleic acid, mg	4000
Carbohydrate, g	52
Vitamins/Other Nutrients
Vitamin A, IU	1520
Vitamin D, IU	380
Vitamin E, IU	10
Vitamin K, mcg	40
Thiamin (Vitamin B1), mcg	1000
Riboflavin (Vitamin B2), mcg	1000
Vitamin B6, mcg	1000
Vitamin B12, mcg	2
Niacin, mcg	10000
Folic acid (Folacin), mcg	100
Pantothenic acid, mcg	3800
Biotin, mcg	38
Vitamin C (Ascorbic acid), mg	60
Choline, mg	124
Inositol, mg	86
Minerals
Calcium, mg	660
Phosphorous, mg	440
Magnesium, mg	66
Iron, mg	9.6
Zinc, mg	8.6
Manganese, mcg	380
Copper, mcg	860
Iodine, mcg	76
Selenium, mcg	14.1
Sodium, mg	240
Potassium, mg	800
Chloride, mg	330

Product nutrient values and ingredients are subject to change. Please see product label for current information.

Protein Equivalent (% Calories)*	12
Fat (% Calories)	47
Carbohydrate (% Calories)	41
Potential Renal Solute Load (mOsm/100 g powder)3	140
Osmolality (mOsm/kg water)†	370
Osmolarity (mOsm/L)†	330
Lactose-free	Suitable for someone with lactose intolerance

*WARNING: This protein is incomplete since it does not contain the essential amino acids lysine and tryptophan.

†Determined at 20 Cal/fl oz dilution.

AMINO ACID COMPOSITION

ESSENTIAL AMINO ACIDS	mg/100 g powder
Histidine	420
Isoleucine	1210
Leucine	2200
Lysine	0
Methionine	360
Cysteine	260
Phenylalanine	710
Tyrosine	710
Threonine	790
Tryptophan	0
Valine	1310

NONESSENTIAL AMINO ACIDS	mg/100 g powder
Arginine	1040
Alanine	3600
Aspartic Acid	1360
Glutamic Acid	0
Glycine	1040
Proline	1360
Serine	710

Dilutions and Preparation

DILUTION INFORMATION FOR GA

Mixing instructions by calories, measures and displacement

Download dilution information

POWDER

A consumer’s health depends on carefully following the instructions below. Proper hygiene, preparation, dilution, use and storage are important when preparing product. Powdered products are not sterile and should not be fed to premature infants or persons who might have immune problems unless directed and supervised by a medical professional.

If being fed to an infant, discuss with parents about the need to use cooled, boiled water for mixing and the need to boil clean utensils, bottles and nipples in water before use.

The medical professional will provide instructions for the correct amounts of water and powder. Pour the required amount of water into the bottle/container. Add the correct amount of powder, cap the bottle/container and shake vigorously.

If instructed to use the scoop in the can, each unpacked, level scoop delivers approximately 4.5 g of powder. Store DRY scoop in can.

Failure to follow these instructions could result in severe harm. Once prepared, product can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40°F (2–4°C) for no longer than 24 hours. Do not use prepared product if it is unrefrigerated for more than a total of 2 hours. Do not freeze prepared product. After feeding begins, use product within 1 hour or discard.

WARNING: Do not use a microwave oven to warm product. Serious burns may result.

Refer to the product label for the most accurate information.

WARNING: This product is nutritionally incomplete. Care must be taken to provide enough lysine and tryptophan to support growth using other foods with these amino acids as required. Medical professionals must carefully and constantly supervise use of GA with other foods and liquids and adjust the diet based on frequent blood tests.

CAUTION: Mead Johnson Nutrition GA is to be used only in the dietary management of infants, children and adults with documented glutaric acidemia type I while under direct and continuing medical supervision.

WARNING: Not for parenteral (I.V.) use.

Powder Storage: Store cans at room temperature. After opening can, keep tightly covered, store in a dry area and use contents within 1 month. Do not freeze powder and avoid excessive heat.

Use by date on can end.

Product Forms and Ordering Information

GA IS AVAILABLE IN POWDER

When using this information, please note the following:

Coding systems and reimbursement allowable rates vary by payer:

Medicare Part B uses HCPCS (Healthcare Common Procedure Coding System) to group products
Medicaid systems vary by state; some use HCPCS while others use NDC format code or systems of their own—contact your state provider for more information
Private health insurance and managed care companies may use HCPCS, NDC format code or their own system—contact your provider for more information

GA, Powder
Item #: 892901
Description: Powder
Unit Size: 1 lb can
Calories/Unit: 2270
Product Yield/Unit (fl oz): Varies
Case: 6 cans per case
HCPCS Code: B4157 or B4162
NDC Format Code: 00087-5101-88

PRODUCT BENEFITS

GA has all the essential amino acids appropriate for patients with documented glutaric acidemia type 1, as well as nonessential amino acids, carbohydrates, fats, essential fatty acids, vitamins and minerals

DHA and ARA
Lysine- and tryptophan-free
Has choline, an essential nutrient important for brain development and the normal functioning of cells1,2
Increased levels of B vitamins, compared to routine infant formulas, for cofactor production
Vitamin and mineral levels meet the U.S. Infant Formula Act requirements per 100 Calories

Additional product features:

Vanilla scent
Mixes easily and stays in suspension well
Halal

Letter of Medical Necessity GA

This letter establishes a medical need for GA and might help get your patients' insurance company to reimburse them for the product.

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Increase dietary compliance with motivational interviewing

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Contact Mead Johnson

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Help parents receive Special Supplemental Nutrition Program for Women, Infants, and Children

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References

Food and Nutrition Board, Institute of Medicine, Choline. In: Dietary References Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: National Academies Press;1998:390-422.
Zeisel SH, da Costa KA. Choline: an essential nutrient for public health. Nutr Rev.2009;67:615-623.
Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.