Products

    3232 A

    A protein hydrolysate formula base with MCT oil for infants and children with disaccharidase deficiencies

    Indication

    3232 A is a protein hydrolysate base powder that is to be used with added carbohydrate. It contains tapioca starch. It is for use in the dietary management of infants and children with disaccharidase deficiencies or other disorders of carbohydrate metabolism under the direct and continuing supervision of a doctor.

    View Long-term Usage Guidelines

    3232 A is not nutritionally complete. Care should be taken to ensure adequate carbohydrate is added. If used long term, additional essential fatty acids should be considered.

    To be used only under the supervision of a doctor.

    Ingredients

    Ingredients: Modified tapioca starch (34%), medium chain triglycerides (MCT oil) (28%), casein hydrolysate* (milk) (26%), corn oil (6%) and less than 2%: vitamin A palmitate, vitamin D3, vitamin E acetate, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, sodium ascorbate, choline chloride, inositol, calcium citrate, calcium hydroxide, calcium phosphate, magnesium oxide, ferrous sulfate, zinc sulfate, manganese sulfate, cupric sulfate, sodium chloride, sodium iodide, potassium citrate, potassium phosphate, soy lecithin, calcium chloride, potassium chloride, sodium selenite, L-cystine, L-tyrosine, L-tryptophan, taurine, L-carnitine.

    *Modified to be better tolerated in milk-allergic babies.

    POTENTIAL ALLERGENS

    3232 A contains milk-origin protein hydrolysate and soy ingredients. 3232 A is hypoallergenic. Allergic reactions to extensively hydrolyzed casein formulas are not commonly reported.

    Nutrients

    (Normal Dilution)

    Per 100 Calories* (5 fl oz)

    Per 100 g Powder (500 Cal)

    Protein, g

    2.8

    22

    Fat, g

    4.2

    33

    Carbohydrate, g

    13.4

    33

    Water, g

    132

    3

    Linoleic acid, mg

    300

    2400

    Vitamins/Other Nutrients

       

    Vitamin A, IU

    380

    3000

    Vitamin D, IU

    60

    470

    Vitamin E, IU

    3.8

    30

    Vitamin K, mcg

    18.8

    148

    Thiamin (Vitamin B1), mcg

    77

    610

    Riboflavin (Vitamin B2), mcg

    94

    740

    Vitamin B6, mcg

    62

    490

    Vitamin B12, mcg

    0.32

    2.5

    Niacin, mcg

    1000

    7900

    Folic acid (Folacin), mcg

    15.6

    123

    Pantothenic acid, mcg

    470

    3700

    Biotin, mcg

    7.8

    61

    Vitamin C (Ascorbic acid), mg

    11.7

    92

    Choline, mg

    13.3

    105

    Inositol, mg

    4.7

    37

    Minerals

       

    Calcium, mg

    94

    740

    Phosphorus, mg

    62

    490

    Magnesium, mg

    10.9

    86

    Iron, mg

    1.5

    11.8

    Zinc, mg

    0.62

    4.9

    Manganese, mcg

    32

    250

    Copper, mcg

    85

    670

    Iodine, mcg

    7

    55

    Selenium, mcg

    2.8

    22

    Sodium, mg

    43

    340

    Potassium, mg

    109

    860

    Chloride, mg

    65

    510

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

    Product is incomplete without the addition of carbohydrate.

    *Using 81 g of 3232 A and 59 g of carbohydrate per quart of prepared product.
    †Values do not include added carbohydrate.
    ‡Care must be taken to provide essential fatty acids and sufficient carbohydrates.

    Nutrient Density

    Prepared with 59 g added carbohydrate at 20 Cal/fl oz

    Prepared with no carbohydrate at 12.7 Cal/fl oz

    Protein (% Calories)

    11

    18

    Fat (% Calories)

    35

    56

    Carbohydrate (% Calories)

    54

    26

    Potential Renal Solute Load (mOsm/100 Calories)1

    25

    39

    Potential Renal Solute Load (mOsm/100 mL)1

    16.5

    16.5

    Lactose-free

    Suitable for lactose intolerance if no lactose is added

    Suitable for lactose intolerance if no lactose is added

    AMINO ACID COMPOSITION

    ESSENTIAL AMINO ACIDS

    mg/100 g Pwd

    Histidine

    660

    Isoleucine

    1280

    Leucine

    2200

    Lysine

    1850

    Methionine

    570

    Cysteine

    380

    Phenylalanine

    1080

    Tyrosine

    590

    Threonine

    1010

    Tryptophan

    360

    Valine

    1580

    NONESSENTIAL AMINO ACIDS

    mg/100 g Pwd

    Arginine

    880

    Alanine

    750

    Aspartic Acid

    1670

    Glutamic Acid

    5100

    Glycine

    460

    Proline

    2300

    Serine

    1280

    Instructions for Preperation and Use

    Powder

    A child’s health depends on carefully following the instructions below. Use only as directed by a medical professional. Improper hygiene, preparation, dilution, use or storage may result in severe harm. Powdered formulas are not sterile and should NOT be fed to premature infants or those persons who might have immune problems unless directed and supervised by a doctor.

    Discuss with parents whether they need to use cooled, boiled water for mixing and whether they need to boil clean utensils, bottles and nipples in water before use.

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

    Refer to the product label for the most accurate information.

    The child’s doctor will provide instructions for the correct amounts of water and powder. One half (½) cup 3232 A (packed and leveled) delivers approximately 81 g powder. Pour desired amount of water into bottle/container. Add powder and mix vigorously.

    Failure to follow those instructions could result in severe harm. Once prepared, formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40ºF (2–4ºC) for no longer than 24 hours. Do not use prepared formula if it is unrefrigerated for more than a total of 2 hours. Do not freeze prepared formula. After feeding begins, do not refrigerate feeding bottle/contained. You must use within 1 hour or discard.

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

    Use by date on bottom of can.

    1. Wash hands thoroughly with soap and water before preparing formula.
    2. Add 81 g of powder (packed, level ½ cup) and 59 g of the desired carbohydrate to 4 fl oz (120 mL) of water in a clean bottle or container.
    3. Mix well with fork or mixer until a smooth paste is formed.
    4. Add additional water to make one quart. Initial feedings of 3232 A may need to contain less than the full 59 g of carbohydrate recommended or the formula may need to be diluted to 10 Calories/fl oz or less and gradually increased to 20 Calories/fl oz.

    WARNING: This product is nutritionally incomplete. Care must be taken to provide enough carbohydrate to support growth, using other foods with 3232 A as required. For long-term use, additional essential fatty acids should be considered. The child’s doctor must carefully and constantly supervise use of 3232 A.

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

    If incremental addition of carbohydrate is desired, see the table below.

    Incremental Addition of Carbohydrate (CHO) to 3232 A

    Added CHO (g) per 100 mL*

    0

     

    1.2

    2.1

    3.2

    4.1

    5.2

    6.2

    Total CHO (g) per 100 mL*‡

    2.8

     

    4

    5

    6

    7

    8

    9.1

    CHO (g) to add per quart

    0

     

    11

    20

    30

    39

    49

    59

    Total CHO (g) per quart of prepared formula§

    27

     

    38

    47

    57

    66

    76

    86

    Calories/fl oz of prepared formula§

    12.7

     

    14

    15.2

    16.4

    17.5

    18.8

    20

    *g of CHO per 100 mL = approximately % (weight volume) CHO concentration.

    †Values are for added CHO (does not include modified tapioca starch present in the diet powder).

    ‡Includes added CHO and modified tapioca starch (stabilizer) present in the diet powder.

    §Prepared formula includes 81 g diet powder, the added carbohydrate and water added to make one quart.

    Product Forms and Ordering Information

    3232 A IS AVAILABLE IN POWDER

    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

    3232 A, Powder
    Item #: 042521
    Description: Powder
    Unit Size: 1 lb can
    Calories/Unit: 2270
    Product Yield/Unit (fl oz): Varies
    Case: 6 cans per case
    HCPCS Code: B4161
    NDC Format Code: 00087-0425-41

    PRODUCT FEATURES

    3232 A is specially designed for the dietary management of infants and children with disaccharidase deficiencies or other disorders of carbohydrate metabolism

    • Hypoallergenic, protein hydrolysate
    • Allows adjustment of added carbohydrates, according to patient's tolerance

    Contains 82% of the fat from medium-chain triglycerides (MCT) oil for easier absorption

    Additional product features:

    • Mixes easily and stays in suspension well

    Contact Mead Johnson

    Contact a Mead Johnson representative to request information and samples

    Layout:
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    References

    1. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.