Dear Neocate Community,
Our sole purpose is to provide specialized medical nutrition to children and adults with highly-sensitive and complex conditions. We periodically improve our products to reflect the latest medical and scientific consensus and ensure that the people who use our products receive the best possible nutritional support for their optimal health. If we receive a report of an individual who is unable to tolerate his or her source of nutrition, we always aim to work closely with the individual’s family and physician to help find a solution that meets the individual’s unique needs.
In February 2013 we improved the levels of 11 vitamins and minerals, like vitamin D, in our Neocate® Junior line of products to provide better nutritional support. The improvements ensure that Neocate Junior products are in line with the U.S. Institute of Medicine’s current dietary reference intake (DRI) recommendations. The upgrade did not alter the macronutrients (i.e., protein, fat, carbohydrate), and the products retain the same hypoallergenic properties as before. Since then, for more than a year, thousands of children have continued to thrive on Neocate Junior with improved vitamins and minerals for their daily nutrition.
We have been working with the family and physician of one child having tolerability difficulties with the upgraded product to support them in finding a solution that addresses the child’s individual medical diagnosis and needs. For this case, we are going to manufacture the pre-upgrade formula that we discontinued in January 2013 for the child’s trialing under supervision from a physician.
This is currently an isolated case, and so we are not marketing the discontinued product. However, we will work individually with any family and their physician who reach out to us and help address concerns or difficulties with our products. This may include transition support, support trialing other commercially available options, and finally working with the child's physician to determine if any other nutritional solutions might be successful, such as producing a discontinued formulation.
Questions on the 2012 Label Graphics Change
Some families reported concerns with pre-upgrade Neocate Junior following a change to the product label graphics in 2012; however there was no change to the product formulation or process prior to the February 2013 upgrade. For more information about this situation and how we have offered support to families, please click here.
What You Should Do
For most children, moving from one formula to a nutritionally-improved version does not typically require a transition period or present tolerability concerns. Families should continue using the upgraded Neocate Junior with improved vitamins and minerals as directed. All Neocate Junior products are hypoallergenic and safe for use as directed.
If you have questions or concerns, including tolerability issues, we encourage you to contact your child’s physician or our Nutrition Services team (1-800-365-7354), so that we can help support your individual case.
For more information on the upgrade, please click here.
Nutricia North America
Many people who find their way to Neocate as part of an elimination diet. Sometimes this is for moms nursing their infants, whereas other times an elimination diet is used for older children with allergies. If you are exploring an elimination diet for yourself or your child, here are some resources and a few suggestions.
1 – Know the Basics
The general idea behind an elimination diet is that certain foods are strictly eliminated. This video, featuring members of our team, explains the basics behind an elimination diet, such as eliminating dairy and soy ingredients. You can also read some of our related posts: Elimination Diets and Breastfeeding, and Resources for Your Elimination Diet.
2 - Ask for Advice
We always suggest that you check with the healthcare team and follow their advice for an elimination diet. Your healthcare team can provide much more detailed and tailored instructions on what foods you should eliminate and how to avoid them. It can help to take a list of questions to the healthcare team – here are some suggestions to help prepare for the appointment.
3 – Remember the Risks
Make sure the healthcare team explains what should improve with the elimination diet and how quickly. Also look to understand any risks. For instance, in cases of multiple food allergies there is often a need to eliminate more than just dairy and soy. This can lead to a diet that is low in one or more nutrients, which could pose a risk of deficiency. Please read this previous blog post about a child on an elimination diet to make sure you’re aware of some potential risks.
What experience can you share with others who are exploring an elimination diet?
As you’re all likely aware by now, we recently made some improvements to the Neocate Infant with DHA and ARA. One of the improvements was the increased level of docosahexaenoic acid, better known as DHA. You may recall that DHA is a fatty acid found in breast milk which plays a role in infant brain and eye development.
DHA is found in breast milk at an average level of 0.32% of fatty acids[i]. When breast feeding isn’t possible, infant nutrition experts recommend that infant formulas provide between 0.2-0.5% total fatty acids as DHA[ii]. The reformulated version of Neocate Infant with DHA and ARA provides DHA at a level of 0.35% of total fatty acids, which is in line with current recommendations and closer to the average levels found in breast milk. We hope you are as excited as we are about the increased DHA and the rest of the improvements in the new Neocate!
For more information on the new and improved Neocate Infant with DHA and ARA, visit http://www.neocate.com/images/uploads/Files/Consumer%20Letter%20New%20NIF_Jul2013.pdf.
As always, if you have any questions, please contact our Nutrition Specialists at 1-800-365-7354, Option 2 or at email@example.com.
[i] Brenna JT, et al. Docosahexaenoic and arachidonic acid concentrations in human breast milk worldwide. Am J Clin Nutr. 2007 Jun;85(6):1457-64.
As you've likely heard by now, the New and Improved Neocate Infant is now available for purchase! In this video, Nutrition Specialists Mallory and Christine demonstrate how to transition from the old Neocate Infant to the new formula. If you have any questions about making the transition, please call one of our Nutrition Specialists at 1-800-365-7354 or email us at firstname.lastname@example.org.
You have always enjoyed breast feeding your little one. What could be better than some quiet time bonding with a snuggly bundle of love as many as 8 times a day? What a bonus that it’s the best source of nutrition for your little one. Recently though, it seems that the thought of weaning has crossed your mind once or twice. Maybe you’re going back to work and the long commute, crazy schedule and pumping is just more than you can bear. Or perhaps you have a very faint memory of what a full night’s sleep used to feel like and you are desperate to experience it once more. In addition, your child may have been diagnosed with a cow’s milk or soy protein allergy and despite an elimination diet, your LO can not tolerate your breast milk. Will the transition from breast feeding to Neocate be difficult? Not necessarily. If your LO’s healthcare team has recommended Neocate and you are considering a transition from breast milk, read on. Included are our best tips for a successful transition.
• First of all relax and be patient. The more relaxed you are, the more relaxed your baby will be.
• Feeding time is more likely to be a success if it’s a pressure free zone. Your baby may need time to get used to the new formula and bottle. If he doesn’t take it in 10 minutes, try again in an hour.
• A baby may be more likely to refuse a bottle if he has a choice between breast feeding and the bottle. It might be best to eventually bottle feed exclusively.
• A gradual transition may be best. For instance, you can prepare Neocate Infant and mix it with expressed breast milk, gradually increasing the amount of Neocate.
• A baby may be more accepting of a bottle the first time from someone other than Mom.
• A baby may have a preference for a particular nipple size and temperature so consider different nipple size, shapes and warming the nipple prior to feeding time.
• Your LO may be more accepting of the formula if she gets a small taste of what’s to come. Try putting a small amount of formula on her lips prior to offering the bottle.
You can find some more transition tips in 'A Guide to Transitioning to Neocate' on this page, which includes tips from a Feeding Specialist.
Do you have any ideas that have helped make for a successful transition from breastfeeding to Neocate? Please feel free to share them here.
We know your child relies on Neocate, and we want to make sure he or she receives the best possible nutritional support according to the very latest medical and scientific knowlegdge. This means from time to time we improve our products to better serve your family.
There has been speculation in recent weeks about whether there have been changes to Neocate Junior, unflavored over the past year. Up until now, we have made no changes (you can read about this here). Whenever we plan changes or improvements to our products, we announce them to you in advance and also provide information and resources to help you and your family prepare.
We would like to share with you that we are making upgrades in 2013 to many products within our Neocate family, specifically Neocate® Infant, Neocate® Junior and Neocate's E028 Splash. Improvements will be made first to Neocate Junior, starting in mid-February.
You can find details on what we have changed, when you can expect to see them and helpful resources here. We will also update you well in advance with information and tips on the coming changes to Neocate Infant and Neocate's E028 Splash.
Here's briefly what you can expect to see from the improved Neocate Junior:
We understand the sensitivity of the chidlren who rely on our products. For most children, moving from one formula to an improved version of the same forumla does not require a "transition period." However, some parents and clinicans prefer to transition over the course of a few days. We recommend that you contact your child's pediatrician or other healthcare provider with any specific questions or concerns about making this transition.
Additional details including transition tips can be found here or by calling our Nutrition Specialist at 1-800-Neocate (636-2283)
- Team Neocate
Hosting or attending a holiday dinner can be stressful for parents of children with food allergies. We’ve compiled a list of helpful resources to help you ensure a safe and enjoyable holiday celebration for your family.
Remember to check for hidden allergens that may be added during the processing or preparation of your holiday feast. Gravies and sauces may contain hidden allergens, so be sure to check the ingredients first.
Food and Recipes
Below is a list of some allergy-friendly variations to the traditional holiday dishes. Please be sure to consult your healthcare professional to determine if these recipes, there ingredients and consistencies are appropriate for your child.
Helpful Articles for Celebrating the Holidays with Food Allergies
For those of you who will be traveling over the holidays, here are some articles that may be helpful to you:
Do you have any fun allergy-friendly recipes or holiday tips? Please share them!
Do you find yourself wondering if your little one has a food allergy? As we’ve mentioned in previous blogs, skin rash, diarrhea, colic, reflux, vomiting, restless sleep and excessive crying are all possible symptoms of a cow/soy milk allergy.
A good way to help you find out if there might be food allergens affecting your baby is to keep a daily diary of their diet and any symptoms that occur. This will help your child’s doctor or dietitian detect which foods could be triggers for allergic reactions.
To make life easier for you, we have developed a baby allergy tracker app which will help you to keep accurate track of everything your baby eats, their activities and any symptoms that occur on a daily basis:
The app is available for download here: http://itunes.apple.com/us/app/neocate/id433627727?mt=8&ls=1 and it is compatible with iPhone, iPod touch, and iPad iOS 3.2 or later.
Have you downloaded the app? What do you think of it? Leave us a comment below!
We get a lot of questions from food allergy families about how to get insurance to cover elemental formula like Neocate. While some insurance companies do reimburse families for these formulas, many do not.
At Nutricia, we feel strongly that reimbursement for formulas that are medically necessary is something insurance companies should do. Getting help with the costs of feeding a child with cow milk, soy or protein allergies, or severe GI issues, can go a long way to helping the whole family feel better.
On the Neocate website we have lots of resources and information that can help you find reimbursement for the medical foods and exempt infant formulas your child needs to thrive. You may be eligible for private insurance coverage, government support and even assistance from us.
We are especially proud of our Nutricia Product Coverage Navigator program! The program assists patients living in Arizona, Connecticut, Illinois, Massachusetts, New Jersey, New York or Texas obtain insurance coverage for Nutricia products, including Neocate.
So, if you are a resident of Arizona, Connecticut, Illinois, Massachusetts, New Jersey, New York or Texas please call 1-800-365-7354 for help with:
But, if you don’t live in one of these states, please visit the Neocate website where you will find tips for obtaining coverage and details about reimbursement legislation.