Food Allergy Living Blog Tagged Results

Crohn’s Disease (CD) is a type inflammatory bowel disease.  It may occur in any part of the GI tract but usually it affects the small intestine and/or the colon.  Individuals with CD have periods of improvements and periods of “flare ups” when symptoms present.  Symptoms may include abdominal pain, diarrhea, rectal bleeding, fatigue, weight loss and in children, growth delay, etc.

CD is thought to be caused by an abnormal immune system.  One theory is that the immune system mistakes its own friendly gut bacteria and foods traveling through the GI tract as pathogens and triggers an immune reaction to attack them.  Treatment usually is with drugs (such as steroids and immune system suppressors) which are used to manage symptoms and to prolong the periods between flare ups as long as possible.

Nutritional Management of Crohn’s Disease: 
Nutrition is an important factor for patients with CD.  During flare ups, inflammation of the GI tract may disrupt the normal absorption of nutrients.  This can cause serious nutrient deficiencies so it’s important to assess the need for nutritional supplements.  During periods of severe symptoms, intestines may be unable to absorb enough nutrition to sustain life, so the physician may prescribe an alternate way to provide nutrition, such as temporary intravenous nutrition or enteral nutrition.  With enteral nutrition, the patients may consume an elemental formula, a nutritionally-complete liquid formula that provides all nutrients in the simplest form which makes it easy for the GI tract to absorb.  This allows the GI tract to rest and repair itself, while ensuring the patient is still receiving adequate nutrition.

Crohn’s Disease in Children: 
Long-term steroid use can have serious side-effects.  In children, the growth impairment associated with steroid use is a serious concern, especially combined with the fact children with CD are also more prone to consume inadequate calories.  Some families choose to treat flare-ups and prolong remissions using nutritional management rather than steroids.  An elemental diet or even a half elemental diet can help manage flare ups, prolong remissions and ensure proper nutrition & growth for children with CD.  E028 Splash and Neocate Junior may be useful for children with CD who are following dietary therapies.

 If you are searching for more information on the use of diet to manage CD, many families find the book “Beat Crohn’s” helpful.

 - Mallory

Image Source: http://digestive.niddk.nih.gov/ddiseases/pubs/crohns/images/Digestive.gif

National Digestive Diseases Information Clearinghouse  

As summer winds down and the school year approaches, parents of children with allergies might be wondering “What will my child eat for lunch?” If you have a child for whom school lunch is not an option, here are some ideas for balanced and nutritious meals that are free of the top eight allergens. They take some time to prepare, so you might consider serving them for dinner and sending leftovers for lunch the next day. If your child drinks our E028 Splash or Neocate Junior, you can use these menus to get ideas of items or dishes that can supplement their meal-time drink.

Monday
Black Bean and Rice Burrito Bowl
                with Guacamole
Hummus and Cilantro or White Bean Garlic Dip
                with Carrots and Celery
Vanilla (Coconut Milk) Pudding or Nutra Banana Maple Pudding
 

Tuesday
Turkey Chili
                with Rice Cheese
Sweet Potato Casserole
Green Beans
Peach Slices
Cranberry Apple Cobbler or Banana Muffins
 

Wednesday
Grilled Chicken Breast
                with Mango Peach Salsa
Steamed Broccoli with Rice Cheese
Watermelon Cubes
Gelatin Dessert or Chocolaty Nutra Pudding
 

Thursday
Sautéed Sausage
                with Peppers and Onions
Oven Fries
                 with Honey Mustard Dipping Sauce
Apple Sauce
Pineapple Rice Milk Smoothie or Chocolate Peppermint Smoothie
 

Friday
Veggies and Meat Pasta Sauce
                with Corn or Rice Pasta
Salad greens
                with Cucumbers and Dressing
Frozen Fruit Bar or Frozen Neocate Treats

 

We’re always keeping our eyes peeled and our ears tuned for new news on eosinophilic esophagitis (also EoE or EE). This matters to us because many children with EoE  use Neocate products, as part of their special, healthy diet.


The Study

Dr. Charles DeBrosse and Dr. James Franciosi at the Cincinnati Children’s Hospital, where there is a Center for Eosinophilic Disorders, recently published a new research study about the long-term effects of EoE.  If you’re interested in reading the study here are links to the study abstract as well as a great summary.


The Results

The research team looked at over 100 patients with esophagitis; some had EoE, while others had chronic esophagitis, and compared them to patients who had no esophagitis. On average, this was about 15 years after the patients developed esophagitis. EoE research was in its early stages back then, and many patients went undiagnosed or were misdiagnosed. The participants answered questions about their symptoms and quality of life. The researchers then compared the results of each of the groups to see what differences really stood out.

Patients with EoE reported a lower quality of life and experienced more trouble swallowing and had food become stuck in their esophagus more often. Those patients with higher eosinophil counts in childhood had more trouble swallowing as adults. Also, patients with a diagnosed food allergy were more likely to have trouble swallowing and to have food become stuck in their esophagus.


The Bottom Line

As the researchers concluded, EoE “is associated with reduced quality of life and persistent symptoms 15 years after presentation.” They also noted that both increased eosinophil counts and the presence of food allergy in childhood increase the rate of trouble swallowing in young adulthood. It doesn’t sound very positive, but it’s what many of us expected: there is a strong link between food allergies and symptoms among patients with EoE, and high eosinophil levels can have a lasting impact.


What Can We Take Away from This?

Sure, the results and conclusion don’t sound great at first, but there are a few things to keep in mind. For one, a HUGE amount of research has been conducted on EoE in the last 15 years, and we’ve learned a lot! Patients who had EoE 15 years ago had a much different experience than patients with EoE today have. For instance, the way that EoE is diagnosed and treated has improved in that time. Also, many more of today’s health care teams can recognize, diagnose, and treat EoE, which is more widely known. And many teams also include allergy testing as part of the care process for EoE.

There are also options for managing EoE that are now in wide use. For instance, elimination diets and elemental diets (which we’ll blog about in a few weeks – stay tuned) have come a long way. Elemental diets (or amino acid-based formulas) can be especially helpful in getting EoE under control and are useful in diagnostic phases. These formulas can help improve trouble swallowing when EoE isn’t under control, which can mean better outcomes. They can also provide key nutrients when added to a very limited diet.

Children on elemental diets have lots of options these days in the Neocate family of products. We have Neocate Junior, which is available in several flavors. We also have E028 Splash, which not only comes in multiple flavors, but is also in drink box form, so it’s just as ready-to-go as your child! And for children who miss solid textures on an elemental diet, Neocate Nutra can provide a change of scenery, especially prepared in one of our recipes.


What did you learn from the new research that was published in June?

- Rob 


[Photo: Microsoft Images]

If your little one uses any of the Neocate products, you’ve probably heard the term “elemental diet.”  And if your son or daughter has eosinophilic esophagitis (EoE), you’ve probably also heard of an “elimination diet.”  These two aren’t always the same, so here’s a quick primer on the two.


Elemental Diet

The term “elemental diet” is a historic term that was used to refer to diets where the component nutrients were broken down into their “elements.”  Another term is “semi-elemental.”  In terms of nutrition, a semi-elemental formula, or hydrolysate, is one that has proteins that are partly broken down, or hydrolyzed.  These can be partially or extensively hydrolyzed.  An elemental formula, then, is one that contains only amino acids, the building blocks of protein.  Elemental formulas can also have some fats which are easier for the body to absorb than those found in the standard diet.

Now, technically speaking, elements are atoms, like you would see on the Periodic Table of the Elements.  So, technically, Neocate is not elemental, because it’s made of molecules, not individual atoms.  So in the strictest sense Neocate isn’t elemental: no formula is!  But, many health care professionals still use this term.  The more accurate term for Neocate, which you’ll see on our website, is amino acid-based formula.


Elimination Diet

An elimination diet is one in which one or several foods are eliminated from the diet.  There is no one “elimination diet:” it often varies from patient to patient.  Elimination diets can be based on the results of specific allergy testing (a tailored elimination diet), or more loosely based on common food allergies.  For instance, a six-food elimination diet is often used.  The idea behind an elimination diet, commonly used with EoE, is that you give the body a break from certain offending foods so that inflammation can calm down.  This works best if ALL foods that are causing a response are eliminated, which is why the six-food elimination diet isn’t quite as effective as a tailored elimination diet.

Where the lines get blurry between these two terms is that sometimes an elemental diet is used as a total elimination diet (so ALL food is eliminated!).  Basically a child might go on an elemental diet for a period of weeks, after which they usually start adding foods back to the diet one at a time.  That way there is no mistaking an allergic response to a specific food.  On top of this, an elemental formula like E028 Splash might be added to a six food or tailored elimination diet, to help make sure a child gets all of his/her essential nutrients when foods like dairy are removed.  What’s interesting is that studies have shown that the best response in EoE is to a fully amino acid-based diet.

Do you have any questions about the differences between elemental and elimination diets?

- Rob


[Image source]

Over the past few years, a lot of attention has been paid to bisphenol A, or BPA – which was commonly used in food packaging.    As we’ve mentioned in previous blog posts, BPA is still out there due to a lack of suitable replacements, though is a lot less common as a result of public concern.  Many manufacturers have been able to remove BPA from their food packaging materials as well as from plastic dishes and containers.  You may have recently seen items like baby bottles and water bottles labeled as being BPA-free.

Even though some of the chatter on this topic has died down, we here at Nutricia still often get questions about whether Neocate packaging contains BPA.  It’s normal for parents of children who use Neocate products to be more aware of things that other parents might not think to look for.  So, we wanted to briefly remind you and any new Neocate parents that the package linings for Neocate products do not contain BPA.

Our first blog on BPA in 2009 discussed the fact that all of the powdered Neocate products are packaged in cans that have a BPA-free lining.  But we still got questions from parents about E028 Splash, the ready-to-feed liquid elemental formula in the Neocate family.  In early 2010 we confirmed in a second blog that Splash is packaged in cartons that have a BPA-free liner.  More great news!

If your little one uses any of the Neocate products, you can rest assured that there is no BPA in the package linings.

- Rob

Q:I’ve found a few cans of Neocate at the back of my pantry that I’d forgotten about. The expiration date was last week, but they’re still okay to use, right?

A:We get questions about using Neocate past the expiration date often. Here’s what you need to know:

The expiration date

For our powdered Neocate products you can find the expiration date on the bottom of the can. If you’re looking at a drink box of E028 Splash, you can find the expiration date on the top of the drink box. The expiration dates on the Neocate family of products follow the standard North American format, which is Month/Day/Year. Technically, the product is good to use through midnight on that date.

How are your expiration dates determined?

The expiration date on any product, not just Nutricia products, is based on several factors. One is the integrity of the packaging materials. We want to ensure they will keep the contents safe until the expiration date. Another is the stability of the ingredients. For instance, some fats go rancid faster than others – think fresh walnuts versus vegetable oil for cooking. We want to ensure that the product is fresh for the full shelf-life.

A related factor is to ensure that the nutrients in the product are going to be present at the levels on the label. Nutrients, particularly vitamins, have a tendency to naturally break down over time, some faster than others. Especially since many children use Neocate to meet their full nutritional needs, it’s very important that the right amount of each nutrient is in the product. We conduct extensive testing under a number of conditions to ensure that the nutrients hold up until the expiration date.

What we recommend

The ultimate intent of an expiration date is to keep our customers safe and ensure they receive the nutrients that they need. We cannot recommend using any of our products past the expiration date. Period!

If you have further questions about this, we’d recommend discussing this with your health care team. It may help to provide them with the above information to get their informed opinion. 

At eight months, Mendel was a healthy, happy baby and began eating solid foods without a problem. Surprisingly, at twelve months, Mendel developed a severe stomach virus causing his parents to admit him to the hospital.  From this point forward, Mendel was unable to consume solid foods.     

“It was very strenuous for the family not knowing what was wrong with him,” said Mendel’s mother Yitty.

After staying in the hospital and being put on IV fluids for a few days, Mendel returned home.  However, over the next few weeks, he lost a significant amount of weight as he refused to eat solid foods.  

Yitty spent months going from doctor to doctor to try to get a proper diagnosis for Mendel.  All the while he was slowly falling off of the growth chart. 

Mendel was showing signs of a milk allergy, eczema and overall gastrointestinal (GI) issues, but no one could give him a definite diagnosis.

Finally, Mendel’s doctor recommended E028 Splash, a nutritionally complete amino acid-based drink for children with GI issues. Mendel began drinking E028 Splash as his sole source of nutrition.

“Once Mendel was able to consume the amount of the E028 Splash he needed to fulfill his calorie intake, he started to gain weight,” explained Yitty.  “A year and a half later, Mendel still relies on E028 Splash as his primary source nutrition and is continuing to gain a healthy amount of weight.” 

Mendel has been on E028 Splash for the last year and a half.  He recently started school and is able to carry his E028 Splash drink box easily in his lunch bag.

“Mendel feels great on E028 Splash.  Not only has he gained weight, but he is now behaving better too!” said Yitty.  

For the next three weeks, we’ll be posting some allergy-friendly meal ideas, starting with breakfast. While it can be difficult to come up with meal ideas for standard diets or choosy children, a diet that has allergy restrictions is even tougher! Here are some breakfast ideas that might help you add variety. As always, check with your little one’s health care team to make sure they are appropriate.

Neocate-Only Breakfast Ideas

For children whose diets are strictly limited to amino acid-based formula, it’s helpful to have ideas that add variety. For instance, mixing some of the flavors and formats that Neocate offers can help fight the formula monotony. One of our favorite ideas for children over one year is mixing Neocate Nutra with Neocate Junior Tropical, Neocate Junior with Prebiotics Vanilla, or Neocate’s E028 Splash Grape. A ratio of about four scoops of Nutra powder to every one ounce of a prepared Neocate formula provides you with what we like to call “almost-yogurt.” You can of course adjust the ratio to your child’s tastes. For children older than six months but below one year, you might try mixing Neocate Nutra with a pasteurized fruit juice that they tolerate.

Top Eight Allergen-Free Breakfast Ideas

If your child is on an elimination diet for eosinophilic esophagitis (EoE) or is avoiding all of the eight major allergens, you can try mixing a Neocate product with pureed fruit. By mixing Neocate Junior with fruit you can come up with some great breakfast shakes and outstanding flavor combinations. Or by mixing Neocate Nutra with pureed fruit you can come up with a great alternative to oatmeal. If you want to serve it warm, we still recommend against using a microwave: start with warm juice instead to avoid the hot spots and lower nutrient levels microwaves can cause.

Less Restrictive Breakfast Ideas

For children who avoid dairy and only one or two other allergens, we have some great breakfast suggestions in our online Neocate Food Allergy Cookbook, a compilation of recipes submitted by families. Mallory posted her top 5 breakfast ideas from the cookbook, many of which use wheat, in a previous blog. One great thing about a lot of these recipes is that many can be made in a large batch, portioned, and frozen or refrigerated for later use. The Apple-Oat Muffins on page seven would definitely be in my top five! We’ve also had a few breakfast recipes appear in blog posts, such as Banana Bread Muffins.

If your family has a favorite “standard” breakfast recipe that involves milk but is otherwise allergy-friendly, you may be able to substitute Neocate formula for the milk. While this might change the final result a little bit and may require some experimenting, it will provide the high levels of most nutrients from Neocate that other milk substitutes (such as water or rice milk) can’t provide. Just be aware that the high heat from cooking will lower some of Neocate’s nutrient levels, especially some vitamins. Again, check all recipes to be sure that the ingredients are safe for your child and ensure that the health care team is on board.

What allergy-friendly breakfast ideas have helped your family in the morning?

Rob

The topic for today’s post in our allergy-friendly meal idea series is lunch! Just like with breakfast, a lot of the go-to lunch options for most children aren’t suitable for children on a diet that has allergy restrictions. Here are some lunch ideas that might help you add variety. As always, check with your little one’s health care team to make sure they are appropriate.
 

Neocate-Only Lunch Ideas

For children whose diets are strictly limited to amino acid-based formula, the same formula one lunch after another can become very routine. One great option Nutricia offers is the multiple flavors of Neocate’s E028 Splash. Many children find restrictive diets less of a struggle if they have a say in the flavor. On top of this, Splash is packaged in kid-friendly drink boxes so that nobody knows their drinking a special medical formula. Another option is to send your little one to school with a great Neocate-only pudding recipe such as Chocolaty Nutra Pudding. But why stop with chocolate pudding? Experiment with mixing the different flavors of Neocate Junior and Splash with Neocate Nutra to come up with different flavors. My favorites are Grape Splash with Junior Chocolate (“chocolate covered raisin”) and Tropical Fruit Splash with Junior Vanilla (“Dreamsicle”).
 

Top Eight Allergen-Free Lunch Ideas

If your child is on an elimination diet for eosinophilic esophagitis (EoE) or is avoiding all of the eight major allergens, you can offer some different food options along with one of the Neocate formulas. It may seem difficult at first, but you can still put together a lunch that looks pretty normal, even without the top 8 allergens. A few months ago we posted a week’s worth of ideas for allergen free lunches. Bear in mind that while most processed foods have ingredients derived from the top 8 allergens, dining on whole foods makes the top 8 much easier to avoid. You may even be able to find convenience foods in natural or organic food stores that are free of the top 8, such as soups or frozen items. Even though we first shared a lunch post from Allergy Moms in 2008, it’s still relevant and has some great ideas!

Less Restrictive Lunch Ideas

For children who avoid dairy and only one or two other allergens, we have some great lunch suggestions in our online Neocate Food Allergy Cookbook, a compilation of recipes submitted by families. Mallory posted her top five lunch ideas from the cookbook, many of which use wheat, in a previous blog. One great thing about a lot of these recipes is that many can be made in advance and frozen or refrigerated for later use. The Turkey Meatloaf on page twelve would definitely be in my top five! We’ve also had a few lunch recipes appear in blog posts, such as Dairy-Free, Egg-Free Chicken Pasta Salad.

As always, we recommend that you check any recipes on our websites or from other food allergy resources to be sure that the ingredients are safe for your child and ensure that the health care team is on board.

Do you have any allergy-friendly lunches that have helped you that you’d like to share with other families?

Rob

Today’s post in our allergy-friendly meal idea series is the final topic: dinner! While breakfast and lunch may tend to be rushed or eaten out of the house, a lot of families still prefer to have dinner together at home. On top of this, the restrictions and rules that come with food allergies can make dining out very difficult.  Here are some dinner ideas that might help you add variety to the evening meal. As always, check with your little one’s health care team to make sure they are appropriate.
 

Neocate-Only Dinner Ideas

For children whose diets are strictly limited to amino acid-based formula, the same formula breakfast, lunch and dinner can be difficult for some children, especially older children. As we’ve mentioned in the previous two posts in this series, Nutricia offers multiple flavors in both Neocate Junior and Neocate’s E028 Splash. Many children have an easier time with restrictive diets when they have some input. Keeping a few flavors on hand can help kids to stay satisfied with an elemental diet. Try letting them chose their dinner flavor. Just like with breakfast and lunch, experiment with mixing different flavors of Neocate Junior and Splash with Neocate Nutra to come up with different flavors and textures. One of the easiest ways to offer variety is to use a blender. Mix one part Neocate formula with one part ice, blend well, pour into a fancy container or dish, add a straw or spoon, and enjoy! Neocate Junior Vanilla lends itself especially well to this shake format, and can be mixed with the other flavors or even with a fruit juice your child tolerates.
 

Top Eight Allergen-Free Dinner Ideas

If your child is on an elimination diet for eosinophilic esophagitis (EoE) or is avoiding all of the eight major allergens, you can offer some different food options along with one of the Neocate formulas. For younger toddlers, you can mix unflavored Neocate Junior with pureed foods that they tolerate. Vegetables and citrus flavors blend especially well with unflavored Neocate. If you’re putting together a full meal for the family, it may not be as difficult as you think to avoid the top 8 allergens and come up with something everyone can enjoy. You can easily build off of our ideas for allergen free lunches. Remember, while most processed foods have ingredients derived from the top 8 allergens, dining on whole foods makes the top 8 much easier to avoid. You may even be able to find family-sized convenience foods in natural or organic food stores that are free of the top 8, such as soups or frozen items.

Less Restrictive Dinner Ideas

For children who avoid dairy and only one or two other allergens, we have some great dinner suggestions in our online Neocate Food Allergy Cookbook, a compilation of recipes submitted by families. Mallory posted her top five dinner ideas from the cookbook, many of which use wheat, in a previous blog. One great thing about a lot of these recipes is that many can be made in advance and frozen or refrigerated for later use. If you decide to dine out, it’s a good idea to do some planning ahead with these tips we shared in a previous blog post.

As always, we recommend that you check any recipes on our websites or from other food allergy resources to be sure that the ingredients are safe for your child and ensure that the health care team is on board.

Do you have any allergy-friendly dinner ideas that have helped you that you’d like to share with other Neocate families?

Rob

[Image source: http://www.bonappetit.com/blogsandforums/blogs/bafoodist/2009/03/5-tips-for-handling-a-bad-wait.html] 

Today, as part of our Neocate Product Series, we will take a look at E028 Splash.  As you saw in our previous series posts about Neocate Infant DHA ARA, Neocate Nutra and Neocate Junior, we will be taking a look at the product description, preparation instructions and the nutrient/ingredient profile.

E082 Splash is the only amino acid-based nutrition in convenient, ready-to-drink amino acid-based medical food for children over the age of one.  It is for the dietary management of cow milk allergy, multiple food protein intolerance (MFPI) and food-allergy-associated conditions such as gastroesophageal reflux disease (GERD), eosinophilic esophagitis (EoE), short bowel syndrome (SBS), malabsorption and other GI disorders.

Additionally, to meet your child's taste preferences, E028 Splash is available in three great-tasting flavors: grape, tropical fruit and orange-pineapple.

How to prepare E028 Splash

We recommend that you serve E028 Splash is chilled.  But, since E028 Splash is ready-to-feed the only preparation you need to do is shake it before use! 

Nutrient and Ingredients profile

(Grape, Tropical Fruit and Orange-Pineapple):

Ingredients:

Grape:
Water (80%), Maltodextrin (11%), Sugar (5%), contains 2% or less of each of the following ingredients: Fractionated Coconut Oil, Canola Oil, High Oleic Sunflower Oil, L-Arginine, L-Lysine L-Aspartate, Microcrystalline Cellulose, Malic Acid, Calcium Glycerophosphate, L-Leucine, L- Phenylalanine, L-Proline, L-Valine, Glycine, L-Isoleucine, Mono and Diglycerides, Diacetyl Tartaric Acid Esters of Mono and Diglycerides, N-Acetyl L-Methionine, L-Threonine, Dispotassium Phosphate, L-Histidine, L-Serine, L-Alanine, Tripotassium Citrate, Artificial Flavor, Fractionated Coconut Oil, Palm Kernel Oil, Magnesium Acetate, L-Tryptophan, Choline Bitartrate, Calcium Chloride, L-Tyrosine, Trisodium Citrate, L-Ascorbic Acid, Sodium Chloride, Artificial Sweetener: Acesulfame Potassium, L-Cystine, Taurine, Ferrous Sulfate, Zinc Sulfate, L-Carnitine, M-Inositol, Niacinamide, Manganese Sulfate, Cupric Sulfate, Vitamin E Acetate, Calcium-D-Pantothenate, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Thiamine Mononitrate, Chromium Sulfate, Sodium Molybdate, Potassium Iodide, Folic Acid, Sodium Hydrogen Selenite, D-Biotin, Phylloquinone, Vitamin D3, Cyanocobalamin.

Tropical Fruit:
Water (80%), Maltodextrin (11%), Sugar (5%), contains 2% or less of each of the following ingredients: Fractionated Coconut Oil, Canola Oil, High Oleic Sunflower Oil, Artificial Flavor, Citric Acid, L-Arginine, L-Lysine L-Aspartate, Microcrystalline Cellulose, Calcium Glycerophosphate, L-Leucine, L- Phenylalanine, L-Proline, L-Valine, Glycine, L-Isoleucine, Mono and Diglycerides, Diacetyl Tartaric Acid Esters of Mono and Diglycerides, N-Acetyl L-Methionine, L-Threonine, Dispotassium Phosphate, L-Histidine, L-Serine, L-Alanine, Tripotassium Citrate, Fractionated Coconut Oil, Palm Kernel Oil, Magnesium Acetate, L-Tryptophan, Choline Bitartrate, Calcium Chloride, L-Tyrosine, Trisodium Citrate, L-Ascorbic Acid, Sodium Chloride, Artificial Sweetener: Acesulfame Potassium, L-Cystine, Taurine, Ferrous Sulfate, Zinc Sulfate, L-Carnitine, M-Inositol, Niacinamide, Manganese Sulfate, Cupric Sulfate, Vitamin E Acetate, Calcium-D-Pantothenate, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Palmitate, Thiamine Mononitrate, Chromium Sulfate, Sodium Molybdate, Potassium Iodide, Folic Acid, Sodium Hydrogen Selenite, D-Biotin, Phylloquinone, Vitamin D3, Cyanocobalamin. .

Orange-Pineapple:
Water (80%), Maltodextrin (11%), Sugar (5%), contains 2% or less of each of the following ingredients: Artificial Flavors, Fractionated Coconut Oil, High Oleic Sunflower Oil, Canola Oil, L-Arginine, L-Lysine L-Aspartate, Citric Acid, Microcrystalline Cellulose, Calcium Glycerophosphate, L-Leucine, L-Phenylalanine, L-Proline, L-Valine, Glycine, L-Isoleucine, Diacetyl Tartaric Acid Esters of Mono and Diglycerides, Mono and Diglycerides, N-Acetyl L-Methionine, L-Threonine, Dipotassium Phosphate, L-Histidine, L-Serine, Corn Syrup Solids, L-Alanine, Tripotassium Citrate, Malic Acid, Fractionated Coconut Oil, Palm Kernel Oil, Magnesium Acetate, L-Tryptophan, Choline Bitartrate, Calcium Chloride, L-Tyrosine, Trisodium Citrate, L-Ascorbic Acid, Sodium Chloride, L-Cystine, Artificial Sweetener: Acesulfame Potassium, Taurine, Ferrous Sulfate, Zinc Sulfate, L-Carnitine, m-Inositol, Niacinamide, DL-alpha Tocopherol Acetate (to help protect flavor properties), Manganese Sulfate, Cupric Sulfate, Calcium D-Pantothenate, Pyridoxine Hydrochloride, Vitamin A Palmitate, Riboflavin, Thiamin Mononitrate, Chromium Sulfate, Sodium Molybdate, Potassium Iodide, Folic Acid, Sodium Hydrogen Selenite, D-Biotin, Phylloquinone, Vitamin D3, Cyanocobalamin.

Planning a summer vacation?  Taking Neocate with you?  We want to come along!  Mallory, one of our nutrition specialists created this great video explaining how you can share with us all the fun places Neocate visits this summer: 

To recap, while on vacation this summer take a picture of you and your Neocate can or Splash box while out having fun or at any landmarks your family visits.  Then, once you’ve taken your picture post it on our Facebook wall with a caption telling us where you are.  This way we’ll get to see all of the fun places Neocate visits this summer!

 So, where are you and Neocate spending summer vacation?  Let us know by posting a comment in the comment section!