Food Allergy Living Blog Tagged Results


Neocate Junior with Prebiotics

Ingredients Series: What is Fiber? Why eat Fiber?

Posted 6.15.10 | Nutrition Specialist

There has been a lot of buzz lately about the benefits of dietary fiber and the need to eat more. So, what is dietary fiber anyways? Dietary fiber is a complex carbohydrate that is not completely digested in your body. Unlike other food components such as fats, proteins or other carbohydrates that get completely broken down and absorbed in your body, dietary fiber passes relatively intact through your stomach, small intestine, colon and out of your body. So it might seem like fiber does not do much, but it has several important roles in maintaining health.

Why eat fiber? While fiber has no nutritional value, it can have a big impact on health, lowering the risk for certain cancers, lowering cholesterol and minimizing the complications of diabetes. Also, it may aid with appetite control since it expands after you eat it and is more filling. In general, good sources of fiber include many fruits, vegetables, legumes, whole wheat breads, and fiber rich cereals.

Insoluble & Soluble Fibers

Fiber can be classified into two categories: soluble and insoluble. The two categories differ because of their ability to bond with water molecules. Soluble fiber dissolves in water and forms a gel substance which slows digestion. Soluble fiber (such as gums & pectin) molecules are able to pick up water as they pass through the digestive system. It is then broken down in the colon by bacterial flora. Research shows that soluble fiber lowers cholesterol and delays glucose absorption.

Insoluble fiber(such as cellulose, hemicellulose and lignin) does not dissolve in water. It is not digestible and passes through the digestive system rapidly and intact. This helps to increase bowel movements and improves constipation. In addition to being able to bond with water, fiber molecules also bond with substances such as hormones, bile acids and potential carcinogens and help to carry them through and out of your digestive system. Because of this, fiber plays an important role that benefits you.

Most adults and children do not get enough fiber and usually take some form of supplement to meet daily fiber needs. Usually eating a variety of enriched fiber foods can help you meet the daily fiber requirements. But for some children with food allergies this can be difficult because of their limited diet. Neocate Junior with Prebiotics is a good option to help boost the fiber in their diets.

Is your family getting enough fiber in their diets? What are some of your favorite fiber-rich foods?

- Renee


Hidden Food Allergens Series: Dairy

Posted 5.4.10 | Nutrition Specialist

Grocery shopping is always a hard task, but it is even harder when you are shopping for someone with food allergies! Worse, the ingredients your little ones may be allergic to can be hidden within the food label. With our latest series, we will aim to uncover some of the sources of hidden allergens.

New food labeling laws require the top eight food allergens to be listed on food labels. This is really helpful for those reading food labels; however, sometimes allergens can be hidden in the long words in the ingredient list.

Dairy is one of the ingredients which tends to be hidden in foods that you may have otherwise thought were safe. I wanted to share with you a list of some ingredients to watch out for. Some of these definitely contain diary, while others only possibly contain diary.

When viewing the list below, it’s important to always err on the side of caution. If you think there may be traces of dairy in something, call the manufacturer of the product you would like to purchase and inquire. If they cannot guarantee that the product is free of dairy, avoid it!

Foods with dairy ingredients:

  • Milk and milk products(including condensed, derivative, dry, evaporated, goat’s milk and milk from other animals, low-fat, malted, milkfat, milk protein hydrolysate, nonfat, powder, protein, skimmed, solids, whole)
  • Butter, butter fat, butter oil, butter acid, butter ester(s), buttermilk
  • Casein, casein hydrolysate, caseinates (in all forms)
  • Cheese
  • Cream
  • Diacetyl
  • Ghee
  • Lactalbumin, lactalbumin phosphate, lactoferrin, lactulose
  • Pudding
  • Recaldent®
  • Rennet casein
  • Sour cream, sour cream solids, sour milk solids
  • Tagatose
  • Whey (in all forms), whey protein hydrolysate
  • Yogurt

Foods with potential dairy ingredients:

  • Artificial or natural flavorings (anything which is derived from butter, cream and egg flavors)
  • Chewing gum
  • Deli meats
  • Fat replacers
  • Many types of chocolate (although dark chocolate is often free of dairy)
  • Margarine
  • Prebiotics (galactooligosaccharides, also known as GOS, are derived from dairy sources. Don’t worry, Neocate Junior with Prebiotics only contains prebiotics in the form of fructooligosaccharides, also known as FOS, which are derived from vegetables.)
  • Salad dressings

For a more complete list of foods to avoid when accommodating for a dairy allergy, visit the Food Allergies and Anaphylaxis Network website or check out Alisa Marie Flemming’s book Go Dairy Free: The Guide and Cookbook for Milk Allergies, Lactose Intolerance, and Casein-Free Living and website for more resources.

Can you share any foods you have found that have surprising hidden dairy ingredients?

- Nita


Toddlers & Fiber: Prebiotics 101

Posted 4.13.10 | Mallory West

You may have heard that we recently launched a new product: Neocate Junior with Prebiotics. You may wondering, “what exactly are prebiotics?” so I wanted to take the opportunity to explain in this blog post, which I’ll call “Prebiotics 101”.

Understanding Fiber:

Prebiotics are a special form of fiber but before we get into the details, let’s start with an overview of fiber in general. Dietary fiber is a carbohydrate that our bodies can’t digest. It is found in plant foods that we eat each day such as fruits, vegetables, grains, and legumes. Among its many important functions, fiber adds bulk to the diet, makes us feel full, aids in digestion and prevents constipation.

There are two types of dietary fiber: soluble and insoluble. Soluble fiber is highly fermentable and dissolves in water, forming a gel during digestion. Insoluble fiber is not generally fermentable and does not dissolve in water, traveling through the GI system unchanged.

Soluble Fiber:

Prebiotics are a special kind of soluble fiber that is resistant to digestion and selectively feeds the “friendly bacteria” in our digestive tracts. These bacteria are beneficial to our health. By nourishing the growth of friendly bacteria, prebiotics inhibit the growth of the “bad bacteria”. Studies show that prebiotics can help:

  • Promote normal bowel function
  • Strengthen the protective layer of the GI tract and help restore a healthy gut
  • Decrease the incidence of diarrhea, constipation, vomiting and gas

The Difference Between Prebiotics & Probiotics:

Many people are confused about the difference between prebiotics and probiotics. Probiotics are live strains of beneficial bacteria that increase the number of beneficial bacteria in our guts when we consume them. Prebiotics, on the other hand, are a special type of fiber that support the growth of the beneficial bacteria already present in our guts.

It helps me to think about it with this analogy: You can increase the growth of your lawn in two ways:

1) you can plant grass seedlings, or
2) you can add fertilizer to stimulate the growth of the present grass.

If we think of the beneficial bacteria as grass, probiotics would act like seedlings and prebiotics act like the fertilizer.

Still confused about prebiotics? Ask away! That’s what we’re here for.

- Mallory


My Nothing-But-Neocate Diet

Posted 5.12.11 | Rob McCandlish, RDN


From time to time, clinicians and parents of children with allergies ask me if I’ve ever tried the Neocate formulas. We here at Nutricia have certainly tasted them all, but tasting and consuming are not the same. After lots of questions from parents about what their little one is feeling and whether or not it’s normal, and given my indiscriminate palate, I decided it was time to really give Neocate a try.

My plan? To go on a nothing-but-Neocate diet for two days. What, exactly, would be allowed? Neocate: specifically any of the Neocate products and a few allergen-free artificial flavors. I decided I could still have plain tea (lack of caffeine could be a real problem for me!). I also decided that, given my usual fiber intake from foods, I would also supplement my all-Neocate diet with prebiotic fiber.

Some folks might say that adding fiber is cheating. However, we already include fiber in Neocate Junior with Prebiotics. I took the guidance that I (as a Registered Dietitian) would give anyone: to avoid a sudden and drastic change in fiber intake, up or down. I was able to find a fiber supplement derived from inulin. Inulin is the plant source of the prebiotic fiber that’s included in Neocate Junior with Prebiotics, so this would be similar. And the use of other allergen-free artificial flavors? I figured that was okay too, because dietitians who work with children and adults with eosinophilic esophagitis (EoE) allow these when the patients follow an amino acid-based (or "elemental") diet.

What wasn’t allowed? Anything else! 

With these rules in mind, I used my approximate calorie needs to design a “meal plan” and dove right in.

Day 1 Menu

Day 1 Experience:

Day 1 started with Neocate Infant DHA/ARA. Does this taste like standard infant formula or milk? Nope. Because Neocate products have amino acids instead of whole protein, Neocate Infant DHA/ARA has a different taste and a thinner consistency (it's more watery). To me it has an herbal undertone, which isn’t so bad, and is something most infants either don’t notice or get used to after a day or two.

Smaller amounts were fine, but a full 350 calories of plain Neocate Infant DHA/ARA was a bit much, even for me! By my last “meal” of Neocate Infant DHA/ARA at lunch I decided to try adding some artficial lemon-lime flavor. So far, so good. I was surprised that I wasn’t ravenous later in the day – I had my doubts that an all-liquid diet would keep me satisfied, but it really did! I managed to go to bed without any food cravings that day. No stomachaches and nothing out of the ordinary. Day one, done!

Day 2 Menu:

  • Morning Snack: Neocate E028 Splash, Tropical Fruit
  • Breakfast: Neocate E028 Splash, Orange-Pineapple + Neocate Junior, Unflavored + artificial strawberry flavor ("Fruit Salad")
  • Lunch: Neocate Junior, Tropical
  • Dessert: Neocate Nutra + Neocate Junior with Prebiotics, Unflavored + artificial cherry-vanilla flavor (“Chocolate-covered Cherry Pudding”)
  • Snack: Neocate E028 Splash, Tropical Fruit
  • Appetizer: Neocate Junior with Prebiotics, Unflavored + artificial strawberry flavor
  • Dinner: Neocate E028 Splash, Orange-Pineapple + artificial strawberry flavor + Neocate Junior with Prebiotics, Unflavored
  • Dessert: Neocate Nutra + Neocate Junior, Chocolate + artificial strawberry flavor (“Chocolate-covered Strawberry Pudding”)

Day 2 Experience:

Day 2 started with some definite hunger, but the morning snack took care of that. When I arrived at work I found a donut on my desk from a coworker – enter the cravings for solid food! It was definitely tough to avoid the snacks around the office that day, but I made it through. The toughest part was probably dinner time. I usually make dinner in our house, so cooking and not eating the food was difficult. (No french fries?!?)

By the end of the day all of the different flavors began to taste pretty similar to me, probably because I tried so many flavor mash-ups. I will say that I definitely found the Neocate E028 Splash an easy option. It seems silly, but it was so easy to grab a Splash instead of having to prepare a meal. I really see how convenient this can be for kids and families on the go, not to mention adults like me!

All things considered, the all-Neocate diet wasn’t nearly as difficult as I thought, and in some ways it actually made life easier. (I'm terrible at meal-planning, which makes for some very last-minute dinners!) I really appreciated having all of the different flavor options and the ease of Splash in a ready-to-go format. That said, a third day might have gotten a little routine, so I have a lot of respect for the children and adults who have to stay on an amino acid-based diet for a long period of time. It has to be especially those who have had “real” food, know what it tastes like, and must give it up for a period of time.

And the question many parents would like to ask: How did I feel after two days of Neocate? Pretty normal, actually! There are rumors that amino acid-based diets cause constipation, but that's not true. My stomach felt a bit more “active” at times, but I never felt queasy, had diarrhea or constipation, or really felt any different than I usually do. I didn’t have any big swings in hunger or fullness, and it was nice not worrying about whether or not I was getting a balanced diet: Neocate took care of that for me. For parents of children who are going from a solid food diet to Neocate (such as those with EoE who are starting an elimination diet) you may want to check with your child’s healthcare team about using Neocate Junior with Prebiotics, which has fiber to help maintain gut health. 

Update, 2014: Neocate now offers Neocate Junior with Prebiotics, VanillaNeocate Junior with Prebiotics, Strawberry, and Neocate Splash, Unflavored! I look forward to trying this experience again soon with the full Neocate portfolio!

Feel free to share any questions you have about my experience! How about you, parents: have you ever tried a full serving of Neocate? If so, what did you think?

- Rob


Israel’s Story – A Follow Up

Posted 8.4.11 | Nutrition Specialist

 Earlier in the year Karen Adams shared her Neocate YouTube videos as well as her son Israel’s story as a guest blogger on our blog.   As a reminder, for months  Israel would scream, cry and vomit for hours on end.  His parents tried everything, but he didn't find relief until they switched him to Neocate. 

Recently Karen recorded another video about Israel and his first birthday.  He is still allergic to milk, but they’ve transitioned to Neocate Junior and it is helping him continue to grow and thrive!

Also, feel free to check out our NeocateUS YouTube channel for videos from Karen as well as our Nutricia team! 

- Sarah 


Is There a Fiber Supplement for Kids with Allergies?

Posted 8.11.11 | Rob McCandlish, RDN


Child Holding Empty GlassWe’ve written a few blogs in the past relating to fiber and prebiotics. One of them discussed what fiber is, and why it’s good for us and another touched on prebiotic fiber. In a previous blog that I wrote, I mentioned that I decided to supplement my all-Neocate diet with fiber. If you feel your child might benefit from a fiber supplement, we have some tips to help you choose the right one!


Know what your child needs

Before exploring the options, make sure to check with your child’s health care team to be sure that additional fiber is needed. As we’ve mentioned in previous blog posts, fiber can help to improve gut health. For many folks, adding fiber can mean being more “regular,” which would be a decrease in constipation, diarrhea, or both. Your child’s health care team will consider the symptoms your child has, his or her medical condition, the amount of fiber he or she is getting, and whether or not more fiber might be helpful. Nutricia already has the only amino acid-based formula with fiber (Neocate Junior with Prebiotics), which can help meet your little one’s fiber needs.


Know what’s available

Fiber comes in MANY different forms, and is found in a variety of foods. The best sources of dietary fiber are fruits, vegetables, beans (or “legumes”), nuts, and whole grains. However, many children on an elemental diet are limited in one or more of these food groups. They may be especially limited in processed foods, or foods that might include fiber but also have an allergen (such as whole grain bread, which can often have dairy or egg ingredients). Again, be sure to check with the health care team to see if the foods your child is eating meet his or her fiber needs.

While there is a lot of variety in the types of fiber in whole foods, the types of supplemental fiber tend to be an isolated single type of fiber. For instance, many fiber supplements are bran-based. They use the outer husk of a grain to provide both soluble and insoluble fiber. Since insoluble fiber tends to speed digestion along, it may not be the best choice.

Another common form of fiber supplement is an isolated fiber, either soluble or insoluble fiber. Soluble fiber dissolves easily, so it mixes well into Neocate Junior, E028 Splash, or Neocate Nutra. It can help slow movement through the gut, and can help add bulk to stool. This is the type of fiber we include in Neocate Junior with Prebiotics. Many of these isolated fiber supplements are inulin, which is derived from the root of the chicory plant, which poses low risk for most children with allergies.


Know what questions to ask

One of the best questions to ask is what the source of the fiber is. For children with a wheat allergy, a fiber source which is derived from wheat, barley, rye, and possibly oat might not be appropriate. For those, a parent should look for a “gluten-free” claim or contact the company for more information.

Some fiber supplements carry the label “non-allergenic” or “hypoallergenic.” It’s always best to contact the company and ask them exactly what they mean with these terms. Also be sure to ask what the source of the fiber is and whether or not the product poses any risks for your little one’s specific allergies or sensitivities.

If your child’s health care team recommends supplementing fiber, make sure to ask how much to add and how to start using it. It’s best to introduce more fiber to the diet slowly and increase it gradually instead of adding the full dose all at once. This gives the body time to adjust to the change. Fiber should also be spread out throughout the day.

Do you have questions about choosing the right fiber supplement?  Let us know in the “Comments” section below.

- Rob

 

[Image Source – D Sharon Pruitt]


Dietary Therapy for Crohn’s Disease

Posted 8.25.11 | Nutrition Specialist

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.

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


Sample Lunchbox Meals for Kids with Allergies

Posted 8.27.11 | Nutrition Specialist

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

 


Neocate Cookbook Breakfast Round Up

Posted 9.19.11 | Mallory West

My Top 5 Breakfast Picks from our Neocate Food Allergy Cookbook

  • Wheat-free Pumpkin Muffins (Page 6)
    I chose this recipe because it will be a great breakfast for fall mornings! I also love it because pumpkins are a great source of beta carotene (Vitamin A), Vitamin C, Potassium and dietary fiber! Be sure that you get canned pumpkin and not pumpkin pie filling.    
  • Healthier Breakfast Cookies (Page 4)
    It might sound strange that a nutrition specialist is recommending that you give your kids cookies for breakfast but these are not your average cookies! They are high in fiber, protein and healthy fats. There are also “optional additions” for the recipe that boost the nutritional value even more. You can skip or cut down on the sugar and chocolate chips to make them an even healthier breakfast choice.
  • Neocate Fiber-full Smoothie (Page 22)
    This recipe is not actually in the “breakfast” section of our cookbook but I love smoothies for breakfast! They are packed full of nutrients and a great way to take breakfast on the go. I chose this particular smoothie recipe because it is a good source of dietary fiber, which most kids do not get enough of. (Tip: If you are having trouble getting your little one to take a medication or supplement that your doctor has prescribed, try mixing it in their smoothie before serving. The fruit does a great job of masking the taste.)
  • Baked Oatmeal (Page 2)
    This will be a warm, filling breakfast for cold days as we head into fall and winter. Add some fresh fruit and this is a delicious, balanced, and healthy recipe that your little one will love.
  • Allergy-friendly Banana Bread Muffins (Page 6)
    Banana bread is a classic comfort food. Your kids will love this allergy-friendly version.


Remember that you should always check the ingredients of these recipes to make sure they are appropriate for your little one’s food allergies.


What are your favorite allergy-friendly breakfast recipes? They can be from the cookbook or some of your own!


-Mallory 


Introducing Neocate® Junior with Prebiotics, Vanilla!

Posted 10.18.11 | Nutrition Specialist

We’re excited to introduce you to our newest product — Neocate® Junior with Prebiotics, Vanilla!  This is the first and only flavored amino acid-based medical food with soluble prebiotic fiber for children with GI conditions.  Neocate® Junior with Prebiotics, Vanilla will help fight flavor fatigue and provide digestive support for a balanced gut for manychildren who suffer from milk or soy allergies, multiple food allergies or allergy-induced gastrointestinal disorders.

Just like Neocate® Junior, Chocolate and Neocate® Junior, Tropical, Neocate Junior with Prebiotics, Vanilla is an aspartame-free, hypoallergenic and nutritionally complete medical food for children over the age of one.

Children who use Neocate Junior should be under the care of a healthcare professional. Families with questions about Neocate Junior with Prebiotics, Vanilla or the whole Neocate family of nutritionally complete amino acid-based medical foods, please visit www.Neocate.com or call the toll-free number at 1-800-365-7354, Monday through Friday, 8:30 am – 7:00 pm EST.  


What Makes Neocate so Special?

Posted 10.24.11 | Nutrition Specialist

Q: My son has severe allergies and his pediatrician recommended Neocate. I see that it’s expensive and isn’t available at the store. I’ve also been online and see that similar products exist. Can you tell me what makes Neocate so special?

A: We get this question often. Not only have most parents never heard of Neocate, there are still some health care professionals who aren’t familiar with Neocate either.

Setting the Bar

Neocate was the first of its kind, and we set the bar high. The Neocate products are amino acid-based formulas, which by nature makes them special. The fact that Neocate is made with amino acids instead of protein is what sets it apart and allows it to help so many children to feel better. With Neocate, Nutricia is committed to producing the best amino acid-based formulas possible.

First, we ensure that our customers get a product that will not cause a typical allergic reaction. To start, none of the Neocate ingredients are derived from milk, and we mix the Neocate powders in a facility that is 100% dairy protein-free: no cows allowed! We also test every batch of Neocate for dairy, just to be sure. And with E028 Splash, we also test for gluten to ensure it’s gluten-free.

Specialized Products for Special Kids

Because many children need Neocate for more than just a few weeks, we want their Neocate experience to be as easy as possible. We do this by offering more options. For instance, Neocate Nutra is the only amino acid-based semi-solid food available. We also make Splash, the only ready-to-feed (no mixing needed) amino acid-based formula. On top of this, we offer lots of flavors in Neocate Junior, E028 Splash, as well as Flavor Packets. To top it off, Neocate Junior with Prebiotics is the only amino acid-based formula available with prebiotic fiber, which can help improve regularity. We think all of these make Neocate great and help children to stick with an elemental diet.

Extensive Research

Lots of work has gone into making Neocate the best product possible. Since the 1980s, we’ve supported dozens of studies involving Neocate. In fact, Neocate products have been studied or used in over 70 publications in scientific journals! In fact over 1,000 people, mostly infants and children, have participated in research that involved Neocate. And while Neocate has been extensively studied in cow milk allergy, we’ve also supported research with Neocate in other conditions such as eosinophilic esophagitis(EoE), short bowel syndrome(SBS), multiple food protein intolerance(MFPI), food protein induced enterocolitis syndrome(FPIES), and others.

We’ve gotten to work with lots of researchers, many of whom are leaders in their field. And not just in the US – plenty of research with Neocate has taken place internationally on six continents! This research has helped to improve the way medicine is practiced, including diagnosis and treatment. We’re pretty proud of that! We even have a team of researchers based here in the US working on current Neocate studies. This is just one example of our dedication to advancing medical research.

Customer Support

Neocate wouldn’t be Neocate if it didn’t come with a lot of great “add-ons” for our families. For instance, we have great resources for parents on our website, blog, twitter, YouTube channel, and Facebook page. We (the Nutrition Specialists) also are available to answer questions for parents, caregivers, and health care professionals by phone, by email, and online. We even get to help develop new recipes to keep things interesting.

Finally, families new to Neocate often feel like they’re in unfamiliar territory. This is why we offer lots of reimbursement support, which is incredibly helpful for many of our customers.

The most important factor that makes Neocate special? Neocate kids! We love getting to talk to parents about their little ones every day, especially when they tell us how helpful Neocate has been and share good news. Hearing how special they are just makes our work that much more important.

 

  


Allergy-Friendly Meal Series: Breakfast

Posted 2.9.12 | Rob McCandlish, RDN

 

Empty Breakfast PlateFor 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


Allergy-Friendly Meal Series: Lunch

Posted 2.16.12 | Rob McCandlish, RDN

Empty Lunchbox
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


Allergy-Friendly Meal Series: Dinner

Posted 2.23.12 | Rob McCandlish, RDN

Waiter with trayToday’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] 


Vanilla Recipe Series: Vanilla Cinnamon Pudding

Posted 3.14.12 | Nutrition Specialist

Ingredients:

Directions:

Pour Neocate Nutra into bowl; add Neocate Junior with Prebiotics, Vanilla and blend till evenly mixed.  Add cinnamon, mix and serve.

Serving size: about ½ cup

Nutrition Information per serving:

Calories 236 Pro: 5g CHO: 32g Fat: 9.6g Fiber: 0.7g

Neocate Junior with Prebiotics, Vanilla is an aspartame-free, hypoallergenic and nutritionally complete medical food for children over the age of one.  And as a reminder, be sure to consult your healthcare professional to determine if this recipe, ingredients and consistencies are appropriate for your child.  


Vanilla Recipe Series: Vanilla Root Beer Float

Posted 3.21.12 | Nutrition Specialist

Ingredients:

Directions:

Add ingredients to blender and blend.  Pour and serve.

Serving size: about 12 fl oz

Nutrition Information per serving:

Calories: 205 Pro: 5.5g CHO: 29.5g Fat: 7.3g Fiber: 0.9g

Neocate Junior with Prebiotics, Vanilla is an aspartame-free, hypoallergenic and nutritionally complete medical food for children over the age of one.  And as a reminder, be sure to consult your healthcare professional to determine if this recipe, ingredients and consistencies are appropriate for your child.

 


Artificial Sweeteners Explained

Posted 3.23.12 | Christine Graham-Garo


As some of you may know, we have recently launched our new and flavorful Neocate Junior product, Neocate Junior with Prebiotics, Vanilla. One question we have heard from some families is about the use of artificial sweeteners in products. Some families have asked if our new Neocate Junior with Prebiotics, Vanilla product has any aspartame. The answer to that is ‘no!’  Some families have noticed that some products and formulas on the market do use aspartame, and that some products even use multiple artificial sweeteners.

Neocate Junior with Prebiotics, Vanilla only uses one type of artificial sweetener, sucralose (found in Splenda®), as well as natural table sugar. Artificial sweeteners are key in flavored amino acid-based formulas to provide a formula that tastes good without being laden with sugar to have that great taste.

There are a few artificial sweeteners on the market in the US that have been reviewed and accepted by the FDA. Here is a list of some of those artificial sweeteners:

Most of the flavored Neocate products use sucralose, which has a balanced sweetener profile and has become more popular in recent years. A few of the flavored Neocate products use acesulfame potassium, which works well with citrus flavors.

You may note that in Neocate Junior with Prebiotics, Vanilla, sucralose is toward the end of the ingredients list, meaning a small amount is used in the product.

In developing the Neocate Junior with Prebiotics, Vanilla, Nutricia North America was conscious to develop a balanced sweetness profile. Some of the sweetness comes from natural table sugar, which you can see in the ingredient list towards the top.

Have you tried Neocate Junior with Prebiotics, Vanilla yet? How did you like the taste? We always enjoy hearing from you!

Christine

Source:
http://www.cspinet.org/nah/05_04/sweet_nothings.pdf
Picture source


Nutra Vanilla Cinnamon Patties

Posted 3.28.12 | Nutrition Specialist

Ingredients:

Directions:

Add Neocate Nutra powder to a bowl. Add 2 fl oz of Neocate Jr, Vanilla. Blend till evenly distributed. Add cinnamon and stir. Using a small spoon, place 5 cookie sized dollops onto a flat plate or tray. Place tray in freezer for over 3 hours. Use spatula to remove patties from tray. Serve right away as they may defrost quickly.

*Leave out the cinnamon if desired for a different taste experience.

Serving size: makes about 6 patties

Nutrition Information per serving:

Calories: 236 Pro: 5g CHO: 32g Fat: 9.6g Fiber: 0.7g

Neocate Junior with Prebiotics, Vanilla is an aspartame-free, hypoallergenic and nutritionally complete medical food for children over the age of one.  And as a reminder, be sure to consult your healthcare professional to determine if this recipe, ingredients and consistencies are appropriate for your child.

Image Source


Video: How to Mix Neocate Junior with Prebiotics, Vanilla

Posted 4.19.12 | Nutrition Specialist

Many Moms and Dads come to us with questions about how to properly mix Neocate products.  This is why in addition to the preparation instructions on our website, our nutrition specialists have created videos explaining how to properly mix Neocate products for our blog and NeocateUS YouTube channel

We are excited to share with you our most recent mixing video for Neocate Junior with Prebiotics, Vanilla.   

Neocate Junior with Prebiotics, Vanilla is the first and only flavored amino acid-based medical food with soluble prebiotic fiber for children with GI conditions.  Neocate Junior with Prebiotics, Vanilla will help fight flavor fatigue and provide digestive support for a balanced gut for many children who suffer from milk or soy allergies, multiple food allergies or allergy-induced gastrointestinal disorders.

 Just like Neocate Junior, Chocolate and Neocate Junior, Tropical, Neocate Junior with Prebiotics, Vanilla is an aspartame-free, hypoallergenic and nutritionally complete medical food for children over the age of one.

Also, if you’re interested, we have different vanilla recipes in our Neocate Junior with Prebiotics, Vanilla cookbook!

Have you tried Neocate Junior with Prebiotics, Vanilla?  Do you find this video helpful? What other mixing videos would you like to see? Let us know by posting a comment in the comment section!

 


Neocate Product Series – Neocate Junior with Prebiotics

Posted 5.1.12 | Nutrition Specialist

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

Neocate Junior with Prebiotics is a nutritionally complete, powdered amino acid-based medical food for children over the age of one 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.

Neocate Junior with Prebiotics contains prebiotic fiber to help promote digestive health and extra vitamins and minerals especially helpful for children with GI-related malabsorptive conditions.  Also, it is available in unflavored and vanilla, which happens to be the first and only flavored amino acid-based medical food with soluble prebiotic fiber!

How to prepare Neocate Junior with Prebiotics

How much Neocate Junior with Prebiotics you give your child should be determined by a healthcare professional and is dependent on the age, body weight and medical condition of the patient. 

For oral or tube feeding:

  1. Measure the required amount of warm or cool water into a container.
  2. Add the prescribed amount of Neocate Junior to the water.
  3. Cover and shake until the powder has dissolved.

Neocate Junior with Prebiotics is best served chilled.  Once prepared, the formula should be stored in a refrigerator and kept no longer than 24 hours from the time of preparation.  Shake or stir Neocate Junior with Prebiotics immediately before use.

The recommended dilution is 30 kcal/fl oz.  This can be achieved by mixing the following amounts of powder and water.  The scoop provided weighs 8.2 g.

Neocate Junior with Prebiotics

Neocate Junior with Prebiotics Powder

Amount of
Water to Add

Final Volume

Unflavored

3 scoops or 24.6 g

3.5 fl oz

4 fl oz

6 scoops or 49.2 g

6.5 fl oz

8 fl oz

18 scoops or 147.6 g

20 fl oz

24 fl oz

Vanilla

4 scoops or 32.8 g

4 fl oz

5 fl oz

7 scoops or 57.4 g

7.5 fl oz

9 fl oz

20 scoops or 164 g

21 fl oz

25 fl oz

 
 
       
       
       

Store unopened can at room temperature.  Once opened, reseal can and store in a cool, dry place (not in a refrigerator) and use within one month of opening.

Nutrient and Ingredients profile

Nutrients Per 100 kcal

Unflavored

Vanila

Calories

100

100

Protein Equivalent, g

3.3

3.5

Fat, g

5

4.6

Carbohydrate, g

10.4

11.2

Fiber, g

0.4

0.4

Linoleic Acid, mg

549

501

     

Vitamins

Vitamin A, IU (mcg RE)

250 (75)

261 (78.3)

Vitamin D3, IU (mcg)

43.5 (1.1)

45.3 (1.1)

Vitamin E, IU (mg a TE)

1.7 (1.1)

1.7 (1.1)

Vitamin K, mcg

4

4 .2

Thiamine, mg

0.1

0.1

Riboflavin, mg

0.1

0.1

Vitamin B6, mg

0.1

0.1

Vitamin B12, mcg

0.19

0.2

Niacin, mg

0.9

0.9

Folic Acid, mcg

29.9

31.2

Pantothenic Acid, mg

0.4

0.4

Biotin, mcg

2

2 .1

Vitamin C, mg

9.3

9.7

Choline, mg

29.9

31.2

Inositol, mg

22

22.9

     

Minerals

Calcium, mg

113

118

Phosphorus, mg

69.7

72.6

Magnesium, mg

16

16.7

Iron, mg

1.5

1.6

Zinc, mg

0.98

1.0

Manganese, mg

0.13

0.1

Copper, mcg

111

116

Iodine, mcg

17.8

18.6

Molybdenum, mcg

4.5

4.7

Chromium, mcg

3.8

3.9

Selenium, mcg

3

3.1

Sodium, mg

41

42.7

Potassium, mg

137

142

Chloride, mg

63

65.6

 

Ingredients:

Unflavored:

Corn Syrup Solids (53%), Fractionated Coconut Oil (8%), Canola Oil (8%), High Oleic Safflower Oil (8%), L-Arginine (2%), L-Glutamine (2%), L-Lysine L- Aspartate (2%), and less than 2% of each of the following: Tripotassium Citrate, L-Leucine, L-Phenylalanine, Calcium Phosphate Dibasic, Fructooligosaccharide , Inulin, L-Proline, L- Valine, Glycine, L-Isoleucine, N-Acetyl-L-Methionine, Tricalcium Phosphate, L-Threonine, Mono And Diglycerides, L-Histidine, L-Serine, Sodium Chloride, L-Alanine, Magnesium Acetate, Choline Bitartrate, L-Tryptophan, L-Tyrosine, Diacetyl Tartaric Acid Esters of Mono & Diglycerides, M-Inositol, L-Ascorbic Acid, L-Cystine, Propylene Glycol Alginate, Taurine, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-Alpha Tocopheryl Acetate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D-Biotin, Vitamin D3,Cyanocobalamin.

Vanilla:

Corn Syrup Solids (45%), Refined Vegetable Oil (Palm Kernal and/or Coconut Oil (7%), Canola Oil (7%), High Oleic Safflower Oil (7%)), Sugar (8%), L- Arginine (2.4%), L-Glutamine (2.3%), L-Lysine L-Aspartate (2%), and less than 2% of each of the following: Tripotassium Citrate, L-Leucine, L-Phenylalanine, Calcium Phosphate Dibasic, Fructo-oligosaccharide, Inulin, L-Proline, L-Valine, Glycine, L-Isoleucine, N-Acetyl-L- Methionine, Calcium Phosphate Tribasic, Artificial Flavors, L-Threonine, L-Histidine, L- Serine, Mono and Diglycerides, Sodium Chloride. L-Alanine, Magnesium Acetate, Choline Bitartrate, L-Tryptophan, L-Tyrosine, Diacetyl Tartaric Acid Esters of Mono & Diglycerides, M-Inositol, L-Ascorbic Acid, L-Cystine, Artificial Sweetener: Sucralose, Propylene Glycol Alginate, Taurine, Ferrous Sulfate, L-Carnitine, Zinc Sulfate, DL-a-Tocopheryl Acetate, Niacinamide, Calcium D-Pantothenate, Manganese Sulfate, Cupric Sulfate, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Vitamin A Acetate, Folic Acid, Potassium Iodide, Chromium Chloride, Sodium Molybdate, Sodium Selenite, Phylloquinone, D- Biotin, Vitamin D3, Cyanocobalamin.

 


Video: How Neocate Spent Summer Vacation

Posted 5.17.12 | Nutrition Specialist

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!  

 


Reminder for Our Neocate Infant Original Families

Posted 5.22.12 | Nutrition Specialist

 

As you know, in 2008 we introduced Neocate Infant DHA & ARA.  DHA and ARA are two fatty acids naturally found in breast milk that have been shown to help promote brain and eye development.  The addition of DHA and ARA does not change the other properties of the formula (i.e. taste, texture, hypoallergenicity), but it does provide an extra boost to benefit your little one!  As a consequence, in October 2011, Nutricia North America announced and began the discontinuation of Neocate Infant original and over the past few months we’ve been proactively transitioning original formulation families toNeocate Infant DHA & ARA

We wanted to remind you of this and let you know that we have run through all of our stock of the Neocate Infant original.  We are no longer selling the Neocate Infant without DHA and ARA.

We encourage you to discuss alternative options such as, Neocate Infant DHA & ARAwith your child’s doctor or dietitian.  Or, if your child is over the age of 1 year, we have Neocate Junior Unflavored or Neocate Junior Unflavored with Prebiotic fiber.

If you have further questions or need assistance with transitioning, please feel free to contact us at 1-800-NEOCATE (Monday through Friday 8:30 A.M. – 7:00 P.M. EST)and ask to speak with our nutrition specialists.

-Sarah


Neocate Vanilla Orange Pineapple Fruit Blast

Posted 6.17.12 | Nutrition Specialist

Looking to make a new refreshing drink?  Try out this recipe using Neocate Junior with Prebiotics, Vanilla and tell us what you think!

Ingredients:

Instructions:

Crush ice and frozen pineapple in blender first.  Then add Neocate Junior with Prebiotics, Vanilla.  Blend for a few seconds.  Add orange juice, pineapple juice and CAAM (if approved by a healthcare professional).  Blend till evenly mixed. Pour in glass and serve. Add a pineapple slide as a garnish.

 Nutrition Information per serving:

Calories:                      334     

Protein, g:                   8.2g (16g with Complete Amino Acid Mix)   

Carbohydrates:           49 g    

Fat:                              8g

Fiber:                           2g

 Serving Size ~12 fl oz           

Neocate Junior with Prebiotics, Vanilla is an aspartame-free, hypoallergenic and nutritionally complete medical food for children over the age of one.  And as a reminder, be sure to consult your healthcare professional to determine if this recipe, ingredients and consistencies are appropriate for your child.

*We have an optional addition which is our Complete Amino Acid Mix, as this can help to add a few more grams of protein (in the form of amino acids) to your child’s diet.  Please note: you must speak to your child’s healthcare professional before adding this to the recipe to ensure it is needed or appropriate for your child.  Younger children may not need this level of protein. The added protein may be appropriate for an older child (13 years +). 

 


Gut Series - Large Intestine

Posted 6.26.12 | Christine Graham-Garo

The last step in our Gut Series is the Large Intestine.  Food in our guts come a long way, from our mouth and esophagus, to our stomach and then to our small intestine, where it moves into the large intestine.  The ileocecal valve of the ileum (small intestine) passes material into the large intestine at the cecum.  The last step occurs in the rectum.  Our focus will be on the large intestine as it plays important roles in absorption.

Nutrients absorbed

The large intestine is the portion of the digestive system most responsible for absorption of water from the indigestible residue of food.  The large intestine or colon takes about 16 hours to finish up the remaining processes of the digestive system.  Food is no longer broken down at this stage of digestion.  The colon absorbs vitamins which are created by the colonic bacteria - such as vitamin K (especially important, as the daily ingestion of vitamin K is not normally enough to maintain adequate blood coagulation), vitamin B12, thiamine and riboflavin.

Prebiotic fibers, like those found in Neocate Junior, play a special role in the large intestine.  Bacteria account for 35-50% of the volume of contents in the colon.  Prebiotic fiber feeds the beneficial bacteria in our colon which helps to improve the health of our gut.

 

Conditions of the Large Intestine

Eosinophilic colitis and conditions like Food Protein Induced Enterocolitis (FPIES) and Short bowel syndrome (SBS) are all conditions that affect the large intestine.  These conditions can disrupt the GI lining of the large intestine so that nutrients may not be absorbed and utilized, as they should. Neocate is appropriate to help nutritionally manage these food allergy related conditions because it is so easy to absorb and is 100% hypoallergenic and elemental.

We hope you learned about what goes on in the human gut and what specific conditions can affect certain sections of the GI tract, from the mouth, esophagus, stomach, to the small and large intestine. 

Christine

 

[Image Source]


Announcing the Neocate Fan Favorite Election!

Posted 9.27.12 | Nutrition Specialist

 

In light of the 2012 presidential election we’ve decided to have our own election, the Neocate Fan Favorite Election!

Throughout the month of October Neocate Infant DHA & ARA, Neocate Nutra, Neocate Junior and Neocate Splash will be campaigning for your vote in the Neocate Fan Favorite election on the Food Allergy Living Blog, the Neocate Facebook and the Neocate Twitter.  Then on Election Day, November 6th, you’ll be able to cast your vote on the Neocate Facebook page. 

So, who will you be voting for in the Neocate Fan Favorite Election?


Neocate Junior – Neocate Fan Favorite Election

Posted 10.10.12 | Nutrition Specialist

 Hi everyone, I’m Neocate Junior, candidate for the upcoming Neocate Fan Favorite election!  

I am a hypoallergenic, 100% free amino acid-based, and nutritionally-complete medical food for children age 1-10!  I provide an excellent source of nutrition for kids with food allergies and related gastrointestinal conditions. I can be used as the sole source of nutrition or as a supplement to a limited diet!

Best of all, I come with or without prebiotic fiber and I’m available in 4 different flavor varieties!

Say NO to allergens! Say NO nutritional inadequacy! And say NO to boring flavors! Vote for me, Neocate Junior, for the Neocate Fan Favorite election!

-I’m Neocate Junior and I approved this message


Vote Now in the Neocate Fan Favorite Election

Posted 11.1.12 | Nutrition Specialist

 

Hi there Neocate Fans!

We are very excited today because the polls are officially open for our Neocate Fan Favorite Election!

It’s as easy as 1, 2, 3 to cast your vote for your favorite Neocate product.

1.    Go to our Facebook page;

2.    Cast your Vote for one of our 4 candidates: Neocate Junior, E028 Splash, Infant DHA and ARA and Nutra; and

3.    Share your vote with friends and vote again tomorrow!

The last day to cast your vote will be Tuesday, November 6 and the winner will be announced on Thursday, November 8, 2012. 

We can’t wait to see which Neocate product gets the most votes!

Thanks for voting!

 


How much should my baby eat?

Posted 12.12.12 | Nutrition Specialist


How much Neocate does my child need?

Q: After going through almost every formula, my baby’s allergist told me I should give her Neocate Infant DHA/ARA. I need to know how many cans to buy and how much does my baby need to drink?

A: Many parents of infants, toddlers and children new to Neocate have this question. There’s never an exact answer, so here’s what you need to know:

We are always happy to help, but this important question about your little one’s health is best answered by the members of his/her healthcare team. They know your child’s medical history and needs, have lots of experience, and can give you the best guidance. With that in mind, we can offer some general guidelines.

The volume of Neocate needed depends on calorie needs, which can vary a lot from person to person. Factors that affect calorie needs include age, weight, gender, height, medical conditions, and how active someone is.

Another term you might hear is “catch-up growth,” which can come up if your little one falls behind on the growth curve and needs to gain extra weight (beyond normal weight gain) to "catch up" to where she should be. It can mean she will need additional calories from Neocate or foods in the beginning to catch up, especially if the medical team feels she is behind on the growth curve.

Neocate Infant

If your little one is bottle-fed, you can expect that he or she will probably consume about the same volume of Neocate InfantDHA/ARA as of the current formula. The amount of Neocate may increase or decrease a little bit, especially in the beginning. And over time, as your baby's calorie needs grow, the amount of Neocate per day will also grow. Once solids are introduced, they will gradually make up more of your baby's nutrition. Without being too specific, here are some general ranges for daily amounts of formula by age*. These ranges are for infants who are exclusively formula-fed, and will be less for infants who take solid foods:

  • 1 – 3 months……..roughly 20 to 30 fluid ounces (fl oz)
  • 4 – 6 months……..roughly 24 to 34 fl oz
  • 7 – 9 months……..roughly 29 to 39 fl oz
  • 10 – 12 months….roughly 34 to 44 fl oz

Neocate Nutra

As the only amino acid-based semi-solid that can be spoon-fed, Neocate Nutra has been a big help for many families dealing with severe and multiple food allergies. Neocate Nutra has high levels of several key nutrients, but is not meant to supply all of a child’s nutrition. For infants six months and older, Nutra is used along with Neocate Infant DHA/ARA or another hypoallergenic infant formula.

Follow your healthcare team’s recommendations for a serving size of Nutra to offer your little one and how many times a day to offer it. Many healthcare teams suggest starting with a smaller serving size (4 scoops of Neocate Nutra + 1 fl oz of water) and offering it two or three times a day. For older children, a larger serving size (8 scoops of Neocate Nutra + 2 fl oz of water) may be recommended.

Neocate Junior and Neocate Splash

While Neocate Junior and Neocate Junior with Prebiotics can meet a toddler or child’s full nutritional needs, these formulas are often used along with solid foods or other beverages, such as with an elimination diet. This can make the Neocate serving amount per day a bit tricky to nail down, which is where a healthcare team comes in very handy! It often depends on the foods your child avoids and any nutrient gaps in their diet. For instance, many children with milk and soy allergies use Neocate Junior as a major source of protein, calcium, vitamin D, and other nutrients important for bone health. The same is true for Neocate Splash.

Some children require an amino acid-based formula to meet their full caloric needs. Some examples would be a child with eosinophilic esophagitis (EoE) that is on a strict amino acid-based diet for six weeks, or a toddler with severe allergies who hasn’t yet found safe foods. The following are some general ranges for daily amounts of formula by age* for active children who are strictly on Neocate Junior and often drinking Neocate Splash as well:

  • 1 to 3 years…….roughly 27 to 47 fl oz
  • 4 to 8 years…….roughly 50 to 62 fl oz
  • 9 to 13 years…...roughly 65 to 81 fl oz

Again, these are general guidelines. Your little one’s healthcare team can take all of the key factors into account to provide you with a tailored recommendation for your child. They will also monitor your child’s growth on Neocate and adjust the amount of formula as needed to meet his/her calorie and nutrient needs.

We hope this rundown helps! What questions do you have about the volume of formula needed?

*Ranges for formula are extrapolations based on “Dietary Reference Intakes for Energy,” Food and Nutrition Board, Institute of Medicine of the National Academies.


Elimination Diets and Breastfeeding

Posted 1.31.13 | Rob McCandlish, RDN


We often hear from moms of infants with cow milk allergy who would like to continue breastfeeding their infant. It’s very rare that an infant will be truly allergic to the breast milk: usually the infant reacts to one or more foods in the mother’s diet that affect breast milk contents. For this reason, many clinicians might suggest that a mom try to follow an elimination diet to continue breastfeeding. Other times, they will recommend Neocate Infant DHA/ARA as an appropriate replacement for breast milk. We always suggest that you check with your little one’s healthcare team and follow their advice, but below are some links to information you may find helpful.


Elimination Diet Basics

The general idea behind an elimination diet is that certain foods are strictly eliminated. This includes removing “whole” foods, like cow milk, and specific ingredients. For example, a mom whose infant has cow milk allergy may need to screen ingredient lists for anything derived from dairy. This video, featuring members of our team, explains the basics behind an elimination diet, such as eliminating dairy and soy ingredients. Your healthcare team can provide more detailed instructions on what foods you should eliminate and what ingredients to look out for.


Beyond the Basics

For some nursing infants, an elimination diet that removes common allergens like dairy and soy from mom’s diet may only provide minimal symptom improvement. If that’s the case for you, please seek advice from your healthcare team. For some families, the team may suggest a diet that restricts more foods, which they may refer to as a “total elimination diet.” You can read about one mom’s experience with the total elimination diet here. This previous blog post suggests some other websites that may be helpful to you.

But if a more strict approach like the total elimination diet still doesn’t completely help, is there still an option to breastfeed? If you are truly committed to breastfeeding, we have heard of moms who drink an elemental formula themselves so that they haven’t got ANY food in their diet that the infant could react to. You can read about my two-day experience of nothing but Neocate here. And two days is nothing: there are many teens and even adults who depend on Neocate every day to help meet their nutrition needs safely.


Elimination Diet Caution

For many moms who try an elimination diet, there is often a need to eliminate more than just dairy and soy. This can lead to a diet that is restricted in one or more nutrients, which could pose a risk to both mom and her baby. Please read this previous blog post to make sure you’re aware of some potential risks. While the article discusses a scenario in which a child is on an elimination diet, some of the key principles hold for a nursing mom (and her baby) as well. One option may be for mom to consume Neocate Junior as a safe, supplemental source of nutrition: I’d recommend the Vanilla with prebiotic fiber!

What experience can you share with other moms who are considering an elimination diet?

- Rob

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Flavor Packets

Posted 9.19.13 | Rob McCandlish, RDN


2013 UPDATE: Flavor Packets are no longer available. Please visit the 'Buy Neocate' section for all of the Neocate products that come in delicious flavors!

Over the years, Nutricia has been proud to offer the best products available for patients who require an elemental or amino acid-based diet. In the early years, most formulas were not flavored. Because of the distinct taste of amino acids, we offered an option to our Neocate customers in the form of our Flavor Packets. Flavor Packets have been an easy way to customize the amount of flavor and sweetness you add to unflavored, amino acid-based formulas.

Over the years, we expanded our offerings of formulas that come already flavored. As more customers have preferred these versions, which offer convenience and savings over Flavor Packets, we’ve seen much less interest in the Flavor Packets.

We want you to know that, while we currently have a stock of Flavor Packets which will not expire for a while, this is a limited supply which will not be replaced. We will continue selling them on Neocate.com and MySpecialDiet.com until they phase out, and we are able to transition customers to flavored products. We want to avoid a situation where Flavor Packets are phased out without our customers expecting it.

We encourage those of you who are big fans of Flavor Packets to start considering the other great options in our Neocate family. Neocate Junior is available in Tropical and Chocolate flavors, and also comes in a great Vanilla flavor with the addition of prebiotic fiber. Along with Neocate Junior, we also have Neocate’s E028 Splash which is available in delicious Grape, Tropical Fruit, and Orange-Pineapple flavors.

You may also want to begin discussions with your healthcare team if you would still like to explore adding other, safe flavor options to one of our unflavored products.  

- Rob



About Us

Food Allergy Living is a resource for parents of children with food allergies, brought to you by Nutricia, the makers of Neocate. For more in-depth information about our purpose & authors, see our About Food Allergy Living page.