Must be used under medical supervision. For enteral use only. Not suitable for use as a sole source of nutrition. This product should not be used as a sole source of protein but must be given in conjunction with a protein source to supply the methionine, threonine, isoleucine, valine, fluid and general nutrition requirements of the patient in quantities as prescribed by a clinician or dietitian. Not intended for infants or young children. Only intended for use by individuals with proven methylmalonic or propionic acidaemia (MMA/PA).
The recommended dosage and timing of intake is dependent on the age, bodyweight and medical condition of the patient, and should be determined by a dietitian or clinician only. Paste the prescribed amount of powder with a small amount of water. Gradually stir in the remaining water until the required volume is achieved. Initially, a 1 to 7 dilution is recommended (i.e.. 100g Maxamum plus 700mls of water) with the concentration increasing to 1 to 5 (i.e.. 100g Maxamum plus 500mls water), with increasing tolerance. These dilutions are guidelines only. Maxamum can be taken as a more concentrated drink or paste, however water or diluted drinks should also be taken to counteract high osmolality. Maxamum may be flavoured with a separate flavouring from the Nutricia range.
Dried Glucose Syrup, L-Lysine, L-Glutamate, L-Leucine, L-Alanine, L-Arginine, L-Aspartic Acid, Calcium Glycerophosphate, L-Histidine, L-Phenylalanine, L-Tyrosine, L-Serine, Tripotassium Citrate, Glycine, L-Proline, L-Cystine, L-Tryptophan, Magnesium Hydrogen Phosphate, Sodium Chloride, Trisodium Citrate, Sugar, Choline Bitartrate, Emulsifier (Soy Lecithin), Magnesium Acetate, L-Glutamine, L-Glutamic Acid, Tricalcium Phosphate, Taurine, Ascorbic Acid, Ferrous Sulphate, M-Inositol, Zinc Sulphate, L-Carnitine, Nicotinamide, Manganese Sulphate, DL-Alpha Tocopheryl Acetate, Calcium D-Pantothenate, Copper Sulphate, Pyridoxine Hydrochloride, Thiamine Hydrochloride, Riboflavin, Vitamin A Acetate, Folic Acid, Chromium Sulphate, Sodium Molybdate, Potassium Iodide, D-Biotin, Vitamin K1, Sodium Hydrogen Selenite, Vitamin D3, Cyanocobalamin. Allergy Advice: For allergens, see ingredients in bold.
Best before: see base of can.
Store in a cool, dry place. Always replace the container lid after use. Once opened, use within one month. The prepared feed must be refrigerated and must not be kept longer than 24 hours.
| Nutrients | Unit | per 100g | per 20g |
|---|---|---|---|
| Energy | kcal | 297 | 59.4 |
| Energy | kJ | 1260 | 252 |
| Protein | g | 39 | 7.8 |
| Carbohydrate | g | 34 | 6.8 |
| Sugars | g | 3.1 | 0.62 |
| Lactose | g | 0 | 0 |
| Fat | g | <0.5 | <0.1 |
| Saturated fat | g | 0 | 0 |
| Fibre | g | 0 | 0 |
| Choline | mg | 321 | 64.2 |
| Inositol | mg | 85.7 | 17.14 |
| Osmolality (1 in 5 dilution) | mOsm/kg H20 | - | 1000 |
| L-alanine | g | 4.8 | 0.96 |
| L-arginine | g | 4.2 | 0.84 |
| L-aspartic-acid | g | 3.8 | 0.72 |
| L-cystine | g | 1.6 | 0.32 |
| Glycine | g | 1.9 | 0.38 |
| L-glutamine | g | 0.48 | 0.096 |
| L-histidine | g | 2.9 | 0.58 |
| L-isoleucine | g | <0.14 | <0.03 |
| L-leucine | g | 6.4 | 1.28 |
| L-lysine | g | 4.4 | 0.88 |
| L-methionine | g | 0 | 0 |
| L-phenylalanine | g | 2.8 | 0.56 |
| L-proline | g | 1.9 | 0.38 |
| L-serine | g | 2.7 | 0.54 |
| L-threonine | g | 0 | 0 |
| L-tryptophan | g | 1.3 | 0.26 |
| L-tyrosine | g | 2.8 | 0.56 |
| L-valine | g | 0 | 0 |
| L-carnitine | g | 0.02 | 0.004 |
| Taurine | g | 0.15 | 0.03 |
| Vitamins | Unit | per 100g | per 20g |
|---|---|---|---|
| Vitamin A | µg | 710 | 142 |
| Vitamin D | µg | 7.8 | 1.6 |
| Vitamin E | mg (α-TE) | 5.2 | 1.04 |
| Vitamin K | µg | 70 | 14 |
| Thiamin | mg | 1.4 | 0.28 |
| Riboflavin | mg | 1.4 | 0.28 |
| Niacin | mg (mg NE) | 13.6 (35.3) | 2.72 (7.1) |
| Pantothenic acid | mg | 5 | 1 |
| Vitamin B₆ | mg | 2.1 | 0.42 |
| Folic acid | µg | 500 | 100 |
| Vitamin B₁₂ | µg | 3.6 | 0.72 |
| Biotin | µg | 140 | 28 |
| Vitamin C | mg | 90 | 18 |
| Minerals | Unit | per 100g | per 20g |
|---|---|---|---|
| Sodium | mg (mmol) | 560 (24.3) | 112 (4.9) |
| Potassium | mg (mmol) | 700 (17.9) | 140 (3.6) |
| Chloride | mg (mmol) | 560 (15.8) | 112 (3.16) |
| Calcium | mg (mmol) | 670 (16.7) | 134 (3.3) |
| Phosphorus | mg (mmol) | 670 (21.6) | 134 (4.3) |
| Magnesium | mg (mmol) | 285 (11.7) | 57 (2.3) |
| Iron | mg | 23.5 | 4.7 |
| Zinc | mg | 13.6 | 2.72 |
| Copper | mg | 1.4 | 0.28 |
| Manganese | mg | 2.1 | 0.42 |
| Fluoride | mg | 0 | 0 |
| Molybdenum | µg | 107 | 21.4 |
| Selenium | µg | 50 | 10 |
| Chromium | µg | 50 | 10 |
| Iodine | µg | 107 | 21.4 |
Suitability labels are intended to show suitability of products for religious or dietary reasons. Some products may be suitable for kosher or halal diets but only products with Kosher approval or Halal certification have been identified here. Some individual flavours/variants may not be suitable and for more information please call our Resource Centre.
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