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Carbohydrate Free Mixture Carbohydrate Free mixture GMS Listed 7 ACBS 7 Description Carbohydrate Free Mixture is a powdered protein / fat supplement containing cows’ milk protein, fat, vitamins, minerals and trace elements, and minimal levels of lactose, galactose and glucose. Indications Carbohydrate Free Mixture is for the dietary management of infants and children with glucose-galactose intolerance, either primary or secondary to another disorder. It can provide complete nutritional support for infants only when supplied with an additional carbohydrate source such as fructose. It can be used as supplemental nutrition for children aged over one year. Carbohydrate Free Mixture can also be used in the diagnosis of disorders of carbohydrate metabolism e.g. monosaccharide intolerances and pyruvate dehydrogenase deficiency. Preparation and administration In order to achieve the normal protein, carbohydrate / fat ratio, Carbohydrate Free Mixture must be mixed with a carbohydrate source in the ratio of approximately 1:1 on a weight basis before dissolving. The recommended dilution of Carbohydrate Free Mix is 7% w/v (7g of product made up to a final volume of 100mls with water) before the addition of suitable carbohydrate. If a carbohydrate source is added, the recommended dilution is 14% w/v i.e. 7g of product and 7g of carbohydrate made up to 100mls of water. See section on preparation of infant feeds at the beginning of this section for further information. Storage Store in a cool, dry place. Always replace the container lid after use. Once opened, use within one month. Pack size 225g securitainer. Ingredients Refined Vegetable Oil (Palm, Sunflower, Rapeseed, Coconut), Calcium Caseinate (from Cows’ Milk), Sodium Caseinate (from Cows’ Milk), Tripotassium Citrate, Calcium Phosphate Tribasic, Potassium Chloride, Calcium Carbonate, Magnesium Hydrogen Phosphate, Choline Bitartrate, Sodium Chloride, Magnesium Chloride, L-Cystine, L-Ascorbic Acid, Taurine, M-Inositol, Ferrous Sulphate, L-Carnitine, L-Tartrate, Ascorbyl Palmitate, Zinc Sulphate, Nicotinamide, Calcium D-Pantothenate, DL-Alpha Tocopherol Acetate, DL-Alpha Tocopherol, Manganese Sulphate, Copper Sulphate, Riboflavin, Vitamin A Acetate, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Folic Acid, Potassium Iodide, Sodium Molybdate, Vitamin K, Chromium Chloride, Sodium Selenite, D-Biotin, Vitamin D3, Cyanocobalamin. * Made up to recommended concentration (7% dilution). August 2012 Average Contents Energy August 2012 Protein Carbohydrate sugars lactose Fat saturates monounsaturates polyunsaturates LCT LA/ALA % energy linoleic acid % energy a-linolenic acid Dietary fibre Minerals sodium potassium chloride calcium phosphorus magnesium iron zinc copper manganese fluoride molybdenum selenium chromium iodine Vitamins vitamin A vitamin D vitamin E vitamin K thiamin riboflavin niacin pantothenic acid vitamin B6 folic acid vitamin B12 biotin vitamin C Others choline myo-inositol Water osmolality Amino acid profile L-Alanine L-Arginine L-Aspartic Acid L-Cystine Glycine L-Glutamine L-Histidine L-Isoleucine L-Leucine L-Lysine L-Methionine L-Phenylalanine L-Proline L-Serine L-Threonine L-Tryptophan L-Tyrosine L-Valine L-Carnitine Taurine Unit kcal kJ g g g g g g g g % ratio % % g per 100g 668 2767 28.9 0.1 0.1 0.1 60.6 21.3 28.9 7.5 100 5.4:1 8.4 1.5 – per 100ml* 47 194 2 0.01 0.01 0.01 4.24 1.49 2.02 0.53 – – – – – mg (mmol) mg (mmol) mg (mmol) mg (mmol) mg (mmol) mg (mmol) mg mg µg mg mg µg µg µg µg 315 (13.7) 935 (24) 625 (17.6) 845 (21.1) 500 (16.1) 95 (3.9) 7.8 6.4 750 0.88 37.4 18.4 18.2 110 22 (1) 65.4 (1.7) 44 (1.2) 59 (1.5) 35 (1.1) 6.7 (0.3) 0.55 0.45 52.5 0.06 2.62 1.29 1.27 7.70 µg RE (IU) µg (IU) mg α-TE (IU) µg mg mg mg (mg NE) mg mg µg µg µg mg 1150 (3830) 19 (760) 15.2 (22.7) 82 0.62 1.6 9 (15.7) 4.8 0.64 158 3.2 23.4 126 80.5 (268) 1.3 (53.2) 1.06 (1.6) 5.74 0.04 0.11 0.63 (1.1) 0.34 0.04 11.06 0.22 1.64 8.82 mg mg 110 52 8 4 mOsm/kg H2O – 54 g g g g g g g g g g g g g g g g g g g g 0.96 1.1 2.2 0.5 0.57 0.91 1.6 3 2.9 0.93 1.6 2.8 1.9 1.4 0.4 1.7 2 0.014 0.06 0.07 0.08 0.15 0.04 0.04 0.06 0.11 0.21 0.2 0.07 0.11 0.2 0.13 0.1 0.03 0.12 0.14 0.001 0.004 Carbohydrate Free Mixture Carbohydrate Free mixture