GA

Iron-fortified infant formula and medical food powder for infants, children and adults with glutaric acidemia type 1.

Last Updated: Tuesday, December 26, 2017 - 19:00

Description/Indication

GA is an iron-fortified infant formula and medical food powder that is free of the essential amino acids lysine and tryptophan for infants, children and adults with documented glutaric acidemia type 1. The product provides the other essential amino acids as well as nonessential amino acids, carbohydrate, fat, essential fatty acids, vitamins and minerals. Use under direct and continuing supervision of a doctor.

Product Features:

  • DHA and ARA
  • Lysine- and tryptophan-free
  • Vitamin and mineral levels meet the U.S. Infant Formula Act requirements per 100 Calories
  • Increased levels of B vitamins, compared to routine infant formulas, for cofactor production
  • Vanilla scent
  • Mixes easily and stays in suspension well
  • Has choline, an essential nutrient important for brain development and the normal functioning of cells1,2
  • Halal
  • Nutrients
    • Per 100 grams Powder

      Calories

      500

      Protein equivalent, g

      15.1

      Fat, g

      26

      Linoleic acid, mg

      4000

      Carbohydrate, g

      52

      Vitamins/Other Nutrients

      Vitamin A, IU

      1520

      Vitamin D, IU

      380

      Vitamin E, IU

      10

      Vitamin K, mcg

      40

      Thiamin (Vitamin B1), mcg

      1000

      Riboflavin (Vitamin B2), mcg

      1000

      Vitamin B6, mcg

      1000

      Vitamin B12, mcg

      2

      Niacin, mcg

      10000

      Folic acid (Folacin), mcg

      100

      Pantothenic acid, mcg

      3800

      Biotin, mcg

      38

      Vitamin C (Ascorbic acid), mg

      60

      Choline, mg

      124

      Inositol, mg

      86

      Minerals

      Calcium, mg

      660

      Phosphorous, mg

      440

      Magnesium, mg

      66

      Iron, mg

      9.6

      Zinc, mg

      8.6

      Manganese, mcg

      380

      Copper, mcg

      860

      Iodine, mcg

      76

      Selenium, mcg

      14.1

      Sodium, mg

      240

      Potassium, mg

      800

      Chloride, mg

      330

      Product nutrient values and ingredients are subject to change. Please see product label for current information.

      * WARNING: This protein is incomplete since it does not contain the essential amino acids lysine and tryptophan.

      † Determined at 20 Cal/fl oz dilution.

  • Nutrient Facts
    • Protein Equivalent (% Calories)*

      12

      Fat (% Calories)

      47

      Carbohydrate (% Calories)

      41

      Potential Renal Solute Load (mOsm/100 g powder)3

      140

      Osmolality (mOsm/kg water)

      370

      Osmolarity (mOsm/L)

      330

      Lactose-free

      Suitable for someone with lactose intolerance

      * WARNING: This protein is incomplete since it does not contain the essential amino acids lysine and tryptophan.

      † Determined at 20 Cal/fl oz dilution.

  • Product Forms

      GA is available in powder.

      When using this information, please note the following:

      Coding systems and reimbursement allowable rates vary by payer:

      • Medicare Part B uses HCPCS (Healthcare Common Procedure Coding System) to group products
      • Medicaid systems vary by state; some use HCPCS while others use NDC format code or systems of their own—contact your state provider for more information
      • Private health insurance and managed care companies may use HCPCS, NDC format code or their own system—contact your provider for more information

    • Product: GA
      Item #: 892901
      Description: Powder
      Unit Size: 1 lb can
      Calories/Unit: 2270
      Product Yield/Unit (fl oz): Varies
      Case: 6 cans per case
      HCPCS Code: B4157 or B4162
      NDC Format Code: 00087-5101-88
  • Composition
    • Ingredients: Corn syrup solids, vegetable oil (palm olein oil, coconut oil, soy oil, high oleic sunflower oil), amino acids (L-alanine, L-leucine, potassium aspartate, L-proline, L-valine, L-isoleucine, L-arginine, glycine, L-threonine, L-phenylalanine, L-tyrosine, L-serine, L-histidine, L-methionine, L-cystine), modified corn starch, sugar, calcium phosphate and less than 1%: Mortierella alpina oil*, Crypthecodinium cohnii oil, ethyl vanillin, sodium citrate, potassium citrate, potassium chloride, magnesium oxide, ferrous sulfate, zinc sulfate, cupric sulfate, manganese sulfate, sodium iodide, sodium selenite, choline chloride, inositol, ascorbic acid, niacinamide, calcium pantothenate, vitamin B6 hydrochloride, thiamin hydrochloride, riboflavin, vitamin D3, folic acid, biotin, vitamin K1, vitamin E acetate, vitamin A palmitate, vitamin B12, taurine, L-carnitine.

      * A source of arachidonic acid (ARA).

      † A source of docosahexaenoic acid (DHA).

  • Amino Acid Composition
    • ESSENTIAL AMINO ACIDS

      mg/100 g powder

      Histidine

      420

      Isoleucine

      1210

      Leucine

      2200

      Lysine

      0

      Methionine

      360

      Cysteine

      260

      Phenylalanine

      710

      Tyrosine

      710

      Threonine

      790

      Tryptophan

      0

      Valine

      1310

      NONESSENTIAL AMINO ACIDS

      mg/100 g powder

      Arginine

      1040

      Alanine

      3600

      Aspartic Acid

      1360

      Glutamic Acid

      0

      Glycine

      1040

      Proline

      1360

      Serine

      710

  • Preparation of Feedings
    • Powder

      The consumer’s health depends on carefully following the instructions below. Proper hygiene, preparation, dilution, use and storage are important when preparing product. Powdered products are not sterile and should not be fed to premature infants or persons who might have immune problems unless directed and supervised by a medical professional.

      If being fed to an infant, discuss with parents about the need to use cooled, boiled water for mixing and the need to boil clean utensils, bottles and nipples in water before use.

      The medical professional will provide instructions for the correct amounts of water and powder. Pour the required amount of water into the bottle/container. Add the correct amount of powder, cap the bottle/container and shake vigorously.

      If instructed to use the scoop in the can, each unpacked, level scoop delivers approximately 4.5 g of powder. Store DRY scoop in can.

      Failure to follow these instructions could result in severe harm. Once prepared, infant formula can spoil quickly. Either feed immediately or cover and store in refrigerator at 35–40°F (2–4°C) for no longer than 24 hours. Do not use prepared formula if it is unrefrigerated for more than a total of 2 hours. Do not freeze prepared formula. After feeding begins, use formula within 1 hour or discard.

      WARNING: Do not use a microwave oven to warm formula. Serious burns may result.

      Refer to the product label for the most accurate information.

      WARNING: This product is nutritionally incomplete. Care must be taken to provide enough lysine and tryptophan to support growth using other foods with these amino acids as required. Medical professionals must carefully and constantly supervise use of GA with other foods and liquids and adjust the diet based on frequent blood tests.

      CAUTION: Mead Johnson Nutrition GA is to be used only in the dietary management of infants, children, and adults with documented glutaric acidemia type I while under direct and continuing medical supervision.

      WARNING: Not for parenteral (I.V.) use.

  • References
      1. Food and Nutrition Board, Institute of Medicine, Choline. In: Dietary References Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: National Academies Press;1998:390-422.
      2. Zeisel SH, da Costa KA. Choline: an essential nutrient for public health. Nutr Rev. 2009;67:615-623.
      3. Fomon SJ, Ziegler EE. Renal solute load and potential renal solute load in infancy. J Pediatr. 1999;134:11-14.
  • Consumer Reviews