LMD

Iron-fortified infant formula and medical food powder for infants, children, and adults with leucine metabolism disorders.

Last Updated: Monday, December 25, 2017 - 19:00

Description/Indication

LMD is an iron-fortified infant formula and medical food powder that is free of the essential amino acid leucine for infants, children and adults with documented leucine metabolism disorders, including isovaleric acidemia. 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
  • Leucine-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*

      16.2

      Fat, g

      26

      Linoleic acid, mg

      4000

      Carbohydrate, g

      51

      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

      580

      Chloride, mg

      480

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



      * WARNING: Protein is incomplete since it does not contain the essential amino acid leucine.

  • Nutrient Facts
    • Protein Equivalent (% Calories)*

      13

      Fat (% Calories)

      47

      Carbohydrate (% Calories)

      40

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

      145

      Osmolality (mOsm/kg water)

      370

      Osmolarity (mOsm/L)

      330

      Lactose-free

      Suitable for someone with lactose intolerance

      * WARNING: Protein is incomplete since it does not contain the essential amino acid leucine.

  • Product Forms

      LMD 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: LMD
      Item #: 893101
      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: 00087-5101-96
  • Composition
    • Ingredients: Corn syrup solids, vegetable oil (palm olein oil, coconut oil, soy oil, high oleic sunflower oil), amino acids (L-alanine, L-lysine hydrochloride, potassium aspartate, L-proline, L-arginine, glycine, L-threonine, L-phenylalanine, L-tyrosine, L-serine, L-valine, L-isoleucine, L-histidine, L-methionine, L-tryptophan, L-cystine), modified corn starch, sugar, calcium phosphate and less than 1%: Mortierella alpina oil*, Crypthecodinium cohnii oil, ethyl vanillin, sodium citrate, potassium citrate, magnesium oxide, ferrous sulfate, potassium chloride, 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

      470

      Isoleucine

      580

      Leucine

      0

      Lysine

      1510

      Methionine

      410

      Cysteine

      290

      Phenylalanine

      780

      Tyrosine

      780

      Threonine

      870

      Tryptophan

      340

      Valine

      630

      NONESSENTIAL AMINO ACIDS

      mg/100 g powder

      Arginine

      1100

      Alanine

      4900

      Aspartic Acid

      1430

      Glutamic Acid

      0

      Glycine

      1100

      Proline

      1430

      Serine

      750

  • 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.

      CAUTION: Mead Johnson Nutrition LMD is to be used only in the dietary management of infants, children and adults with documented disorders of leucine metabolism, including isovaleric acidemia, while under direct and continuing medical supervision.

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

      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