• Medical food powder for children and adults with propionic or methylmalonic acidemia (organic acidemia).

OA 2

Medical food powder for children and adults with propionic or methylmalonic acidemia (organic acidemia).

Last Updated: Tuesday, December 26, 2017

  • Description/Indication
    • OA 2 is a medical food powder that is free of the essential amino acids isoleucine, methionine, threonine and valine for children and adults with documented propionic or methylmalonic acidemia (organic acidemia). The product provides all 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
      • Isoleucine-, methionine-, threonine- and valine-free
      • Provides protein, linoleic and linolenic acid, and vitamins and minerals not available from low-protein foods while supplying fewer calories than OA 1
      • The protein source is a mixture of L-amino acids optimized for blandness, free of isoleucine, methionine, threonine and valine
      • 21 g protein equivalent/100 g powder
      • Fat comprises approximately 20% of total Calories (9 g/100 g powder)
      • Vanilla scent
      • Can be easily modified with preferred flavor enhancers
      • Mixes easily and stays in suspension well
      • Halal
  • Nutrients
    • Product nutrient values and ingredients are subject to change. Please see product label for current information.

      Per 100 grams Powder
      Calories 410
      Protein equivalent, g* 21
      Fat, g 9
      Carbohydrate, g 59
      Per 100 grams Powder
      Vitamins/Other Nutrients
      Vitamin A, IU 1430
      Vitamin D, IU 290
      Vitamin E, IU 10.3
      Vitamin K, mcg 41
      Thiamin (Vitamin B1), mcg 1200
      Riboflavin (Vitamin B2), mcg 980
      Vitamin B6, mcg 980
      Vitamin B12, mcg 2.4
      Niacin, mcg 22000
      Folic acid (Folacin), mcg 350
      Pantothenic acid, mcg 4800
      Biotin, mcg 49
      Vitamin C (Ascorbic acid), mg 49
      Choline, mg 102
      Inositol, mg 49
      Per 100 grams Powder
      Minerals
      Calcium, mg 760
      Phosphorus, mg 760
      Magnesium, mg 177
      Iron, mg 12.3
      Zinc, mg 12.3
      Manganese, mcg 1350
      Copper, mcg 1220
      Iodine, mcg 66
      Selenium, mcg 27
      Sodium, mg 610
      Potassium, mg 1160
      Chloride, mg 1060

      * WARNING: Protein is incomplete since it does not contain the essential amino acids isoleucine, methionine, threonine and valine.

  • Nutrient Facts
    • Protein Equivalent (% Calories)* 21
      Fat (% Calories) 20
      Carbohydrate (% Calories) 59
      Potential Renal Solute Load (mOsm/100g powder) 230
      Lactose-Free Suitable for someone with lactose intolerance

      * WARNING: Protein is incomplete since it does not contain the essential amino acids isoleucine, methionine, threonine and valine.

  • Product Form
    • OA 2 is available in powder.

      Item #: 891701
      Description: Powder
      Unit Size: 1 lb can
      Cal./Unit: 1860
      Prod. Yield / Unit (fl oz): Varies
      Case: 6 cans per case
      HCPCS Code: B4157 or B4162
      Reimbursement Code: 00087-510022

      HCPCS Code

  • Composition
    • Ingredients: Corn syrup solids, sugar, amino acids (L-alanine, L-leucine, L-lysine hydrochloride, potassium aspartate, L-proline, L-arginine, glycine, L-phenylalanine, L-tyrosine, L-serine, L-histidine, L-tryptophan, L-cystine), soy oil, modified corn starch, calcium phosphate, sodium citrate, magnesium phosphate, potassium chloride and less than 1%: sodium phosphate, potassium citrate, choline chloride, ascorbic acid, taurine, inositol, ferrous sulfate, L-carnitine, zinc sulfate, niacinamide, vitamin E acetate, vitamin A palmitate, calcium pantothenate, cupric sulfate, manganese sulfate, vitamin B12, thiamin hydrochloride, vitamin B6 hydrochloride, riboflavin, folic acid, vitamin D3, chromic chloride, sodium molybdate, sodium iodide, sodium selenite, biotin, vitamin K1, ethyl vanillin.

      CAUTION: Mead Johnson Nutrition OA 2 is to be used only in the dietary management of children and adults with documented propionic acidemia and methylmalonic acidemia while under direct and continuing medical supervision.

      WARNING: This product is nutritionally incomplete. Continuing medical supervision and frequent blood tests are required. OA 2 must be supplemented using other food sources of protein and fluid to provide enough isoleucine, methionine, threonine and valine to support dietary requirements of children and adults.

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

  • Preparation of Feedings
    • The medical professional will provide the correct amount of powder to mix with water for consumption.

      It is important to follow the directions below.

      Measure the correct amount of water into a suitable container for mixing. Then add the required amount of product. Mix well until blended. Consume the prepared beverage immediately or cover and refrigerate. Use within 48 hours of preparation. Mix before drinking.

      If instructed to use the scoop in the can, see the chart below for weight of one unpacked, level scoop of product. Store DRY scoop in can.

      Weight—one unpacked, level scoop (g)

             
      BCAD 2 14.5 Phenyl-Free 2 14.4
      HCY 2 14.5 Phenyl-Free 2 HP 15.1
      OA 2 14.5 TYROS 2 14.5
      PFD Toddler 4.5 WND 2 14.5
      PFD 2 14.9
  • Product Characteristics
    • Fat

      Fat provides 20% of total calories in OA 2. Soy oil is a source of the essential omega-6 to omega-3 fatty acids: linoleic and alpha-linolenic acid.

      Protein

      Protein equivalents provide 20% of total calories in OA 2. Since the product contains no isoleucine, methionine, threonine, or valine, care must be taken to provide enough isoleucine, methionine, threonine and valine from other foods to support growth.

      Amino Acids

      Essential Amino Acids Per 100 g Powder
      Histidine, mg 650
      Isoleucine, mg 0
      Leucine, mg 3400
      Lysine, mg 2100
      Methionine, mg 0
      Cystine, mg 420
      Phenylalanine, mg 1110
      Tyrosine, mg 1110
      Threonine, mg 0
      Tryptophan, mg 480
      Valine, mg 0
      Nonessential Amino Acids Per 100 g Powder
      Arginine, mg 1340
      Alanine, mg 6100
      Aspartic acid, mg 1760
      Glutamic acid, mg 0
      Glycine, mg 1340
      Proline, mg 1760
      Serine, mg 920

      Carbohydrate

      Carbohydrate provides 60% of total calories in OA 2. The carbohydrate blend is 50% corn syrup solids, 43% sucrose (table sugar), and 7% modified corn starch. The sucrose in the product helps neutralize the taste of the amino acids. OA 2 is suitable for someone with lactose intolerance.

      Vitamins and Minerals

      The vitamin and mineral levels are generally appropriate for older children and adults.