• WND® 1 - Iron-fortified infant formula and medical food powder for infants and toddlers with inborn errors of the urea cycle (waste nitrogen disorders).

WND® 1

Iron-fortified infant formula and medical food powder for infants and toddlers with inborn errors of the urea cycle (waste nitrogen disorders).

Last Updated: Monday, October 5, 2015

FREE Metabolic Starter Case
  • Indication
    • WND 1 is an iron-fortified infant formula and medical food powder that is free of nonessential amino acids for infants and toddlers with inborn errors of the urea cycle (waste nitrogen disorders). The product provides the essential amino acids as well as carbohydrate, fat, essential fatty acids, vitamins and minerals. Use under direct and continuing supervision of a doctor.

  • Product Features
      • DHA and ARA

      • Nonessential amino acid-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

      • Choline, an essential nutrient important for brain development and the normal functioning of cells1-2

  • Nutrients*
    • Per 100 grams Powder
      Calories 500
      Protein equivalent, g 6.5
      Fat, g 26
      Linoleic acid, mg 4000
      DHA, mg 88
      ARA, mg 175
      Carbohydrate, g 60
      Per 100 grams Powder
      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
      Taurine, mg 30
      Carnitine, mg 50
      Per 100 grams Powder
      Minerals
      Calcium, mg 660
      Phosphorus, 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 560
      Chloride, mg 420
      Molybdenum, mcg NA
      Chromium, mcg NA

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

      † Protein level is inadequate to meet normal infant growth and development needs using WND 1 alone.

      NA = None Added

  • Nutrient Facts
    • Protein Equivalent (% Calories) 5
      Fat (% Calories) 47
      Carbohydrate (% Calories) 48
      Potential Renal Solute Load (mOsm/100 g powder)3 88
      Osmolality (mOsm/kg water) 280
      Osmolarity (mOsm/L) 250
      Lactose-Free Suitable for someone with lactose intolerance
      Galactose-Free Yes

      † Protein level is inadequate to meet normal infant growth and development needs using WND® 1 alone.

      ‡ Determined at 20 Cal/fl oz dilution

  • Product Form
    • WND 1 is available in powder.

      Item #: 893401
      Description: Powder
      Unit Size: 1 lb can
      Cal./Unit: 2270
      Prod. Yield / Unit (fl oz): Varies
      Case: 6 cans per case
      HCPCS Code: B4162
      Reimbursement Code: 0087-510205

      HCPCS Code

  • Composition
    • Ingredients: Corn syrup solids, vegetable oil (palm olein oil, coconut oil, soy oil, high oleic sunflower oil), modified corn starch, sugar, amino acids (L-leucine, L-lysine hydrochloride, L-isoleucine, L-valine, L-threonine, L-tyrosine, L-phenylalanine, L-histidine, L-tryptophan, L-methionine, L-cystine), calcium phosphate, and less than 1%: Mortierella alpina oil§, Crypthecodinium cohnii oil||, ethyl vanillin, potassium citrate, sodium 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)

  • Preparation of Feedings
    • The child's health depends on carefully following these instructions. 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 those persons who might have immune problems unless directed and supervised by a medical professional.

      Discuss with parents whether they need to use cooled, boiled water for mixing and whether they need to boil clean utensils, bottles and nipples in water before use.

      Metabolic clinician should advise parents about the correct amounts of water and powder. Pour the required amount of water into the bottle. Add the correct amount of powder, cap the bottle and shake vigorously.

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

      Failure to follow these instructions could result in severe harm. Once prepared, product 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 product if it is unrefrigerated for more than a total of 2 hours. Do not freeze prepared product. After feeding begins, use within 1 hour or discard.

      Powder Storage (cans)

      Store cans at room temperature. After opening can, keep tightly covered, store in a dry area, and use contents within 1 month. Do not freeze powder, and avoid excessive heat.

      CAUTION

      To be used only under the supervision of a doctor.

      This product is nutritionally incomplete. Care must be taken to provide enough calories and protein to support growth, using other foods as required. Medical professional must carefully and constantly supervise the use of WND 1 with other foods and liquids and adjust the diet based on frequent blood tests.

      Use by date on bottom of can.

      Nutritional powders are not sterile.

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

      Not for parenteral (I.V.) use.

  • Product Characteristics
    • Fat

      Fat provides 47% of total calories in WND 1. The fat content is similar to the fat content of human milk and consists of a four-oil vegetable blend of palm olein oil (44%), soy oil (19.5%), coconut oil (19.5%) and high oleic sunflower oil (14.5%), along with ARA and DHA from single cell oils (2.5%). This fat blend provides a fatty acid profile similar to the fatty acid profile of breast milk.

      ¶ Comparison based on fatty acid profile of typical mature U.S. breast milk.

      Protein

      Protein equivalents provide 5% of total calories in WND 1. The product provides only the essential amino acids and it is not intended to be a sole source of nutrition. The doctor or dietitian must carefully and constantly supervise use of WND 1 with other foods and adjust the diet based on frequent blood tests.

      Amino Acids

      Essential Amino Acids Per 100 g Powder
      Histidine, mg 430
      Isoleucine, mg 990
      Leucine, mg 1930
      Lysine, mg 1230
      Methionine, mg 240
      Cystine, mg 200
      Phenylalanine, mg 670
      Tyrosine, mg 800
      Threonine, mg 850
      Tryptophan, mg 380
      Valine, mg 990
      Nonessential Amino Acids Per 100 g Powder
      Arginine, mg 0
      Alanine, mg 0
      Aspartic acid, mg 0
      Glutamic acid, mg 0
      Glycine, mg 0
      Proline, mg 0
      Serine, mg 0

      Carbohydrate Carbohydrate provides 48% of total calories in WND 1. The carbohydrate blend is corn syrup solids, modified corn starch and sucrose (table sugar). The sucrose in the product helps neutralize the taste of the amino acids. WND 1 is suitable for someone with lactose intolerance.

      Vitamins and Minerals

      Vitamin and mineral levels in WND 1 meet U.S. Food and Drug Administration requirements per 100 Calories for vitamins and minerals as mandated by the U.S. Infant Formula Act and the associated Code of Federal Regulations 21 C.F.R. part 107.1004. Amounts of B vitamins have been increased above levels in routine infant formulas for cofactor production. An increased level of choline, an essential nutrient important for brain development and the normal functioning of cells1-2, is provided. Calcium, iron, zinc, manganese, and copper levels are higher in order to help meet the needs for these minerals when low-protein solid foods are introduced.

  • 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 Academy Press; 1998:390-422.

      2. Zeisel SH, da Costa KA. 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.

      4. Nutrient Requirements for Infant Formulas. Code of Federal Regulations 21, C.F.R. 107.100.