• WND® 2 - Iron-fortified medical food powder for children and adults with inborn errors of the urea cycle (waste nitrogen disorders).

WND® 2

Iron-fortified medical food powder for children and adults with inborn errors of the urea cycle (waste nitrogen disorders).

Last Updated: Wednesday, December 27, 2017

  • Description/Indication
    • WND 2 is an iron-fortified medical food powder that is free of nonessential amino acids for children and adults with documented 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
      • Provides essential amino acids; does not contain nonessential amino acids
      • 8.2 g protein equivalents/100 g powder
      • Suitable for someone with lactose intolerance
      • Vanilla scent
      • Can be easily modified with preferred flavor enhancers
      • Mixes easily and stays in suspension well
      • Vitamin and mineral levels appropriate for children and adults
      • 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 8.2
      Fat, g 10.2
      Carbohydrate, g 71
      Per 100 grams Powder
      Vitamins/Other Nutrients
      Vitamin A, IU 1730
      Vitamin D, IU 340
      Vitamin E, IU 12.2
      Vitamin K, mcg 48
      Thiamin (Vitamin B1), mcg 1430
      Riboflavin (Vitamin B2), mcg 1140
      Vitamin B6, mcg 1140
      Vitamin B12, mcg 2.9
      Niacin, mcg 26000
      Folic acid (Folacin), mcg 410
      Pantothenic acid, mcg 5700
      Biotin, mcg 57
      Vitamin C (Ascorbic acid), mg 57
      Choline, mg 114
      Inositol, mg 57
      Per 100 grams Powder
      Minerals
      Calcium, mg 860
      Phosphorous, mg 860
      Magnesium, mg 200
      Iron, mg 14.3
      Zinc, mg 14.3
      Manganese, mcg 1590
      Copper, mcg 1430
      Iodine, mcg 74
      Selenium, mcg 33
      Chromium, mcg 45
      Molybdenum, mcg 45
      Sodium, mg 710
      Potassium, mg 1260
      Chloride, mg 980
  • Nutrient Facts
    • Protein Equivalent (% Calories)* 8
      Fat (% Calories) 23
      Carbohydrate (% Calories) 69
      Lactose-Free Suitable for someone with lactose intolerance

      * Not a source of nonessential amino acids.

  • Product Form
    • WND® 2 is available in powder.

      Item #: 892001
      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: N/A

      HCPCS Code

  • Composition
    • Ingredients: Corn syrup solids, 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), sugar, soy oil, modified corn starch, calcium phosphate, potassium citrate, sodium citrate, magnesium phosphate, potassium chloride, sodium phosphate and less than 1%: choline chloride, ascorbic acid, taurine, inositol, ferrous sulfate, L-carnitine, zinc sulfate, niacinamide, vitamin E acetate, calcium pantothenate, maltodextrin, cupric sulfate, manganese sulfate, vitamin A palmitate, thiamin hydrochloride, vitamin B6 hydrochloride, riboflavin, folic acid, vitamin D3, chromic chloride, sodium molybdate, sodium iodide, sodium selenite, biotin, vitamin K1, vitamin B12, ethyl vanillin.

      CAUTION: Mead Johnson Nutrition WND 2 is to be used only in the dietary management of children and adults with documented inborn errors of the urea cycle while under direct and continuing medical supervision.

      WARNING: This product is nutritionally incomplete. Continuing medical supervision and frequent blood tests are required. WND 2 must be supplemented using other food sources of protein and fluid to provide enough calories, vitamins and minerals 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 23% of total calories in WND 2. The fat source is soy oil. Soy oil is a source of the essential omega-6 and omega-3 fatty acids: linoleic acid and alpha-linolenic acid.

      Protein

      Protein equivalents provide 8% of total calories for WND 2. The product provides only the essential amino acids and does not contain nonessential amino acids (see Amino Acids table).

      Amino Acids

      Essential Amino Acids Per 100 g Powder
      Histidine, mg 520
      Isoleucine, mg 1190
      Leucine, mg 2400
      Lysine, mg 1480
      Methionine, mg 290
      Cystine, mg 240
      Phenylalanine, mg 800
      Tyrosine, mg 960
      Threonine, mg 1020
      Tryptophan, mg 460
      Valine, mg 1190
      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 69% of total calories in WND 2. The carbohydrate blend is 57% corn syrup solids, 36% sucrose (table sugar) and 7% modified corn starch. The sucrose in the product helps mask the taste of the amino acids. WND 2 is suitable for someone with lactose intolerance.

      Vitamins and Minerals

      Vitamin and mineral levels in WND 2 are generally appropriate for both children and adults.