All it Takes is A Quick Google

I know they are not going to make my poor baby suffer. I dont understand how a pediatrician office can not be more informed on there formula choices. Or atleast if you are going to call and argue with me that it is the same atleast look and back up your facts first. It only takes a minute thats all it took me before i made a call back to argue my point. They my’s well have been calling my sons dietitian a dumb ass. Hello she does this stuff for a living everyday she is a nutritionist i think she knows what she is doing. S he has done a fine job with Lucian. And in away there right there is not that much difference but I wont agree there exactly the same that 17% can make a huge difference when your child has a milk protein allergy.

What Is Nutramigen Made From?
# Since Nutramigen comes in various forms (powder, concentrate and premixed), the actual makeup of the product will vary slightly. In powder form, you’ll find the mixture made up of predominately (46 percent total) corn syrup solids, which are basically sugars produced through the dehydration of liquid corn syrup. The process of dehydration is initiated by introducing sulfur dioxide and other chemicals to the corn syrup. After corn syrup solids, the next ingredient is vegetable oil, coming in at about 25 percent and consisting of a mixture of palm, coconut, soy and sunflower oils. From there you’ll find casein hydrolysate

(essentially protein-reduced cow’s milk) at 17 percent and modified corn starch at 7 percent. The rest of the ingredients come in at less than 2 percent of the composition and consist mostly of vitamins (A, D3, E, K1, B6 and B12).
Features

THERE IS STILL MILK PROTEIN IN THIS FORMULA NOT IN THE ALIMENTUIM^^^^^
# The concentrated form of Nutramigen has basically the same ingredients, just in different levels. Seventy-five percent of the concentrate will be made up of water. After water, you’ll again have corn syrup solids, but this time coming in at only 10 percent. The amount of vegetable oil, casein hydrolysate and modified corn starch will all have been reduced to 7, 4 and 3 percent of the makeup, respectively. The rest of the product will be the same vitamins, minerals and other components as the powder formula, just in fewer amounts (only 1 percent or less).
Size
# The premixed, or ready-to-use, variety will also have the same ingredients as the powder and the concentrate, but will vary in makeup depending on the size of the container. The 32- and 6-oz bottles will have 87 percent of the product made with water. All other ingredients will have been reduced with corn syrup solids at 5 percent, vegetable oil at 3 percent and both casein hydrolysate and modified corn starch at 2 percent. The rest of the ingredients will come in at less than 1 percent. For the 2-oz size, you’ll find it consisting of 85 percent water, 6 percent corn syrup solids, 3 percent vegetable oil and 2 percent of both casein hydrolysate and modified corn starch with the rest of the ingredients again coming in at less than 1 percent each.
Similac Alimentum Advance Usage of Similac Alimentum Advance: Similac Advance works as a nutritionally complete hypoallergenic formula for infants and as a supplemental beverage for children with severe food allergies, sensitivity to intact protein (including colic due to protein sensitivity), protein maldigestion or fat malabsorption. Similac Alimentum contains predigested protein (casein hydrolysate) to minimize allergenicity and an easily digested and absorbed fat blend.

Features of Similac Advance………….

* Clinically shown to reduce the symptoms of colic due to protein sensitivity.
* Clinically shown to be well tolerated in infants with protein-induced colitis.
* Hypoallergenic to minimize potential for allergic reaction.
* Hydrolyzed casein supplemented with free amino acids for infants who are sensitive to or unable to digest intact protein.
* A blend of two carbohydrates using two absorptive pathways to maximize absorption and minimize risk of malabsorption.
* Lactose-free carbohydrate to avoid lactose-associated diarrhea.
* Ready To Feed formula is corn-free.
* Contains oils that have been shown to be well absorbed. Approximately 33% of the fat as medium-chain triglycerides.

AVAILABILITY
Ready To Feed: (20 Cal/fl oz)
8-fl-oz cans; 4 six-packs per case; No. 50540.

Product information and values are subject to change. Please refer to product label or packaging for the most current information.

Preparation of Similac Advance

Ready To Feed: Do not dilute.

INGREDIENTS (Ready To Feed)

87% Water, 4.4% sugar (sucrose), 2.3% casein hydrolysate (enzymatically hydrolyzed), 2.2% modified tapioca starch, 1.5% safflower oil, 1.3% fractionated coconut oil (medium-chain triglycerides), 1.1% soy oil; Less than 1% of: calcium citrate, calcium phosphate, carrageenan, potassium phosphate, ascorbic acid, magnesium chloride, calcium hydroxide, sodium chloride, potassium citrate, L-cystine dihydrochloride, potassium chloride, L-tyrosine, choline chloride, L-tryptophan, ferrous sulfate, taurine, m-inositol, zinc sulfate, alpha-tocopheryl acetate, L-carnitine, niacinamide, calcium pantothenate, cupric sulfate, vitamin A palmitate, thiamine chloride hydrochloride, riboflavin, pyridoxine hydrochloride, folic acid, potassium iodide, phylloquinone, biotin, sodium selenate, vitamin D3 and cyanocobalamin.

U.S. Patents 5,221,545; 5,456,926

Nutrients per 100 Cal Ready To Feed
Energy, Cal
100
Volume, mL
148
Protein, g
2.75
% of total Calories
11%
Source: Casein Hydrolysate, L-Cystine, L-Tyrosine & L-Tryptophan
Fat, g
5.54
% of total Calories
48%
Source: Safflower, Medium-Chain Triglyceride & Soy Oils
Ratio: 39:33:28
Linoleic Acid, mg
1900
Carbohydrate, g
10.2
% of total Calories
41%
Source: Sucrose & Modified Tapioca Starch
Ratio: 70:30
Vitamins
Vitamin A, IU
300
Vitamin D, IU
45
Vitamin E, IU
3.0
Vitamin K, mcg
15
Thiamine (Vitamin B1), mcg
60
Riboflavin (Vitamin B2), mcg
90
Vitamin B6, mcg
60
Vitamin B12, mcg
0.45
Niacin, mcg
1350
Folic Acid (Folacin), mcg
15
Pantothenic Acid, mcg
750
Biotin, mcg
4.5
Vitamin C (Ascorbic Acid), mg
9
Choline, mg
8
Inositol, mg
5.0
Minerals
Calcium, mg (mEq)
105 (5.2)
Phosphorus, mg
75
Magnesium, mg
7.5
Iron, mg
1.8
Zinc, mg
0.75
Manganese, mcg
8
Copper, mcg
75
Iodine, mcg
15
Selenium, mcg
1.8
Sodium, mg (mEq)
44 (1.9)
Potassium, mg (mEq)
118 (3.0)
Chloride, mg (mEq)
80 (2.3)
Other Characteristics
Potential Renal Solute Load, mosm
25.3
Water, g
133
Osmolality, mosm/kg water
370
Osmolarity, mosm/liter
333
NOTE: Values listed are subject to change. Refer to product label or packaging for most current information.
PRSL = [Protein(g) x 5.714] + Na(mosm) + K(mosm) + Cl(mosm) + P(mosm)
The addition of iron to this formula conforms to the recommendation of the Committee on Nutrition of the American Academy of Pediatrics.