Metabolics
The Nutricia Learning Center features tools and educational resources for Metabolic Healthcare Professionals.
Webinars (CE Eligible)
Nutricia North America is pleased to provide a variety of clinically-oriented educational lectures.
These Nutricia sponsored presentations are intended for healthcare professionals.
In this section, you will find the name and description of all the recorded lectures available.
Each of the following presentations is approximately 60 minutes long and is available for viewing at no cost.
In addition, viewers can receive a certificate of attendance and most lectures are eligible for continuing education credit for dietitians and nurses.
In order for the recorded lecture to be considered for continuing education for dietitians by the Commission on Dietetic Registration, the recording must be viewed within 3 years of the date of the live presentation.
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Nutrition 101 for Inborn Errors of Metabolism (IEM)
Join us for a 1-hour educational webinar with Rachel Powers, RD for an overview of nutrition management for amino acid disorders, organic acidemias, and urea cycle disorders. This webinar is appropriate for dietitians of all specialties. Learning Objectives:
- Recall the basics of amino acid disorders, organic acidemias, and urea cycle disorders
- Explain the principles of dietary management for these IEM
- Advocate for the nutritional needs of patients with these IEM as you encounter them clinically
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Spotlight on the Management of Homocystinuria
Join us for a global webinar presented by Dr. Ana Moráis López, Pediatrician in Madrid and Mireia Termes Escale, Consultant Dietitian in Barcelona. This webinar will include an introduction to the medical and dietary management of homocystinuria, including case study examples and a patient’s experience.
To view the webinar recording, click here and scroll down to the Congresses and Seminars section.
*RDs may claim CE credit for this webinar recording until 5/31/2024. To receive your Certificate of Attendance, please complete this brief survey. Make note of the webinar code prior to submitting the survey. Then enter the code within the CE credit request section to receive your Certificate of Attendance.
This course was organized by the European Nutricia team. The opinions reflected in this presentation are those of the speakers and independent of Nutricia North America. Some of the practices, guidelines, references and/or products discussed during this course may differ for North America. -
Managing Infants & Toddlers with UCDs: Rolling with the Punches
Join us for a 1-hour educational webinar with Erin MacLeod, PhD, RD, LD for a discussion of urea cycle disorder (UCD) management in infants and toddlers. Learning Objectives:
- Understand the rationale for nutrition management of UCDs in infants with different presenting symptoms.
- Compare levels of protein restriction required for UCDs based on biochemical markers.
- Develop a transition plan for toddlers with UCDs to promote growth and optimize feeding.
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Spotlight on the Management of Tyrosinemia
Join us for a global webinar presented by Dr. Corinne De Laet, Consultant Pediatrician in Nutrition and Metabolism in Brussels, Belgium and Uta Meyer, Metabolic Dietitian in Hanover, Germany. This webinar will include an introduction to the medical and dietary management of tyrosinemia, including case study examples and a parent’s experience.
To view the webinar recordings, please click here and scroll down to the Congresses and Seminars section.
*Nurses may claim CE credit for this webinar. RDs may claim CE credit for this webinar until 5/31/2024. To receive the Certificate of Attendance from this webinar, please complete this brief survey. Make note of the webinar code prior to submitting the survey. Then enter the code within the CE credit request section to receive your Certificate of Attendance.
This course was organized by the European Nutricia team. The opinions reflected in this presentation are those of the speakers and independent of Nutricia North America. Some of the practices, guidelines, references and/or products discussed during this course may differ for North America.
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Blenderized Diets: Putting a Spin on Tube Feeding for Inborn Errors of Metabolism (IEM)
Join us for a 1-hour educational webinar with speakers Danielle Starin, MS, RD, LD and Victoria DiBiasi, MS, RD, CDN. The webinar will provide an overview of the data behind blenderized tube feeding (BTF) and the clinical experience of a metabolic dietitian using BTF for patients with IEMs. *Nurses may claim CE credit for this webinar. RDs may claim CE credit for this webinar recording until 5/31/2024. To obtain the code for your certificate of attendance, please complete this brief survey; then obtain your certificate on NLC. Download Webinar Handouts
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An Introduction to the Management of Organic Acidemias
Join us for a global webinar with two speakers from the UK: Dr. Andrew Morris, Consultant Clinical Pediatrician in Inherited Metabolic Medicine, and Marjorie Dixon, Clinical Lead Dietitian for Metabolic Medicine. This webinar will include an introduction to the medical and dietary management of organic acidemias, including case study examples and a patient experience.
To view the webinar recordings, please click here and scroll down to the Congresses and Seminars section.
*Nurses may claim CE credit for this webinar. RDs may claim CE credit for this webinar until 5/31/2024. To receive the Certificate of Attendance from this webinar, please complete this brief survey. Make note of the webinar code prior to submitting the survey. Then enter the code within the CE credit request section to receive your Certificate of Attendance.
This course was organized by the European Nutricia team. The opinions reflected in this presentation are those of the speakers and independent of Nutricia North America. Some of the practices, guidelines, references and/or products discussed during this course may differ for North America.
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The Continuing Role of Medical Nutrition in Infants, Teenagers and Adults with Inborn Metabolic Disorders
Join us for a four-part global web event on Wednesday, May 25th, 2022. Chaired by Prof. Dr. Francjan van Spronsen, MD, PhD - Pediatrician Metabolic Diseases, Center of Expertise for PKU and Tyrosinemia, Beatrix Children’s Hospital, University Medical Center of Groningen, The Netherlands. *This event is eligible for 2.5 CE credits for dietitians (until 5/25/2025) and nurses. You must watch all four recordings to earn credit. To obtain your certificate, please fill out this brief survey. Part 1: Relevance of Precision Nutrition in Early Life Part 2: Using the Force of the Incredible Teenage Brain to Enable Sustainable Dietary Adherence Part 3: Optimizing BH4 Therapy in Practice: USA & European Case Studies Part 4: Growing Old with PKU: Possible Neurophysiological and Cognitive Concerns
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Glycomacropeptide for PKU: Sifting Through the Science
Join us for a 1-hour educational webinar with Sandy van Calcar, PhD, RD, LD for a discussion on the utilization of glycomacropeptide in PKU formulas and a review of the related published research to date.
Learning Objectives:
- Explain what glycomacropeptide (GMP) is and how it’s utilized in PKU formulas
- Summarize the considerations and benefits of GMP for PKU by reviewing the current research
- Assess how the clinical research findings translate into one’s own clinical practice
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Microbiome Dysbiosis: An Emerging Consideration in the Pathophysiology of Inborn Errors of Metabolism
In this session, recorded for the 2021 Virtual GMDI conference, researcher Trevor Kirby explains gut microbiome dysbiosis and the current understanding of its presence in inborn errors of metabolism (IEMs). Mr. Kirby discusses the gut-brain axis, how dysbiosis might impact disease presentation in IEMs, and the potential role for pre-, pro-, and synbiotics in the therapeutic approach. Learning Objectives:
- Understand dysbiosis and evaluate current research on dysbiosis in IEMs.
- Define the gut-brain axis and identify how dysbiosis impacts disease presentation.
- Outline the role pre-, pro-, and synbiotics might play in the therapeutic approach.
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For the love & health of their children: The PKU caregiver study
Join us for a 1-h educational webinar with Julie Bolduc DeFilippo, MSW, LCSW discussing her research into the experiences of caretakers with PKU from a clinical social worker and PKU mom perspective. She will explain themes that emerged from her research such as diagnosis experience, stages of care and coping strategies as well as provide insight into how healthcare professionals involved in the care of PKU families could improve their clinical practice.
Participants will be able to:
- Gain an understanding of the types of need experienced by caregivers of children with PKU
- Understand any barriers caretakers face
- Discuss ways, healthcare professionals can better support caretakers of individuals with PKU
*Nurses may claim CEU credit for this webinar. RDs may claim CEU credit for this webinar until 5/31/2024.
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Metabolic Formula Requirements in Patients with PKU on BH4: Results and Relevant Recommendations from a Recent Meta-Analysis and US Nutrition Management Guidelines
Join Dr. Rani Singh for a talk about the important role of metabolic formula intake in the nutritional management of patients with PKU on BH4. Dr. Singh is discussing a recent meta-analysis and its implications on providing guidance for this particular patient population.
Participants will be able to:
- Understand the clinical implications of BH4 usage for patients with phenylketonuria (PKU) based on a recent meta-analysis and presenter’s clinical experience
- Differentiate the nutritional needs of patients on BH4 compared to a classic PKU diet
- Apply recommendations to one’s own patient population
*Nurses may claim CE credit for this webinar. RDs may claim CE credit for this webinar from 5/20/2021 to 5/20/2024. To obtain the code for your certificate of attendance, please fill out this brief survey; then obtain your certificate on NLC.
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Establishing the Microbiome in Early Life: The role of prebiotics in infant nutrition and why it matters in infants with IEMs
Join us for a one hour educational Webinar with Dr. Kelly Tappenden on the importance of the intestinal microbiome, the role of prebiotics in infant nutrition broadly, and specifically, in infants with inborn errors of metabolism. Learning Objectives:
- Understand the importance of the intestinal microbiome
- Describe the role of prebiotics in infant nutrition
- Review how this knowledge applies to infants with inborn errors of metabolism
Download Webinar Handouts -
Maple Syrup Urine Disease: Pathophysiology, Management, and Outcomes in the Modern Era
Join us for a one-hour webinar on Maple Syrup Urine Disease (MSUD) with Dr. Kevin Strauss, Medical Director at the Clinic for Special Children (CSC) in Pennsylvania. He will share a retrospective review of MSUD patient outcomes covering 30 years of follow up at CSC, discussing implications for clinical practice and diet management. Webinar Objectives:
- Understand the pathophysiology of MSUD and the rationale behind management with medical food.
- Identify the components of management that are the primary contributors to good metabolic control in MSUD.
- Apply learnings to develop nutrition interventions in one’s own clinical setting and practice to contribute to positive outcomes for MSUD patients.
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Newborn screening follow-up for metabolic disorders during the COVID-19 pandemic: Experiences from the Oregon Metabolic Clinic
Please join us for a one hour educational webinar with a multi-disciplinary team from Oregan Health & Science University (OHSU) to discuss the implications of COVID-19 on newborn screening procedures. Speakers include: Sarah Viall, PNP, Nurse Practitioner; Leah Wessenberg, RN, MN, FNP-C, Nurse Practitioner; and Joyanna Hansen, PhD, RD, LD, Metabolic Dietitian. Webinar Objectives:
- Recognize the challenges of newborn screening follow-up during a pandemic
- Discuss alternative ways of working with new families identified through newborn screening
- Recognize potential for improved patient care opportunities in a post-COVID-19 world
Download Webinar Handouts -
So, Your Metabolic Patient is an Athlete: Integrating Sports Nutrition Concepts for Patients with Amino Acidopathies
Please join our speakers, Karen Dolins, EdD, RD, CSSD, CDN and Stephanie Hacker, MS, RD, LDN, CNSC for a free, one-hour educational webinar on sports nutrition for patients with disorders of amino acid metabolism. Webinar Objectives:
- Describe the physiological changes that occur with exercise training and their impact on substrate utilization.
- Understand nutrition strategies for sports performance.
- Modify and apply sports nutrition principles for active patients with amino acidopathies, identifying ways to optimize the patient’s metabolic control.
Download Webinar Handouts -
Nutritional Management of Maternal Patients with Inborn Errors of Amino Acid Metabolism: What to Consider
Please join us for a 1 hour educational webinar with Dr. Sandy van Calcar, Sarah Moran and Manon Bouchard regarding the nutritional management of maternal patients with inborn errors of amino acid metabolism. Webinar Objectives:
- Understand general considerations when managing such patients;
- Discuss case reports relating to maternal homocystinuria and tyrosinemia;
- Evaluate application of learnings to one's own clinical practice.
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date. Download Webinar Handouts -
The What, Why and How of Large Neutral Amino Acids (LNAAs) for Adults with PKU
Please join Kathryn Moseley, MS, RD, Assistant Professor of Pediatrics at the University of Southern California, Keck School of Medicine, LAC+USC Medical Center in Los Angeles, California. By partaking in the webinar, participants will be able to:
- Understand how LNAAs can be incorporated into PKU management with off-diet individuals, those on standard medical food and those taking sapropterin dihydrochloride
- Calculate LNAAs and know what to monitor while on LNAAs
- Hear best practices and case reports with the use of LNAAs
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date. -
Part 3: Returning to Diet: Cognitive, affective, and motivational factors for people with PKU
Join us for a 1 hour educational webinar with Benjamin Goodlett, PhD, Psychology Postdoctoral Fellow at the Metabolism Clinic at Boston Children’s Hospital. He will be exploring mental, motivational and executive functioning barriers that help explain the difficulties many adults with PKU face when returning to diet. Dr. Goodlett will also explain how to help patients overcome these challenges.
- Understand the cognitive and affective (anxiety & depression) issues associated with adults with PKU when not following a low-PHE diet
- Discuss the importance of health behavior changes in line with individual’s values
- Implement strategies to help patients overcome these challenges
Download Webinar Handouts -
Part 2: Feeding Issues and Formula Transition in Older Children with IEM: Tips from the Experts and How to Overcome Them
This is part 2 of our 3-part webinar series on feeding and diet topics in inborn errors of metabolism (IEM). Join us for a 1 hour educational webinar with Ligia Brochi, RD, CSP, LDN and Dena Dunn, PsyD (both at Children’s Hospital of Philadelphia) discussing common feeding and formula transition challenges in patients with inborn errors of metabolism. Webinar Objectives:
- Identify possible feeding issue in patients with IEM and know when to refer to a feeding specialist;
- Describe solutions and tips on how to help overcome formula transition challenges from a RD perspective;
- Discuss a case report and relate learning to one’s own practice.
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.
Download Webinar Handouts -
Part 1: Infant and Toddler Feeding in Inborn Errors of Metabolism: A Time of Transition
This is the first of our 3-part webinar series on feeding and diet topics in inborn errors of metabolism. Please join us and speaker, Amy Cunningham, MS, RD, LDN for a free, 1 hour educational webinar. Amy will be discussing the transition to solids and toddler formula in patients with inborn errors of metabolism (IEM).
Webinar Objectives:- Understand the issues related to introducing solids in patients with IEM.
- Describe how to best transition young patients with IEM to the next stage formula.
- Discuss a case report and relate learning to one's own practice.
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.
Download Webinar Handouts -
The Simplified PKU Diet
Join our speakers Laurie Bernstein and Fran Rohr in a discussion about the Simplified PKU Diet and how this approach could potentially increase diet adherence and enjoyment of a more normalized approach to food for patients with PKU.
By partaking in this webinar, participants will be able to:- Understand the rationale for using the simplified diet
- Teach the simplified PKU diet to their patients
- Share best practices around this approach to PKU management
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date. -
Medical Food and the Brain: What Do We Know?
Join us for a 1 hour educational webinar with Dr. Kevin Strauss, Medical Director at the Clinic for Special Children, Strasburg, PA, on the topic of brain amino acid metabolism in GA-1 and MSUD.
At the end of this webinar, participants will be able to:- Understand the relationship between plasma levels and brain uptake of essential amino acids
- Understand how medical food composition affects brain amino acid nutrition and development in disorders of intermediary metabolism
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Dietary Management of Tyrosinemia & How to Successfully Transition Your Patients
Please join our speaker, Manon Bouchard, Dt.P. (CHU Sainte Justine, University of Montréal; Montréal, Canada) as she shares her experiences with the dietary management of tyrosinemia.
By partaking in this webinar, participants will be able to:- Describe the most up-to-date nutritional management for tyrosinemia
- Understand key learnings for successful transitions of your patients
- Share best practices and case reports
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date. -
Engaging Dietitians in Research and Publications: It's Easier Than a Diet Calculation!
Please join us for a free, 45-minute educational webinar with Joanna Helm, MS, RD who will share her own research experiences and help you get started on how to write your own research or case study/series for scientific poster publications.
Participants will be able to
- Understand how to initiate and participate in scientific research
- Describe what is needed to successfully publish a paper or poster presentation
- Formulate a plan for one’s own professional development in publishing
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date. -
Adrenoleukodystrophy (ALD) and Lorenzo's Oil: An Update
Join our speaker, Dr. Gerald Raymond, professor of Neurology and Chief of Pediatric Neurology at the University of Minnesota, for an educational webinar on adrenoleukodystrophy and Lorenzo’s Oil. By attending the webinar, participants will be able to understand:
- Adrenoleukodystrophy: Biochemistry and management
- The efficacy of Lorenzo’s Oil
- Newborn Screening and Expanded Access: What does this mean for Lorenzo’s Oil?
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date. Download Webinar Handouts -
Prebiotics in Formulas for Infants with Inborn Errors of Metabolism: Experience from the UK
Join our speaker, Anita MacDonald, Consultant Dietitian in Inherited Metabolic Disorders at Birmingham Children’s Hospital, UK, for an educational webinar on the usage of prebiotics-containing formulas for infants with inborn errors of metabolism. Participants of the webinar will be able to:
- Identify the available body of evidence and experience in using prebiotic fiber in infants with inborn errors of metabolism Understand latest research on the efficacy and acceptability of prebiotics in infants with metabolic disorders
- Discuss relevant case reports
Download Webinar Handouts
*Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date. Return to top of the page
Healthcare Professional Tools
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2023 Metabolic Product Updates
July 2023: Updated design and nutrition information for select formulas are listed below. Details available per product. This list will be updated as new product versions become available.
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*NEW* UCD Anamix Infant (April 2023)
UCD Anamix Infant is now available in the United States for the dietary management of urea cycle disorders. Product details included.
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Summary of the Science Behind Complex MSD Formulas for MSUD
A simplified explanation of the published data on Complex MSD medical foods for maple syrup urine disease (MSUD).
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Monogen (Fall 2020 Update)
Updated Formulation, Same MCT % (Fall 2020 Update)
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Guides to Nutricia’s Metabolic Product Portfolio
Acquaint yourself with Nutricia’s products for inherited metabolic disorders. The poster provides a visual overview, the quick reference booklet gives a bit more detail about each product, and the full Nutricia product reference guide provides detailed nutrition and ingredient information.
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Nutricia Navigator
A free service to help your patients obtain insurance coverage and faster access to Nutricia products. Find 3 easy steps to get started.
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Maternal PKU - A Quick Guide and Practical Tips for Healthcare Professionals
A quick guide and practical tips on how to manage maternal PKU.
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Household Measurements
Approximate US household measurements available for the following products:
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Periflex®/Anamix® Early Years Transition Tools
These interactive spreadsheets allow you to calculate DRIs from formula and create simple step-wise transitions to switch your infants to Early Years or transition your toddlers from Early Years to their next stage formula.
- PKU Periflex Transition Tool & DRI Ccalculator
- GA-1 Anamix & GlutarAde Transition Tool & DRI Calculator
- HCU Anamix Transition Tool & DRI Calculator
- IVA Anamix Transition Tool & DRI Calculator
- MMA/PA Anamix Transition Tool & DRI Calculator
- MSUD Anamix & Complex MSD Transition Tool & DRI Calculator
- TYR Anamix Transition Tool & DRI Calculator
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Intro to Metabolic Disorders - Slide Decks for Healthcare Providers
These slide decks provide a simple, scientific overview of rare metabolic disorders and their management. These decks can be used to educate new metabolic healthcare providers, students/interns, or families with high medical literacy.
- Phenylketonuria (PKU)
- Glutaric Aciduria Type 1 (GA-1)
- Homocystinuria (HCU)
- Isovaleric Acidemia (IVA)
- Maple Syrup Urine Disease (MSUD)
- Methylmalonic Acidemia (MMA)
- Propionic Acidemia (PA)
- Tyrosinemia Type 1 (TYR)
- Medium-chain acyl-CoA dehydrogenase (MCAD)
- Long-chain 3-hydroxyacyl-CoA dehydrogenase (LCHAD)
- Very-long-chain acyl-CoA dehydrogenase (VLCAD)
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Vademecum Metabolicum—Diagnosis and Treatment of Inborn Errors of Metabolism (J. Zschocke, GF Hoffmann; Schattauer)
Free web-based e-book and Apple/Android app of the 3rd edition of this publication, which provides a systematic and practical approach to the diagnosis of and therapies for metabolic diseases.
- To view the e-book, please visit vademetab.org
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Online Sample Request
Request samples for your patients or clinic.
- Online sample request https://www.nutriciametabolics.com/shop/HCPsample
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Nutricia Metabolic Authorization Form
Due to the medical food status, consent from a healthcare provider is required for patients/caregivers to purchase or obtain a sample of any metabolic products directly through Nutricia. As a healthcare provider, you can provide consent for your patient by completing this form.
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Metabolic Product DRI Calculators
These are interactive tools for Healthcare Professionals to help calculate the amount of Nutricia metabolic product needed to achieve a desired amount of protein equivalent for individual patients. The tool can then be used to compare macro and micro nutrients to the DRIs (as of 2010). (Microsoft® Excel files - note, please right click on the link and “Save Target As...” to save this to your desktop and then open through Excel).
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Eat Right-Stay Bright
An anticipatory guidance tool, developed by The Children's Hospital of Colorado, Denver, to aid healthcare professionals in the treatment of patients with PKU. Materials and topics include: Clinic Encounter Check Lists, Experience and Thoughts, Teaching Aids and Handouts and other resources. All chapters have been developed as an anticipatory guidance tool with patient education and improved patient compliance as its main goal. We welcome you to print, individualize, and add to any and all of the sections. Whatever your approach, we hope this educational tool assists you in your clinic setting.
Flowcharts/Guidelines
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Guidelines for the Usage of PhenylAde PheBLOC
Practical guidelines on how to incorporate PhenylAde PheBLOC, a medical food containing large neutral amino acids, into the PKU diet.
Patient Resources
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Periflex and Anamix Early Years Caregiver's Guide
A useful resource guide for caregivers whose child has been recommended to use Periflex/Anamix Early Years for the dietary management of their unique metabolic disorder. The guide includes more about the formula, tips, including burping, traveling and emergency. Also within the guide are sheets to help keep track of feeding, diapering and sleep.
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PKU and Pregnancy: A very special time in life
Starting with preconception all the way through lactation, this book provides tips for maternal PKU.
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Recipe Booklets
Metabolic low protein diet and formula recipe booklets.
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MSUD Emergency Planning Worksheet
Even minor illnesses can quickly escalate into emergency situations for people with MSUD, and so it’s important to be prepared. The front of this worksheet provides general tips for managing an emergency situation, and the back can be filled out with health information. Download here or request printed copies from your Nutricia Territory Manager.
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MSUD Formula & Diet Record – Fillable PDF
This diet record tool can help patients keep track of food and formula consumption leading up to a clinic appointment or before blood work. It can also be used to help patients keep track of leucine/ protein intake day-to-day. Download the fillable PDF version here or request printed booklets from your Territory Manager.
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TEMPLE Educational Tools for Caregivers - Phenylketonuria (PKU)
Tools Enabling Metabolic Parents Learning are books and videos designed to help you provide simple education for the caregivers of your newly-diagnosed patients with inherited metabolic diseases. Resources also available to your patients on medicalfood.com. Available in English, Spanish and French.
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TEMPLE Educational Tools for Caregivers - Glutaric Aciduria Type 1 (GA-1)
Tools Enabling Metabolic Parents Learning are books and videos designed to help you provide simple education for the caregivers of your newly-diagnosed patients with inherited metabolic diseases. Resources also available to your patients on medicalfood.com. Available in English, Spanish and French.
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TEMPLE Educational Tools for Caregivers - Maple Syrup Urine Disease (MSUD)
Tools Enabling Metabolic Parents Learning are books and videos designed to help you provide simple education for the caregivers of your newly-diagnosed patients with inherited metabolic diseases. Resources also available to your patients on medicalfood.com. Available in English, Spanish and French.
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TEMPLE Educational Tools for Caregivers - Homocystinuria (HCU)
Tools Enabling Metabolic Parents Learning are books and videos designed to help you provide simple education for the caregivers of your newly-diagnosed patients with inherited metabolic diseases. Resources also available to your patients on medicalfood.com. Available in English, Spanish and French.
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TEMPLE Educational Tools for Caregivers - Isovaleric Acidemia (IVA)
Tools Enabling Metabolic Parents Learning are books and videos designed to help you provide simple education for the caregivers of your newly-diagnosed patients with inherited metabolic diseases. Resources also available to your patients on medicalfood.com. Available in English, Spanish and French.
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TEMPLE Educational Tools for Caregivers -Tyrosinemia Type 1 (HT-1)
Tools Enabling Metabolic Parents Learning are books and videos designed to help you provide simple education for the caregivers of your newly-diagnosed patients with inherited metabolic diseases. Resources also available to your patients on medicalfood.com. Available in English, Spanish and French.
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TEMPLE Educational Tools for Caregivers - Methylmalonic Acidemia & Propionic Acidemia (MMA/PA)
Tools Enabling Metabolic Parents Learning are books designed to help you provide simple education for the caregivers of your newly-diagnosed patients with inherited metabolic diseases. Resources also available to your patients on medicalfood.com. Available in English and French.
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Guide to PKU Education Series
Looking for additional handouts to provide patients and family members to help improve their understanding of PKU and the special diet? These 'Guides to PKU' are color downloads that are tailored to the audience to help others better understand PKU. We suggest printing copies or requesting prints from your Territory Manager.
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Guide to HCU Education Series
Provide patients and family members these educational guides to help improve their understanding of HCU and their special diet. These 'Guides to HCU' are available to download or you can request prints from your Territory Manager.
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PKU Diet For Life Guide
Especially designed for adults with PKU, Nutricia’s PKU back-to-diet resource booklet includes Q&A, inspiring patient stories, a science refresher, and more.
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Activity Books
Help school-age patients learn more about a low protein diet with these fun, educational, interactive activity books.
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Periflex & Anamix Early Years Mixing Instructions
This easy to understand hand out provides families with instructions on how to mix Periflex & Anamix Early Years Formula and standard formula. Available in English & Spanish.
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PKU and Pregnancy - A very special time in life
Starting with preconception all the way through lactation, this book provides tips for maternal PKU.
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Metabolic Disorder Fact Sheets
Download these Metabolic Disorder Fact Sheets to provide your patients will helpful information.
Case Studies
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Blenderized Tube Feeding in Metabolic Patients: Survey Results from Metabolic Dietitians in the U.S.
Poster presented at GMDI 2024 which included questions about Real Food Blends. Topics covered include current practice with blenderized tube feeding (BTF), assessment of tolerability, benefits and challenges, and use of homemade versus commercial options.
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Posters from GMDI 2022
Two posters presented at GMDI 2022 which were co-authored and supported by Nutricia North America or Nutricia Global Research.
- Examining the self-described impact of COVID-19 on the lives and interactions of adults with PKU View Poster
- Fecal microbiota composition and activity of patients with propionic acidemia View Poster
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A glycomacropeptide based protein substitute helps promote stable blood phenylalanine and branched chain amino acids in patients with phenylketonuria
Poster presented at SIMD 2018 which included Nutricia’s PhenylAde GMP Drink Mix. Stable plasma amino acids over 28 days with significant improvement in plasma tyrosine levels and branched chain amino acids within recommended range in 12 individuals with PKU on PhenylAde GMP Drink Mix
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Posters from GMDI 2018
Three posters presented at GMDI 2018 which included Nutricia products.
- Greater satiety, stable blood phenylalanine and stable nutrient intake in patients with PKU taking a Glycomacropeptide-based protein substitute for 28 days View Poster
- Dietary fibers and propionate production in an in vitro gut fermentation system View Poster
- Lysine-Free, Arginine-Enriched Medical Foods for the Management of Glutaric Aciduria Type 1 View Poster
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Nutritional management of an adult with Phenylketonuria with the use of a Glycomacropeptide-based PKU formula
This case report, provided by a UK clinician for Nutricia UK, reviews the successful introduction of PhenylAde GMP Drink Mix in an adult female with classical PKU.
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Nutrition management of an infant with GA-1 and transition to a tryptophan-reduced medical food
This case report by Krista Viau, PhD, RDN, describes an infant who successfully transitioned from a tryptophan-free metabolic infant formula to tryptophan-low GA1 Early Years to increase plasma tryptophan levels without exceeding therapeutic range for plasma lysine.
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Transitioning: TYR infant formula to TYR Anamix Next: Seamless transition to a fiber-containing medical food
This case report by Grace Stuhrman, MS, RD, LD, describes the seamless transition from a metabolic infant formula to a next stage metabolic follow-on formula in a patient with tyrosinemia.
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Transition to and Acceptance of TYR Anamix Next
This case report by Manon Bouchard, RD, discusses the successful transition from a metabolic infant infant formula to a fiber-containing metabolic follow-on formula in a patient with tryrosinemia.
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PKU Infant Case Studies
This case report, by Krista Viau, PhD, RDN, describes three infants with PKU who have been successfully started on, or transitioned onto, Nutricia's PKU Periflex® Early Years.
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Newly Diagnosed IVA Baby
This case report, by Krista Viau, PhD, RDN, describes the start of a newly diagnosed IVA infant onto Nutricia's IVA Anamix® Early Years.
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Managing a Delayed PKU Diagnosis and T2 Diabetes
This case report, by Jill Skrabal, MS, RD, LMNT, CDE, describes the medical and nutrition management of an adult male with PKU and T2 diabetes.
Reference Library
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PKU Periflex® Early Years (call Periflex® Infant in Europe)
Select Clinical References for PKU Periflex Early Years
- MacDonald A, et al. Specific prebiotics in a formula for infants with phenylketonuria. Mol Genet Metab. 2011;104 Suppl:S55-9. PubMed
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Periflex® Junior Plus
Select Clinical References for Periflex Junior Plus
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PKU Maxamum®
Select Clinical References for PKU Maxamum (previously named XPhe Maxamum)
- Brown MC, et al Economic impact of feeding a phenylalanine-restricted diet to adults with previously untreated phenylketonuria. J Intell Disabil Res. 1999; 43:30-7. PubMed
- Cleary MA, et al. Magnetic resonance imaging in phenylketonuria: reversal of cerebral white matter change. J Pediatr. 1995; 127:251-255. PubMed
- Wardley BL, Taitz LS. Clinical trial of a concentrated amino acid formula for older patients with phenylketouria (Maxamum XP). Eur J Clin Nutr. 1988; 42:81-86. PubMed
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Phlexy-10®
Select Clinical References for Phlexy-10
- MacDonald A, et al. Protein substitutes for PKU: What’s new? J Inherit Metab Dis. 2004; 27:363-371. PubMed
- Moats RA, et al. Brain phenylalanine concentrations in phenylketonuria: Research and treatment of adults. Pediatrics. 2003;112(6): 1575-9. PubMed
- Rohr FJ, et al. Acceptability of a new modular protein substitute for the dietary treatment of phenylketonuria. J Inherit Metab Dis. 2001; 24:623-630. PubMed
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PhenylAde® PheBLOC™ LNAA
Select Clinical References for PhenylAde PheBLOC LNAA
- Yano S, et al. Melatonin and dopamine as biomarkers to optimize treatment in phenylketonuria: effects of tryptophan and tyrosine supplementation. J Pediatr. 2014;165:184-9. PubMed
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GlutarAde® Junior
Select Clinical References for GlutarAde Junior
- Stauss KA, et al. Safety, efficacy and physiological actions of a lysine-free, arginine-rich formula to treat glutaryl-CoA dehydrogenase deficiency: focus on cerebral amino acid influx. Mol Genet Metab. 2011;104(1-2):93-106. PubMed
- Strauss, KA et al. Glutaric acidemia type 1: Treatment and outcome of 168 patients over three decades. Mol Genet Metab. 2020;131:325-40. PubMed
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Complex® MSD Products
Select Clinical References for Complex MSD Products
- Strauss KA, et al. Classical maple syrup urine disease and brain development: principles of management and formula design. Mol Genet Metab. 2010;99(4):333-45. PubMed
- Strauss KA, et al. Branched-chain α-ketoacid dehydrogenase deficiency (maple syrup urine disease): Treatment, biomarkers, and outcomes. Mol Genet Metab. 2020;129:193-206. PubMed
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Monogen®
Select Clinical References for Monogen
- Cormack, BE et al. Use of Monogen for pediatric postoperative chylothorax. Ann Thorac Surg. 2004; 77(1):301-5. PubMed
- Ficicioglu C, et al. Very long-chain acyl-CoA dehydrogenase deficiency: The effects of accidental fat loading in a a patient detected through newborn screening. J Inherit Metab Dis. 2009;32 Suppl 1:S187-90. PubMed
- Lessen R. Use of Skim Breast Milk for an Infant with Chylothorax. ICAN (2009); 1 (6):303-10. Sage Journals
- Ng PC, et al. Deceptive hyperbilirubinaemia in a newborn with familial lipoprotein lipase deficiency. J Paediatr Child Health. 2001;37:314-6. PubMed
Helpful Links
- Met Ed : Provider of Metabolic University and MENTOR courses
- Society for Inherited Metabolic Disorders (SIMD)
- USDA Food Composition Database
- CDC Growth Charts
- CDC Newborn Screening Portal
- Genetic Metabolic Dietitians International (GMDI)
Helpful Links
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Nutricia Resources
Recipes, Inspiring Stories, Nutricia Social Communities, and More
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Family Support Groups - National Groups (US and Canada)
Connect with these National (US and Canada) family support groups.
- HCU Network America
- FOD Family Support Group
- National PKU News
- National PKU Alliance
- National Urea Cycle Disorders Foundation
- NORD (National Organization for Rare Diseases)
- MSUD Family Support Group
- Organic Acidemia Association
- Global Association for PKU
- Canadian PKU and Allied Disorders
- Propionic Acidemia Foundation
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Family Support Groups - Regional Groups
Find a family support group in your area.
- Mississippi Metabolics Foundation
- Arizona Network for PKU & Allied Disorders (ANPAD)
- Florida PKU Foundation
- Georgia PKU Connect
- Indiana PKU and Allied Disorders Association
- Intermountain PKU and Allied Disorders
- Iowa PKU Foundation
- Minnesota PKU Foundation
- New England Connection for PKU and Allied Disorders
- PKU Organization of Illinois
- Tennessee PKU Foundation
- The Mid-Atlantic Connection for PKU and Allied Disorders (MACPAD)