Arslanoglu S., Moro G.E., Boehm G. Wienz F., Stahl B., Bertino E. Early Neutral Prebiotic Oligosaccharide Supplementation Reduces the Incidence of Some Allergic Manifestations in the First 5 Years of Life. J. Biol. Regul. Homeost. Agents. 2012;26(Suppl.3):49-59. A. Aptamil Pepti Syneo does taste different to other Aptamil formulas due to the broken down proteins but this is normal. This is why is it important to allow at least 14 days for the infant to transition to the new formula. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC. Aptamil Pepti 2 is an extensively hydrolysed formula in which the milk proteins present have been broken down to reduce the likely hood of them causing an allergic reaction. As milk will remain a primary part of your baby's diet, it's reassuring to know they can still get all the nutrients they need. It contains a unique blend of GOS/FOS prebiotics which makes Aptamil easier for babies to tolerate and consume whilst providing them with all the nutrition they need.

Using the scoop provided, level off the powder with the built in leveller. Do not press/heap the powder. Gibson GR et al. Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. J Nutr 1995;125(6):1401-12. Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting.Classified as GREY non-formulary by the APC in July 2013 as they felt that there was not enough evidence to recommend this for prescribing. When you do make the change, you may notice that your baby has more wind, or that their stools are looser and greenish in colour. This is nothing to worry about and is usually just a sign that your baby’s digestive system is adapting to the new milk. Aptamil Pepti 1 and 2 are the only hydrolysed formulas that contain GOS/FOS (9:1) - Aptamil's unique patented blend of Galacto- and Fructo- oligosaccharides. They also contain LCPs (Omega 3) to support normal visual development* and nutcleotides. Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice and has a working experience and knowledge within a speciality area

Aptamil Pepti 2 (From 6 months) 800g is suitable for babies over 6 months old and should be used under medical supervision. It is a food for special medical purposes for the dietary management of cow's milk protein allergy and has been specifically developed for bottle-fed babies to complement their weaning diet. Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.Make up each feed as required. For hygiene reasons, do not store made up feeds, discard unfinished feeds as soon as possible, and always within two hours. Aptamil Pepti 2 is a food for special medical purposes. It should only be used under medical supervision, after full consideration of the feeding options available including breastfeeding. Christie L et al. Food allergies in children affect nutrient intake and growth. J Am Diet Assoc 2002;102(11):1648-51. Maltodextrin, Hydrolysed whey protein (from milk), Vegetable oils (Palm oil, Coconut oil, Rapeseed oil, High oleic sunflower oil, Sunflower oil), Galacto-oligosaccharides (GOS) (from milk), Calcium phosphate, Emulsifiers (citric acid esters of mono- and di-glycerides of fatty acids), Fructo-oligosaccharides (FOS), Fish oil, Potassium chloride, Magnesium hydrogen phosphate, Oil from Mortierella alpina, Sodium chloride, Choline chloride, Vitamin C, L-Tyrosine, Inositol, Taurine, Ferrous sulphate, Zinc sulphate, L-Carnitine, Sodium citrate, Vitamin E, Uridine 5'-monophosphate sodium salt, Cytidine 5'-monophosphate, Pantothenic acid, Adenosine 5'-monophosphate, Inosine 5'-monophosphate sodium salt, Nicotinamide, Guanosine 5'- monophosphate sodium salt, Copper sulphate, Vitamin A, Riboflavin, Thiamin, Vitamin B6, Potassium iodide, Folic acid, Manganese sulphate, Sodium selenite, Vitamin K1, Biotin, Vitamin D3, Vitamin B12.

When it comes to changing formula milk, many mums feel unsure about which milk they should be using and how to move their baby on to the next formula. Unless there is an issue, moving onto the next baby milk shouldn’t be done suddenly. Your baby will need about a week to adjust to a new formula, so introduce it gradually. You may notice some differences in their nappies – their stools may change in frequency, consistency and colour - this is because the nutritional content of the new milk and ingredients might be different to their previous milk and their digestive system may need a little while to adjust. Which baby milk? Special milks Aptimal Peti 2 is suitable from 6 months to complement a cows' milk free weaning diet and can also be used to replace cows' milk in drinks and cooked dishes during and after weaning. Because this is a special dietary food, the taste, smell and appearance will differ from a standard follow on formula. Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

Reaching 1 year is a real milestone. Your baby is now a toddler and needs nutrients to fuel their increasing activity and growth. As they develop their own personalities, they may become more stubborn about their likes and dislikes, so it can sometimes be a challenge to provide them with all the goodness they need from their food. This is when milks like Aptamil Growing Up Milk 1-2 yearsand Aptamil Growing Up Milk 2-3 yearscan help; they’re specially developed to help support your toddler’s diet. Maltodextrin, Hydrolysed Whey Protein Concentrate (From Milk), Vegetable Oils (Palm Oil Coconut Oil, Rapeseed Oil, High Oleic Sunflower Oil, Sunflower Oil), Galacto-Oligosaccharides (GOS) (From Milk), Calcium Phosphate, Emulsifier (Citric Acid Ester Of Mono-&-Diglycerides of Fatty Acids), Fructo-Oligosaccharides (FOS), Fish Oil, Potassium Chloride, Magnesium Hydrogen Phosphate, Oil from Mortierella Alpina, Sodium Chloride, Choline Chloride, Vitamin C, L-Tyrosine, Inositol, Taurine, Ferrous Sulphate, Zinc Sulphate, L-Carnitine, Sodium Citrate, Vitamin E, Uridine-5-Monophosphate Sodium Salt, Cytidine-5-Monophosphate, Pantothenic Acid, Adenosine-5-Monophosphate, Inosine-5-Monophosphate Sodium Salt, Nicotinamide, Guanosine-5-Monophosphate Sodium Salt, Copper Sulphate, Vitamin A, Riboflavin, Thiamin, Vitamin B6, Potassium Iodide, Folic Acid, Manganese Sulphate, Sodium Selenite, Vitamin K1, Biotin, Vitamin D3, Vitamin B12. Moro G et al. Dosage-related bifidogenic effects of galacto- and fructooligosaccharides in formula-fed term infants. J Pediatr Gastroenterol Nutr 2002;34(3):291-5.