Nutramigen and perfect prep

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Hi, any mums use a perfect prep machine and have nutramigen milk and how do you prepare it using the machine

Hi tissuesoft did you use nutramigen. With lgg? With the perfect prep? How did you use it and did people say OK

We did what Emma said (and as per the instructions on the tine ). This was after a very lengthy phone call to the nutramigen help line. Hot water kills the probiotics and these are very important!! This is a new 'recipe' from eve two years ago when I also used it with my son. Call nutramigen yourself if you aren't sure. It's actually so easy - and much easier than the perfect prep machine I reckon. Fill up bottles in the morning (maybe 4 or 5 to last you the day) and then just add the power to the cooled water when you need to. Simples.

We have been on nutramigen for over a year using perfect prep.
I put both shots of water in to the bottle then add powder. Shake and serve.

Genius!

tissuesosoft you will have destroyed an important component of the formula by using hot shot, yes this won't affect the physical preparation of the milk but your child will be missing out on the probiotics, which as nan0second (who is a Dr) has said helps your child to grow out of the allergy.

So you boiled the kettle poured in the water and let them cool on the side, so they where room temperature how does this stay sterile? And how are you killing the bacteria in the milk

So you boiled the kettle poured in the water and let them cool on the side, so they where room temperature how does this stay sterile? And how are you killing the bacteria in the milk

It stays sterile as you screw the lid on to the bottle as soon as you pour the water in.

That's why its a trade off between the possible bacteria in the formula powder and the action of the LGG. Phone their helpline and see if they can put your mind at rest

So it's really OK the formula?? As I don't want baby to be sick

Yes. I followed the directions of the company who researched the safety of the formula and the benefits of lgg in helping reduce allergy before allowing us to feed the milk to our children...
Honestly, I'm not sure why you want to use a perfect prep (known to grow mildew and mound in the pipe work and not recommended by nhs) and the advice of random women on the internet rather than the large research evidence by the company who make the milk.

In the nicest possible way, you really need to discuss this with your doctor and until then follow exactly the instructions on the packet.

The advice for "ordinary" formulas is based on the fact that there is a tiny chance that the powder may be contaminated with a potentially harmful bacteria. Using water above 70 degrees kills this bacteria and has no negative effect on the nutritional value of ordinary formula. So to address this tiny but serious risk, the advice is to use the hot water for ordinary formula.

For some babies, presumably yours included, a speciality formula is required. Some of these formula contain special versions of nutrients that would be damaged or destroyed by the hot water. So now it becomes a question of balancing risks. The risk of the bacterial contamination above versus the risk of the baby not receiving adequate nutrition because the hot water has destroyed certain ingredients. In this case, the medical evidence is that the risk of malnutrition outweighs the risk of bacteria and so the advice is to use water (previously boiled) at room temperature. Unfortunately in this situation, you can't eliminate all risks but please know that the bacteria risk is very infrequent indeed - and some other countries like the USA advise the room temperature method for all formula.

Of course you want to do your best for you baby. You can minimise risk by practicing scrupulous hygiene when making up bottles (thorough hand-washing, immaculate surfaces, etc) which I'm sure you do anyway.

I hope this helps you understand why the general advice doesn't apply to the specific cases of speciality formulas. Honestly using room temperature water is a lot less hassle than the other method so you could see this as a silver lining in whatever issue has caused your baby to be prescribed special formula. Best wishes to you.

And please talk to your doctor with any questions.

My son was on this milk. I used to half fill the bottles for the day with boiled water and put them in the fridge (So if he was on 5oz fill 2.5oz)
Then when he needed a bottle top it up with freshly boiled water and the required amount of scoops. It was the perfect temperature and quick :)

And they kept OK in fridge? And what about night

Totally is not giving the correct advice, although it worked for her.
Emma and I have explained the companies recommendations. The fridge is not needed.

I gave the advice I was given by Dr and HV when I used it with my son. It was really difficult to get the powder to dissolve in room temperature water.

Also have seen it has changed recently on a PP so maybe that's why. OP I'd give your HV or Dr a call and they will put your mind at rest and give you the advice you need

It dissolves really well in room temp water and has changed to include lgg.

I spoke to DD's dietician a few weeks ago because what the hv said didn't match up to the tin,you sterilize and fill the bottles with boiling water, leave to cool to room temp then add formula to bottles as you need otherwise it does kill the LGG bacteria

Put all the water into the bottle before putting in the powder. If you put it into hot water you can destroy the formula.

The risk of bacteria in the formula is tiny and is a better risk than destroying the formula. Minimise the risk by good hygiene practices, wash and sterilise the bottles, wash hands beforehand and disinfect the side.

@Nan0second could this be done also with neocate milk?