Neocate preparation help asap

[davegrohll]

Hi, baby been given Neocate as a trial after still having eczema while on Aptimal Pepti 1 for months. Is it not meant to be made with hot water ?? We use a formula kettle so the water is set at 70degrees, would this be okay for neocate does anyone know ? Wondering if it’s still too hot

This is what the back says - it says the formula should be warm to the wrist but doesn’t say about if it’s okay to prepare with hot water and let it cool? It only lasts 1 hour aswell rather than 2. Just confused as it says it isn’t sterile so surely would have to be made with at least 70 degree's water ?

The aptimal says to Cool for 30 mins and no longer hence the confusion

The guidance for Neocate is here:

www.nutricia.co.uk/content/dam/dam/amn/local/gb/approved/neocateuk/neocate-lcp-parent-guide.pdf

If 70 degrees water is hot on your wrist then that's too hot, as it specifically says it should be warm. For your peace of mind I would phone the Neocate helpline and ask them specifically what temp you should set your special kettle to.

Thanks. Just on hold now! Hopefully they can advise

We use Nutramigen (which technically needs room temperature water but she wouldn't take it cold). We just boil the kettle, let it cool completely, then put the water in a bottle and warm it in the microwave for 15 seconds so it's then boiled and warm, if that makes sense?

Well. They just told me to ask the dietician . Who I now can’t get through too.

Google says warm water is 32-43 degree C. Maybe aim for somewhere in the middle?

And if it's anything like Nutramigen then no, you can't make it with boiling water as it destroys the probiotics that are in there.
You need to add the formula to boiled water that has been left to cool to a warm temperature.

I’ve no idea as it’s all new to me ! 70 isn’t boiling though is it?

It seems clear to me from the Neocate uk website that they aren't intending the water to be "hot", but for it to be only "warm". 70 degrees is when you start to get tiny bubbles in a pan of hot water, and putting your hand in 70 degrees water for a second can result in a burn. So too hot for the description of "warm" that Neocate are using.

😆 never thought I’d be so confused by this am I just thick?!
I can set the kettle to 40 degrees might just do that !

It’s the fact it’s saying “infant formula is not sterile” so you’d think you need to use at least 70 degrees 😕

My baby was on neocate as was my friend’s baby and she phoned the company. It’s to be made with cooled boiled water. Definitely not 70 degrees. We either used a Nuby Rapid cool flask to cool the boiling water straight away to drinking temp and added neocate or we had a perfect prep so added hot shot then cool water before adding neocate. Either way it was warm to drink water

Not necessarily. The advice about making immediately before use, discarding any used formula within an hour, leaving any made up feeds outside a fridge for no longer than 4 hours. Those are all measures to reduce/minimise the growth of bacteria. The risk to babies is when a significant amount of bacteria has grown in the made up milk. In the powder, there might be a tiny tiny amount of bacteria, likely almost none. But, still not absolutely none. So, as soon as the powder is mixed, bacteria can multiply. If left for more than 4 hours at room temp, the amount of bacteria might be enough to case sickness. If the baby has drunk from the milk, their mouth bacteria will transfer to the milk and increase the amount of bacteria. That's why it could take just an hour for those bacteria to multiply to risky levels.

The issue with specialist formulas like Neocate is that they contain ingredients that if exposed to high temps will essentially disintegrate and not be effective. So there's a balance needed between minimising bacteria and destroying the contents of the milk.

Do you think 40 degrees will be okay then ?

Yes, because that would be warm, as per the instructions, not hot or boiling.

We've used neocate for 3 months ( she's 9 months old ) and use perfect prep, so does my friend for her baby, have had no issues

I spoke to the dietician. She said 40 is fine aslong as it’s been boiled first. Also it turns out the gp has prescribed lcp rather than syneo, so I’ve had a nightmare trying to get that sorted so the pharmacy can order it in, typical on a bank holiday weekend !