PediaSmart^® Dairy Chocolate

*Not intended for infants less than 12-months of age.
†Do not use for children with the genetic disorder galactosemia.
††May be used in a feeding tube under the supervision of a healthcare professional.

Not for children with the genetic disorder galactosemia.
Allergen Information: Contains milk, soy, and coconut.
PediaSure is a registered trademark of Abbott Laboratories.
Coke is a registered trademark of The Coca-Cola Company.

No Melamine Detected in PediaSmart?

Nature’s One^® began precautionary testing for melamine shortly after the China infant formula contamination became public. Approved screening methods used by a third-party laboratory confirm there is NO MELAMINE or Cyanuric Acid in Baby’s Only Organic^® formulas and PediaSmart^® nutritional beverages. Nature’s One® does not use packaging or cleaning solutions that contain melamine or cyanuric acid.

Parents can rest assured that all products are manufactured in the U.S.A. Nature’s One^® production and ingredient standards extend beyond “organic” insuring the highest nutritional quality of any leading brand.

What type of packaging is used for PediaSmart^® Dairy?

PediaSmart^® Dairy packaging is 100% BPA-free. We use composite canisters that are good for the environment. They are recyclable and on average contain 50% recycled content, 35% of which is post-consumer recycled materials. Composite cans are light weight because they are made of paperboard instead of tin. This reduces environmental waste and energy used in manufacturing and transportation.

As an organic manufacturer, Nature’s One^® is concerned over the level of chemicals ingested by infants, toddlers and children and is also conscientious of how our packaging impacts the environment. Nature’s One^® sources the highest quality ingredients and materials available to produce and package its organic pediatric products.

How much PediaSmart® needs to be consumed to meet the Dietary Reference Intakes for protein, fat, carbohydrate, vitamins and minerals?

PediaSmart® contains 100% or more of the NAS-NRC Dietary Reference Intakes (DRI) for protein, fat, carbohydrates, vitamins and minerals:

• In 1000 milliliters (approximately 33 fluid ounces or slightly more than four 8-fluid ounce servings) for children 1 to 8 years of age.
• In 1500 milliliters (approximately 50 fluid ounces or slightly more than six 8-fluid ounce servings) for children 9 to 13 years of age.

How should PediaSmart® be mixed and stored?

PediaSmart® powder requires mixing with water. Please follow the preparation instructions to assure the appropriate dilution.

Preparation Instructions:

PEDIASMART SCOOP* (1 scoop = 17.33 grams)
To Make:	PediaSmart® Powder:	Add Water:
8 fl oz	3 Scoops	7 fl oz
56 fl oz	Entire Can	49 fl oz

*Scoop enclosed in canister.

"Dry" Measuring Cup
To Make:	PediaSmart® Powder:	Add Water:
8 fl oz	1/2 Cup	7 fl oz
32 fl oz	2 Cups	28 fl oz
56 fl oz	Entire Can	49 fl oz

• Add water in a glass or container then gradually stir in PediaSmart^® powder using a hand whisk or blender.
• Mix until dissolved.
• Best when served chilled. Makes a great smoothie when blended with ice and/or fruit.

Storage Instructions:

• Cover prepared PediaSmart® and refrigerate. Use within 72 hours to preserve vitamins.
• Store container in a cool, dry place.
• Avoid extreme temperatures.

How is PediaSmart® different from PediaSure®?

PediaSmart® is nutritionally comparable to the leading brand PediaSure®; however, it is the only beverage on the market that provides complete organic nutrition. PediaSmart® contains only natural and organic flavors with no artificial colors or sweeteners, genetically modified ingredients, pesticides, added growth hormones or hexane processed oils. Nature’s One® purchases its organic milk protein concentrate from farmer-owned cooperatives and only feed cows organic grains and grasses from organic pastures.

A recent study from the United Kingdom, soon to be published, reports on the benefits of consuming organic foods.¹ Of particular interest is the finding that organic milk can contain up to 60% more antioxidants than found in conventionally produced milk. Antioxidants are molecules that help to prevent damage to the body’s cells. Examples of antioxidants are Vitamin C and Vitamin E.

1. The Herald, United Kingdom. “Organic food really is better for you, says study funded by the EU,” October 29, 2007. Sourced November 6, 2007 from: http://72.32.142.180/news_story.php?id=5369 and http://www.freshplaza.com/news_detail.asp?id=10167

PediaSure is a registered trademark of Abbott Laboratories.

Can PediaSmart® be used with children under 1-year of age?

PediaSmart® is not an infant formula nor is it intended to be used with children under 1 year of age unless directed by a healthcare professional. Nature’s One® believes breast milk is the best source of nutrition for an infant. When breast milk is not available, Nature’s One® offers Baby’s Only Organic® formulas. Consult your healthcare professional before changing an infants diet. For additional information on Baby’s Only Organic® formulas, please click on the following link:

Baby's Only Organic Dairy Formula

Does PediaSmart^® Dairy contain lactose, gluten, and corn?

PediaSmart^® Dairy is appropriate for lactose sensitivity even though it contains an extremely small amount of lactose. This lactose naturally comes in with the organic milk protein concentrate. This small amount of lactose should not cause a problem for children who are lactose intolerant. However, PediaSmart^® Dairy should not be used for children with galactosemia. Instead, consider using PediaSmart^® Soy which may be appropriate for children with galactosemia. Please consult with your healthcare professional for advice..

All ingredients used in PediaSmart^® Dairy are gluten free. PediaSmart^® Dairy can be a useful addition to the diet of a child with celiac disease, gluten enteropathy, or other conditions where gluten needs to be avoided to help ensure proper nutrition along with other gluten-free healthy foods and beverages.

PediaSmart^® Dairy is made without corn ingredients such as corn syrup. For families concerned about genetically engineered (GE) foods or genetically modified organisms (GMOs), corn is often avoided because so much of the corn grown today has been genetically modified. PediaSmart^® Dairy may also be a useful addition to the diet of a child with a sensitivity to corn and to help ensure proper nutrition along with other healthy foods and beverages. PediaSmart^® Dairy is the only complete dairy-based nutritional supplement/beverage on the market that does not contain corn ingredients. The leading brands, PediaSure^®, Boost Kid Essentials^®, Carnation Instant Breakfast all contain maltodextrin, a derivative of corn.

Does PediaSmart® contain caffeine?

PediaSmart® Vanilla does not contain caffeine.

PediaSmart® Chocolate contains a very low amount of caffeine (approximately 4.5 milligrams per 8 fluid ounces) which is derived from the organic cocoa powder. For comparison purposes, one 8-ounce cup of brewed coffee contains approximately 60-120 milligrams of caffeine; one 8-ounce cup of decaffeinated coffee contains 1-5 milligrams of caffeine; and one 8-ounce cup of green tea contains 20 milligrams of caffeine.

Does PediaSmart® meet the American Heart Association’s guidelines on fat composition?

The American Heart Association suggests keeping total fat intake between 30 to 35 percent of calories for children 2 to 3 years of age and between 25 to 35 percent of calories for children and adolescents 4 to 18 years of age, with most fats coming from sources of polyunsaturated and monounsaturated fatty acids, such as fish, nuts and vegetable oils.

PediaSmart® contains 3.8 grams of fat per 100 Calories which equates to 34% of Calories from fat and, therefore, meets the American Heart Association’s guidelines for children.

PediaSmart® contains 9 grams of fat per 8 fluid ounce serving.

Can PediaSmart® be warmed or frozen?

PediaSmart® does not need to be warmed prior to consumption. However, if a child prefers a slightly warmed beverage, PediaSmart® can be heated but care must be taken to assure that it is not too hot to burn the lips and mouth. Always check the temperature of the warmed PediaSmart® before feeding it to your child. Although PediaSmart® can be warmed in a microwave safe container without affecting the nutrient quality of the product, the use of a microwave is not recommended because the liquid in the center of the container may be much hotter than the outer product and container resulting in scalding or burns.

Although freezing PediaSmart® will not affect its nutrient content, PediaSmart® should not be frozen because the physical appearance of the product will change when it is thawed making it unacceptable.

Can PediaSmart® be used as a sole source of feeding or be fed by tube?

Under the guidance of a healthcare professional, PediaSmart® can be used as a sole source of nutrition and with a tube feeding. The specific amount to be used daily will need to be determined based upon a child’s nutritional and medical status. Mixing instructions should be discussed to assure that the product is prepared and fed properly. PediaSmart® is not for parenteral use.

Can Children with Medical Conditions use PediaSmart® for Nutritional Therapy?

Children with some medical issues may not be able to maintain their nutritional health through typical daily meals and snacks. Medical nutritional therapy, either orally or by tube feeding, may be needed to maintain nutritional well-being and prevent malnutrition. A complete pediatric nutritional beverage, such as PediaSmart®, often will be prescribed by health professionals in these situations. Please follow the links below for a discussion of some of these medical conditions and why PediaSmart® may be needed:

Failure to Thrive

Failure to thrive is a general medical term used to describe poor weight gain and physical growth failure in children. The child’s weight is consistently below the 3rd to 5th percentile for age and sex or there is a progressive decline in weight to below the 3rd to 5th percentile for age and sex or there is a decrease in the percentile rank of two major growth parameters in a short period of time. The causes of failure to thrive can be organic or inorganic or mixed.

Organic Failure to Thrive

Organic failure to thrive is the result of an acute or chronic health condition. The medical disorder can interfere with nutrient intake because of mechanical issues such as inability to chew or swallowing problems. The medical disorder may cause lack of appetite. Nutrient absorption can be affected by the condition. Nutrient metabolism can also be affected resulting in a need for increased caloric and/or other nutrient requirements. Examples of each of these causes are:

Interference with nutrient intake
• Craniofacial abnormalities such as cleft lip and cleft palate
• Asthma or other breathing difficulties
• Cerebral palsy or other central nervous system conditions
• Immunodeficiency disorders such as HIV or AIDS

Interference with nutrient absorption
• Cystic fibrosis
• Celiac disease and other protein losing enteropathies
• Hypothyroidism
• Growth hormone deficiency

Interference in meeting metabolic needs
• Cancer including leukemia and lymphomas
• Congestive heart failure
• Lung disorders such as bronchopulmonary dysplasia (BPD)
• Inflammatory bowel disease
• Hyperthyroidism
• Sickle cell anemia

Nonorganic Failure to Thrive

Nonorganic failure to thrive is caused by environmental neglect or stimulus deprivation. Environmental neglect can be the result of family impoverishment and the inability to purchase and obtain needed foods, a parent’s or caretaker’s poor understanding of a child’s nutritional needs, or child neglect. A child in an unstimulating environment can become depressed, apathetic, emotional, and anorexic and will often have poor eating habits. Eating disorders such as anorexia nervosa and bulimia are also types of nonorganic failure to thrive.

Mixed Failure to Thrive

In mixed failure to thrive, a child with an organic medical condition may also be in a nonorganic or disturbed environment or the illness in the child may cause dysfunctional parenting resulting in an inadequate or unbalanced diet. Also, a child who is the victim of nonorganic failure to thrive may develop organic medical conditions because of the nonorganic environment.

Immediate treatment for failure to thrive is needed to prevent deleterious effects on brain development and prevent delays in overall development and maturation. Treatment includes addressing the medical and/or psychosocial issues by the healthcare team and the provision of a nutritious diet containing adequate nutrients and calories to support catch-up growth. In severe cases of failure to thrive, tube feedings may be needed. Nutritional support, whether oral or by tube, will often include the use of a complete pediatric nutritional food such as PediaSmart®.

Malnutrition

Malnutrition is a general medical term meaning improper or insufficient nutrient intake. Although over nutrition such as obesity is considered malnutrition, the term “malnutrition” usually refers to under nutrition. Malnutrition occurs when the appropriate amount of or quality of nutrients and/or calories that comprise a healthy diet are not eaten over an extended period of time. Malnutrition if not corrected can lead to starvation, infection, and death. Forms of malnutrition include protein-calorie malnutrition (PEM), or micronutrient (vitamin and mineral) malnutrition such as iron deficiency anemia due to lack of iron, rickets due to lack of Vitamin D, or scurvy due to lack of Vitamin C.

The treatment for malnutrition is feeding a nutritious diet with calories adequate to support growth and development. In severe malnutrition, tube feeding may be needed. A complete pediatric medical nutritional food, such as PediaSmart®, may be prescribed to help meet a child’s nutritional needs.

Cancer

Cancers that affect children can include leukemia, brain cancer, lymphoma, Wilms tumor (a tumor of the kidney), bone cancer, retinoblastoma (cancer of the eye’s retinal cell layer) and others. The cancer itself may cause poor appetite when the body is often in need of increased nutritional support. Cancer treatments, such as chemotherapy or radiation therapy, can also further aggravate the child’s nutritional condition by causing lack of appetite, malaise, vomiting, or diarrhea or by affecting the gastrointestinal tract’s normal functions such as absorbing and utilizing nutrients.

In addition to the medical treatments needed by a child with a cancerous condition, nutritional health is important and medical nutritional therapy with a high intake of calories and protein by mouth or by tube may be needed to prevent protein-calorie malnutrition. A complete pediatric medical nutritional food, such as PediaSmart®, is often prescribed to help meet a child’s nutritional needs.

Cystic Fibrosis

Cystic fibrosis is an inherited, life long, chronic disorder of the mucus and sweat glands. The body produces unusually thick mucus that clogs the lungs which can lead to life-threatening lung infections. This thick and sticky mucus also obstructs the pancreas and stops the natural pancreatic enzymes from helping the body to break down and absorb foods. If untreated, this can lead to poor growth, fatty diarrhea, and a deficiency in fat-soluble vitamins (Vitamins A, D, E, and K).

In addition to the use of an oral enzyme to aid digestion, the nutritional treatment for cystic fibrosis includes a healthy diet with extra calories, vitamin supplementation, and a high salt intake. Medical nutritional foods, such as PediaSmart®, are often recommended to help children with cystic fibrosis meet their daily caloric and nutrient needs.

Developmental Disabilities

Children with developmental disabilities (cerebral palsy or an intellectual disability such as Down Syndrome or Fetal Alcohol Syndrome), may have impairments in feeding skills and have oral-motor dysfunctions affecting their food intake. Problems with chewing, swallowing, bringing food up to their mouth, tongue thrust, or inability to smell a food or sense the texture of a food can occur. These can affect nutritional health and a pediatric nutritional supplement, such as PediaSmart®, may sometimes be needed by mouth or by tube to assure the intake of needed nutrients and calories.

Eating Disorders

Eating disorders such as anorexia nervosa and bulimia nervosa are not a problem with food but are, in fact, only a symptom of an underlying behavioral problem. Anorexia nervosa is characterized by self-starvation, excessive weight loss, fasting, and/or excessive exercise to burn up calories. Bulimia nervosa is a cycle of binge eating and compensatory behaviors such as self-induced vomiting, use of laxatives, diet pills and/or diuretics, excessive exercise, fasting, and enemas.

The nutritional goal of treating an eating disorder is to restore or maintain weight, encourage adequate intake, and begin to enhance the variety of foods eaten. Although actual nutritious foods and beverages are the preferred mode of providing nutrition, in some situations medical foods, such as PediaSmart®, may be recommended to help meet caloric and nutrient needs for a child with anorexia nervosa or bulimia nervosa.

Immunodeficiency Disorders

The immune system is made up of bone marrow, lymph nodes, thymus, parts of the spleen, and parts of the gastrointestinal tract. The immune system helps protect the body from harmful substances such as bacteria, viruses, fungi, toxins, cancer cells, or foreign bodies or tissues. Immune system disorders occur when the immune system is not able to to fight off harmful substances.

Immunodeficiency can be primary (congenital) or acquired (secondary). A person born with defects in the immune system has a primary immunodeficiency. Acquired immunodeficiency can be caused by malnutrition, chemotherapy, or uses of immunosuppressive drugs such as are used after an organ transplant. Some diseases impact the immune system such as cancers affecting the bone marrow and blood cells. Immunodeficiency is also the hallmark of acquired immunodeficiency syndrome (AIDS) caused by the human immunodeficiency virus (HIV) which directly attacks the immune system.

Children with immunodeficiency disorders can be susceptible to many types of infections including illness from foodborne pathogens. Special vigilance should be given to handling and cooking foods. Tips for food safety can be found at www.fsis.usda.gov/Fact_Sheets/Food_Safety_for_Persons_with_AIDS/index.asp.

The nutritional treatment for a child with an immunodeficiency disorder is a high calorie-high protein nutritious diet to prevent malnutrition. A complete pediatric medical nutritional food, such as PediaSmart®, is often prescribed to help meet a child’s nutritional needs.

Sickle Cell Anemia

Sickle cell anemia, also known as hemoglobin SS disease, is an inherited disorder where the body makes abnormal hemoglobin (the portion of a red blood cell that carries oxygen to the cells of the body). The hemoglobin abnormally sticks together causing the red blood cell to become stiff and shaped like a sickle or the letter “C”.

There is no cure for sickle cell anemia but there are effective treatments to relieve the symptoms. To assure appropriate growth and development in a child with sickle cell anemia, a healthy well-balanced diet with extra calories to support the production of good red blood cells to replace the damaged sickled cells is needed. A folic acid supplement may also be needed. A pediatric medical nutritional supplement, such as PediaSmart®, may sometimes be recommended to help meet overall nutrient and caloric needs for a child with sickle cell anemia.

PediaSmart® Dairy contains 100% or more of the NAS-NRC Dietary Recommended Intake for protein, fat, carbohydrate, vitamins and minerals for children 1 to 13 years of age when consumed as complete nutrition in amounts appropriate for age.

Nature's One® commitment to organic assures the primary use of natural and organic ingredients with no artificial flavors, sweeteners, colors, genetically modified ingredients, hexane solvents, pesticides or added growth hormones.

PediaSmart® Dairy is manufactured in the U.S.A. No milk protein or dairy derivatives are purchased from China.

Ingredients: Organic Evaporated Cane Syrup, Organic Rice Oligodextrin, Organic Lactose Free Milk Protein Concentrate, Organic High Oleic Sunflower and/or Safflower Oil, Organic Cocoa, Organic Soybean Oil, Organic Coconut Oil, Organic Vanilla, Natural Flavors, Organic Caramel (for color), Potassium Chloride, Choline Bitartrate, Calcium Phosphate, Sodium Chloride, Organic Soy Lecithin, Potassium Citrate, Magnesium Phosphate, Potassium Phosphate, Ascorbic Acid, Magnesium Chloride, Taurine, Natural Vitamin E Acetate, Ferrous Sulfate, Inositol, Biotin, L-Carnitine, Calcium Pantothenate, Niacinamide, Vitamin A Palmitate, Phytonadione (Vit. K1), Zinc Oxide, Cholecalciferol (Vit. D3), Thiamin Mononitrate (Vit. B1), Manganese Sulfate, Pyridoxine Hydrochloride (Vit. B6), Riboflavin (Vit. B2), Copper Sulfate, Cyanocobalamin (Vit. B12), Potassium Iodide, Sodium Selenate, Folic Acid, Chromium Chloride, Sodium Molybdate.

Allergen Info: Contains milk, soy, and coconut ingredients.

Do not use for children with Galactosemia.

Lactose-free and gluten-free. Made without GMO ingredients and contains no palm olein oil, no corn or corn syrup, no hexane processed oils, and no peanut.

The links below provide an explanation of how the vitamins, minerals and other nutrients found in PediaSmart® Dairy play an important role in your child's health:

Why are Vitamins and Minerals Essential Nutrients?

Vitamins and minerals are essential nutrients needed by the body to perform all of its functions, thus they are essential for proper growth, development, and body maintenance. Vitamins are organic, meaning they come from living organisms. Minerals are inorganic, meaning they do not come from living organisms but from substances such as limestone, shells, or the earth. Except for two vitamins (Vitamin D and niacin), humans cannot make their own vitamins and minerals. They must be obtained from foods preferably or supplements if needed.

As important as vitamins are to the body, they can do nothing without minerals. Vitamins and minerals work together and are used as catalysts for many reactions that take place in the body. For example, vitamin C helps the body to absorb the mineral iron needed for healthy blood. The synergistic effect of calcium and Vitamin D in promoting good bone health is well known. Specific amounts of vitamins and minerals are needed for bodily functions. Too much or too little of any one of them can cause illness. The lack of Vitamin D, for example, can cause rickets (poor bone development). Too little iron in the diet results in anemia.

The best source of vitamins and minerals is food. Sometimes the body needs more than a person can consume from foods. Pregnant and lactating women will usually be advised to take a daily vitamin and mineral supplement. Breastfed infants may need an iron supplement after six months of age. Postmenopausal women need a calcium and Vitamin D supplement to prevent osteoporosis. Picky eaters, especially those who won’t eat specific types of foods, like fruits and vegetables, may need a daily vitamin and mineral supplement or consume PediaSmart. Whenever there is any question about the need for a supplement, it’s always best to consult with your healthcare professional.

Many of the signs and symptoms of a vitamin or mineral deficiency or excess are very general and can result from a variety of medical conditions. It is always important to have your healthcare professional evaluate any symptoms so that appropriate care is given.

What is the difference between Water-Soluble and Fat-Soluble Vitamins?

Vitamins are often characterized as being water-soluble or fat-soluble. If the body does not need all of the water-soluble vitamins you consume, then the excess is excreted in the urine. However, this is not the case with fat-soluble vitamins. Any excess of fat-soluble vitamins gets stored in the body and they are not excreted. This can cause illness (hypervitaminosis). The fat-soluble vitamins are A, D, E and K. All other vitamins are water-soluble.

Vitamins A, D, E, and K

Vitamin A: This is important for the development of bones and teeth and helps maintain the gums. It is essential for night vision, healthy skin, hair and mucous membranes. It is sometimes referred to as the anti-infective vitamin because it is required for the proper functioning of the immune system and helps prevent infection.

PediaSmart® Dairy: 160.6 IU (per 100 calories) or 380 IU (per 8 fluid ounces)
Good animal sources of Vitamin A include: milk and dairy products, organ meats such as liver.
Good plant sources of the pro Vitamin A carotenoids include: deep yellow and orange fruits and vegetables such as carrots, sweet potatoes, cantaloupe, and dark green leafy vegetables.

Vitamin D: This is also known as cholecalciferol or Vitamin D3, is often called the sunshine vitamin because of the body’s ability to make it from the interaction of the sun on the skin. Vitamin D is essential for the development and maintenance of healthy bones and teeth. Vitamin D also helps the body properly utilize calcium and phosphorus for the proper functioning of the nervous system.

PediaSmart® Dairy: 50.7 IU (per 100 calories) or 120 IU (per 8 fluid ounces)
Good Food Sources: fortified milk, cheese, eggs, some fish such as sardines and salmon, and fish oils.

Vitamin E: Vitamin E protects Vitamin A and the essential fatty acids from oxidation in the body. It is needed for the proper functioning of nerves and muscles and helps to form red blood cells, muscle and other tissues.

PediaSmart® Dairy: 2.3 IU (per 100 calories) or 5.4 IU (per 8 fluid ounces)
Good Food Sources: poultry, seafood, green leafy vegetables, egg yolk, nuts, seeds, wheat germ, whole grains.

Vitamin K: There are three types
• Vitamin K1, also known as phylloquinone or phytonadione, is found in plants*
• Vitamin K2 or menaquinone which is synthesized by many bacteria.
• Vitamin K3 or menadione which is a synthetic form.

Vitamin K helps the blood to clot when the body is injured and is important in bone development and repair.

In newborn infants, there is a life threatening and preventable bleeding disorder known as Vitamin K Deficiency Bleeding (VKDB). This is the reason why it is standard practice to give all newborns an injection of phylloquinone after birth.

*PediaSmart®: 5.9 mcg (per 100 calories) or 14 mcg (per 8 fluid ounces)
Good Food Sources: green leafy vegetables, pork, liver, oats, wheat bran, whole grains.

Biotin

Biotin is part of the B-complex of vitamins. It is thought to play a role in cell growth and is important in the metabolism of fats, carbohydrates (sugars), and some amino acids (the building blocks of protein).

PediaSmart® Dairy: 19.0 mcg (per 100 calories) or 45 mcg (per 8 fluid ounces)
Good Food Sources: eggs, meats, fish, nuts, seeds, dried beans and peas (legumes).

Folic Acid

Folic acid, sometimes called folate or folacin or Vitamin B9, works with Vitamins B6 and B12 in protein metabolism. It is needed to make genetic material (DNA and RNA). It promotes normal red blood cell formation and reduces the risk of neural tube (brain and spine) birth defects. This is one reason why a folic acid supplement is recommended during pregnancy.

PediaSmart® Dairy: 30.0 mcg (per 100 calories) or 71 mcg (per 8 fluid ounces)
Good Food Sources: poultry, liver, dark green leafy vegetables, dried beans and peas (legumes), yeast breads, wheat germ, cereals, oranges, grapefruits.

Niacin

Niacin, also known as nicotinic acid, niacinamide, or Vitamin B3, is found in every cell of the body. It is necessary for energy production and to maintain the normal functioning of skin, nerves and the digestive tract. It can be manufactured by the body from the amino acid tryptophan. However, the amount needed by the body will usually exceed the amount that the body can produce and it is necessary to consume niacin from foods.

PediaSmart® Dairy: 1.0 mg (per 100 calories) or 2.4 mg (per 8 fluid ounces)
Good Food Sources: poultry, fish (especially tuna and salmon), beef, peanuts and peanut butter, seeds, potatoes.

Pantothenic Acid

Pantothenic acid is also known as Vitamin B5. It is involved in numerous chemical reactions in the body and is essential for the metabolism of fat and sugars. Pantothenic acid is also involved in the manufacture of chemicals that regulate nerve functions.

PediaSmart® Dairy: 1.0 mg (per 100 calories) or 2.4 mg (per 8 fluid ounces)
Good Food Sources: meat, fish, poultry, egg yolk, whole grain cereals, dried beans and peas (legumes).

B Vitamins

Riboflavin: also known as Vitamin B2, is found in every cell of the body and is needed for energy production. It also helps to maintain vision and the metabolism and proper functioning of skin and nerve cells.

PediaSmart® Dairy: 0.2 mg (per 100 calories) or 0.5 mg (per 8 fluid ounces)
Good Food Sources: milk and dairy products, enriched breads, eggs, meats (especially organ meats like liver), green leafy vegetables, grains.

Thiamin: This is also known as Vitamin B1 and is important for the normal functioning of the nervous system. Thiamin also participates in the body’s ability to use protein and sugars for energy production.

PediaSmart® Dairy: 0.3 mg (per 100 calories) or 0.64 mg (per 8 fluid ounces)
Good Food Sources: whole grain and enriched grain products, pork, seafood, cereals.

Vitamin B6: This can also be referred to as pyridoxine or pyridoxal. This vitamin influences many body functions including the regulation of blood sugar levels, the manufacturing of hemoglobin in red blood cells which carries oxygen to all body cells, and the functioning of the nervous system. As protein intake increases, so does the body’s need for Vitamin B6. Also, an adequate Vitamin B6 intake decreases the requirement for niacin from food sources because it aids in the conversion of tryptophan to niacin.

PediaSmart® Dairy: 0.3 mg (per 100 calories) or 0.62 mg (per 8 fluid ounces)
Good Food Sources: chicken, fish, pork, liver, whole grains, cereals, spinach, sweet and white potatoes, bananas, prunes, watermelon.

Vitamin B12: This is also known as cyanocobalamin because it contains the mineral cobalt. It is crucial in the reproduction of every cell in the body because it is needed to make DNA, the genetic material required for life. Vitamin B12 is essential for normal growth, healthy nerve tissue, and the formation of blood cells.

PediaSmart® Dairy: 0.6mcg (per 100 calories) or 1.4 mcg (per 8 fluid ounces)
Good Food Sources: All foods of animal origin (meat, fish, poultry, eggs, milk and other dairy products) and seafood.

Vitamin C

Vitamin C is also known as ascorbic acid. Vitamin C has received a lot of attention because of its major role in the body as an antioxidant, a substance that prevents damage to cells from free radicals and pollutants, and as a protector against infections, particularly the common cold. Vitamin C plays a role in nerve transmission, tissue repair, the conversion of cholesterol to bile acids, and the enhancement of iron absorption. Vitamin C is used by the body to make collagen, the connective tissue in skin, ligaments and bones.

PediaSmart® Dairy: 10.1 mg (per 100 calories) or 24 mg (per 8 fluid ounces)
Good Food Sources: citrus fruits, berries, melon, peppers, dark green leafy vegetables, sweet potatoes, plaintains, tomato and tomato products.

Inositol

Inositol is not a true vitamin because the body can manufacture what it needs. However, it is often considered a water-soluble member of the vitamin B family. Inositol works with choline to help transport fat from the liver. It also helps maintain cell membranes and is involved in the proper functioning of the nervous system.

PediaSmart® Dairy: 8.0 mg (per 100 calories) or 19 mg (per 8 fluid ounces)
Good Food Sources: liver, soybeans, eggs, whole grains, nuts, bananas, vegetables.

Choline

Choline is not a true vitamin because the body can manufacture small amounts of it. However, it must be consumed from foods to meet overall body needs especially during times of rapid growth and development such as pregnancy, lactation, infancy, and early childhood. Choline is an essential nutrient necessary for the structure and function of all cells in the body.

PediaSmart® Dairy: 30.0 mg (per 100 calories) or 71 mg (per 8 fluid ounces)
Good Food Sources: beef liver, egg yolk, peanut butter and peanuts, soybeans and soy products.

How does the Human Body use Minerals?

Three minerals (calcium, phosphorus and magnesium) account for 98% of the body’s mineral content and are especially important for bone health. In addition to these major minerals, the body also needs minuscule amounts of other minerals called trace elements. Trace elements such as iron, zinc, iodine are essential for the body’s enzyme systems to function properly. Three minerals (sodium, potassium, and chloride) are known as electrolytes because of their function in the body to conduct electrical currents.

The body can regulate the balance of minerals. If a person consumes more minerals than are needed, any excess is excreted. If the body lacks a mineral, it will compensate for this lack by absorbing more of the mineral from foods consumed. Otherwise, mineral supplements are usually unnecessary except in chronic conditions where food intake is limited or when nutrient absorption is affected.

There are a few exceptions to this. An infant is born with iron stores that will last for 4 to 6 months. An iron supplement (or use of an iron-fortified formula for non-breastfed infants) will be recommended to prevent iron-deficiency anemia. During pregnancy, an iron supplement is often recommended to prevent anemia in mom and to assure a good iron supply to the fetus. Calcium along with Vitamin D is often recommended to postmenopausal women to prevent osteoporosis. The following is information on the major minerals and trace elements needed by the body.

Major Minerals

Calcium: Although the major function of calcium is the formation and maintenance of bones and teeth, it is also needed to keep the heart pumping, muscles moving, and nerves communicating. Calcium helps regulate the passage of nutrients in and out of cells, assists in normal blood clotting, and is important to normal kidney functioning.

PediaSmart® Dairy: 97.2mg (per 100 calories) or 230 mg (per 8 fluid ounces)
Good Food Sources: milk and dairy products, fish with edible bones (such as sardines and salmon), oysters, tofu, dark leafy green vegetables.

Phosphorus: This teams with calcium to aid in bone and teeth formation, kidney function, and heart contraction. The balance of calcium and phosphorus is important in the body, especially in infancy, to ensure that the team works together well in keeping the body’s chemical balance.

PediaSmart®: 84.5 mg (per 100 calories) or 200 mg (per 8 fluid ounces)
Good Food Sources: milk and dairy products, meat, fish, eggs, nuts, dried beans and peas (legumes).

Magnesium: This works with calcium and Vitamin C to maintain bone health. It is also necessary for energy production, the making of proteins used by the body to make cells and genetic material, the transmission of nerve impulses, the contraction and relaxation of the muscles, and maintaining the delicate electrical balance of all body cells.

PediaSmart®: 19.9 mg (per 100 calories) or 47 mg (per 8 fluid ounces)
Good Food Sources: soybeans and soy products, nuts, whole grains, dried beans and peas (legumes), green vegetables, whole grain breads and cereals, shellfish.

Trace Elements

Iron: As blood passes through the tiny air sacs in the lung, oxygen attaches itself to the iron in the blood. That’s how oxygen is carried to all parts of the body. Iron combines with protein and copper to make hemoglobin, a necessary component of red blood cells that carries oxygen to the cells. Iron also is a component of myoglobin, a protein that stores oxygen specifically in muscle tissue. Approximately 90% of iron in the body is conserved and reused every day.

PediaSmart®: 1.4 mg (per 100 calories) or 3.3 mg (per 8 fluid ounces)
Good Food Sources: meat (especially organ meats like liver), dried fruits (raisins, apricots), nuts, green leafy vegetables.

Zinc: This is needed for cell growth and repair, digestion and metabolism of nutrients, and is vital to the development of the reproductive organs. It also helps regulate the body’s immune response to infection and aids in wound healing.

PediaSmart® Dairy: 0.6 mg (per 100 calories) or 1.4 mg (per 8 fluid ounces)
Good Food Sources: beef, liver, oysters, wheat germ, beans, nuts.

Selenium: In combination with Vitamin E, selenium works as an antioxidant to help maintain a healthy heart. Selenium provides elasticity to tissues and helps cells to defend themselves against damage from oxidation. Selenium also aids in the proper functioning of the pancreas.

PediaSmart® Dairy: 3.2 mcg (per 100 calories) or 7.6 mcg (per 8 fluid ounces)
Good Food Sources: seafood, poultry, egg yolks, whole grain breads and cereals, eggs, mushrooms.

Copper: This is necessary for the absorption and utilization of iron in the body. Copper has an important role in the making of red blood cells and nerve fibers. It also works with Vitamin C to form elastin, a chief component of muscle fibers in the body. Copper is involved in hair and skin coloring, sensitivity to taste.

PediaSmart® Dairy: 0.1 mg (per 100 calories) or 0.24 mg (per 8 fluid ounces)
Good Food Sources: Organ meats like liver, lobster, nuts, dried beans and peas (legumes), barley, prunes.

Iodine: This is probably best known for keeping the thyroid gland healthy. It is also involved in metabolizing fats and in regulating energy production.

PediaSmart® Dairy: 9.7 mcg (per 100 calories) or 23 mcg (per 8 fluid ounces)
Good Food Sources: iodized salt, seafood.

Manganese: This is used by the body as a preferred cofactor in several important enzyme systems and is essential for a healthy tendon and bone structure. It is necessary for the metabolism of thiamine and Vitamin E and helps to maintain the health of the immune and nervous systems.

PediaSmart® Dairy: 0.2 mg (per 100 calories) or 0.36 mg (per 8 fluid ounces)
Good Food Sources: whole grains and cereals, nuts, leafy vegetables, molasses, soybeans, sunflower seeds, and tea.

Chromium: is a trace mineral needed by the body for the metabolism of carbohydrates by enhancing the action of insulin. It is also involved in the metabolism of fats and proteins. Chromium is called a trace mineral because the human body only needs small amounts. The estimated safe and adequate intake of chromium for children 1 to 3 years of age is 11 micrograms (mcg) per day; for children 4 to 8 years of age, 15 mcg per day; and for children 9 to 13 years of age, 25 mcg per day for boys and 21 mcg per day for girls. Chromium deficiency is extremely rare but has occurred in situations where total parenteral nutrition (intravenous or IV nutrition) is the sole source of nutrition.

PediaSmart^® Dairy: 3 mcg (per 100 calories) or 7.1 mcg (per 8 fluid ounces)
Good Food Sources: whole grain products, green beans, broccoli, grape juice, and some spices such as garlic and basil.

Molybdenum: is a trace mineral needed by a number of enzyme systems in the body to aid in the breakdown of foods. It is present in tooth enamel and may help to prevent dental caries.

A deficiency of molybdenum is rare and has only been seen in patients with Crohn’s disease who were on long term total parenteral (intravenous) nutrition with no added molybdenum.

PediaSmart® Dairy: 3.59 mcg (per 100 calories) or 8.5 mcg (per 8 fluid ounces)
Good Food Sources: cereal grains, nuts, legumes, eggs, sunflower seeds and green beans.

Electrolytes

Potassium: This is an electrolyte and works with sodium to regulate the body’s waste balance, transmit nerve impulses, and regulate muscle contraction including the heart muscles. It is essential for metabolism and the release of insulin. In infants and young children who have diarrhea or vomiting, an oral electrolyte solution containing a balance among sodium, potassium and chloride is usually recommended to help prevent the body from becoming dehydrated due to a deficiency in these electrolytes.

PediaSmart® Dairy: 131.0 mg (per 100 calories) or 310 mg (per 8 fluid ounces)
Good Food Sources: bananas, citrus fruits, dried fruits, deep yellow vegetables, potatoes, milk, bran cereal.

Sodium: The primary role of sodium in the body is to maintain fluid balance. Sodium is an electrolyte and works with potassium and chloride to conduct electrical currents in the body and keep tissue fluids in balance.

A deficiency of sodium is rare but loss of sodium through diarrhea, vomiting, or excessive sweating can cause dehydration, muscle cramps, weakness, and headaches. This is especially critical in infants and young children and the reason for use of an oral electrolyte solution with a balance of sodium, potassium and chloride when a child has diarrhea and vomiting.

PediaSmart®: 38.0 mg (per 100 calories) or 90 mg (per 8 fluid ounces)
Good Food Sources: salt, milk, processed foods such as luncheon meats.

Chloride: This is an electrolyte and helps to maintain fluid balance in the body and also is a component of the stomach juices (hydrochloric acid) needed for digestion of foods.

A deficiency of chloride is rare but loss of chloride through diarrhea, vomiting, or excessive sweating can cause an upset in the body’s fluid balance resulting in dehydration. In infants and young children who have diarrhea or vomiting, an oral electrolyte solution containing a balance among sodium, potassium and chloride is usually recommended to help prevent the body from becoming dehydrated.

PediaSmart®: 101.4 mg (per 100 calories) or 240 mg (per 8 fluid ounces)
Good Food Sources: salt, milk, processed foods such as luncheon meats.

Carbohydrate

Carbohydrates are one of the crucial dietary sources of energy that support the brain, enable muscular contractions, and provide the fuel necessary to support a child’s growth, activity level, and learning capability. So it is important for a child to get adequate amounts of carbohydrates each day from good food sources.

Each gram of carbohydrate provides 4 calories. Carbohydrates are sometimes simply called sugars or starches. They are classified scientifically as monosaccharides, disaccharides, or polysaccharides.

Monosaccharide is a one molecule sugar (referred to as a simple sugar or simple carbohydrate). Examples are glucose (sometimes called dextrose), fructose (sometimes called fruit sugar), and galactose. Glucose is the major fuel needed by the body for energy. This is why intravenous fluids (IVs) used in medical situations contain glucose (dextrose).

Disaccharide is made up of two monosaccharides (referred to as a simple sugar or simple carbohydrate). Lactose (sometimes called milk sugar) is made by the joining of one glucose molecule with one galactose molecule. Sucrose is made by joining one molecule of fructose with one molecule of glucose. The body breaks down disaccharides into monosaccharides and then converts these to glucose providing needed energy for the body. PediaSmart^® Dairy contains organic evaporated cane syrup which is a natural source of sucrose used by the body to help meet energy needs. PediaSmart^® Dairy is suitable for lactose intolerance

Polysaccharide contains more than two sugar molecules. Examples of polysaccharides include organic rice oligodextrin, as is found in PediaSmart^®Dairy , organic rice syrup, corn syrup, molasses, and starches. Polysaccharides are often called complex sugars or complex carbohydrates.

Simple sugars are quickly digested and absorbed by the body into the bloodstream providing a quick source of energy. As sugar levels rise in the blood, the pancreas secretes the hormone insulin. Insulin is needed to move the sugar from the blood into the cells where the sugar is then used for energy. When this process goes fast, a feeling of hunger will more likely occur sooner. When it occurs slower, the body appears to be satisfied from hunger longer. Simple sugars usually cause blood sugar levels to rise quicker than complex sugars and increase the production and release of insulin by the pancreas. If the sugar in the bloodstream is not used by the body for energy, then it is stored as fat.

The longer the carbohydrate length, the slower the body breaks it down and, thus, the slower the absorption of the sugar from the intestinal tract into the bloodstream. This slower digestion process is better for the body. If there is a slower absorption of the sugar, there is a slower release of insulin. Also, a slower digestion lets the body utilize the longer length sugars like organic rice oligodextrin for energy and there’s less potential for the sugar to be converted into fat.

Carbohydrates in PediaSmart^® Dairy consist of a blend of organic rice oligodextrin and organic evaporated cane syrup. This combination offers the benefits of having both a simple sugar for quick energy and a complex sugar for a steadier supply of energy. This blend of sugars also gives PediaSmart^® Dairy a not too sweet but delicious flavor accepted by children.

Organic Rice Oligodextrin is a bland tasting carbohydrate, is one-fifth as sweet as sucrose, and provides minimal sweetness to PediaSmart^® Dairy. Organic rice oligodextrin is made from organic whole rice using a natural hydrolysis process without the use of acids, alkalis or sulfites.

Organic rice is grown by certified organic rice growers without synthetic fertilizers, synthetic pesticides, and growth regulators. The organic growth process relies on crop rotations, legumes, green manures, mineral bearing rocks and biological pest control to maintain healthy soils, provide the rice plants with nutrients, and minimize insects, weeds and other pests. The organic rice oligodextrin is sourced from California where the rice fields serve as an important wetland habitat for resident birds and waterfowl and also as a wintering ground and food source for migrating ducks and geese from Canada and Alaska.

Organic evaporated cane syrup is a minimally processed organic sweetener with a light tan natural color and a neutral pleasant flavor which can be used as a substitute for refined white sugar. The organic evaporated cane syrup has a higher sweetness level than organic rice oligodextrin, but offers the benefit of being organic and not highly processed like table sugar or corn syrup.

Organic evaporated cane syrup is not bleached or decolorized like refined white table sugar and is non-GMO. It is derived from organic sugar cane grown under strict organic guidelines. The land must be free of herbicides, pesticides and chemicals. When the mature organic sugar cane is ready for harvest, it is "green cut" rather than burned to prevent pollution. Furthermore, "green cut" harvesting results in the tops and leaves of the plant being left in the field to return nutrients to the soil. A natural ground cover for weed control also results. This type of farming has a positive impact on the environment.

PediaSmart^® Dairy: 13.1 g carbohydrate (per 100 calories) or 31 g (per 8 fluid ounces)
Good Food Sources Complex Carbohydrate: brown rice, grain products, pasta, bread, potato.

Protein

Proteins are essential to life and are necessary for the body’s manufacturing and maintenance of all cells and tissues, including organ and brain development, and the making of essential body constituents such as hormones and enzymes. If excess protein is consumed and not needed by the body, it is converted to fat and stored by the body as a potential future energy source. Each gram of protein provides 4 Calories.

Proteins are made up of amino acids; there are 20 amino acids. PediaSmart® provides all of the essential and non-essential amino acids needed to support growth and development.

The protein source in PediaSmart® is organic milk protein concentrate which is 82% casein and 18% whey. Organic milk protein concentrate is produced from organic skim milk through a process involving filtration, evaporation and drying. No harsh chemicals are used during processing. Organic milk protein concentrate is also pasteurized to assure that the product contains no pathogenic organisms. The organic skim milk used is from organic dairy herds that do not receive any antibiotics or growth hormone stimulants. Another feature of organic milk protein concentrate is it retains a nice amount of calcium from the organic skim milk thus helping to meet a child’s calcium needs for growing bones.

PediaSmart® Dairy: 3.0 grams protein (per 100 Calories) or 7 g (8 fluid ounces)
Good Food Sources: Animal meats, fish, dairy products, soybeans, legumes, nuts

Amino Acids

Taurine is a non-protein amino acid. It is involved in the formation of bile acids which are needed for fat absorption. It is also involved in the prenatal and postnatal development of the central nervous system and the visual system.

Taurine is classified as a conditionally essential amino acid because a deficiency of taurine in the diet can result in impaired fat absorption, bile acid secretion, retinal function and liver function, all of which can be reversed by taurine supplementation. Taurine deficiency can occur in preterm infants not receiving a taurine supplemented formula or in infants, children or adults receiving the majority of their Calories from a total parenteral nutrition (TPN) solution (a solution being fed intravenously into a large vein). For most infants, children and adults, taurine deficiency or insufficiency is not a concern. However, it is added to PediaSmart® to ensure the correct amount of this non-essential amino acid in a child’s overall diet.

PediaSmart®: 7.2mg taurine (per 100 Calories) or 17 mg (per 8 fluid ounces)
Good Food Sources: Excellent dietary sources include shellfish and meats, especially organ meats such as liver

L-Carnitine

L-Carnitine is a conditionally essential nutrient derived from the amino acids lysine and methionine. It is found in nearly all cells of the body and plays and important role in the in the conversion of fats to energy. The body is usually able to make adequate amounts of carnitine in the liver and kidneys to meet daily needs. However, some individuals with medical conditions cannot make enough carnitine; therefore, it is added to PediaSmart® Dairy to ensure the correct amount of this nutrient in a child’s overall diet.

PediaSmart® Dairy: 1.69 mg L-carnitine (per 100 Calories) or 4 mg (per 8 fluid ounces)
Good Food Sources: Excellent dietary sources include meat, fish, poultry, and milk

Fatty Acids

The term “lipid” refers to compounds including oils, waxes, animal fats and triglycerides that do not dissolve in water. Lipids are most commonly referred to simply as fats.

Fats constitute the principal structural material of all living cells and are an important source of energy. Healthy skin and hair are maintained by fat. Fat also helps the body absorb and move the fat-soluble vitamins A, D, E and K through the bloodstream. Dietary fat intake provides needed essential fatty acids to the body. These essential fatty acids are linoleic acid and linolenic acid. These are fatty acids that the body cannot make and which must be derived from foods.

Fats provide 9 Calories per gram, more than twice the amount of energy provided by a gram of carbohydrate or protein. An excess of dietary Calories provided by carbohydrates, proteins or fats will be stored in the body as adipose tissue. Adipose tissue serves as insulation for the body’s cells and organs but an excess of fat can lead to overweight and obesity.

Triglycerides are the chemical form of fats that exist in foods as well as in the body. Animal fats, such as butter and lard, tend to be solid or semisolid at room temperature and are more saturated than fats from plant sources. Fats from plant sources are usually liquid at room temperature and are called oils. Most plant oils are made up of unsaturated fatty acids with the exception of coconut, palm, and palm kernel oils. There are two types of unsaturated fats:
• Monounsaturated fats: Examples include olive and canola oils.
• Polyunsaturated fats: Examples include fish, safflower, sunflower, corn, and soybean oils.

Fats are an important nutrient for infants and young children. They are needed to support growth, development and energy needs. A child who is not eating or drinking foods with adequate amounts of essential fatty acids can develop a fatty acid deficiency. This is one reason why healthcare professionals strongly advise against the use of skim or low fat milks during early childhood. Signs of an essential fatty acid deficiency include poor growth, scaly skin lesions, dry brittle nails, dandruff, and lack of hair luster.

The proprietary fat blend in PediaSmart® consists of organic high oleic sunflower oil, organic soybean oil, and organic coconut oil. These oils provide an appropriate level of linolenic and linoleic fatty acids that the human body can convert to DHA and ARA; fatty acids known to support brain and eye retina development.

All of these organic oils are expeller-expressed. This is a process that basically presses the oil from the sunflower, soybean or coconut. Conventionally processed oils use hexane solvents to extract the oils. Hexane is a petroleum by-product of gasoline refining. This harsh process then requires the oil to be flashed with fire to burn off the hexane solvents. Hexane residues can remain in the finished oils. We believe that hexane has no place in a child’s diet – even if only a residue. Also, USDA organic rules prohibit the use of solvent-extracted vegetable oils. So PediaSmart® would not be labeled organic if we selected conventionally processed vegetable oils.

PediaSmart® Dairy: 3.8g total fat (per 100 Calories) or 9 g (per 8 fluid ounces) 799 mg linoleic acid (per 100 Calories) or 1500 mg (per 8 fluid ounces) 59 mg linolenic acid (per 100 Calories) or 175 mg (per 8 fluid ounces)
Good Food Sources: nuts, seeds, grains legumes, vegetables and their cold-pressed oils

*Percent Daily Value (DV) are based on a 2,000 Calorie diet.

Ingredients: Organic Evaporated Cane Syrup, Organic Rice Oligodextrin, Organic Lactose Free Milk Protein Concentrate, Organic High Oleic Sunflower Oil, Organic Cocoa, Organic Soybean Oil, Organic Coconut Oil, Organic Vanilla, Natural Flavors, Organic Caramel (for color), Potassium Chloride, Choline Bitartrate, Calcium Phosphate, Sodium Chloride, Organic Soy Lecithin, Potassium Citrate, Magnesium Phosphate, Potassium Phosphate, Ascorbic Acid, Magnesium Chloride, Taurine, Natural Vitamin E Acetate, Ferrous Sulfate, Inositol, Biotin, L-Carnitine, Calcium Pantothenate, Niacinamide, Vitamin A Palmitate, Phytonadione (Vit. K1), Zinc Oxide, Cholecalciferol (Vit. D3), Thiamin Mononitrate (Vit. B1), Manganese Sulfate, Pyridoxine Hydrochloride (Vit. B6), Riboflavin (Vit. B2), Copper Sulfate, Cyanocobalamin (Vit. B12), Potassium Iodide, Sodium Selenate, Folic Acid, Chromium Chloride, Sodium Molybdate.

Nature’s One® ingredient standards extend beyond “organic,” insuring the highest quality nutritional beverage available. Learn about the ingredients used in PediaSmart® Dairy:

Carbohydrate:

Brand	Carbohydrate Source
PediaSmart® Chocolate	Organic Rice Oligodextrin Organic Cane Syrup
PediaSmart® Vanilla	Organic Rice Oligodextrin Organic Cane Syrup
PediaSure®	Sugar (sucrose), Corn Maltodextrin
Boost® Kids Essentials	Sugar, Maltodextrin, Fructose, Cocoa processed with Alkali
Carnation® Instant Breakfast®	Sugar, Maltodextrin, Cocoa processed with Alkali, Lactose
NutriPals®	Sugar (sucrose), Dextrose

PediaSmart® Dairy does not contain table sugar (refined white sugar). The sources of carbohydrate in PediaSmart® are organic rice oligodextrin and organic evaporated cane syrup. This proprietary carbohydrate blend in PediaSmart® provides a steady supply of energy without any artificial stimulants. The organic rice oligodextrin is a bland tasting carbohydrate, is one-fifth as sweet as sucrose, and provides minimal sweetness to PediaSmart®. Organic rice oligodextrin is made from organic whole rice using a natural hydrolysis process without the use of acids, alkalis or sulfites. The organic evaporated cane syrup has a higher sweetness level than organic rice oligodextrin, but offers the benefit of being organic and not highly processed like table sugar or corn syrup. This combination of organic rice oligodextrin and organic evaporated cane syrup gives PediaSmart® its pleasant, but not too sweet, flavor enjoyed by children.

Organic rice is grown by certified organic rice growers without synthetic fertilizers, synthetic pesticides, and growth regulators. The organic growth process relies on crop rotations, legumes, green manures, mineral bearing rocks and biological pest control to maintain healthy soils, provide the rice plants with nutrients, and minimize insects, weeds and other pests. The organic rice oligodextrin is sourced from California where the rice fields serve as an important wetland habitat for resident birds and waterfowl and also as a wintering ground and food source for migrating ducks and geese from Canada and Alaska.

Organic evaporated cane syrup, a simple sugar, is a minimally processed organic sweetener with a light tan natural color and a neutral pleasant flavor which can be used as a substitute for refined white sugar. Organic evaporated cane syrup is not bleached or decolorized like refined white table sugar. Organic evaporated cane syrup comes from organic sugar cane grown under strict organic guidelines. The land must be free of herbicides, pesticides and chemicals. It is non-GMO. When the mature organic sugar cane is ready for harvest, it is “green cut” rather than burned to prevent pollution. Furthermore, “green cut” harvesting results in the tops and leaves of the plant being left in the field to return nutrients to the soil. A natural ground cover for weed control also results. This type of farming has a positive impact on the environment.

PediaSmart® contains 31 grams of carbohydrate per 8 fluid ounce serving.

Essential Fatty Acids:

Brand	Essential Fatty Acids Source
PediaSmart® Chocolate	Organic High Oleic Sunflower Oil, Organic Soybean Oil, Organic Coconut Oil
PediaSmart® Vanilla	Organic High Oleic Sunflower Oil, Organic Soybean Oil, Organic Coconut Oil
PediaSure®	High Oleic Safflower Oil, Soy oil, Medium Chain Triglycerides, Less than 5% of: Short Chain Fructooligosaccharides
Boost® Kids Essentials	HIgh Oleic Sunflower Oil, Soybean Oil
Carnation® Instant Breakfast®	N/A
NutriPals®	Soy Oil

The proprietary fat blend in PediaSmart® consists of organic high oleic sunflower oil, organic soybean oil, and organic coconut oil. These oils provide an appropriate level of alpha-linolenic and linoleic fatty acids that the human body can convert to DHA and ARA; fatty acids known to support brain and eye retina development.

All of these organic oils used in PediaSmart® are expeller-expressed. This is a natural process that basically presses the oil from the high oleic sunflower, soybean or coconut.

Conventionally processed oils use hexane solvents to extract the oils (a petroleum by-product of gasoline refining). This harsh process then requires the oil to be flashed with fire to burn off the hexane solvents. Hexane residues can remain in the finished oils. We believe that hexane has no place in a child’s diet – even if only a residue. Also, USDA organic rules prohibit the use of solvent-extracted vegetable oils. So PediaSmart® would not be labeled organic if we selected conventionally processed vegetable oils.

The amounts of linoleic fatty acid and linolenic fatty acid in PediaSmart® are appropriate to support a child’s growth and development:

PediaSmart® contains 9 grams of fat per 8 ounce serving.
PediaSmart® contains 1900 milligrams of linoleic fatty acid and 140 milligrams of alpha-linolenic fatty acid per 8 ounce serving.

DHA & ARA Fatty Acids:

Brand	DHA Fatty Acid Source
PediaSmart® Chocolate	N/A
PediaSmart® Vanilla	N/A
PediaSure®	C.Chonii Oil
Boost® Kids Essentials	N/A
Carnation® Instant Breakfast®	N/A
NutriPals®	N/A

PediaSmart^® contains the precursor essential fatty acids, linolenic acid and linoleic acid, which the body uses to make the non-essential fatty acids, DHA and ARA. The body cannot make the essential fatty acids and they must be supplied by ingesting foods containing them. The amounts of linoleic fatty acid and linolenic fatty acid in PediaSmart^® are appropriate to support a child’s growth and development.

Other nutritional beverages add DHA to their product that is derived from algae (C. Chonii Oil). The process used to make the DHA from the algae uses hexane solvents, acid and bleach.* This source of DHA made by Martek Biosciences Corporation is also known as DHASCO^® (DHA Single Cell Oil) or life’sDHA^™. We are concerned about the serious issues raised by the Cornucopia Institute regarding this particular source of DHA and would never use an ingredient like this in our products. For additional information about the concern over this algal source of DHA, you may wish to visit the Cornucopia Institute’s website at www.cornucopia.org.

Because DHA can be made by the body, there are presently no specific recommendations on daily amounts of DHA. Dietary DHA is available from fish such as salmon, sardine, tuna, and lake trout. Fish sources may contain farm land chemical run-off and various toxins from ocean pollution including mercury so the FDA does warn that a young child’s consumption of certain fish should be restricted. As your child increases the variety of foods in his or her daily diet, remember that DHA can be formed from dietary linolenic acids. By including good sources of high quality fats in the diet, your child should be able to meet his or her specific fatty acid needs.

As previously mentioned, PediaSmart^® does contain very high levels of the essential fatty acids that the human body converts to DHA & ARA.

PediaSmart® contains 1900 milligrams of linoleic fatty acid and 140 milligrams of linolenic fatty acid per 8 ounce serving.

*Sam Zeller, Ph.D.; Martek Biosciences Corporation, Food & Drug Administration Agency Response Letter, GRAS Notice No. GRN 000137

Milk Protein:

Brand	Milk Protein Source
PediaSmart® Chocolate	Organic Milk Protein Concentrate
PediaSmart® Vanilla	Organic Milk Protein Concentrate
PediaSure®	Milk Protein Concentrate
Boost® Kids Essentials	Sodium Caseinate (Milk)
Carnation® Instant Breakfast®	Nonfat Milk
NutriPals®	Milk Protein Concentrate

The protein source in PediaSmart® is organic milk protein concentrate. Organic milk protein concentrate is produced from organic skim milk through a process involving filtration, evaporation and drying. No harsh chemicals are used during processing. Organic milk protein concentrate is also pasteurized to assure that the product contains no pathogenic organisms. The organic skim milk used is from organic dairy herds that do not receive any antibiotics or growth hormone stimulants. Another feature of organic milk protein concentrate is it retains a nice amount of calcium from the organic skim milk thus helping to meet a child’s calcium needs for growing bones.

PediaSmart® contains 7 grams of protein per 8 fluid ounce serving.

Calcium & Phosphorus:

For every gram of phosphorus ingested in the diet, at least one gram of calcium should also be ingested. If the required calcium is not available, the body will obtain calcium from the calcium stored in bones. The purpose of calculating calcium to phosphorus ratio is to make sure that for every gram of phosphorus being consumed, at least an equal amount of calcium (a 1:1 ratio or better) is also consumed to prevent the body from using bone calcium. The recommended levels are somewhere between 1 to 2 parts calcium to 1 part phosphorus.

PediaSmart® contains 230 milligrams of Calcium and 200 milligrams of Phosphorus per 8 ounces. The calcium and phosphorus in PediaSmart® are properly balanced at a ratio of 1.2:1.