Ross Carbohydrate-Free Infant Formula

Description

Abbott Nutrition’s Ross Carbohydrate Free (RCF) is a no‑added‑carbohydrate, soy‑based infant formula base with iron, supplied as an unflavored concentrated liquid. Classified as a Food for Special Medical Purposes, it is intended for use only under medical supervision and is suitable from birth. Pack size: 384 mL (13 fl oz) can; also available in cases of 12. Not for parenteral use.

Intended use

• For dietary management of infants and children who cannot tolerate the type or amount of carbohydrate in milk or standard formulas (e.g., certain metabolic disorders, glucose/galactose malabsorption).
• May be used in infants requiring a ketogenic diet, as directed by a healthcare professional.

Key features

• No added carbohydrate, allowing clinicians to prescribe carbohydrate type and amount separately while meeting other nutrient needs.
• Soy protein isolate, supplemented with L‑methionine; iron‑fortified.
• Includes L‑carnitine and taurine.
• Fat provides ~80% of total energy in the concentrate; carbohydrate is negligible.
• Lactose‑free; gluten‑free; low‑residue.
• Kosher and Halal.
• Allergen: contains soy.

Preparation and safety

• Must be diluted before feeding; do not feed undiluted.
• Standard 20 Cal/fl oz example (as directed by a healthcare professional):
  1. Dissolve 54 g carbohydrate in 355 mL water; bring to a boil, keep covered, and cool.
  2. Shake can well; add 384 mL RCF to the cooled solution; mix and pour into feeding container. Yields ~780 mL.
  3. Carbohydrate options for 54 g: about 4 level Tbsp sucrose OR 4 level Tbsp fructose powder OR 6 level Tbsp hydrous dextrose.
• Discard any feed remaining in the bottle 1 hour after start of feeding.
• Do not use a microwave to prepare or warm formula.

Nutritional profile

• Undiluted concentrate (per 100 mL): 339 kJ (81 kcal); protein 4.0 g; fat 7.2 g (SFA 2.5 g; linoleic acid ~1.35 g); carbohydrate 0.07 g (sugars 0 g); water 88 mL; L‑carnitine 3 mg; taurine 12 mg; inositol 6.5 mg; choline 15.7 mg.
• Minerals (per 100 mL): Na 59.1 mg; K 146 mg; Cl 83 mg; Ca 140 mg; P 100 mg; Mg 10 mg; Fe 2.4 mg; Zn 1.0 mg; Cu 100 mcg; I 20.3 mcg; Se 2.7 mcg; Mn 0.03 mg.
• Vitamins (per 100 mL): A 122 mcg RE; D 2 mcg; E 1.5 mg α‑TE; K 15 mcg; C 12 mg; B1 0.08 mg; B2 0.12 mg; B6 0.08 mg; B12 0.6 mcg; niacin 1.8 mg NE; pantothenic acid 1.0 mg; biotin 6.1 mcg; folic acid 20 mcg.
• PRSL (undiluted): ~36 mOsm/L.
• When prepared to 20 Cal/fl oz as directed: ~68 kcal/100 mL; provides ~1.8 mg iron per 100 Cal.

Ingredients (concentrated liquid)

Water; soy protein isolate; high oleic safflower oil; soy oil; coconut oil; mono‑ & diglycerides; soy lecithin; carrageenan; L‑methionine; taurine; myo‑inositol; L‑carnitine. Minerals: calcium phosphate; potassium citrate; potassium chloride; magnesium chloride; sodium chloride; ferrous sulfate; zinc sulfate; copper sulfate; potassium iodide; sodium selenate. Vitamins: ascorbic acid; choline chloride; niacinamide; d‑alpha‑tocopheryl acetate; calcium pantothenate; thiamine hydrochloride; vitamin A palmitate; riboflavin; pyridoxine hydrochloride; folic acid; phylloquinone; biotin; beta‑carotene; vitamin D3; cyanocobalamin.

Storage and handling

• Cover opened cans and any prepared formula; refrigerate promptly and use within 48 hours.
• Store unopened cans at room temperature; avoid extreme temperatures.