Grey Drugs are locally-agreed medicines which are only recommended for restricted use within the Leeds Health Economy. Amber Level 3- Specialist Initiation with ongoing monitoring requirements (Full Amber Drug Guidance required) Approx. Age of Baby: 7 - 12 months; Approx. Weight of Baby: -kg, -lb; Preparation for Single Feeds: Level scoops: 7, Cooled, Freshly Boiled Water: 210ml, 7fl. oz (approx.); Feeds in 24 Hours: 3

SMA Wysoy Soya Infant Formula (From Birth) is not suitable for babies with kidney problems or premature babies, where medical guidance should always be taken. Use Alpro Growing Up Soya or Alpro Growing Up Oat (which is a mixture or oat and pea protein) if you need or prefer to avoid soya. They are also higher in calories than regular plant milks (60-63Kcal/100ml) and are fortified with vitamins, calcium, iron and iodine. Both brands use organic ingredients, are free of palm oil, and are fortified with plant based DHA and plant based vitamin D. They are therefore 100% vegan. They are significantly more expensive than SMA WySoy. The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breastfeeding – in particular the fact that it provides the best nutrition and protection from illness for babies. Mothers should be given guidance on the preparation for, and maintenance of, lactation, with special emphasis on the importance of a well-balanced diet both during pregnancy and after delivery. Unnecessary introduction of partial bottle-feeding or other foods and drinks should be discouraged since it will have a negative effect on breastfeeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breastfeed. Before advising a mother to use an infant formula, she should be advised of the social and financial implications of her decision: for example, if a baby is exclusively bottle-fed, more than one can (400 g) per week will be needed, so the family circumstances and costs should be kept in mind. Mothers should be reminded that breast milk is not only the best, but also the most economical food for babies. If a decision to use an infant formula is taken, it is important to give instructions on correct preparation methods, emphasising that unboiled water, unsterilised bottles or incorrect dilution can all lead to illness.SMA® Wysoy® is a nutritionally complete soya infant formula for babies and young children with a cows' milk intolerance, when they are not being breastfed. SMA® Wysoy® can be used as the sole source of nutrition for formula-fed babies in the early months and can be mixed with foods once weaning has begun and your baby gets older. It is suitable for milk protein intolerance, lactose and sucrose intolerance, galactosaemia and galactokinase deficiency. Enriched with Omega 3 (DHA)*. In Australia, the addition of DHA to infant formula is not mandatory. Although Sprout formula includes DHA, it does so in smaller amounts than European formulas. For example, SMA WySOy provides 13.5 mg of DHA per 100 ml. This means that 750 ml per day of formula provides the recommended 100 mg of DHA per day at this age. Prémiriz and Bébé M provide 14-14.5 mg / 100 ml; so 700 ml of formula would cover the daily DHA requirement.

Approx. Age of Baby: Birth - 2 - 4 weeks; Approx. Weight of Baby: 3.7 kg, 8 lb; Preparation of Single Feeds: 4 Level scoops, Cooled, Freshly Boiled Water: 120 ml, 4 fl. oz. (approx.); Feeds in 24 Hours: 6 Boil 1 litre of fresh tap water. Allow boiled water to cool for no more than 30 minutes. Measure the required amount of water (see feeding guide) into a sterilised bottle, carefully - the water is hot. Do not use artificially softened or repeatedly boiled water.Soya formula milks have been used for over a century, are safe and have shown to promote growth and development comparable to that of breastfed babies or babies fed cow’s milk formula. Whilst this product is made under strict hygienic conditions, it is not sterile. Failure to follow instructions on preparation and storage may make your baby ill. alternative to SMA Althera for established cows’ milk protein intolerance, with or without secondary lactose intolerance Product Transition: This product has been updated to SMA Soya Infant Formula. During this transition period either SMA Wysoy or Soya may be supplied.*** We believe that breastfeeding is the ideal nutritional start for babies and we fully support the World Health Organization’s recommendation of exclusive breastfeeding for the first six months of life followed by the introduction of adequate nutritious complementary foods along with continued breastfeeding up to two years of age.

Approx. Age of Baby: 2 months; Approx. Weight of Baby: 5.3kg, 11 3/4lb; Preparation for Single Feeds: Level scoops: 5, Cooled, Freshly Boiled Water: 150ml, 5fl. oz (approx.); Feeds in 24 Hours: 5 Leeds Primary Care: Prescribing specialist infant formula in Cow’s Milk Protein Allergy (CMPA), Gastro-oesophageal reflux disease (GORD) & lactose intolerance These formulas have been tested in babies with allergies and have proven to be safe. Because of the protein hydrolysis, some babies do not find them pleasant and might dislike them. Breastmilk and formula milk should always be given on demand: every time baby asks for it and as much or as little as he or she wants. Needs are very variable between babies and even in the same baby from day to day; the amounts shown in the table are for guidance only.Approx. Age of Baby: Birth - 2 months; Approx. Weight of Baby: 5.3 kg, 11 3/4 lb; Preparation of Single Feeds: 5 Level scoops, Cooled, Freshly Boiled Water: 150 ml, 5 fl. oz. (approx.); Feeds in 24 Hours: 5

Pull the safety seal and open the lid. The scoop is provided under the lid. Lift the tab, pull on the foil seal carefully and safely remove the seal and dispose of it. It is almost entirely vegan. The only ingredient that is of animal origin is vitamin D, which accounts for a tiny fraction of the overall content. SMA WySoy is fortified with plant-based DHA (omega-3).Place the sterilised teat and cap on the bottle and shake well until powder is fully dissolved. Cool bottle under cold running water or in a bowl or jug of cold water until lukewarm, do not immerse the teat. Test temperature by shaking a few drops onto the inside of your wrist. For toddlers who are not eating a good variety of solid foods, who have low appetite or who are experiencing poor weight gain, these are good options instead of regular soya milk: