1. FREQUENTLY ASKED QUESTIONS
Do Nutribén® products contain egg?
No Nutribén® product contains egg or egg products.
Does Nutribén® produce transgenic products?
At Nutribén® we do not produce any transgenic products.
What are the adverse reactions to cow's milk proteins?
According to the classification of adverse reactions to foods proposed by the European Academy of Allergy and Clinical Immunology (EAACI), two large groups of adverse reactions to cow’s milk proteins may be differentiated from a pathogenic point of view.
Cow’s milk protein allergy (CMPA)
Immunological mechanism adverse reactions to cow’s milk proteins. Sensitisation (development of a reaction) in highly sensitive children occurs during the first contact of foreign proteins with the immune system. Clinical manifestations are classified into immediate, intermediate or delayed according to the time elapsed since intake of cow’s milk proteins and appearance of clinical symptoms. These symptoms may appear in many organ systems, with specific symptoms:
- Gastrointestinal tract: vomiting, reflux, diarrhoea, constipation, etc.
- Skin: dermatitis, eczema, hives.
- Respiratory tract: laboured breathing, asthma.
- Behavioural symptoms: crying, shaking, apathy.
Cow’s milk protein intolerance (CMPI)
Adverse reactions to cow’s milk proteins in which a pathogenic mechanism cannot be established. This term is used in clinical practice to describe clinical reactions normally with digestive symptomatology, caused after intake of cow’s milk, and in which an IgE-mediated mechanism cannot be proven.
There are also other types of intolerances. Lactose intolerance is defined as maldigestion of lactose as a consequence of intestinal lactase deficiency.
When someone has intestinal lactase deficiency, lactose that is not digested goes to the intestine where it is fermented by the flora, producing water, short-chain fatty acids (acetate, butyrate, lactate) and gas (CO2, methane and hydrogen). This causes intolerance symptoms such as flatulence, abdominal pain, etc.
There are many procedures to diagnose lactose intolerance, such as the presence of reducing substances in stool, quantifying their pH level, the oral lactose tolerance test, and the hydrogen breath test. The diagnosis is confirmed by checking whether symptoms improve after removing milk from the diet. Treatment consists of removing lactose from the diet.
How do I know if my baby has any food allergies or intolerances?
Food allergy is an illness that is steadily growing in children. Sensitisation to food allergens tends to occur during the first few months of life. It is defined as an immunological reaction to harmless substances that are present in foods. The immune system produces specific antibodies against specific protein structures in the diet. These types of reactions are called allergic reactions. Basic treatment for food allergies and intolerances is excluding from the patient’s diet the food or foods that are deemed to cause the symptomatology.
In order to prevent food allergies, mothers are encouraged to breastfeed, limit intake of some foods while breastfeeding high-risk children, use highly hydrolysed formulas if breastfeeding is not an option, delay complementary feeding, and ensure that the complementary foods introduced into the diet are non-allergenic. These are the most accepted recommendations to prevent food allergies in high-risk children and decrease, or at least delay, the appearance of allergic symptoms.
One of the foods that produces the most adverse reactions in early childhood is cow’s milk or formulas that contain intact cow’s milk proteins.
What is gluten intolerance?
Gluten is a protein found in most grains: wheat, barley, rye, oats, etc. Grains that do not contain gluten are rice and corn.
In genetically predisposed individuals, gluten is the cause of coeliac disease (CD). CD is a permanent intolerance to gluten. CD causes an atrophy of the intestinal villi which leads to maldigestion of nutrients: proteins, carbohydrates, fats, minerals and vitamins. The most common symptoms are: loss of appetite, loss of weight, chronic diarrhoea, abdominal bloating, mood swings, growth retardation in children. Treatment consists of removing gluten from the diet.
If you suspect that your child may have a food intolerance, speak to your doctor.
Why should excessive consumption of sugar be avoided from a young age?
Avoiding sugary foods helps prevent tooth decay, among other dental diseases, as well as obesity. Therefore, the sooner a baby becomes used to flavours that are not excessively sweet, the less likely it is that they will want these flavours in the future, thus creating good food habits.
2. BREASTFEEDING
IMPORTANT: Breast milk is the best milk for your baby. Nutribén® products for newborns are recommended when breastfeeding is not possible or insufficient. You should follow the advice of your competent health professional.
How should I transition my baby from breast milk to formula?
What are the first foods that I should introduce to my baby's diet?
From 4 months onwards, the following can be introduced: juices, fruit purées, gluten-free cereals and cereals that gradually introduce gluten.
From 6 months onwards, the following can be introduced: baby cereals containing gluten, vegetable purées, white meat and/or beef. Follow-on formula
From 8-10 months onwards the following can be introduced: white fish purées and/or pulses.
From 12 months onwards, the following can be introduced: Nutribén® breakfast cereals and porridges. Growing-up milk
When should I introduce solid foods to my baby's diet?
When can I start feeding my baby cow's milk? Why is it not recommended early on?
The reason for this is that until that moment your baby’s digestive and renal system is still developing and the amount of mineral salts and proteins in cow’s milk may be excessive. Also, cow’s milk is rich in saturated fat and low in iron and essential fatty acids.
3. BABY FORMULAS
IMPORTANT: Breast milk is the best milk for your baby. Nutribén® products for newborns are recommended when breastfeeding is not possible or insufficient. You should follow the advice of your competent health professional.
What type of water should I use for my baby's bottle?
- Drinking water: Always boiled from 1 to 5 minutes to remove any bacteria it may have.
- Mineral water: Always choose water that is low or very low in minerals and boil it as in the case above.
How should I prepare a bottle and what portions should I use?
To correctly prepare a bottle, follow the instructions below. Not following these preparation instructions carefully may be harmful to your baby’s health.
- Wash your hands well.
- Wash the utensils that you will need (bottle, teat, and screw ring). Sterilise the bottle, teat and screw ring in boiling water for 5 minutes.
- Boil water and let it cool to lukewarm temperature, at 45 °C. Pour the appropriate amount into the bottle.
- Add the number of levelled scoops recommended in the Dosage Table featured on Nutribén® formula packaging.
- Close the bottle and shake until the formula is completely dissolved.
- Before feeding your baby, check that the milk is at the appropriate temperature.
- The feed should be consumed immediately. Never keep the leftover feeds.
This table is based on average requirements, and should be followed unless your doctor states otherwise.
*One levelled scoop is equal to approximately 4,5 gr.
How long can a bottle be left prepared?
Bottles should be prepared right before feeding. Any leftovers should be thrown away.
What milk can be given to babies who are allergic to cow's milk?
Hydrolysed formula (Stage 1, for 0 to 6 months, and Stage 2, for 6 months and onwards) and soya formula.
What milk can be given to babies who are lactose intolerant?
- Lactose free formula (Stage 1, for 0 to 6 months, and Stage 2, for 6 months and onwards).
- – Hydrolysed formula (Stage 1, for 0 to 6 months, and Stage 2, for 6 months and onwards).
- Soya milk
Is it normal that my baby's stool is green when fed with hydrolysed formula?
Hydrolysed formulas may cause your baby to have thicker dark green stools that are less consistent. This is because the formula may cause high levels of motilin, which lead to a faster intestinal transit, contributing to a lower rate of water re-absorption and a higher amount of stercobilinogen (green colour), which due to the decrease in transit time, does not transform into stercobilin (brown colour). Under no circumstances does this mean that you should stop using these formulas if they are meant for your baby.
Can I feed my baby more scoops of milk than the indicated amount?
The number scoops indicated on the packaging is indicative. If your baby is still hungry, add another scoop. However, bear in mind that you should add one scoop per 30 ml of water.
Is it normal that there is foam in the bottle?
Yes, it may be due to shaking the bottle or caused by your baby.
Does Alter Farmacia give samples of First infant formula 1?
No, samples are prohibited in order to encourage breastfeeding.
Does Alter Farmacia give samples of hydrolysed formula to mothers?
Alter Farmacia does not send samples of special formulas to mothers. Only your health professional may give you such samples.
How long can a baby formula package be kept open for?
We recommend that the package be stored in a cool and dry place when unopened. Once opened, close it well with the plastic lid and store in a cool and dry place. Once opened it should be used within one month.
What is the difference between formula and the proalpha line?
Alpha-lactalbumin is a predominant protein in breast milk. However, baby formulas contain quite low amounts of this protein. This is what makes the amino acid profile in one milk different from another. We must add a higher amount of protein to baby formulas than the amount present in breast milk. This excess of proteins may lead to a high concentration of solutes in the kidney (making the baby’s system work harder, which is counter-productive in a system that is not yet developed). This is why our Nutribén® Proalpha line contains alpha-lactalbumin, a protein with high biological value. This will provide your baby with the amino acids that are essential for their proper development without the excess proteins. It also contains all the nutrients necessary during each stage to contribute to your baby’s proper development.
- Nutribén® Pro-α Natal
- Nutribén® Pro-α Follow-on.
- Nutribén® Pro+ Growing-up.
To find out more about the Proalpha line, visit our website to view the product sheet.
Do Nutribén® cereals contain sugar?
Our Nutribén® cereals are made without added sugar, as recommended by paediatric nutritionists. We make them using a natural non-chemical process: thermal hydrolysis. This has meant a significant technological advance, and allows us to preserve the original flavour of grains. One of the many benefits of thermal hydrolysis is that it produces less sugar.
The following cereals are sugar free:
- Rice cereal 300 g
- Gluten-free cereals
- First fruits
- Introduction to bottle
- Introduction to gluten
- 5 Grains
- 5 Grains fibre
- Growing-up 300 g and 600 g
- 8 Grains
- 8 Grains Digest
- 8 Grains Marie biscuits
Do Nutribén® cereals contain traces of milk?
Currently we cannot guarantee that cereals do not contain traces of milk, given that they are packaged on the same production lines as other products that contain milk or milk products, meaning that they may contain traces of milk. This is indicated on the packaging. We have started making gluten-free cereals that do not contain traces of milk, but this should be indicated on the packaging (it should not read ‘may contain traces of milk’).
Which cereals do not contain traces of milk?
All gluten-free cereals:
- Introduction to bottle
- Gluten-free grains
- First fruits -
- Rice cereal, provided that it is not a jar from an old batch, in which case the packaging will indicate that it contains gluten.
When should I introduce complementary foods to my baby's diet?
As of 4 months and before 7 months.
Before 4 months, you should exclusively feed your baby with breast milk. When breastfeeding is not possible, use first infant formula, provided that you are advised to do so by a competent healthcare professional.
4. CEREALS
Do Nutribén® cereals contain sugar?
Our Nutribén® cereals are made without added sugar, as recommended by paediatric nutritionists. We make them using a natural non-chemical process: thermal hydrolysis. This has meant a significant technological advance, and allows us to preserve the original flavour of grains. One of the many benefits of thermal hydrolysis is that it produces less sugar.
The following cereals are sugar free:
- Rice cereal 300 g
- Gluten-free cereals
- First fruits
- Introduction to bottle
- Introduction to gluten
- 5 Grains
- 5 Grains fibre
- Growing-up 300 g and 600 g
- 8 Grains
- 8 Grains Digest
- 8 Grains Marie biscuits
Do Nutribén® cereals contain traces of milk?
Currently we cannot guarantee that cereals do not contain traces of milk, given that they are packaged on the same production lines as other products that contain milk or milk products, meaning that they may contain traces of milk. This is indicated on the packaging. We have started making gluten-free cereals that do not contain traces of milk, but this should be indicated on the packaging (it should not read ‘may contain traces of milk’).
Which cereals do not contain traces of milk?
All gluten-free cereals:
- Introduction to bottle
- Gluten-free grains
- First fruits -
- Rice cereal, provided that it is not a jar from an old batch, in which case the packaging will indicate that it contains gluten.
When should I introduce complementary foods to my baby's diet?
As of 4 months and before 7 months.
Before 4 months, you should exclusively feed your baby with breast milk. When breastfeeding is not possible, use first infant formula, provided that you are advised to do so by a competent healthcare professional.
How should I introduce complementary foods to my baby's diet?
New foods should be introduced gradually:
- First complementary foods should be introduced 1 by 1
- You should not force your child to eat them
- You should check that your baby is not intolerant
- You should give your baby time to get used to the flavour
- You should let a few days pass between introduction of different foods
Why do you have to start with gluten-free cereals?
A child with gluten sensitivity will be intolerant before and after 6 months. You should start with gluten-free cereals because symptoms of a possible gluten intolerance are easier to treat if the baby is older.
Why are Nutribén® GLUTEN-FREE cereals endorsed by the Spanish Federation of Coeliac Associations?
The analyses carried out have shown figures less than 10 ppm, and the maximum permitted limit is 20 ppm. Therefore, our cereals have a much lower level of gluten than those required by the ESPGHAN.
Why do gluten-free cereals thicken more than the others?
Because they are prepared using only hydrolysis and pregelatinisation, meaning that they contain fewer simple sugars.
Why do some paediatricians recommend cereals CONTAINING gluten or a MIX of gluten + gluten free from the age of 4 months?
The ESPGHAN has recently stated that these studies are not conclusive.
We have developed a cereal to introduce gluten gradually.
What type of milk does the 'Gluten-free cereal with adapted milk' contain?
Milk with protein adapted (whey protein and casein ratio) to the needs of a baby that is 4 months and onwards.
The other ingredients comply with Directive 2006/125 on processed cereal-based foods and baby foods for infants and young children, and according to the recommendations provided by the ESPGHAN.
What is the difference between Nutribén® cereals and other cereals?
The technological process used, thermal hydrolysis and the lower percentage of sugar.
What are the benefits of thermal hydrolysis?
It is a natural thermal process in which no enzymes are added. It allows us to make cereals that are not too sweet, meaning that babies do not become used to sweet flavours.
Why do Nutribén® Cereals contain a lower percentage of sugar than other cereals?
Because of the thermal hydrolysis process, which produces less monosaccharides and disaccharides.
What are the consequences of adding maltodextrin to cereals?
It has the same consequences as adding other carbohydrates. It gives babies the energy they need, and in a natural way as it is hydrolysed corn starch.
Why do Nutribén® cereals have a higher % of carbohydrates?
The percentage of carbohydrates is similar to other cereals, what is different is the % of grains. We achieve a similar % of carbohydrates using a smaller amount of grains. This is because we add hydrolysed starches from grains because, given the more natural thermal process that we use, we cannot use a large amount of grains.
Is there a lot of difference in energy between Nutribén® cereals and other cereals?
No. All cereals contain more than 80% of carbohydrates. 100 g of carbohydrates provide 400 kcal.
Why does Nutribén® have a lower % of grains compared to other brands?
It is due to the process. In order to carry out the thermal hydrolysis process and break down the starches, we must first make a wet mixture using a limited amount of starches. Using too much would cause it to thicken and block the cooking equipment. This is why we have to add fewer grain flours and complete the necessary carbohydrate level by adding sugar and maltodextrin. Other brands hydrolyse the flours enzymatically before treating and drying them. This allows them to achieve a high level of hydrolysis, obtaining monosaccharides, disaccharides, and oligosaccharides. Meaning they obtain sugar levels that are similar to the ones we obtain by adding maltodextrin and sugar. The result obtained is the same, what differs is the process.
Could it be argued that by adding less grains, there is also a smaller amount of proteins compared to other brands?
No, grains have very little protein. They are not a significant source of proteins, unlike foods of animal origin (meat, milk, eggs, etc.). Although our cereals have less protein, the difference when compared to other brands is insignificant and cannot be argued to be an advantage. The amount of proteins in baby cereal is legally regulated, it should be below 5.5 g/100 kcal. Furthermore, once the cereal is reconstituted, the main source of protein is milk, as grains barely provide protein in the final reconstitution. For example, if you add 12% of the cereal in our box of 8 Grains and honey, the amount of protein provided by grains would be 0.78 g/100g.
Which Nutribén® Cereal boxes state that they may contain 'traces of milk'?
All of them except Gluten-free non-dairy cereals.
Why do only Gluten-free cereals not contain traces of milk?
Because they undergo an exhaustive cleaning process to remove both traces of milk and gluten. CMPA usually begins when babies start eating gluten-free cereals. From then on, its occurrence in children decreases.
Why do Nutribén® cereal boxes state that they may contain traces of lactose?
Because the law obligates to declare this when they are produced on the same production line as products with lactose. After making the cereals with adapted milk, the milk content is very low or non-existent because it is carefully removed. The risk of any issue is very low. However, we still cannot give a 100% guarantee.
Are the fruits in Nutribén® Fruit Cereals natural?
Yes, they are natural. They are derived from fruit purées or juices. They are mixed with grain flours and then dried. Other brands use dried fruit. We do not.
Can I feed my baby Nutribén® Wheat and Fruit Breakfast Cereal before 12 months?
Although the Wheat and Fruit cereal is developed for babies aged 12 months and onwards, you may feed them to your baby from 6 months and onwards. It should be noted that they are not the same as the ‘Wheat Flakes and Fruit’ cereal, which, due to its texture, cannot be given to babies under 12 months. Although it is gluten free, babies under 12 months may also try the First Fruits Cereal which does not contain honey.
Why do Nutribén® Cereals contain saturated fats, though in small amounts?
They contain saturated fats but, it is a very small amount and insignificant amount, 50% of it comes from the grain itself and the other 50% from fat that we add.
When can I start feeding my baby Nutribén® Breakfasts?
Our breakfast cereals are developed for 1-year old children and onwards.
What is the difference between Nutribén® Breakfasts and other cereals?
- Energy distribution adapted.
- For children of this age.
- The texture of small flakes.
- The Mediterranean diet.
- Content: grains, milk and fruit.
- No added fat.
- Unlike other cereals that add vegetable fat.
- Iron and calcium.
- Vitamins and minerals.
Why are Nutribén® Breakfasts better than other flakes?
- Their composition.
- A new BREAKFAST concept that no other brand provided.
- Adapted for children from 1 year old and onward.
- Nutribén® products are well-known in Pharmacies and Parapharmacies and the media.
Do the cereals with honey have too much sugar?
Nutribén® cereals with honey have a low percentage of honey (5%). The total % carbohydrates such as sugars is within the values recommend by standards in force. They do not cause babies to get used to sweet flavours.
Are the Nutribén® Cereals with honey safe?
They do not cause babies to get used to sweet flavours:
- They contain a relatively low % of honey (5%).
- The total % of carbohydrates including sugar is within the recommend values.
They are extra safe:
- Honey is analysed before being used, to ensure that there are no Clostridium botulinum spores.
- It then undergoes double thermal processing to further guarantee that there are no spores.
Can honey be an allergen for a 6 month old baby?
In theory it cannot. Only a cross reaction with wormwood pollen (St. John’s wort) and some food other foods such as hazelnuts, pistachios, almonds, peanuts, camomile, honey, beer, etc. St. John’s wort even causes a cross reaction with some medications.
5. POTITOS®
Do Potitos® contain milk?
Some Potitos® jars contain milk:
- Ham, beef and vegetables 200 g and 250 g
- Potato and sole purée 200 g
- Hake with rice 200 g and 250 g
- Pea and ham dinner 200 g
- Vegetable and turkey purée dinner 200 g
- Vegetable and hake purée dinner 200 g
- Vegetable purée dinner 200 g
Are there traces of milk in the Potitos® jars that do not contain milk?
The jars that do not contain milk do not contain traces of milk.
Why do you say that Nutribén® Potitos® jars have optimal quality and safety?
Because they are made with ingredients that are controlled from their origin and from their agriculture and livestock farms. Nutribén® suppliers must comply with a strict control system. We verify that they meet our strict quality regulations.
What oil do Potitos® jars contain?
They contain 100% olive oil, or a mix of virgin and refined olive oil.
Why do you add protein to Potitos® jars?
They contain slightly more meat and fish than other products, but the energy balance is appropriate and they abide by the ESPGHAN recommendations.
Should unopened Potitos® jars be refrigerated?
It is not necessary, they may be stored at room temperature. Do not store them in direct sunlight.
How do I know that a Potitos® jar has not been opened?
As our jars are vacuum-packed, when you open them you should hear a ‘pop’. This guarantees that the jar is in optimal condition. We check the packaging twice in the factory to ensure it is properly shut.
Can I freeze the Potitos® jars?
It is not recommended. Freezing and defrosting jars may modify the texture of the contents.
Can I heat the Potitos® jars in the microwave?
Yes. Ensure that the lid is removed. Stir them with a spoon before heating. They may also be heated in a bain-marie. Before feeding them to your baby, check that they are not too hot.
How do the Potitos® jars not spoil if they do not contain preservatives?
Potitos® jars are sterilised in an autoclave after they are prepared, they are then vacuum sealed. Preservatives are not necessary. You will know that a jar is in optimal condition when you hear a ‘pop’ upon opening. This guarantees that the vacuum has remained sealed.
What is the difference between the classic Potitos® jars and the potitos® dinner jars?
The dinner jars contain less fat and proteins so that they are lighter and easier for your baby to digest at night. They contain more carbohydrates, adapted to the needs of your baby at night.
Can the Potitos® jars that contain milk be used instead of the bottle?
No, milk is added to improve texture and flavour. It is not intended to replace the bottle.
The Dinner jars may partly substitute the bottle. They contain adapted protein, meaning that they may be used to substitute part of the bottle feed.
Are Potitos® jars that contain milk suitable for children with CMPA or lactose intolerance?
No, they are they are the only jars that are not suitable.
Other brands mention the word 'purée' in the ingredient list of their Fruit Jars, but Nutribén® Potitos® do not, they only state the ingredients. Why do they use the word purée, when they are all purées?
They use the word ‘purée’ because they are made from puréed fruit. We also use puréed fruit, but we prefer to specify the fruit ingredients only. There is no legislation in this regard that obligates brands to specify the texture of the fruit used.
Why is there liquid at the top of the Potitos® jar when heated? This does not occur with jars from other brands.
It is because our potitos® jars are not as thick as those of other brands. Other brands create thick and lumpy jars (they contain too much starch). Our jars have a smoother and runnier texture. When the jars are heated in the microwave, more heat is concentrated at the top, which is why it turns more liquid. This occurs with our jars as they are not as thick as others.
Why do Potitos® jars no longer contain salt?
Because we follow NAOS recommendations (Spanish Strategy for Nutrition, Physical Activity and the Prevention of Obesity) provided by the Spanish Ministry of Health and Consumer Affairs and those of the AESAN (Spanish Food Safety and Nutrition Agency).
Their objective is to educate the public about the problem posed by obesity and high blood pressure to health, and to promote initiatives so that both adults and children adopt healthy habits. We do our part by removing salt from our jars, so that children do not become used to the salty taste.
Su objetivo es sensibilizar a la población del problema que representa para la salud la obesidad y la hipertensión y la necesidad de promover iniciativas para que tanto adultos como niños adopten hábitos saludables. Nosotros contribuimos quitando la sal a los Potitos® para que el niño no se habitúe al sabor salado.
Does any Potitos® jar contain celery?
No, none of our jars contain celery.
Only one of our EcoPotitos® jars that is made of meat includes the sentence ‘May contain traces of celery’. This is because a supplier has been unable to guarantee that there are no traces of celery in one of their ingredients. We specify that sentence regarding traces of celery as a temporary measure, and hope to have a solution soon.
What does the Spanish Paediatric Society recommend regarding the introduction of vegetables to my baby's diet?
It recommends introducing vegetables as purées from 6 months onwards. The vegetables that should be avoided are spinach, cabbage, and beetroot, as they may cause methaemoglobinaemia due to their nitrate content. They recommend that those vegetables be introduced to the diet from 12 months onwards.
What type of ham is used in Potitos® jars?
We do not use cold cuts. We use lean and bone-less muscle meat.
This meat and all other meats we receive are not processed and may be easily traced. Just like the other ingredients, it is cooked in our cookers.
Why is cold cut ham not used?
Because cold cut ham is a processed food and it is more difficult to use due to its salt content and other additives (preservatives, stabilisers…) that are not permitted for this age group. Both our specifications and baby food requirements are very strict. For example, many elements are controlled, such as fat levels, animal feed, non-existence of antibiotics and prohibited substances.
6. JUICES AND INFUSIONS
What is the difference between Alivit® Nature infusions and other baby infusions?
It contains lemon verbena while other infusions do not. It is recommended for babies in order to facilitate natural burping. It complements the action of camomile and fennel.
What is the difference between Alivit® Night infusions and other baby infusions?
Alivit® Night contains orange blossom while others do not. Orange blossom generates a calming effect, unlike other infusions that do not contain it and contain camomile and fennel, which do not have a calming effect. The Alivit® Night formula (linden, lemon balm and orange blossom: Agua del Carmen) is used successfully for babies with restless sleep.