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. Type 3 (mild): Symptoms of type 3 SMA (also called Kugelbert-Welander or juvenile-onset SMA) appear after a child’s first 18 months of life. Some people with type 3 don’t have signs of disease until early adulthood. Type 3 symptoms include mild muscle weakness, difficulty walking and frequent respiratory infections. Over time, symptoms can affect the ability to walk or stand. Type 3 SMA doesn’t significantly shorten life expectancy.

Sela DA, Mills DA. Nursing our microbiota: molecular linkages between bifidobacteria and milk oligosaccharides. Trends Microbiol. 2010 Jul;18(7):298-307. Muscle biopsy: Rarely, a physician may perform a muscle biopsy. This procedure involves removing a small amount of muscle tissue and sending it to a lab for examination. A biopsy can show atrophy, or loss of muscle. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA). (2014). Scientific Opinion on the substantiation of a health claim related to zinc and normal function of the immune system pursuant to Article 14 of Regulation (EC) No 1924/2006. EFSA Journal, 12(5), 3653.Approx. age of baby: 7 - 12 months; Approx. weight of baby: - kg, - lb; Preparation for single feeds: Level scoops: 7, Cooled, freshly boiled water: 210 ml, fl. oz. (approx.): 7, Feeds in 24 hours: 3 Pull the safety seal and open the lid. Lift the tab, pull on the foil seal, carefully and safely remove the seal and dispose of it.

Selectively feeding good bacteria within the gut, where 70–80% of the human body’s immune cells live 1SMA® ADVANCED First Infant Milk. It is an easy to digest, nutritionally complete breast milk substitute and our most advanced infant milk yet. Enriched with Omega 3 & 6 LCPs and made with protein broken into smaller pieces.

Assisting gut barrier function, which can help prevent pathogen binding to the intestinal cells 1,3 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. Place a lid on the beaker, or teat and cap on the bottle and shake well until powder is fully dissolved. Cool beaker/bottle under cold running water or in a bowl or jug of cold water until lukewarm, do not immerse the lid/teat. Test temperature by shaking a few drops onto the inside of your wrist. EU Regulations set out the criteria for the mandatory nutritional composition of Infant and Follow-on milks. These regulations state that it is not a necessity to add GOS/FOS (non-digestible oligosaccharides) to Infant formula and Follow-on milks, so we have chosen not to in our LITTLE STEPS milks.

GENERAL SMA® ADVANCED QUESTIONS

Bosheva, M., Tokodi, I., Krasnow, A., Pedersen, H. K., Lukjancenko, O., Eklund, A. C., Grathwohl, D., Sprenger, N., Berger, B., Cercamondi, C. I., & 5 HMO Study Investigator Consortium (2022). Infant Formula With a Specific Blend of Five Human Milk Oligosaccharides Drives the Gut Microbiota Development and Improves Gut Maturation Markers: A Randomized Controlled Trial. Frontiers in nutrition, 9, 920362. https://doi.org/10.3389/fnut.2022.920362 Approx. age of baby: 6 months; Approx. weight of baby: 7.6 kg, 16 3/4 lb; Preparation for single feeds: Level scoops: 8, Cooled, freshly boiled water: 240 ml, fl. oz. (approx.): 8, Feeds in 24 hours: 4 Over time, people with SMA experience progressive muscle weakness and loss of muscle control. Potential complications include:

If you’re pregnant and have a family history of SMA, prenatal tests can determine if the developing fetus has the disease. These tests slightly increase the risk of miscarriage or pregnancy loss. Prenatal tests for SMA include: Approx. age of baby: 4 months; Approx. weight of baby: 6.7 kg, 14 3/4 lb; Preparation for single feeds: Level scoops: 6, Cooled, freshly boiled water: 180 ml, fl. oz. (approx.): 6, Feeds in 24 hours: 5Place 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. 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. At 6 months, you may want to consider moving to SMA® ADVANCED Follow-on Milk, specifically tailored for babies from 6 months as part of a varied weaning diet. It is the 1st follow-on formula in the UK and Ireland to contain 2'FL and LNnT. Specially tailored with protein broken into smaller pieces. It contains Zinc and Vitamins A, C & D to help support the normal function of baby's immune system and Iron which contributes to normal cognitive development in baby's brain.