Neocate Spoon for weaning and beyond Neocate Spoon guide for children with Cows’ Milk Allergy Neocate Spoon is a food for special medical purposes and must always be used under medical supervision. Contents Contents Introduction 3 Foreword .............................................................................................. 3 Introducing your child to new foods .................................................... 4 5 golden rules for introducing new foods ............................................ 4 What if your child reacts to new foods? .............................................. 5 Weaning ............................................................................................... 6 What is Neocate Spoon? ..................................................................... 10 Recipes 11 Stage 1 l Avocado and Melon Surprise ........................................................... 14 l Tasty Sweet Potato and Carrot ........................................................ 15 l Creamy Fruity Mash ......................................................................... 16 l Potato and Leek Puree .................................................................... 17 l Pea and Courgette Sauce ............................................................... 18 Stage 2 l Roasted Root Vegetables with Chicken ........................................... 20 l Fish and Vegetable Pie .................................................................... 21 l Tropical Fruit Salad with Avocado .................................................... 22 l Pasta with Beef and Vegetable Sauce ............................................. 23 l Fruity Banana Pudding .................................................................... 24 Stage 3 l Fabulous Bean Feast ....................................................................... 26 l Tasty Lamb with Apple ..................................................................... 27 l Pork and Red Pepper Pasta Surprise .............................................. 28 l Salmon with Potato and Spinach ..................................................... 29 l Creamy Fruit Muesli ......................................................................... 30 Stage 4 l Lamb and Aubergine Casserole ....................................................... 32 l Chicken and Orange Dinner ............................................................. 33 l Vegetable Korma ............................................................................. 34 l Mushroom and Leek Risotto ............................................................ 35 l Fruity Fingers .................................................................................... 36 Beyond Stage 4 2 37 Foreword Introduction Foreword The diagnosis of a food allergy during childhood poses several challenges for both parents and the healthcare professional involved in their care. The mainstay of treatment involves the elimination of the offending food (e.g. milk), whilst the diet remains nutritionally complete and promotes normal growth and development. Such an avoidance diet, however, requires being practical for the parents whilst allowing the child to achieve their feeding milestones (i.e. development of taste and texture tolerance). Accomplishing this can be quite a challenge, especially in young children with multiple food allergies. The introduction of weaning foods is a major feeding milestone. However what is supposed to be a time of taste and texture exploration can turn into a feeding nightmare for many parents caring for a child with food allergies. Hypoallergenic weaning foods that are enriched with essential nutrients may provide a good starting point for parents and allow them to gain confidence in the weaning process and expand the diet. These foods may also contribute energy, protein and essential vitamins and minerals to the diets of children who are lacking these nutrients due to their elimination diets. Although nutritional management of children with food allergies remains challenging, the appropriate use of enriched hypoallergenic weaning foods may assist in ensuring nutritional adequacy, allowing for the development of normal feeding behaviour and reducing parental anxiety. Dr. Rosan Meyer Paediatric Allergy Dietitian For more information on Cows’ Milk Allergy visit www.cowsmilkallergy.co.uk 3 Introducing your child to new foods Introduction Introducing your child to new foods The introduction of certain semi-solid/solid foods into your child’s diet is often referred to by a doctor or dietitian as the “food challenge” phase. This should be done in very small quantities over time to help you understand which foods your child may be allergic to. Before you start, you should take advice from your child’s doctor or dietitian. 5 golden rules for introducing new foods 1 Start by introducing foods least likely to cause an allergic reaction 2 Introduce new foods one at a time and only when your child is well 3 Know how frequently you can introduce each new food 4 Give only small amounts of foods at first 5 4 Speak to your doctor or dietitian for advice. This way, if your child has an allergic reaction it can be quickly identified. You may need to wait between introducing certain foods. Your child's doctor or dietitian will be able to advise you on this. Try a pea-sized amount initially. If your child shows no symptoms, gradually increase the amount over several days. Continue to give your child the foods that are tolerated Introduction What if your child reacts to new foods? 5 What if your child reacts to new foods? l l l l Stop giving this food to your child immediately Record the date of the reaction and the symptoms that occurred Discuss it with your doctor or dietitian Wait approximately 1-3 days before introducing another new food “Should I reintroduce problem foods?” Most food allergies are outgrown, but some are not. There’s usually no need to avoid foods if they no longer cause a problem for your child. However it’s best to ask your child’s doctor or dietitian about when and how to reintroduce problem foods back into their diet. Weaning Introduction Weaning When to wean Each child should be managed individually and developmental signs of readiness for solid food in the child, and parental opinions, should be taken into consideration when advising on the ideal age to begin weaning. Signs of developmental readiness: l Can sit up unsupported l Showing interest in other people’s eating l Chewing fists l Waking during the night when previously had slept through l Crying between feeds – child still appears to be hungry after increasing milk feeds for a few days Developmental signs such as these are usually seen between 4-6 months. However, guidance on when to start weaning varies and you should always consult with your doctor or dietitian as to when is right for your child. Colour Smell Weaning Texture Taste Weaning is not just about the taste and texture of the new foods you choose to introduce your child to. Remember that the sight and smell of the food is also very stimulating to the child. 6 Weaning Introduction Colours Children are stimulated by different colours. Vegetables and fruits are great first taste foods and offer a huge variety of colours that can be used at each of the different stages of weaning. Top row from left; Melon, Mushroom, Red Pepper, Red Onion, Yellow Pepper. Second row from left; Green Beans, Beetroot, Kiwi Fruit, Cauliflower, Tomatoes. Third row from left; Green Lentils, Strawberries, Baked Beans, Kidney Beans, Sweetcorn. Fourth row from left; Potato, Sweet Potato, Red Cabbage, Green Pepper, Apricots. Fifth row from left; Celery, Spinach, Leeks, Carrot, Cannellini Beans. Smell Foods may be the same colour such as potato, onion and cauliflower or broccoli, peas and green pepper, but each have a very distinctive smell. Smell is an important part of tasting foods. Smell triggers saliva production in the mouth which helps the child to taste and swallow the food properly. It also aids production of digestives juices in the stomach which assists with digestion. 7 Weaning Introduction Texture Different textures can easily be obtained with the same foods by altering the amount of time mashing or blending of each food. Samples from the smoothest stages can be added to the next stage to ease transition. From top to bottom: Broccoli - Cauliflower - Butternut squash blended (2 minutes) add a little water blended (1 minute) add a little water mashed with a fork (40-50 seconds) mashed with a fork (10-20seconds) small individual pieces 8 Weaning Introduction The Stages of Weaning l l Stage 1 l l l l l l Stage 2 l l l l Stage 3 l l l l Stage 4 l l l 9 Around 6 months (26 weeks) Smooth pureed fruits and vegetables as well as baby rice Choose foods that puree easily Try one at a time first, then combine flavours For example apples, pears, carrots, avocado, sweet potato, potato, banana, mango, peach, parsnip, swede, melon Your doctor or dietitian will advise you on the introduction of eggs, fish, wheat and nuts 7 – 9 months Thicker consistency with some lumps; some soft finger foods can also be introduced at this stage More textured fruits, vegetables, baby rice, baby pasta, meat, fish, pulses, (eggs, bread and cereals if allowed) Teething foods 10 – 12 months Mashed, chopped, minced consistency; a wider variety of finger foods Fruit, vegetables, rice, pasta, noodles, meat, fish, pulses, (eggs, bread and cereals if allowed) Teething foods 12 months and older Mashed, chopped and cubed foods the family are eating Foods which allow a degree of self-feeding with and without a spoon Fruit, vegetables, rice, pasta, noodles, meat, fish, pulses, (eggs, bread and cereals if allowed) Teething foods What is Neocate Spoon? Introduction What is Neocate Spoon? Neocate Spoon is an hypoallergenic amino acid-based food for special medical purposes. Neocate Spoon powder mixes with water to form an unflavoured "spoonable" consistency. Every portion contains essential vitamins and minerals to promote balanced nutrition in infants and young children with cows' milk allergy and multiple food protein intolerance. Neocate Spoon is suitable from 6 months of age. Directions for use The total daily intake of Neocate Spoon should be determined by a doctor or dietitian only, and is dependent on age, bodyweight, and medical condition of the child. For children starting on solids, the consistency of Neocate Spoon can be altered by adding more or less water as required. Preparation 1. Wash hands thoroughly and clean the preparation area. 2. Add the prescribed amount of Neocate Spoon into a clean bowl. 3. Gradually add the required amount of water whilst stirring with a clean feeding spoon. Mix until thickened – this may take several minutes. 4. To alter the consistency add more or less water as required. 5. Discard any remaining product if not used within 1 hour of preparation. Storage Store unopened sachets in a cool, dry place. Opened sachets should be kept in an airtight container and used within two days. Adding Neocate Spoon to weaning foods Neocate Spoon can easily be added to foods at each of the weaning stages. Simply make up the recommended amount of Neocate Spoon following the instructions on the box or as specified by your doctor or dietitian and use the recipes contained within this book. For simplicity all recipes include either half or full sachets of Neocate Spoon. These measurements equate to: ¼ sachet = 9g = 2 heaped teaspoons ½ sachet = 18g = 4 heaped teaspoons 1 sachet = 37g = 8 heaped teaspoons Make sure the foods are cooled before stirring in the Neocate Spoon and serving to the baby. 10 Recipes Recipes From ‘Creamy Fruit Muesli’ to ‘Mushroom and Leek Risotto’– all the recipes in this section follow the four stages of weaning and are designed to help you manage your child’s diet, as well as making meal times fun and exciting for you both. We hope you and your child enjoy them! Basic equipment needed to prepare smooth weaning foods – Hand blender with detachable head OR – Sieve and wooden spoon OR – Small food processor – Deep narrow jug or beaker for blending – Silicone spatula – Ice cube trays for freezing small food portions – Small freezer bags It is recommended that you add Neocate Spoon to defrosted food just before serving rather than freezing the Neocate Spoon itself. 11 Recipes Allergen advice All the recipes included in this collection avoid the use of cows' milk. Make sure you check ingredient labels however, to ensure that any products used also don't contain cows' milk. The icons below indicate potentially allergenic ingredients used in the recipes throughout, to help you spot them more easily. You will find these icons on the top right hand side of every recipe should they contain any of these ingredients. Fish or shellfish Hens' eggs Peanuts or tree nuts Soya beans Wheat Please remember • • • • 12 Only use recipes if your child can tolerate all the ingredients Always check food labels to ensure ingredients are suitable for your child Don’t risk contaminating your child’s food with problem foods (like feeding your child with a spoon that’s just been used to stir a cup of milky tea) Don’t reheat cooked foods Stage 1 Recipe ideas using Neocate Spoon Stage One Recipe ideas using Neocate Spoon 13 Avocado and Melon Surprise Stage 1 Avocado and Melon Surprise 1 small slice of cantaloupe melon (50g) ½ avocado (50g) peeled ¼ sachet (2 tsp) of Neocate Spoon plus 15ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Remove the skin from the melon Mash the melon and avocado together with a fork until very smooth Stir in the Neocate Spoon thoroughly and serve 14 Tasty Sweet Potato and Carrot Stage 1 Tasty Sweet Potato and Carrot 1 small carrot (50g) peeled and diced ½ small sweet potato (50g) peeled and diced A little water ¼ sachet (2 tsp) of Neocate Spoon plus 15ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Place the sweet potato and carrot in a small saucepan with a little water Simmer until tender and then leave to cool Blend the vegetables until smooth using a food processor or hand blender Stir in the Neocate Spoon thoroughly and serve 15 Creamy Fruity Mash Stage 1 Creamy Fruity Mash 1 apple or pear (50g) peeled, cored and diced ½ avocado (50g) peeled A little water ¼ sachet (2 tsp) of Neocate Spoon plus 15ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Place the apple or pear in a small saucepan with a little water Simmer until tender and then leave to cool Blend the fruit until smooth using a food processor or hand blender Mash the avocado until smooth and add to the fruit puree Stir in the Neocate Spoon thoroughly and serve 16 Potato and Leek Puree Stage 1 Potato and Leek Puree 1 small potato (50g) peeled and diced ½ a small leek (50g) washed and thinly sliced A little water ¼ sachet (2 tsp) of Neocate Spoon plus 15ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Place the potato and leek in a small saucepan with a little water Simmer until tender and then leave to cool Blend the vegetables until smooth using a food processor or hand blender Stir in the Neocate Spoon thoroughly and serve 17 Pea and Courgette Sauce Stage 1 Pea and Courgette Sauce ¼ small onion (25g) peeled and finely chopped ½ small courgette (50g) washed and finely diced 5ml olive oil 2 tbsp of frozen petit pois or peas (25g) cooked ½ small potato (25g) cooked and mashed ¼ sachet (2 tsp) of Neocate Spoon plus 15ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil and fry the courgettes and onion gently until soft pale and tender and then leave to cool Puree the fried vegetables until smooth Add the cooked peas and mashed potato and blend again until smooth Stir in the Neocate Spoon thoroughly and serve 18 Stage 2 Recipe ideas using Neocate Spoon Stage Two Recipe ideas using Neocate Spoon 19 Roasted Root Vegetables with Chicken Stage 2 Roasted Root Vegetables with Chicken 1 small piece of roasted potato (25g) finely chopped 1 small piece of roasted parsnip (25g) finely chopped 1 small piece of roasted carrot (25g) finely chopped 1 small piece of roasted swede (25g) finely chopped 1 small piece of roasted sweet potato (25g) finely chopped 1 small piece of roasted red onion (25g) finely chopped 1 small chicken breast (100g) cooked and diced 1 tsp olive oil 3 tbsp cooled boiled water ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Place the vegetables and diced chicken into the blender with the water and oil Blend to the required consistency and leave to cool Adjust consistency with more cooled boiled water if necessary Stir in the Neocate Spoon thoroughly and serve 20 Fish and Vegetable Pie Stage 2 Fish and Vegetable Pie 1 small white fish fillet (100g) cooked and flaked into small pieces 2 tbsp cooled boiled water 1 tbsp cooked carrot (25g) mashed 2 tbsp cooked sweet potatoes (50g) mashed 1 tbsp cooked peas (25g) 1 tsp olive oil ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Place carrot, sweet potato and peas into a blender Add water, oil and fish Blend to a smooth puree and leave to cool Stir in the Neocate Spoon thoroughly and serve 21 Tropical Fruit Salad with Avocado Stage 2 Tropical Fruit Salad with Avocado ½ ripe avocado (50g) diced ½ ripe banana (50g) diced ½ kiwi fruit (25g) peeled and diced ¼ mango (50g) peeled and diced ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Place all the ingredients in a blender and puree to the required consistency Stir in the Neocate Spoon thoroughly and serve 22 Pasta with Beef and Vegetable Sauce Stage 2 Pasta with Beef and Vegetable Sauce Lean minced beef (100g) 1tsp olive oil ¼ small onion (25g) finely chopped Tomato (50g) finely chopped ¼ of courgette (25g) finely chopped ¼ red pepper (25g) finely chopped Pinch of oregano 50g cooked small pasta shapes ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil in a small pan Fry the mince and onion until lightly browned Add the pepper and courgette and stir Fry for a further 2 minutes Add the tomato and oregano and stir Simmer gently for 10 minutes Place in a blender and puree to required consistency Adjust with cooled boiled water if necessary Stir in the Neocate Spoon thoroughly and serve 23 Fruity Banana Pudding Stage 2 Fruity Banana Pudding 1 small ripe banana (75g) roughly mashed 1 ripe peach (75g) skinned and finely chopped ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Place the banana and peach into a blender Blend to the required consistency Stir in the Neocate Spoon thoroughly and serve 24 Stage 3 Recipe ideas using Neocate Spoon Stage Three Recipe ideas using Neocate Spoon 25 Fabulous Bean Feast Stage 3 Fabulous Bean Feast 1-2 tsp olive oil Onion (25g) finely chopped Green beans (50g) cooked and very finely chopped Haricot beans (25g) Cannellini beans (25g) Kidney beans (25g) Butternut squash (25g) peeled and finely diced Tomato (50g) chopped ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil in a small pan and fry the onion until lightly brown and soft Add the butternut squash and green beans Fry for 2-3 minutes until the squash begins to soften Add the chopped tomatoes, beans and basil and simmer for 5 minutes Blend or mash to required consistency and leave to cool Adjust consistency with more cooled boiled water if necessary Stir in the Neocate Spoon thoroughly and serve 26 Tasty Lamb with Apple Stage 3 Tasty Lamb with Apple Minced lamb (100g) ½ apple (50g) grated Apple juice (50ml) ¼ courgette (25g) washed and diced ¼ onion (25g) finely chopped ½ small carrot (25g) peeled and diced Pinch of cinnamon (optional) Pinch of dried tarragon (optional) ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian In a small pan fry the lamb in its own fat until lightly browned Add the onion and cook until softened Add the apple and courgette and stir Add the apple juice and simmer for 10 minutes Add the herb and spice (optional) and simmer for 5 minutes Transfer to the blender and blend to required consistency and leave to cool Adjust consistency with more cooled boiled water if necessary Stir in the Neocate Spoon thoroughly and serve 27 Pork and Red Pepper Pasta Surprise Stage 3 Pork and Red Pepper Pasta Surprise 1-2 tsp olive oil ½ small onion (50g) finely chopped Lean pork fillet (100g) cut into very small cubes ¼ red pepper (25g) deseeded and finely chopped Tomato (25g) chopped ¼ apple (25g) peeled, cored and finely chopped 2 tbsp cooled boiled water Cooked pasta shapes (25g) 2 fresh basil leaves finely chopped ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil in a small pan Fry the onion and pork together until golden brown Stir in the diced pepper and apple. Cook for 3-4 minutes until the vegetables are soft. Stir in the chopped tomato and basil Cook for 1 minute until the basil is softened. Add the cooked pasta Blend with the water to required consistency and leave to cool Adjust consistency with more cooled boiled water if necessary Stir in the Neocate Spoon thoroughly and serve 28 Salmon with Potato and Spinach Stage 3 Salmon with Potato and Spinach 1 small fresh salmon fillet (100g) check for bones and cut into small cubes 1 small potato (50g) cooked 1 tsp olive oil Spinach (10g) washed Small piece of onion (15g) peeled and finely chopped Dash of lemon juice 2 tbsp water ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil in a small pan Fry the onion gently for a few minutes until soft Stir in the salmon and cook for 2-3 minutes until the fish is cooked Add the spinach and lemon juice and continue to cook until the spinach has wilted. Add the water and and leave the mixture to cool Add the cooked potato Blend or mash to required texture. Adjust consistency with cooled boiled water if required Stir in the Neocate Spoon thoroughly and serve 29 Creamy Fruit Muesli Stage 3 Creamy Fruit Muesli Dried apricots (25g) soaked overnight in a little cooled boiled water Dried raisins (25g) soaked overnight in a little cooled boiled water 1 small ripe apple (50g) peeled, cored and grated 1 small ripe pear (50g) peeled, cored and grated 50ml cooled boiled water Rolled oats (30g) ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Place the oats and water into a small pan Simmer gently until thickened (for 3-4 minutes) Add the freshly grated apple and pear and cook for 2-3 minutes Stir in the pre-soaked dried fruits Place in a blender and puree to the required consistency and leave to cool Adjust the consistency with a little cooled boiled water if necessary Stir in the Neocate Spoon thoroughly and serve 30 Stage 4 Recipe ideas using Neocate Spoon Stage Four Recipe ideas using Neocate Spoon 31 Lamb and Aubergine Casserole Stage 4 Lamb and Aubergine Casserole 1 tsp olive or sunflower oil ½ onion (25g) finely chopped 1 small clove of garlic crushed Minced lamb (100g) 1 small aubergine (75g) washed and finely chopped Tomato (75g) chopped Pinch of freshly chopped parsley Pinch of dried rosemary ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil in a small pan and gently fry the lamb and onions and garlic until lightly browned Add the aubergine and fry for another 5 minutes Add the tomato, rosemary and parsley Simmer on a low heat for 15 minutes until tender and then leave to cool Blend or mash the mixture to the required consistency Stir in the Neocate Spoon thoroughly and serve 32 Chicken and Orange Dinner Stage 4 Chicken and Orange Dinner 1 small chicken breast (100g) diced 1 tbsp olive or sunflower oil ½ small onion (25g) finely chopped ¼ green pepper finely chopped 1 small potato (50g) peeled and finely chopped 1 tbsp sultanas Orange juice (50ml) Pinch of cinnamon ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil in a small pan Fry the onion and chicken until lightly browned Add the chopped potato and fry for 5 minutes Add the pepper and fry for 2-3 minutes Turn the heat down to very low and add the orange juice and cinnamon Add the sultanas. Cover and simmer for 15 minutes or until the potato is soft Mash or blend to required consistency and leave to cool Stir in the Neocate Spoon thoroughly and serve 33 Vegetable Korma Stage 4 Vegetable Korma 1 tbsp olive or sunflower oil ½ small onion (50g) finely chopped 1 small clove of garlic, crushed 1 small carrot (50g) peeled and finely chopped Cauliflower (50g) broken into small florets 1 small potato (50g) peeled and finely chopped Cooked peas (25g) Cooked or canned sweetcorn (25g) 60mls of water or homemade vegetable stock 1 pinch of coriander, turmeric and cumin 2 tbsp of unsweetened desiccated coconut ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil in a small pan. Gently fry the onion and garlic until just soft Add the potato and carrot. Fry for another 3-4 minutes Add the spices and stir thoroughly Add the cauliflower, coconut, sweetcorn and water/ vegetable stock Cover and simmer for 10 minutes until the vegetables are soft. Stir in the peas. Remove and mash or blend to required consistency and leave to cool. Stir in the Neocate Spoon thoroughly and serve with rice 34 Mushroom and Leek Risotto Stage 4 Mushroom and Leek Risotto 1 tbsp olive or sunflower oil ½ small leek (50g) finely sliced ½ small clove of garlic crushed Mushrooms (50g) roughly chopped Basmati rice (50g) 200mls water or homemade vegetable or chicken stock ½ sachet (4 tsp) of Neocate Spoon plus 30ml of cooled boiled water mixed to a smooth consistency Check the recommended quantity of Neocate Spoon with your doctor or dietitian Heat the oil in a small pan Add the leeks and garlic and fry gently for 2-3 minutes until soft Add the mushrooms and fry for another 2-3 minutes Stir in the rice and cook for 1-2 minutes until the rice is coated in the oil Pour in the stock. Stir thoroughly Turn down the heat to very low. Cover and simmer for 10-15 minutes until the rice is soft and the stock absorbed Add more stock and cook a little longer if the rice is still a little hard Remove and mash or blend to required consistency and leave to cool Stir in the Neocate Spoon thoroughly and serve 35 Fruity Fingers Stage 4 Fruity Fingers ½ mango peeled and cut into fingers ½ banana peeled and cut into fingers 1 slice of melon peeled and cut into fingers ½ avocado peeled and cut into fingers Crushed cereal or toasted breadcrumbs (50g) ½ sachet (4 tsp) of Neocate Spoon powder Check the recommended quantity of Neocate Spoon with your doctor or dietitian Mix the crushed cereal/toasted bread crumbs with the Neocate Spoon powder Coat the fruit fingers with the crumbs and serve 36 Beyond Stage Four Beyond Stage Four Easy ways to incorporate Neocate Spoon into toddler foods beyond stage four 37 Easy ways to incorporate Neocate Spoon into toddler foods beyond stage four Beyond stage 4 Easy ways to incorporate Neocate Spoon into toddler foods beyond stage four Stir straight into homemade or pre-prepared dips Shake over homemade snacks like popcorn before serving Mix with toasted breadcrumbs and sprinkle on pasta dishes before serving In addition to being made up with water, Neocate Spoon can also be easily added straight into toddler foods after stage four. Here are a few suggestions on how to do this sucessfully. Remember that the foods you mix Neocate Spoon with should always be cooled before adding the product. Blend into jams / honey / syrups and use to flavour milky puddings 38 SCC2327 Date of preparation: January 2012 Mix with avocado and use as a sandwich spread with other fillings for finger sandwiches Blend into fruit smoothies Blend into chosen salad dressing and coat pasta or rice salads
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