Nutramigen AA LIPIL is mixed differently than other infant formula powders: it is mixed 1 scoop to 1 fl oz of water. Here are instructions for mixing the powder, which can also be found on the can label:

1. Wash your hands, bottles, and mixing utensils before preparing the formula. Accurate measurement and proper storage are important for safe and nutritious feeding for your baby.
2. Ask your baby's doctor if you need to use cooled, boiled water for formula preparation and if you need to boil the clean utensils, bottles, and nipples in water before use.
   Note: Do not use hot tap water to prepare formula.
3. Never use a microwave oven to warm your baby's bottle. Uneven heating can create hot spots that could burn your baby's mouth. Put the bottle in a pan of warm water or hold it under warm tap water. Warm water is about 100°F, so it should feel neutral (neither warm nor cool) on your wrist.
   
   

To make an individual bottle from powder, please refer to the chart below.

4. Add the amount of powder stated in the chart to the water in the bottle. Use the scoop that came in the can to measure the powder. Store the DRY scoop in the can.
5. Attach the nipple, ring, and disc or nipple cover (depending on the type of bottle used).
6. Shake for about 5 seconds.

Use these instructions only if your baby is drinking at least 32 fluid ounces of formula within 24 hours:

1. Wash your hands and the mixing utensils with soap and water before preparing the formula.
2. Measure 29 fluid ounces of water into a bowl or large container. This will make 32 fluid ounces of formula. The formula powder should be mixed with cool water (35–75°F); it should feel cool on your wrist.
3. Add 129 grams of powder to the water.
4. Beat the mixture with a clean fork until the powder is dissolved.
5. Pour prepared formula into bottles, or cover the container with a lid or plastic wrap.
6. Attach the nipple, ring, and disc or nipple cover.
7. Shake for about 5 seconds before feeding.

This preparation is suitable for children older than one year:

1. Measure 29 ounces of cool tap water into a clean measuring jug or other container. This will make 1 quart of formula.
2. Add 129 grams of powder.
3. Mix well with a clean fork until the powder is dissolved.
4. Store covered in the coolest part of the refrigerator 35–40°F (2–4°C) no longer than 24 hours.

Tip: Your toddler will like the formula best if it is chilled and in a covered cup with a straw or in a drink bottle.

Recommendations for storing prepared formula made from powder:

Refrigeration	Store prepared bottles or covered container of formula at 35–40°F (2–4°C) no longer than 24 hours.
Room Temperature	Do not allow prepared bottles or covered cup to be at room temperature longer than a total of 2 hours. If bottle has been warmed, discard after 1 hour.
After Feeding Begins	Feed within 1 hour or discard. Do not refrigerate for later feedings.

Note: Powdered infant formulas are not sterile and should not be fed to premature infants or infants who might have immune problems unless directed and supervised by your baby's doctor.