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Propionic Acidemia
XMTVI Maxamaid

XMTVI Maxamaid

A methionine-, threonine-, valine-free and isoleucine-low
powdered medical food for the dietary management of vitamin B12 non-responsive methylmalonic acidemia or propionic academia in toddlers and young children.

Click here to order XMTVI Maxamaid.

This formulation is available in the US and Canada.

Main Features:
  • Methionine-, threonine-, valine-free and isoleucine-low
  • Contains a balanced mixture of all other essential and non-essential amino acids, carbohydrate, vitamins, minerals and trace elements
  • XMTVI Maxamaid provides 25 g of protein equivalent per 100 g of powder
  • Age-appropriate DRI formulation
  • Pleasant orange flavored powder
  • Does not contain fat thereby allowing greater flexibility in modifying energy intake


  • Vitamin B12 non-responsive methylmalonic acidemia
  • Propionic acidemia

Directions for Preparation and Use:

  • Maxamaid must be consumed in conjunction with natural protein, fluid and other nutrients in quantities prescribed by a dietitian or physician to meet protein and general nutrition requirements. Fat, carbohydrate and low protein sources may be used to supply needed calories and to fulfill essential fatty acid requirements.

    Maxamaid intake will vary depending on the age, body weight and medical condition of the individual. Intake is adjusted to maintain normal growth and development

  • Maxamaid is best served as a chilled drink with meals. Make a paste of the prescribed amount of powder with a small volume of water. For accuracy, Maxamaid should be weighed on a gram scale. Gradually add sufficient water to yield the prescribed volume. It is recommended that Maxamaid initially be reconstituted at a 1 to 7 dilution (e.g. 100 g of Maxamaid and 700 mL of water). It can however be given in a more concentrated form (e.g. at a 1 to 5 dilution or in paste form), according to taste preferences. Additional fluids should then be offered at the same time.

    Reconstituted formula should be stored in the refrigerator and used within 24 hours.

Maxamaid Range
Measure Weight
1 Cup 145 g
1/2 Cup 70 g
1/4 Cup 35 g
1 Tbsp 9 g


  • Must only be consumed by children with proven methylmalonic or propionic acidemia while under strict medical supervision. Not intended for children under one year of age. Not suitable as a sole source of nutrition. Not for parenteral use.


  • Store unopened can at room temperature. Do not store at extreme temperatures. Once opened, reseal can and store in a cool, dry place (not in refrigerator) and use within one month.

Ordering Information:

Product Code
Reimbursement Code
6 x 454 g (1 lb)






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