Baby formula left out: Infant Formula Preparation and Storage | Nutrition
Formula Feeding FAQs: Preparation and Storage (for Parents)
Whether you plan to formula feed your baby from the start, want to supplement your breast milk with formula, or are switching from breast milk to formula, you probably have questions.
Here are answers to some common questions about formula feeding.
Do I Need to Sterilize My Baby’s Bottles?
Before the first use, sterilize nipples and bottles in boiling water for 5 minutes.
After that, you don’t have to sterilize your baby’s bottles and supplies each time you feed your baby. Do wash bottles and nipples in hot, soapy water (or in the dishwasher) after every use. You can get a store-bought countertop or microwaveable sterilizer, but it’s not necessary.
How Do I Prepare My Baby’s Bottles?
Carefully follow directions on the label when preparing formula. Most store-bought formula comes in three basic forms:
- powders that you mix with water
- concentrates, which are liquids that you dilute with water
- ready-to-use (or ready-to-feed) liquids that can be poured right into bottles without adding water
Do not add more water than directed, or use formula past its expiration date.
Wash your hands well before preparing and feeding your baby. To mix powders or concentrates, use clean tap water. If you have a well, test the water to see if it’s safe before using it to mix infant formula.
If your tap water is not clean (or your baby has a weak immune system), boil it for at least 1 minute to kill germs. Let the water cool to room temperature before using it to mix formula. You also can use bottled water. Talk to your doctor if you’re concerned that your water is not safe.
Once prepared, the formula is ready to feed to your baby right away without refrigeration or warming. Feed your baby or store the prepared formula in the refrigerator within 2 hours.
How Long Can a Bottle Keep at Room Temperature?
Throw out any prepared or ready-to-feed formula that’s been sitting out for 2 hours or more, or within 1 hour from start of feeding.
Can I Save Leftover Formula to Give to My Baby Later?
No, throw away any leftover formula. Harmful bacteria can multiply since the last feeding, which could make your baby sick.
Can I Prepare Formula Ahead of Time?
Some parents make a fresh bottle just before each feeding. But many parents make and refrigerate enough formula ahead of time to use for the day. If you know your baby eats every 3–4 hours, for instance, you can make 6 to 8 bottles to last you all day.
If you prepare formula ahead of time, store it in the refrigerator. You can use pre-made formula for up to 24 hours. Open containers of ready-made formula, concentrated formula, and formula prepared from concentrate can be stored safely in the refrigerator for up to 48 hours. Do not store unmixed powder in the refrigerator.
How Do I Warm My Baby’s Bottles?
You don’t have to warm formula before feeding, but some babies may prefer it. To warm bottles, you can:
- Run the bottle under very warm or hot water for a few minutes.
- Put your baby’s bottles in a pan of hot water. Be sure to remove the pan from the heat source before putting the bottle in it.
- Use bottle warmers that sit on your countertop at home or are portable.
Never use the microwave to warm bottles. It can create dangerous “hot spots” in bottles that can burn your baby’s mouth and throat.
Before warming a bottle, shake it. Then, test the temperature of the formula by squirting a drop or two on the inside or your wrist before feeding your baby. It should be lukewarm (barely warm), not hot.
Reviewed by: Mary L. Gavin, MD
Date reviewed: November 2021
How long can baby bottles sit at room temperature?
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Tips & Tools
Question
Hailey Nelson, MD, FAAP, IBCLC
Answer
A lot of parents ask how me long a bottle can sit out before it goes bad, especially if their baby takes small amounts at a time.
The answer? It depends. There are several factors that determine how long you can safely feed your baby a bottle of breast milk or baby formula. These include how it was prepared, temperature, prep area cleanliness and whether your baby has already fed from it, for example. Here’s what you need to know.
How to safely prepare your baby’s bottle
How you store and prepare baby’s food have a big impact on its quality and safety. Follow these science-backed tips when preparing your baby’s bottles. Note: If your baby was born prematurely or has other health conditions, reach out to your pediatrician for additional guidance.
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Make a clean start. Before preparing formula or expressing breast milk, wash your hands with soap and water or use hand sanitizer that contains at least 60% alcohol. Be sure to clean the area you’ll use to mix formula, using sanitizing wipes or hot water and antibacterial soap. Bottles, bottle parts and storage containers should be pre-sanitized and ready to go. -
If you’re pumping, inspect your pump and supplies. Make sure that all valves, tubing and flanges are clean and in good condition. Use only sanitized, food-grade bags and containers to store expressed milk. -
Label everything. Bags and bottles should show the date and time you expressed the milk or mixed the formula. If your baby attends child care, add their name to bottles and containers too. Ask your child care provider about specific guidelines for breast milk storage and administration. -
Consider making smaller batches. This helps reduce waste if your baby doesn’t drink the whole bottle, since leftover milk should always be discarded after one hour. You’ll dump less out if you prepare and use 2-ounce to 4-ounce batches of formula. Consider freezing breast milk in these smaller amounts too, so it’s easy to thaw them as you need them. -
Keep prepared bottles in the back of the fridge. Although it might seem more convenient to stash them in the door, remember that every time you reach for something, warm air rushes in. The temperature stays more consistent toward the back.
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Do not put infant cereal or other foods in your baby’s bottle. Contrary to what you may have heard, thickening your baby’s milk or formula will not help them feel fuller or sleep longer. Worse yet, it increases the risk that your baby will choke. Breast milk and formula on their own will provide all the nutrition and hydration your baby needs to feel full and relaxed.
Bottles, bottle parts and storage containers should be pre-sanitized and ready to go.
So, how long can bottles sit out safely?
Once you finish feeding your baby, any prepared infant formula left in the bottle should be thrown out within 1 hour. Pre-mixed formula or breast milk stored in clean bottles can be kept longer, depending on the temperature and location.
Here are guidelines for safely storing everything from fresh breast milk to powdered formula supplies:
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Countertop (77ᵒ F or cooler) |
Refrigerator (40ᵒ F or cooler) |
Freezer (0ᵒ F or cooler) |
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Up to 4 hours |
Up to 4 days |
Up to 9 months (use within 6 months for best quality) |
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Up to 2 hours |
Up to 24 hours |
Do not refreeze |
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Up to 2 hours after preparing (1 hour if your baby has already started feeding) |
Up to 24 hours |
Do not freeze |
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Check label instructions. Mark containers with the date and time they were opened. |
Do not refrigerate powder. Refrigerate liquid concentrate after opening. Use within 48 hours of opening. |
Do not freeze. |
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Toss it out.
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Remember
As parents, we all want to give our babies the best nutrition to help support their growth and development. If you have any concerns or questions, or if your baby was born pre-term or has special health conditions, reach out to your pediatrician for more guidance.
More information
- Tips for Freezing & Refrigerating Breast Milk
- How to Safely Prepare Baby Formula With Water
- Ask the Pediatrician: Why are we seeing baby formula brands on the shelves from companies I haven’t heard of before?
-
Proper Storage and Preparation of Breast Milk | Breastfeeding | CDC -
Frequently Asked Questions | Breastfeeding | CDC -
Infant Formula Preparation and Storage | Nutrition | CDC (includes links to downloadable guides for storing breast milk) -
Feeding From a Bottle | Nutrition | CDC
Hailey Nelson, MD, FAAP, IBCLC
Hailey Nelson, MD, FAAP, IBCLC, is a complex care pediatrician at Valley Children’s Hospital in Madera, California.
Dr. Nelson enjoys working with children of all ages and abilities and is especially passionate about providing the best possible care to medically fragile children and their families. She is also a licensed breastfeeding consultant, certified by the International Board of Lactation Consultants to support nursing mothers and their babies.
- Last Updated
- 8/5/2022
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
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Provided by Lexicomp ® , this document contains all the information you need to know about this medicine, including indications, directions for use, side effects, and when your healthcare provider should be contacted.
Trade names: USA
Kalydeco
Trade names: Canada
Kalydeco
What is this drug used for?
- Used to treat cystic fibrosis.
What do I need to tell the doctor BEFORE my child takes this drug?
- If your child has an allergy to this drug, any of its ingredients, other drugs, foods, or substances. Tell the doctor about the allergy and how it manifested itself in the child.
- If your child has liver disease.
- If your child is taking any other drugs (prescription, over-the-counter, natural products, or vitamins). There are many drugs that interact with this drug, including certain drugs used to treat HIV infection, other infections, or seizures.
This list of drugs and conditions that may interact with this drug is not exhaustive.
Talk to your doctor or pharmacist about all medicines your child is taking (both prescription and over-the-counter, natural products and vitamins) and any health problems.
You need to make sure that this drug is safe to use for your child’s illnesses and in combination with other drugs he or she is already taking. Do not start, stop taking, or change the dosage of any drug your child is taking without the doctor’s approval.
What do I need to know or do while my child is taking this drug?
- Tell all health care providers who care for your child that your child is taking this drug. These are your child’s doctors, nurses, pharmacists and dentists.
- Perform blood tests as directed by your doctor. Consult with your doctor.
- Monitor your child’s lung function as directed by the doctor. Consult your doctor.
- Have your child avoid tasks or activities that require attention until you see how this drug works for your child. This includes cycling, playing sports, or using items such as scissors, lawn mowers, electric scooters, toy cars, or motorized vehicles.
-
Do not give your child grapefruit or grapefruit juice.
- Cataracts have been reported in children taking this drug. Have your child have their eyes tested before and while taking this drug. Consult your doctor.
- Various forms of release of this drug may be intended for use in children of different ages. Talk to your doctor before giving this drug to a child.
If your daughter is pregnant or breastfeeding:
- Consult physician if your daughter is pregnant, pregnant, or breastfeeding. The benefits and risks for your daughter and her baby will need to be discussed.
What side effects should I report to my child’s doctor right away?
WARNING/CAUTION: Although rare, some people may have very serious and sometimes deadly side effects of this drug. Call your child’s doctor right away or get medical help if your child has any of the following signs or symptoms that could be associated with a very bad side effect:
-
Signs of an allergic reaction, such as rash, hives, itching, red and swollen skin with blisters or peeling, possibly accompanied by fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue or throat.
- Signs of liver problems such as dark urine, fatigue, lack of appetite, nausea or abdominal pain, light-colored stools, vomiting, yellowing of the skin or eyes.
- Signs of high blood sugar such as confusion, drowsiness, unusual thirst and hunger, increased urination, flushing, rapid breathing, and fruity breath.
- Vision change.
- Chest pain.
What are some other side effects of this drug?
Any drug can cause side effects. However, for many people, side effects are either minor or non-existent. Contact your child’s doctor or seek medical attention if any of these or other side effects bother your child or if they persist:
- Dizziness or headache.
- Signs of a cold.
- Irritation of the nose or throat.
- Abdominal pain or diarrhea.
- Nausea.
- Acne.
- Pain in the joints or muscles.
This list of possible side effects is not exhaustive.
If you have any questions about side effects, ask your child’s doctor. Talk to your child’s doctor about side effects.
You can report side effects to the National Health Board.
What is the best way to give this drug?
Give this drug to your child as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.
Tablets:
- Give this drug with a fatty meal. There are a lot of fatty foods. Some such products are eggs, butter, peanut butter, cheese pizza, or whole milk dairy products such as whole milk, cheese, or yogurt. If you are not sure which foods are fatty, check with your doctor.
- Keep giving this drug as directed by your child’s doctor or other health care provider, even if your child is feeling well.
Granules:
-
Mix contents of sachet with 1 teaspoon (5 ml) of soft food or liquid. It can be pureed fruits or vegetables, yogurt, applesauce, water, breast milk, infant formula, milk or juice. Food or liquid should be at room temperature or slightly colder.
- This medication must be given within 1 hour of mixing.
- Give this drug just before or right after eating fatty foods. There are a lot of fatty foods. Some such products are eggs, butter, peanut butter, cheese pizza, whole milk dairy products such as whole milk, cheese or yogurt, breast milk or baby food. If you are not sure which foods are fatty, check with your doctor.
- Keep giving this drug as directed by your child’s doctor or other health care provider, even if your child is feeling well.
Food or liquid should be at room temperature or slightly colder.
What if my child misses a dose of medication?
- Give the missed dose as soon as possible.
- If it has been 6 hours or more since a dose was missed, skip that dose and return to your child’s normal schedule.
- Do not take 2 doses or an additional dose at the same time.
-
If you are not sure what to do if your child misses a dose, contact your doctor.
How do I store and/or discard this drug?
- Store at room temperature in a dry place. Do not store in the bathroom.
- Keep all medicines in a safe place. Keep all medicines out of the reach of children and pets.
- Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.
General information about medicines
- If your child’s symptoms or health problems do not improve, or worsen, contact your child’s doctor.
- Do not share your child’s medicine with others and do not give anyone else’s medicine to your child.
- Some medicines may come with other patient information leaflets. If you have questions about this drug, talk with your child’s doctor, nurse, pharmacist, or other health care professional.
-
If you think you have overdosed, call a poison control center or get medical help right away. Be prepared to tell or show what drug you took, how much, and when it happened.
Be prepared to tell or show what drug you took, how much, and when it happened.
Consumer Use of Information and Limitation of Liability
This summary information includes a summary of the diagnosis, treatment, and/or drug product. It is not intended to be a comprehensive source of data and should be used as a tool to help the user understand and/or evaluate potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a particular patient. It should not be considered medical advice or a substitute for medical advice, diagnosis or treatment provided by a physician based on a medical examination and assessment of the patient’s specific and unique circumstances. Patients should consult with their physician for full information about their health, medical issues, and treatment options, including any risks or benefits regarding the use of medications. This information is not a guarantee that a treatment or drug is safe, effective, or approved for a particular patient.
UpToDate, Inc. and its subsidiaries disclaim any warranties or liabilities related to this information or its use. The use of this information is subject to the Terms of Use found at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms.
Last revision date
2021-01-13
Copyright
© UpToDate, Inc. and its affiliates and/or licensors, 2023. All rights reserved.
Date last updated
Monday, December 12, 2022
How to drink medicines correctly
Taking medicines and vitamins is, it would seem, a common thing. Because the periods of health for many are naturally combined with periods of illness. But few people think about how to properly take a handful of medicines prescribed by a doctor. Meanwhile, the effectiveness of treatment can be lost by 10-20% just because of the wrong approach to the use of medicines. In the article we tell the subtleties and features of the use of certain drugs.
Rule #1.
Chew or swallow
The specialist who prescribed them, the pharmacist at the pharmacy or the instructions for the drug can tell you whether it is worth violating the integrity of the pill. But how often does it matter? Many people think why swallow whole, if I can chew it, it still splits in the stomach. But this can be one of those disorders in which the effectiveness of the pill is instantly lost.
But the load from its entry into the body arises.
Oral intake (swallowing)
It is impossible to violate the integrity of the tablet in the case when the tablet shell is provided just for transporting the active substance through the gastric juice. For example, enteric tablets should act directly in the intestines, but due to the broken integrity, the active substance simply cannot get there.
Therefore, if it is said – to swallow without chewing, it is very important to follow this instruction.
Sublingual intake (absorption)
Theoretically, resorption of the drug on the oral mucosa has an advantage over the usual way.
This way the drug passes into the body faster. Due to the high density of blood vessels, sublingual resorption allows the active substance to penetrate the bloodstream faster and get to the place of demand faster.
This method allows you to bypass the aggressive environment of the gastrointestinal tract, as well as minimize the load on the liver, where it can be significantly split. This process is referred to as the “first pass effect” of the drug in the overall metabolism of the body.
Rule #2. What to drink with
If the medicine requires swallowing, then it becomes important what you drink it with. In most cases, medicines are washed down only with water! Water is the simplest in terms of chemistry, a universal solvent.
Any other drinks are actually chemicals dissolved in water that can react with drug components. Because of what the effectiveness of the drug may decrease, the effect of the drug may begin faster or slower.
Our usual drinks – tea and coffee – contain theanine and caffeine.
These substances can reduce the effectiveness of contraceptive drugs, disrupt the absorption of certain drugs. Drugs that affect the nervous system, antidepressants, or tonic drugs, when taken with drinks, can increase their effect. Drugs from the category of NSAIDs can increase the toxic effect on the liver and gastrointestinal tract.
Juices and carbonated drinks contain acids, which can have a damaging effect on the shells and active ingredients of drugs. Milk inhibits the action of antibiotics. But especially close attention should be paid to grapefruit juice. It can cause an overdose of drugs for the treatment of heart disease and hypertension, antibiotics, statins, hormones, antiepileptic drugs, anticancer, antihistamines, antifungal drugs.
Grapefruit juice delays the components of drugs that must be excreted from the body, passing in transit. Thus, accumulated substances and toxins can cause irreparable harm to the body and provoke unpredictable reactions.
Rule #3. Reception time
You can often hear that the drug is drunk once a day, two or three times a day, four, and so on. Which does not mean at all that the medicine is taken during the period of wakefulness. This means that all 24 hours of the day are included in the calculations.
For example, if a drug is prescribed three times, this means that it is taken at regular intervals every 8 hours. if you need to drink a pill 2 times a day – the gap between doses will be 12 hours. And further on this principle.
The fact is that an infection or a bacterium, like all systems of our body, functions 24 hours a day without breaks for sleep. This means that the impact on the problem should be carried out evenly, in the same dose, at equal intervals of time.
Rule #4. Missing tablet
The criticality of skipping a pill depends on how much time passed before you remembered it.
When taking the medicine twice, the missed tablet should be drunk as soon as you remember about it.
However, now the multiplicity of daily intake should be adjusted starting from the last pill that you remembered. If a little time has passed since the missed pill, then you can not shift the time of admission, but continue as before.
It is impossible to double the dose of the drug at one time, and then continue the treatment as before.
If the course of pills has just begun and a lot of time has passed since the moment of taking the forgotten pill, then it is more advisable to start the course all over again.
True, such a recommendation is not suitable for antibiotics, in which the course usually lasts 5-7 days. So, if the tablet was missed towards the end of the course, it would not be advisable to start it all over again.
Special care should be taken when skipping oral contraceptives. Each OK manufacturer has its own recommendations on this matter, which are necessarily prescribed in the instructions for the drugs. It’s best to remember your birth control pills and set a reminder, because the hormonal fluctuations that skipping can cause can be detrimental to your health.
This is especially true for those contraceptives that indicate the color order of taking pills. The doses of hormones in these tablets vary depending on the day on which it should be taken.
Rule #5. Combining drugs with each other
Not all drugs are compatible with each other. Incompatibility may lie in the reactions of the body, side effects, therapeutic effect. Some active substances of drugs are able to neutralize each other’s actions. And in the “best” case, no therapeutic effect will occur. But some combinations can not only lead to unpredictable consequences, but also become deadly.
So, there are absolute contraindications for the simultaneous use of certain drugs and relative ones. Drug compatibility is one of the reasons why self-medication can be dangerous.
If a specialist has prescribed several drugs for therapy, it is very important to separate them among themselves, even if there are no prohibitions on the joint use of drugs.
So you can facilitate the work of the liver and gastrointestinal tract, which secrete certain enzymes for the processing of certain substances.
Incompatible drugs
Aspirin for the heart to prevent heart attacks and vascular diseases and any non-steroidal anti-inflammatory drugs (NSAIDs) like nise, ketorol, ibuprofen.
Both groups of drugs have one pronounced side effect – the effect on the gastric mucosa. So even one painkiller can provoke discomfort in the stomach, especially if there is a predisposition. And with prolonged and systematic use of aspirin (in order to affect the cardiovascular system) and NSAIDs as an analgesic, an exacerbation of chronic diseases of the digestive tract, including the “opening” of an ulcer, can occur.
Antiallergic drugs and powders for colds, sedatives.
The fact is that the usual cold and flu powders are not just a hot sweetened drink. This medicine contains, in addition to paracetamol, an antihistamine.
So, an additional dose of an antihistamine substance contained in antiallergic tablets can increase drowsiness and knock you out of your usual state. This is especially important to know for people whose activities are related to concentration and concentration.
Calcium preparations and fixing preparations
The effect of diarrhea remedies is that they slow down intestinal motility. Exactly the same effect is in calcium preparations. So, when taken together, constipation can be provoked. And then toxic substances will accumulate in the body, leading to undesirable consequences.
Cardiac glycosides (antiarrhythmic heart drugs) and diuretics, high blood pressure medicines
The combined use of drugs can not only reduce the effect of cardiac glycosides, but also increase arrhythmia. You can not take diuretics for edema and high blood pressure when taking glycosides together. Since the former are able to remove calcium from the body, damaging the work of the heart.
Rule #6. Combination of drugs with food
If the instructions for the drug do not contain a specific recommendation on how to combine the intake with food, then this point is of no fundamental importance. But more often you can find items where there is a clear mention of eating.
Fasting
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Drugs are taken to treat diseases of the gastrointestinal tract and the stomach itself. For example, antacids that reduce acidity in the stomach.
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Decoctions, tinctures and liquid preparations based on plant materials are also drunk on an empty stomach so that in the presence of hydrochloric acid, the valuable components of the preparations are not destroyed in the stomach.
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Drugs that relax smooth muscles. Despite the fact that they calmly tolerate interaction with acids and food, they can slow down or disrupt the process of digestion of food due to their inhibitory effect.
Before meals
A few minutes before the meal, cholagogues, digestive enzymes, drugs that stimulate the secretory function of the digestive glands are allowed to be taken.
After meals
Immediately after eating, it is better to take drugs that irritate the gastric mucosa: indomethacin, acetylsalicylic acid, steroids, metronidazole, and others.
As well as drugs that block the production of hydrochloric acid. This is necessary in order to avoid blocking the digestive process at the initial stage.
Vitamins and multivitamin complexes are also consumed after meals, in order not to be destroyed by the aggressive environment of the stomach.
While eating
Gastric juice substitutes and bile substitutes are taken to stimulate the digestive process.
An absolute contraindication to the joint use of drugs are citrus juices. They can suppress the production of enzymes in the liver or intestines.
This can slow down the breakdown and elimination of toxic substances from the body. So, just a glass of juice is enough to delay the components of drugs that were supposed to be quickly removed for a whole day.
Dairy products are also not recommended for co-administration with drugs, especially antibiotics, as they can inhibit their absorption. And calcium salts, reacting with antibiotics, distort the effect of antibiotics on the body.
Drug and food incompatibilities
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antibiotics of the tetracycline group, lincomycin, preparations containing caffeine (ascofen, citramon, caffetin) – with milk, kefir, cottage cheese;
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iron preparations – with tea, coffee, milk, nuts, grain products;
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calcium preparations – with carbonated soft drinks and juices containing citric acid;
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erythromycin, ampicillin – with fruit and vegetable juices;
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sulfadimethoxine, sulgin, biseptol, cimetidine, theophylline – with meat, fish, cheese, legumes containing a lot of protein;
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aspirin and drugs containing acetylsalicylic acid, furagin, 5-NOK – with butter, sour cream, fatty foods;
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paracetamol, sulfadimethoxine, biseptol, furosemide, cimetidine – with prunes, beets, sweet and flour dishes;
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sulfonamides: biseptol, etazol, sulfalene – with herbs, spinach, milk, liver, cereal products;
-
baralgin, analgin, panadol, spazgan, paracetamol, maxigan – with smoked sausages.
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According to Maya, Korea turned out to be a country of comfort, where everything is created for the convenience of people and where foreign specialists are happy to come to work, and the residents themselves always treat visitors with cordiality and goodwill. 
They went there much less than now, they didn’t write much about it either, and there weren’t any communities of Korean lovers, they began to appear exactly a year later. I remember how I managed to find a blog of a Russian programmer who helped me navigate issues related to climate and nutrition – these moments, as it turned out later, became the most difficult for me to adapt. 
The country accepted us, as if I got to my home. The differences were not embarrassing and it seemed that everything had been done and existed in order to make others feel comfortable, including psychologically. Koreans are a delicate people, and the country itself is a country of comfort. In this sense, she has no equal. There was also goodwill and a calm atmosphere: on the streets and in public places, children were always smiling, waving their hands and coming up to greet them and say a few pleasant words. My daughter began to smile more on the street, she immediately learned to wave her hand in response. 
I fell in love with Buddhist temples, found both in villages and mountains, and in the very center of the metropolis. 
I have never seen bored mothers with a stroller winding circles around the yard. Strollers are taken with them on long trips for family weekends or taken out to the balcony and put the children to sleep in them. Mostly mothers with babies in ergo backpacks get together and go to the park, to a local restaurant or shopping together. 
No matter how emancipated modern Korean women are, they have achieved considerable success in this area in recent years (the recently elected president of Korea is a woman), but a man remains the head of the family. There are many wives who find a lot of ways to twist ropes out of their husbands, but in public the hierarchy will still be respected. 
This was considered not only unnecessary, but even harmful. Girls were married off early and learned everything from their new families. Now girls are more likely to marry closer to 26, and this legacy of parenting sometimes leads to the inadequacy of some adult Korean women or to their somewhat infantilism. For example, we were surprised to see how familiar Korean mothers treated guests to pizza and cola. And this was not dictated by a lack of time, since one-year-old children are at this time in kindergarten. This is more the norm than the exception. .jpg)
Korean children, compared to their European and American peers, are very attached to their mothers. 
But they can bring us, Europeans, as negative ones, and tell the child: “Are you a foreigner? Why are you behaving like this?” This is ok, but not shown. 
Approximately after the fifth grade, the average Korean student’s routine looks like this: at 7:30 school (the beginning of classes varies), after school additional classes and courses until 9-10 pm. Many children continue to study during the holidays. 
The first one can have very little to do and is the kind of place where they can just sit with the kids and provide a playground. There are now many English kindergartens in Korea, it is believed that sending a child there is prestigious. 
But this is rare, so it is difficult to find a child on the playground who does not go to kindergarten during the day. 
But for Koreans, even during field trips, everything is carefully planned: children are not given free time, they strictly follow the program drawn up by the teacher. 
There is a team and this team is busy with something under the guidance of a senior. If a child does not join these classes, then this is at least strange. 
“The teacher grows with the student”, “When a noble man teaches and instructs, he leads, but does not pull, encourages, but does not force, opens the way, but does not lead to the end,” said Confucius. 
In Korea, she liked, rather, Japanese food, it is not spicy and is easier to perceive for a European child. 
Considering that almost all Russian families go home at least once a year (usually for summer holidays), we spent most of our time in our native St. Petersburg and it was impossible not to notice that she liked spending time in her homeland more than there. Each time they flew to Korea with joy, but solely because of the fact that “to dad.” 
Just as children are continually growing, the standards reflect the evolving challenges of the field. However, the baselines of safety, care and opportunity remain the core, and COA national scope helps assure long-term stability and quality.
Commissioners then recommend to award, defer, or deny accreditation.
But, in all seriousness, accreditation is an important consideration for parents when you’re searching for a place to educate and care for your child.
States develop their own certification programs based on the Quality Rating and Improvement System (QRIS). This is a framework offered by the U.S. Department of Health and Human Services for states to establish their own rating systems.
Once the self-study is completed, a team of independent evaluators, representing leaders in the field of early childhood education, conducts an on-site visit to determine whether the program meets or exceeds accreditation standards and established quality indicators and, ultimately, merits accreditation.
”
The head of the Ministry of Digital Development, Maksut Shadayev, said that large companies, in order to obtain accreditation, can allocate specialized divisions to a subsidiary IT company – this will not be regarded as splitting the business. The main thing is that the new company does not arise during the reorganization, otherwise it will not be able to receive tax benefits. 
The list of activities related to IT services was published by the Ministry of Digital Development in a separate order – it differs from the OKVED profile codes. It includes, for example, the creation and training of neural networks, cybersecurity services, acceptance of electronic payments, and so on – a total of 36 types of activities. 
The organization can choose the option that is convenient for itself: the first is suitable for companies with high salaries, the second is for those who develop software from the register of the Ministry of Digital Development, and the third is for startups. 
And if it was created in 2022, then for the months of this year. 
If there is a registry, you need to register in it. And then the startup’s revenue from IT must be at least 30%. 
Instead of the last point, this is: the cost of IT activities must exceed 30% of all costs. 
To do this, the department will send requests to other authorities and request a certificate of income from the company to make sure that it still meets the requirements. Data for the last three months will be checked. 
Biology (preparatory courses) 208 hours. 
P .SolovievDC (CLI)SS and NMP named after A.S.PuchkovBlood Center named after A.S. O.K. Gavrilova BSMEGKB them. Bakhrushin Brothers S.P. Botkin State Clinical Hospital V. M. Buyanov State Clinical Hospital V. V. Vinogradov State Clinical Hospital V.V. DemikhovA.K. Eramishantsev State Clinical Hospital M.E. Zhadkevich State Clinical Hospital E.O. Mukhin State Clinical Hospital S.I. . D.D.PletnevGKB No. 1 named after N.I. PirogovGKB No. 4GKB No. 13GKB No. 15 named after O.M Filatovnamed after N.E BaumanCity Clinical Hospital No. 31City Clinical Hospital No. 40GB No. 45City Clinical Hospital No. 51City Clinical Hospital No. 52MGOB No. 62City Clinical Hospital No. 67 named after L.A. VorokhobovGrasshopper HospitalTrinity City HospitalVoronovskaya HospitalCity Hospital MoskovskyShcherbinskaya City HospitalChLGGVV No. 1GVV No. 2GVV No. 3IKB No. 1IKB No. 2TKB No. 3 named after G.A.ZakharyinTB named after A.E.RabukhinGKB No. 1OD No. 4OD No. 5EDPKB No. 1 named after N.A. AlekseevPKB No. 4 named after P.
B. Bashlyaeva Children’s City Clinical Hospital No. 9 named after G.N. Speransky Children’s City Clinical Hospital No. 13 named after N. F. FilatovGP #11GP #12GP #19GP #22GP #23GP #25GP #36GP #45GP #46GP #52GP #62GP #64GP #66GP #67GP #68GP #69GP #107GP #109GP #115KDP #121GP #129GP #134GP #106GP #1 175ГП №180ГП №191ГП №195ГП №201ГП №202ГП №209ГП №210ГП №212ГП №214ГП №218ГП №219ГП №220ДГП №7ДГП №10ДГП №11ДГП №12ДГП №15ДГП №23ДГП №28ДГП №30ДГП №32ДГП №38ДГП №39ДГП №42ДГП № 48ДГП №52ДГП №58ДГП №61ДГП №69ДГП №81ДГП №86ДГП №91ДГП №94ДГП №98ДГП №99ДГП №104ДГП №105ДГП №110ДГП №118ДГП №120ДГП №122ДГП №125ДГП №129ДГП №130ДГП №131ДГП №132ДГП №133ДГП №140ДГП №143ДГП № 145DGP #148DGP #150DSP #1DSP #6DSP #10DSP #16DSP #21DSP #25DSP #26DSP #28DSP #29Chipboard #30DSP #37DSP #38DSP #39DSP #41DSP #43DSP #44DSP #45DSP #46DSP #47DSP #52DSP #54DSP #58DSP #59DSP #63SP #2SP #3SP #4SP #5SP #7SP #8SP #9SP #11SP #12SP # 13SP #14SP #15SP #19SP #22SP #23SP #24SP #27SP #31SP #32SP #33SP #34SP #35SP #48SP #49SP #50SP #51SP #53SP #55SP #56SP #60SP #61SP #62SP #64SP #65SP # 66SP #67PND #22ZhK #9DNS #6DBS #8DNS #9DBS #12DBS #15DBS #18DBS #19DKS #20 Krasnaya Pakhra DBS #23DBS #27DBS #29DKS #42DS #45DPS #47DOS #56DBS #68GBPOU DZM Medical College #1 “GBPOU DZM “Medical College No.
2″ GBPOU DZM “Medical College No. 6” GBPOU DZM “SDUSM” ResidentsOther 
I’ve also read Kirkland is made by a big brand with yellow packaging (not naming names). My baby does well on this formula, is growing well and almost never spits up. It is easy to mix and comes in a huge container.
I would strongly recommend this to anyone and the price is excellent and way cheaper than brand name.
0/5
My daughter loves them and these are easy on the pocket compared to the other brands out there . The quality is great and will keep buying more and more
But it has caused no issues, just a difference in how the formula looks when shaken in the bottle.
Why spend more on other name brands if you don’t have to? Yes, we were fortunate not to have to deal with reflux or allergies that require the use of prescription formulas. That fact allowed us to choose from a wide array of formulas on the market and this one worked so well we kept coming back to it with each new baby we welcomed!
This is available in bigger size so it doesn’t run out quickly and is also cost effective. Make sure to loosen up the powder upon opening a new can. I failed to do this recently and the first batch of formula I made was too concentrated. Lucky for my son, I caught this before he drank more than an ounce or so! After tipping the can back and forth, it loosened up and mixed up perfectly. Overall it is very nice formula. Thank you costco for providing good product for a low price compared to other leading brands.
I have twins and so go through twice the normal amount of formula, and price is something I need to be very conscious of.
It was easy to mix, just the formula wasn’t right for my son. If you needed a basic formula for a child, this one should work. I think all the store brands carry the same ingredients as the name brands, so it should be comparable to the vitamins and nutrients. It was a whole lot cheaper than the brand names for sure.
It is a great value for the amount you get and is super easy to make. We would buy several at a time but they would last us awhile since the containers are so large. The sizes you buy a normal grocery store would only last us a week if that. The powder breaks up nicely in water unlike some other powders that I shake and shake and it still is clumpy. I would have preferred that my baby be breast fed but I am happy with this alternative option. I felt that she was getting all the nutrients that she needed to grow healthy.
My daughter was breastfed for the first three months, then I put her on Gerber Goodstart for one month, then I transitioned her to Kirkland formula. She had no problems with the transition. In fact, she started sleeping through the night shortly after starting Kirkland formula. Not sure if that had anything to do with the formula, but I’d like to think so! The only downfall that some people complain about is the amount of bubbles created when shaking the bottle to mix the formula, which happens to not be an issue for my baby. The bubbles can easily be avoided. I like to mix up a large batch every morning, keep it in the fridge and pour into bottles as needed. Using that method, you can avoid bubbly bottles. I’ve used this formula with both my kids and they have never had any gas or constipation issues. The container is much larger than premium brand largest containers, so this means less trips to the store to buy formula. This formula is the best value for you money!
org/Person”>
The Kirkland brand uses the standard 1 scoop for every 2 oz.
org/Person”>
They are: 
62 million entered Hungary, over 1.42 million entered Romania, 883 thousand entered Slovakia, 670 thousand entered Moldova. Of these, more than 5 million people returned back to Ukraine: more than 5 million people from Poland, more than 1.1 million from Romania, more than 620 thousand from Slovakia, more than 313 thousand from Moldova. 
Canada has said it will provide CAD$47 million worth of new military aid to Ukraine, including artillery shells, winter clothing, drone cameras and satellite communications. 
Prince Charles became the King of Great Britain. 
The turbines at the center of the dispute were shipped to Montreal for scheduled repairs by Siemens Canada. 
The bar contains only natural and high-quality ingredients. 
The Suicide and Crisis Lifeline is 988. More about it and suicide prevention here.
We are your child’s “home away from home.” Our priority is to help you feel comfortable when you are away from your child for the day. Your child will be healthy, happy, and cared for all day long!
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We will assess
But will the Baptists be able to set someone on the right path if they themselves are hated by all of America? 
In search of interesting places, people and events, he traveled all over the world. He is sure that it is better to see once than to hear a hundred times. And he undertakes to show us all the incredibly interesting stories. Sergey Dolya. We will go to the most mysterious places on the planet, where we will try to unravel their mysteries. 
Defectors 
Marshal with a false name 
Life for a Dollar 
This series is the first of its kind to look at wildlife from a conservation standpoint. 
Asia is distinguished by the richness of various cultures and, what attraction can not be taken into account, it has its own history. Traveling across this continent, you will get the opportunity to see the most amazing places and landscapes that will take your breath away. Get to know the best places in Asia, from visiting which you will get the most unforgettable experience. 
Thousands of years ago, these “naive” stories about the gods helped the ancients to understand the world around them, to develop the rules of life and behavior in society. And you are mistaken if you think that the ancient gods are dead. Their stories still live on, forming a huge part of the culture, and myths of love, devotion, betrayal and retribution are a rich basis for modern cinema. Gods and Men – 10 amazing historical films: Labyrinth of the Minotaur, Thor – God of Thunder, Beowulf and other exciting stories. 
38 states participated in it, more than 74 million people fought on its fields, of which 10 million were killed and 20 million maimed. The First World War, in terms of its scale, human losses and socio-political consequences, was unparalleled in all previous history. It had a huge impact on the economy, politics, ideology, on the entire system of international relations. The war led to the collapse of the most powerful European states and the formation of a new geopolitical situation in the world. 
In the program “American Carts”, Boyd, together with his comrades, develops unique cars to order. 
In search of food, they are not afraid to steal fruit from carts and climb through the open windows of houses. The inseparable trinity of noisy and restless teenagers – Bipin, Yash and Tito – all the time starts a fuss. Either they jump headfirst from a lamppost into a trough of dirty water, or, saddling pigs, they try to portray rodeo races, or bully and tease stray dogs … 
.. 
The heroes of the project live in 55 cities and towns of Russia. Talking about their daily life, problems, successes and achievements, about their family, their city and work, they discover with great surprise for themselves that they began to live better, that they are actually happy here and now. Ironically, none of them thought about it before. 
This radical religious sect in Kansas has launched the websites GodHatesFags.com and GodHatesAmerica.com and promotes intolerance towards gays, lesbians, transgenders, Catholics, Muslims, Jews, Swedes, Irish, Canadians and Dutch. The organization became known in the States after it held a picket at the funeral procession of soldiers who died in Iraq and Afghanistan. The author of the picture spent several weeks with the family of the head of the sect, Fred Phelps, who claims that God is punishing the United States with natural disasters and terrorist attacks for tolerating homosexuality. 
The prisoner, who spent 8 years on death row, assured until the last moment that he was innocent, and signed the confession under duress. The film crew spent all the remaining two weeks of his life with Johnson, spoke with members of his family, guards and lawyers, and was also allowed even to the place of execution – to the gas chamber. 
The Moon is at a distance of about 403,000 km from the Earth. Since the alleged landing of man on the moon, no country in the world has even claimed to advance further than 640 km, and the International Space Station is at a distance of about 300 km. So how were we able to make a sortie two hundred times as long as 1964 years old? The authors of Apollo Zero are trying to find answers to these and other questions that have been asked for more than 50 years, who analyze numerous inconsistencies with mathematical thoroughness, compare facts and draw conclusions about the first manned flight to the moon. 
73 miles
19 miles
53 miles
69 miles
93 miles
29 miles
39 miles
54 miles
We love to watch your child grow and learn during their
These lists will help get you organized.
com) – When a person dies, cremation is increasingly being used. The practice replaced burial in the United States in 2015 and is expected to account for more than half of all body handling by 2020, according to the Cremation Association of North America.
(The second is in Russia).
Mix 60 ml. Chromatics Ultra Rich dye in equal proportions (1:1) with CHROMATICS Oil in Cream Developer. Use ONLY with the recommended Developer CHROMATICS Cream Butter 10, 20 and 30 Volum (3%, 6% and 9%) strictly in the specified proportions. Can be mixed with other CHROMATICS shades. Use immediately after mixing. Application: Use disposable gloves. Do not use metal work items (bowls, etc.) and accessories (clips, combs, etc.). Holding time 35 minutes at room temperature, i.e. without additional heat. Then thoroughly rinse the dye with water and apply the deep cleansing shampoo Hair Cleansing Cream Shampoo. Precautions: Avoid skin contact and eye contact. 9Redken Chromatics
After placing an order, make an online payment. 
Re-sending the order is paid by the buyer. 
<br> <a href=’info/bonus-info’ target=’_blank’>Условия программы</a>”/> 
Reports can also be verified with your local daycare licensing office.
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The Unified Business Identifier (UBI) of the entity is #602940598, the entity type is Wa Limited Liability Company and the business category is Limited Liability Regular. The entity was incorporated on July 17, 2009 in Washington, expiring on July 31, 2023. The current entity status is Active. The registered business location is at 1505 E Lyons Ave, Spokane, WA 99217-7535, with contact phone number 5094890162. The registered agent of the business is Debra Hammel. The agent office address is 1505 E Lyons, Spokane, WA 99217. The officers of the entity include Debra Hammel (GOVERNOR), Jason Hammel (GOVERNOR). 
com 
Cheney-Spokane Road, Spokane, WA 99224
I had a terrible nightmare… 
Then another appeared, and another, and another. There were several dozen of them, and they all came to me. I couldn’t move, my legs were frozen, and I could only watch the eerie shadows approach. 
I just shrugged and returned the toys to his box, then I headed to the living room. 
I rushed through the back gate to the front of the house. James was sitting on the sidewalk. I breathed a sigh of relief and walked over to him. 
I made him spit out the lollipop and threw it away with the others. James seemed to be calm. Maybe I’m just taking things too close to my heart. That night I put James to bed as usual and decided to go to bed early myself. 
He wet himself and a yellow puddle formed on the bedspread. 
” 
His body was ugly, his long arms hung far below his waist, and he moved as if he had no bones at all, like a rag doll. 
I still clutched the knife, stained with the blood of my child. The judgment was swift. I was found not guilty by reason of complete insanity. 
I can’t complain that we felt bad there, they took care of us, we had friends… 
At the table, we talked with our peers (in the orphanage where we were, there were many kids, from 5 to 13 years old). Susie was clutching her favorite toy, a teddy bear, holding a similar teddy lollipop in her hand. This toy was presented to her for the New Year by senior educators. They adored Susie. Firstly, she was cute, and secondly, she was a role model! She named the bear Sosik-Morozik-Konfetkovich (don’t laugh, well, she was still a child! Her fantasy is ****) XD but I liked the name. And what? But it will be possible to screw up. But the bear’s diminutive name SOMETIMES was simple and short – Sosya. 
Who drew, who sculpted cranks from plasticine, who jumped on a trampoline, etc. Susie took out two sheets of paper and colored crayons, seated Sausik (…) in front of her and put a green felt-tip pen into his hand. She began to hum a song under her breath again and draw a house, grass, me, her and Sosya. 
It was much more fun on the street than in the orphanage. Yes, there were a lot of toys and all sorts of things, but outside we played on the playground. There were slides, swings, all sorts of labyrinths. In winter, they even built a real ice palace there! Susie and her girlfriends and the teddy bear went to the slides, while Casey and I started digging in the sandbox. 
All the teachers were alarmed, and without letting the girl say a word, they dragged her to the orphanage. There they gave her hot tea with cake and cupcakes and began to question her. Susie just smiled happily and said: 
They examined the paper with boundless curiosity. 
And then it dawned on me. 
.. I couldn’t help but say: 
Susie was nowhere, I was enveloped in this song. It was ringing in my ears!.. Suddenly I saw the light from the spotlights. I woke up and ran towards them. The music was still ringing in my ears, slowing my steps. All these attractions caught my eye, and I thought that I was slowly losing my mind. 
The teachers sat next to me and were silent. Susie came up behind me and silently hugged me. I didn’t understand what happened. Why all this mess? I stared inquiringly at the teachers, a bunch of questions swirling in my head. What happened yesterday? What is happening now? Mrs. Grace began to scold me. It seemed that she would even beat me, if not for the other teachers present. 
And he handed me this doll. 
.. I looked around. It was so dark in the tent that no one could be seen. And suddenly… a table appeared in front of me. Large huge table with all the tools. I carefully looked outside the table and gasped. Children hung around the tent. They were mutilated little children. Their toys were nailed to their chests with a nail in their chests. And there was a clown on the table. Black and white clown. He chewed candy in his mouth and laughed, crossing his legs. 
I saw Susie. She laughed merrily, brushing reflex tears from her face. I saw a clown. Black and white clown. He offered Susie lollipops, laughed. He had long arms, matted black hair, gray eyes, a cone instead of a nose, and he was dressed in all black and white. He said with a laugh: 
Then he leaned on the table and began to think. 
Having cut open the baby’s belly and secured it from above and below with paper clips, he pushed her belly with glasses and began to beat on it with a hammer. 
S.
4%
2%
7%
0%
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School of Computer Science in Texas. 
Rice University
768 USD 9000,0002 Official Web-site 
268 USD 
10. Abilene Christian University
4% 
St. Edward’s University
University of Texas at San Antonio
829USD 
Both offer undergraduate and vibrant research programs for masters and doctoral students. 
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