The mixing instructions for PediaSmart® state to use water because the protein source is organic non-fat cow’s milk. If PediaSmart® is mixed with any type of milk, the protein, sodium and other dietary components will be increased. This could potentially be a problem for children with medical challenges because of the increased renal solute load (dietary components that are excreted in the urine) and its effect on water balance in the body with the potential for dehydration.
If a healthy child with no renal issues is well hydrated and consuming adequate water throughout the day, PediaSmart® can be mixed with milk to increase calories and nutrients in the overall daily diet. We recommend a healthcare provider be consulted before preparing PediaSmart® with any liquid other than water. Mixing with milk will also require extra stirring effort in order to completely mix the powder.