Table 2.

Sample daily menu for a 9-year-old child with PKU.

Meal	Food Item	Protein g	Phe mg	Calories
Breakfast	1 low-protein bagel (53 g)	0.4	21	110
	2 tablespoons low-protein peanut butter spread (36 g)	0.1	8	230
	8 fluid ounces medical food with Phe-free protein	14	0	190
Lunch	5 raw, baby, medium-size carrots (50 g)	0.3	15	20
	Low-protein chicken soup broth with low-protein pasta	0.3	4	61
	5 low-protein saltine crackers (31 g)	1.5	3	138
	1 medium-size apple (138 g)	0.3	15	81
	8 fluid ounces medical food containing Phe-free protein	14	0	190
Snack	1 fresh pear (166 g)	0.3	17	98
	12 Pepperidge Farm Goldfish (6 g)	1.0	45	27
Dinner	1 low-protein veggie burger (71 g)	1.3	50	80
	1 low-protein bun (80 g)	0.3	6	130
	3 tablespoons catsup (45 g)	0.3	15	48
	8 fluid ounces medical food with Phe-free protein	14	0	190
	9 French fries (60 g)	1.0	45	132
	3 tablespoons corn, cooked, cut kernels (30 g)	1.0	45	24
	1 low-protein chocolate chip cookie (28 g)	0.2	3	120
	Totals	50	292	1,870

Phe = phenylalanine

This sample meal plan provides about 300 mg dietary Phe, 50 g total protein, and 1,900 calories. The intact protein sources (regular foods) supply 4.2 g protein as well as two-thirds of the dietary Phe and 23 percent of the calories in the menu. The medical food containing Phe-free protein provides 42 g protein and 570 calories. The foods modified to be low in protein provide another 4 g protein and the remaining dietary Phe. The medical foods contribute 92 percent of the protein and 77 percent of the calories that this child needs.