Aptamil anti-reflux and Nuby RapidCool

Struggling to figure out how on earth to make these bottles as they need to be made fresh each time to avoid over thickening.
I've just bought a Nuby RapidCool.
Problem I am facing is that the anti-reflux formula is made with cooler water than regular formula (you need to let 1l boiled water cool for 45 mins vs the normal 30 mins) but I assume that the Nuby RapidCool only cools it to the temperature that a regular formula needs before prepping.
Am I making sense?
I'm assuming I boil my water, put it in the RapidCool until it's cool and then pour it into the bottle and add the formula and shake? I'm just so confused because the temperature needs to be different and aaaahhh someone please help me 😂

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also will I need to sterilise the Rapicool of I'm only using it for boiling water?

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One of my sons is on the same formula we do a hot shot first as it’s so thick, so do about 50-70ml (or more depending on what ml they are having) in the bottle you’re using for the feed and add the formula on top - shake it and then add the rest of the required boiled water to the rapid cool and let it get to the right temp and add to the bottle and shake it all together. It may still be abit hot so will take a few mins to cool. I sterilise it after every use - I know some people just do a hot shot and then add the boiled water and the mixed formula/hot shot to the nuby and then once cooled add back into the bottle x

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but the formula tin says to add the formula when it's cooled not when it's still hot? I have a headache trying to figure this out 😂

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The nuby rapid cool will cool water to a temperature that is drinkable for baby (I still always check temps of bottles though!), so would be cooler than it would need to be to properly sterilise the formula. According to the NHS guidance the temp of the water needs to be above 70 degs to do this! And the rapid cool definitely cools feeds to below this. Maybe have a little experiment, and see how hot the water is from the kettle after boiling it and letting it sit for 45 minutes, and then make up the feed and cool it in the rapid cool? I don’t use anti reflux formula but I’ve always used boiling water to make feeds and cooled them with the rapid cool, then cleaned and sterilised it afterwards. Who would think making a bottle could be so confusing!!! X

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We use formula that needs to be made at room temperature and use the rapid cool. Measure your water into the bottle, pour it into the rapid cool which brings it down to drinking temperature and measure your scoops into the bottle, then pour the water in. Don’t make the formula in the rapid cool and you don’t have to sterilise it. But i would definitely check how hot 45 mins after boiling is because it still might need to be hotter than the rapid cool makes it depending on the instructions

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it depends on the formula. The one we use specifically says to use room temp water because it’s already sterilised

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yes you're right that's why I'm stressing! if you add formula to freshly boiled water though it kills the nutrients

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this is what I think I will need to do, I am currently conducting this test. Rapidcool cooled it to 40 degrees.

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update: cooling for 45 mins resulted in water temp of 63 degrees so ig RapidCool method isn't going to work

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Mine was on Aptamil Anti-reflux reflux too and my mind was just overwhelmed of the amount of info/ instructions so I did about 50/50.i usually just use normal flask and put boiled water there.

I put boiled water in the feeding bottle and let it cool down then as another 50 from the flask as still hot/warm then add the milk. I just always hope for the best 😂.

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after googling it, seems as though it should have been around 40 degrees 💀 every single place I look online has different information

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do you know what temperature the water was when you mixed it?

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That I don't know it's drinkable for my bubba. I just use my hand to check the temp so not proper temperature. Still have wait 5 mins so it thickens.

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so you add the powder in once the water is at a drinkable temperature?

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Yeah. Something like that, just because following the instruction is too complicated when you have a baby crying already. May not be advised but that's what works for me

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sounds super stressful! hope you figure it out! X

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right? what baby is going to wait an hour for a bottle?

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thank you 😭

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My little one was on this formula and found it very confusing. I just used the prep machine or cold boiled water when out

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so you mixed it with cool water and it was fine?

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you could always get a good flask and get the kettle to the right temperature I.e the 45 minutes and then fill the flask. It should hold it at that temperature for a while so you won’t need to keep boiling the kettle and waiting and then use the hot shot method

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if anyone else is curious- I contacted Aptamil and they stated that the temperature should be 40 degrees after 45 mins in the kettle, therefore the Rapidcool method would work!
The anti reflux formula would not be able to mix properly at any hotter and would start to clump together so that's why it needs to be cooler.
the 70 degrees that other milk formulas follow to kill bacteria in the powder does not apply to specialised formulas because of the clumping and therefore they are manufactured under very strict standards to avoid bacteria.

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also the hot shot method is never recommended as it can degrade the nutrients, especially the more heat sensitive nutrients

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it makes life so much easier being able to use the rapid cool just for the water.

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I've always gone by how much my baby wants rather than what it says on the tin personally.
yes, boil your water then add to the rapidcool, wait for it to turn green then pour it into the bottle and add your scoops and shake well. hope it helps your baby!

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I don't no because I don't want it to get too bubbly

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it's okay, we're just doing a test to see how it goes from the docs so once these two tins are finished we shall see. tbh my baby wasn't even that sicky, he sicks up a normal amount in my opnion, maybe a bit more but it's hard to know what's normal. I took him to the doctors for his skin and mentioned CMPA and they gave me the anti reflux milk which upon my own research I realised has cows milk in anyway 💀

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