A 2-week-old infant presents for a newborn exam. They were born via spontaneous vaginal delivery at 38 weeks without any complications.

A 2-week-old infant presents for a newborn exam. They were born via spontaneous vaginal delivery at 38 weeks without any complications. The infant has an elevated phenylalanine level. The mother exclusively breastfeeds. No abnormalities are noted on physical examination. What is the next step in management? A. Order plasma amino acids B. Order assay for dihydropteridine reductase C. Switch to low-phenylalanine formula D. Switch to soy formula


A 2-week-old infant presents for a newborn exam. They were born via spontaneous vaginal delivery at 38 weeks without any complications. The infant has an elevated phenylalanine level. The mother exclusively breastfeeds. No abnormalities are noted on physical examination. What is the next step in management? A. Order plasma amino acids B. Order assay for dihydropteridine reductase C. Switch to low-phenylalanine formula D. Switch to soy formula

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