LMD Non-GMO Category 1 Metabolic Powder, 2270 calories per 1 pound (454 g) can, 16.2 grams protein equivalent per 100 grams of powder, vanilla scent. LMD is an iron-fortified infant formula and medical food powder that is free of the essential amino acid leucine for infants, children and adults with documented leucine metabolism disorders, including isovaleric acidemia. The product provides the other essential amino acids as well as nonessential amino acids, carbohydrate, fat, essential fatty acids, vitamins and minerals. Use under direct and continuing supervision of a doctor.