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Product Description MAM's nipples are designed to resemble a mother's nipple during feeding. To achieve this, MAM observed 16 infants breastfeeding using ultrasound technology. The result is a unique, flat shaped nipple that fits perfectly in baby's mouth and makes the switch back-and-forth between breast and bottle easy. All MAM products are made from BPA-free materials for maximum safety. These nipples fit all MAM bottles and are suitable for all breast milk and formula. The MAM nipple is available in five different flow rates: 0 - extra slow flow (newborn), 1 - slow flow (0+ months), 2 - medium flow (2+ months), 3 - fast flow (4+ months), and x - extra fast flow for thicker liquids (6+ months). ** Market Research 2009-2017, tested with 1,508 babies. From the Manufacturer Babies find the switch easy because with MAM they both feel just as good. This is why the MAM silk teat is unique, and patented. MAM bottle X-cut nipples are silicone nipples to use with the ultivent mam bottles for an extra fast flow. The cross cut opening is actually an “X” which allows thicker liquids to flow freely, as when feeding a child formula thickened with cereal. Better use with thicker liquids. This orthodontic nipple is made of ultra soft silicone and encourages baby to use a natural sucking action, similar to breastfeeding. BPA free. Includes 2 X-cut silicone nipples.