Similac® Human Milk Fortifier Concentrated Liquid
Human Milk Fortifier for Growth Nutrient Panel
INGREDIENTS: Water, Nonfat Milk, Corn Syrup Solids, MediumChain Triglycerides, Whey Protein Concentrate. Less than 2% of: Minerals (Calcium Phosphate, Magnesium Chloride, Potassium Citrate, Salt, Calcium Carbonate, Potassium Phosphate, Sodium Citrate, Magnesium Phosphate, Zinc Sulfate, Ferrous Sulfate, Cupric Sulfate, Manganese Sulfate and Sodium Selenate), Vitamins (Vitamin A Palmitate, Vitamin D3, d-AlphaTocopheryl Acetate, Phylloquinone, Thiamine Chloride Hydrochloride, Riboflavin, Pyridoxine Hydrochloride, Cyanocobalamin, Niacinamide, Folic Acid, Calcium Pantothenate, Biotin, Ascorbic Acid, m-Inositol and Choline Chloride), Soy Lecithin, M. Alpina Oil, C. Cohnii Oil and Potassium Hydroxide.
Contains Milk and Soy Ingredients.
C. Cohnii Oil is a Source of DHA.
M. Alpina Oil is a source of ARA.
Human Milk Fortifier Concentrated Liquid MIXING INSTRUCTIONS
USE AS DIRECTED BY A DOCTOR
Directions for Preparation and Use
This product is for premature and low-birth-weight infants. Proper hygiene, handling, and storage are important when preparing fortified human milk. Follow directions as specified. Improper dilution may be harmful.
USE
| Additional Calories Desired | Human Milk | Similac Human Milk Fortifier | Approximate Yield |
| 2 Calories/fl oz | 50 mL | 1 packet | 55 mL |
| 4 Calories/fl oz | 25 mL | 1 packet | 33 mL |
Pour desired quantity of human milk into sterile feeding container.
Product separation is normal. Massage contents until uniform.
To open packet, tear top off completely along perforation.
Add contents to human milk; shake until mixed well. Once bottle feeding begins, use within one hour or discard.
For enteral feeding via tube
If stored in syringe, pull back plunger ~5mL to allow adequate headspace for mixing. Feed with syringe oriented vertically with tip pointed down.
IF STORING AND FEEDING LATER
Divide unused fortified human milk into individual bottles or syringes. Refrigerate and use within 24 hours.
After refrigeration, warm to room temperature.
Settling may occur; shake for 10 seconds or until mixed well. Feed promptly.
STORAGE
Keep unopened packets at room temperature in the protective carton; avoid extreme temperatures.
WARNING
Never use a microwave oven to warm feedings. Serious burns can result.
PRODUCT IS LIGHT SENSITIVE. KEEP PROTECTIVE CARTON LID CLOSED WHEN NOT IN USE.
*One packet (5 mL) Similac Human Milk Fortifier Concentrated Liquid in 25 mL preterm human milk. Preterm human milk values from Meeting the Special Needs of Low-Birth Weight and Premature Infants in the Hospital. Columbus, OH: Abbott Nutrition, Abbott Laboratories, January 1998.
† Values based on term human milk from America Academy of Pediatrics Committee on Nutrition: Pediatric Nutrition Handbook, 4th ed. Elk Grove Village, American Academy of Pediatrics, 1998:40; 132-135, 217, 258, 655-658.
‡ Per 100 Calories, as mixed, approximately 4 packets added to 100 mL preterm human milk (24 Cal/fl oz). Preterm human milk values from Meeting the Special Needs of Low-Birth Weight and Premature Infants in the Hospital. Columbus, OH: Abbott Nutrition, Abbott Laboratories, January 1998.
