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Similac® Human Milk Fortifier Concentrated Liquid

Similac<sup>®</sup> Human Milk Fortifier Concentrated Liquid

Similac® Human Milk Fortifier Concentrated Liquid

Intended for premature and low-birth-weight infants as a nutritional supplement to add to human milk. Use under medical supervision.

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Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday – Friday, 8:00 a.m. to 5:30 p.m. EST.

Established Abbott accounts can order online at e-Abbott.com.

Values listed below are subject to change. Please refer to the product label or packaging for the most current ingredients, allergen and nutrient profile information.

List Number Item Market
56649 Similac Human Milk Fortifier Concentrated Liquid / 0.17 fl oz (5 mL) Packet / 6 x 24 ct Institutional

Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday – Friday, 8:00 a.m. to 5:30 p.m. EST.

5 mL (1 Packet)

Nutrition Data

Amount Per Serving %DV
Calories 7
Volume, mL 5
Protein, g 0.35
Fat, g 0.27
Carbohydrate, g 0.81
Water, g 3.6
Linoleic Acid, mg 1
Potential Renal Solute Load, mOsm 3.8
Osmolality, mOsm/kg H2O NA

Vitamins

Amount Per Serving %DV
Vitamin A, IU 197
Vitamin D, IU 35
Vitamin E, IU 1.0
Vitamin K, mcg 2.4
Thiamin (Vitamin B1), mcg 48
Riboflavin (Vitamin B2), mcg 123
Vitamin B6, mcg 49
Vitamin B12, mcg 0.08
Niacin, mcg 1040
Folic Acid, mcg 7
Pantothenic Acid, mcg 309
Biotin, mcg 7.6
Vitamin C (Ascorbic Acid), mg 7.7
Choline, mg 0.9
Inositol, mg 1.7

Minerals

Amount Per Serving %DV
Calcium, mg 35
Calcium, mEq 1.8
Phosphorus, mg 20
Magnesium, mg 2.2
Iron, mg 0.11
Zinc, mg 0.30
Manganese, mcg 2.1
Copper, mcg 15
Iodine, mcg 0.5
Selenium, mcg 0.2
Sodium, mg 5
Sodium, mEq 0.23
Potassium, mg 21
Potassium, mEq 0.53
Chloride, mg 13
Chloride, mEq 0.38

30 mL (1 packet mixed with 25 mL preterm human milk)*

Nutrition Data

Amount Per Serving %DV
Calories 24
Volume, mL 30
Protein, g 0.70
Fat, g 1.24
Carbohydrate, g 2.47
Water, g 25.6
Linoleic Acid, mg 93†
Potential Renal Solute Load, mOsm 6.9
Osmolality, mOsm/kg H2O 385

Vitamins

Amount Per Serving %DV
Vitamin A, IU 294
Vitamin D, IU 35
Vitamin E, IU 1.2
Vitamin K, mcg 2.5
Thiamin (Vitamin B1), mcg 53
Riboflavin (Vitamin B2), mcg 135
Vitamin B6, mcg 53
Vitamin B12, mcg 0.09
Niacin, mcg 1080
Folic Acid, mcg 8
Pantothenic Acid, mcg 354
Biotin, mcg 7.7†
Vitamin C (Ascorbic Acid), mg 10.4
Choline, mg 3.3
Inositol, mg 5.4†

Minerals

Amount Per Serving %DV
Calcium, mg 41
Calcium, mEq 2.1
Phosphorus, mg 23
Magnesium, mg 2.9
Iron, mg 0.14
Zinc, mg 0.39
Manganese, mcg 2.3†
Copper, mcg 31
Iodine, mcg 3.2†
Selenium, mcg 0.6†
Sodium, mg 12
Sodium, mEq 0.5
Potassium, mg 35
Potassium, mEq 0.9
Chloride, mg 27
Chloride, mEq 0.8

<sup>*</sup>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, Jan 1998.

<sup>&dagger;</sup>Values based on term human milk from Academy of Pediatrics Committee on Nutrition. "Pediatric Nutrition Handbook", ed 4. Elk Grove Village: American Academy of Pediatrics, 1998;40:132-135, 217, 258, 655-658.

100 mL

Nutrition Data

Amount Per Serving %DV
Calories 79
Volume, mL 100
Protein, g 2.34
Fat, g 4.14
Carbohydrate, g 8.24
Water, g 85
Linoleic Acid, mg 311
Potential Renal Solute Load, mOsm 23.1
Osmolality, mOsm/kg H2O 385

Vitamins

Amount Per Serving %DV
Vitamin A, IU 982
Vitamin D, IU 118
Vitamin E, IU 4.2
Vitamin K, mcg 8.2
Thiamin (Vitamin B1), mcg 177
Riboflavin (Vitamin B2), mcg 450
Vitamin B6, mcg 176
Vitamin B12, mcg 0.31
Niacin, mcg 3592
Folic Acid, mcg 26.1
Pantothenic Acid, mcg 1180
Biotin, mcg 25.7
Vitamin C (Ascorbic Acid), mg 34.6
Choline, mg 10.8
Inositol, mg 18

Minerals

Amount Per Serving %DV
Calcium, mg 136
Calcium, mEq 7
Phosphorus, mg 77
Magnesium, mg 9.9
Iron, mg 0.47
Zinc, mg 1.3
Manganese, mcg 7.5
Copper, mcg 194
Iodine, mcg 11
Selenium, mcg 2
Sodium, mg 37
Sodium, mEq 1.7
Potassium, mg 118
Potassium, mEq 3
Chloride, mg 89
Chloride, mEq 2.6

100 Cal (~4 packets mixed with 100 mL preterm human milk)

Nutrition Data

Amount Per Serving %DV
Calories 100
Volume, mL 126
Protein, g 2.95
Fat, g 5.23
Carbohydrate, g 10.4
Water, g 108
Linoleic Acid, mg 392
Potential Renal Solute Load, mOsm 29.3
Osmolality, mOsm/kg H2O 385

Vitamins

Amount Per Serving %DV
Vitamin A, IU 1238
Vitamin D, IU 149
Vitamin E, IU 5.3
Vitamin K, mcg 10.3
Thiamin (Vitamin B1), mcg 224
Riboflavin (Vitamin B2), mcg 568
Vitamin B6, mcg 222
Vitamin B12, mcg 0.39
Niacin, mcg 4532
Folic Acid, mcg 32.9
Pantothenic Acid, mcg 1489
Biotin, mcg 32.4
Vitamin C (Ascorbic Acid), mg 43.7
Choline, mg 13.7
Inositol, mg 22.7

Minerals

Amount Per Serving %DV
Calcium, mg 173
Calcium, mEq 8.9
Phosphorus, mg 98
Magnesium, mg 12.5
Iron, mg 0.59
Zinc, mg 1.62
Manganese, mcg 9.5
Copper, mcg 131
Iodine, mcg 13
Selenium, mcg 2
Sodium, mg 47
Sodium, mEq 2.1
Potassium, mg 148
Potassium, mEq 3.8
Chloride, mg 113
Chloride, mEq 3.2

<sup>*</sup>Values based on term human milk from Academy of Pediatrics Committee on Nutrition. "Pediatric Nutrition Handbook", ed 4. Elk Grove Village: American Academy of Pediatrics, 1998;40:132-135, 217, 258, 655-658.

Features
  • Small, convenient packet is designed for easy mixing.
  • When added to human milk, meets the nutrient recommendations for the premature infant.<sup>1</sup>
  • Commercially sterile and meets the AND and CDC recommendation to use liquid for NICU feedings.<sup>2,3,*</sup>
  • Packet is simple to open and mixes easier with human milk than powder.<sup>4</sup>
  • Low iron level provides flexibility to add iron as needed.
  • Halal.
  • Kosher.

Precautions
  • Add only to human milk - do not add water.
  • This product is nutritionally incomplete by itself and is designed to be added to human breast milk.
  • Additional iron may be necessary.
  • Tolerance to enteral feedings should be confirmed by offering small volumes of unfortified human milk.
  • Once enteral feeding is well established, Similac Human Milk Fortifier Concentrated Liquid can be added to human milk.
  • <B>Never use a microwave oven to warm feedings.</B> Serious burns can result.

<sup>*</sup> Academy of Nutrition and Dietetics and Centers for Disease Control and Prevention.

<sup>1</sup> Klein CJ. J Nutr. 2002;132(6):1395S-1577S.

<sup>2</sup> Centers for Disease Control and Prevention. Enterobacter sakazakii infections associated with the use of powdered infant formula—Tennessee, 2001. Available at <A href="http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5114a1.htm">http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5114a1.htm</A>. Published April 11, 2002. Accessed November 27, 2019.

<sup>3</sup> Pediatric Nutrition Practice Group, Robbins ST, Myers R. Infant Feedings: Guidelines for Preparation of Formula and Breastmilk in Health Care Facilities. ed 2. Chicago: American Dietetic Association, 2011.

<sup>4</sup> Data on file, 2010. Abbott Nutrition Market Research, Abbott Laboratories, Columbus, Ohio.

Unflavored Concentrated Liquid

Water, Nonfat Milk, Corn Syrup Solids, Medium Chain 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-Alpha-Tocopheryl Acetate, Phylloquinone, Thiamine Chloride Hydrochloride, Riboflavin, Pyridoxine Hydrochloride, Cyanocobalamin, Niacinamide, Folic Acid, Calcium Pantothenate, Biotin, Ascorbic Acid, M-Inositol, Choline Chloride), Soy Lecithin, M. Alpina Oil, C. Cohnii Oil, and Potassium Hydroxide.

Contains milk and soy ingredients.

Preparation

Instructions for 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.

Additional Calories Desired Human MilkSimilac Human Milk FortifierApproximate Yield
2 Calories/fl oz50 mL1 packet55 mL
4 Calories/fl oz25 mL1 packet30 mL

Immediate Use
  • 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 and shake until mixed well. Once bottle feeding begins, use within one hour or discard.

When Stored
  • 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.
  • For syringes, allow 5 mL headspace for mixing. Feed vertically, tip down.

Storage & Handling

Instructions for Storage:

  • Keep unopened packets at room temperature in the protective carton; avoid extreme temperatures.

Similac<sup>®</sup> Human Milk Fortifier Concentrated Liquid

Similac® Human Milk Fortifier Concentrated Liquid

Intended for premature and low-birth-weight infants as a nutritional supplement to add to human milk. Use under medical supervision.

Similac<sup>®</sup> Human Milk Fortifier Concentrated Liquid

Features

  • Small, convenient packet is designed for easy mixing.
  • When added to human milk, meets the nutrient recommendations for the premature infant.<sup>1</sup>
  • Commercially sterile and meets the AND and CDC recommendation to use liquid for NICU feedings.<sup>2,3,*</sup>
  • Packet is simple to open and mixes easier with human milk than powder.<sup>4</sup>
  • Low iron level provides flexibility to add iron as needed.
  • Halal.
  • Kosher.

<sup>*</sup> Academy of Nutrition and Dietetics and Centers for Disease Control and Prevention.

<sup>1</sup> Klein CJ. J Nutr. 2002;132(6):1395S-1577S.

<sup>2</sup> Centers for Disease Control and Prevention. Enterobacter sakazakii infections associated with the use of powdered infant formula—Tennessee, 2001. Available at <A href="http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5114a1.htm">http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5114a1.htm</A>. Published April 11, 2002. Accessed November 27, 2019.

<sup>3</sup> Pediatric Nutrition Practice Group, Robbins ST, Myers R. Infant Feedings: Guidelines for Preparation of Formula and Breastmilk in Health Care Facilities. ed 2. Chicago: American Dietetic Association, 2011.

<sup>4</sup> Data on file, 2010. Abbott Nutrition Market Research, Abbott Laboratories, Columbus, Ohio.

Safety Precautions

  • Add only to human milk - do not add water.
  • This product is nutritionally incomplete by itself and is designed to be added to human breast milk.
  • Additional iron may be necessary.
  • Tolerance to enteral feedings should be confirmed by offering small volumes of unfortified human milk.
  • Once enteral feeding is well established, Similac Human Milk Fortifier Concentrated Liquid can be added to human milk.
  • Never use a microwave oven to warm feedings. Serious burns can result.

Availability

List Number Item
56649 Similac Human Milk Fortifier Concentrated Liquid / 0.17 fl oz (5 mL) Packet / 6 x 24 ct

Ingredients

Unflavored Concentrated Liquid

Water, Nonfat Milk, Corn Syrup Solids, Medium Chain 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-Alpha-Tocopheryl Acetate, Phylloquinone, Thiamine Chloride Hydrochloride, Riboflavin, Pyridoxine Hydrochloride, Cyanocobalamin, Niacinamide, Folic Acid, Calcium Pantothenate, Biotin, Ascorbic Acid, M-Inositol, Choline Chloride), Soy Lecithin, M. Alpina Oil, C. Cohnii Oil, and Potassium Hydroxide.

Contains milk and soy ingredients.

Nutrition Information

5 mL (1 Packet)
Value%DV
30 mL (1 packet mixed with 25 mL preterm human milk)*
Value%DV
100 mL
Value%DV
100 Cal (~4 packets mixed with 100 mL preterm human milk)
Value%DV

<sup>*</sup>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, Jan 1998.

<sup>&dagger;</sup>Values based on term human milk from Academy of Pediatrics Committee on Nutrition. "Pediatric Nutrition Handbook", ed 4. Elk Grove Village: American Academy of Pediatrics, 1998;40:132-135, 217, 258, 655-658.

<sup>*</sup>Values based on term human milk from Academy of Pediatrics Committee on Nutrition. "Pediatric Nutrition Handbook", ed 4. Elk Grove Village: American Academy of Pediatrics, 1998;40:132-135, 217, 258, 655-658.

Preparation

Instructions for 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.

Additional Calories Desired Human MilkSimilac Human Milk FortifierApproximate Yield
2 Calories/fl oz50 mL1 packet55 mL
4 Calories/fl oz25 mL1 packet30 mL

Immediate Use
  • 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 and shake until mixed well. Once bottle feeding begins, use within one hour or discard.

When Stored
  • 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.
  • For syringes, allow 5 mL headspace for mixing. Feed vertically, tip down.

Storage & Handling

Instructions for Storage:

  • Keep unopened packets at room temperature in the protective carton; avoid extreme temperatures.

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