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protein max 30g protein max 30g
protein max 30g protein max 30g

SIMILAC® HUMAN MILK FORTIFIER

For preterm or low-birth-weight infants

For preterm or low-birth-weight infants nourished with human milk that requires fortification to meet elevated nutrient requirements. Intended as a nutritional supplement to add to human milk. For oral or tube feeding use. Use under medical supervision.

 
Availability

Values listed 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
5459813
Similac® Human Milk Fortifier, Powder; 0.90 g packets; 50 x 3/case
Features
  • Peer-reviewed studies have demonstrated:
    • Normal weight, length, and head circumference gains in preterm infants.1
    • Preserved antibacterial activity of human milk against Escherichia coli, Staphylococcus, Group B Streptococcus, and Enterobacter sakazakii (now Cronobacter sakazakii).2
  • Low iron content provides flexibility to add iron as needed.
  • Mixes readily with human milk.
  • Small, convenient packaging.
  • Low-residue.
  • Gluten-free.
  • Kosher.
  • Halal.
PRECAUTIONS
  • Never use a microwave oven to warm fortified human milk; serious burns can result. Test temperature before feeding to avoid scalding the baby’s mouth.
  • Sterile liquids are preferred for infants who are premature, low-birth-weight or immunocomopromised.3 This product is not sterile and should only be used as directed by a health care professional.
  • 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 can be added to human milk.
  • Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a health care professional.
  • Add only to human milk - do not add water.
  • Additional iron may be necessary.
  • Not for parenteral use.

1 Barrett-Reis B, et al. Pediatrics. 2000;106:581-588.

2 Chan GM. J Perinatol. 2003;23:620-623.

3 Government of Canada. Preparing and handling powdered infant formula. Last modified on 2021-04-16. [Accessed online on 2021-05-30].

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

Preparation

Directions for Use:

USE AS DIRECTED BY A HEALTH CARE PROFESSIONAL.

ADD ONLY TO HUMAN MILK. DO NOT ADD WATER.

This human milk fortifier is formulated for preterm and low-birth-weight infants as a nutritional supplement to be added to human milk. Proper hygiene, handling and storage are important when preparing fortified human milk. Failure to follow these directions could result in severe harm.

  • Gently shake container of human milk. Pour desired quantity into sterile feeding container.
  • To open packet, tear top off completely along perforation. NOTE: The colour of the powder may vary slightly from packet to packet.
  • Add fortifier to human milk and gently shake.
    • Bottle feeding: Discard 1 hour after feeding begins.
    • Tube feeding: Limit hang time to a maximum of 4 hours.1
  • Use within 24 hours or according to hospital procedures for handling human milk.
  • Store unopened packets at room temperature; avoid extreme temperatures.

 

Similac Human Milk Fortifier mixing chart

 Additional Cal DesiredPreterm Human MilkSimilac Human Milk Fortifier
For initiation2 Cal/30 mL50 mL1 packet (0.9 g)
For full strength feeding4 Cal/30 mL25 mL1 packet (0.9 g)

 

1 Steele C and Collins E (Editors). Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 3rd Ed. Academy of Nutrition and Dietetics. 2019.

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

Nutrition

Unflavored Powder

  • Similac® Human Milk Fortifier, Powder; 0.90 g packets; 50 x 3/case

Serving size: 1 packet (0.9 g)

  •  
  • Value
  • Product Characteristics
  • AT STANDARD DILUTION
  •  
  • Caloric Density (Cal/mL)
  • 0.77†
  • Protein (% of total energy)
  • 28.2
  • Protein Source
  • Nonfat milk, whey protein concentrate
  • Fat (% of total energy)
  • 21.1
  • MCT oil (% of total fats)
  • N/A
  • Omega-6:Omega-3 Ratio
  • 7.5:1
  • Fat Source
  • MCT oil
  • Carbohydrate (% of total energy)
  • 50.7
  • Carbohydrate Source
  • Corn syrup solids, lactose
  • Total Cal:g Nitrogen Ratio
  • 90:1
  • Nonprotein Cal:g Nitrogen Ratio
  • 65:1
  • Water (g/L)
  • 0
  • Osmolality (mOsm/kg water)
  • 385†
  • Renal Solute Load (mOsm/L)
  • 231†
  • † Value based on 25 mL preterm human milk + 1 packet Similac® Human Milk Fortifier.
 
  •  
  • Amount per Serving
  • Nutrient Data
  • ENERGY, Cal (kJ)
  • 3.5 (15)
  • Protein, g
  • 0.25
  • Fat, g
  • 0.09
  • Carbohydrate, g
  • 0.45
  • Vitamins
  • Vitamin A, IU
  • 155
  • Vitamin D, IU
  • 30
  • Vitamin E, IU
  • 0.8
  • Vitamin K, mg
  • 0.0021
  • Vitamin C, mg
  • 6.3
  • Thiamine, mg
  • 0.058
  • Riboflavin, mg
  • 0.104
  • Niacin, mg
  • 0.893
  • Vitamin B6, mg
  • 0.053
  • Folic Acid, mg
  • 0.00575
  • Vitamin B12, mg
  • 0.00016
  • Pantothenic Acid, mg
  • 0.375
  • Biotin, mg
  • 0.0065
  • Choline, mg
  • 0.5
  • Inositol, mg
  • 1
  • Minerals
  • Sodium, mg
  • 4
  • Potassium, mg
  • 16
  • Chloride, mg
  • 9
  • Calcium, mg
  • 29
  • Phosphorus, mg
  • 16
  • Magnesium, mg
  • 1.7
  • Iron, mg
  • 0.08
  • Zinc, mg
  • 0.25
  • Iodine, mg
  • 0.0008
  • Copper, mg
  • 0.043
  • Manganese, mg
  • 0.0018
  • Selenium, mg
  • 0.0001
  •  
 

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

Ingredients

Unflavored Powder

  • Similac® Human Milk Fortifier, Powder; 0.90 g packets; 50 x 3/case

Skim Milk, Whey Protein Concentrate, Corn Syrup Solids, Modified Coconut and/or Palm Kernel Oils (Medium Chain Triglycerides), Calcium Phosphate, Potassium Citrate, Ascorbic Acid, Magnesium Chloride, Soy Lecithin, Sodium Chloride, Zinc Sulphate, M-Inositol, Niacinamide, Sodium Citrate, D-Alpha-Tocopheryl Acetate, Calcium Pantothenate, Ferrous Sulphate, Vitamin A Palmitate, Copper Sulphate, Riboflavin, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin D3, Biotin, Folic Acid, Manganese Sulphate, Phylloquinone, Cyanocobalamin, Sodium Selenate, and As Needed: Potassium Phosphate, Potassium Hydroxide, Calcium Carbonate.

Contains: Milk, Soy.

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

Availability

Values listed 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
5459813
Similac® Human Milk Fortifier, Powder; 0.90 g packets; 50 x 3/case
Features
  • Peer-reviewed studies have demonstrated:
    • Normal weight, length, and head circumference gains in preterm infants.1
    • Preserved antibacterial activity of human milk against Escherichia coli, Staphylococcus, Group B Streptococcus, and Enterobacter sakazakii (now Cronobacter sakazakii).2
  • Low iron content provides flexibility to add iron as needed.
  • Mixes readily with human milk.
  • Small, convenient packaging.
  • Low-residue.
  • Gluten-free.
  • Kosher.
  • Halal.
PRECAUTIONS
  • Never use a microwave oven to warm fortified human milk; serious burns can result. Test temperature before feeding to avoid scalding the baby’s mouth.
  • Sterile liquids are preferred for infants who are premature, low-birth-weight or immunocomopromised.3 This product is not sterile and should only be used as directed by a health care professional.
  • 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 can be added to human milk.
  • Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a health care professional.
  • Add only to human milk - do not add water.
  • Additional iron may be necessary.
  • Not for parenteral use.

1 Barrett-Reis B, et al. Pediatrics. 2000;106:581-588.

2 Chan GM. J Perinatol. 2003;23:620-623.

3 Government of Canada. Preparing and handling powdered infant formula. Last modified on 2021-04-16. [Accessed online on 2021-05-30].

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

Preparation

Directions for Use:

USE AS DIRECTED BY A HEALTH CARE PROFESSIONAL.

ADD ONLY TO HUMAN MILK. DO NOT ADD WATER.

This human milk fortifier is formulated for preterm and low-birth-weight infants as a nutritional supplement to be added to human milk. Proper hygiene, handling and storage are important when preparing fortified human milk. Failure to follow these directions could result in severe harm.

  • Gently shake container of human milk. Pour desired quantity into sterile feeding container.
  • To open packet, tear top off completely along perforation. NOTE: The colour of the powder may vary slightly from packet to packet.
  • Add fortifier to human milk and gently shake.
    • Bottle feeding: Discard 1 hour after feeding begins.
    • Tube feeding: Limit hang time to a maximum of 4 hours.1
  • Use within 24 hours or according to hospital procedures for handling human milk.
  • Store unopened packets at room temperature; avoid extreme temperatures.

 

Similac Human Milk Fortifier mixing chart

 Additional Cal DesiredPreterm Human MilkSimilac Human Milk Fortifier
For initiation2 Cal/30 mL50 mL1 packet (0.9 g)
For full strength feeding4 Cal/30 mL25 mL1 packet (0.9 g)

 

1 Steele C and Collins E (Editors). Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 3rd Ed. Academy of Nutrition and Dietetics. 2019.

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

Nutrition

Unflavored Powder

  • Similac® Human Milk Fortifier, Powder; 0.90 g packets; 50 x 3/case

Serving size:  4 packets

  •  
  • Value
  • Product Characteristics
  • AT STANDARD DILUTION
  •  
  • Caloric Density (Cal/mL)
  • 0.77†
  • Protein (% of total energy)
  • 28.2
  • Protein Source
  • Nonfat milk, whey protein concentrate
  • Fat (% of total energy)
  • 21.1
  • MCT oil (% of total fats)
  • N/A
  • Omega-6:Omega-3 Ratio
  • 7.5:1
  • Fat Source
  • MCT oil
  • Carbohydrate (% of total energy)
  • 50.7
  • Carbohydrate Source
  • Corn syrup solids, lactose
  • Total Cal:g Nitrogen Ratio
  • 90:1
  • Nonprotein Cal:g Nitrogen Ratio
  • 65:1
  • Water (g/L)
  • 0
  • Osmolality (mOsm/kg water)
  • 385†
  • Renal Solute Load (mOsm/L)
  • 231†
  • † Value based on 25 mL preterm human milk + 1 packet Similac® Human Milk Fortifier.
 
  •  
  • Amount per Serving
  • Nutrient Data
  • ENERGY, Cal (kJ)
  • 14 (59)
  • Protein, g
  • 1.0
  • Fat, g
  • 0.36
  • Carbohydrate, g
  • 1.8
  • Vitamins
  • Vitamin A, IU
  • 620
  • Vitamin D, IU
  • 120
  • Vitamin E, IU
  • 3.2
  • Vitamin K, mg
  • 0.0083
  • Vitamin C, mg
  • 25
  • Thiamine, mg
  • 0.233
  • Riboflavin, mg
  • 0.417
  • Niacin, mg
  • 3.57
  • Vitamin B6, mg
  • 0.211
  • Folic Acid, mg
  • 0.023
  • Vitamin B12, mg
  • 0.00064
  • Pantothenic Acid, mg
  • 1.5
  • Biotin, mg
  • 0.026
  • Choline, mg
  • 1.8
  • Inositol, mg
  • 3.85
  • Minerals
  • Sodium, mg
  • 15
  • Potassium, mg
  • 63
  • Chloride, mg
  • 38
  • Calcium, mg
  • 117
  • Phosphorus, mg
  • 67
  • Magnesium, mg
  • 7.0
  • Iron, mg
  • 0.35
  • Iodine, mg
  • 0.0016
  • Zinc, mg
  • 1.0
  • Copper, mg
  • 0.170
  • Manganese, mg
  • 0.0072
  • Selenium, mg
  • 0.0005
  •  
 

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

Ingredients

Unflavored Powder

  • Similac® Human Milk Fortifier, Powder; 0.90 g packets; 50 x 3/case

Skim Milk, Whey Protein Concentrate, Corn Syrup Solids, Modified Coconut and/or Palm Kernel Oils (Medium Chain Triglycerides), Calcium Phosphate, Potassium Citrate, Ascorbic Acid, Magnesium Chloride, Soy Lecithin, Sodium Chloride, Zinc Sulphate, M-Inositol, Niacinamide, Sodium Citrate, D-Alpha-Tocopheryl Acetate, Calcium Pantothenate, Ferrous Sulphate, Vitamin A Palmitate, Copper Sulphate, Riboflavin, Thiamine Chloride Hydrochloride, Pyridoxine Hydrochloride, Vitamin D3, Biotin, Folic Acid, Manganese Sulphate, Phylloquinone, Cyanocobalamin, Sodium Selenate, and As Needed: Potassium Phosphate, Potassium Hydroxide, Calcium Carbonate.

Contains: Milk, Soy.

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

Availability

Values listed 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
 
 
Features
  • Peer-reviewed studies have demonstrated:
    • Normal weight, length, and head circumference gains in preterm infants.1
    • Preserved antibacterial activity of human milk against Escherichia coli, Staphylococcus, Group B Streptococcus, and Enterobacter sakazakii (now Cronobacter sakazakii).2
  • Low iron content provides flexibility to add iron as needed.
  • Mixes readily with human milk.
  • Small, convenient packaging.
  • Low-residue.
  • Gluten-free.
  • Kosher.
  • Halal.
PRECAUTIONS
  • Never use a microwave oven to warm fortified human milk; serious burns can result. Test temperature before feeding to avoid scalding the baby’s mouth.
  • Sterile liquids are preferred for infants who are premature, low-birth-weight or immunocomopromised.3 This product is not sterile and should only be used as directed by a health care professional.
  • 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 can be added to human milk.
  • Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a health care professional.
  • Add only to human milk - do not add water.
  • Additional iron may be necessary.
  • Not for parenteral use.

1 Barrett-Reis B, et al. Pediatrics. 2000;106:581-588.

2 Chan GM. J Perinatol. 2003;23:620-623.

3 Government of Canada. Preparing and handling powdered infant formula. Last modified on 2021-04-16. [Accessed online on 2021-05-30].

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

Preparation

Directions for Use:

USE AS DIRECTED BY A HEALTH CARE PROFESSIONAL.

ADD ONLY TO HUMAN MILK. DO NOT ADD WATER.

This human milk fortifier is formulated for preterm and low-birth-weight infants as a nutritional supplement to be added to human milk. Proper hygiene, handling and storage are important when preparing fortified human milk. Failure to follow these directions could result in severe harm.

  • Gently shake container of human milk. Pour desired quantity into sterile feeding container.
  • To open packet, tear top off completely along perforation. NOTE: The colour of the powder may vary slightly from packet to packet.
  • Add fortifier to human milk and gently shake.
    • Bottle feeding: Discard 1 hour after feeding begins.
    • Tube feeding: Limit hang time to a maximum of 4 hours.1
  • Use within 24 hours or according to hospital procedures for handling human milk.
  • Store unopened packets at room temperature; avoid extreme temperatures.

 

Similac Human Milk Fortifier mixing chart

 Additional Cal DesiredPreterm Human MilkSimilac Human Milk Fortifier
For initiation2 Cal/30 mL50 mL1 packet (0.9 g)
For full strength feeding4 Cal/30 mL25 mL1 packet (0.9 g)

 

1 Steele C and Collins E (Editors). Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 3rd Ed. Academy of Nutrition and Dietetics. 2019.

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

Nutrition

Preterm Human Milk

Serving size: 100 Cal

  •  
  • Value
  • Product Characteristics
  • Cal/30 mL
  • 30*
  • Protein (% of total energy)
  • N/A
  • Protein Source
  • Preterm human milk
  • Fat (% of total energy)
  • N/A
  • MCT oil (% of total fats)
  • N/A
  • Omega-6:Omega-3 Ratio
  • N/A
  • Fat Source
  • Preterm human milk
  • Carbohydrate, % Cal
  • N/A
  • Carbohydrate Source
  • Preterm human milk
  • Total Cal:g Nitrogen Ratio
  • N/A
  • Nonprotein Cal:g Nitrogen Ratio
  • N/A
  • Water (g/L)
  • N/A
  • Osmolality (mOsm/kg water)
  • N/A
  • Renal Solute Load, mOsm/L
  • N/A
  • * The nutrient concentrations listed for preterm human milk are mean human milk levels. The range of nutrients in preterm human milk is highly variable (Meeting the Special Nutrient Needs of Low-Birth-Weight and Premature Infants in the Hospital (A8100). Columbus, Ohio: Abbott Nutrition, Abbott Laboratories, January 1998, p 56). Values for term human milk have been used for linoleic acid, biotin, choline, inositol, manganese, iodine, and selenium (American Academy of Pediatrics Committee on Nutrition: Pediatric Nutrition Handbook, 4th ed. Elk Grove Village: American Academy).
 
  •  
  • Amount per Serving
  • Nutrient Data
  • Cal/30 mL
  • 20*
  • Energy, Cal
  • 100
  • Protein, g
  • 2.10
  • Volume, mL
  • 149
  • Water, g
  • 131
  • Fat, g
  • 5.80
  • Linoleic Acid, g
  • 0.550
  • Carbohydrate, g
  • 9.9
  • Osmolality, mOsm/kg water
  • 290
  • Potential Renal Solute Load, mOsm
  • 18.7
  • Vitamins
  • Vitamin A, IU
  • 581
  • Vitamin D, IU
  • 3
  • Vitamin E, IU
  • 1.6
  • Vitamin K, mg
  • 0.0003
  • Vitamin C, mg
  • 16
  • Thiamine, mg
  • 0.031
  • Riboflavin, mg
  • 0.072
  • Niacin, mg
  • 0.224
  • Vitamin B6, mg
  • 0.022
  • Folic Acid, mg
  • 0.005
  • Vitamin B12, mg
  • 0.00007
  • Pantothenic Acid, mg
  • 0.269
  • Biotin, mg
  • 0.00060
  • Choline, mg
  • 14
  • Inositol, mg
  • 22
  • Minerals
  • Sodium, mg
  • 37
  • Potassium, mg
  • 85
  • Chloride, mg
  • 82
  • Calcium, mg
  • 37
  • Phosphorus, mg
  • 19
  • Magnesium, mg
  • 4.6
  • Iron, mg
  • 0.18
  • Zinc, mg
  • 0.51
  • Iodine, mg
  • 0.016
  • Copper, mg
  • 0.096
  • Manganese, mg
  • 0.0010
  • Selenium, mg
  • 0.0022
  • * The nutrient concentrations listed for preterm human milk are mean human milk levels. The range of nutrients in preterm human milk is highly variable (Meeting the Special Nutrient Needs of Low-Birth-Weight and Premature Infants in the Hospital (A8100). Columbus, Ohio: Abbott Nutrition, Abbott Laboratories, January 1998, p 56). Values for term human milk have been used for linoleic acid, biotin, choline, inositol, manganese, iodine, and selenium (American Academy of Pediatrics Committee on Nutrition: Pediatric Nutrition Handbook, 4th ed. Elk Grove Village: American Academy).
 

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

Ingredients

Preterm Human Milk

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

Availability

Values listed 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
 
 
Features
  • Peer-reviewed studies have demonstrated:
    • Normal weight, length, and head circumference gains in preterm infants.1
    • Preserved antibacterial activity of human milk against Escherichia coli, Staphylococcus, Group B Streptococcus, and Enterobacter sakazakii (now Cronobacter sakazakii).2
  • Low iron content provides flexibility to add iron as needed.
  • Mixes readily with human milk.
  • Small, convenient packaging.
  • Low-residue.
  • Gluten-free.
  • Kosher.
  • Halal.
PRECAUTIONS
  • Never use a microwave oven to warm fortified human milk; serious burns can result. Test temperature before feeding to avoid scalding the baby’s mouth.
  • Sterile liquids are preferred for infants who are premature, low-birth-weight or immunocomopromised.3 This product is not sterile and should only be used as directed by a health care professional.
  • 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 can be added to human milk.
  • Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a health care professional.
  • Add only to human milk - do not add water.
  • Additional iron may be necessary.
  • Not for parenteral use.

1 Barrett-Reis B, et al. Pediatrics. 2000;106:581-588.

2 Chan GM. J Perinatol. 2003;23:620-623.

3 Government of Canada. Preparing and handling powdered infant formula. Last modified on 2021-04-16. [Accessed online on 2021-05-30].

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

Preparation

Directions for Use:

USE AS DIRECTED BY A HEALTH CARE PROFESSIONAL.

ADD ONLY TO HUMAN MILK. DO NOT ADD WATER.

This human milk fortifier is formulated for preterm and low-birth-weight infants as a nutritional supplement to be added to human milk. Proper hygiene, handling and storage are important when preparing fortified human milk. Failure to follow these directions could result in severe harm.

  • Gently shake container of human milk. Pour desired quantity into sterile feeding container.
  • To open packet, tear top off completely along perforation. NOTE: The colour of the powder may vary slightly from packet to packet.
  • Add fortifier to human milk and gently shake.
    • Bottle feeding: Discard 1 hour after feeding begins.
    • Tube feeding: Limit hang time to a maximum of 4 hours.1
  • Use within 24 hours or according to hospital procedures for handling human milk.
  • Store unopened packets at room temperature; avoid extreme temperatures.

 

Similac Human Milk Fortifier mixing chart

 Additional Cal DesiredPreterm Human MilkSimilac Human Milk Fortifier
For initiation2 Cal/30 mL50 mL1 packet (0.9 g)
For full strength feeding4 Cal/30 mL25 mL1 packet (0.9 g)

 

1 Steele C and Collins E (Editors). Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 3rd Ed. Academy of Nutrition and Dietetics. 2019.

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

Nutrition

Preterm Human Milk

Serving size: 100 Cal (50 mL PTHM + 1 packet SHMF)

  •  
  • Value
  • Product Characteristics
  • Cal/30 mL
  • 30*
  • Protein (% of total energy)
  • N/A
  • Protein Source
  • Preterm human milk
  • Fat (% of total energy)
  • N/A
  • MCT oil (% of total fats)
  • N/A
  • Omega-6:Omega-3 Ratio
  • N/A
  • Fat Source
  • Preterm human milk
  • Carbohydrate, % Cal
  • N/A
  • Carbohydrate Source
  • Preterm human milk
  • Total Cal:g Nitrogen Ratio
  • N/A
  • Nonprotein Cal:g Nitrogen Ratio
  • N/A
  • Water (g/L)
  • N/A
  • Osmolality (mOsm/kg water)
  • N/A
  • Renal Solute Load, mOsm/L
  • N/A
  • * The nutrient concentrations listed for preterm human milk are mean human milk levels. The range of nutrients in preterm human milk is highly variable (Meeting the Special Nutrient Needs of Low-Birth-Weight and Premature Infants in the Hospital (A8100). Columbus, Ohio: Abbott Nutrition, Abbott Laboratories, January 1998, p 56). Values for term human milk have been used for linoleic acid, biotin, choline, inositol, manganese, iodine, and selenium (American Academy of Pediatrics Committee on Nutrition: Pediatric Nutrition Handbook, 4th ed. Elk Grove Village: American Academy).
 
  •  
  • Amount per Serving
  • Nutrient Data
  • Energy, Cal
  • 100
  • Protein, g
  • 2.58
  • Volume, mL
  • 137
  • Water, g
  • 119
  • Fat, g
  • 5.50
  • Linoleic Acid, g
  • 0.498
  • Carbohydrate, g
  • 10.2
  • Osmolality, mOsm/kg water
  • 343
  • Potential Renal Solute Load, mOsm
  • 24.5
  • Vitamins
  • Vitamin A, IU
  • 944
  • Vitamin D, IU
  • 84
  • Vitamin E, IU
  • 3.6
  • Vitamin K, mg
  • 0.0060
  • Vitamin C, mg
  • 31
  • Thiamine, mg
  • 0.185
  • Riboflavin, mg
  • 0.347
  • Niacin, mg
  • 2.611
  • Vitamin B6, mg
  • 0.162
  • Folic Acid, mg
  • 0.020
  • Vitamin B12, mg
  • 0.00050
  • Pantothenic Acid, mg
  • 1.256
  • Biotin, mg
  • 0.0181
  • Choline, mg
  • 14
  • Inositol, mg
  • 22.5
  • Minerals
  • Sodium, mg
  • 44
  • Potassium, mg
  • 119
  • Chloride, mg
  • 100
  • Calcium, mg
  • 112
  • Phosphorus, mg
  • 62
  • Magnesium, mg
  • 8.9
  • Iron, mg
  • 0.40
  • Zinc, mg
  • 1.14
  • Iodine, mg
  • 0.014
  • Copper, mg
  • 0.202
  • Manganese, mg
  • 0.006
  • Selenium, mg
  • 0.0023
  •  
 

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

Ingredients

Preterm Human Milk

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

Availability

Values listed 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
 
 
Features
  • Peer-reviewed studies have demonstrated:
    • Normal weight, length, and head circumference gains in preterm infants.1
    • Preserved antibacterial activity of human milk against Escherichia coli, Staphylococcus, Group B Streptococcus, and Enterobacter sakazakii (now Cronobacter sakazakii).2
  • Low iron content provides flexibility to add iron as needed.
  • Mixes readily with human milk.
  • Small, convenient packaging.
  • Low-residue.
  • Gluten-free.
  • Kosher.
  • Halal.
PRECAUTIONS
  • Never use a microwave oven to warm fortified human milk; serious burns can result. Test temperature before feeding to avoid scalding the baby’s mouth.
  • Sterile liquids are preferred for infants who are premature, low-birth-weight or immunocomopromised.3 This product is not sterile and should only be used as directed by a health care professional.
  • 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 can be added to human milk.
  • Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a health care professional.
  • Add only to human milk - do not add water.
  • Additional iron may be necessary.
  • Not for parenteral use.

1 Barrett-Reis B, et al. Pediatrics. 2000;106:581-588.

2 Chan GM. J Perinatol. 2003;23:620-623.

3 Government of Canada. Preparing and handling powdered infant formula. Last modified on 2021-04-16. [Accessed online on 2021-05-30].

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

Preparation

Directions for Use:

USE AS DIRECTED BY A HEALTH CARE PROFESSIONAL.

ADD ONLY TO HUMAN MILK. DO NOT ADD WATER.

This human milk fortifier is formulated for preterm and low-birth-weight infants as a nutritional supplement to be added to human milk. Proper hygiene, handling and storage are important when preparing fortified human milk. Failure to follow these directions could result in severe harm.

  • Gently shake container of human milk. Pour desired quantity into sterile feeding container.
  • To open packet, tear top off completely along perforation. NOTE: The colour of the powder may vary slightly from packet to packet.
  • Add fortifier to human milk and gently shake.
    • Bottle feeding: Discard 1 hour after feeding begins.
    • Tube feeding: Limit hang time to a maximum of 4 hours.1
  • Use within 24 hours or according to hospital procedures for handling human milk.
  • Store unopened packets at room temperature; avoid extreme temperatures.

 

Similac Human Milk Fortifier mixing chart

 Additional Cal DesiredPreterm Human MilkSimilac Human Milk Fortifier
For initiation2 Cal/30 mL50 mL1 packet (0.9 g)
For full strength feeding4 Cal/30 mL25 mL1 packet (0.9 g)

 

1 Steele C and Collins E (Editors). Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 3rd Ed. Academy of Nutrition and Dietetics. 2019.

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

Nutrition

Preterm Human Milk

Serving size: 100 Cal (25 mL PTHM + 1 packets SHMF)

  •  
  • Value
  • Product Characteristics
  • Cal/30 mL
  • 30*
  • Protein (% of total energy)
  • N/A
  • Protein Source
  • Preterm human milk
  • Fat (% of total energy)
  • N/A
  • MCT oil (% of total fats)
  • N/A
  • Omega-6:Omega-3 Ratio
  • N/A
  • Fat Source
  • Preterm human milk
  • Carbohydrate, % Cal
  • N/A
  • Carbohydrate Source
  • Preterm human milk
  • Total Cal:g Nitrogen Ratio
  • N/A
  • Nonprotein Cal:g Nitrogen Ratio
  • N/A
  • Water (g/L)
  • N/A
  • Osmolality (mOsm/kg water)
  • N/A
  • Renal Solute Load, mOsm/L
  • N/A
  • * The nutrient concentrations listed for preterm human milk are mean human milk levels. The range of nutrients in preterm human milk is highly variable (Meeting the Special Nutrient Needs of Low-Birth-Weight and Premature Infants in the Hospital (A8100). Columbus, Ohio: Abbott Nutrition, Abbott Laboratories, January 1998, p 56). Values for term human milk have been used for linoleic acid, biotin, choline, inositol, manganese, iodine, and selenium (American Academy of Pediatrics Committee on Nutrition: Pediatric Nutrition Handbook, 4th ed. Elk Grove Village: American Academy).
 
  •  
  • Amount per Serving
  • Nutrient Data
  • Energy, Cal
  • 100
  • Protein, g
  • 2.97
  • Volume, mL
  • 127
  • Water, g
  • 108
  • Fat, g
  • 5.24
  • Linoleic Acid, g
  • 0.455
  • Carbohydrate, g
  • 10.4
  • Osmolality, mOsm/kg water
  • 385
  • Potential Renal Solute Load, mOsm
  • 29.3
  • Vitamins
  • Vitamin A, IU
  • 1245
  • Vitamin D, IU
  • 150
  • Vitamin E, IU
  • 5.3
  • Vitamin K, mg
  • 0.0100
  • Vitamin C, mg
  • 44
  • Thiamine, mg
  • 0.313
  • Riboflavin, mg
  • 0.574
  • Niacin, mg
  • 4.587
  • Vitamin B6, mg
  • 0.278
  • Folic Acid, mg
  • 0.032
  • Vitamin B12, mg
  • 0.00085
  • Pantothenic Acid, mg
  • 2.072
  • Biotin, mg
  • 0.0326
  • Choline, mg
  • 14
  • Inositol, mg
  • 22.9
  • Minerals
  • Sodium, mg
  • 49
  • Potassium, mg
  • 148
  • Chloride, mg
  • 115
  • Calcium, mg
  • 175
  • Phosphorus, mg
  • 98
  • Magnesium, mg
  • 12.4
  • Iron, mg
  • 0.60
  • Zinc, mg
  • 1.65
  • Iodine, mg
  • 0.013
  • Copper, mg
  • 0.289
  • Manganese, mg
  • 0.010
  • Selenium, mg
  • 0.0024
  •  
 

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

Ingredients

Preterm Human Milk

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

Availability

Values listed 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
 
 
Features
  • Peer-reviewed studies have demonstrated:
    • Normal weight, length, and head circumference gains in preterm infants.1
    • Preserved antibacterial activity of human milk against Escherichia coli, Staphylococcus, Group B Streptococcus, and Enterobacter sakazakii (now Cronobacter sakazakii).2
  • Low iron content provides flexibility to add iron as needed.
  • Mixes readily with human milk.
  • Small, convenient packaging.
  • Low-residue.
  • Gluten-free.
  • Kosher.
  • Halal.
PRECAUTIONS
  • Never use a microwave oven to warm fortified human milk; serious burns can result. Test temperature before feeding to avoid scalding the baby’s mouth.
  • Sterile liquids are preferred for infants who are premature, low-birth-weight or immunocomopromised.3 This product is not sterile and should only be used as directed by a health care professional.
  • 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 can be added to human milk.
  • Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a health care professional.
  • Add only to human milk - do not add water.
  • Additional iron may be necessary.
  • Not for parenteral use.

1 Barrett-Reis B, et al. Pediatrics. 2000;106:581-588.

2 Chan GM. J Perinatol. 2003;23:620-623.

3 Government of Canada. Preparing and handling powdered infant formula. Last modified on 2021-04-16. [Accessed online on 2021-05-30].

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

Preparation

Directions for Use:

USE AS DIRECTED BY A HEALTH CARE PROFESSIONAL.

ADD ONLY TO HUMAN MILK. DO NOT ADD WATER.

This human milk fortifier is formulated for preterm and low-birth-weight infants as a nutritional supplement to be added to human milk. Proper hygiene, handling and storage are important when preparing fortified human milk. Failure to follow these directions could result in severe harm.

  • Gently shake container of human milk. Pour desired quantity into sterile feeding container.
  • To open packet, tear top off completely along perforation. NOTE: The colour of the powder may vary slightly from packet to packet.
  • Add fortifier to human milk and gently shake.
    • Bottle feeding: Discard 1 hour after feeding begins.
    • Tube feeding: Limit hang time to a maximum of 4 hours.1
  • Use within 24 hours or according to hospital procedures for handling human milk.
  • Store unopened packets at room temperature; avoid extreme temperatures.

 

Similac Human Milk Fortifier mixing chart

 Additional Cal DesiredPreterm Human MilkSimilac Human Milk Fortifier
For initiation2 Cal/30 mL50 mL1 packet (0.9 g)
For full strength feeding4 Cal/30 mL25 mL1 packet (0.9 g)

 

1 Steele C and Collins E (Editors). Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 3rd Ed. Academy of Nutrition and Dietetics. 2019.

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

Nutrition

Preterm Human Milk

Serving size:  1000 mL

  •  
  • Value
  • Product Characteristics
  • Cal/30 mL
  • 30*
  • Protein (% of total energy)
  • N/A
  • Protein Source
  • Preterm human milk
  • Fat (% of total energy)
  • N/A
  • MCT oil (% of total fats)
  • N/A
  • Omega-6:Omega-3 Ratio
  • N/A
  • Fat Source
  • Preterm human milk
  • Carbohydrate, % Cal
  • N/A
  • Carbohydrate Source
  • Preterm human milk
  • Total Cal:g Nitrogen Ratio
  • N/A
  • Nonprotein Cal:g Nitrogen Ratio
  • N/A
  • Water (g/L)
  • N/A
  • Osmolality (mOsm/kg water)
  • N/A
  • Renal Solute Load, mOsm/L
  • N/A
  • * The nutrient concentrations listed for preterm human milk are mean human milk levels. The range of nutrients in preterm human milk is highly variable (Meeting the Special Nutrient Needs of Low-Birth-Weight and Premature Infants in the Hospital (A8100). Columbus, Ohio: Abbott Nutrition, Abbott Laboratories, January 1998, p 56). Values for term human milk have been used for linoleic acid, biotin, choline, inositol, manganese, iodine, and selenium (American Academy of Pediatrics Committee on Nutrition: Pediatric Nutrition Handbook, 4th ed. Elk Grove Village: American Academy).
 
  •  
  • Amount per Serving
  • Nutrient Data
  • Energy, Cal
  • 671
  • Protein, g
  • 14.09
  • Volume, mL
  • 1000
  • Water, g
  • 879
  • Fat, g
  • 38.93
  • Linoleic Acid, g
  • 3.691
  • Carbohydrate, g
  • 66.4
  • Osmolality, mOsm/kg water
  • 290
  • Potential Renal Solute Load, mOsm
  • 125.6
  • Vitamins
  • Vitamin A, IU
  • 3899
  • Vitamin D, IU
  • 20
  • Vitamin E, IU
  • 10.7
  • Vitamin K, mg
  • 0.002
  • Vitamin C, mg
  • 107
  • Thiamine, mg
  • 0.208
  • Riboflavin, mg
  • 0.483
  • Niacin, mg
  • 1.5030
  • Vitamin B6, mg
  • 0.148
  • Folic Acid, mg
  • 0.033
  • Vitamin B12, mg
  • 0.00047
  • Pantothenic Acid, mg
  • 1.805
  • Biotin, mg
  • 0.0040
  • Choline, mg
  • 94
  • Inositol, mg
  • 147.7
  • Minerals
  • Sodium, mg
  • 248
  • Potassium, mg
  • 570
  • Chloride, mg
  • 550
  • Calcium, mg
  • 248
  • Phosphorus, mg
  • 128
  • Magnesium, mg
  • 30.9
  • Iron, mg
  • 1.21
  • Zinc, mg
  • 3.42
  • Iodine, mg
  • 0.107
  • Copper, mg
  • 0.644
  • Manganese, mg
  • 0.006
  • Selenium, mg
  • 0.0148
  •  
 

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

Ingredients

Preterm Human Milk

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

Availability

Values listed 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
 
 
Features
  • Peer-reviewed studies have demonstrated:
    • Normal weight, length, and head circumference gains in preterm infants.1
    • Preserved antibacterial activity of human milk against Escherichia coli, Staphylococcus, Group B Streptococcus, and Enterobacter sakazakii (now Cronobacter sakazakii).2
  • Low iron content provides flexibility to add iron as needed.
  • Mixes readily with human milk.
  • Small, convenient packaging.
  • Low-residue.
  • Gluten-free.
  • Kosher.
  • Halal.
PRECAUTIONS
  • Never use a microwave oven to warm fortified human milk; serious burns can result. Test temperature before feeding to avoid scalding the baby’s mouth.
  • Sterile liquids are preferred for infants who are premature, low-birth-weight or immunocomopromised.3 This product is not sterile and should only be used as directed by a health care professional.
  • 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 can be added to human milk.
  • Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a health care professional.
  • Add only to human milk - do not add water.
  • Additional iron may be necessary.
  • Not for parenteral use.

1 Barrett-Reis B, et al. Pediatrics. 2000;106:581-588.

2 Chan GM. J Perinatol. 2003;23:620-623.

3 Government of Canada. Preparing and handling powdered infant formula. Last modified on 2021-04-16. [Accessed online on 2021-05-30].

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

Preparation

Directions for Use:

USE AS DIRECTED BY A HEALTH CARE PROFESSIONAL.

ADD ONLY TO HUMAN MILK. DO NOT ADD WATER.

This human milk fortifier is formulated for preterm and low-birth-weight infants as a nutritional supplement to be added to human milk. Proper hygiene, handling and storage are important when preparing fortified human milk. Failure to follow these directions could result in severe harm.

  • Gently shake container of human milk. Pour desired quantity into sterile feeding container.
  • To open packet, tear top off completely along perforation. NOTE: The colour of the powder may vary slightly from packet to packet.
  • Add fortifier to human milk and gently shake.
    • Bottle feeding: Discard 1 hour after feeding begins.
    • Tube feeding: Limit hang time to a maximum of 4 hours.1
  • Use within 24 hours or according to hospital procedures for handling human milk.
  • Store unopened packets at room temperature; avoid extreme temperatures.

 

Similac Human Milk Fortifier mixing chart

 Additional Cal DesiredPreterm Human MilkSimilac Human Milk Fortifier
For initiation2 Cal/30 mL50 mL1 packet (0.9 g)
For full strength feeding4 Cal/30 mL25 mL1 packet (0.9 g)

 

1 Steele C and Collins E (Editors). Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 3rd Ed. Academy of Nutrition and Dietetics. 2019.

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

Nutrition

Preterm Human Milk

Serving size: 1000 mL (50 mL PTHM + 1 packet SHMF)

  •  
  • Value
  • Product Characteristics
  • Cal/30 mL
  • 30*
  • Protein (% of total energy)
  • N/A
  • Protein Source
  • Preterm human milk
  • Fat (% of total energy)
  • N/A
  • MCT oil (% of total fats)
  • N/A
  • Omega-6:Omega-3 Ratio
  • N/A
  • Fat Source
  • Preterm human milk
  • Carbohydrate, % Cal
  • N/A
  • Carbohydrate Source
  • Preterm human milk
  • Total Cal:g Nitrogen Ratio
  • N/A
  • Nonprotein Cal:g Nitrogen Ratio
  • N/A
  • Water (g/L)
  • N/A
  • Osmolality (mOsm/kg water)
  • N/A
  • Renal Solute Load, mOsm/L
  • N/A
  • * The nutrient concentrations listed for preterm human milk are mean human milk levels. The range of nutrients in preterm human milk is highly variable (Meeting the Special Nutrient Needs of Low-Birth-Weight and Premature Infants in the Hospital (A8100). Columbus, Ohio: Abbott Nutrition, Abbott Laboratories, January 1998, p 56). Values for term human milk have been used for linoleic acid, biotin, choline, inositol, manganese, iodine, and selenium (American Academy of Pediatrics Committee on Nutrition: Pediatric Nutrition Handbook, 4th ed. Elk Grove Village: American Academy).
 
  •  
  • Amount per Serving
  • Nutrient Data
  • Energy, Cal
  • 731
  • Protein, g
  • 18.84
  • Volume, mL
  • 1000
  • Water, g
  • 867
  • Fat, g
  • 40.18
  • Linoleic Acid, g
  • 3.642
  • Carbohydrate, g
  • 74.4
  • Osmolality, mOsm/kg water
  • 343
  • Potential Renal Solute Load, mOsm
  • 179.2
  • Vitamins
  • Vitamin A, IU
  • 6906
  • Vitamin D, IU
  • 612
  • Vitamin E, IU
  • 26.4
  • Vitamin K, mg
  • 0.0429
  • Vitamin C, mg
  • 229
  • Thiamine, mg
  • 1.355
  • Riboflavin, mg
  • 2.534
  • Niacin, mg
  • 19.096
  • Vitamin B6, mg
  • 1.187
  • Folic Acid, mg
  • 0.146
  • Vitamin B12, mg
  • 0.00362
  • Pantothenic Acid, mg
  • 9.181
  • Biotin, mg
  • 0.1322
  • Choline, mg
  • 102
  • Inositol, mg
  • 164.7
  • Minerals
  • Sodium, mg
  • 319
  • Potassium, mg
  • 874
  • Chloride, mg
  • 730
  • Calcium, mg
  • 822
  • Phosphorus, mg
  • 456
  • Magnesium, mg
  • 65.0
  • Iron, mg
  • 2.92
  • Zinc, mg
  • 8.31
  • Iodine, mg
  • 0.106
  • Copper, mg
  • 1.474
  • Manganese, mg
  • 0.041
  • Selenium, mg
  • 0.0170
  •  
 

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

Ingredients

Preterm Human Milk

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

Availability

Values listed 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
 
 
Features
  • Peer-reviewed studies have demonstrated:
    • Normal weight, length, and head circumference gains in preterm infants.1
    • Preserved antibacterial activity of human milk against Escherichia coli, Staphylococcus, Group B Streptococcus, and Enterobacter sakazakii (now Cronobacter sakazakii).2
  • Low iron content provides flexibility to add iron as needed.
  • Mixes readily with human milk.
  • Small, convenient packaging.
  • Low-residue.
  • Gluten-free.
  • Kosher.
  • Halal.
PRECAUTIONS
  • Never use a microwave oven to warm fortified human milk; serious burns can result. Test temperature before feeding to avoid scalding the baby’s mouth.
  • Sterile liquids are preferred for infants who are premature, low-birth-weight or immunocomopromised.3 This product is not sterile and should only be used as directed by a health care professional.
  • 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 can be added to human milk.
  • Not intended for feeding low-birth-weight infants after they reach a weight of 3600 g (approximately 8 lb) or as directed by a health care professional.
  • Add only to human milk - do not add water.
  • Additional iron may be necessary.
  • Not for parenteral use.

1 Barrett-Reis B, et al. Pediatrics. 2000;106:581-588.

2 Chan GM. J Perinatol. 2003;23:620-623.

3 Government of Canada. Preparing and handling powdered infant formula. Last modified on 2021-04-16. [Accessed online on 2021-05-30].

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

Preparation

Directions for Use:

USE AS DIRECTED BY A HEALTH CARE PROFESSIONAL.

ADD ONLY TO HUMAN MILK. DO NOT ADD WATER.

This human milk fortifier is formulated for preterm and low-birth-weight infants as a nutritional supplement to be added to human milk. Proper hygiene, handling and storage are important when preparing fortified human milk. Failure to follow these directions could result in severe harm.

  • Gently shake container of human milk. Pour desired quantity into sterile feeding container.
  • To open packet, tear top off completely along perforation. NOTE: The colour of the powder may vary slightly from packet to packet.
  • Add fortifier to human milk and gently shake.
    • Bottle feeding: Discard 1 hour after feeding begins.
    • Tube feeding: Limit hang time to a maximum of 4 hours.1
  • Use within 24 hours or according to hospital procedures for handling human milk.
  • Store unopened packets at room temperature; avoid extreme temperatures.

 

Similac Human Milk Fortifier mixing chart

 Additional Cal DesiredPreterm Human MilkSimilac Human Milk Fortifier
For initiation2 Cal/30 mL50 mL1 packet (0.9 g)
For full strength feeding4 Cal/30 mL25 mL1 packet (0.9 g)

 

1 Steele C and Collins E (Editors). Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities, 3rd Ed. Academy of Nutrition and Dietetics. 2019.

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

Nutrition

Preterm Human Milk

Serving size: 1000 mL (25 mL PTHM + 1 packet SHMF)

  •  
  • Value
  • Product Characteristics
  • Cal/30 mL
  • 30*
  • Protein (% of total energy)
  • N/A
  • Protein Source
  • Preterm human milk
  • Fat (% of total energy)
  • N/A
  • MCT oil (% of total fats)
  • N/A
  • Omega-6:Omega-3 Ratio
  • N/A
  • Fat Source
  • Preterm human milk
  • Carbohydrate, % Cal
  • N/A
  • Carbohydrate Source
  • Preterm human milk
  • Total Cal:g Nitrogen Ratio
  • N/A
  • Nonprotein Cal:g Nitrogen Ratio
  • N/A
  • Water (g/L)
  • N/A
  • Osmolality (mOsm/kg water)
  • N/A
  • Renal Solute Load, mOsm/L
  • N/A
  • * The nutrient concentrations listed for preterm human milk are mean human milk levels. The range of nutrients in preterm human milk is highly variable (Meeting the Special Nutrient Needs of Low-Birth-Weight and Premature Infants in the Hospital (A8100). Columbus, Ohio: Abbott Nutrition, Abbott Laboratories, January 1998, p 56). Values for term human milk have been used for linoleic acid, biotin, choline, inositol, manganese, iodine, and selenium (American Academy of Pediatrics Committee on Nutrition: Pediatric Nutrition Handbook, 4th ed. Elk Grove Village: American Academy).
 
  •  
  • Amount per Serving
  • Nutrient Data
  • Energy, Cal
  • 790
  • Protein, g
  • 23.46
  • Volume, mL
  • 1000
  • Water, g
  • 856
  • Fat, g
  • 41.41
  • Linoleic Acid, g
  • 3.594
  • Carbohydrate, g
  • 82.2
  • Osmolality, mOsm/kg water
  • 385
  • Potential Renal Solute Load, mOsm
  • 231.5
  • Vitamins
  • Vitamin A, IU
  • 9834
  • Vitamin D, IU
  • 1188
  • Vitamin E, IU
  • 41.6
  • Vitamin K, mg
  • 0.0828
  • Vitamin C, mg
  • 348
  • Thiamine, mg
  • 2.471
  • Riboflavin, mg
  • 4.531
  • Niacin, mg
  • 36.225
  • Vitamin B6, mg
  • 2.198
  • Folic Acid, mg
  • 0.256
  • Vitamin B12, mg
  • 0.00669
  • Pantothenic Acid, mg
  • 16.364
  • Biotin, mg
  • 0.2571
  • Choline, mg
  • 109
  • Inositol, mg
  • 181.3
  • Minerals
  • Sodium, mg
  • 388
  • Potassium, mg
  • 1169
  • Chloride, mg
  • 906
  • Calcium, mg
  • 1381
  • Phosphorus, mg
  • 777
  • Magnesium, mg
  • 98.2
  • Iron, mg
  • 4.58
  • Zinc, mg
  • 13.07
  • Iodine, mg
  • 0.105
  • Copper, mg
  • 2.283
  • Manganese, mg
  • 0.076
  • Selenium, mg
  • 0.0192
  •  
 

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

Ingredients

Preterm Human Milk

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

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