Enfamil® Liquid Human Milk Fortifier High Protein
Enfamil Liquid Human Milk Fortifier High Protein is added to expressed breast milk for feeding premature and low-birth-weight infants.
ⓊD M IFANCA®
Enfamil Liquid Human Milk Fortifier High Protein is added to expressed breast milk for feeding premature and low-birth-weight infants who often need fortified breast milk to meet their increased caloric protein, fat, and other micronutrient needs. Enfamil Liquid Human Milk Fortifier High Protein increases the levels of protein, energy, calcium, phosphorus, iron, vitamin D and other nutrients, producing a diet more suited to the nutritional needs of the rapidly growing premature infant. It has 4 g of protein per 100 Cal when mixed with preterm human milk at the 24 Calorie per fluid ounce concentration/0.81 kcal/mL concentration.*.
* When mixed as directed 5 mL HMF + 25 mL preterm human milk.
| Product | Format | Unit Size | Approximate Product Yield at Normal Dilution | Shelf Life | Item Number | Availability |
|---|---|---|---|---|---|---|
| Enfamil® Liquid Human Milk Fortifier High Protein | Liquid | 5.5 fl oz/163 mL per bottle | Approx. 32 doses per bottle based on a 24kcal/fl oz or 0.81 kcal/mL formulation of 5mL of liquid HMF + 25mL of breastmilk | 15 Months | 3279712 | Hospital Only |
| Item Number | Product Name | Halal Status | Kosher Status |
|---|---|---|---|
| 3279712 | Enfamil® Liquid Human Milk Fortifier High Protein 163 mL Flex Pro Bottle (6x4 Bottles Per Case) | Halal Certified | Kosher Dairy |
Ingredients: Water, whey protein isolate hydrolysate (milk), medium chain triglycerides (MCT oil), soy oil and less than 2%: Mortierella alpina oil†, Schizochytrium Sp oil#, pectin, vitamin A palmitate, vitamin E acetate, vitamin D3, vitamin K1, thiamin hydrochloride, riboflavin, vitamin B6 hydrochloride, vitamin B12, niacinamide, folic acid, calcium pantothenate, biotin, ascorbic acid, calcium citrate, calcium phosphate, cupric sulfate, sodium citrate, potassium citrate, calcium chloride, ferrous sulfate, magnesium phosphate, zinc sulfate.
† A source of arachidonic acid (ARA).
# A source of docosahexaenoic acid (DHA).
POTENTIAL ALLERGENS
Enfamil Liquid Human Milk Fortifier High Protein contains milk and soy.
CAUTION: Nutritionally incomplete. To be used only under the supervision of a physician.
| Analysis | Per 5 mL Fortifier Only | 20 mL Plus 100 mL Preterm Breast Milk (120 mL mixed to 0.81 kcal/mL or 24 Cal/fl oz) concentration§ | Per 100 Cal Fortified Preterm Breast Milk when mixed to 0.81 kcal/mL or 24 Cal/fl oz concentration§ |
|---|---|---|---|
| Protein, g | 0.56 | 3.9 | 4 |
| Fat, g | 0.58 | 5.8 | 6 |
| Linoleic Acid (mg) | 58 | 710 | 730 |
| Carbohydrate, g | 0.11 | 7.7 | 7.9 |
| Water, g | 3.8 | 104 | 107 |
| Vitamins/Other Nutrients | |||
| Vitamin A (IU) | 290 | 1210 | 1240 |
| Vitamin D (IU) | 47 | 200 | 200 |
| Vitamin E (IU) | 1.4 | 6 | 6.2 |
| Vitamin K (mcg) | 1.42 | 7.7 | 7.9 |
| Thiamin (Vitamin B1) (mcg) | 46 | 193 | 200 |
| Riboflavin (Vitamin B2) (mcg) | 66 | 290 | 300 |
| Vitamin B6 (mcg) | 35 | 146 | 150 |
| Vitamin B12 (mcg) | 0.16 | 0.66 | 0.68 |
| Niacin (mcg) | 920 | 3900 | 4000 |
| Folic acid (Folacin) (mcg) | 7.7 | 34 | 35 |
| Pantothenic Acid (mcg) | 230 | 1150 | 1190 |
| Biotin (mcg) | 0.84 | 3.9 | 4.1 |
| Vitamin C (Ascorbic acid) (mg) | 3.8 | 20 | 20 |
| Minerals | |||
| Calcium (mg) | 29 | 141 | 145 |
| Phosphorus (mg) | 15.8 | 78 | 80 |
| Magnesium (mg) | 2 | 11.3 | 11.6 |
| Iron (mg) | 0.44 | 1.85 | 1.9 |
| Zinc (mg) | 0.24 | 1.33 | 1.37 |
| Manganese (mcg) | 2.5 | 10.4 | 10.7 |
| Copper (mcg) | 15 | 98 | 101 |
| Sodium (mg) | 6.8 | 55 | 57 |
| Potassium (mg) | 11.3 | 95 | 98 |
| Chloride (mg) | 6.9 | 86 | 88 |
§ Calculated using values for preterm human breast milk compiled from multiple published studies; protein value used for preterm human milk is 1.62 g/100 mL1.
Reference:
1. Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities. 3rd ed.; 2018.
Use as directed by the baby’s doctor. Shake gently before using. Do not shake vigorously to minimize product foaming. Foaming is normal with this product. Remove protective seal around cap, remove cap and foil seal. This product is commercially sterile as produced. Use proper aseptic techniques.1
A variety of aseptic preparation methods are available including the use of sterile containers, or sterile transfer lids and sterile, single-use, enteral syringes. When using sterile containers, after opening bottle pour into disposable, sterile container and draw up needed volume into a sterile, single-use, enteral syringe. Dispense into measured breast milk and swirl.
Failure to follow these instructions could result in severe harm. Opened bottles and fortified breast milk can spoil quickly. Either use immediately or replace fortifier bottle cap and store in refrigerator at 35-40°F (2-4°C) for no longer than 48 hours. Gently agitate product before each use. After feeding begins, use fortified breast milk within one hour or discard. After 48 hours of opening, discard any unused product. Do not freeze.
Reference:
1. Infant and Pediatric Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities. 3rd ed.; 2018.
The baby’s doctor will provide instructions for the desired amount of calories to add.
• WARNING: Do not use product that has unusual characteristics.
• WARNING: Do not use a microwave oven to warm the fortified breast milk. Serious burns may result.
• WARNING: Not for parenteral (I.V.) use. Do not administer directly—must add to breast milk
Add fortifier to breast milk according to the following chart for mixing:
| Additional Calories Desired (per fl oz concentration) | Breast Milk | Enfamil Liquid Human Milk Fortifier High Protein | Total Concentration (Breast Milk + LHMF) |
|---|---|---|---|
| 2 Calories/fl oz 2 kcal/30 mL | 50 mL | 5 mL | 22 Cal/fl oz 0.74 kcal/mL concentration |
| 4 Calories/fl oz 4 kcal/30 mL | 25 mL | 5 mL | 24 Cal/fl oz 0.81 kcal/mL concentration |
The baby's doctor will provide instructions for the desired amount of calories to add.
WARNING: Do not use product that has unusual characteristics.
WARNING: Do not use a microwave oven to warm the fortified breast milk. Serious burns may result.
WARNING: Not for parenteral (I.V.) use. Do not administer directly—must add to breast milk