13 mOsm/kg for a 1 mL sample diluted with 59 mL of H2O
It’s important to maintain a low Osmolality rating when adding iron therapy or a multivitamin with iron for an infant, especially so with premature infants for risk of possibly causing electrolyte disturbances leading to dehydration. *
“Human milk is nutritionally better than formula milk for preterm infants. However, unfortified human milk may fail to meet the theoretical requirements of very low birth weight (VLBW). Human milk fortifier (HMF) increases the nutritional content of human milk. However, the important factor of concern in feeding VLBW is the osmolality, the higher the osmolality, the greater the risk of necrotizing entero colitis (NEC). Therefore, high osmolality in fortified human milk should be considered for this condition.” (1)
“Routine warming of breast milk with glucose polymer-containing additives, or the addition of lactase enzyme to lactose-containing feedings, can increase osmolality to levels that exceed current guidelines for premature infant feedings.” (2)
1) J Med Assoc Thai. 2006 Sep;89(9):1400-3.
Effect of fortification on the osmolality of human milk.
Janjindamai W1, Chotsampancharoen T.
2) J Pediatr Gastroenterol Nutr. 2002 Sep;35(3):298-302.
Routine handling of milk fed to preterm infants can significantly increase osmolality.
Fenton TR1, Belik J.
* This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Shake well before use.
Infants and children under 4 years of age: 1mL dropper daily unless otherwise directed by physician.
Directions to use the enclosed dropper:
Fill the dropper to the 1mL line and dispense directly into child’s mouth. Make certain to use the full dosage unless otherwise instructed by your child’s physician. It’s normal for a small amount to remain in the tip of the dispenser.
Do not exceed recommended dosage.
WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. Keep this product out of reach of children. In case of accidental overdose, call a doctor or poison control center immediately.
CAUTION: Keep out of reach of children.