THERAPEUTIC MILK, F75, powder, 400g
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THERAPEUTIC MILK F75/F100
Definition
Therapeutic milk intended for patients with severe acute malnutrition (SAM) in therapeutic feeding centres:
- F75 is only used in the initial phase of treatment (phase 1).
- F100 is used in the transition phase.
Specifications
Main Composition
Dry skimmed milk, vegetable fat, whey, sugar, maltodextrin, mineral and vitamin complex emulsifier.
Technical specifications
Nutritional values | F75/100ml | F100/100ml |
Energy (kcal) | 75 (70-78) | 100 (95-110) |
Proteins (g) | 0.75 - 1.5 | 2.4 - 3.2 |
Lipids (g) | 2.1 - 3.3 | 4.7 - 7.3 |
Minerals | F75/100ml | F100/100ml |
Sodium (mg) | 0 - 17.5 | 0 - 55 |
Potassium (mg) | 120 - 155 | 210 - 268 |
Calcium (mg) | 50 - 100 | 55 - 115 |
Phosphorus (mg) | 50 - 100 | 55 - 115 |
Magnesium (mg) | 8.3 - 11.2 | 15 - 27 |
Iron (mg) | 0 - 0.05 | 0 - 0.07 |
Zinc (mg) | 1.8 - 3.0 | 2.1 - 2.7 |
Copper (mg) | 0.2 - 0.3 | 0.26 - 0.34 |
Selenium (µg) | 3.3 - 6.6 | 3.9 - 7.7 |
Iodine (µg) | 11 - 23 | 13 - 27 |
Vitamins | F75/100ml | F100/100ml |
Retinol (Vit A) (mg RE) | 0.130-0.265 | 150 - 300 (µg) |
Cholecalciferol (Vit D) (µg) | 2.5 - 5 | 2.8 - 6 |
Tocopherol (Vit E) (mg) | 3.3 - 6.6 | 3.7 - 4.8 |
Phylloquinone (Vit K) (µg) | 2.5 - 5.0 | 2.8 - 5.8 |
Ascorbic ac. (Vit C) (mg) | > 9 | > 10 |
Thiamin (Vit B1) (µg) | > 82 | > 95 |
Riboflavin (Vit B2) (mg) | > 0.3 | > 0.3 |
Pyridoxine (Vit B6) (µg) | > 100 | > 115 |
Cobalamin (Vit B12) (µg) | > 0.27 | > 0.3 |
Folate (Vit B9) (µg) | > 75 | > 40 |
Niacin (Vit B3) (mg) | > 0.8 | > 1 |
Pantothenic ac. (Vit B5) (mg) | > 0.5 | > 0.6 |
Biotin (Vit B7) (µg) | > 10 | > 12 |
For more details on specifications (raw material, chemical toxicity...), see MSF Specifications: Therapeutic milk F100 & F75.
Packaging & Labelling
Primary and secondary packaging must protect the hygienic and nutritional qualities of the product during transport, handling, storage under MSF field conditions, as well as the reconstitution of therapeutic milk under good hygiene conditions.
F75 | F100 | ||
Primary Packaging (unit packaging) | Tin (with lid and spoon) | 400 g | 400 g |
Secondary packaging | Carton | 24 tins 9.6 kg net | 24 tins 9.6 kg net |
For more information on packaging labelling, refer to the CHECKLIST CONTROL UPON RECEIPT specialised food.
Instructions for use
Preparation and Reconstitution of F75 or F100
- Preparation should take place in a clean environment on cleaned and disinfected work surfaces.
- Wash hands thoroughly with soap and warm water, and dry with a clean cloth or single-use towel.
- Water used to prepare therapeutic milks should be boiled for 2 minutes and then cooled to 70°C before adding the powder. Use a digital food grade thermometer to check the temperature of the water.
- Pour the exact quantity of water (at 70°C) required (see below) into a cleaned and sterilised recipient. Use a 100 ml graduated measuring jug or a 100 ml graduated glass beaker with spout.
- Add the required amount of F75 or F100 powder:
- 2 levelled measuring spoons for 50 ml of water
- 4 levelled measuring spoons for 100 ml of water
- 8 levelled measuring spoons for 200 ml of water
- 10 levelled measuring spoons for 250 ml of water
- entire tin: see the tin (depends on product F75/F100 and manufacturer)
- Remark on the measuring spoon:
- use the measuring spoon provided in the tin. Do NOT use a measuring spoon from another product or manufacturer.
- put it directly back into the tin, do not wash it.
- the measuring spoon should not get wet; if it does, dry it well before putting it back in the tin.
- Mix the preparation with a sterilised utensil until complete dilution.
- Label the recipient: "F75 or F100, day and time of preparation".
- Cool to feeding temperature (approx. 37°C).
- Use within 2 hours
Administration
- Therapeutic milk should be administrated either at room or body temperature. The temperature should be checked with a thermometer, preferably digital.
- It is best to prepare and serve therapeutic milk immediately after cooling to body temperature. Reducing the time between preparation and consumption reduces the risk to the infant.
Conservation after reconstitution
- If it is not possible to consume immediately, keep the preparation refrigerated at 4°C (do not exceed 4ºC) in a clean sterilised bottle or other container with lid, immediately after cooling to body temperature.
- Refrigerated preparation should be consumed within 24 hrs.
- Do not prepare therapeutic milk in advance if it can not be consumed within 2 hrs or if refrigeration is not available.
- Never keep therapeutic milk in a refrigerator if it has been prepared for more than 2 hrs.
- Discard any preparation that has not been consumed within 2 hrs.
- Discard any refrigerated preparation that has not been consumed within 24 hrs.
- See: Preparation and conservation F75-F100
- See: Reconstitution Therapeutic milk F75
- See: Reconstitution F100 - 6-59 months
- See: Reconstitution F100 diluted - 1-6 months
- See: F75-Amounts for phase-1
- See: F100 Amounts for Transition phase - Option B
- See: F100 diluted-F75 - Quantity WITH possibility breastfeeding
- See: F100 diluted-F75 - Quantity WITHOUT possibility breastfeeding
- See: ITFC Nutritional Care Protocol, MSF, 2021
Storage
- Below 30ºC, Protect from sunlight ‐ Protect from humidity
- Shelf life: 24 months from the manufacturing date stated on the packaging
Caution! The main risk of deterioration is a loss of nutritional and organoleptic properties due to poor storage conditions (>30°C).
Follow the procedure QA-NFOS-SOP3 Storage of specialized food (NFOS).
For procedures related to Quality Control, refer to Preliminary remarks on specialised food.