Pedemy All toolsPick the base and the target. Recipes show water and powder for common volumes. Tap any earlier answer to change it.
This tool gives recipes to concentrate standard powdered infant formula, or to fortify expressed breast milk, to 22, 24, 27 or 30 kcal/oz. It is meant for clinicians and dietitians who prescribe higher-calorie feeds for infants with poor weight gain.
You choose the base, either standard powdered formula (20 kcal/oz when mixed normally) or breast milk (about 20 kcal/oz), and the target calorie density. The tool then shows how much water and powder to use for final volumes of 60, 90, 120, 180 and 240 mL, in grams and level scoops. The math assumes a typical standard term powder with about 5.1 kcal/g, about 0.7 mL of displacement per gram and an 8.7 g scoop. Brands differ, so the label or the manufacturer’s recipe should be checked.
Safety notes stress that concentrated feeds should be used only under clinician or dietitian supervision, with a weight recheck in 1–2 weeks. They raise renal solute load, so watch for dehydration. Advance by about 2 kcal/oz every 24–48 hours, and use human milk fortifier for preterm infants. Recipes are based on US manufacturer label composition and the Academy of Nutrition and Dietetics Infant Feedings guidelines (3rd ed.).
The tool suggests advancing by about 2 kcal/oz every 24–48 hours if tolerated, with weight rechecked in 1–2 weeks. Formula should never be diluted below standard strength.
Use kcal/kg/day = (mL per day × kcal/oz ÷ 29.6) ÷ weight in kg. For example, 600 mL a day of 24 kcal/oz formula in a 5 kg infant gives about 97 kcal/kg/day.
Yes. The tool shows how many grams of standard powdered formula to add to 60–240 mL of breast milk for each target. For preterm or NICU infants, it advises human milk fortifier or transitional formula as directed by neonatology instead.
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