Gelmix, a hypoallergenic, USDA organic thickener for breast milk and infant formula, consists of an off-white fine powder that is tasteless, odorless and smooth when dissolved. It is the first USDA organic thickener specifically formulated for pediatric use in America.
For best results, mix Gelmix powder into lukewarm liquid (about 100ºF) per dosage recommendations below. Mix well until powder is completely dissolved. Allow to thicken 5 minutes, then mix again before feeding. Always test temperature before feeding. Discard leftover preparation.
(aka Thin Nectar)
Add 2 Scoops (1 Stick Pack) for 5 - 6 fl oz
Add 2 Scoops (1 Stick Pack) for 3 - 4 fl oz
Jar includes a 1.2g scoop. Moderately thick (aka honey) liquids are not recommended for infants and children less than 1 year old. Moderately thick liquids are more difficult to pass through a nipple/teat and may increase risk of dehydration due to poor oral intake.
Advanced Preparation: Gelmix can be premixed with water, most infant formulas and many other liquids up to 24 hours in advance. Gelmix continues to gradually thicken liquids over time, so reducing concentration may be necessary for mixing batches in advance.
Mixing with Formula: The storage duration is dependent on the formula manufacturer’s instructions. Gelmix will not affect the storage duration of thickened formula. For powder formulas, just premix the warmed water and Gelmix, and store in the refrigerator or in a clean covered pitcher at room temperature until formula powder needs be added before feeding.
Note: We do not recommend mixing breast milk and Gelmix in advance. In order to activate Gelmix, the liquid has to be warmed, but breast milk should not be warmed twice. Breast milk mixed with Gelmix may be kept at room temperature for up to 3 hours.
Gelmix was made to be used with freshly expressed breast milk at body temperature. The warmth is required for the Gelmix to dissolve properly thicken the liquid. Once it is mixed in warm milk it can be stored for up to 24 hours in the refrigerator in a clean sealed container.
Transient gassiness and loose stools are a common side effect among infants using Gelmix for the first time. Gassiness usually subsides within two weeks of use or by reducing the amount used.
Gelmix adds about 1g fiber per every 5-6 fluid ounces to slightly thick. Constipation in not typical. Instead, loose stools are commonly reported in the first few weeks of use.
When thickening is deemed medically necessary, thickeners may be covered by some insurance providers under HCPCS Code B4100 under Durable Medical Equipment (DME) billing. Coverage under Medicaid/Medicare varies by state. Check with your private insurance carrier or your local state Medicaid/Medicare office for specific coverage regulations and restrictions. If you're denied coverage through medicaid, please apply for our WeCare patient assistance program.
Our patient assistance program provides deep discounts on Gelmix and Purathick for low income families that are denied coverage by insurance. Medicaid patients automatically qualify when thickening is deemed medically necessary.Learn More About The
What is IDDSI? IDDSI is short for International Dysphagia Diet Standardisation Initiative, a collaborative, international effort to standardize the way we talk about modified food and drink textures. For decades, descriptors of modified diet textures varied drastically between regions, and sometimes from facility to facility in the same area. Without easily measurable industry standards, miscommunication […]Read More »
This post is intended as a literature guide for healthcare professionals. Please always consult your healthcare professional before thickening liquids to ensure it is safe and appropriate for your or your child’s individual needs. Efficacy & Implementation Duncan, D. R., Larson, K., & Rosen, R. L. (2019). Clinical Aspects of Thickeners for Pediatric Gastroesophageal Reflux […]Read More »