Not suitable for intravenous use. Should not be used to enrich low birthweight formulas or infant milks . Not suitable for use in cow’s milk protein intolerance/allergy; lactose intolerance; inborn errors of metabolism such as phenylketonuria, galactosaemia and galactokinase deficiency.

Cow & Gate nutriprem human milk fortifier is not sterile. This product contains a range of vitamins and minerals (no added iron to allow for individual supplementation), therefore nutritional supplements and bloods may need to be reviewed as appropriate.

1.Wash hands and sterilise all utensils according to manufacturer’s instructions. 2. Check the best before date before use. 3. Measure the required amount of breastmilk into a sterilised bottle or feeding equipment. 4. Add the contents of one sachet (1g) to every 25ml of warm breast milk (approx. 37oC). If less milk is available and less than 1 sachet is being used, measuring and usage must be directed by a healthcare professional.5. Swirl gently until powder is dissolved completely. 6. For best practice use fortified feed immediately or in accordance with hospital procedures for handling fortified breast milk. vii. If feeding from bottle, discard unfinished feeds in bottle within 2 hours of preparation.

Maltodextrin, whey protein hydrolysate (from cow’s milk), caseinate hydrolysate (from cow’s milk), anhydrous milk fat, vegetable oil (medium chain trigylcerides (coconut and/or palm oil)), calcium glycerophosphate, calcium lactate, sodium chloride, magnesium citrate, fish oil, L-Ascorbic acid, sodium hydroxide, sodium citrate, egg lipid, oil from Mortierella alpina, potassium chloride, L-Tryptophan, DL-alpha tocopheryl acetate, nicotinamide, zinc sulphate, calcium D-pantothenate, retinyl palmitate, DL-alpha tocopherol, riboflavin, thiamin hydrochloride, copper sulphate, pyridoxine hydrochloride, pteroylmonoglutamic acid, manganese sulphate, phytomenadione, potassium iodide, cholecalciferol, D-Biotin, sodium selenite, cyanocobalamin. Allergy Advice: For allergens, see ingredients in bold.

13 months. Best before date: see top of pack.

The sachets, which are packed in a protective atmosphere, should be kept tightly sealed and stored in a dry and cool place (do not refrigerate). Discard any unused opened sachets.

Halal and Kosher

This is intended to show suitability of products for religious or dietary reasons. Some products may be suitable for kosher or halal diets but only products with Kosher approval or Halal certification have been identified here. Some individual flavours/variants may not be suitable and for more information please call our Resource Centre.

Nutrients	Unit	per 1g powder	4g powder+preterm human milk per 100ml
Energy	kcal	4	84
Energy	Kj	18	353
Protein	g	0.33	2.92
Whey	g	0.16	-
Casein	g	0.16	-
Carbohydrate	g	0.37	8.8
Sugars	g	0.02	7.4
Lactose	g	0.005	7.3
Fat	g	0.18	4.2
Saturates	g	0.14	-
Monounsaturates	g	0.027	-
Polunsaturates	g	0.007	-
Docosahexaenoic acid (DHA)	mg	1.2	16.2
Arachidonic acid (AA)	mg	1.2	21.5
Fibre	g	0	-

Nutrients	Unit	per 1g powder	4g powder+preterm human milk per 100ml
Vitamin A	mcg	58.0	247
Vitamin D3	mcg	1.38	5.74
Vitamin E	mg(mg TE)	0.88(0.65)	3.78(2.95)
Vitamin K	mcg	4.09	18
Thiamin	mg	0.03	0.14
Riboflavin	mg	0.04	0.197
Niacin	mg(mg NE)	0.57(0.66)	2.49(-)
pantothenic acid	mg	0.19	0.98
Vitamin B6	mg	0.03	0.12
Folate	mcg	12.5	53.2
Folic acid	mcg	7.5	-
Vitamin B12	mcg	0.05	0.22
Biotin	mcg	0.62	3.04
Vitamin C	mg	2.97	16.4

Nutrients	Unit	per 1g powder	4g powder+preterm human milk per 100ml
Sodium	mg (mmol)	8.24(0.36)	61.0(2.64)
Potassium	mg (mmol)	5.75(0.15)	73.0(1.9)
Chloride	mg (mmol)	6.25(0.18)	83.0(2.42)
Calcium	mg (mmol)	17.3(0.43)	95.0(2.32)
Phosphorus	mg(mmol PO4)	9.49(0.31)	52.5(1.71)
Magnesium	mg (mmol)	1.25(0.05)	8.3(0.3)
Iron	mg	≤0.005	≤0.11
Zinc	mg	0.15	0.97
Copper	mg	0.01	0.079
Manganese	mg	0.002	0.007
Fluoride	mcg	≤2.13	-
Molybdenum	mcg	≤0.60	-
Selenium	mcg	0.44	4.2
Chromium	mcg	≤0.38	-
Iodine	mcg	2.8	28.8

Nutrients	Unit	per 1g powder	4g powder+preterm human milk per 100ml
L-alanine	mg	15	-
L-arginine	mg	11	-
L-aspartic acid	mg	34	-
L-cystine	mg	4.8	-
L-glutamic acid	mg	80	-
Glycine	mg	6.3	-
L-histidine	mg	8.2	-
L-isoleucine	mg	21	-
L-leucine	mg	35	-
L-lysine	mg	32	-
L-methionine	mg	8.7	-
L-phenylalanine	mg	13	-
L-proline	mg	31	-
L-serine	mg	20	-
L-threonine	mg	21	-
L-tryptophan	mg	4.8	-
L-tyrosine	mg	14	-
L-valine	mg	22	-

Nutrients	Unit	per 1g powder	4g powder+preterm human milk per 100ml
Choline	mg	0.19	-
Inositol	mg	0.02	-
Osmolarity	mOsmol/L	100	-
Osmolality	mOsmol/kg	110	410
Potential Renal Solute Load	mOsmol/l	114	-