Cow & Gate nutriprem human milk fortifier is a Food for Special Medical Purposes for the dietary management of preterm and low birthweight infants. For hospital use only.

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 (except iron to allow for individual supplementation), therefore nutritional supplements and bloods may need to be reviewed as appropriate.

i.Wash hands and sterilise all utensils according to manufacturer’s instructions. ii. Check the best before date before use. iii. Measure the required amount of breastmilk into a sterilised bottle or feeding equipment. iv. Add the contents of one sachet (2.2g) to every 50ml of warm breast milk (approx. 37oC). If less milk volume is available, please reduce the amount of powder accordingly to avoid over concentration. If less than one sachet is being used, please weigh the powder with a laboratory scale if available, in strictly hygienic conditions.v.Swirl gently until powder is dissolved completely. vi. 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 milk), Casein hydrolysate (from milk), Calcium glycerophosphate, Calcium lactate, Sodium chloride, Magnesium citrate, Sodium citrate, Vitamin C, Potassium chloride, Vitamin E, L-tryptophan, Niacin, Vitamin A, Vitamin D3, Zinc sulphate, Pantothenic acid, Vitamin K1, Riboflavin, Vitamin B12, Thiamin, Vitamin B6, Copper sulphate, Folic acid, Manganese sulphate, Potassium iodide, Sodium selenite, Biotin. Allergy Advice: For allergens, see ingredients in bold.

24 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.

Kosher

Nutrients	Unit	per 100g	per 2 sachets (4.4g)
Energy	kcal	347	15
Energy	kJ	1475	65
Protein	g	25.2	1.1
whey	g	12.5	0.6
caesin	g	12.5	0.6
Carbohydrate	g	62.2	2.7
sugars	g	5.5	0.2
lactose	g	0.4	0.02
Fat	g	0	0
saturates	g	0	0
Salt	g	2	0.09

Nutrients	Unit	per 100g	per 2 sachets (4.4g)
Vitamin A	mcg	5275	232
Vitamin D	mcg	115	5.0
Vitamin E	mg TE	60	2.6
Vitamin K	mcg	144	6.4
Thiamin	mg	3.01	0.13
Riboflavin	mg	3.92	0.17
Niacin	mg	59	2.6
Pantothenic acid	mg	17.2	0.76
Vitamin B6	mg	2.52	0.11
Vitamin B12	mcg	4.6	0.2
Biotin	mcg	57	2.5
Folate	mcg	1146	50.16
Vitamin C	mg	275	12

Nutrients	Unit	per 100g	per 2 sachets (4.4g)
Sodium	mg (mmol)	803 (34.9)	35 (1.5)
Potassium	mg (mmol)	528 (13.5)	23 (0.6)
Chloride	mg (mmol)	573 (16.4)	25 (0.7)
Calcium	mg (mmol)	1491 (37.3)	66 (1.7)
Phosophorus	mg	872	38
Magnesium	mg (mmol)	115 (4.8)	5 (0.2)
Iron	mg	0	0
Zinc	mg	14	0.61
Copper	mg	0.803	0.035
Manganese	mg	0.183	0.008
Selenium	mcg	39	1.7
Iodine	mcg	252	11
Phosphate	mmol	28.1	1.2

Nutrients	Unit	per 100g	per 2 sachets (4.4g)
Osmolarity	mOsmol/l	100 (Dissolved in water)	400 (dissolved in breast milk)	-
Potential Renal Solute Load	mOsmol/l	104	-