Cow & Gate nutriprem protein supplement is a Food for Special Medical Purposes for the dietary management of extremely low birthweight infants who require additional protein. For hospital use only

Not suitable for intravenous use. Should only be used under the close medical supervision of a neonatologist or dietitian. Do not use Cow & Gate Nutriprem protein supplement instead of human milk fortifier or low birthweight formula as this supplement contains proteins and not complete nutrition. 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 protein supplement is not sterile. It is recommended to monitor the blood urea nitrogen levels.

If human milk is used: If possible measure* the protein content of human milk and add human milk fortifier according to the instructions. Then add the appropriate amount of protein supplement to achieve the recommended level of protein: 3.6-4.1g/100kcal. *if not analysing the protein content of human milk then as a guide the protein content of preterm milk is approximately 1.5g/100mls (2.3g/100kcal). If preterm formula is used: Cow & Gate nutriprem 1 low birthweight formula contains 3.3g of protein/100kcal (2.7g/100mls). To adjust the protein level to meet the recommendation for extremely low birth weight infants, 0.4-0.9g of nutriprem protein supplement per 100mls of nutriprem 1 needs to be added. If using another low birthweight formula, a different amount of nutriprem protein supplement may be needed. All nutriprem products carry preparation instructions. Please see packaging for further information. If added to fortified human milk for best practice use immediately, or in accordance with hospital procedures for handling fortified milk. If added to preterm formula: discard bottle and remaining contents within one hour of opening.

Whey protein hydrolysate (from milk), Casein hydrolysate (from milk). Allergy Advice: For allergens, see ingredients in bold.

18 months. Best before dates: see top of pack

If added to fortified human milk for best practice use immediately, or in accordance with hospital procedures for handling fortified milk. If added to preterm formula: discard bottle and remaining contents within one hour of opening.

Kosher certified.

Nutrients	Unit	per 100g	per 2 sachets (4.4g)
Energy	kcal	338	3.4
Energy	kJ	1435	14
Protein	g	82.1	0.82
whey	g	41.4	-
caesin	g	41.1	-
Carbohydrate	g	2.2	0.02
sugars	g	1.3	0.01
lactose	g	1.3	0.01
Fat	g	0.1	0.001
saturates	g	0.1	0.01
Salt	g	1.94	0.02

Nutrients	Unit	per 100g	per 2 sachets (4.4g)
Vitamin A	mcg	0	0
Vitamin D	mcg	0	0
Vitamin E	mg TE	0	0
Vitamin K	mcg	0	0
Thiamin	mg	0	0
Riboflavin	mg	0	0
Niacin	mg	0	0
Pantothenic acid	mg	0	0
Vitamin B6	mg	0	0
Vitamin B12	mcg	0	0
Biotin	mcg	0	0
Folate	mcg	0	0
Vitamin C	mg	0	0

Nutrients	Unit	per 100g	per 2 sachets (4.4g)
Sodium	mg (mmol)	776 (33.7)	7.8 (0.3)
Potassium	mg (mmol)	1226 (31.4)	12.3 (0.3)
Chloride	mg (mmol)	66 (1.9)	0.7 (0.0)
Calcium	mg (mmol)	524 (13.1)	5	2 (0.1)
Phosophorus	mg	516	5.2
Magnesium	mg (mmol)	46 (1.9)	0.5 (0)
Iron	mg	0	0
Zinc	mg	0	0
Copper	mg	0	0
Manganese	mg	0.21	0.002
Selenium	mcg	27	0.3
Iodine	mcg	0	0
Phosphate	mmol	16.6	0.2