Description
Food for medical purposes indicated for the dietary management of low birth weight or preterm infants.
Specifically formulated to fortify breast milk, in line with the criteria established by the ESPGHAN 2010 document for the nutrition of low birth weight premature babies.
Combined with premature milk it provides 3.6 g/100 kcal of protein. It contains a lipid mixture consisting of triglycerides with medium chain fatty acids (MCT) and DHA.

Ingredients
Whey protein partially hydrolysed, maltodextrin, triglycerides with medium chain fatty acids MCT (coconut oil, palm kernel oil) in varying proportions, rapeseed oil, calcium glycerophosphate, calcium salts of orthophosphoric acid, fish oil, sodium L-ascorbate, magnesium chloride, calcium chloride, sodium citrate, choline bitartrate, sodium chloride, ferrous sulphate, DL-alpha-tocopheryl acetate, inositol, L-carnitine, zinc sulphate, taurine, nicotinamide, calcium D-pantothenate, retinyl acetate, riboflavin, thiamine mononitrate, cupric sulphate, pyridoxine hydrochloride, folic acid, potassium iodide, manganese sulphate, phylloquinone, sodium selenite, cholecalciferol, D-biotin, cyanocobalamin.

Nutritional characteristics

Average values	per 100 g	per dose 4 g
Energy	1.818 kJ 435 kcal	73 kJ 17 kcal
Fats of which saturated fatty acids MCT monounsaturated fatty acids polyunsaturated fatty acids - linoleic acid - alpha-linolenic acid - docosahexaenoic acid (DHA)	18.1 g 10.9 g 12.5 g 3.9 g 1.85 g 1.130 mg 417 mg 157 mg	0.7 g 0.4 g 0.5 g 0.2 g 0.1 g 45.2 mg 16.7 mg 6.3 mg
Carbohydrates of which sugars	32.4 g 2.1 g	1.3 g 0.08 g
Proteins	35.5 g	1.4 g
Salt	2.3 g	0.092 g
Vitamin A	9,509 mcg-RE	380 mcg-RE
Vitamin D	88.1 mcg	3.5 mcg
Vitamin K	188 mcg	7.5 mcg
Vitamin C	469 mg	18.8 mg
Thiamine	4,000 mcg	160 mcg
Riboflavin	5,350 mcg	214 mcg
Vitamin B6	3.5 mg	0.14 mg
Niacin	40.2 mg	1.6 mg
Folate	1,650 mcg-DFE	66 mcg-DFE
Vitamin B12	4.7 mcg	0.19 mcg
Pantothenic acid	18.8 mg	0.75 mg
Biotin	82 mcg	3.3 mcg
Vitamin E	107 mg TE	4.3 mg TE
Sodium	918 mg	36.7 mg
Chloride	803 mg	32.1 mg
Potassium	1,210 mg	48.4 mg
Soccer	1.890 mg	75.6 mg
Phosphorus	1.095 mg	43.8 mg
Magnesium	100 mg	4.0 mg
Iron	45 mg	1.8 mg
Zinc	23.5 mg	0.94 mg
Copper	1,300 mcg	52 mcg
Iodine	486 mcg	19.4 mcg
Selenium	107 mcg	4.3 mcg
Manganese	229 mcg	9.1 mcg
Chrome	<23 mcg	<0.92 mcg
Molybdenum	<20 mcg	<0.8 mcg
Fluoride	<60 mcg	<2.4 mcg
Choline	230 mg	9.2 mg
Inositol	132 mg	5.3 mg
Taurine	53.6 mg	2.1 mg
L-carnitine	70.7 mg	2.8 mg

How to use
Before preparation, wash your hands and sterilize the devices for administration. Prepare only one meal and administer it immediately.
The dosages given are indicative and can be modified, based on the doctor's recommendations, depending on the weight and age of premature/low birth weight infants.
The standard level of fortification is 1 g in 25 ml of breast milk. It is recommended to gradually increase the dose, starting from 2 g in 100 ml of breast milk. After assessing tolerability over 24 hours, increase the fortification (up to 4 g in 100 ml of breast milk) or follow the instructions established in the hospital.

Prepare one device (bottle, syringe, or enteral feeding container) at a time and administer immediately.
If the breast milk is frozen, thaw it gradually in the refrigerator (below 4°C). Do not use the microwave or leave it at room temperature to thaw it.
Shake/swirl breast milk before pouring into the device. Pour only the required amount of breast milk to be fortified into the chosen device. Warm breast milk to body temperature before adding fortifier. Do not use microwave.
Add the required amount of Nestlé preNAN breast milk fortifier FM 85 to the desired amount of warm breast milk (35-40 °C), following the standard preparation (1 g in 25 ml of breast milk) or a specific reconstitution, if prescribed by the doctor. Recap and shake gently until the powder is completely dissolved and administer immediately.
For enteral nutrition: Once fortified breast milk is prepared, use it within 4 hours.

Warnings
Breast milk is the ideal food even for preterm or low birth weight babies. Breastfeeding should last as long as possible.
Incorrect reconstitution may cause health risks to the infant.
For predominantly hospital use, use under medical supervision.
Supervise the infant during administration, do not leave him alone to avoid choking.
It is not a complete food.
It is not suitable for use in infants with known allergy to cow's milk proteins, lactose intolerance and congenital metabolic diseases such as galactosemia/glucose-galactose malabsorption.
Do not administer parenterally.
Never store fortified milk left over after each feeding. Opened sachets should be used immediately or discarded.

Conservation
Store in a dry place away from heat sources.
Validity with intact packaging: 18 months.

Format
72 sachets.
Net weight: 72 g.

Cod. 12460920