Frequently Asked Questions – FAQ's

At SMA® Nutrition, we've been leading baby nutrition research for over 100 years and are dedicated to applying this expertise to our products.

If you have any questions about our products please get in touch with our SMA Careline® team. They're advisors and parents themselves, and are always on hand to give you specialist help and advice.

New Pack Design Relaunch September 2018

In September 2018 we launched our new pack designs with fresh new pack designs, you can find below all the answers to questions associated with this launch. We are committed to providing you with all the information you need, however if the FAQs below do not answer all of your questions, please contact our expert Careline team, who will be able to assist you.

We have a fresh new design, whilst maintaining the same trusted formula for our powders. The new modern artwork is not only a design refresh, we have also made the staging more visible, and have removed the ridges from the 800g tins to make the packs easier to read.

Our new packaging is simpler, smarter and easier to spot on shelf, with a new refreshed design. We have increased the size of the staging and age suitability to make it easier for parents to find the appropriate product. 

From January 2019 the powder formulations for SMA® Lactose Free and SMA® Wysoy® will be changing. However, all our other powder formulations haven't changed and are still the same ingredients and taste.

SMA® PRO Follow-on Milk and SMA® PRO First Infant Milk ready to feed liquid formulas have a minor change to the oil composition. They still have the same vegetable oils; rapeseed, coconut sunflower and palm; however, the percentage values of each oil has changed. We have changed the source of the Omega 3 to fish oil in our ready to feed SMA® PRO Growing Up Milk and SMA High Energy® to bring these products in line with our other liquid formulations, which already use fish oil as the source of Omega 3. For more information please contact our Careline team

We always try to ensure our packaging is consumer friendly, and having the scoop out of the powder makes the product easier to use. We are pleased to say that the scoop is now out of powder for all products except SMA® Extra Hungry Infant Milk, SMA® PRO Growing Up Milk and a couple of our specialist milks, SMA® Comfort and SMA® Wysoy. The tins have a suspension bar for storing the scoop out of powder.

Although this is a useful feature using the back of a clean, dry knife to level off the powder is still an effective way of ensuring the correct measurement of powder. We are however, looking at bringing this feature to our packaging in the future.

SMA® Wysoy Infant Formula will change to the 800g format in line with all our products, however our recommended retail price (RRP) per gramme remains unchanged. SMA LF will change from 430g to 400g. All other pack sizes remain the same.

From January 2019 the powder formulations for SMA® Lactose Free and SMA® Wysoy® will be changing. However, all our other powder formulations haven't changed and are still the same ingredients and taste.

Please see the instructions on each individual tin or the product pages on the website for more details.

Our recommended preparation instructions can be found on each individual tin or on the product pages of our website.

To make it easier for parents we have changed the name of SMA® PRO Toddler Milk to SMA® PRO Growing Up Milk to ensure consistency with other milks from 12 months.

SMA® Nutrition have always used steel tins as they offer the best product protection and protection against humidity. The steel tin is 100% recyclable, however check with your local recycling facility. The cartons and plastic lids of the tins are widely recyclable within the UK and Ireland, but again check with your local recycling facility. SMA® PRO Growing up Milk 200ml comes with a plastic straw to provide parents with a safe, convenient and easy-to use solution in and out of home. We recommend pushing the straw “back in the pack” as soon as the carton has been finished and before placing the carton in the correct recycling bin.

Listening to feedback from parents and healthcare professionals we are simplifying the information on the pack, to make the relevant information stand out more. For Specials in particular, the product name has been enlarged and featured more prominently to make it easier for parents to identify the right product for their baby when they look for it on shelf. The preterm range, SMA High Energy® and SMA® Anti-Reflux are still made using the same manufacturing process as before, we have just removed the ‘PRO’ from the product name. 

SMA ‘PRO’ has been removed from some specialist milks in order to simplify the pack to make it easier for parents to identify the right product for their baby when they look for it on shelf. Our core range includes SMA® PRO First Infant Milk stage 1, SMA® PRO Follow-on Milk stage 2 and SMA® PRO Growing Up Milk stage 3 and the product name, staging and age suitability of these products are already very prominent on pack so there was no need to remove the ‘PRO’ from the front of packs. 

Parents should thoroughly follow the preparation instructions of the specific product they are using. If problems continue our expert Careline team can be contacted.

Postbiotics are bioactive compounds that are present in some formulas and are made through a process of fermentation. We do not add postbiotics to our milks because they are naturally made in babies tummy and there is no need for an additional supplement.

  • SMA® Breast Milk Fortifier
  • SMA® Extra Hungry Infant Milk 
  • SMA LF® (Lactose free)
  • SMA® Comfort
  • SMA® Wysoy®
  • SMA® PRO First Infant Milk
  • SMA® PRO Follow-on Milk
  • SMA® PRO Growing Up Milk
  • SMA® Organic First Infant Milk
  • SMA® Organic Follow-on Milk
  • SMA® Organic Growing Up Milk

If you have any questions you can call our SMA Careline team on 0800 081 81 80, and ROI 1800 931 832, or contact us via Live Chat.

  • SMA®  Extra Hungry Infant Milk (powder only)
  • SMA® Comfort
  • SMA® Wysoy®
  • SMA® PRO Growing Up Milk (powder only)

If you have any questions you can call our SMA Careline team on 0800 081 81 80, and ROI 1800 931 832, or contact us via Live Chat.

The safety and quality of our products are our highest priorities in manufacturing our SMA® Nutrition infant formula. 

We took the decision to include DHA (an omega 3 Long chain polyunsaturated fatty acid) from fish oil in our formulas following years of clinical tests.  Experts have reviewed the benefits and safety of adding DHA to formula, and have concluded that all formulas must include DHA from 2020.

The fish oil we use is a natural ingredient that has been highly refined and purified specifically for use in infant formula. As a natural ingredient, it provides a range of different fatty acids which are all naturally present in breast milk. 

Most infant formulas on sale in the UK and Ireland currently use fish oil as a source of DHA. If you would like more information on the ingredients in our formulas, please contact our Careline team on 0800 081 81 80 or via www.smababy.co.uk/sma-careline.

Yes.  SMA® Nutrition liquid and powdered products can be used together. 

If you are having difficulties and the powder is not mixing well, check that you are preparing the bottle as recommended on the back of the tin. If you would like some advice, please contact the SMA Careline® team of experts who will be happy to help you.

We recommend preparing each feed in individual bottles as required. This reduces the risk of infection that can make a baby ill. Alternatively, our Ready to Use liquid formulations may be used as no preparation is required.

On our product labels we provide a feeding guide. It is quite normal for babies to feed frequently in the early weeks. Their demand for feeding will increase in relation to their growth pattern. Some babies may be having a growth spurt, therefore the volume of feed he or she will take will increase to account for this too. Some babies do feed little and often, every two to three hours can be perfectly normal.

Feeding on demand is what is recommended, however we include feeding information on the back of the tin as a guide.

Please contact our careline to find out information about alternative products abroad

The SMA® Organic range launched in June 2018 is an addition to our existing range, providing parents with an Organic option. Our SMA® Organic formula benefits from the same baby nutrition expertise as our SMA® PRO range. The key difference is that SMA® Organic is certified organic.

SMA®  PRO First Infant Milk, is a nutritionally complete breast milk substitute. It is enriched with Omega 3 & 6 long chain polysaturates (LCPs) and GOS/FOS♦.
To see the full list of ingredients and nutrition information for this product please see the label or the information available on our product pages

*GOS/FOS = Galacto- and Fructo-oligosaccharides in powder formulation only.

We have changed the source of the Omega 3 to fish oil in our ready to feed SMA® Extra Hungry Infant Milk to bring this product in line with our other liquid formulations, which already use fish oil as the source of Omega 3.

Our expert team at SMA® Nutrition is dedicated to understanding the complex structure of breast milk and to applying the learnings from nature to our own products. 

We have been leading research in baby nutrition for over 100 years and have produced SMA® PRO Follow-on Milk, expertly developed with nature in mind to help support babies’ unique nutritional needs. At 6 months, a baby’s development progresses quickly and their need for iron increases. SMA® PRO Follow-on Milk is enriched with iron to help support normal cognitive development in baby’s brain. It is tailored for babies from 6 months as part of a varied weaning diet.

SMA® PRO Follow-on Milk is tailored for babies from 6 months as part of a varied weaning diet. At 6 months a baby's development progresses quickly and their need for iron increases. SMA® PRO Follow-on Milk is enriched with iron to help support normal cognitive development in baby’s brain. It contains a blend of vitamins, including A, C & D to help support the normal function of baby’s immune system. It also contains vitamin D and calcium to support the normal growth and development of bones and Omega 3 & 6† and iodine to help support normal growth. Contains GOS/FOS♦. 
To see the full list of ingredients and nutrition information for this product please see the label or the information available on our product pages.
 
† The beneficial effect of essential fatty acids is obtained with a daily intake of 10 g of Linoleic acid and 2 g of α-linolenic acid
♦GOS/FOS = Galacto-oligosaccharides/ Fructo-oligosaccharides in powder formulation only

Yes, SMA® PRO Follow-on Milk is suitable to use in a baby’s favourite milk-based recipes or on cereals.
 

Milk will remain a big part of a baby’s daily diet all the way through childhood, providing important energy and nutrients. SMA® PRO Follow-on Milk contains of a tailored combination of nutrients including iron, vitamin D, omega 3 and 6, and GOS/FOS*.

*GOS/FOS = Galacto- and Fructo-oligosaccharides in powder formulation only.

Our SMA® PRO Follow-on Milk contains iron because it is specifically designed for babies from 6 months of age. At this time, baby’s natural stores of iron have depleted, so SMA® PRO Follow-on Milk is enriched with iron to help support normal cognitive development in baby’s brain. 

SMA® PRO Growing Up Milk contains more vitamin D per 100ml than our SMA® PRO Follow-on Milk, as at 12 months, a toddler will be consuming more iron through the foods they eat as part of their diet. Vitamin D, which helps to support normal growth and development of bones, is a hard to get nutrient in the diet. A contribution to a toddler’s dietary intake of vitamin D can come from foods such as oily fish, supplements and fortified products such as fortified breakfast cereals. SMA PRO® Growing Up Milk also contains vitamins A, C & D to help support the normal function of a child’s immune system.

SMA® PRO Growing Up Milk is nutritionally enriched to help support young children's healthy growth up until their 4th birthday. It contains vitamin D and calcium to support the normal growth and development of bones, and Omega 3 & 6† and iodine to help support normal growth. It also contains a blend of vitamins, including A, C & D to help support the normal function of a child’s immune system. SMA® PRO Growing Up Milk is also enriched with iron to help support normal cognitive development in a child’s brain.

To see the full list of ingredients and nutrition information for this product please see the label or the information available on our product pages.

 The beneficial effect of essential fatty acids is obtained with a daily intake of 10 g of Linoleic acid and 2 g of α-linolenic acid. 

SMA® PRO Growing Up Milk is suitable from one year onwards. A toddler can continue to drink Growing Up Milk as part of a balanced and varied diet from 12 months up until their fourth birthday.

Yes, Health Authorities in the UK and Ireland recommend that a toddler has two to three servings of dairy foods a day, including milk. From 12 months, a toddler can be given full fat cows’ milk, Growing Up Milk, or a combination of both. 

To see the full list of ingredients and nutrition information for this product please see the label or the information available on our product pages.

We have changed the source of the Omega 3 to fish oil in our ready to feed SMA® PRO Growing Up Milk to bring this product in line with our other liquid formulations, which already use fish oil as the source of Omega 3.

We have made minor changes in the ready to drink liquid format including the ratio of vegetable oils. Our SMA Careline® team can help you with any further question you may have and are available on UK: 0800 081 81 80, ROI: 1800 931 832.

We have completed a taste test and we do not expect children to notice the difference.

Our previous liquid formulation was not vegetarian either, however if parents require a vegetarian product our SMA® PRO Growing Up Milk powder is suitable for vegetarians.

There have been no changes to our SMA® PRO Growing Up Milk powder formulation.

No, our Follow-on liquid already uses fish oil as the source of Omega 3.

SMA® PRO Growing Up Milk
SMA® Nutrition has been leading research in baby nutrition for over 100 years and our team of nutritionists have expert understanding of the evolving nutritional needs of young children, as they go through an amazing period of physical growth and cognitive development. 

SMA® PRO Growing Up Milk is one way to help support a child’s nutrient intake in combination with a healthy balanced diet. It has a blend of ingredients tailored to support young children's healthy growth, up until their 4th birthday. 

It contains vitamin D and calcium to support the normal growth and development of bones, and Omega 3 & 6† and iodine to help support normal growth. It also contains a blend of vitamins, including A, C & D to help support the normal function of a child’s immune system. SMA® PRO Growing Up Milk is also enriched with iron to help support normal cognitive development in a child’s brain.

† The beneficial effect of essential fatty acids is obtained with a daily intake of 10 g of Linoleic acid and 2 g of α-linolenic acid. 

At SMA Nutrition we are proud of our 100 year history of baby nutrition research. We are part of the largest food and nutrition research network in the world, with around 30 research and development sites, including one here in the UK. And we hold ourselves to the highest quality research standards. Over the past five years, we published over 1000 studies in peer-reviewed journals, collaborating with leading scientists and universities, including University College London, Southampton University and Imperial College London.

We use our science to constantly feed innovation, and our technology to bring ever better products to families in the UK and Ireland, meeting the specific nutritional needs of our community’s babies. For us it is not enough to know what is in breast milk, we need to be able to create formulas that are ever closer to it. The more we learn about the amazing properties of breast milk, the longer the journey ahead becomes. Even as we commit to making ever better products, we know they will never be equal to breast milk.

SMA Nutrition is part of Nestlé, the world’s largest nutrition, health and wellness company. Our size and scale allow us to invest significant time, money and expertise into research, helping us to achieve our ambition of providing better nutrition that contributes to a healthy start and a healthier future.

We have a diverse team of over 800 people from around the world who give us such a range of expertise at our research site in Switzerland, the Nestlé Research Centre (NRC).

One of the most important things we have done at the NRC is to standardise all the studies we have at Nestle on human milk characterisation. We have more than 10 internal clinical trials ongoing – all of which are working with the same types of methodologies, not only for sampling but also for the analysis across the different studies. This means that in the end we can compare apples to apples.

The formulas we make today are very different to those of a generation ago. This reflects both our better understanding of breast milk and our ability to make better formulas. 

For example, we have not only learnt that breast milk has a much lower level of protein than was previously understood, but we are also now able to create a lower protein formula which has essential amino acid profile similar to that of breast milk.

Once the European Food Standards Agency (EFSA) decides that there is overwhelming evidence either to support the inclusion of a new ingredient, or to change the acceptable levels of an existing ingredient, then the regulations on what must be in infant formula are changed.

One example of this is the decision to include DHA (omega-3) in the list of mandatory ingredients from February 2020. Industry-led clinical research conducted during the past 20 years or so has clearly demonstrated the benefits of DHA for non-breastfed infants.

Nestlé believes in the need for industry and healthcare professionals to work together. We are proud of our long history of collaborative research with leading scientists and universities, work that has led to significant breakthroughs in infant nutrition research.

We also believe that we have a responsibility to share information about our products, and the science behind them, with HCPs. We believe that this should be done in such a way as to minimise and manage any potential conflicts of interest.

This is in line with Article 7 of the International Code of Marketing of Breast-milk Substitutes (the WHO Code), which clearly sets out the ways in which formula companies and healthcare professionals can work together. 

For example, Article 7.5 requires that HCPs disclose to their employer if they are sponsored by formula company to attend a conference. In doing so, it makes it clear that it is not against the Code to accept such sponsorship. Nestlé’s policy on the Sponsorship of Health Workers and Institutions for Professional Development and Scientific Research also requires that HCPs disclose any sponsorship to their employer.

This policy is also echoed in the words of the WHO Director General, Dr Tedros, who said: “Engaging does not mean that there is conflict of interest … It’s the action that comes after that engagement that could be either conflict of interest or not. But engagement is not.

Human milk contains bioactive components that confer protective effects on the newborn. These include complex carbohydrates called human milk oligosaccharides (HMOs). HMOs are the third most abundant solid component in human milk and have a unique structure. This unique structure results in specific functions within the human body.1-4
HMOs are unique to human breast milk and are not found in significant amounts in any other mammalian milk.1-4

References:

  1. Kunz C. Historical aspects of human milk oligosaccharides. Adv Nutr 2012; 3(3): 430S–9S.
  2. Bode L. Human milk oligosaccharides: every baby needs a sugar mama. Glycobiology 2012; 22(9): 1147–62.
  3. Jantscher-Krenn E, Bode L. Human milk oligosaccharides and their potential bene_ ts for the breast-fed neonate. Minerva Pediatr 2012; 64(1): 83–99. 10. Smilowitz JT,
  4. et al. Breast milk oligosaccharides: structure-function relationships in the neonate. Annu Rev Nutr 2014; 34: 143–69. 11

2’fucosyllactose (2′FL) and lacto-N-neotetraose (LNnT) are among the 10 most abundant oligosaccharides in human breast milk, together they constitute 37% of total HMOs. Interestingly, 2’FL and LNnT are among the most researched HMOs.1-3 

References:

  1. Bode L, Jantscher-Krenn E. Structure-function relationships of human milk oligosaccharides. Adv Nutr Int Rev J. 2012 May;3(3):383S-91S.
  2. Austin S, De Castro CA, Bénet T, Hou Y, Sun H, Thakkar SK et al. Temporal change of the content of 10 oligosaccharides in the milk of Chinese urban mothers. Nutrients. 2016 Jun;8(6):346. 
  3. Smilowitz J, Lebrilla C, Mills D, German J, Freeman S. Breast milk oligosaccharides: structure-function relationships in the neonate. Ann Rev Nutr. 2014 Jul;34(1):143-69.

Research suggests that HMOs support the infant’s developing immune system in 4 main ways:

  1. Selectively feeding good bacteria within the gut, where 70–80% of the human body’s immune cells live1
  2. Preventing pathogens from binding to the intestinal wall, which reduces their ability to infect the infant1,3 
  3. Assisting gut barrier function, which can help prevent pathogen binding to the intestinal cells1,3 
  4. Directly modulating the immune system, which helps in educating the developing immune system1,4 

References: 

  1. Bode L. Human milk oligosaccharides: every baby needs a sugar mama. Glycobiology. 2012 Sep;22(9):1147-62.
  2. Sela DA, Mills DA. Nursing our microbiota: molecular linkages between bifidobacteria and milk oligosaccharides. Trends Microbiol. 2010 Jul;18(7):298-307.
  3. Jantscher-Krenn E, Bode L. Human milk oligosaccharides and their potential benefits for the breast-fed neonate. Minerva Pediatr. 2012 Feb;64(1):83-99. 
  4. Eiwegger T, Stahl B, Schmitt J, Boehm G, Gerstmayr M, Pichler J et al. Human milk-derived oligosaccharides and plant-derived oligosaccharides stimulate cytokine production of cord blood T-cells in vitro. Pediatr Res. 2004 Oct;56(4):536-40.

The structure of HMOs is unique and fundamentally different to GOS/FOS (which are not present in human milk). This unique structure of HMOs allows them to have targeted benefits that are not present with GOS/FOS.

Yes, recent advances in technology have allowed structurally identical HMOs to be synthesized from lactose through a fermentation process.

Yes, there are numerous clinical trials on infant formula supplemented with HMOs. A Randomised, multicentre, double-blind trial to evaluate the effects of infant formula supplemented with two structurally identical HMOs (2’fucosyllactose [2’FL] and lacto-N-neotetraose [LNnT]) on infant growth, tolerance and morbidity was published in 2017. The trial concluded that infant formula supplemented with HMOs  (2’FL and LNnT) is safe, well tolerated, and supports age-appropriate growth. To see a summary of this publication, click here

We believe that it is important to ensure that parents have choices in the formula that they give to their baby. Which is why we have a variety of milks to suit the different needs of parents and babies. 

The European legislation on infant and follow-on formula has been updated (EU Regulation 2016/127) which means that all infant and follow-on milk products are required to ensure the levels of vitamins and minerals and Omega 3 oils are provided at the new levels set out in the legislation by 22nd February 2020. 

*Products containing partially hydrolysed protein have until February 2021 to comply with the new legislation.

The European legislation on infant and follow-on formula has been updated (EU Regulation 2016/127) which means that all infant and follow-on milk products are required to be reformulated in order to ensure the levels of vitamins and minerals and Omega 3 oils are provided at the new levels by 22nd February 2020*. 

The compositional changes in the legislation relate to: 

  1. Maximum levels of protein
  2. Levels of vitamins – such as vitamin A, D, E, B vitamins (thiamin, riboflavin, B6),  folic acid
  3. Levels of minerals – such as iodine, potassium, chloride, manganese, cooper, selenium
  4. Mandatory addition of Omega 3 (DHA) – until now this addition was on a voluntary basis

*Products containing partially hydrolysed protein have until February 2021 to comply with the new legislation.

LITTLE STEPS First Infant Milk Scoop size 4.5g
LITTLE STEPS Follow-on Milk Scoop size: 4.5 g

LITTLE STEPS First Infant milk contains 1.5g protein per 100ml of prepared feed
LITTLE STEPS Follow-on milk contains 1.5g protein per 100ml of prepared feed

LITTLE STEPS First Infant Milk 60:40 (whey:casein)
LITTLE STEPS Follow-on Milk 23:77 (whey:casein)

EU regulations (Commission Delegated Regulation (EU) 2016/127) specify mandatory ingredients of Infant and Follow-on formulae. It is now mandatory for all Infant and Follow-on formulae to contain Docosahexaenoic acid (DHA), however supplementation with arachidonic acid (AA) is not a necessity. 

If more scientific rationale is required;
The omega 6 LCP Arachidonic acid (AA) is synthesised from the precursor essential fatty acid Linoleic acid (LA). New EU regulations specify a higher minimum content for LA (500mg/100kcal, instead of previously 300mg/100kcal). The metabolic pathway from LA to AA is shorter and costs less energy than that of α-linolenic acid (ALA) to Docosahexaenoic acid (DHA). There are no functional consequences (growth, neurological development) of Infant formula containing DHA alone (Scientific opinion on the essential composition of infant and follow-on formulae, EFSA Journal 2014;12 (7):3760.)

The Omega 3 Docosahexaenoic acid (DHA) (long chain polyunsaturated fatty acids) used in Little Steps First Infant Milk/Little Steps Follow-on Milk, is derived from fish oil, in line with other formulas in the UK. Because it’s derived from fish oils, this does mean that it is not suitable for vegetarians but is suitable for pescatarian diets. 

Most baby milks on sale in the UK and Ireland currently use fish oil as a source of DHA. Previously the addition of DHA to Infant Milk/ Follow-on milk was voluntary.  From 2020 changes to legislation means that it will be mandatory for all infant / follow on formulas to include DHA. The mandatory addition of docosahexaenoic acid (DHA) to infant formula/follow-on formula is a new requirement introduced by this Regulation, as a result of recent scientific research.

Yes, both Little Steps First Infant Milk and Little Steps Follow-on Milk are halal certified.

No, LITTLE STEPS does not contain GOS/FOS. 
EU Regulations set out the criteria for the mandatory nutritional composition of Infant and Follow-on milks. These regulations state that it is not a necessity to add GOS/FOS (non-digestible oligosaccharides) to Infant formula and Follow-on milks, so we have chosen not to in our LITTLE STEPS milks. 

Non-digestible (non-glycaemic) carbohydrates

In the absence of convincing evidence of any beneficial effects of non-digestible oligosaccharides on infant health, the Panel considers that there is no necessity to add non-digestible oligosaccharides to IF or FOF. The Panel considers that there is no evidence to change the previous conclusions of the SCF (2001d) that a mixture of 90 % GOS and 10 % of high-molecular-weight FOS is safe under the current conditions of use (i.e. < 0.8 g/ 100mL) in IF and FOF. The safety of any other non-digestible oligosaccharides or any new mixture of non-digestible oligosaccharides in IF and FOF should be established by clinical evaluation.

As per EFSA opinion 2014 on the essential composition of IF and FoF (and consequently the new European Delegated Regulation), nucleotides are not compulsory. If they are added (on a voluntary basis) then the amount should not exceed 5mg/100kcal. See below an extract from EFSA (which also follows the EC Directive 2006). Nucleotides are not compulsory in a product like Little Steps and are therefore not added. 

Nucleotides and nucleosides

The addition of nucleotides of IF and FOF is currently permitted by Directive 2006/141/EC on a voluntary basis up to a maximum of 5mg/100kcal. If added, the maximum nucleotide content is regulated to a cytidine 5' - monophosphate (CMP) 2.5 mg/100 kcal, uridine 5' - monophosphate (UMP) 1.75 mg/100 kcal adenosine, 5' - monophosphate (AMP) 0.50 mg/100 kcal and inosine 5' - monophosphate (IMP) 1.00 mg/100 kcal.

Taking into account the lack of convincing evidence for a benefit of the addition of the nucleotides to IF and/or FOF, the Panel considers that there is no necessity to add nucleotides of an IF or FOF.

LITTLE STEPS First Infant Milk/ Follow-on milk is currently only available in the UK & Ireland. To ensure sufficient consistent milk supply for such babies, whilst away we recommend that parents take LITTLE STEPS First Infant Milk/ Follow-on Milk with them.

Important Notice:

The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breastfeeding – in particular the fact that it provides the best nutrition and protection from illness for babies. Mothers should be given guidance on the preparation for, and maintenance of, lactation, with special emphasis on the importance of a well-balanced diet both during pregnancy and after delivery. Unnecessary introduction of partial bottle-feeding or other foods and drinks should be discouraged since it will have a negative effect on breastfeeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breast-feed. Before advising a mother to use an infant formula, she should be advised of the social and financial implications of her decision: for example, if a baby is exclusively bottle-fed, more than one can (400 g) per week will be needed, so the family circumstances and costs should be kept in mind. Mothers should be reminded that breast milk is not only the best, but also the most economical food for babies. If a decision to use an infant formula is taken, it is important to give instructions on correct preparation methods, emphasising that unboiled water, unsterilised bottles or incorrect dilution can all lead to illness. ●SMA® Wysoy® milk-free formula is intended to meet the nutritional needs of babies and children who are intolerant to cows’ milk protein, lactose or sucrose. Soya infant formulae are not recommended for preterm babies or those with kidney problems, where medical guidance should always be sought. ●SMA® PRO Follow-on Milk/SMA® ADVANCED Follow-on Milk/LITTLE STEPS® Follow-on Milk and SMA® ORGANIC Follow-on Milk is only suitable for babies over 6 months as part of a mixed diet. It should not be used as a substitute for breast milk during the first 6 months of life. The decision to start weaning or to use a follow-on milk before 6 months, should be made only on the advice of a doctor, midwife, health visitor, public health nurse, dietitian or pharmacist, based on baby’s individual needs .●SMA® PRO Growing Up Milk is suitable for young children from 1-3 years, as part of a healthy balanced diet and is not a breast milk substitute. ●SMA® ORGANIC Growing Up Milk/ SMA® ADVANCED Growing Up Milk is suitable for young children from the 12th month, as part of a healthy balanced diet and it is not a breast milk substitute. ●The following products must be used under medical supervision. ●SMA® Anti-Reflux is a special formula intended for the dietary management of bottle-fed babies when significant reflux (regurgitation) is a problem. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 12 months of age. If the baby’s reflux does not improve within 2 weeks of starting SMA® Anti-Reflux, or if the baby fails to thrive, the family doctor should be consulted. ●SMA LF® is a lactose-free milk based formula for the dietary management of babies and young children who are intolerant to lactose or sucrose, or who are experiencing symptoms such as diarrhoea, tummy ache or wind caused by temporary lactose intolerance. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 18 months of age. ●SMA High Energy® is a milk based formula for the dietary management of babies and young children with medically determined high energy requirements as identified by a healthcare professional. It is suitable as the sole source of nutrition up to 6 months of age, and in conjunction with solid food up to 18 months of age. SMA High Energy® is not intended for use with preterm babies, for whom fortified breast milk or a low birthweight formula such as SMA Gold Prem® 1 is more appropriate. ●SMA® Breast Milk Fortifier is a nutritional supplement designed to be added to expressed breast milk for the dietary management of feeding preterm low birthweight babies. It is NOT a breast milk substitute. ●SMA Gold Prem® 1 is a special formula intended for the dietary management of preterm low birthweight babies who are not solely fed breast milk. It is suitable for use as the sole source of nutrition for preterm babies from birth. SMA Gold Prem® 1 is not intended for use with older preterm babies, for whom a special catch-up formula such as SMA Gold Prem® 2 is more appropriate. ●SMA Gold Prem® 2 is a special catch-up formula intended for the dietary management of preterm low birthweight babies who are not solely fed breast milk. It is a nutritionally complete formula for use on discharge from hospital or when a low birthweight formula is no longer appropriate. It is suitable for use as the sole source of nutrition up to 6 months corrected age. SMA Gold Prem® 2 is not intended for use with newborn preterm babies, for whom fortified breast milk or a low birthweight formula such as SMA Gold Prem® 1 is more appropriate.