The question is asked whether donor breast milk meets the caloric needs of
babies three days of age or younger.

The answer is YES.  I answer assuming that the human milk being discussed
comes from a non-profit human donor milk bank, like those accredited by
HMBANA (see my signature line), that use Holder pasteurization.  Indeed,
donor human milk is a critical element in the care of *pre-term* babies in
NICUs. Processed milk is even sometimes labelled to denote its caloric
content.

Here is an open-access article that reviews the impact of Holder
pasteurization on human milk. "Overall, current evidence does not support
the hypothesis of a relevant change in energy intake by feeding the infant
with pasteurized rather than raw [donor milk]."

There is a loss of some of the other elements of the milk, but -- again --
they still want it in NICUs, so we know that human milk is waaaaaaaay
better than
cow's-milk- or soy-based formulas that have none of the anti-infective
properties of human milk.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4997390/

To see how human milk is screened, processed, and distributed  at a HMBANA
bank, look here: https://www.hmbana.org/milk-processing

-- 
Liz Brooks, JD, IBCLC, FILCA
Wyndmoor, PA, USA
Director, Human Milk Banking Assn of North America (2015-17)
Adjunct Professor, Drexel Univ, Public Policy of Breastfeeding
"IBCLCs empower women and save babies' lives!"-Ursuline Singleton

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