I'm quite fascinated by the rationale of human milk fortifiers being needed
to feed premie babies.  We have none in this country at all.  The smallest
babies I have worked with were surviving triplets, 600g and 700g born at 26
weeks.  Their mother pumped for them for 100 days until they were
discharged.    Pre-term babies are fed their own mothers' milk, even ELBW
babies, sometimes with the addition of Vit D and very occasionally iron.
They may have a day or two on an ordinary formula until the mother's EBM is
available, but the very tiny ones seem to spend several days on a drip
before they receive any milk at all, by which time the mother has plenty.
They seem to do fine, I have never heard of a fracture.  Thanks for the
references Edie!

Pamela, Zimbabwe