SMA Gold Prem® 1

Food for special medical purpose. For the dietary management of preterm and low birthweight infants. This product must be used under medical supervision.


SMA Gold Prem® 1 is a nutritionally complete preterm low birthweight formula for the dietary management of preterm low birthweight babies. It provides higher levels of energy, protein, vitamins and minerals compared to typical infant milks and is specially formulated to help support their immature body systems.

Preterm is defined as infants born at or before 37 weeks of pregnancy. Infants who are born prematurely weight much less than term infants, this is because a significant amount of baby’s weight gain occurs between 36 and 40 weeks of pregnancy.

SMA Gold Prem® 1 should only be used following recommendation by a healthcare professional. Your healthcare professional will advise you when to move from SMA Gold Prem® 1 to another formula.


We have recently updated our specials formulas in line with the UK and EU legislation (EU Regulation 2016/128). This means the nutritional composition requirements for formulas will change, and all manufacturers will have to update their formulas. But we know any change big or small even when for the better, can cause concern when it comes to your little human. Baby milks is one of the most heavily regulated and tested food products in the world, and we can assure you that the reformulated milks are safe for babies. We have worked hard to ensure that your baby should not notice any difference between the old and new milks. For more information please visit our FAQs or contact the SMA Careline® who will be happy to chat about the updated formulas.

Leading baby nutrition research for over 100 years

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Our expert team at SMA® Nutrition is dedicated to understanding the unique nutritional needs of babies born prematurely and to applying these learnings to our own products. We have been leading research in baby nutrition for over 100 years and have produced SMA Gold Prem® 1, a nutritionally complete preterm low birthweight formula for the dietary management of preterm low birthweight babies.

Available in

70 ml bottle of liquid

This product must be used under medical supervision.

Why SMA Gold Prem® 1?

Silver molecules
Calcium and phosphorous
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Enriched with Omega 3 & 6 LCPs
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Specially tailored formula for preterm low birthweight infants



    SMA Gold Prem® 1

    70 ml bottle of liquid

    This product must be used under medical supervision.

Preparing your baby's feed

Failure to follow instructions on preparation and storage may make your baby ill.
  • pro-prep-2
    Step 1

    Wash hands well.

  • pro-prep-liquid-2
    Step 2

    SMA Gold Prem® 1 can be fed at room temperature. If required to heat, stand the bottle in warm water.

  • pro-prep-liquid-5
    Step 3

    Shake bottle well and remove cap and aluminium foil. Unwrap SMA® NUK® orthodontic pre-sterilised teat and holding the teat ring, screw directly onto the bottle. 

  • pro-prep-liquid-4
    Step 4

    If warmed, test temperature by shaking a few drops of milk onto the inside of your wrist- milk should be lukewarm.

Important feeding information

  • Strictly follow hospital procedures

  • Check best before date

  • Wash hands well, shake bottle before use, remove lid and aluminium foil and attach a hygienic teat.

  • If required to heat, stand the bottle in warm water.

  • Feed immediately after opening. For hygienic reasons, discard unfinished feed as soon as possible, and always within one hour.

  • After use discard bottle, teat and remaining contents.

  • For tube feeding, once the product is prepared it should be used within 4 hours.

  • Ensure all feeding equipment is sterilised before use.

  • For enteral use only.

  • Do not alter or add to formulae unless medically directed

  • Do not microwave, hot spots may occur and cause scalding.

  • Do not freeze.

Nutritional requirements of low birthweight infants vary accordingly to the age, size and clinical condition of each infant. Enteral feeding of SMA Gold Prem® 1 should be initiated in small volumes and gradually increased as tolerated. Feeding intolerance can indicate a serious condition; at the onset of symptoms, enteral feeding rate should be slowed or discontinued until the symptoms resolve. Broad ranges for recommended intake are: volume 135-200 ml/kg/day, energy 110-135 kcal/kg/day, protein 3.5-4.5g/kg/day.

Nutrition information
per 100 ml
Nutrition information
  Typical values
Energy 335 kj 80 kcal
Fat 4 g
of which, saturates 1.6 g
of which, unsaturates 2.1 g
Carbohydrate 8.1 g
of which, sugars 5.8 g
of which, lactose 5.7 g
Protein 2.9 g
Salt* (=Sodium x 2.5) 0.14 g
*Salt is calculated as sodium x 2.5.


Water, lactose (milk), vegetable oils including structured vegetable oil (sunflower, palm, coconut, rapeseed), partially hydrolysed whey protein (milk), maltodextrin, medium chain triglycerides, calcium phosphate, long chain polyunsaturated fatty acids (DHA (fish oil), AA), potassium chloride, L-histidine, magnesium chloride, acidity regulators (phosphoric and citric acid), choline bitartrate, L-arginine, potassium phosphate, vitamin C, inositol, taurine, vitamin E, ferrous sulphate, L‑carnitine, zinc sulphate, niacin, antioxidants (tocopherol rich extract, ascorbyl palmitate), pantothenic acid, vitamin A, copper sulphate, riboflavin, thiamin, vitamin B6, folic acid, potassium iodide, manganese sulphate, vitamin K, sodium selenate, biotin, vitamin D, vitamin B12.

Browse all SMA® Nutrition products

Further reading

Have a look at our expert articles to see how you can give you baby the right nutrition for every stage of their development, from birth to toddlerhood.

Important notice

Breast milk is best for babies and breastfeeding should continue for as long as possible. This product must be used under medical supervision. 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. SMA Gold Prem® 1 is not suitable for babies who are allergic to cows’ milk protein, lactose intolerant or who suffer from galactosaemia or require a galactose free diet. When bottle-feeding, do not allow prolonged or frequent contact of milk feeds with teeth as this increases the risk of tooth decay. Ask your healthcare professional or dentist for advice. Always hold your baby while feeding. Do not leave baby unattended as they might choke.

Important advice to mothers

The World Health Organisation (WHO) recommends exclusive breastfeeding for the first 6 months of life. SMA® Nutrition fully supports this and continued breastfeeding, along with the introduction of complementary foods as advised by your healthcare professional.