On 2017 Nov 24, James Friel commented:

This research demonstrates that infants suffering from gastrointestinal distress when fed bovine fortifier benefit from human milk based fortifier. Our research found in similar infants that systemic oxidative stress increased with increasing amounts of bovine fortifier. (Friel JK, Diehl-Jones B, Cockell KA, Chiu A, Rabanni R, Davies SS, Roberts LJ2nd. Evidence of oxidative stress in relation to feeding type during early life in premature infants. Pediatr Res. 2011 Feb;69(2):160-4).Using more subtle indicators than feeding intolerance supports the current findings. It may be that most premature infants would benefit from the human milk based fortifiers. Hopefully as their use increases they will become more affordable and thus more available.

On 2017 Nov 24, James Friel commented:

This research demonstrates that infants suffering from gastrointestinal distress when fed bovine fortifier benefit from human milk based fortifier. Our research found in similar infants that systemic oxidative stress increased with increasing amounts of bovine fortifier. (Friel JK, Diehl-Jones B, Cockell KA, Chiu A, Rabanni R, Davies SS, Roberts LJ2nd. Evidence of oxidative stress in relation to feeding type during early life in premature infants. Pediatr Res. 2011 Feb;69(2):160-4).Using more subtle indicators than feeding intolerance supports the current findings. It may be that most premature infants would benefit from the human milk based fortifiers. Hopefully as their use increases they will become more affordable and thus more available.