---
title: "HiPP German PRE (HiPP PRE Bio Combiotik)"
description: "HiPP German PRE: From birth, 600 g box, lactose as its only carbohydrate. The panel, how to prepare it, and who sells it."
url: https://milkatlas.com/formula/combiotik/hipp-german-pre/
language: en
dateModified: 2026-10-08
---
Product · Germany · Stage PRE · From birth
# HiPP German PRE · HiPP PRE Bio Combiotik, 600 g box
Written by [Kseniia P.](https://milkatlas.com/about/kseniia/) and [Tatum G.](https://milkatlas.com/about/tatum/)
Written with AI assistance. Published 8 October 2026
Medically reviewed
[Dr. Jill Palko](https://milkatlas.com/medical-review/) · MD, FACOG · [Registration NPI 1093033011](https://npiregistry.cms.hhs.gov/provider-view/1093033011) · 12 October 2026
Next review due 12 October 2027
We earn a commission when you buy through links on this page, including from our partner retailer, which sells and ships the order. [How this site is funded →](https://milkatlas.com/disclosure/)
## The answer
*Front of the pack*
HiPP German PRE is the first formula in HiPP's German organic range, labelled for use from birth. Its only carbohydrate is lactose, with no starch, and it adds galacto-oligosaccharides and the culture L. fermentum, the pair HiPP calls Combiotik. It comes in a 600 g box, made up with one 4.3 g scoop per 30 ml of water, and HiPP says it can be fed for as long as a baby has a bottle. It is not sold under US rules; the sellers here import it.
## Key takeaways
- Labelled for use from birth, with lactose as the only carbohydrate and no starch.
- A 600 g box, one 4.3 g scoop per 30 ml of water; HiPP says to use an opened bag within 3 weeks.
- HiPP says PRE can be fed for the whole time a baby is on the bottle, so moving on to Stage 1 or 2 is not required.
- On every value this site records, its panel per 100 ml matches the Dutch Stage 1, which comes in an 800 g tin.
*Front of the box, German label*
- **Age**: From birth
- **Size**: 600 g box
- **Starch**: None
- **HiPP article no.**: 2060-02
- **Base**: Cow's milk: skimmed milk and whey
- **Carbohydrate**: Lactose only
- **DHA**: 13.2 mg / 100 ml
- **Combiotik**: GOS + L. fermentum
- **Organic**: EU organic
- **Contains**: Milk, Fish oil
## In this series
- [HiPP Bio Combiotik line · hub]()
- [HiPP PRE vs Stage 1 · comparison]()
- [HiPP Dutch Stage 1 · product]()
- [How to prepare HiPP formula · guide]()
## Guides for this pack
- [How to prepare HiPP formula · guide]()
- [HiPP PRE vs Stage 1 · comparison]()
- [Every HiPP Stage 1 pack · hub]()
- [Where to buy HiPP formula · page]()
## Buy from Organic Life Start
In stock
- Single pack · $40.79 · $1.93 per oz
- 4 pack · $163.16 · $1.93 per oz
- 8 pack · $307.12 · $1.81 per oz
- 12 pack · $429.48 · $1.69 per oz
- Delivery · Ships from Europe, 1 to 6 business days
- Sold and shipped by · Organic Life Start, our partner retailer
- Price per oz · $1.93 for one 600 g box (21.2 oz)
- Prices seen · Last checked 15 Oct 2026
[Subscribe & Save at the retailer →](https://organiclifestart.com/products/hipp-bio-combiotik-pre) affiliate
## What is in HiPP German PRE?
The base is organic skimmed milk and an organic whey product, with lactose as the only carbohydrate and no starch. (Source 1) (Source 2)
The fat is organic palm, rapeseed and sunflower oil, with fish oil for DHA at 13.2 mg per 100 ml, and HiPP adds galacto-oligosaccharides, a prebiotic, and the lactic culture *Limosilactobacillus fermentum* CECT5716. (Source 2)
*The ingredients as printed on the box, in German. The asterisk marks organic ingredients.*
Evidence · Regulation
Regulation (EU) 2016/127, Annex I, sets the protein, DHA and carbohydrate limits this formula must meet; lactose as the only carbohydrate is HiPP's choice within them. (Source 4)
## Nutrition per 100 ml, prepared
**Nutrition per 100 ml**
| Nutrient | Per 100 ml | Per 100 kcal | EU min to max |
| --- | --- | --- | --- |
| Energy, fat, carbohydrate and protein | | | |
| Energy | 66 kcal | 100 kcal | 60 to 70 kcal per 100 ml |
| Fat | 3.6 g | 5.5 g | 4.4 to 6.0 g |
| of which saturates | 1.5 g | 2.3 g | |
| of which monounsaturates | 1.6 g | 2.4 g | |
| of which polyunsaturates | 0.5 g | 0.76 g | |
| Linoleic acid | 0.40 g | 0.61 g | |
| Alpha-linolenic acid | 0.06 g | 0.091 g | |
| ARA | 13.2 mg | 20 mg | |
| DHA | 13.2 mg | 20 mg | 20 to 50 mg |
| Carbohydrate | 7.0 g | 10.6 g | 9 to 14 g |
| of which sugars | 7.0 g | 11 g | |
| of which lactose | 6.9 g | 10.5 g | min 4.5 g |
| Fibre | 0.3 g | 0.45 g | |
| GOS | 0.3 g | 0.45 g | max 0.8 g per 100 ml |
| Protein | 1.28 g | 1.9 g | 1.8 to 2.5 g |
| L-carnitine | 1.8 mg | 2.7 mg | |
| Minerals | | | |
| Sodium | 20 mg | 30 mg | |
| Potassium | 76 mg | 115 mg | |
| Chloride | 51 mg | 77 mg | |
| Calcium | 51 mg | 77 mg | 50 to 140 mg |
| Phosphorus | 30 mg | 45 mg | |
| Magnesium | 4.5 mg | 6.8 mg | |
| Iron | 0.50 mg | 0.76 mg | 0.3 to 1.3 mg |
| Zinc | 0.50 mg | 0.76 mg | |
| Copper | 0.053 mg | 0.08 mg | |
| Manganese | 0.0050 mg | 0.0076 mg | |
| Fluoride | < 0.0050 mg | < 0.0076 mg | |
| Selenium | 3.8 µg | 5.8 µg | |
| Iodine | 15 µg | 23 µg | |
| Vitamins | | | |
| Vitamin A | 54 µg | 82 µg | |
| Vitamin D | 1.5 µg | 2.3 µg | 2 to 3 µg |
| Vitamin E | 0.70 mg | 1.1 mg | |
| Vitamin K | 5.1 µg | 7.7 µg | |
| Vitamin C | 8.9 mg | 13 mg | |
| Vitamin B1 | 0.050 mg | 0.076 mg | |
| Vitamin B2 | 0.14 mg | 0.21 mg | |
| Niacin | 0.34 mg | 0.52 mg | |
| Vitamin B6 | 0.029 mg | 0.044 mg | |
| Folic acid | 10.0 µg | 15 µg | |
| Vitamin B12 | 0.12 µg | 0.18 µg | |
| Biotin | 1.5 µg | 2.3 µg | |
| Pantothenic acid | 0.34 mg | 0.52 mg | |
| Other nutrients | | | |
| Choline | 25 mg | 38 mg | |
| Inositol | 4.2 mg | 6.4 mg | |
Values from HiPP's label for Germany, checked 18 September 2026. The last column is the range for infant formula in Regulation (EU) 2016/127, Annex I, per 100 kcal unless it says per 100 ml. The label prints values per 100 ml only, so the per 100 kcal column is calculated from them.
Every value in the table is the one HiPP prints for 100 ml of made-up feed, which is 12.9 g of powder in 90 ml of water. (Source 2)
*The top of the composition table on the box, per 100 ml. If the box and this page ever disagree, the box is right and we log a correction.*
## How do you prepare it?
Boil fresh drinking water and let it cool to 40 to 50 °C, pour it into the bottle, then add one level scoop (4.3 g) for every 30 ml. Shake it hard, cool it to about body temperature and check it; HiPP says to make each bottle fresh, to feed it straight away and never to reuse what is left. (Source 2)
**Preparation table**
| Water | Scoops | Powder | Feed size | Water temp. |
| --- | --- | --- | --- | --- |
| 30 ml · 1 fl oz | 1 | 4.3 g | 33 ml · 1.1 fl oz | 40 to 50 °C · 104 to 122 °F |
| 90 ml · 3 fl oz | 3 | 12.9 g | 100 ml · 3.4 fl oz | 40 to 50 °C · 104 to 122 °F |
| 120 ml · 4 fl oz | 4 | 17.2 g | 133 ml · 4.5 fl oz | 40 to 50 °C · 104 to 122 °F |
| 150 ml · 5 fl oz | 5 | 21.5 g | 167 ml · 5.6 fl oz | 40 to 50 °C · 104 to 122 °F |
| 180 ml · 6 fl oz | 6 | 25.8 g | 200 ml · 6.8 fl oz | 40 to 50 °C · 104 to 122 °F |
| 210 ml · 7 fl oz | 7 | 30.1 g | 233 ml · 7.9 fl oz | 40 to 50 °C · 104 to 122 °F |
One scoop is 4.3 g, level, not packed. The feed size column is the volume in the bottle after the powder dissolves.
- **Frisches Trinkwasser abkochen und auf ca. 40 - 50 °C abkühlen**: Boil fresh drinking water and let it cool to about 40 to 50 °C
- **Gewünschte Menge abgekochtes Wasser (s. Tabelle) in ein Fläschchen geben**: Pour the amount of boiled water you need (see the table) into a bottle
- **Messlöffel locker füllen und abstreifen. Pulver zum Wasser geben**: Fill the scoop loosely and level it off. Add the powder to the water
- **Fläschchen verschließen und mehrmals kräftig schütteln**: Close the bottle and shake it hard several times
- **Auf Trinktemperatur (ca. 37 °C) abkühlen. Temperatur überprüfen**: Let it cool to drinking temperature, about 37 °C, and check it
Evidence · Manufacturer claim
HiPP asks for water that is not too hot, so as not to damage the lactic cultures. The CDC advises water of around 70 °C for babies under two months, born early or with a weakened immune system, to kill germs in the powder, and that heat will reduce the culture. We state both and defer to your pediatrician. (Source 2) (Source 5)
## How much should a baby drink?
**Feeding chart by age**
| Age | Feeds a day | Water per feed | Scoops | Made-up bottle | Water a day |
| --- | --- | --- | --- | --- | --- |
| Weeks 1 to 2 | 7 to 8 | 60 ml | 2 | 70 ml | 420 to 480 ml |
| Weeks 3 to 4 | 5 to 7 | 90 ml | 3 | 100 ml | 450 to 630 ml |
| Weeks 5 to 8 | 5 to 6 | 120 ml | 4 | 135 ml | 600 to 720 ml |
| Months 3 to 4 | 5 | 150 ml | 5 | 170 ml | 750 ml |
| Month 5 | 4 to 5 | 180 ml | 6 | 200 ml | 720 to 900 ml |
| From month 6 | 4 | 210 ml | 7 | 235 ml | 840 ml |
HiPP's own chart from the pack; water a day is feeds times water per feed. Babies vary, and a hungry or sleepy baby is a better guide than the table.
The box gives the water, the scoops and the made-up bottle for each age, from the first week to past six months, and calls the amounts a guide: each baby is different. (Source 2)
Evidence · Manufacturer claim
The chart is HiPP's guide, not a prescription. A hungry or a sleepy baby is a better guide than the table.
## Who is it for, and who is it not for?
It is for healthy babies born at term who are not breastfed, or not only breastfed, from birth; HiPP says it can follow breastfeeding or be given alongside it. (Source 1)
HiPP also says PRE can be fed for the whole time a baby is on the bottle, and that moving on to Stage 1, 2 or 3 is possible but not required. (Source 8)
It is made from cow's milk and contains fish oil, so it is not for a baby with a diagnosed cow's milk protein allergy, and it is not lactose-free. (Source 2) A baby born early is fed to a plan from the neonatal team and the pediatrician. (Source 10)
Evidence · Trial evidence
The culture has been tested in randomised trials. A 2012 trial of a follow-on formula with it, in babies aged six to twelve months (188 analysed), reported fewer gastrointestinal infections; a 2024 trial sponsored by HiPP, of 460 babies from one month, found no difference in infectious diarrhoea, its main outcome. Neither makes the formula a treatment or a prevention for anything. (Source 6) (Source 7)
Our view
Starting from scratch in the German range, choose PRE over Stage 1: lactose as the only carbohydrate, the same box, and HiPP says it can take a baby through the whole bottle-feeding period.
## The same stage in other markets
**Same stage, other markets**
| Market | Product | Size | Starch | Ships to the United States | Sold by Organic Life Start |
| --- | --- | --- | --- | --- | --- |
| Germany | HiPP PRE Bio Combiotik (this page) | 600 g box | No | Yes | Yes, US and CA |
| Netherlands | [HiPP 1 Bio Combiotik](https://milkatlas.com/formula/combiotik/hipp-dutch-stage-1/) | 800 g tin | No | Yes | Yes, US and CA |
| Germany | [HiPP 1 Bio Combiotik](https://milkatlas.com/formula/combiotik/hipp-german-stage-1/) | 600 g box | Yes | Yes | Yes, US and CA |
| United Kingdom | [HiPP Organic First Infant Milk](https://milkatlas.com/formula/uk-organic/hipp-uk-first-infant-milk/) | 800 g tin | No | Yes | Yes, US and CA |
| International | [HiPP 1 Organic Combiotic](https://milkatlas.com/formula/combiotik/hipp-international-stage-1/) | 800 g box | No | Yes | No |
HiPP makes a separate range for each market. In the Netherlands, where there is no PRE, the Dutch Stage 1 has lactose as its only carbohydrate, as PRE does; the German Stage 1 adds a little starch. (Source 9) (Source 11) (Source 1)
## What buyers say
723 reviews of this product, gathered from the sellers' own review pages, all of them counted in the rating. The newest are below as their buyers wrote them, each showing where it was written and linking to it; a review is one buyer's experience, not evidence. The rating is this product's alone, never pooled with other products or with a seller's store rating, and milkatlas edits none of them.
5.0 out of 5 · 723 reviews · 4 sellers
- 5 ★99 %
- 4 ★1 %
- 3 ★0 %
- 2 ★0 %
- 1 ★0 %
By seller
- Organic Life Start · 5.0 · 563
- [Organic's Best](https://organicsbestshop.com/products/pre-hipp-combiotic) · 5.0 · 62
- [Organic Formula Shop](https://organicformulashop.com/products/hipp-german-organic-formula-stage-pre) · 4.9 · 54
- [Formuland](https://formuland.com/products/hipp-bio-combiotik-stage-pre-600g-german-box-formulation) · 4.8 · 44
★★★★★ Anon Verified buyer [on Formuland](https://formuland.com/products/hipp-bio-combiotik-stage-pre-600g-german-box-formulation) 10 Oct 2026
Shipping is a little unpredictable to the U.S. but the product is amazing. My baby smells like baby and not like cheap formula
★★★★★ Rickey C. Verified buyer on Organic Life Start 8 Oct 2026
My baby feeds on demand so I give him Hipp German Pre. It's light on my baby's tummy, so I am able to give him formula as he requires
★★★★★ Leilani S. Verified buyer on Organic Life Start 5 Oct 2026
Right from the outset, Lioric has been getting aid with her flatulence with HiPP German Pre.
★★★★★ Gina D. Verified buyer on Organic Life Start 3 Oct 2026
Clean and healthy. HiPP German Stage Pre does not contain added sugars, corn syrup and solids, as well as maltodextrin.
## Questions parents ask
### What is the difference between HiPP PRE and Stage 1?
The carbohydrate. PRE has lactose only; the German Stage 1 replaces some of the lactose with a little starch, which HiPP says makes it creamier and more filling. Both are labelled for use from birth.
### How long can a baby stay on HiPP PRE?
For as long as the baby has a bottle, HiPP says; moving on to Stage 1, 2 or 3 is possible but not required.
### Is HiPP German PRE the same as the Dutch Stage 1?
On every value this site records, their panels match per 100 ml, and both take a 4.3 g scoop per 30 ml. They are made for different markets and sold in different packs, a 600 g box and an 800 g tin, so use the scoop and chart from the pack in your hand.
### How many scoops of HiPP PRE for 150 ml of water?
5 level scoops, which HiPP's chart says makes a 170 ml bottle. Use only the scoop that comes in the box.
### Why does HiPP say 40 to 50 °C when the CDC says 70 °C?
HiPP's box asks for water that is not too hot, so as not to damage the lactic cultures. The CDC advises water of around 70 °C for babies under two months, born early or with a weakened immune system, to kill germs in the powder. Ask your pediatrician which to follow for your baby.
### How long does an opened box of HiPP PRE last?
HiPP says to close the opened bag well, keep it dry at room temperature, and use it within 3 weeks.
### Is HiPP German PRE approved by the FDA?
No. The FDA does not approve infant formulas, and HiPP makes this box for the German market; no HiPP formula is on the FDA's list of formulas marketed in the United States. The box you receive is printed in German, with no US nutrition facts panel.
### Does HiPP German PRE contain palm oil?
Yes. Organic palm oil is one of the vegetable oils HiPP lists in the fat blend, with rapeseed and sunflower oil.
### Can I warm HiPP PRE in the microwave?
No. The box says not to warm the feed in a microwave, because of the risk of scalding, and to make each bottle fresh just before the feed.
## Sources
How this page was checked
- Sources verified · 18 Sept 2026
- External links · opened and read 18 Sept 2026
- Product data · snapshot 2026-09-18
- Editorial review · 18 Sept 2026
- Next scheduled check · 18 Oct 2026
1. [HiPP Germany product page for HiPP PRE Bio Combiotik (2060-02)](https://www.hipp.de/shop/milchnahrung/pre-nahrung/pre-bio-combiotik) · pack size, article number, lactose only, allergens · fetched 18 September 2026
2. [HiPP pack artwork for HiPP PRE Bio Combiotik 600 g, version 7 (May 2025), linked from that page](https://cdn.sanity.io/files/2xwg8lcu/production/785bf747444428011b13d7fd31a6ed031a3a5ce3.pdf) · composition per 100 ml, ingredients, scoop, standard dilution, preparation and feeding chart, Hergestellt in Deutschland (made in Germany), the barcode on the bottom flap; the full nutrition panel as printed, every row · fetched 25 September 2026
3. The partner retailer's listing for HiPP German PRE, which carries the current pack the pack photo · fetched 18 September 2026
4. [Regulation (EU) 2016/127, Annex I](https://eur-lex.europa.eu/eli/reg_del/2016/127/oj) · compositional requirements for infant formula · fetched 18 September 2026
5. [CDC, Infant formula preparation and storage](https://www.cdc.gov/infant-toddler-nutrition/formula-feeding/preparation-and-storage.html) · water around 70 °C for babies younger than two months, born early or with a weakened immune system; use within two hours of preparing · fetched 18 September 2026
6. [Maldonado J. et al., 2012, Journal of Pediatric Gastroenterology and Nutrition 54(1):55-61](https://pubmed.ncbi.nlm.nih.gov/21873895/) · randomised trial of a follow-on formula with L. fermentum CECT5716 in infants aged 6 to 12 months; 188 analysed · fetched 18 September 2026
7. [Piloquet H. et al., 2024, American Journal of Clinical Nutrition 119(5):1259-1269](https://pubmed.ncbi.nlm.nih.gov/38462218/) · randomised trial sponsored by HiPP of formula with GOS and L. fermentum CECT5716 from one month, 460 infants; no difference in infectious diarrhoea, the main outcome · fetched 18 September 2026
8. [HiPP Germany, Was muss ich beim Umstellen von Milchnahrungen beachten?](https://www.hipp.de/ratgeber/saeuglingsalter/milchnahrung-flaeschchen/was-muss-ich-beim-umstellen-von-milchnahrungen-beachten) moving on from PRE to 1, 2 or 3 is possible but not required; PRE can be fed for the whole bottle-feeding period · fetched 18 September 2026
9. [HiPP Netherlands, product page for HiPP 1 Bio Combiotik (NL2472-03)](https://www.hipp.nl/melk/producten/hipp-bio-combiotikr/hipp-1-combiotikr-biologische-zuigelingenmelk-nl2472-03/) · the Dutch Stage 1: from birth, lactose as the only carbohydrate · fetched 18 September 2026
10. [American Academy of Pediatrics, Your premature baby's nutrition needs](https://www.healthychildren.org/English/ages-stages/baby/preemie/Pages/your-premature-babys-nutrition-needs-what-to-know-about-breast-milk-fortifiers-and-preterm-formulas.aspx) · the neonatal team and the pediatrician set a premature baby's feeding plan · fetched 18 September 2026
11. [HiPP Germany, product page for 1 Bio Combiotik](https://www.hipp.de/shop/milchnahrung/anfangsmilch-1/1-bio-combiotik-600g) · the German Stage 1, with a little starch · fetched 18 September 2026
**Corrections (1)**
- 18 September 2026 · The per 100 kcal column is now marked as calculated, because the box prints values per 100 ml only, and the EU limits for energy and galacto-oligosaccharides are now shown per 100 ml, as the regulation sets them. (before publication)