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Product · Germany · Stage PRE · From birth

HiPP German HA PRE HiPP PRE HA Combiotik, 600 g box

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The answer

HiPP PRE HA Combiotik 600 g box, German label, front
Front of the pack

HiPP German HA PRE is HiPP's hydrolysed-protein formula from birth in Germany: its whey protein is broken down, and lactose is its only carbohydrate. It adds galacto-oligosaccharides and the culture L. fermentum, is not organic, and comes in a 600 g box, with one 4.3 g scoop per 30 ml of water. The box says it must not be used if a baby has, or is suspected of having, a cow's milk protein allergy, and the evidence does not show that hydrolysed formulas prevent allergy.

Key takeaways

  • Labelled from birth, with hydrolysed whey protein and lactose as the only carbohydrate.
  • The box says HA PRE must not be used if a baby has, or is suspected of having, a cow's milk protein allergy.
  • Not organic, unlike the standard German PRE, and the two panels are close rather than identical: protein is printed as 1.3 g against 1.28 g, potassium as 83 mg against 76 mg, and five other rows differ a little.
  • ESPGHAN found in 2024 that there is not enough evidence to recommend a hydrolysed formula for preventing cow’s milk allergy.

Buy from Organic Life Start

In stock
  • DeliveryShips from Europe, 1 to 6 business days
  • Sold and shipped byOrganic Life Start, our partner retailer
  • Price per oz$2.05 for one 600 g box (21.2 oz)
  • Prices seenLast checked

What is in HiPP German HA PRE?

The first ingredients are lactose, then palm, rapeseed and sunflower oil, then hydrolysed whey protein, which the box calls strongly split. Lactose is the only carbohydrate, with no starch.2

Fish oil adds DHA at 13.2 mg per 100 ml, and HiPP adds galacto-oligosaccharides and the lactic culture Limosilactobacillus fermentum CECT5716. Nothing on the box is marked organic.2

The ingredients list on the side of the German HA PRE box
The ingredients as printed on the box, in German.

Nutrition per 100 ml, prepared

Nutrition per 100 ml
NutrientPer 100 mlPer 100 kcalEU min to max
Energy, fat, carbohydrate and protein
Energy66 kcal100 kcal60 to 70 kcal per 100 ml
Fat3.6 g5.5 g4.4 to 6.0 g
of which saturates1.4 g2.1 g
of which monounsaturates1.7 g2.6 g
of which polyunsaturates0.5 g0.76 g
Linoleic acid0.40 g0.61 g
Alpha-linolenic acid0.05 g0.076 g
ARA13.2 mg20 mg
DHA13.2 mg20 mg20 to 50 mg
Carbohydrate7.0 g10.6 g9 to 14 g
of which sugars7.0 g11 g
of which lactose6.9 g10.5 gmin 4.5 g
Fibre0.3 g0.45 g
GOS0.3 g0.45 gmax 0.8 g per 100 ml
Protein1.3 g2.0 g1.86 to 2.8 g
L-carnitine1.8 mg2.7 mg
Minerals
Sodium20 mg30 mg
Potassium83 mg126 mg
Chloride51 mg77 mg
Calcium51 mg77 mg50 to 140 mg
Phosphorus27 mg41 mg
Magnesium4.5 mg6.8 mg
Iron0.50 mg0.76 mg0.3 to 1.3 mg
Zinc0.50 mg0.76 mg
Copper0.053 mg0.08 mg
Manganese0.0050 mg0.0076 mg
Fluoride< 0.005 mg< 0.0076 mg
Selenium3.8 µg5.8 µg
Iodine15 µg23 µg
Vitamins
Vitamin A54 µg82 µg
Vitamin D1.5 µg2.3 µg2 to 3 µg
Vitamin E0.70 mg1.1 mg
Vitamin K5.1 µg7.7 µg
Vitamin C8.9 mg13 mg
Vitamin B10.050 mg0.076 mg
Vitamin B20.14 mg0.21 mg
Niacin0.34 mg0.52 mg
Vitamin B60.029 mg0.044 mg
Folic acid10.0 µg15 µg
Vitamin B120.10 µg0.15 µg
Biotin1.5 µg2.3 µg
Pantothenic acid0.34 mg0.52 mg
Other nutrients
Choline25 mg38 mg
Inositol4.2 mg6.4 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 is the one HiPP prints for 100 ml of made-up feed, which is 12.9 g of powder in 90 ml of water. The EU range for protein in the last column is the one for formula made from protein hydrolysates.24

The composition table on the side of the German HA PRE box
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, feed it straight away and never reuse what is left.2

Preparation table
WaterScoopsPowderFeed sizeWater temp.
30 ml · 1 fl oz14.3 g33 ml · 1.1 fl oz40 to 50 °C · 104 to 122 °F
90 ml · 3 fl oz312.9 g100 ml · 3.4 fl oz40 to 50 °C · 104 to 122 °F
120 ml · 4 fl oz417.2 g133 ml · 4.5 fl oz40 to 50 °C · 104 to 122 °F
150 ml · 5 fl oz521.5 g167 ml · 5.6 fl oz40 to 50 °C · 104 to 122 °F
180 ml · 6 fl oz625.8 g200 ml · 6.8 fl oz40 to 50 °C · 104 to 122 °F
210 ml · 7 fl oz730.1 g233 ml · 7.9 fl oz40 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.

The preparation steps on the side of the German HA PRE box
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.
Empfohlene Pulvermenge (s. Tabelle) abmessen. Messlöffel locker füllen und abstreifen. Pulver zum Wasser geben.
Measure the powder the table gives. 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.

How much should a baby drink?

Feeding chart by age
AgeFeeds a dayWater per feedScoopsMade-up bottleWater a day
Weeks 1 to 27 to 860 ml270 ml420 to 480 ml
Weeks 3 to 45 to 790 ml3100 ml450 to 630 ml
Weeks 5 to 85 to 6120 ml4135 ml600 to 720 ml
Months 3 to 45150 ml5170 ml750 ml
Month 54 to 5180 ml6200 ml720 to 900 ml
From month 64210 ml7235 ml840 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, and calls the amounts guidelines: a baby does not have to finish the bottle.2

Who is it for, and who is it not for?

The box says it can be the only food from birth or be given alongside breast milk, after breastfeeding or another hydrolysed infant formula, and that it must not be used if a baby has, or is suspected of having, a cow's milk protein allergy.2

The NHS says a baby diagnosed with a cow's milk allergy is prescribed a hypoallergenic formula with fully broken-down protein by a GP.6

The same stage in other markets

Same stage, other markets
MarketProductSizeStarchShips to the United StatesSold by Organic Life Start
GermanyHiPP PRE HA Combiotik (this page)600 g boxNoYesYes, US and CA
GermanyHiPP HA 1 Combiotik600 g boxNoYesYes, US and CA
NetherlandsHiPP HA 1 Combiotik800 g tinNoYesYes, US and CA

HiPP makes a separate HA range for each market; in Germany HA PRE and HA 1 are both labelled from birth.110

What buyers say

965 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 · 965 reviews · 4 sellers
  • 5 ★98 %
  • 4 ★2 %
  • 3 ★0 %
  • 2 ★0 %
  • 1 ★0 %
By seller

★★★★★ Anon Verified buyer Rewarded with a discount on Formuland

Tried all formula for my baby who has silent reflux. This was the only one he wouldn’t get extra fussy over.

★★★★★ Moises A. Verified buyer on Organic Life Start

Amelie was especially sensitive to formula, so we looked for a hypoallergenic one that would be gentler on her. We have found HiPP HA Hypoallergenic Stage Pre to be a reassuring choice and she seems much more comfortable and content during her feeds.

★★★★★ Alexis R. Verified buyer on Organic Life Start

We were nervous trying another formula after a few bad experiences, but this one surprised us. Our son adjusted within a couple of days and seems more settled now.

★★★★★ Delilah M. Verified buyer on Organic Life Start

Hipp HA Stage Pre is gentle on the most sensitive tummy!

Questions parents ask

What is the difference between HiPP HA PRE and PRE?

The protein and the organic mark. HA PRE is made with hydrolysed whey protein and is not organic; PRE uses intact cow's milk protein and is organic. Per 100 ml the panels agree on most rows and differ on seven, protein at 1.3 g against 1.28 g and potassium at 83 mg against 76 mg among them, and both take a 4.3 g scoop to 30 ml of water.

Can HiPP HA PRE be used for a cow's milk protein allergy?

No. The box says it must not be used if a baby has, or is suspected of having, a cow's milk protein allergy. A diagnosed baby needs a formula chosen by the pediatrician; the NHS says that is a hypoallergenic formula with fully broken-down protein.

Does HiPP HA PRE prevent allergies?

The evidence does not show that it does. ESPGHAN found in 2024 that there is not enough evidence to recommend a partly or extensively hydrolysed formula for preventing it, and the box itself makes no such claim.

What is the difference between HA PRE and HA 1?

Very little: the ingredient lists match word for word. HA 1 has a little more energy, iron and calcium per 100 ml and a slightly heavier scoop.

Can HA PRE be given alongside breastfeeding?

Yes. The box says it can be the only food from birth or be given alongside breast milk, and that like breast milk it can be given on demand, as often and as much as a baby wants.

Is HiPP HA PRE organic?

No. There is no Bio in its name, no EU organic logo and no organic control code on the box, unlike HiPP's German PRE Bio Combiotik.

Is HiPP HA PRE approved by the FDA?

No. The FDA does not approve infant formulas, and this box is made for the German market. No HiPP formula is on the FDA's list of formulas marketed in the United States, and the box has no US nutrition facts panel.

How long does an opened box last?

HiPP says to close the bag well, keep it dry at room temperature, and use it within 3 weeks of opening.

Why does the box say 40 to 50 °C?

So as not to damage the lactic cultures, the box says. 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.

Sources

  1. HiPP Germany product page for HiPP PRE HA Combiotik the product, its age, and the link to its pack artwork fetched 18 September 2026
  2. HiPP pack artwork for HiPP PRE HA Combiotik 600 g, version 4 (April 2025) legal name, age, article number 2123-03, composition per 100 ml, ingredients and allergens, scoop, standard dilution, preparation and water temperature, feeding chart, storage after opening, use statements and warnings, 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 HA PRE the pack photo, and the photographs of its ingredients, nutrition and preparation panels (the panels read on 25 September 2026) fetched 18 September 2026
  4. Regulation (EU) 2016/127 compositional requirements for infant formula (Annex I) and follow-on formula (Annex II) fetched 18 September 2026
  5. CDC, Infant formula preparation and storage water around 70 °C for babies younger than two months, born early or with a weakened immune system fetched 18 September 2026
  6. NHS, Types of formula first infant formula through the first year; no benefit in switching to follow-on formula at six months; never under six months; no evidence that babies settle better on formula with more casein; goat, comfort, anti-reflux, hypoallergenic and growing-up milks fetched 18 September 2026
  7. Greer F.R. et al., 2019, Pediatrics 143(4):e20190281 American Academy of Pediatrics clinical report: a lack of evidence that partially or extensively hydrolysed formula prevents atopic disease. The AAP has since retired the report; its page carries no retirement date, and states that AAP clinical reports expire five years after publication unless reaffirmed, revised or retired fetched 23 September 2026
  8. EFSA Panel on Nutrition, 2022, EFSA Journal 20(3):7141 HiPP's whey protein hydrolysate: a nutritionally safe and suitable protein source for infant and follow-on formula, with at least 1.9 g of protein per 100 kcal; growth equivalent to formula from intact cow's milk protein over three months fetched 18 September 2026
  9. HiPP for health professionals, HiPP HA Combiotic HiPP describes HA Combiotic as an extensively hydrolysed formula with GOS and L. fermentum, and makes claims for the immune system and allergenicity fetched 18 September 2026
  10. HiPP pack artwork for HiPP HA 1 Combiotik 600 g, version 5 (April 2025) legal name, age, article number 2142-03, composition per 100 ml, ingredients and allergens, scoop, standard dilution, preparation and water temperature, feeding chart, storage after opening, use statements and warnings, Hergestellt in Deutschland (made in Germany) fetched 18 September 2026
  11. HiPP pack artwork for HiPP PRE Bio Combiotik 600 g, version 7 (May 2025) the standard German PRE: whole cow's milk protein, organic, for comparison fetched 18 September 2026
  12. Vandenplas Y. et al., 2024, Journal of Pediatric Gastroenterology and Nutrition 78(2):386-413 ESPGHAN position paper on cow's milk allergy. Statement 66: for infants with a documented family history of allergic disease who cannot be exclusively breastfed, insufficient evidence to recommend the routine use of partially or extensively hydrolysed formula for preventing it. Statement 54: partially hydrolysed formulas are not recommended in its treatment fetched 23 September 2026
  13. Osborn D.A., Sinn J.K. and Jones L.J., 2018, Cochrane Database of Systematic Reviews 10:CD003664 16 studies; no evidence to support prolonged feeding with a hydrolysed formula rather than a cow's milk formula to prevent allergic disease in infants who cannot be exclusively breastfed, all allergic disease in infants at a typical risk ratio of 0.88 (95% CI 0.76 to 1.01, 2852 participants across 8 studies), the evidence graded very low for every outcome fetched 23 September 2026
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