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ve as a reference for clinical choice of plate. Human milk is recommended for very preterm infants, but its variable macronutrient content may contribute to undernutrition during a critical period in development. We hypothesize that individually targeted human milk fortification is more effective in meeting macronutrient requirements than the current standard of care. We designed a single-center randomized, controlled trial enrolling 130 infants born  31 completed weeks' gestation. Participants will receive fortified maternal and/or