Citadel spread is a paste made of peanut butter, oil, sugar and milk powder.
A key feature of citadel spread is the use of powdered milk in a recipe with no water, making it difficult for bacteria to grow and giving the nutritional advantages of milk with a long shelf life, as demonstrated in a clinical study comparing F100 and Plumpy'nut.
[4][5] Ready-to-use therapeutic foods are manufactured for treatment of severe acute malnutrition, as shown in one clinical report.
[1] Such formulations support rapid weight gain, supply multiple essential nutrients and are easy for children to eat because they can feed themselves the soft paste from a tear-open individual package.
The fortified peanut butter-like paste contains fats, carbohydrates, proteins (macronutrients), vitamins and minerals (micronutrients).