Inclusion Criteria:  Subjects aged ≥ 18 years old to 60 years old Malnutrition hospitalized patient based on European Society for Clinical Nutrition and Metabolism (ESPEN) 2015 criteria Agreed to participate  Exclusion Criteria:  Malignancy Chronic kidney disease stage III-V Decompensated hepatic cirrhosis Allergic to milk or lactose intolerance Could not be randomised and participate in this study by clinical judgement