{"id":1428,"date":"2018-08-30T06:00:11","date_gmt":"2018-08-30T13:00:11","guid":{"rendered":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/?p=1428"},"modified":"2024-04-25T03:02:12","modified_gmt":"2024-04-25T10:02:12","slug":"understanding-formula-choices","status":"publish","type":"post","link":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/understanding-formula-choices\/","title":{"rendered":"Understanding Formula Choices"},"content":{"rendered":"<p>When other moms in a mother\u2019s support group recently told my friend her use of formula to supplement her breast milk was like \u201cfeeding him fast food when you should be feeding organic,\u201d I was shocked. Maybe I shouldn\u2019t have been \u2013 because parents receive unsolicited advice and criticism from all sides.<!--more--><\/p>\n<p>To judge my friend, who had the best intentions for supplementing her breast milk with formula, was wrong. Mother\u2019s support groups are often an invaluable source of help and information \u2013 she should have felt accepted and supported by this group!\u00a0There are many ways to raise a child well, and while breastfeeding is the\u00a0<a href=\"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/the-big-deal-about-breastfeeding\/\" target=\"_blank\" rel=\"noopener\">healthiest choice for babies<\/a>, it\u2019s sometimes difficult to do.<\/p>\n<p>Let\u2019s look at the options for formula if you choose to use it to supplement breast milk or alone.<\/p>\n<p>Your physician and lactation consultant will offer you all the help you need to breastfeed successfully. But it doesn\u2019t always work. It may not work for many reasons, or it may not be the right choice for your family. No one should be judged.<\/p>\n<p>If offering formula, there are many good choices \u2013 not all make sense, so let\u2019s run through them. A good and funny new book, <i>Looking Out for Number Two,<\/i>\u00a0written by a fellow pediatrician and friend, Dr. Bryan Vartabedian,\u00a0does a great job of outlining the choices:<\/p>\n<ul>\n<li><strong>Basic cow milk formulas<\/strong>. These are made by a handful of manufacturers and are very similar. There\u2019s no medical reason to switch between these basic brands (also no harm if you believe one works better). Buying big-box store or pharmacy brand formulas to save money is fine (they\u2019re all regulated by the FDA, so they\u2019re similar and safe). Formula with added probiotics is a good choice \u2013 these bring formula closer to breast milk.<\/li>\n<li><strong>Hypoallergenic formulas<\/strong>. A small number of babies (3 to 5 %) are allergic to cow\u2019s milk formula and need to use this option. It tastes lousy and costs loads, so skip it unless you and your doctor have diagnosed a true allergy; it doesn\u2019t benefit a baby who\u2019s not allergic to cow\u2019s milk.<\/li>\n<li><strong>Lactose-free formulas<\/strong>.\u00a0Babies aren\u2019t lactose intolerant; there\u2019s no reason to buy these formulas. Breast milk has lactose. When babies are allergic to cow\u2019s milk, the allergy is to the milk proteins, not the sugar (lactose), so feeding an allergic baby lactose-free formula will not help. The only time these might make sense is after a baby has had a bad stomach virus. Ask your pediatrician.<\/li>\n<li><strong>Soy formulas<\/strong>. These only make sense if your baby is allergic to cow\u2019s milk formulas and then only sometimes. About half of cow\u2019s milk allergic babies are also allergic to soy.<\/li>\n<li><strong>Follow-up formulas<\/strong>. These are the ones marketed for babies after their first birthday.\u00a0Unless your pediatrician feels your child is not growing well or has a diet so limited that nutrition is lacking, there\u2019s no reason to use these formulas.\u00a0<a href=\"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/feeding-a-picky-eater-dont-worry-too-much\/\" target=\"_blank\" rel=\"noopener\">Young children seem picky\u00a0<\/a>and seem like they aren\u2019t eating much, but they\u2019re usually eating enough to thrive.<\/li>\n<\/ul>\n<p>A couple of other points to remember:<\/p>\n<ul>\n<li>Babies who are sensitive to cow\u2019s milk protein will respond to cow\u2019s milk formula but also to breast milk when mom has been eating cow\u2019s milk products. They can have several symptoms including blood or mucus in their poop, as well as diarrhea, vomiting, or fussy behavior and lots of crying. Talk with your pediatrician when you see these signs.<\/li>\n<li>Don\u2019t give a baby regular cow\u2019s milk as a main source of nutrition until they\u2019re over 12 months. It doesn\u2019t provide the proper\u00a0nutrients to help a human baby grow! However, offering dairy products like yogurt and cheese when your baby starts solid foods is fine.<\/li>\n<\/ul>\n<p>Breast milk is the healthiest choice for your baby \u2013 no doubt. However, if you need to supplement with formula, no one should judge your choice.<\/p>\n<p>For support, see our page on\u00a0<a href=\"https:\/\/mydoctor.kaiserpermanente.org\/ncal\/pregnancy\/#\/category\/0%3B10%3B16\" target=\"_blank\" rel=\"noopener\">breastfeeding<\/a>\u00a0your baby.<\/p>\n<p>Find more resources for parents:<br \/>\n<a href=\"https:\/\/mydoctor.kaiserpermanente.org\" target=\"_blank\" rel=\"noopener\">My Doctor Online<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When other moms in a mother\u2019s support group recently told my friend her use of formula to supplement her breast milk was like \u201cfeeding him fast food when you should be feeding organic,\u201d I was shocked. Maybe I shouldn\u2019t have been \u2013 because parents receive unsolicited advice and criticism from all sides.<\/p>\n","protected":false},"author":8,"featured_media":1431,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[667],"tags":[510,280,281,425,442],"class_list":["post-1428","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-newborn-care","tag-feeding-infants","tag-formula","tag-formula-feeding","tag-infant-crying","tag-infant-feeding","ages-baby"],"metadata":{"_edit_lock":["1691581058:8"],"_edit_last":["11"],"slide_template":[""],"video_format_choose":["youtube"],"_custom_body_class":[""],"_yoast_wpseo_content_score":["90"],"qode_animate-page-title":["no"],"qode_show-page-title-text":["no"],"qode_show-page-title-image":["no"],"qode_show-sidebar":["default"],"qode_hide-featured-image":["no"],"_yoast_wpseo_primary_category":["106"],"_thumbnail_id":["1431"],"_yoast_wpseo_primary_ages":["287"],"ase_map_component_start_point":["a:2:{s:3:\"lat\";d:29.760000000000002;s:3:\"lng\";d:-95.379999999999995;}"],"wpfp_favorites":["1"],"_yoast_indexnow_last_ping":["1714039332"]},"_links":{"self":[{"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/posts\/1428","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/comments?post=1428"}],"version-history":[{"count":10,"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/posts\/1428\/revisions"}],"predecessor-version":[{"id":1499,"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/posts\/1428\/revisions\/1499"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/media\/1431"}],"wp:attachment":[{"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/media?parent=1428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/categories?post=1428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kpthrivingfamilies.org\/pediatricsblog\/wp-json\/wp\/v2\/tags?post=1428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}