Most doctors agree that breast milk is best for babies—but for parents who need to use formula, picking the right one can be tough. Since formulas in the U.S. are required to have similar amounts of vitamins and nutrients, “choose one based on what your baby tolerates best after talking with your pediatrician,” says Sharon Collier, R.D., clinical nutrition director at Children’s Hospital Boston. Here’s how the different formula options stack up:
Formula: Dairy
What it is
Cow’s milk–based formula
Who should have it
Most babies who aren’t breastfeeding can have dairy formula, as long as they don’t have a milk intolerance.
Formula: Lactose-free
What it is
Dairy formula without the sugar lactose, which some people can’t digest
Who should have it
It may be appropriate for some babies who suffer from gassiness—but if your baby is truly lactose intolerant(which usually happens later in life), an elemental or soy formula may be better, since lactose-free formula has 1 percent lactose.
Formula: Added rice starch
What it is
Dairy formula with rice starch, which causes the formula to thicken when it reaches the stomach to help minimize reflux
Who should have it
Babies who spit up often may benefit.
Formula: Protein hydrolysate
What it is
A dairy-based formula with predigested proteins, which is better tolerated by infants who can’t digest standard dairy formula
Who should have it
Babies with a mild dairy allergy
Formula: Elemental/amino acid
What it is
A dairy-free, hypoallergenic formula consisting of synthetic amino acids, the simplest form of protein
Who should have it
Babies with a severe dairy allergy, or infants with multiple allergies (like milk and soy)
Formula: Soy
What it is
Nondairy formula made from soybeans
Who should have it
Babies whose families have religious or ethical reasons for avoiding dairy. Note: The AAP doesn’t recommend soy for milk allergies; babies with milk allergies should first try an elemental formula.
Reprinted from KIWI Magazine
