{ "media_type": "text", "post_content": "My 6 month old has cow milk protein intolerance. Trying to switch to formula \nNeed help picking an option \nA. Goat milk based (EU brands)\nB. Traditional hypoallergenic US brands - Emfamil sorts \nC. Holle hypoallergenic (EU brands - that promise organic and better quality ingredients) \n\nGoes without saying EU brands are expensive. But willing to pay if the ingredients are really better for my child\n\nDid any other mummas go through a similar journey. What did you pick and why?", "post_id": "6069f4cc257753001c81f2e0", "reply_count": 21, "vote_count": 1, "bowl_id": "58f81646ae9f610010f869be", "bowl_name": "Consulting Moms", "feed_type": "bowl" }

My 6 month old has cow milk protein intolerance. Trying to switch to formula Need help picking an option A. Goat milk based (EU brands) B. Traditional hypoallergenic US brands - Emfamil sorts C. Holle hypoallergenic (EU brands - that promise organic and better quality ingredients) Goes without saying EU brands are expensive. But willing to pay if the ingredients are really better for my child Did any other mummas go through a similar journey. What did you pick and why?

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My pediatrician specifically cautioned against Holle. They aren’t authorized to sell in the US (like several other EU brands that aren’t FDA regulated) and so there’s a risk of tainted/expired supply from unregulated sellers. She didn’t think that risk outweighed the purported health benefits, especially if you’d be giving Holle to a younger infant.

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We use nutramingen. Expensive but worth it. Started at 3 months and baby is not almost 9 and very healthy and happy. At the start of this process she was so unhappy she refused to eat anything.

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And we picked it because the pediatrician who specializes in food allergy swears by it.

Have you been formula feeding this whole time? I just finished BF’ing a baby with CMPI if you have any interest in going down that path. Most babies with CMPI will also react to goat milk formula so I wouldn’t do that. Personally I would do Alimentum or Nutramigen because 1) FDA regulated 2) not typically impacted by supply chain/shipping interruptions.

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If you want to wean and switch to formula, great! If you feel pressured to stop BF’ing because baby is still having symptoms there are other options to explore before weaning.

A and C were not accessible to me in 2013 when I had an infant with a milk protein allergy. (Good news: most kids do outgrow it.) I did B for lack of better options. If I had to do it again today, I’d do C. Most kids with milk protein intolerance have it to all milk proteins.

I would do it, but I am really exhausted. My supply and let down speed are just ok. Dragged it so far since I didn't want to risk it.

Not at all I am just ranting:)

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PWC1 - curious to know couple things 1. What symptoms did you notice in your baby before you confirmed baby has intolerance 2. How long did you pull off and did you now switch to cow milk from the store? Only if you don't mind sharing

He was colicky, had mucousy and green stool, arched his back during feedings and spat up. I saw a single pinpoint-size speck of blood in a diaper around 6 weeks, and based on discussion with his pediatrician I cut out dairy that day. Fortunately after the detox period his symptoms stopped so it was easy to confirm that it was dairy. I reintroduced dairy starting at ten months using what’s known as a dairy ladder - you progressively feed baby dairy in its most denatured form (baked in a muffin) to least denatured (straight cow’s milk) over several weeks, and look for symptoms. I followed one step behind him on the dairy ladder so my milk would only contain dairy to the extent he had already tolerated it. I weaned a few days after his first birthday but had a significant oversupply for most of the time I was breastfeeding, so I have a lot of frozen milk. He currently has about 12 ounces of frozen breastmilk mixed with 12 ounces of unsweetened Ripple, which is a plant-based milk. Having straight cow’s milk seemed to make him slightly constipated so we don’t do it for now. Overall, there’s no reason to introduce cow’s milk if baby has a varied and nutritionally sound diet.

We use holle cows milk and it’s great but would probably buy holle goats milk + holle cows milk incase the allergy persists with the euro formula. Formuland is a good website - quick shipping. Don’t but it on sale, that means it’s close to expiry. Hope it works for your baby!

Didn’t know that - good data point

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We went through this with my first at around 3 months. We tried US hypoallergenic first (alimentum). Smelled disgusting. She drank it for 3 weeks while I waited for my husband's next work trip to Germany. We actually just bought regular Hipp - not hypoallergenic - and decided to give that a shot for a while. (Our pediatrician said it was okay to try for 1-2 weeks. Trusted his recommendation in this area. He is GI/pediatrics dual specialty, teaches at harvard, and was running a study on protein allergies in infants at the same. Figured he knew what he was talking about :) ) anyway, long story short, she turned out fine with just regular formula. The blood in her stool was gone, and we just kept going with it. I'm not suggesting you go down this path without talking to your doctor but just something to consider as it was our experience, and I was surprised it worked. My second had one/two diapers that looked like she might be experiencing the same thing but I was better at nursing by then and we just powered through with minimal diet changes for me. (She was 70th percentile for weight and stayed there). I'm not totally sure what FDA approval has to do with anything. The FDA is not a global body, and european formula standards are superior to US standards. I prefer german formula to anything we find here. With travel now limited, we ordered online for my 1 year old, and it shipped direct with dhl, here in 2 days.

Someone shared that article on FB when it originally came out. No offense to Ms Bates, but she sounds like a moron. The instructions couldn't be clearer and are widely available in english. As for the supplier concerns, I agree that finding a good place to get it is important. We bought it ourselves from germany or had my parents bring it in their luggage. During the pandemic with out second baby, we found a place that shipped direct from europe to our door. It's well within its expiration date so I didn't really have concerns over quality.

We used the liquid Alimentum, my daughter didn’t like the powder. It is expensive, but insurance ended up covering 90% of it with a letter from the doctor.

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