RT Journal Article
SR Electronic
T1 Formula choices in infants with cow’s milk allergy
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 180
OP 182
DO 10.46747/cfp.6703180
VO 67
IS 3
A1 Sharon Kipfer
A1 Ran D. Goldman
YR 2021
UL http://www.cfp.ca/content/67/3/180.abstract
AB Question I frequently encounter infants with symptoms suggestive of allergy after being introduced to standard cow’s milk formula. Parents are concerned and ask for recommendations regarding formula alternatives. Which formulas are best for children with cow’s milk allergy?Answer Cow’s milk allergy is common, and the criterion standard for diagnosis is elimination, provocation (with a double-blind, placebo-controlled food challenge protocol), and re-elimination. The allergy is treated by eliminating cow’s milk protein from the diet. Formula alternatives include hydrolyzed cow’s milk formula, rice-based formula, soy-based formula, and amino acid–based formula, which are all nutritionally adequate alternatives to cow’s milk formula. Symptom severity, patient preference, cost, and efficacy are factors to be considered when choosing an alternative.