Suitable Milks For Cows Milk Allergy 1

Partial capture of text on file.

Suitable milks for children with
cows’ milk allergy or intolerance
Guidance & Tips for Parents
Feeding the under 3s
the food they need www.littlepeoplesplates.co.uk
Cows’ milk can provide an important source of energy, protein, vitamins and • It is known that those infants allergic to cows’ milk protein are at an
minerals. If your child is not able to tolerate cows’ milk, it is very important to increased risk of also being allergic to soya protein. There is also ongoing
replace it with a suitable alternative. research into the safety of infants taking large uantities of soya protein
There is a wide range of cows’ milk alternatives that are available. It is vital that due to the unclear effects of certain chemicals phytooestrogens in soya
you discuss the available options with your child’s Health Visitor, egistered products on hormone balance and the risks of developing other food
ietitian, , aediatrician or llergist. allergies. oya formulas should only be used in children under months
if all other alternatives have proved unsuccessful or if the family want a
This sheet is a guide to the range of options that are available. formula suitable for vegans after discussion with a egistered ietitian.
• ther mammalian milks goats’ milk formula, sheep’s milk etc are not
From birth to two years suitable because children who are unable to tolerate cows’ milk are at high
risk of reacting to other mammalian milks.
• reast milk is best for babies. It provides all the nourishment that a
young baby reuires. The nutrients in breast milk are easily digested and • eadymade soya, pea and oat milks should not be given as a main drink
absorbed and the composition of your milk continually changes to meet until children are years old. This is because these milks are not an
your baby’s needs. adeuate main source of nutrition for young children. However, under
special circumstances a egistered ietitian may recommend these milks
• If your baby has been diagnosed as having a cows’ milk allergy, ums who to children over year of age if other milks have been refused.
are breastfeeding may be advised to eclude cows’ milk from their own
diet. This should only be done after discussion with a egistered ietitian, Children over 2 years old
as it is important that breastfeeding mums eat a healthy balanced diet.
uitable supplements may be reuired. • eadymade soya, pea and oat or other milks may be used as a main drink.
If you want a formula to give in addition to breast milk or as an alternative, a
range of formulas especially designed for infants with cows’ milk allergy are • ice milk is not suggested for use below years of age.
available on prescription. These formulas fall into two main categories and a • Try to use a brand that is fortified with calcium. If the product is not
Health Visitor, egistered ietitian, , aediatrician or llergist will be able to fortified with calcium, or your child will only take a small amount of the
advise you on the most appropriate choice. fortified milk, it is likely that they may need a calcium supplement. lease
Hydrolysed Formulas discuss this with a egistered ietitian.
• These formulas contain proteins that have been broken down (hydrolysed) • ou may also find it helpful to reuest a review from a egistered ietitian
into smaller segments that are less likely to cause an allergic reaction. so that they can check that your child is enoying a balanced diet as they
may benefit from additional vitamin and mineral supplements.
• They can be based on whey a protein in cows’ milk e.g. TI ptamil
this formula contains lactose or casein a protein in cows’ milk e.g. Top tips
TI and suitable over months old ead ohnson.
• onmilk based etensively hydrolysed formulas are also available • any milk substitutes have a very different taste and smell compared to
although they are not very palatable and may not be suitable for certain breast milk or cows’ milk. ome children can take time to get used to this
religions, cultures or vegetarians as they are based on meat derivatives when they are first started on a new product. egistered ietitian will be
e.g. TI H. able to give you advice about how to encourage your child to take these
milk substitutes.
Amino Acid Formula • If you are unable to get your child to take any of the above milk substitutes
(NEOCATE LCP – SHS Nutricia, NUTRAMIGEN AA - Mead Joho it is important to seek advice from a egistered ietitian as it may be
• These formulas are based on the individual building blocks amino necessary to start a vitamin or mineral supplement.
acids that make up a protein and are highly unlikely to cause an allergic
reaction. actose intolerance
Soya based Formulas • actose intolerance is an intolerance to the sugar in cows’ milk.
(INASO - Co Gate, NURTURE SOA - Hei, ISOMIL - Aott, • There are a number of lactose free formulas that are available to buy over
PROSOEE LIPIL – Mead Joho, SMA SO – SMA Nutritio the counter or on prescription. (ENFAMIL O-LAC – Mead Johnson, SMA LF –
• Infant formulas based on soya milk are not recommended as a first line SMA Nutrition). It is also possible to buy readymade low lactose milks that
alternative, especially in infants under months old. are suitable for use in children over year old.
• These formulas are based on whole cows’ milk protein and are not suitable
for children with cows’ milk protein allergy or intolerance.
This fact sheet is intended as a basic guide to the cows’ milk substitutes that are available.
If you reuire any further information please ask to be referred to a egistered ietitian by your child’s or Health Visitor.
reast-eedin is est or aies and ro ides any enefits. It is iortant that, in rearation or and durin reast-eedin, you eat a healthy, alaned diet. Coined
reast and ottle eedin in the first ees o lie ay redue the suly o your on reastil, and re ersin the deision not to reast-eed is difiult. he soial and finanial
iliations o usin an inant il should e onsidered. Iroer use o an inant il or inaroriate oods or eedin ethods ay resent a health haard. I you use an
inant il, you should ollo anuaturer’s instrutions or use areully - ailure to ollo the instrutions ay ae your ay ill. Alays onsult your otor, Midie or ealth
isitor or ad ie aout eedin your ay.
An Infant & Toddler Forum initiative
Supported by an educational grant from Danone UK ndorsed by
© Infant & Toddler Forum 200
ritten by uth ershaw, egistered ietitian on behalf of the ood llergy and Intolerance pecialist roup (FAIS).

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...Suitable milks for children with cows milk allergy or intolerance guidance tips parents feeding the under s food they need www littlepeoplesplates co uk can provide an important source of energy protein vitamins and it is known that those infants allergic to are at minerals if your child not able tolerate very increased risk also being soya there ongoing replace a alternative research into safety taking large uantities wide range alternatives available vital due unclear effects certain chemicals phytooestrogens in you discuss options health visitor egistered products on hormone balance risks developing other ietitian aediatrician llergist allergies oya formulas should only be used months all have proved unsuccessful family want this sheet guide formula vegans after discussion ther mammalian goats sheep etc from birth two years because who unable high reacting reast best babies provides nourishment young baby re uires nutrients breast easily digested eadymade pea oat given as main drink...

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