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Cow's milk allergy (Series 2)

Adapted from "What parents should know about cow's milk allergy, lactose intolerance, diarrhoea" booklet supported by the Singapore Paediatric Society.

Here are the various types of formula milk available in the market.

Types of Formula Milk

Formula Type Protein Source Carbohydrate Source Indications for use & benefits
Cow's Milk Formula Casein & whey proteins Lactose Promotes growth and development
Soy–based Formula Soy protein isolates – purest form of soy protein Corn syrup solids and/or sucrose For infants who cannot tolerate cow's milk protein or lactose. To reduce common feeding problems like fussiness, gas and regurgitation. Provides the nutrients for baby to grow and develop.
Extensively Hydrolysed Formula Extensively hydrolysed bovine formula Sucrose For infants who are sensitive to the proteins in both cow's milk and soy–based formula. It helps to relieve symptoms of food protein allergy.

Special Formulas

Soy–based Formulas

Soy–based formulas are most commonly recommended for infants and growing children who cannot tolerate cow's milk formulas either due to allergy or lactose intolerance.

Facts about soy

  • For 45 years, babies have been fed soy–based formula.
  • 1.4 million infants use a soy–based formula sometime during their first year.
  • Soy–based formula will provide your baby with the nutrients she needs to grow and developlike a baby fed with cow's milk formula.*

The American Academy of Paediatrics recommends soy–based formula for:

  • infants with cow's milk protein allergy
  • term infants with hereditary lactose intolerance
  • term infants with secondary lactose intolerance
  • parents looking for a vegetarian–base diet for a term infant

Extensively hydrolysed milk formula

This is a cow's milk formula where the proteins have been broken down into very small units so that it does not trigger an allergic reaction.

It is an alternative formula for babies who cannot tolerate cow's milk and soy–based formulas. Do not mistake this for partially hydrolysed formulas which still contain cow's milk protein and are unsuitable for babies with cow's milk protein allergy.

*Lasekan JB et al. Growth of newborn, term infants fed soy formula for one year. ClinicalPaediatrics 1999; 38:563–571.



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