How Long to Tell if Baby Has Formula Allergy

Baguettes from France are just meliorate.  The sausage (and beer!) from Germany kicks my supermarket's butt. The pasta in Italy is far superior to the elbow noodles in my pantry. The port wine from Portugal … you become it…..

European Formula. Most people recall of infant formula from Europe in the same way – that it's far superior to US formula.  When I probe parents who want this oftentimes-illusive European formula well-nigh why they prefer a European brand –the answers is usually some class of:

"It's better regulated" or "the ingredients are cleaner".

Both of these answers are true from a sure perspective. Merely honestly, information technology'due south existent real hard to find articulate data near what makes European formula different from (or meliorate than) U.s. formula.  There are lots of blogs that requite generic differences (like packaging) and hit on the organic upshot.  But no one seems to be discussing differences in regulatory guidelines or required ingredients or how to become is safely – pretty big issues!

Well, we are gonna crush that topic.  In this article, I am going to:

1. Break down the differences in regulations and practices between the US and Eu formulas.
2. Encompass the differences in diet requirements that could make a big departure for your baby.
3. What you demand to know before importing a European formula.
4. Break down the differences betwixt the three major brands of European formula: Holle, HiPP and Lebenswert.

Differences between USA and European Formula Industry:

1) Farming Practices

The brusque summary is: generally speaking, the European union farming practices are just better from an babe standpoint.  The governing body of European formula regulation is the European Committee (equivalent to the FDA in the United states).  They require that in that location be no detectable levels of pesticide residues in any baby formula. This ways that all European formulas are organic and and then some! Most of the formulas are fabricated from milk cows living on a Demeter subcontract.

Demeter is like organic++.  It ways the farm is "biodynamic" – so no synthetic pesticides or fertilizers or GMO technology.  The farming practices are sustainable, and the cows graze and swallow their natural food source, which is grass. This makes for some healthy and happy cows! Grass-fed cows produce milk that may have additional benefits to infants, compared to cows raised on corn (like almost in the United states).

Sadly, in the Usa, we take organic formulas, and we have a grass-fed formula (Similac'southward Pure Bliss).  Yous can't get both organic and grass-fed.  If you go with a European brand – you can get both… which is pretty awesome.

Lastly, farms used to produce ingredients for European formulas get major points for sustainability.  This actually doesn't affect the nutrition the baby receives, only is worth mentioning since information technology is important to many families. Because many of the farms are biodynamic, they are also carbon-neutral, and you'll see that phrase on some European formula's packaging.  Secondly, a few of the companies go out of their way to larn palm oil from sustainable sources – which is unusual. None of the US companies do this.

2) Goat Milk Formula Is A Thing!

The Eu is ahead of the US on the goat milk formula front end.  Goat's milk is fully approved as a base for baby formula and widely available in the EU. I'll have an commodity coming out soon that will suspension downwardly the regulations and options yous have available if you are considering goat milk formula.

The master brands are Holle (a German company) and Nanny Intendance (a British company).  If you want to become great learning more well-nigh goat milk formula, here is a video I made comparing goat milk poly peptide vs cow milk poly peptide in formula.  And here is an article comparing Holle vs Nanny Care vs Kabrita caprine animal milk formulas.

three) European Formula Comes in Stages (This is Big)

The European union handles formula totally differently than the FDA. In the U.s.a., the FDA regulates "Babe Formula" which is formula made for infants from birth – 12 months.  The EU separates their formulas into 2 distinct stages:

• European "Infant Formula" is fabricated for babies from birth to the commencement of solid foods (between 4 – 6 months). This is ordinarily labeled Stage ane.
• European "Follow on Formula" is for infants afterwards solid foods have been started (betwixt 4 – 6 months) until one year. This is unremarkably labeled Stage 2.

The important thing to know is that: if yous choose a European Formula, it's pretty dang of import to go the right stage for your babe's age ! The nutrition is much more than tailored for specific age groups. This is quite different from U.s. formulas, where I consider the whole stage approach to exist mostly marketing and non actually important.

Stage 3 European formulas are what we'd call "toddler formulas".  I'g not going to cover those hither since this article would be considered a book at that point.

Differences between United states and European Formula Regulations:

The European Commission regulates European formula, like the FDA regulates US formula.  At that place are a lot of differences in the requirements and nutrients that you need to know nearly before making a switch.

Get-go (as just mentioned), Europe does formula in stages.  Secondly, they also have some special requirements for partially hydrolyzed and fully hydrolyzed protein formulas, since these formulas have a different protein base than just straight cow'south milk proteins (1, 2).  The FDA doesn't distinguish between types of formulas similar this – there is just i gear up of requirements for all moo-cow'southward milk formulas – and these requirements are for any babe between the ages of nascence to 12 months (3).

There'south lots of minor differences in the minimum and maximum ranges set for diverse vitamins and minerals.  But, I'k but going to give you the major differences that differ betwixt how US and European brands have chosen to attach to these guidelines (so basically, the differences that thing).

1) Fe

Obviously Americans and Europeans have very different opinions on how much iron should go in babe formula (and how tight men'south jeans should be… merely I digress).  Here are the limits ready past the two governing bodies:

• The FDA requires US infant formulas to have betwixt 0.15 – 3.30 mg/100kcal iron.
• The European Committee requires European Baby Formula (babies 0 – six months) to have betwixt 0.3 – one.3 mg/100kcal fe.
• The European Committee requires European Follow-On Formula (babies 6 – 12 months) to have betwixt 0.6 – one.vii mg/100kcal atomic number 26.

The US range is just much larger than the European range.  But here'south where the real difference comes into play.  United states formulas all seem to follow the classic "more is better" approach and add iron closer to the upper cease of the range.   For case, hither are the iron concentrations in the major The states make formulas:

• Enfamil Newborn Enfamil Babe = ane.eight mg/100kcal
• Similac Accelerate (and Pro Accelerate) = 1.9 mg/100kcal
• Gerber Gentle Stage 1 (0 – 12 months) = 1.5 mg/100kcal
• Gerber Gentle Phase 2 (six – 12 months) = 2.0 mg/100kcal

Detect that all of these US formulas take iron concentrations well in a higher place the maximum allowable concentrations set by the EU for babies of that age . This is one of the biggest differences betwixt the continents! You will obviously find different opinions on who is right and should discuss information technology with your pediatrician.  But here'southward what matters.  If you are using a European formula, you really need to be using a "follow-on" formula (stage 2) once your babe is between 4 – six months of historic period to be sure they are getting plenty iron in their diet. Focusing on atomic number 26-rich solid foods volition also help!  It's a good conversation to have with your pediatrician who will know all of your unique babe's gamble factors for potential atomic number 26 deficiency.

2) Sugar and Lactose

I do non like seeing saccharide (or sucrose) in babe formula and have been talking near it for a while.  I am happy to say that Europe agrees with me! European cow'southward milk formulas with intact proteins (which is most formulas) cannot accept any sucrose at all!  Formulas made from hydrolyzed proteins are allowed to have a niggling sucrose, simply no more than than 20%.  PLUS the European Committee sets a minimum concentrations of lactose so that all formulas accept to have at least 30% sugar from lactose.  The FDA doesn't have whatsoever such requirements – regarding sucrose, or %lactose. Lots of the "sensitive" formulas in the US would violate this %lactose rule, and Similac Sensitive and most US soy formulas would likewise violate the sucrose rule. So in that location's that ….

3) Other Ingredients

• The Europeans are a little more conservative with their additives than we are. They do not allow whatsoever of the post-obit additives to exist used in European Formula: locust gum, guar gum, pectins, fructans (like inulin), and carrageenan.  Carrageenan is usually found in US ready-to-feed formulas.
• L-Carnitine is required in European infant formulas (so for 0-six months) that are partially hydrolyzed. The US doesn't crave it at all.
• Inositol is only required in European infant formulas (and so for 0-6 months). It's not required in the follow-on formula. The The states also requires it – and then it's in all formula in America.
• The Eu recently passed new regulation that will require DHA be added to all infant and all follow-on formula to at to the lowest degree 20mg/100kcal (4)! Companies have until 2020 to make this change. The US doesn't require DHA at all – although well-nigh companies do add it.  European formulas that do add DHA employ some different sources than American companies (similar fish oil).  And then, it will be actually exciting to come across how the European formulas adhere to these new requirements over the next few years.
• European formulas take unlike "extras" than American formulas. In the United states, you lot frequently see carnitine, taurine or nucleotides added to formula.  These are not plant in any of the main European moo-cow's milk formulas (HiPP, Holle, or Lebenswert).  However, it is common to encounter single amino acids added to European formulas, particularly phenylalanine, tryptophan, and tyrosine.  None of these are required, but they are ofttimes added.  I point out which formulas add which amino acids in the brand breakdown below.
• European formulas have more than soy-gratis options. This is great for babies who are sensitive, and I wish the United states had more than such options available for our babies.

What Y'all Demand to Know Before Importing A European Formula:

1) Accurate Information is hard to come up past!

Well – plain this article rocks 🙂  But, accurate lists of ingredients are hard to find! I often have to rely on tertiary party websites to find ingredients, or endeavour to translate foreign labels into English.  None of this is ideal!  Information technology'due south important to know that what y'all become is what you think you are getting!  A adept supplier volition help with this (more on that below).  Also, the Eu recently passed regulation that will require more foreigner-friendly labeling for us American parents since there has been so much exporting of European formula over the concluding few years.  This is crawly!  Just, it does not accept to be enforced until 2020.  So until then, yous take to do your own homework.

2) All Countries in Europe Are Non The Same

HiPP formula has manufacturers in 3 different countries: The United Kingdom, Germany, and The netherlands. All make HiPP Stage 1 and Stage 2 formulas.  While they are similar – they are non the same!!! HiPP Stage 1 from the Netherlands & Germany has a probiotic while UK HiPP Stage does not. The Dutch HiPP is soy-free whereas the German and United kingdom of great britain and northern ireland HiPP are non.

So, it's important that y'all know which specific country you would like to order.  And information technology'southward equally important to utilize a supplier that will non just lump all HiPP formula together and allow you to specify the type you lot desire.  Otherwise, your baby could end up going through many inadvertent formula switches, which can be stressful!

three) Pediatrician comfort

Some Usa pediatricians are but uncomfortable using European formula.  This is for a diversity of reasons. The biggest is: European formulas adhere to EU standards and are approved in Europe – so they do not become through the FDA vetting procedure and are thus Not FDA canonical "infant formulas" in the US. Your relationship with your pediatrician is sacred! You guys need to be a tight squad. So be sure to accept the discussion with your pediatrician.  Show them this article if helpful! Merely simply be sure yous are using a formula that you are all comfortable with.

What To Look For in A European Formula Supplier:

Then, y'all've fabricated the determination to utilize a European Formula.  Now you've got to become near the terrifying task of ordering it over the internet. In that location are lots of suppliers online. At that place are too a lot of horror stories online about 4-calendar week shipping times, orders that were never filled, and damaged packaging arriving.  This is scary because it'due south your baby nosotros're talking about!  And so here are the things to wait for in a formula supplier/vendor to feel comfortable getting started.

• Supply Chain – Await for a company with a good supply chain. This means that they have established relationships with European suppliers so they have consistent inventory coming into the States in a timely manner.
• Only import via air – Await for a supplier that simply imports formula via air freight (and not shipping across the ocean). This ensures the formula arrives faster and is not subject to potentially high heat/humidity levels on a cross-Atlantic ship.
• Local Inventory – Wait for a supplier that stores formula in a temperature controlled US warehouse – so it is shipped to yous from somewhere in the U.s. (not directly from overseas). This way, y'all don't end up with an unanticipated 3-week shipping time.  Also local inventory volition be kept updated, and so if something is out of stock, yous will know right away and not acquire about a backorder 2 weeks after placing your guild.
• Variety of options – Expect for a supplier that specifically states which land HiPP they are selling so you don't end up with formulas manufactured in dissimilar countries.
• Good customer reviews always help!

I take been approached by quite a few European Formula Sellers, and vetted them all.  Also, recently 2 of the biggest European  Formula suppliers have been shut down (eek!).  These a few that are still allowed to sell formula, that I similar, and that met all the to a higher place criteria (according to them):

• Bottles and Burps
• My Organic Company

European Formula Make Breakdown:

We're finally here! Now that you accept all the background, we can actually talk virtually the differences between the major European brand offerings: HiPP, Holle, Lebenswert and new-child-on-the-block, Loulouka.

The nautical chart beneath does not include HiPP's partially hydrolyzed (Condolement) and hypoallergenic (HA) formulas.  I'll exist covering those in an upcoming article.

Formula	Protein	Carb	Fat	Extras	Amino Acids	Iron*	Notes
Holle PRE	Whole Milk, Whey, Skim Milk	Lactose	Cream, Palm oil, Rapeseed oil, Sunflower oil	None	None	0.5	Organic, Demeter & Carbon Neutral
Holle – one	Skim Milk, Whey	Lactose, Maltodextrin	Palm, Rapeseed, Sunflower oils	None	None	0.6	Organic, Demeter & Carbon Neutral
Holle – ii	Skim Milk, Whey	Lactose, Maltodextrin, Starch	Palm, Rapeseed, Sunflower oils	None	None	0.9	Organic, Demeter & Carbon Neutral
HiPP – one (UK)	skimmed milk, whey powder (threescore/xl whey/casein ratio)	Lactose	Palm, Rapeseed, Sunflower oils	GOS (prebiotic)	L-tyrosine, L-phenylalanine, L-tryptophan	0.5	Organic
HiPP – 1 Hungry (United kingdom of great britain and northern ireland)	skimmed milk (80/twenty whey/casein ratio)	Lactose	Palm, Rapeseed, Sunflower oils	GOS (prebiotic)	L-cysteine, Fifty-tryptophan	0.seven	Organic, Soy-Gratuitous
HiPP – 2 (Great britain)	skimmed milk, whey powder	Lactose	Palm, Rapeseed, Sunflower oils	GOS (prebiotic)	50-tryptophan	1.0	Organic, Soy-Free
HiPP – 1 (Dutch)	skimmed milk, whey pulverisation	Lactose	Palm, Rapeseed, Sunflower oils	GOS (prebiotic), 50. Fermentum (probiotic)	50-tyrosine, L-phenylalanine, L-tryptophan	0.5	Organic, Soy-Costless
HiPP – 2 (Dutch)	skimmed milk, whey pulverization	Lactose	Palm, Rapeseed, Sunflower oils	GOS (prebiotic), L. Fermentum (probiotic)	50-tryptophan	one.0	Organic, Soy-Gratuitous
HiPP PRE – (German)	Skim Milk, Whey Product, Whey Protein	Lactose	Palm, Rapeseed, Sunflower oils	GOS (prebiotic), L. Fermentum (probiotic)	Fifty-phenylalanine, Fifty-tryptophan	0.5	Organic, Soy-Costless
HiPP – 1 (German)	Skim Milk, Whey	Lactose	Palm, Rapeseed, Sunflower oils	GOS (prebiotic) 50. Fermentum (probiotic)	L-tyrosine, L-phenylalanine, L-tryptophan	0.5	Organic
HiPP – two (German)	Skim Milk, Whey	Lactose, Starch	Palm, Rapeseed, Sunflower oils	GOS (prebiotic) L. Fermentum (probiotic)	L-tryptophan	one.0	Organic
Lebenswert – 1	Skim Milk, Whey	Lactose	Palm, Rapeseed, Sunflower oils	None	None	0.seven	Organic, Soy-Complimentary
Lebenswert – 2	Skim Milk, Whey	Lactose, Maltodextrin	Palm, Rapeseed, Sunflower oils	None	None	0.9	Organic, Soy-Free
Loulouka – 1	Skim Milk, Whey (threescore/40 whey/casein ratio)	Lactose	Sunflower, Coconut, Rapeseed, oils	None	None	i.2	Organic, Soy-Free
Loulouka – 2	Skim Milk, Whey	Lactose, Maltodextrin	Sunflower, Coconut, Rapeseed, oils	None	None	1.5	Organic, Soy-Free
Kendamil – ane	Whole Milk, Whey (60/forty whey/casein ratio)	Lactose	Milk fat,  Sunflower, Coconut, Rapeseed, oils	GOS (prebiotic)	None	1.1	Organic, Soy-Gratuitous
Kendamil – two	Whole Milk, Whey (fifty/l whey/casein ratio)	Lactose	Milk fat,  Sunflower, Coconut, Rapeseed, oils	GOS (prebiotic)	None	ane.2	Organic, Soy-Free

Y'all are amazing for making it this far! I know it's so hard choosing the right formula for your precious infant! You should feel really good about everything y'all just learned that will help you brand the perfect choice.

If you're using a European formula, I'd love to know which ane, and how it's working for you!

Happy digesting to the tiny tummies in your firm,

xo Dr. Young

---

References:

1. European Food Safety Authority (EFSA) Panel on Dietetic Products, Nutrition and Allergies (NDA). Scientific Opinion on the Essential Composition of Infant and Follow-on Formulae. EFSA Journal 2014; 12(7): 3760.
2. European Commission; Health and Consumer Protection Directorate – General. Scientific Committee on Food. Study of the Scientific Committee on Food on the Revision of Essential Requirements of Infant Formulae and Follow-on Formulae. 2003: AXFR/CS/NUT/IF/65 Last. Brussels, Belgium.
3. U.s. Food and Drug Assistants. Title 21 – Food and Drugs, Chapter I – Food and Drug Administration Department of Health and Human Services, Subchapter B – Food for Human Consumption, Role 107 – Infant Formula. Code of Federal Regulations. Title 21 (ii): April 1, 2017.
4. The European Committee. Commission Delegated Regulation (European union) 2016/127. September 25, 2015.

montanezdient1993.blogspot.com

Source: https://babyformulaexpert.com/european-formula/

Share this post