(Organic formulas use ingredients extracted from USDA-certified organic milk and other food products, but they may contain synthetic ingredients that are not approved by the National Organic Standards Board.) We also interviewed Bridget Young, PhD, a professor of pediatrics at the University of Rochester School of Medicine and Dentistry, who also runs an informational website on baby formula (which includes affiliate links for some formulas; Young donates the proceeds to the Graham's Foundation, a charity that supports families of premature babies). Bridget Young, a professor of pediatrics at the University of Rochester who studies infant nutrition, explained that although all formulas are definitely not the same, much of what youll read on a formula container is mostly just marketing, and theres little reason to selector avoida certain formula based on these claims. Generic formulas are just as highly regulated as brand-name formulas, and often the differences between brand-name formulas and generics are minor. We think our picks offer the best value and meet an array of caregiver preferences. Weve also added a complete list of FDA-okayed imported formulas temporarily available in the US. Gentle, or tender, formulas should contain only partially hydrolyzed proteins. The mix of fats in the Earths Best formula does include palm oil. Bubs Goat Milk Infant Formula Stage 1 (and Stage 2) is the first goat-milk-based infant formula to be available in the US. Due to the ongoing formula shortage, several baby formulas are out of stock, including many of the picks in this guide. At about 50 per ounce (for a pack of four 42-ounce containers), Kirkland Signature ProCare Non-GMO Infant Formula is among the least expensive traditional formulas we found. A nutritional antioxidant that appears to be involved in brain and eye development, A mix of phospholipids, fats, and proteins coating the fats in milk. Talk to your doctor about any special instructions for preparing your babys formula. They also contain a prebiotic in the form of 2-Fucosyllactose (2-FL), fructooligosaccharides, and/or galactooligosaccharides. This formula lacks some added ingredients that many other US formulas have, but they are ingredients that many European formulas leave out (a prebiotic, lutein, nucleotides, beta-carotene, taurine, and extra L-carnitine). ByHeart contains DHA at a level that is higher than in many of the most common formulas in the US (18 mg/100 calories). You should talk to your babys pediatrician about any concerns related to feeding your baby. Like our picks, all traditional Enfamil formulas have DHA and ARA, taurine, L-carnitine, and nucleotides, and many have polydextrose and galactooligosaccharides (prebiotics). Measurements for the companys formulas are in milliliters instead of ounces, and bottle preparation may differ from that of US formulas. At about 44 an ounce (if youre a Sams Club member; if not, youll pay a 10% upcharge), this formula is barely a third the cost of brand-name formulas, like Enfamil Premium Infant (which has a similar ingredients list). Most healthy babies dont have issues digesting lactose, and there is little evidence that reduced lactose or lactose-free formulas reduce colic. Gentle or tender formulas use partially hydrolyzed milk proteins, which are partly broken down and may be easier for some babies to digest. It contains two probiotics (galactooligosaccharides and fructooligosaccharides), it does not contain palm or soy oil, and the protein comes from skimmed milk powder and whey powder. Stage 1 can be used for babies 0 to 12 months. Advance: lactose; lycopene; galactooligosaccharides; protein from nonfat milk and whey is 48% whey and 52% casein, Pro-Advance: lactose; 2-FL and fructooligosaccharides; protein from nonfat milk and whey is 48% whey and 52% casein, Organic: sucrose, maltodextrin, and lactose; lycopene; fructooligosaccharides; this formula does not have added whey, only nonfat milk, making the protein 18% whey and 82% casein, Organic A2 (currently unavailable): sucrose, maltodextrin and lactose; lycopene; fructooligosaccharides; formula is made from A2 milk; this formula does not have added whey, only nonfat A2 milk, making the protein 18% whey and 82% casein, Pure Bliss: lactose; galactooligosaccharides; formula is made from milk from grass-fed cows; the protein from nonfat milk and whey is 48% whey and 52% casein, 360 Total Care: lactose; five prebiotics (2-Fucosyllactose, lacto-N-tetraose, 3-Fucosyllactose, 6-Sialyllactose, 3-Sialyllactose); the protein from nonfat milk and whey is 48% whey and 52% casein, 360 Total Care Sensitive: corn syrup; five prebiotics (2-Fucosyllactose, lacto-N-tetraose, 3-Fucosyllactose, 6-Sialyllactose, 3-Sialyllactose); the protein from milk protein isolate is 18% whey and 82% casein, For Spit-Up (currently unavailable): corn syrup and sugar instead of lactose; rice starch as a thickener (Young points out that there is little evidence that rice starch helps with painful spit-up); lycopene; galactooligosaccharides; this formula does not have added whey, and it uses milk protein isolate as the protein source, making the protein 18% whey and 82% casein, Sensitive: corn-syrup solids instead of lactose; lycopene; galactooligosaccharides; this formula does not have added whey, and it uses milk protein isolate as the protein source, making the protein 18% whey and 82% casein, Pro-Sensitive: corn-syrup solids instead of lactose; lycopene, 2-FL, and fructooligosaccharides; this formula does not have added whey, and uses milk protein isolate as the protein source, making the protein 18% whey and 82% casein, For Supplementation: marketed as a formula for babies who are also fed human milk, but it meets the same criteria as all formulas; it has lactose, galactooligosaccharides, and lycopene, and the protein is 48% whey and 52% casein, Total Comfort: maltodextrin instead of lactose; lycopene; galactooligosaccharides; the protein is 100% partially hydrolyzed whey (no casein), Pro-Total Comfort: maltodextrin instead of lactose; lycopene; 2-FL; the protein is 100% partially hydrolyzed whey (no casein), Alimentum: hypoallergenic formula that contains fully hydrolyzed proteins and is meant for babies with milk intolerance and/or allergy. No matter how you do it, feeding a baby is hard work. Many formulas have added ingredients that are meant to confer benefits associated with human milk, but the effectiveness of these additives is still under investigation. NeuroPro Gentlease: corn-syrup solids instead of lactose; milk fat globule membrane (MFGM); the protein from partially hydrolyzed nonfat milk and whey is 70% whey and 30% casein before hydrolysis, Gentlease: corn-syrup solids instead of lactose; the proteinfrom partially hydrolyzed nonfat milk and whey is 60% whey and 40% casein before hydrolysis, Enspire Gentlease: corn-syrup solids instead of lactose; lactoferrin; milk fat globule membrane (MFGM); the proteinfrom partially hydrolyzed nonfat milk and whey is 75% whey and 25% casein before hydrolysis, Reguline: corn-syrup solids and lactose; polydextrose and galactooligosaccharides; the protein from partially hydrolyzed nonfat milk and whey is 60% whey and 40% casein before hydrolysis, Nutramigen: hypoallergenic formula that contains fully hydrolyzed proteins and is meant for babies with milk intolerance and/or allergy. Infant: lactose; polydextrose and galactooligosaccharides; the protein from nonfat milk and whey is 60% whey and 40% casein, NeuroPro Infant: lactose; polydextrose and galactooligosaccharides; milk fat globule membrane (MFGM); the protein from nonfat milk and whey is 60% whey and 40% casein, Enspire: lactose; polydextrose and galactooligosaccharides; lactoferrin; milk fat globule membrane (MFGM); the protein from nonfat milk and whey is 60% whey and 40% casein, Premium A2: A2 milk; lactose; polydextrose and galactooligosaccharides; the protein from skim milk and whey is 60% whey and 40% casein, NeuroPro Sensitive: corn-syrup solids instead of lactose; milk fat globule membrane (MFGM); the protein from milk protein isolate and whey is55% whey and 45% casein, A.R. Bobbie contains more DHA (at 20 mg/100 calories) than any other formula available in the US, aligning with European standards, according to a Bobbie spokesperson. It is found in human milk in variable amounts. Earths Best Organic Infant Formula is the least expensive organic formula we found that uses lactose as its sole carbohydrate and also includes many potentially beneficial extra nutrients. We have come ages in formula development. These are sugars that feed gut microbes. Theyve either added an ingredient or tweaked an ingredient that they think might help, she explained. (Alimentum, EleCare, and Similac PM 60/40 powdered formulas are specialized formulas for babies with certain medical needs.) If you are looking for an organic gentle formula, this is a great choice. Recalls due to potential pathogens are rare, but they do happen, and sometimes recalls happen for other reasons (such as things ending up in the formula that dont belong there). : maltodextrin in addition to lactose; rice starch as a thickener (Young points out that there is no solid evidence that rice starch reduces painful spit-up); polydextrose and galactooligosaccharides; the protein is from nonfat milk and has no added whey, Simply Organic: lactose and maltodextrin; galactooligosaccharides; the protein is from organic nonfat milk and does not contain added whey. This guide is intended as an introduction to baby formula. However, if you want a formula that doesnt use palm oilsome people may also want to avoid it for environmental reasonsKirkland Signature ProCare, all Similac formulas, and Bobbie formulas dont include it. Targets formula is made with extensively hydrolyzed casein proteins and is typically appropriate for babies who have certain diagnoses, like cows-milk protein allergy. This formulas protein is 100% whey, with no casein. If your doctor says you need to use a hypoallergenic formula, we recommend Up & Up Hypoallergenic Infant Formula. And it has several potentially beneficial extra ingredients found in much more expensive formulas. There has been quite a bit of research done, but the results are mixedsome show benefit, and some show no benefit. L-carnitine is made by the human body, but newborns can be deficient. 2-Fucosyllactose (2-FL), fructooligosaccharides. Nestl NAN SupremePro 1 is a milk-based formula that contains lactose as the primary carbohydrate plus two prebiotics (human milk oligosaccharides): 2-Fucosyllactose (2-FL) and lacto-N-neotetraose (LNnT). These include formulas from Aptamil (a Danone brand), Aussie Bubs, Bellamys Organic, Kendamil, and Nestl. We independently review everything we recommend. We then analyzed the ingredients of more than 60 formulas to find the ones that we think offer the best combination of evidence-backed benefits and value. We did not look at European formulas like HiPP and Holle because they are some of the most expensive options, arent regulated by the FDA, and arent sold in US stores. There is a dizzyingly long list of potential ingredients in formula, and understanding the label isnt easy. The protein is from hydrolyzed whey. None of Similacs formulas contain palm oil. This formula contains intact proteins (in the nonfat milk) in addition to partially hydrolyzed whey proteins, which would negate any benefits the broken-down proteins might have. Finally, we analyzed the nutrition and ingredients labels of some 50 formulas to understand the differences and similarities among them. Some formulas marketed as sensitive have reduced lactose or are lactose-free and instead use corn syrup, sucrose, or other sugars. The old and new versions of Kirklands formula are virtually identical, with minor differences in the amounts and concentrations of certain ingredients. To minimize the risk, the CDC recommends sterilizing bottles and feeding parts (such as the nipples), as well as washing your hands thoroughly before preparing formula or feeding. This is a 9-Piece Burts Bees Gift Basket thats all wrapped up and ready to be gifted. Kendamil Organic Stage 1 is an organic milk-based formula that contains carbohydrates in the form of lactose, plus a prebiotic (galactooligosaccharides). If youre looking for other baby-feeding gear, consult our guide to the best baby bottles (and bottle brush). If youre searching for formula, heres what you should know about switching formula brands and types. Formula companies add these ingredients because they may confer potential benefits or are designed to make the formula more similar to human milk. Aptamil First Infant Milk Stage 1 is a milk-based formula from the parent company Danone that contains lactose as the primary carbohydrate. We looked at information from the FDA and CDC to learn how formula is regulated and tested in the US. Its the least expensive organic formula we found that has lactose as its only carbohydrate, and it includes added whey (making this formulas protein 30% whey and 70% casein), as well as the extra nutrients DHA and ARA, lutein, taurine, L-carnitine, nucleotides, and a prebiotic (fructooligosaccharides). Members Mark Infant is sold at Sams Club, and the exact same formula is also sold under other brands, including Up & Up Infant at Target, Parents Choice Premium Infant at Walmart, Little Journey Infant at Aldi, and Mama Bear Infant on Amazon (though these versions are often more expensive than the Members Mark version). Theyre also both Clean Label Project certified, which means the companies test for concerning chemicals including heavy metals, pesticides, and plasticizers. We have more advice on switching formulas in thisarticle. It also contains several potentially beneficial extra ingredients, including DHA and ARA, taurine, L-carnitine, nucleotides, and a prebiotic (2-FL). Our experts were clear: All infant formula sold in the US and labeled for healthy babies is safe and will support normal growth and development from birth through 12 months. In fact, the AAP says toddler formulas are not only unnecessary but could be harmful to young children, because they contain extra sugars compared with whole cows milk. Ask your childs pediatrician for guidance. Measurements for Kendamil formulas are in milliliters instead of ounces, and bottle preparation may differ from that of US formulas. Within these regulations, formula companies have some latitude with regard to their specific combinations of macronutrients (proteins, carbohydrates, and fats), as well as extra ingredients and nutrients. So you cant have a formula thats just for a baby who is also breastfed, or a 2-month-old baby who is constipated, Young said. If the formulas we recommend in this guide arent right for your baby, or youre interested in what makes other formulas different, take a look at More baby formulas to consider. And formulas can differ drastically in cost, which can create more confusion, not to mention worry. If a pediatrician believes your baby would benefit from a gentle formula (which may be easier to digest), it should not contain intact proteins along with the partially hydrolyzed ones. Stage1/step 1 formulas may more closely align with US guidelines for formula, which are the same for babies 0 to 12 months old, and according to pediatrician Anthony Porto, they can likely be safely used for 0-12 months. Porto told us that stage 2/step 2 formulas should be used only for babies 6 months and older, as such formulas are generally intended for babies who are also eating other foods. Kirkland Signature ProCare Non-GMO Infant Formula is a generic formula available only at Costco. Unlike Kirkland Signature ProCare, Members Mark Infant contains palm oil, though this shouldnt be a problem for the majority of babies. But they cost more. Burts Bees Baby Infant Milk Organic Formula also relies on lactose and contains a prebiotic (fructooligosaccharides), as well as DHA and ARA, and the protein is from organic nonfat milk and whey, making its protein 30% whey and 70% casein. Porto said it can be hard to determine whether its the formula that might be causing trouble for your baby (and, if so, which component of the formula). We spoke with Lars Bode, PhD, a professor of pediatrics at the University of California San Diego Medical School and director of a research lab that studies human milk. If your doctor recommends a hypoallergenic formula, Up & Up Hypoallergenic Infant Formula is equivalent to Enfamil Nutramigen and Similac Alimentum but available at a fraction of the price (roughly $1.46 per ounce). Like Similac Organic, these generics contain sugars in addition to lactose as carbohydrates, plus fructooligosaccharides as a prebiotic; the protein is from organic nonfat milk and has no added whey. The protein comes from nonfat milk and whey, making its protein 70% whey and 30% casein. The company has been in business for 17 years. Bobbies blend of oils contains coconut, soy, and sunflower or safflower oils; it has no palm oil. Many cheaper formulas have most or all of the same extra nutrients as more expensive formulas. You also have the option to opt-out of these cookies. Its made by Perrigo. Kendamil is a UK-based brand that has been in business for nearly 60 years. It is similar to Similac Pro-Sensitive, except that it contains palm oil. Finally, we considered cost. For babies over a year old, toddler formula is unnecessary. The FDA tightly regulates and monitors baby formula and has strict requirements for its nutrients, ingredients, composition, and manufacturing processes. Generic formulas are as nutritious as brand-name options and often significantly less expensive. Up & Up Gentle, which is manufactured by Perrigo, is also sold as Parents Choice Gentle, CVS Health Gentle, Aldi Little Journey Gentle, Members Mark Gentle, and Amazons Mama Bear Gentle, among others. For this reason, we didnt consider any sensitive formulas that were lactose-free. Bridget Young, PhD, professor of pediatrics at the University of Rochester School of Medicine and Dentistry and founder of BabyFormulaExpert.com, phone interview, February 9, 2018, September 30, 2020, and March 1, 2022, Anthony Porto, MD, pediatric gastroenterologist and pediatrics professor at Yale University, phone interview, February 21, 2018, October 16, 2020, and February 22, 2022, Jenny Thomas, MD, pediatrician and breastfeeding medicine specialist, phone interview, March 8, 2018, Lars Bode, PhD, professor of pediatrics at the University of California San Diego Medical School and director of the Bode Lab, phone interview, March 9, 2018, Laura Modi, CEO and co-founder of Bobbie, phone interviews, October 26, 2020, and May 24, 2022, Ron Belldegrun, CEO and co-founder of ByHeart, phone interview, May 13, 2022, Kristy Carr, founder and CEO of Aussie Bubs, phone interview, June 7, 2022, Grace J. Ahern, et al., Advances in Infant Formula Science, Annual Review of Food Science and Technology, March 2019, The National Academies Press, Institute of Medicine, Infant Formula: Evaluating the Safety of New Ingredients, 2004, Camilla R. Martin, et al., Review of Infant Feeding: Key Features of Breast Milk and Infant Formula, Nutrients, May 1, 2016, Dina M. DiMaggio, et al., Updates in Infant Nutrition, Pediatrics in Review, October 1, 2017, Tracy P. Milbrandt, MD, Standard Infant Formula and Formula FeedingCow Milk Protein Formulas, Pediatrics in Review, May 1, 2017, Tracy P. Milbrandt, MD, Specialized Infant Formulas, Pediatrics in Review, May 1, 2017, Lars Bode, PhD, Human milk oligosaccharides: every baby needs a sugar mama, Glycobiology, September 1, 2012.
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