Breastfeeding (BF) | Partially Hydrolyzed Formula (pHF) | Other Milks |
• BF strongly encouraged through at least 6-12 months of age or longer (all 3 Guidelines) • In BF infants with CMA symptoms, mother needs to follow strict CMP-free diet + Ca supplement* (all 3 Guidelines) *Ca supplement 1000mg/day spread across day (ESPGHAN) [13] |
• pHF not recommended (all the Guidelines) [13, 14, 24, 25] | • Other mammalian milks not recommended (DRACMA) [14, 25] • Strict avoidance of unmodified soy, rice, almond, coconut, chestnut; goat and sheep milks (ESPGHAN) [13] • Goat milk or other formulas containing large amounts of intact protein inappropriate alternatives (AAP) [24] |