Hydrolyzed Protein Formula vs. Regular Infant Formula: What Parents Need to Know - Pediatrics

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Hydrolyzed protein formula versus regular milk powder?


Hello Doctor, my baby is currently 1 month and 11 days old.
Since my child does not accept breastfeeding and I am taking care of him alone, he is very clingy, which results in me only being able to pump milk every 6-7 hours.
Consequently, my milk supply is decreasing.
I originally gave him Similac Stage 1 (only before bedtime, the rest is breast milk), but he often vomits.
The hospital doctor suggested that I could give him Abbott Similac Sensitive.
At that time, I thought that hydrolyzed protein formula was just a formula that is easier for babies to digest, and since switching to it, the vomiting has improved significantly.
However, some other mothers said that if there is no allergy, there is no need to use hydrolyzed protein formula because it lacks the nutrition of regular formula.
I would like to ask the doctor, is hydrolyzed protein formula really only suitable for babies with allergies? If so, why did the hospital doctor recommend Similac Sensitive to me? Also, is it true that hydrolyzed protein formula lacks the nutrition found in regular formula? If I want to switch to regular formula, do you have any recommendations? Please help clarify my doubts!

Q Ma, 30~39 year old female. Ask Date: 2016/05/12

Dr. Pei Rensheng reply Pediatrics


Hello: 1.
The nutritional value of hydrolyzed protein formula milk is sufficient; before 6 months of age, infants can solely consume hydrolyzed formula without the need for additional nutritional supplements.
2.
The best prevention against allergies is breast milk, followed by hydrolyzed formula.
3.
The gentle care formula not only includes protein hydrolysis but also features low lactose and probiotics, which can help improve conditions such as constipation, bloating, and reflux.
Wishing you health and happiness! Sincerely, Ren Sheng.

Reply Date: 2016/05/12

More Info


When it comes to infant nutrition, particularly regarding the choice between hydrolyzed protein formula and regular infant formula, there are several important factors to consider. Hydrolyzed protein formulas are designed to be easier for infants to digest, which can be particularly beneficial for babies who may have sensitivities or allergies to whole proteins found in regular formulas. However, this does not mean that hydrolyzed formulas are exclusively for infants with allergies.

Hydrolyzed protein formulas are made by breaking down the protein into smaller peptides, which can reduce the likelihood of an allergic reaction. This is why they are often recommended for infants who have shown signs of protein allergies or intolerances. However, recent studies suggest that these formulas can also be beneficial for infants who may not have a diagnosed allergy but experience digestive issues, such as frequent spit-up or reflux. In your case, since your baby has shown improvement in spitting up after switching to a hydrolyzed formula, it may be a suitable option for your child, even if there is no known allergy.

It's important to note that hydrolyzed formulas can still provide adequate nutrition for infants. While some parents may worry that these formulas lack the nutritional value of regular formulas, reputable hydrolyzed formulas are designed to meet the nutritional needs of infants. They are fortified with essential vitamins and minerals, just like standard formulas. The key is to choose a hydrolyzed formula that is approved by health authorities and meets the nutritional standards for infants.

If you are considering switching back to a regular formula, it’s advisable to consult with your pediatrician. They can help you determine the best option based on your baby's specific needs and any digestive issues they may have. If your baby has been thriving on the hydrolyzed formula and is gaining weight appropriately, it may be worth continuing with it, especially if it alleviates discomfort.

In terms of general recommendations for infant formulas, look for those that are iron-fortified and contain DHA and ARA, which are important for brain development. Brands like Similac, Enfamil, and Gerber offer a range of formulas, including both hydrolyzed and regular options. Your pediatrician can provide guidance on which specific formula might be best for your baby, taking into account their growth patterns, any digestive issues, and overall health.

Lastly, it’s essential to monitor your baby's response to any formula changes. If you decide to switch to a regular formula, do so gradually to allow your baby's digestive system to adjust. Keep an eye out for any signs of discomfort, such as increased spit-up, fussiness, or changes in bowel movements, and report these to your pediatrician.

In summary, hydrolyzed protein formulas are not solely for babies with allergies; they can also be beneficial for infants with digestive issues. They provide adequate nutrition and can be a good choice if your baby is thriving on them. Always consult with your pediatrician before making any changes to your baby's diet to ensure that you are meeting their nutritional needs effectively.

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