Addressing Baby Allergies: Calcium Needs and Development Concerns - Pediatrics

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Baby allergy issues?


Hello, Doctor Ma.
My baby is currently over three months old.
About a month ago, she was feeling unwell, and the doctor diagnosed her with allergies.
Therefore, my baby has been drinking Nestlé Nan formula.
When I went to the pharmacy, they mentioned that Nestlé has a low calcium content and suggested that I add calcium powder.
However, when I showed the calcium powder to the doctor who diagnosed my daughter with allergies, she said it was unnecessary.
I would like to ask you, if my daughter continues to drink Nestlé without adding calcium powder, will her calcium intake be insufficient? Could this affect her development, such as the growth of her teeth? Thank you in advance, Doctor!

Wang, 40~49 year old female. Ask Date: 2010/04/21

Dr. Ma Yiqun reply Pediatrics


Hello Wang: Regular infant formula (including hydrolyzed protein formula) contains an adequate amount of calcium, so there is no need to supplement with calcium powder.
Inappropriate addition of calcium powder may lead to side effects.
If your baby is confirmed to have allergies, it is recommended to continue using hydrolyzed protein formula and to introduce complementary foods at six months of age.
Changhua Hospital cares about you.

Reply Date: 2010/04/21

More Info


When addressing concerns about calcium needs and development in infants, especially those with allergies, it's essential to consider several factors. Your baby, being over three months old and diagnosed with allergies, is currently consuming Nestlé's formula. It's understandable to be concerned about whether this formula provides adequate calcium for your baby's growth and development.

Firstly, it's important to note that infant formulas, including Nestlé's, are designed to meet the nutritional needs of infants, including calcium requirements. The calcium content in these formulas is generally sufficient for healthy growth and development, especially if your baby is exclusively formula-fed. The recommended dietary allowance (RDA) for calcium in infants aged 0-6 months is about 200 mg per day, which most standard infant formulas provide.

If your pediatrician has assessed your baby and determined that additional calcium supplementation is unnecessary, it is likely because they believe that the formula alone is sufficient for your baby's needs. Pediatricians often evaluate the overall diet, growth patterns, and specific health conditions before recommending supplements.
However, if you have concerns about your baby's calcium intake, particularly due to allergies or other dietary restrictions, it may be beneficial to discuss these with your pediatrician again. They can provide guidance based on your baby's specific health profile and dietary needs. If your baby is experiencing allergies, it's crucial to ensure that any supplements or additional foods introduced are safe and appropriate for her condition.

Regarding the impact of calcium on development, calcium is vital for bone health and the development of teeth. Insufficient calcium intake can lead to issues such as delayed tooth eruption or weakened bones. However, if your baby is receiving adequate nutrition from her formula, the risk of calcium deficiency is low.
In addition to calcium, it's also important to ensure that your baby is receiving other essential nutrients, including vitamin D, which aids in calcium absorption. If your baby is not getting enough sunlight exposure, your pediatrician may recommend a vitamin D supplement.

If you notice any signs of developmental delays or other health concerns, such as difficulty with teething or unusual growth patterns, it’s essential to bring these up with your healthcare provider. Regular check-ups and growth assessments will help monitor your baby's development and nutritional status.

In summary, while it is natural to worry about your baby's nutritional intake, especially with allergies in the mix, it seems that the formula you are using is likely sufficient for her calcium needs. Always consult with your pediatrician for personalized advice and to address any specific concerns you may have about your baby's health and development. They can provide the most accurate recommendations based on your baby's unique situation.

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