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Breastfeeding is highly encouraged by the American Academy of Pediatrics, but most infants in the United States still rely on infant formula for some or all of their nutrition. To ensure a stable and consistent supply of infant formula, manufacturers are now required to have risk redundancy plans. However, we understand that it may be difficult to find the formula you need at times. The Department of Health and Human Services has made resources available to explain what to do if you can't find the formula you need.
It is important to consult with your infant's healthcare provider to determine which infant formula to choose. Routine formulas are intended for healthy, full-term infants and may contain cow's milk, goat's milk, or soy. These formulas may also be modified to meet the specific needs of full-term infants who are not premature. For example, partially hydrolyzed infant formula contains cow's milk proteins that have already been partially broken down, making it easier to digest.
There are also specialty formulas intended for use by infants with certain medical or dietary issues such as inborn errors of metabolism, low birth weight, or severe milk allergies. Some of these formulas are not available in retail settings and may only be prescribed by a physician. Examples include hypoallergenic formulas with extensively hydrolyzed protein that are effective for the treatment of milk protein allergy and formulas for individuals with Phenylketonuria (PKU) that do not contain the amino acid phenylalanine.
Infant formulas come in three forms: powder, liquid concentrate, and ready-to-feed. Powder formulas must be mixed with water before feeding, while liquid concentrate formulas must be mixed with an equal amount of water before feeding. Ready-to-feed formulas require no mixing.
Infant formulas currently available in the U.S. must be labeled as either "Infant Formula with Iron" or "Additional Iron May Be Necessary." The American Academy of Pediatrics recommends that formula-fed infants receive an "Infant Formula with Iron" as a way of preventing iron-deficiency anemia. Additionally, monitor recalls if your baby consumes formula.
By Anita Johnson-Brown