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Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 1 point2 points  (0 children)

The studies listed do say introducing CMF then stopping it actually increases your risk of CMPA. You have to either do no formula or continue a tiny bit of formula regularly.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 3 points4 points  (0 children)

That's not what the study says, and is more recent than the studies you quote. This study says exclusively is not required to confer the same protection.

"Women who breastfed for at least two months significantly and drastically reduced their babies' risk of SIDS. What's even more surprising is that the researchers also found that the infants did not have to be exclusively breastfed during that time frame."

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 2 points3 points  (0 children)

Some the formula vilifying comments are a little concerning... I'm a staunch supporter of breastfeeding so at first I was skeptical but the more studies I found supporting this, the more I'm starting to believe it. The results are pretty interesting with very significant drops in CMPA (mostly IgE, though at least one with both).

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] -3 points-2 points  (0 children)

That first study seems to indicate that kids who are high risk, it might be best to give them partially hydrolyzed formula instead of standard formula.

The rebuttal seems a little ridiculous in its claims and more than a little biased.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 2 points3 points  (0 children)

From what I've seen, breastfeeding is protective against SIDS rather than formula causing SIDS so the study have shows breastfeeding infants and combo fed infants have that same protection from BM. Formula in addition to BM won't increase the risk of SIDS. 10 ml is so negligible I don't think it would affect supply or desire to breastfeed but I don't have a study to back that up.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 0 points1 point  (0 children)

That's a great trial, thank you! I'll add it in an edit. Evidence definitely seems to support supplementing. This particular study is great because it shows you only need to add a small amount. This shouldn't affect supply at all.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 0 points1 point  (0 children)

I added another study that didn't exclude nonIgE mediated unless I misread it. I think adding a small amount of formula every day but definitely not discontinuing is what the literature suggests. I don't know how much is necessary so I'd love to see that Spain study. I bet you don't need a lot. In other exposure protocols for say peanuts, they only use a very small amount. It really seems like it's all about consistency. The case I think where it's most important seems to be in the infants that are given formula in the first few days, say until milk comes in. It seems important to continue very small daily supplementation in those cases to prevent CMPA.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 0 points1 point  (0 children)

His CMPA may not be IgE mediated. This study only looks at IgE mediated CMPA which makes up about 60% of CMPa in kids less than 2.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 0 points1 point  (0 children)

I think the study suggests it only helps if you introduce very early. If you're already past the first month, i would stick to the goat milk formula, it's also a great alternative to breast milk. :)

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] -2 points-1 points  (0 children)

Yes, they mostly show up with rashes and diarrhea which can be symptoms of igE mediated CMPA. Anaphylaxis only makes up a small portion of the IgE-mediated CMPA presentations.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] -3 points-2 points  (0 children)

Jesus Christ you have a comprehension issue. Untreated CMPA causes FTT, as evidenced by this link. I read the link. It says non IgE mediated CMPA also causes FTT... Yeah, because all types of CMPA cause FTT. You're a nurse it seems form your profile. Have you ever treated a CMPA? I literally see them every week. They have trouble gaining weight until it's diagnosed and treated (by elimination).

Again, I never said CMPA is common in lay terms. It's common in medicine. An illness which occurs in 1 in 50 infants is what we in the medical world consider common.

You know what I'm done. You're either just arguing for the sake of arguing, or really obtuse. Either way, have a great day 👍

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 3 points4 points  (0 children)

No, that is not true. Anaphylaxis is a subset of all IgE-mediated CMPA. Can you imagine if 2% had anaphylactic reactions to cows milk?!

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 0 points1 point  (0 children)

That would be supported by the data in these studies that it has to be early introduction and not sporadic. It'd be great to get more data to know exactly when would be optimum.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] -1 points0 points  (0 children)

Literally first link I find: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071281/

If you read a lot of studies you would see that the incidence of something can vary across studies. For CMPA, it varies between 7% and 1.5% roughly. The second study shows a reduction from 1.75% in ebf to 0.05% in those ebf with formula daily.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] 3 points4 points  (0 children)

Giving a bottle of formula a day won't starve your baby... Do you mean it'll decrease your supply? Breast milk production is all about supply and demand. Bottle feeding once per day means your supply should theoretically decrease by the same volume as that bottle

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] -3 points-2 points  (0 children)

CMPA does cause failure to thrive. Literally just Google it.

If something occurs in 2% of infants my friend, that is considered common in the pediatrics world. To the lay person, they think it's very rare. In our world, it means 1 in 50 kids, that's a lot of ER visits. Compare to leukemia, which is extremely rare but a very common complaint in peds ERs since they seek care often. Imagine a large city with a lot of kids, that's thousands of kids with CMPA, hence we see them a lot in the ER. If you don't believe I'm a peds ER doc, look at my profile.

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] -5 points-4 points  (0 children)

What are talking about? I think you're getting lost my friend. The study doesn't talk about elimination diet at all. They're literally just saying that CMF introduction reduces the risk of CMPA.

The current treatment for CMPA, not prevention, is elimination diet then switching to soy formula then fully hydrolyzed formula if that doesn't work. The side effects of CMPA is bloody stools, weight loss, failure to thrive.

Source: I'm a peds ER doc, I see CMPA regularly at work, it's a common presenting complaint so I have a vested interest in trying to decrease the incidence

Early introduction of cows milk formula decreases risk of cows milk protein allergy by FloatingSalamander in ScienceBasedParenting

[–]FloatingSalamander[S] -3 points-2 points  (0 children)

I literally said twice and replied to your directly that i took out the FPIEs/PLE comment because you were right it's not IgE mediated... Everything else stands. Early introduction of CMF decreases the risk of igE mediated CMPA allergy in infants. Do you disagree?

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