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Formula variations/additives (Extensively hydrolysed (EHF - semi…
Formula variations/additives
Soy
Tx for galactosaemia
Not suitable for <6mths due to poor bone min, phyto-estrogens
Suitable for lactose/sucrose intolerance
Eg S26 Gold Soy, Karicare Soy
Probiotics
Bifidobacteria
Dec diarrhoea of hosp infants
Dec incidence of NEC in neonates
Dec incidence in resp/GI illness toddlers in C'care
Dec allergies in children whose mum's were supplemented during preg
Eg NAN Gold
Unknown benefits in formula
Prebiotics
In B'milk
Role in red. eczema and pathogen resistance
Commonly FOS
LCPUFA's (Gold)
Naturally present in B'milk, added to form.'s
No +/- effect on growth
May enhance visual and brain development
Role in neural development
Low birth wt/pre term formulas
High energy
Infatrini (1kcal/mL, 2.6g/100mL pro)
Pre-Nan Gold
0.8kcal/mL
S26 Gold Premgrow
E = 0.73kcal/mL P = 1.9g/100mL
Used post-discharge for pre-term infants not achieving adequate growth pre-discharge
S26 Gold LBW
Indicated for LBW (<2550g)
Used from birth to discharge
E = 0.8kcal/mL P = 2.0g/100mL
Extensively hydrolysed (EHF - semi-elemental)
Cow's milk based (100% whey, high MCT content)
For CMP allergy - 1st choice for infants <6mths w:
Immediate food allergy (in absence of anaphylaxis)
Food protein-induced enterocolitis syndrome (FPIES)
Atopic eczema
GI symtoms
GORD
constipation
severe colic
1st choice for infants >6mths w atopic eczema, symptoms left and growth failure
Effective in majority of infants
Can be concentrated
Requires a prescription
Amino Acid formula (AAF - elemental)
Least allergenic form of formula
1st choice for infants <6mths w:
Anaphylaxis
Eosinophillic Oesophagitis
High osmolality
Difficult to inc concentration
Requires a prescription
Lactose free
Can be used temporarily for kids w 2'ary lactase deficiency due to viral gastroenteritis
Indicated for infants w congenital lactase deficiency (rare)
Prebiotic effect
Thickened (anti-regurgitation AR)
Dec freq of regurg in infants w GOR but not acid
Useful for infants at risk of aspiration - need SP
Thickened w carob gum/cornstarch
Thickener can be added to standard formula - see SP
Hypoallergenic formula (HA)
Partially hydrolysed protein
1st option formula for to aid in red of risk for those at risk of allergies
May be useful in skin atopy