Breast feeding is always best for babies but when you suspect a bottle fed or combination fed child has mild to moderate cows’ milk allergy (CMA), what should the first step be in managing the allergy?
The iMAP guidelines1 recommend that an extensively hydrolysed formula (EHF) be trialled to initiate a strict cows’ milk protein free diet and the diagnosis confirmed by a home reintroduction of cows’ milk protein 2-4 weeks later.
Aptamil Pepti is an EHF that has been formulated to support the effective dietary management of CMA and is proven to relieve CMA symptoms2. In an independent taste panel of 100 dietitians and GPs, Aptamil Pepti was ranked the first EHF in the UK for palatability3* and is the first and only EHF to contain GOS/FOS‡ prebiotic oligosaccharides which have been shown to reduce the risk of developing allergic manifestations for up to five years4-6.
Palatability is key to managing cows’ milk allergy in infants, and it is reassuring for parents and healthcare professionals (HCPs) to know that Aptamil Pepti is considered the UK’s most palatable EHF3*. This was confirmed in a recent independent taste panel of 100 dietitians and GPs which found Aptamil Pepti was the most liked EHF on the UK market3.
Factors contributing to Aptamil Pepti being the most palatable EHF include it being a whey-based, lactose-containing formula. It is widely accepted that the palatability of whey-based EHF is superior to casein-based EHF7 and studies have also shown that formulas containing lactose are more palatable than lactose-free formulas8.
Lactose is the primary carbohydrate in breastmilk. It provides benefits for the gut microbiota9, and helps to stimulate the absorption and retention of calcium, which is key for bone mineralisation10. Diets without lactose may have disadvantages for the composition of the infant’s colonic microflora11.
In a recent publication by Meyer et al. (2016) it was concluded that “lactose intolerance is not common in non-IgE mediated cows’ milk protein allergy and that hypoallergic formulas containing lactose, in the absence of breast milk, should be considered, especially as lactose has other benefits”12.
Aptamil Pepti is the first and only EHF to contain GOS/FOS‡ prebiotic oligosaccharides. Our unique prebiotic GOS/FOS‡ blend has a clinically proven long-lasting effect in reducing the risk of developing allergic manifestations and severity of symptoms up to 5 years, after six months of use4-6.
Formulas containing GOS/FOS‡ also create intestinal microflora closer to that of a breastfed baby14, and support the reduction of potential pathogens in the gut after six weeks15. Aptamil Pepti also significantly reduces the use of anti-inflammatory medication like glucocorticosteroids, zinc-containing agents and antihistamines4.
Aptamil Pepti is for the dietary management of cows’ milk allergy symptoms with 97% efficacy13, offering fast-acting symptom relief in 2–4 weeks4. It also significantly reduces the need for additional anti-inflammatory medication like glucocorticosteroids, zinc-containing agents and antihistamines4. ESPGHAN guidelines recommend that infants with cows’ milk allergy should be managed with a hypoallergenic formula which is as close as possible to a standard infant formula composition11. That’s why Aptamil Pepti:
• Is the first and only EHF to contain GOS/FOS‡ prebiotic oligosaccharides
• Contains lactose (also the primary carbohydrate in breastmilk)
• Contains adequate levels of calcium
• Is the only EHF to contain nucleotides