Guide to Breast Milk Substitutes. Updated July 2015
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1 Guide to Breast Milk Substitutes Updated July 2015
2 Infant formula (suitable from birth to 12 months): Standard cow s milk formula a2 Platinum Premium Infant Formula (a2) S-26 Original Newborn S-26 GOLD Newborn S-26 SMA Novalac Stage 1 GOLD Novalac Colic 1.3g protein/100ml 65% whey 35% casein 1.4g protein/100ml - Prebiotics GOS - Contains only A2 type of beta-casein protein to the exclusion of A1 type of beta-casein protein which claims to: may help support your babys digestion - Alpha-lactalbumin enriched - Also available in stick packs (6x17g) - Limited evidence to support claims of: to decrease wind and abdominal discomfort that contribute to colic 4.16
3 Standard cow s milk formula (continued) Novalac Constipation Novalac Sweet Dreams Bellamy s Organic Step 1 (Bellamy s) Heinz Nurture Original 1 (Heinz) Heinz Nurture Gold (Heinz) NAN Comfort 1 NAN PRO 1 Gold 1.7g protein/100ml 1.4g protein/100ml 1.4g protein/100ml 1.3g protein/100ml 70% whey 30% casein - Limited evidence to support claims of: relieving discomfort of constipation by producing softer stools which form more frequently and can pass through the body more easily - Limited evidence to support claims of: Providing immediate and long lasting feeling of fullness, but the same energy level to control weight gain - Australian certified organic - Probiotics (BB-12) and prebiotics (GOS) marketed as Digesti Plus - Alpha-lactalbumin enriched - Probiotic L. Reuteri - Probiotic Bifidus BL - Alpha-lactalbumin enriched marketed as Optipro 4.17
4 Standard cow s milk formula (continued) Karicare+1 Infant Aptamil Gold+ 1 Aptamil Profutura 1 HA formula S-26 GOLD Comfort NAN H.A. 1 Gold Aptamil Gold+ HA (850g can) 1.4g protein/100ml 1.4g protein/100ml 1.4g protein/100ml 1.3g protein/100ml - Probiotics Bifidobacteria breve M-16V - Probiotics Bifidus B L - Alpha-lactalbumin enriched marketed as Optipro - Also available in sachets (6x17g) 4.18
5 HA formula (continued) Karicare+ Comfort Soy & goats milk formula S-26 GOLD Soy Karicare+ Soy Infant Karicare+ Goat Infant 1.8g protein/100ml 1.8g protein/100ml - Lactose free 1.3g protein/100ml 4.19
6 Follow-on formula (suitable only for infants over 6 months): Standard formula a2 Platinum Premium Follow on Formula (a2) S-26 Original Progress S-26 GOLD Progress Novalac Stage 2 Novalac Gold Stage 2 Bellamy s Organic Step 2 (Bellamy s) 2.4g protein/100ml 50% whey 50% casein 2.0g protein/100ml 2.0g protein/100ml 40% whey 60% casein 1.8g protein/100ml 1.7g protein/100ml 55% whey 45% casein 2.3g protein/100ml 45% whey 55% casein - Prebiotics GOS - Contains only A2 type of beta-casein protein to the exclusion of A1 type of beta-casein protein which claims to: may help support your babys digestion - Also available in stick packs (4x26g) - Australian certified organic 4.20
7 Standard formula (continued) Heinz Nurture Original Follow-on 2 (Heinz) Heinz Nurture Gold Followon 2 (Heinz) NAN PRO 2 Gold NAN Comfort 2 Karicare+2 Follow-on Aptamil Gold+ 2 Aptamil Profutura 2 1.8g protein/100ml 40% whey 60% casein 1.8g protein/100ml 40% whey 60% casein 1.3g protein/100ml 50% whey 50% casein 40% whey 60% casein 1.8g protein/100ml 55% whey 45% casein 1.9g protein/100ml 52% whey 48% casein 53% whey 47% casein - Probiotics (BB-12) and prebiotics (GOS) marketed as Digesti Plus - Probiotics Bifidus B L - Alpha-lactalbumin enriched marketed as Optipro - Probiotic L. Reuteri - Probiotics Bifidobacteria breve M-16V 4.21
8 HA formula NAN H.A. 2 Gold Soy & goats milk formula Karicare+ Goat Follow-on - Probiotics Bifidus B L - Alpha-lactalbumin enriched - marketed as Optipro - Available in sachets (4 x32g) 4.22
9 Specialty formulas (available from pharmacy only): Formula (manufacturer) Suitable Reconstitution Protein profile Comments Thickened formula (AR): for infants with regurgitation S-26 GOLD AR Novalac Reflux NAN A.R. Aptamil AR 1 scoop to 60mL water water water 1 scoop to 50mL water Lactose free formula: for infants with diagnosed lactose intolerance S-26 GOLD Lactose Free S-26 Lactose Free NAN L.I. Gold 1 scoop to 60mL water 1 scoop to 60mL water - Thickened with corn starch - Also available in stick packs (6x17g) - Thickened with corn starch - Thickened with potato starch - Probiotic L. reuteri - Alpha-lactalbumin enriched - marketed as Optipro - Thickened with carob bean gum - Contains no detectable lactose - Also available in stick packs (6x17g) - Contains no detectable lactose - Clinically lactose free (<0.007g per 100mL) - Probiotic - L. reuteri 4.23
10 Formula (manufacturer) Suitable Reconstitution Protein profile Comments Lactose free formula (continued) Aptamil Gold De-Lact water 100% casein - Contains no detectable lactose Extensively hydrolysed (semi-elemental): for infants with diagnosed cow s milk protein or soy protein allergy Alfare Aptamil Gold Pepti Junior Aptamil Gold+ Allerpro Infant Aptamil Gold+ Allerpro Follow-on From 6 months water (450g can) water water (extensively hydrolysed) (extensively hydrolysed) (extensively hydrolysed) (extensively hydrolysed) Elemental amino acid formulas: for infants with diagnosed cows milk protein or multiple food protein allergies. For infants who cannot tolerate extensively hydrolysed formula EleCare Unflavoured (Abbott Nutrition) EleCare Unflavoured LCP (Abbott Nutrition) EleCare Vanilla (Abbott Nutrition) Pharmacy: over the counter Pharmacy: over the counter From 12 months 1 scoop to 60mL 1 scoop to 60mL 4 scoops to 150mL water (400g can) 100% amino acids - MCTs 100% amino acids and MCTs 100% amino acids - MCTs 4.24
11 Formula (manufacturer) Suitable Reconstitution Protein profile Comments Elemental amino acid formulas (continued) Alfamino 100% amino acids and MCTs Neocate LCP 100% amino acids Neocate Gold 100% amino acids and MCTs Neocate Advance From 12 months 4 scoop to 85mL 100% amino acids - MCTs - Unflavoured powder Neocate Advance Vanilla From 12 months 4 scoop to 120mL water (400g can) 100% amino acids - Prebiotic fibre inulin and FOS - Vanilla flavoured powder Low birth weight formulas: S-26 GOLD LBW 100mL RTF bottle and MCTs S-26 GOLD Premgro For pre-term infants from discharge and MCTs - Alpha-lactalbumin enriched PreNAN GOLD Aptamil Gold+ Preterm Formula 90mL RTF bottle 70mL RTF bottle and MCTs - Alpha-lactalbumin enriched - marketed as Optipro 4.25
12 Formula (manufacturer) Suitable Reconstitution Protein profile Comments Human milk fortifiers: powdered supplement designed to be added to expressed breast milk to aid growth in pre-term and low birth-weight infants PreNAN FM 85 1g sachet to 20mL breast milk (extensively hydrolysed) - Contains 0.3mg iron per1g sachet S-26 HMF From 2 weeks old 2g sachet to 50mL breast milk - Does not contain iron to allow Healthcare Professionals the ability to control iron supplementation Breast Milk Fortifier (BMF) (Nutritica) 2.2g sachet to 50mL breast milk (extensively hydrolysed) - Does not contain iron to allow Healthcare Professionals the ability to control iron supplementation Acronyms and definitions: LCPUFA Long chain polyunsaturated fatty acids. MCT Medium chain triglycerides. LC polyfructose Long chain polyfructose (type of prebiotic). GOS Galacto-oligosaccharides (type of prebiotic). 4.26
13 Does the infant have any special feeding needs? NO How old is the infant? YES Birth -12 months? 6-12 months? Diagnosed cows milk protein or soy protein allergy? Extensively hydrolysed (semi-elemental) formula: Alfare (from birth) Aptamil Gold Pepti Junior (from birth) Aptamil Gold+ Allerpro Infant (from birth) Aptamil Gold+ Allerpro Follow-on (from 6 months) Elemental amino acid based formula: Alfamino (from birth) EleCare Unflavoured (from birth) Elecare Unflavoured LCP (from birth) Cows milk formula Whey dominant: a2 Platinum Premium Infant Formula Aptamil Gold+ 1 Aptamil Profutura 1 Bellamy s Organic Step1 Heinz Nurture Original 1 Heinz Nurture Gold Karicare+ Infant NAN PRO 1 Gold NAN Comfort 1 Cows milk formula Whey dominant: Aptamil Gold+ 2 Karicare+ Follow-on Novalac Gold Stage 2 Aptamil Profutura 2 Whey=Casein: NAN PRO 2 Gold a2 Platinum Premium Follow-on Formula Elecare Vanilla (from 12 months) Neocate LCP (from birth) Neocate Gold (from birth) Neocate Advance (from 12 months) Neocate Advance Vanilla (from 12 months) Novalac Stage 1Gold Novalac Colic Novalac Constipation S-26 Original Newborn S-26 GOLD Newborn Casein dominant: Bellamy s Organic Step 2 Heinz Nurture Original Followon 2 Heinz Nurture Gold Follow-on 2 Lactose intolerance? Clinically lactose free formula: Aptamil Gold De-Lact (from birth) NAN L.I. GOLD (from birth) S-26 Lactose Free (from birth) S-26 GOLD Lactose Free (from birth) Regurgitation or reflux? Thickened formula (AR): Casein dominant: Novalac Sweet Dreams S-26 SMA Partially hydrolysed (HA) formula: Aptamil Gold+ HA Karicare+ Comfort NAN H.A. 1 Gold S-26 GOLD Comfort NAN Comfort 2 Novalac Stage 2 S-26 Original Progress S-26 GOLD Progress Partially hydrolysed (HA) formula: NAN H.A. 2 Gold Soy & goats milk formula: Karicare+ Goat Follow-on Aptamil AR (from birth) NAN A.R. (from birth) Soy & goats milk formula: Karicare+ Soy Infant Novalac Reflux (from birth) Karicare+ Goat Infant S-26 GOLD AR (from birth) S-26 GOLD Soy 4.27
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