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Start Healthy, Stay Healthy Nutrition Guide
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Healthy Eating

Question

Why should my baby avoid cow's milk in the first year?

Answer

Even though your baby is healthy and growing quickly, cow’s milk (and goat’s milk) aren’t recommended for her. In fact, the American Academy of Pediatrics recommends that parents wait until after her first birthday to introduce cow’s milk. There are several reasons:

  • Improper balance: Cow’s milk and goat’s milk do not contain the right balance of nutrients your baby needs during the first year to grow and develop. These milks, which aren’t meant for human infants, contain excessive amounts of some vitamins and minerals that could stress your baby’s kidneys. Sodium, potassium, and protein levels are especially high.
  • Not enough iron: Cow’s milk has insufficient amounts of iron for your baby’s developing brain, and the iron in cow’s milk isn’t easily absorbed. Lack of iron can lead to iron deficiency, or even anemia in more severe cases. Iron deficiency can have serious consequences, including slower growth, decreased social behavior, and lower learning ability. In addition, cow’s milk is low in zinc, vitamins C and E, and copper.
  • Digestion problems: Your baby may have trouble digesting cow’s milk or goat’s milk.

After age 1, go ahead and introduce your baby slowly to whole cow’s milk. But don’t be tempted to serve reduced-fat or fat-free milk to a child less than 2 years of age. Little ones need the extra fat in whole milk to provide energy for their growing bodies and to help with brain development.

After 1 year of age, if your active, growing toddler is a picky eater, consider an older-baby formula. It’s a nutritious alternative to whole milk, as it offers more of important nutrients, such as iron, vitamins C and E, and zinc, than whole milk while providing the calcium a growing toddler needs.

Meet Our Experts

The START HEALTHY, STAY HEALTHY™ Resource Center panel of experts offers practical advice, answering many questions typically asked by parents and expecting parents.

Lillian M. Beard
Lillian M. Beard, M.D. Pediatric Health

Lillian M. Beard, M.D., is a fellow of the American Academy of Pediatrics and an associate clinical professor at the George Washington University School of Medicine and Health Sciences. She is a frequent guest expert and spokesperson on national TV programs, discussing issues related to children's health. Dr. Beard practices pediatrics in the Washington, D.C., area.

José M. Saavedra
José M. Saavedra, M.D., FAAP Pediatric Gastroenterology and Nutrition

José M. Saavedra, M.D., a fellow of the American Academy of Pediatrics, is a pediatric gastroenterologist with long-term experience and expertise in nutrition. Medical and Scientific Director of Nestlé Nutrition North America, Dr. Saavedra is board-certified by the American Board of Pediatrics, the Sub-board of Gastroenterology and Nutrition, and the American Board of Nutrition. He is also an Associate Professor in the Department of Pediatrics, Division of Gastroenterology and Nutrition, at the Johns Hopkins School of Medicine and the Johns Hopkins-Bloomberg School of Public Health.

Roy M. Pitkin
Roy M. Pitkin, M.D. Prenatal Health

Roy M. Pitkin, M.D. is professor of obstetrics and gynecology and is former chairperson of the ob/gyn department at the University of California, Los Angeles (UCLA), School of Medicine. He is a frequent advisor to national health agencies concerned with women's health issues and has received numerous international honors for this work.

Robert N. Hamburger
Robert N. Hamburger, M.D. Food Intolerances

Robert N. Hamburger, M.D. is professor of pediatrics emeritus and former head of the pediatric immunology and allergy division at the University of California San Diego (UCSD) in La Jolla, California. Professor Hamburger is a consultant and continues as an educator and clinician in the UCSD Free Clinics in San Diego and Tijuana, Baja California.

 
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