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. 2023 Apr 6;12(7):1544. doi: 10.3390/foods12071544

Table 3.

Suggestions for the use of formulas in cow’s-milk protein allergy (CMPA) [9,16,22,24,25,50,51].

Situation <6 Months ≥6 Months
Non-severe CMPA EHF
Rice
EHF
Rice
Soy *
Severe CMPA, such as:
  • Anaphylaxis

  • FPIES

  • Multiple allergies

  • Severe enteropathy

AAF AAF
CMPA, in the presence of symptoms not resolved by EHF AAF
Rice
AAF
Rice
Soy *
CMPA, in the presence of problems with EHFs AAF
Rice
AAF
Rice
Soy *
CMPA, in the presence of problems with AAFs Rice Rice
Soy *

CMPA: cow’s-milk protein allergy; EHF: extensively hydrolyzed formula; AAF: amino-acid formula; FPIES: food-protein-induced enterocolitis syndrome. * In the absence of gastrointestinal symptoms.