HCP Disclaimer

If you are a parent or carer please visit www.nutramigen.co.uk/parent

This website is intended for healthcare professionals and contains information about Mead Johnson Nutrition special infant formulas.

Important Notice: Breast feeding provides the best nutrition for babies. Mead Johnson special formulas are intended for bottle-fed infants and are Food for Special Medical Purposes (FSMPs) and must be used under medical supervision.

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Supporting Parents

Practical tips

  • Babies with CMA should ideally be well and symptom free when weaning begins.
  • When parents introduce potentially allergenic foods, they should do so in small amounts over approximately 3 days, to allow time to observe delayed reactions./li>
  • It is better to introduce new foods at lunch-time, rather than in the evening, making it easier to get medical help if an immediate or severe reaction occurs.
  • Ask parents to keep a record of when new foods are introduced, for example using a food diary (see below).
  • Parents may find recipe ideas for using hypoallergenic formula as a substitute for milk products helpful. This allows the child to enjoy similar foods to other family members (e.g. milk-free lasagne), but also helps meet the child’s nutritional requirements.
  • It is important to ensure that parents have adequate information on how to identify and manage an allergic reaction. This will help reduce parental anxiety when introducing new foods.


Documenting new foods: food diary

  • Parents should be encouraged to document when new foods are introduced, alongside any symptoms that occur, to help identify whether their child may have any additional allergies.
  • This may be particularly useful for children with non-IgE-mediated allergy, as symptoms may take up to 48 hours to develop.1,2
  • An example of a food diary and the information a parent may document is shown below.
Date offeredNew foodAmount eatenReaction (Y/N, what reaction, how soom after eating, how long did it last?)
May 12 Peach puree 1 tsp No
May 13 Peach puree 2 tsp No
May 14 Porridge 1 tsp No
May 15 Porridge 2 tsp No
May 16 Porridge Several tsp No
May 22 Scrambled egg 1 tsp Yes - Diarrhoea, 3 hours after eating,
lasted 4 hours

Download a blank food diary for parents to use

Resources for parents

A series of parent information booklets is available to download or order, providing stage-by-stage practical advice on feeding and weaning infants with CMA. The booklets are authored by two leading paediatric dietitians, Rosan Meyer and Tanya Wright, and include a variety of easy-to-make and nutritious milk-free recipes.

Show references
  1. Du Toit G, Meyer R, Shah N et al. Identifying and managing cow's milk protein allergy. Arch Dis Child Educ Pract Ed 2010;95:134-44.

  2. Heine RG. Allergic gastrointestinal motility disorders in infancy and early childhood. Pediatr Allergy Immunol 2008;19:383-91.