What Pediatricians Want Parents to Know
Knowing how to choose the best baby formula can feel overwhelming. While breastfeeding is encouraged when possible, infant formula is a safe, nutritious and necessary option for many families. All formulas sold in the United States must meet strict FDA nutritional standards, but ingredients, digestion and added features can vary widely. Here are ten important things to consider when choosing the best formula for your baby.
1. Make Sure It’s an FDA-Approved Infant Formula
Only use formulas labeled specifically for infants. Regular cow’s milk, homemade formulas and plant-based milks like almond or oat milk do not provide the balanced nutrition infants need in their first year. In the U.S., all commercial infant formulas must meet FDA standards for safety and nutrient content, making them a reliable choice for healthy growth.
2. Look for Iron-Fortified Formulas
Iron is essential for brain development and healthy red blood cells. Nearly all U.S. formulas are iron-fortified, but it’s worth double-checking the label. Iron deficiency in infants can lead to developmental delays, so pediatricians strongly recommend iron-fortified formula unless otherwise directed for medical reasons.
3. Understand the Milk Source: Cow, Goat or Soy
Most infant formulas in the U.S. are based on cow’s milk that has been modified to be gentler on a baby’s digestive system. Goat milk formulas are becoming more popular and may be easier for some babies to digest due to differences in protein structure and fat composition. Soy-based formulas are lactose-free and may be used for babies with galactosemia or families following a vegetarian lifestyle, though they are not usually the first recommendation.
4. Consider Lactose vs. Alternative Carbohydrates
Lactose is the natural sugar found in breast milk and is also used in most cow-milk formulas. Some formulas replace lactose with corn syrup solids or other carbohydrates to help babies with lactose sensitivity or digestion issues. While lactose is nutritionally preferred for most infants, some babies do better with alternatives.
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5. Decide if You Need Standard or Specialized Formula
Most babies thrive on standard cow-milk formula. However, specialized formulas are available for specific needs, including:
- Hypoallergenic formulas with broken-down proteins.
- Sensitive formulas for gas or reflux.
- Premature infant formulas.
- Lactose-free formulas.
Only switch to specialized formulas under the guidance of a pediatrician.
6. Review Added Nutrients Like DHA, ARA and Probiotics
Many modern formulas include DHA and ARA—fatty acids that support brain and eye development. Some also contain probiotics and prebiotics to support gut health and digestion. While these additions may offer benefits, not every baby requires them, and results can vary.
7. Watch How Your Baby Digests It
Gas, spit-up, constipation and fussiness can sometimes be related to formula type. Some babies tolerate certain proteins or carbohydrate sources better than others. If persistent discomfort occurs, always consult your pediatrician before switching formulas.
8. Decide if Organic Matters to You
Organic formulas are made with milk from cows raised without growth hormones, antibiotics or synthetic pesticides. They also avoid artificial preservatives and genetically modified ingredients. While organic does not guarantee better digestion or outcomes for every baby, it aligns with the values of many parents seeking cleaner ingredient sourcing.
9. Consider Cost and Availability
Formula is a long-term purchase, and prices vary significantly. Imported European formulas can be costly and sometimes difficult to source consistently. Before committing to any brand, make sure it’s affordable, accessible and reliably stocked at your local stores or online retailers.
10. Always Talk to Your Pediatrician Before Switching
Every baby’s nutritional needs are unique. If your baby shows signs of allergy, poor weight gain, persistent digestive discomfort or feeding refusal, consult your pediatrician before changing products. Medical guidance ensures your baby gets the right nutrition safely.
Organic Baby Formulas to Consider
Below are several popular organic or specialty formulas widely purchased by American parents. Always confirm age suitability and consult your pediatrician when making changes.
HiPP Dutch Stage 1 Organic Formula
HiPP Dutch Stage 1 is designed for newborns and is imported from Europe through specialty retailers. It uses organic skim milk and lactose as the primary carbohydrate, closely mimicking breast milk. It contains prebiotics for digestive support and DHA for brain development. Parents often choose HiPP for its minimal processing and gentle formulation, especially for babies with mild sensitivities.
Holle Stage 2 Cow Organic Formula
Holle Stage 2 is intended for babies six months and older. It is produced using biodynamic farming methods and contains organic cow’s milk with minimal additives. The formula avoids artificial sweeteners and refined sugars. It is typically used as a follow-on formula once solids are introduced and is best for babies who already tolerate cow-milk formula well.
Kendamil Organic Infant Formula
Kendamil is a UK-based formula that has gained popularity in the U.S. It uses whole organic cow’s milk rather than skim, providing natural milk fats similar to breast milk. Kendamil contains plant-based DHA from algae and avoids palm oil, soy and artificial preservatives. It is widely praised for taste, mixability and accessibility through major U.S. retailers.
Kabrita Goat Milk Infant Formula
Kabrita is a goat-milk-based formula often chosen for babies who struggle with cow-milk digestion. Goat milk proteins and fats may be easier to digest for some infants, leading to less gas and spit-up. Kabrita is fortified with essential nutrients, DHA and prebiotics. While not suitable for babies with dairy protein allergies, it can be a helpful alternative under pediatric supervision.
Choosing the right baby formula is a personal decision shaped by your baby’s digestion, nutritional needs, family values and budget. The most important priorities are complete nutrition, safety and your baby’s comfort. Organic and alternative milk formulas can offer attractive features, but no single formula works best for every child. With support from your pediatrician and a careful review of labels and your baby’s response, you can confidently select a formula that supports healthy growth and development.