What Kind of Water Is Best for Baby Formula
Best Baby Formulas, According to Pediatricians and Parents
Medically Reviewed by Tina Feeley, M.D., M.P.H.
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on January 12, 2022
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Editor's annotation, March one, 2022:Abbott Laboratories has recalled four types of powdered baby formula: Similac PM 60/forty, Similac, Alimentum and EleCare. If you have whatsoever of these formulas at dwelling house, it's important to check the lot number at similacrecall.com. Learn more almost the formula recall
Whether you're strictly formula-feeding or nursing and supplementing with formula, yous want to put the best ingredients in your infant's tummy for her growth and development. Simply with so many different options on the market, choosing the best baby formula tin can be overwhelming.
In that location are lots of different formula brands, types and even forms of infant formula available. Ultimately, in that location's no one "right" formula for your little i — what'south all-time for your infant may be different from what's best for other families.
What is babe formula and why do you need it?
"Baby formulas are manufactured nutrition products fabricated specifically for infants (and some toddlers too, but mostly for infants)," says Steven Abelowitz, M.D., F.A.A.P., a pediatrician and regional medical manager of Coastal Kids Pediatrics in Newport Beach, California. "Initially information technology's made or manufactured to try and imitate, equally closely equally possible, breast milk."
In brusk, formula provides the right diet to infants who aren't exclusively breastfed. "When moms need alternatives to breast milk, infant formula is the only appropriate alternative that offers complete nutrition during a baby's first year of life," notes Whitney Casares, M.D., a Portland, Oregon-based pediatrician.
Infant formula contains a variety of important nutrients, vitamins and minerals similar to those found in breast milk, in just the right amounts. And while some parents may wonder if cow's milk would be a suitable alternative to chest milk instead of formula, that's not the case. That'south because cow's milk tin can be hard for your infant's little tummy to digest, and cow'southward milk doesn't contain the all-as well-of import residual of nutrients that formula does, co-ordinate to the American University of Pediatrics (AAP).
Types and forms of infant formula
Although baby formula is patterned later on breast milk to provide infant with equivalent essential vitamins and nutrients, Dr. Casares notes that non all formulas are alike. While the foundations are commonly roughly the same, there are a handful of different types of baby formula to choose from:
- Milk-based infant formula. Although babies under 1 yr onetime shouldn't potable moo-cow'due south milk by itself, cow's milk-based baby formulas have been modified to be more digestible and prophylactic for little ones. This is the most common blazon of baby formula, according to the AAP.
- Partially hydrolyzed baby formula. These formulas take been partially digested, which can help babies who deal with colic or gas. (Some common examples you might recognize are Enfamil Gentlease or Similac Pro Total-Comfort, for instance — more than on that later!) Note, though, that this type of formula is non broken down enough for babies allergic to moo-cow's milk protein.
- Extensively hydrolyzed infant formula. Besides chosen predigested formula, these formulas incorporate broken-downward milk proteins, making them easier for babies to assimilate. They're well-tolerated past nearly babies who are allergic to cow'southward milk. Talk to your baby's pediatrician before switching to this kind of formula, as they tend to be more expensive and may not exist necessary for your picayune one unless she is allergy-prone or has a special condition.
- Organic babe formula. Organic babe formulas are like to standard milk-based formulas, merely are mostly produced with organic ingredients. "It'due south coming from organic milk from organic ingredients," says Tina Feeley, M.D., a pediatrician and member of the What to Expect Medical Review Board based in Anecdote Hill, Massachusetts. "It's really the same equally the families that choose to have organic foods and fruits and vegetables. It's actually a personal choice." Organic formulas are oft higher in cost than not-organic formulas though, notes Dr. Abelowitz, so if the bigger toll tag sounds inhibiting, don't stress. "When you really report the outcomes of those children that were [organic versus non-organic], both short and long term, the benefits are quite slim," he says. "They're still in that location; they're quite slim — slim enough for united states to say if economy or finances is a factor, so it doesn't justify doing it."
- Soy-based baby formula. This type of formula uses soy every bit a protein and either glucose or sucrose every bit a saccharide, unlike milk-based picks. However, the AAP recommends that soy-based formula simply be used in rare situations, such equally if your baby is intolerant to galactose, so make sure to speak to your pediatrician first. "That's very rare that you would need that," notes Dr. Feeley.
- Special formula. Some babies may crave special formulas, such every bit preemies or babies with specific diseases. If necessary, your pediatrician will work with you to pick the best formula for your infant.
Yous may likewise come across goat'south milk-based formula on the market place, but beware: "Those nosotros actually don't recommend because raw caprine animal'due south milk can make babies anemic and cause some major electrolyte issues," says Dr. Feeley.
When shopping for baby formula, you'll also notice that it'southward sold in a few different forms:
- Powdered formula, which y'all measure and mix yourself and tends to be the about affordable.
- Liquid concentrate formulas, which crave you to merely add together water and milkshake.
- Ready-to-feed formulas, which are (true to proper noun) the near convenient selection, simply also normally the most expensive.
No one class is improve than the other – whether you lot prefer the ease of prepare-to-feed formula or the lower price point of powdered formula, the type that'south all-time for you lot depends on your upkeep, how much formula you become through and where you programme to use information technology, says the AAP.
It's of import to remember that homemade infant formula is never safe, though. Medical experts agree that commercially manufactured babe formula is carefully created to meet your infant's nutritional needs and can't exist safely replicated at home. "We strongly propose against [making your own formula] considering when y'all brand information technology, information technology'south not regulated," notes Dr. Feeley.
If you have problem affording infant formula, the AAP has a listing of resources for how you lot can get formula at no price to you lot. A few formula brands like Enfamil and Similac give away free samples, too.
What to await for in an infant formula
All infant formulas marketed in the U.S. must meet strict nutrition guidelines from the Nutrient and Drug Assistants (FDA), so while every formula is unique, you tin residue easy knowing all the choices on the shelf are regulated. "I ever describe the different formulas kind of like Coke and Pepsi: They're pretty much the aforementioned, just a little different," says Dr. Feeley.
Dr. Abelowitz agrees. "We ever tell parents that, aforementioned as different Tylenols and Motrins and brands, when you lot have dozens, or these days, maybe even hundreds of different types of options, at that place virtually isn't one that'southward superior to the other," he says.
In addition to all the ingredients the FDA requires in a baby formula, several formulas on the market as well comprise a few actress ingredients that may assistance your babe grow and develop, like DHA (docosahexaenoic acid) and ARA (arachidonic acid).
You may also detect that some formulas include prebiotics or probiotics, which are designed to back up immune wellness. (A common example you'll probably see on formula labels is ii'-FL HMO, aka 2′-fucosyllactose man milk oligosaccharides, which are plant in breast milk.) While these generally don't have much evidence to back up their use, they're also non thought to hurt, Dr. Feeley says. "This is part of formulas trying to mimic human milk as much equally possible," she explains.
How to cull the best baby formula
While your baby's specific needs will vary, at that place are a few helpful guidelines to help you narrow downwards your search.
- Ask your pediatrician. Your child's doctor can offer a recommendation for the right blazon of formula for your infant.
- Consider your infant's dietary or allergy restrictions. Does your baby take any? If and then, ask your doctor if your little one requires a special formula.
- Pick a brand that's regulated and reliable. In add-on to speaking with your pediatrician, Dr. Abelowitz recommends picking a brand that'southward FDA-approved (which, again, all U.South. formulas are!) and has been on the market for a while.
- Know that you don't have to stick to what the hospital gave you. If the infirmary gave you a specific type of formula after welcoming your baby, know that y'all don't have to stick to that one forever, says Dr. Feeley. "The way all the hospitals I've worked at are, they're literally contracted (with a company for a sure amount of time), for like, half dozen months out of the year, they give Similac and six months out of the year, they give Enfamil. So, 1 isn't necessarily better than the other because of that."
- Sympathize that a higher cost does not equal higher quality. Again, all baby formulas sold in the U.Due south. are held to rigorous standards, so residue assured that you don't have to worry about prophylactic when you're picking a formula brand from the shelf for your family.
Is in that location anything to keep in mind if you too breastfeed your baby?
If you breastfeed your baby only want to supplement with formula, there'due south nothing in particular that you need to look for in a formula (unless your trivial i has special dietary or allergy restrictions or your pediatrician says otherwise, of course).
"I recall all of the formula companies are actually trying to mimic chest milk as much as possible," explains Dr. Feeley. "So choose whichever i you want, whichever i your infant likes."
What should you lot practice if your go-to formula is sold out?
Every bit supply chain issues continue to reverberate across the state, it tin understandably feel worrisome to observe your go-to formula missing from the shelves. If y'all find yourself in this state of affairs, Dr. Abelowitz says parents should reach out to their pediatricians to see what the best, most compatible formula is to buy instead.
Generally speaking, one good rule of pollex is to stick to the aforementioned type of formula. "If they were on a cow'southward milk-based regular formula, nothing special about information technology, and so effort another brand's moo-cow's milk-based, nothing-special-nigh-it formula," explains Dr. Feeley. "If they were on a partially broken downward formula (what we call partially hydrolyzed) like an Enfamil Gentlease and they're out of it, just they have the Similac Pro Total Comfort, which is likewise partially hydrolyzed, then go with that. If they're out of Nutramigen (which is the fully hydrolyzed Enfamil ane) but they accept Alimentum, which is Similac's version of the fully hydrolyzed one, so switch to that."
What should parents know about European baby formulas?
Scrolling through Instagram, you may see that some parents cull European formulas (like HiPP and Holle, for instance) and wonder if that's a meliorate alternative.
While "the basic structure and breakdowns [of U.S. and European formulas] are very, very like," says Dr. Abelowitz, formulas in Europe are regulated differently than they are in the U.S. Because the European equivalent of the FDA has unlike requirements for formula than the U.South does, European formulas are often marketed equally having 'higher standards' than U.Southward. formulas, even though that's not truthful, explains Dr. Feeley. While the regulations are different, one isn't better than the other.
For case, "they don't allow certain additives in their formulas that nosotros permit in ours," says Dr. Feeley. "It's non so much that those additives that are banned in Europe are bad," it's just that the FDA hasn't found any bear witness or reasoning to ban them.
There are also serious drawbacks to consider when buying imported babe formula, points out Dr. Abelowitz. "The biggest affair we're seeing at times [is] the confusion in dosages and how to set up," thanks to linguistic communication translation issues or uncertainties with the style instructions are laid out. "There tin can be some dangerous situations of kids getting the wrong concentration, where that can be actually unsafe," he says.
Not to mention, buying imported formulas online means they aren't FDA-regulated, may not be shipped or stored correctly (and hence, tin can lose some nutritional value) and are often more expensive without whatsoever proven benefits, notes the AAP and the Centers for Illness Command and Prevention (CDC). What'due south more, if any foreign baby formulas were to get recalled, it may take longer for news to attain U.S. consumers.
Long story short? If you live in the U.S, it's a good idea to stick to U.S. formulas.
How we chose the best babe formulas
To help have some of the guesswork out of your formula search, we completed hours of research to narrow downwards the best baby formulas. First, we studied several expert-recommended formula guidelines from health organizations like the AAP and CDC. We also spoke with three leading pediatricians for their guidance on all things baby formula: Dr. Abelowitz, Dr. Casares and Dr. Feeley. We made sure all of the baby formulas listed below match upwardly with the criteria provided by experts.
Adjacent, we combed through countless forums in the What to Expect community of millions of parents, taking note of which formulas worked best for different families and why. While lots of caregivers were only looking for the best formula on the market, others had niggling ones with special conditions to consider, like sensitive tummies, colic or constipation. Finally, we asked parents on the What to Look editorial squad almost which formulas they route-tested personally and used at habitation with their own little ones.
Here, the best baby formulas to consider for your little 1.
Best Baby Formula Overall
Similac Pro-Advance
Registry Listing:
Ownership Options:
Pros: Reliable favorite, no palm olein oil, available every bit powder or set-to-feed
Cons: Can exist hard to find in stores
Why We Love It
Similac formulas, which have been feeding babies for more than ninety years, check off all the nutritional boxes in terms of what your little 1 needs to thrive. The make boasts a bevy of options, from those developed for sensitive stomachs to organic formulas and everything in betwixt. Similac was fifty-fifty named All-time Formula Brand in the 2021 What to Wait Mom Must-Accept Awards, a community-driven awards franchise that received more nine,000 total votes.
Both What to Expect's Editorial Director, Christine Mattheis, and Director of Special Projects, Robin Hilmantel, can also vouch for Similac Pro-Advance in particular afterwards using it with their little ones. "I started my formula journey with Similac Pro-Advance considering two of my friends had used information technology with their babies and had positive things to say about it," Mattheis says. "I began supplementing with it when my daughter was about vi months erstwhile and I was no longer pumping enough milk to get her through her twenty-four hour period at day care. She sucked down her bottles without fussing at all, and didn't seem to find that it wasn't breast milk. She was a happy baby when she was exclusively breastfed, and she remained a happy baby with no digestive issues when nosotros added formula to the routine."
The brand's Pro-Accelerate powder is a particular favorite among What to Expect customs parents and editors. This non-GMO milk-based formula includes the necessary ingredients to boost encephalon and eye development and provide your baby the nutrition she needs. Pro-Accelerate is also available in a fix-to-feed format for families who prefer to accept that route.
I thing to note: Some parents say they're currently having trouble finding these Similac formulas in stores. If you can't find any online or most you, ask your md nigh other brands that may exist more than readily available and a skilful swap for your picayune one.
Type: Milk-based formula
Best Baby Formula Overall (Tie)
Enfamil NeuroPro Babe Formula
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Pros: Available equally pulverisation or set-to-feed, swell customer service
Cons: Container and scoop pattern could be better
Why We Dear It
Backed by many pediatricians and parents akin, it's difficult to find error with Enfamil's extensive family unit of baby formulas. Specifically, Enfamil NeuroPro is a go-to for many families. This formula provides brain-building nutrients similar DHA, and, like many formulas, it besides includes no genetically engineered ingredients.
The structure makes this milk-based formula generally easy for babies to assimilate (although the brand also has specific lines to address common feeding issues — more than on that later!). Nosotros dearest that the container is dishwasher condom for continued apply (you can buy formula refills and then that you don't have to buy a new tub every time!). This formula is also bachelor as a powder or set up-to-feed formula.
To peak it off, some What to Expect community moms were seriously impressed by Enfamil's client service, from general aid to fifty-fifty receiving formula coupons.
Blazon: Milk-based formula
Best Organic Babe Formula
World's Best Organic Dairy Infant Formula
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Pros: Smells better than others, helpful packaging, more affordable than lots of organic formulas
Cons: Only available as a powder
Why We Love Information technology
If yous prefer to buy an organic babe formula for your little one, consider World's All-time Organic Formula. Not only does information technology have all the essential nutrients your infant needs to develop and grow, but it's also one of the most affordable organic formulas on the market.
This milk-based powder formula is produced from cows fed with certified organic grain and hay, which are grown without whatsoever synthetic pesticides or fertilizers. Information technology includes all the key ingredients your baby needs, plus DHA and ARA for encephalon and eye development and lutein for optics. To top information technology off, it's the make's closest formula to breast milk.
Reviewers also appreciate the packaging, which includes an piece of cake-pull seal under its hat. The brand besides offers gentle and sensitive varieties of its formula if your pediatrician recommends it.
Type: Milk-based formula
Best Affordable Baby Formula
Kirkland Signature ProCare
Buying Options:
Costco
Encounter Now
Pros: Much more affordable option, includes all the nutrients baby needs
Cons: Simply available from Costco, some say it has a foamy texture
Why We Love It
Because all babe formulas in the U.S. must adhere to the same FDA rules and regulations, in that location'due south no reason to buy an expensive formula if you don't want or have to. Kirkland's Signature ProCare formula from Costco is a widely loved generic choice that parents in the What to Expect community consistently praise for its more affordable price tag.
Information technology includes all the nutrients and extra ingredients that proper noun-brand formulas do (similar DHA for brain growth and lutein for infant'south eyes), but comes at a fraction of the price. It likewise contains no artificial growth hormones, and is certified kosher and certified halal.
More great options that come at a lower price bespeak include Upwardly&Upward from Target and Member'southward Marking from Sam's Club, both of which several What to Await community parents love.
Type: Milk-based formula
Best Infant Formula Almost Like Breast Milk
Enfamil Enspire
Pros: Includes lactoferrin, reusable tub
Cons: Merely available equally a powder, more expensive
Why We Love It
Enfamil's Enspire is the brand's closest formula to chest milk, thanks to the inclusion of proteins found in colostrum, similar lactoferrin. (In fact, Enspire is the first and only infant formula in the U.South. to include lactoferrin as an ingredient, according to the make.) Combined with nutrients similar DHA and choline, plus all the other essential vitamins and minerals your baby needs to abound, information technology's a nifty choice to consider.
Lots of What to Expect community parents rely on this formula. Several study their little ones taking to information technology chop-chop and having positive experiences. "I use Enspire and babe loves it," one parent reported. "I pumped and supplemented with the formula. Went back and forth between this and BM [breast milk] for 6 months and never had whatsoever issues."
One downside with this line, though, is its higher price than some other standard milk-based formulas. Some parents report information technology beingness a picayune harder to find in stores, too.
Type: Milk-based formula
Best Formula for Babies with Colic or Gas
Enfamil NeuroPro Gentlease
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Pros: Practiced for babies struggling with colic or gas, reusable tub
Cons: Some don't love the foamy texture
Why Nosotros Honey It
For babies that struggle with gas or colic, Dr. Feeley recommends looking for a partially hydrolyzed formula. While these formulas all the same include milk poly peptide, the protein in a partially hydrolyzed formula is more cleaved down, which makes it a lilliputian easier for babies to digest.
Enfamil's Gentlease formula is one such partially hydrolyzed formula that comes to mind for Dr. Abelowitz and Dr. Feeley, and is a favorite of countless What to Expect community parents. This milk-based formula, which comes in both powder and gear up-to-feed formats, provides complete nutrition for your little one, plus brain-edifice DHA. The make even states that Gentlease is designed to reduce fussiness, crying, gas and spit-up within 24 hours. (And for a similar alternative to Gentlease, check out Similac Pro-Full Condolement, which lots of parents also rave about.)
Something important to remember: Talk with your pediatrician to make sure your fiddling one'southward struggles with gas are more intense than normal, and that a partially hydrolyzed formula is necessary (equally well as request which specific blazon is best for your baby). "Well-nigh all babies are gassy, and gassiness, if it'due south non very severe, is a normal physiological response of babies in maturing intestinal tract," says Dr. Abelowitz. "That knee-jerk reaction right abroad when a baby has some gassiness and some discomfort and jumping from one formula to the other can sometimes exist detrimental, but often can almost complicate the picture for both the parents and the pediatrician to figure out what'southward really going on."
Blazon: Milk-based formula (partially hydrolyzed)
All-time Infant Formula for Constipation
Gerber Proficient First SoothePro Formula Powder
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Buying Options:
Pros: Gentle on sensitive tummies, lots of positive reviews
Cons: Some say it wasn't worth the toll
Why We Love It
Finding a infant formula that agrees with your child can involve some trial and error. If your lilliputian one suffers from constipation, ask your physician about Gerber Skilful Start Soothe Pro. Moms in the What to Expect customs swear by Gerber's Adept Start line, particularly for constipation, and for good reason. The brand has developed a variety of blends to adapt various conditions that can affect newborns, and Soothe Pro contains probiotics that may calm his digestive organization. (Note, though, that the jury is even so out on whether probiotics are benign long-term for your baby, and then double-check with your doc before trying them, says the AAP.)
This not-GMO milk-based formula likewise includes DHA for brain and eye evolution and has no artificial growth hormones. It's available in a powder format but.
Something to keep in mind: Your little one may not actually exist constipated. "Babies that are formula-fed are gonna have less frequent bowel movements and often firmer bowel structure, or stool construction, as opposed to breastfeeding babies," explains Dr. Abelowitz. Adds Dr. Feeley, "The first thing we actually will look at if the babe's really constipated is: Are the parents mixing this formula correctly? Because a lot of times they're not, and and then that tin exist why the babies are getting constipated from it."
Bottom line? Check in with your pediatrician to brand sure your baby is truly constipated before switching formulas, and enquire about which one is best for your baby specifically.
Blazon: Milk-based formula
Best Babe Formula for Babies with a Milk Protein Allergy
Enfamil Nutramigen
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Pros: Hypoallergenic for babies with milk protein allergies, some say it smells amend than Alimentum
Cons: On the more expensive side
Why Nosotros Dear It
"If [babies] accept a milk protein allergy, then they would need to proceed a hydrolyzed formula, which would be like a Nutramigen or Alimentum — which is yet actually based from moo-cow's milk, but they break down the protein so they're not allergic to information technology," explains Dr. Feeley. Both Enfamil'south Nutramigen and Similac'southward Alimentum are great hydrolyzed formula options, and while several What to Expect community parents swear by Nutramigen, lots of others say Alimentum is the manner to go.
Both are hypoallergenic formulas designed for babies with food allergies, and both include all the nutrients your baby needs, plus extras like DHA. Both too promise to relieve excessive crying fast. However, nosotros listed Nutramigen equally the featured product here after seeing some parents note that the smell of Nutramigen is a bit more pleasant than Alimentum. ("Nosotros have tried both and she didn't seem to prefer one over the other," shared one What to Expect community parent, for instance. "Still, I prefer the aroma of the nutramigen over the alimentum. The latter smells like tire rubber and would brand me gag.")
As ever, though, do what's all-time for your infant and ask your pediatrician for help deciding which may be better for your family unit.
Type: Extensively hydrolyzed formula
Best European Formula Alternative
Bobbie
Pros: Female-founded and mom-led, easy-to-use website, subscriptions available
Cons: More than expensive than other formulas
Why We Dear Information technology
For parents intrigued by European baby formulas, consider Bobbie, an organic babe formula that'south both FDA-canonical and meets the most contempo EU (European Matrimony) standards when it comes to ingredients like DHA and iron.
This formula is USDA-certified organic, meaning the ingredients were created without GMOs, synthetic pesticides or fertilizers. Caregivers will also appreciate where Bobbie sources its key ingredients from — like pasture-raised dairy, whey and casein from small family unit farms in the U.S., for case. It's also the merely female-founded and mom-led infant formula company in the U.Due south.
What to Look'due south Senior Art Managing director, Alexandra Bisonó, is a huge fan of Bobbie for her little one. "Nosotros chose to feed our baby Bobbie since six months old, mainly because our family has loftier expectations around ingredients and nosotros wanted a formula without any added sugars," she says. "Since the first bottle, nosotros kept a close centre on any signs of constipation (which we'd heard typically comes with formula feeding) and we were surprised to see that our baby's bowel movements stayed very consequent. We are so lucky Bobbie exists to provide parents with a thoughtful alternative to the current formula market place, and their subscription service is key so that nosotros never had an issue with running low."
We also appreciate how informational yet easy-to-use Bobbie'due south website is. For starters, there's a whole folio defended to its ingredients and what each one does. There's helpful guidance for how many cans you lot should buy based on baby's historic period and whether or not you're also breastfeeding — or you can snag a "starter packet," which gives you ane can for free. To pinnacle information technology all off, you can text (or telephone call or email) customer service for any help y'all need, which busy parents volition appreciate.
One considerable downside, though, is its price: it'southward more than expensive than several other formulas on the market.
- American Academy of Pediatrics, Choosing an Baby Formula, September 2020.
- American Academy of Pediatrics, Forms of Baby Formula: Powder, Concentrate & Ready-to-Feed, August 2018.
- American Academy of Pediatrics, Is Homemade Baby Formula Safe? March 2021.
- American Academy of Pediatrics, Is Information technology OK to Buy Imported Formulas Online? March 2020.
- American Academy of Pediatrics, Probiotics and Prebiotics in Pediatrics, December 2010.
- American Academy of Pediatrics, Probiotics in Infant Formula, July 2021.
- American University of Pediatrics, Why Formula Instead of Cow'south Milk? July 2021.
- Centers for Disease Command and Prevention, Choosing an Infant Formula, July 2021.
- National Institutes of Health, National Library of Medicine, Review of the Clinical Experiences of Feeding Infants Formula Containing the Man Milk Oligosaccharide ii′-Fucosyllactose, October 2018.
- Steven Abelowitz, 1000.D., F.A.A.P., Pediatrician and Regional Medical Director of Coastal Kids Pediatrics, Newport Beach, California.
- Tina Feeley, M.D., Pediatrician and Member of the What to Look Medical Review Board, Chestnut Hill, Massachusetts.
- Whitney Casares, M.D., Pediatrician, Portland, Oregon.
Source: https://www.whattoexpect.com/baby-products/nursing-feeding/best-baby-formula-brands/
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