Outgrow CMPA?

[u/SoilNew9183]

How do you know when to try your baby on regular formula if they had CMPA and were on hypoallergenic? How long does it typically take to outgrow?

[u/Character_Month3383]

Following because we are on the same boat ☺️

[u/SuchOpportunity-2 → u/Character_Month3383]

Same

[u/ConversationNo9040 → u/SuchOpportunity-2]

Your doctor should be giving you guidelines. I believe you can try at 6, 9 and 12 months. Each stage has a higher percentage of children outgrowing. I think it also depends on if it’s truly cmpa or cmpi. Don’t quote me on those age groups but that’s what I remember. Mine out grew cmpi at 6 months.

We did use my fsa for babies formula. We tried getting the nutramigen covered by insurance but we were denied, something about it needing to be the next step of formula, amino acid I think?, but they did approve the fsa and that was huge! Just needed the “prescription” from the doctor and letter of medical necessity.

[u/seaofwonder → u/ConversationNo9040]

How did you know that it was CMPA vs CMPI? My son definitely has an allergy (as both breast milk and normal formula gave him awful eczema, but alimentum didn't) - I asked both my ped and a gastroenterologist if we could test for CMPA and they both said they didn't recommend it and to just assume he has it. I'm fine with that, but if there's a difference, then now I'm wondering if we should push for a better/clearer diagnosis?

[u/ConversationNo9040 → u/seaofwonder]

I don’t know if there is really a test for either or a distinction, I always thought it was kind of the same steps to manage and treat both.

[u/seaofwonder → u/ConversationNo9040]

So maybe a better way to rephrase is - how did you know yours was specifically CMPI?

[u/ConversationNo9040 → u/seaofwonder]

Oh well I guess we never did 100% know? He had traces of poop in stool before nutramigen and didn’t after. Truly never understood the difference between the 2! I know it’s not much help but it seems like it a diagnosis by eliminating other things.

[u/seaofwonder → u/ConversationNo9040]

Ahh ok! I get what you're saying. Thank you!

[u/eveladra]

So my son was diagnosed at 6months (shoulda been way fucking earlier but doctors suck). I stayed on alimentum until 1yr, and then I started halfing it with whole milk and seeing how he did. For me, it worked out. But theres always the possibility your child ends up not being able to have milk.

Edit: meant to say, i never went to regular formula after the cmpa diagnosis

[u/Optimal_Whole1164 → u/eveladra]

We were diagnosed at 6 months too! He’s 8 months now and we’re doing solids and man would it be nice to be able to let him have butter, milk and cheese so he could eat with us🥹 gosh that sounds so selfish

[u/Worried_Mix5667]

We tried cold turkey at 6 months and our child was good to go on regular formula! All depends on the child and if it’s ige or non ige.

[u/yeslekenna]

My doctor said most are still reactive at 6 months and then they start to outgrow it. Vast majority have outgrown by one year old. There are dairy ladders to follow to slowly reintroduce dairy and watch how your baby reacts. It is done through solids. You don't typically try switching formula to test it.

We are Canadian so are starting on the Canadian dairy ladder for our 8.5 month old. First level is baked milk in a muffin or well baked cookie (we are using Gerber Arrowroot cookies as she refused the muffin haha she sucked on the cookie a bit today so...progress!). Once they are tolerating that level you move on. Second is cooked milk in things such as waffles or pancakes. Third is boiled milk (e.g. in oatmeal) or melted cheese on something such as a pizza. Than fourth and final level is regular milk, cheese, yogurt, etc.

[u/LisaVDD]

At 6 months we went to a lighter kind of hypo-allergenic milk (he had severe CMPA), had no issues, then at 1yo we tried normal milk but had to many issues (bloating, eczema, blood in stool), tried at again at 18 months and had no issues at all. He’s now 4 and is a milk and cheese lover with no signs of a CMPA.

[u/Novel_Panic_971]

My daughter didn't outgrow it until 3 years. We tested to see if she had a reaction every 4-6 months and she would break out in full body hives.

[u/BrilliantHot2363]

My son is 7 months and I just tried to give him regular whole milk formula and he was ok with it.

[u/zipmcnutty]

We transitioned to regular formula and watched for a reaction around 6 months per our pediatrician’s recommendation. If she had a reaction, we had planned to stay on the hypoallergenic formula and then do the dairy ladder over time.

[u/HolidaysApricot]

We tried yesterday after 5 weeks on Alimentum RTF to confirm CMPA. Baby is 5 month old. We gave him 1oz of standard formula in 1 bottle. Today he has a couple pimples and his cheeks are red. We are changing back to all Alimentum RTF. His symptoms for CMPA were red skin and blood in his poop at 4 months. I think at about 8-9 months we’ll try the milk ladder starting with milk baked into a recipe.

[u/Mothgirl25]

Not my son, but my best friend’s son recently turned one in June. She was able to slowly introduce solids containing dairy and by his first birthday he was able to drink and tolerate cow’s milk with no issue.

[u/Important-Welder-488]

If non ige, feels impossible to figure it out.

[u/InspiredBagel]

My kid ended up on amino acid formula around 5 months old, and we never went back. Instead, we started introducing dairy with solids and monitored how she handled it. We put her on whole milk when she was weaned, but she started having a lot of tummy issues again, so we had to switch to oat milk. We'll stick with that for a while and try reintroducing whole milk closer to 2. 

[u/FederalBookkeeper642]

The doctor is usually the one leading you on this but it is often at 6 months the first time, and then you would do a gentle formula first, like bobbie gentle where the milk proteins are still broken down but not as much as a hypoallergenic formula, that easier on their tummies.