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As your child reaches their first birthday, you might be contemplating the transition from breastmilk or formula to cow's milk. will guide you through when and how to introduce whole milk into your baby's diet.
At age one, pediatricians generally recomm a combination of solid foods with breastmilk or formula for babies under twelve months old, due to its essential nutrients. Whole cow's milk is introduced after this stage because it offers more fat beneficial for brn development during the crucial first two years of life.
Dr. Joseph Gwiszcz, FAAP, pediatrician at CHOP Primary Care, Haverford, echoes these guidelines: We advise agnst offering anything other than breastmilk or formula as the mn liquid until your baby turns one year old. Yet he suggests gently introducing whole cow's milk through a sippy cup starting around eleven months. This method can help you understand how your child will react to the taste and facilitate their familiarization with using a sippy cup.
Additionally, for infants older than four months who are able to tolerate purees, it is acceptable to introduce dry products like yogurt, ice cream, and cheese as part of their diet when they start eating solids. However, if there's a strong history of cow's milk allergy in your family or personally, consult with your pediatrician before starting this.
Starting at age one, breastmilk should be replaced by whole cow's milk alongside water for your child's primary beverage.
Preparing for the Cow's Milk Transition:
When introducing cow's milk to your baby, start slow and bl it gradually into their existing diet. Mix equal parts of whole cow's milk with either breastmilk or prepared formula not powdered formula mixed with water in the beginning. Then steadily decrease the percentage of breastmilkformula compared to cow's milk.
Bottles to Sippy Cups:
Transitioning off bottles before age one helps reduce the risk of cavities caused by milk from a bottle, so it’s advisable to replace bottles with sippy or straw cups as soon as possible after your child's first birthday.
Milk as Beverage Not Meal:
As your baby drinks more whole cow's milk and consumes greater quantities of solid food, be aware that they might require less total milk. The bulk of their calories should come from meals rather than just milk, which now acts mnly as a drink and source of calcium and vitamin D. An 8-10 ounce minimum is reasonable for whole cow's milk consumption, while the maximum should not exceed 24 ounces per day to prevent anemia caused by iron deficiency or interfere with the absorption of dietary iron.
Whole Milk Until Two:
Your child should continue on whole cow's milk until two years old unless advised differently by a pediatrician, after which you can discuss switching to lower-fat options.
The Children's Hospital of Philadelphia offers comprehensive care, including personalized medical advice and support. To schedule an appointment or for any inquiries, contact our dedicated patient services team at 1-800-879-2467.
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