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17 Cheshvan 5764 - November 12, 2003 | Mordecai Plaut, director Published Weekly
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NEWS
Using Soy-Based Formula for No Good Reason
by Yated Ne'eman Staff

A large percentage of parents who give their babies soy-based formula do not base their choice on any medical or health reasons, while pediatric nutrition and gastrointestinal experts have unilaterally determined they are not giving their children the best food available.

Professor Avinoam Shofar, a ranking neurologist at Schneider Children's Hospital, says the use of non-dairy substitutes for mother's milk far exceeds the number of cases in which it is medically justified, saying parents have a mistaken tendency to avoid milk. After mother's milk, substitutes based on cow's milk are the next best for babies. Substitutes based on soy protein are only intended for cases of sensitivity or lactose intolerance.

From 2 percent to 8 percent of babies in Israel are fed non- dairy substitutes. (Remedia claims that non-dairy products comprise a full 15 percent of the formula market.) According to estimates by leading health authorities, among chareidim the use of non-dairy substitutes is much greater whether because of kashrus (which was true in the past when kashrus standards for mehadrin formula were low) or because of interest in natural and alternative medicine.

"To give credence to unfounded rumors is ignorance, groundless concerns and a faulty practice," says Dr. Yosef Paver, director of the children's gastrointestinal unit at Shaarei Tzedek Hospital. "In my estimation the chareidi sector does have a tendency to avoid giving milk to their children and to seek vegetable-based alternatives, and this is a mistake. Substitutes made from cow's milk are definitely preferable over soy and they has a series of advantages. Although children who eat soy substitutes won't die from it (accept in the Remedia scandal) still there is no reason to give babies food of lesser nutritional value just because of erroneous opinions and myths!"

Yet many parents testify from experience that when they stopped giving the infant a milk-based substitute his diarrhea went away or he stopped suffering from frequent ear infections.

"Many parents are afraid to give [their children] milk due to claims it causes ear infections, phlegm, etc. The truth is one-half to one percent of babies do have a sensitivity to cow's milk that causes problems in the respiratory tract, but the vast majority are not sensitive. This can be easily checked by giving non-dairy substitute for two weeks and if the situation does not improve after two weeks (during the first two weeks there is always a psychological improvement) one can return to cow's milk. The same applies regarding ear infections."

Non-dairy substitutes are not always the recommended solution. Dr. Paver estimates that among children who are allergic to cow's milk, 30 percent to 50 percent are also allergic to soy protein!

"Food allergy, particularly to cow's milk and also a high percentage of soy protein, can be manifested in different ways, from well-known digestive problems such as diarrhea to anaphylactic shock. I have come across more than a few cases in which parents arrived with a baby suffering from symptoms such as recurrent vomiting, paleness, shortness of breath and even loss of consciousness after eating non-dairy substitutes. In 90 percent of cases the allergy will pass by the age of one year, but it is important to try the food only under medical supervision. With allergies as a rule there are various different possibilities. I encountered a case of a baby who was allergic to the iron in the formulas. He was allergic to every kind of mother's milk substitute and only regular cow's milk [sold in stores] was good for him."

 

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