Healthiest Baby Formula: Other Things to Consider
When you’re searching for the healthiest baby formula for your infant, it’s easy to fall into a ton of different rabbit holes. You’re going to hear about things like whey/casein ratio and A2 milk. Let’s look at some of the factors worth considering when you’re looking at the best formula brands.
Whey/Casein Ratio
In an attempt to mimic real breast milk, formula manufacturers engineer their products to have a specific whey/casein ratio. Not sure what whey and protein are? Here’s the deal:
- Whey proteins stay in liquid form in the stomach (when exposed to stomach acid)—think the watery whey that separates in a container of natural yogurt–and exit the stomach more quickly. Whey proteins are therefore easier to digest and are rarely a source of allergies.
- Casein proteins form solids in the stomach (like cheese curds) and empty at a slower rate. They are more likely to cause digestive issues and be a source of allergies.
There is controversy over the optimal whey/casein ratio for a baby formula because the ratios found in breast milk change over time. Whey content is high in early lactation (with a ratio of about 90:10), and by late lactation, whey and casein protein amounts are roughly equal.
Goat milk and cow milk both have a whey to casein ratio of about 20:80. Manufacturers add whey protein to their formulas to adjust this ratio.
So what is the optimal whey/casein ratio? This depends on factors such as how old your baby is (in other words, how developed his/her digestion is), whether your baby has any digestive issues (like reflux, which may be a reaction to too much casein), and whether your baby is sensitive or allergic to casein.
We also don’t really know how much of the whey and casein added to formula actually ends up being assimilated. It’s definitely worth having a conversation with your pediatrician about which formula has the right ratio for your baby, although in many instances the whey/casein ratio isn’t an issue you need to worry about. Most babies do fine on standard formulas.
Bottom line: Because human milk is so rich in whey, we prefer formulas that add it. The best formula brands almost always do.
Prebiotics & Probiotics
Probiotics are beneficial bacteria, and prebiotics are food for probiotics. You probably already know that good gut bacteria is key to healthy immune function.
Breast milk has natural prebiotic properties, such as its oligosaccharide content. The act of breastfeeding also introduces lots of healthy bacteria to the breastfed infant’s microbiome. In an attempt to mimic human milk (and ride the wave of current health trends!), many formula manufacturers now add prebiotics and probiotics to their products.
There’s little research to suggest that this offers any real benefits, and the American Association of Pediatrics doesn’t officially recommend it. Still, the addition of pre- and probiotics are almost certainly not harmful to healthy babies.
Bottom line: Even though many of the healthiest baby formula contains pre- or probiotics, I probably wouldn’t rely on this as an effective supplement (mostly because of dosage and quality/viability of the organisms). Parents who are interested in supplementing with probiotics should choose a high-quality product like this one from Bobbie.
Aluminum in Infant Formulas
Unfortunately, it seems like high aluminum content in formulas is pretty much ubiquitous (studies confirm this in UK and Canadian markets, and there is no research done yet on formulas in U.S. market).
It’s not clear exactly why this is, but there are a variety of modes of potential contamination: raw materials (powdered milk may have aluminum added to prevent clumpiness, for instance), additives (like phosphorous), and manufacturing processes.
It’s important to note that a lot of healthful foods we eat contain more aluminum than any of the formulas in this study–including fish, spinach, and many types of tea. I’m not convinced that the amount in formula is something worth worrying about.
We also don’t know is how much of the aluminum that’s ingested ends up accumulating in the body of infants and toddlers. In adults, most aluminum is excreted, but what remains does accumulate and can cause problems in the long term.
There’s little that consumers can do about aluminum in formula, except for:
- Choosing breastmilk if possible.
- Avoiding soy-based formulas, as these tend to be highest in aluminum.
- Preparing powder formula with a silicon-rich mineral water—in the U.S., Volvic and Fiji water fit the bill. Experts believe that this could reduce the absorption of aluminum across the gut of the child and also potentially help the child to excrete aluminum in the body via the urine. However, these are areas which are also being researched.
A2 Milk
You will see that some of the best formula brands in our lists above contain “A2 milk.”
Here’s the deal: Cow milk has two primary types of proteins–A1 and A2 beta-casein. More studies are needed, but there is some evidence to suggeste that A2 milk is easier to digest and less likely to cause inflammation than is A1 milk. The strongest evidence is around lactose intolerance–studies suggest that milk with A2 protein is much less likely to cause gastrointestional distress.
Among the healthiest baby formula brands, four contain A2 milk: Aussie Bubs, Baby’s Only, Serenity, and Holle. Also, goat milk contains that A2 protein, so this is part of the reason it may be more digestible.
Bottom line: We think A2 is probably better than A1 milk for babies, and some–but not all–of the best baby formula brands include it.
DHA/ARA
DHA and ARA are long chain fatty acids found naturally in human breast milk, which make up the major long chain fats in baby’s brain and nerve tissue.
We know that naturally occurring oils from food, food-based oils, and mom’s diet (in breast milk) is highly beneficial. However, it’s not clear that these benefits are enjoyed when DHA and ARA are added to formula. Still, most formulas now boast the addition of essential fatty acids DHA and ARA.
The most common types of DHA and ARA extracted by the solvent hexane, a known neurotoxin, although the hexane is removed from the formula after it’s been processed. There are other methods for extraction, but these are relatively new and the jury is out on whether they are harmful, beneficial, or of no consequence at all.
If you choose a formula without DHA added, but want to supplement on your own, this is the brand we like.
Note that all European formulas are now required to contain DHA, and that organic oils in European formula cannot be hexane-extracted.
Bottom line: We think there’s no downside to the addition of DHA/ARA in formula, and most of the best formula brands have choses to add it.
BPA in Formula Cans
Good news: there is one thing you no longer have to worry about when buying formula, and it’s BPA. The FDA has finally gotten with the program and banned BPA from formula container linings. Of course, I worry about what’s being used in place of BPA, but still this is a small victory!
Healthiest Baby Formula FAQs
What is the closest formula to breast milk?
Needless to say, I’m pro-breastfeeding. I have only two kids, but I breastfed for a total of 7 years, so you can do the math. But of course I also know amazing parents who formula feed their (very healthy!) children.
Every formula brand claims that their nutrient blend most closely mimics breast milk. Based on our research process, we think that ByHeart and Kabrita get the closest.
What’s the best hypoallergenic baby formula?
Some babies, like those with milk protein allergies, need a hypoallergenic formula. Sometimes called “gentle,” these formulas contain hydrolyzed proteins, which means that they are broken down and more digestible.
Many pediatricians recommend Pregestimil or Nutramigen (both by Enfamil) or Alimentum (by Similac). If forced to choose between these, I would go for the Alimentum since it skips the carrageenan and corn syrup. But I can’t call any of these Good Stuff since all three contain ingredients of concern and none is organic. Nutramigen is probably the very worst of these, comprised of 48% corn syrup solids!!
If it were my baby, I would choose HiPP HA organic baby formula, which contains no sugar, corn syrup, or maltodextrin, and is full of good prebiotics. You also might want to try HiPP Anti-Reflux formula if your baby has a sensitive stomach. It’s made with 100% whey and no casein to prevent reflux.
If you want an American brand, Bobbie Organic Gentle is the only one that is sweetened with just lactose.
Please check with your pediatrician first if you suspect an intolerance or allergy.
Can you give an infant a “toddler” formula?
I know many parents who have chosen to feed their infants a “toddler” formula. Most toddler formulas contain the 29 key nutrients that are required by the FDA for infant formula. Some of these are the best formula brands out there but are not marketed as infant formula because the brands haven’t completed the infant feeding studies. A few notes on this country’s formula rules and regulations, by the way:
- The recipe requirements are from the Infant Formula Act of 1980 (which I believe is in desperate need of an update!).
- Infant formula certification requires multi-year and multi-million dollar feeding studies.
- Thus, there is a huge barrier to entry for innovative companies or smaller brands. ByHeart is one of the few brands who did their own study. (More on them in this post.)
- In early 2022, the FDA recalled brands (e.g., Similac, Alimentum and EleCare) after babies drinking these formulas became ill. This was nearly 6 months after the FDA found out but failed to act on the information. In March of 2022, the FDA finally shut down the facility producing these formulas, which lead to a formula shortage.
Again, ask your pediatrician to review the nutrition label on any formula you’re considering.
Where is American baby formula made?
Almost all infant formula sold in this country is produced by just four manufacturers:
- Mead Johnson (Enfamil)
- Abbott Nutrition (Similac)
- Nestlé (Gerber)
- Perrigo (Bobbie, Earth’s Best, generic formulas for many grocery chains)
ByHeart is made in the U.S. in its own factory.
Should you use filtered water for baby formula?
Yes! Tap water may be contaminated with chlorine byproducts, weed killers, insecticides, solvents, lead, BPA, phthalates, PFAS…the list goes on. Fluoride is present in infant formula, and when combined with fluoridated tap water, infant exposure levels can exceed safe amounts. I think everyone should invest in a good water filter, but especially if you have a formula-fed baby in your home.
What is the safest baby bottle?
Here is a cheat sheet to help you choose the safest bottle for your baby, whether you are breast- or formula-feeding!
Should I consider a goat milk formula?
Yes! Goat milk may be more similar to human milk because it contains A2 beta-casein protein. For an in-depth look at the pros and cons, check out our post about goat milk formulas.
659 comments
Jessica Cardenas
Hello,
I started giving my baby Baby’s Only Dairy with Whey. I noticed she was very fussy so I assumed she had a reaction to dairy. Then I started giving her Baby’s Only Lactorelief formula. I noticed she was a lot less fussy. However, at the same time I stopped taking fenugreek (my baby drinks breast milk and I supplement with formula when needed). After a month, I resumed fenugreek (still avoiding dairy and using Baby’s Only Lactorelief) and I noticed her fussyness returned thus, concluding that fenugreek was causing her issues. Now that I have pinpointed her issue to fenugreek…should o switch to Baby’s Only Dairy Whey? My pediatrican says if it’s not broke, don’t fix it. Meaning if she likes the Lactorelief just keep giving her that. However I am wondering if I’m giving her less nutrition or more unnecessary additives by using the Lactorelief. What do you think? Thank you so much!Dana
I use Alimentum as well. What is your take on it. Any advice?
Brooke
My little guy, 6 months old, does not tolerate dairy or soy (if I eat them). I am not able to keep up with him recently and our freezer supply is dwindling, so we need to find a formula. What do you think about the HiPP HA (Hypoallergenic)?
Thanks for providing this resource!Laura B.
Hello!
Thank you for all your research!!! It has helped so much.
From reading through the literature on organic infant formulas, it seems Holle Stage 1 Lebenswert is the best option.
Can you site any scientific literature on the oils (and their affects on babies) used in Holle Stage 1L? Also, I do not see the nutrition label on the Holle package, does it contain all the vitamins and minerals needed for proper growth as defined by the USDA? I know it’s not an American brand, but I want to make sure my LO is getting everything he needs! where can I find the % daily values of the vitamins and minerals in this formula?
Is the fat and protein content the same as most American formulas?
We have just ordered Baby’s Only, unfortunately before we recognized there was soybean oil in it. It also uses brown rice syrup , which I’m not sure about.? Do we know how brown rice syrup affects insulin response and blood sugar levels in babies? Also, does Baby Only have more or less sugar than regular formula? Thank you!!
Tereza
Nan Formula also has NAN hypoallergic and NAN lactose free.
https://www.moneyworldstore.com/collections/nan-formula
Lauren B
Can you advise how many ounces a box of Lebenswert makes? I am using Baby’s Only right now but looking to switch. A review on the Baby’s Only site claims Lebenswert was cheaper, but my math is showing that it would double my cost. So I am not sure if I am not doing a conversion right or something.
Daniel
Hi I can really use your help.
My son 1 year old suffers from bad stomach pain and gas.he burps a lot and usually poop ones a day after he’s formula holle stage 3 (he’s on holle for 6 months now) but always poop hard black small balls.(sorry)
My son was diagnosed with Autism Red flags and fun trying to put him on a diet that is GF SH CF but the formula is hard to take him out off.
I would really appreciate if u can recommend something that u think will be easy on his stomach with no added sugar because we think he got Yeast Overgrowth.
PLEASE I need your help.
Your web site is a big help for me !!!
Brooke
My baby is currently 5 mos. I was exclusively breastfeeding but my milk supply has gone way down since starting work again. I have had to supplement with formula. Our son has been somewhat colicky and fussy since the introduction of formula. We have had him on enfamil gentlese but he doesn’t seem to like the taste, takes him extra long to finish a bottle. Would you recommend the Baby only lactorelief dha & rna or another type? What is the difference in the whey formula for baby’s only? Also, how long should you trial one type of formula to see if it will work for your baby?
Jess
Excited to know that you are reviewing Plum. Definitely would like to know where it ranks compared to Babys’s Only. Eagerly awaiting your updated post.
Cecille Levy
Hi, my baby boy has 3 months and he is lactose intolerant. Which is the best formula for him? We prefer not to give him soy based formula. PLEASE HELP!! :(
Steve
Hi Maia,
Really appreciate the great work you’re doing with your site. I noticed that you have a new recommendation for a retailer of the Holle and HiPP products – BabyKind. Although you’ve described it as a European retailer, from its website, it looks like a company based in Long Island in New York. Could you please tell us a bit more about this retailer, including your process for vetting this company? Also, I note that you’ve disclosed an affiliation with BabyKind – could you please provide more information about that? Many thanks – and keep up the great work you’re doing on behalf of kids and parents! Stevectrace
I’ve read most of these posts, but struggled to understand which baby’s only u feel is best? I’ve used the dairy dha/ara. Is either the whey or whey & dha/ara better than the dairy dha/ara? Or should I stick with what I have
Thankyou so much for sharing your research. Your site is so helpfulJane Ellen
Maia,
My daughter was born in August 2016 and sadly I had struggled with breastfeeding (multiple issues) and had to supplement. My first choice was, obviously, donor breastmilk. But after we were unable to find a long-term donor I realized we needed to go to formula. I agonized over what type to buy. All that to say, this post SAVED me. We started out with Baby’s Only but unfortunately it made my daughter extremely constipated (we tried several versions). Then we tried Plum Organic’s formula and it constipated her as well. By this time, I realized that she was taking after me. My mother had to make my own formula when I was a baby because everything constipated me. I finally gave in and paid the high price from Holle…and while it did constipate my daughter, it wasn’t nearly as bad as the others. She’s done great on it! Thank you again for working to hard to provide useful information for those of us trying to raise healthy children!Rachel
H! Due in September and looking forward to your formula update! Have you heard anything good about munchkin grass fed formula…supposedly coming out Spring 2017 yet I haven’t found it yet.
Alicja Bochenek
Also, bimbosan is free of palm oil and maltodextrin.
Alicja Bochenek
Hello,
My 6 month old son has acid reflux. I’ve been giving him Bimbosan formula. It is a completely organic formula straight from Switzerland. The company is family owned since 1930’s. My son loves it and thrives on it. Bimbosan just released Acid Reflux formula. They also sell paps. I purchase this formula directly from Switzerland from Swiss Baby Brew company. AlicjaMaia James
Hi Kat-
You’re right; we are super delayed on this formula update, but it really is happening in May!
Nina
Good morning,
My son is 6 months old and I was told at Organic Start, that it is recommended to use Stage 2, even though Stage 1 is fine. I had been using Lebenswert Stage 1. However, Lebenswert Stage 2 contains Maltodextrin. Looking at this chart is supposed to help, but it is making me more confused and anxiety stricken. https://organicstart.com/comparison-chart-hipp-holle-lebenswert-topfer-nannycare/ Is there a formula you recommend for Stage 2? Thank you! I greatly appreciate your input.Sylvia Zawadzki
What do you think about Earths Best OrganicFormula w/o DHA/ARA? When did they introduce this one? They went back to using lactose and now provide an option with no DHA/ARA – wanted to get your thoughts.
Kat
Hi Maia,
I see you were planning to get an updated write up on safe formulas out mid-March, but I can’t seem to find it. Am I missing it, or are you still working on it? I’m particularly curious about your thoughts on the Baby’s Only with whey protein, as well as new formulas that have come on the market.
Thanks for your part in helping all of us moms do the best we can for our kiddos!
Maia James
Plum is Good Stuff. Will be updating the guide soon.
Maia James
If it were me, I would probably give Kabrita a try!
Staci
Hello. I have a EBF 6 month old. With my supply dropping, I fear I will need to switch to formula soon. My baby is a chunker :) but I would prefer a formula that is heavy in Omega 3 fatty acids for brain development. I am between Plum Organics, Baby Only Whey, Lebenswert & Kabrita. Please help me chose! Thank you for supporting all the mama’s out there!!!
Alissa
Earth’s Best is more cost effective than Plum and their current ingredients list appear to be almost identical so I am leaning towards EB. What do you know about EB’s DHA ARA? Is that dangerous? That is not listed in Lebenswert and neither is Soy Oil which also is in Earth’s Best.
Also, how much worse is it that Lactose is the first ingredient in Earth’s Best instead of the second ingredient like in Lebenswert? It’s difficult to swallow that I can buy EB for $.97/ounce vs. $1.48/ounce for Lebenswert (and that’s when buying in CRAZY bulk up front). Appreciate your feedback!Alissa
Thank you Maia, I appreciate it!! We’ve been using Lebenswert but it is definitely hard on the budget so I’d love to know how Earth’s Best or Plum stacks up as the next best option?
Alissa
Is this still the case? I do not seen anything formal on this here?
Alissa
Is this still the case?
Alissa
What is the verdict on Plum’s organic formula? Will you add this one to the chart above? Thank you!
Sylvia Gomez
Hi Maia, thank you so much for this article. You mentioned that you recommended Munchkin as one of the venders you trust but you didn’t mention why. You spoke mostly of the other vendor. Munchkin sells lebenswert formula a lot cheaper so I was debating on whether to order from them or not vs the other company you recommended. You seemed to like the other one better. Can you give me more info on Munchkin?
Marielle
Hi Maia – I just saw that Happy Baby came out with a formula. I’ve really valued your reviews on other formulas and am now pregnant with my second, so I’m curious to know your thoughts on this one and how it compares to other formulas that are readily available in the US?
Thanks!
Jennifer
Hi Maia,
I’m interested to know why you would choose Holle1 and Lebenswert 1 over Baby’s Only Whey Protein formula, even though both Holle and Lebenswert contain palm oil? I’m stuck in my decision between Lebenswert and Baby’s Only!
JenS
Does anyone know what the ratio of palm oil to other oils in the Holle and Lebenswert? Im trying to decide now if I want to get Holle/Lebenswert or Baby’s Only (which does not contain palm oil, but does contain added taurine) H/L don’t contain added taurine right?
Maia James
Hi Justine-
The only reason they aren’t certified is that the companies haven’t undergone the arduous task of obtaining FDA certification. Also, it’s worth noting that Earth’s Best has actually recently improved their formula, so it’s a much better option now;).
Justine
Hi, thank you so much for this post. It was very helpful! I have a 2 week old at home and unfortunately my milk didn’t come in. So now I find myself scouring the internet searching for a safe infant formula. I started with Earths Best because that was the only infant formula my local grocery store offered. But now I’m reading several things that are dis-concerning. I like the idea of Holle and Hipp and am willing to pay extra, but I guess I’m just wondering why they are not FDA certified in the US. Any idea?
Sadie
Oh, it must have been another comment! I tried looking through them on a couple of your posts but couldn’t find it :( Thank you though!
Maia James
I didn’t formula feed, so you must be thinking of a reader comment or another blogger. Sorry about that:)
Sadie Gallagher
I saw somewhere before on your blog where you described how you prepared your formula, with a bottle warmer instead of boiling water to kill any bacteria. But now I can’t find it. Can you explain how to use the bottle warmer instead of boiling water for me. Thank you.
Tammy S.
What do you think of the Happy Baby organic Infant formula?
https://happyfamilybrands.com/baby/organic-infant-formula/#stage-1
Newmommy2016
Hi! Im desperate to know what you think of Gerber Non GMO Formula. My peditrician doesnt recommend Hipp because she knows nothing about it and wants me to use Gerber. What do I do???
Maia James
I would not give an infant a non-organic formula, so no matter what else is (or isn’t!) in the Similac, I won’t be able to call it Good Stuff. (Meanwhile, before I started researching any of this I gave my own son regular old Enfamil when he was an infant!).
Maia James
I would probably try Kabrita if it were my child, but definitely check with your pediatrician!
Sheri
Out of all of the formulas, what is your current favorite today if you had to pick one for your child?
Sheri
Out of all of the formulas, what is your current favorite today if you had to pick one for your child?
Alissa
I don’t see Similac Pure Bliss listed in your list of good, bad or sneaky. I’d love to know if Similac Pure Bliss is safe to give a 3 week old? I’m now concerned about it not being organic…what exactly would that mean could be in it that is harmful? Thank you so much in advance for your help!
grace
Hello, my daughter has a breast-milk allergy which we were never able to resolve so has had to move onto a hypoallergenic amino-acid formula (Nutricia Neocate Infant Formula). After reading your guide, I am worried about whether this formula is safe or not. Hoping it is as I don’t have any other option at the moment. But either way, would like your unbiased feedback on it.
Thank you.Brigid
What is your opinion of the Mercury component in fish oil bases dha?
Shelly Carbonara
My baby has to be on Hypoallergenic formula and the only one I see is HIPP (HA) I really wanted to use Lebenwerts formula because I see it’s the best, and I also cannot find any ready made formula on organic munchkins what would your advice be?
JoBeth
My son was born 6 weeks early and despite trying everything I could for 3 months, he would never latch. I pumped and supplemented with Baby’s Only until my supply dwindled and eventually dried up. He has constipation and reflux so I have tried switching to Baby’s Only lactorelief and then Whey protein, none of which have helped. My pediatrician has recommended trying a soy formula. I’m just curious, what are your thoughts on Baby’s Only Soy formula? Thank you!!
gretchen
hi maia ive read ur post.so informative
thank u.i also wanna ask d babys only formula for toddler can be used for my 4mos old baby?what about similac alimentum formula?what are ur thoughts on dat?gladly aprreciate ur response
Christina
Hi there!
Any updates on Honest’s infant formula? My little guy (7 months old) is on Plum Organic but he has major spit up issues so I was thinking of switching him to Honest’s Sensitive Organic formula. Would love to know what you think. Thanks!