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867-5309.

(1,189 posts)
Sun May 15, 2022, 11:08 AM May 2022

Homemade baby formula is NOT safe or recommended

"The U.S. Food and Drug Administration advises against making formula and says consuming homemade formula can result in adverse health effects for infants. The American Academy of Pediatrics also strongly advises against homemade formulas, saying they are not safe and do not meet babies’ nutritional needs."

https://www.politifact.com/factchecks/2022/may/13/facebook-posts/no-making-your-own-homemade-baby-formula-not-safe-/

Don't fall for posts online with recipes and suggesting it's fine. It is not.

124 replies = new reply since forum marked as read
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Homemade baby formula is NOT safe or recommended (Original Post) 867-5309. May 2022 OP
I'm surprised we didn't die as a species sometime before/shortly-after my birth. ret5hd May 2022 #1
Would you say the same about seat belts and lead free paint? 867-5309. May 2022 #9
Formula isn't even good for you . Both recall this year and there are more. Demsrule86 May 2022 #117
I worked in neonatal...We fed commercial formulas to premies..many of these infants are tube fed LeftInTX May 2022 #120
sure it's safer to let the baby starve.nt. drray23 May 2022 #2
Do you really think that was an appropriate response to a sincere warning from the OP? hlthe2b May 2022 #6
Thank you 867-5309. May 2022 #11
What the FDA and APP is suggesting amounts to that. drray23 May 2022 #13
I have repeatedly provided some response to this in the thead. I can't make you read hlthe2b May 2022 #26
what you wrote is what I summarized. drray23 May 2022 #29
That is most certainly NOT what I said. hlthe2b May 2022 #33
Some said order on Amazon from Canada...they have plenty...just the corporations Demsrule86 May 2022 #57
People may have to use it as an emergency stop gap 867-5309. May 2022 #66
I agree with this 100 %. drray23 May 2022 #68
No one has a divine right to not be contradicted. alphafemale May 2022 #34
No. but on DU they have a right to civil discourse, not attacks for presenting health safety info hlthe2b May 2022 #38
This. nt BlackSkimmer May 2022 #82
Abe Simpson hardest hit Sympthsical May 2022 #3
Nor is watering down canned formula to make it "stretch..." The latter is deadly hlthe2b May 2022 #4
It's a surprise we made it at all before the salvation of corporate america's baby formula Fullduplexxx May 2022 #5
+1 !!! TeamProg May 2022 #7
Of course breast feeding is superior, but it is not an answer for women NOW who are no longer hlthe2b May 2022 #10
Actually, in many cases a mother can relactate. vanlassie May 2022 #25
If soon after ceasing and with medical intervention, yes. hlthe2b May 2022 #30
Nope and not necessarily at all. vanlassie May 2022 #32
Yes. It requires hormonal influence so you aren't going to cause a woman to lactate hlthe2b May 2022 #39
You are incorrect. It may or may not be necessary or helpful. vanlassie May 2022 #51
under hormonal influence, yes, whether natural or medical supplied. hlthe2b May 2022 #63
Stimulation the the breasts creates the hormonal response. vanlassie May 2022 #72
Pituitary-Prolactin loop only works in those who have had a hormonal influence, not in men hlthe2b May 2022 #76
Here is the protocol used by the lactation community. vanlassie May 2022 #79
I never said USE of hormones is necessary. Honestly, you don't to follow what others here hlthe2b May 2022 #81
You said: vanlassie May 2022 #86
I have repeatedly stated facts. You chose to ignore them and try to redefine what I am saying hlthe2b May 2022 #88
I have a pituitary tumor and can confirm this is true. I could have been a wet nurse Lettuce Be May 2022 #124
What percentage of the time was that successful? Mariana May 2022 #75
It can take a number of weeks. There are people currently vanlassie May 2022 #89
Easier said than done LeftInTX May 2022 #46
If a mother is wanting and getting accurate advice vanlassie May 2022 #54
You are being too simplistic or disingenuous about what I and others have said. hlthe2b May 2022 #67
Yes. I've worked and observed a lot of good laction nurses and they are marvelous, but those hlthe2b May 2022 #69
Ah. vanlassie May 2022 #90
Actually, human milk is not superior. It's the evolutionary norm and where the bar for comparison ARPad95 May 2022 #52
You might want to edit your very contradictory statement... hlthe2b May 2022 #61
You got it! ARPad95 May 2022 #85
😉😉😉😎 vanlassie May 2022 #100
It's a mystery for sure. 2naSalit May 2022 #12
CNN keeps having these pediatricians on who give these warnings. OK, what does one do Hoyt May 2022 #8
You'd think someone might think of that by now. 2naSalit May 2022 #14
Powdered formula is available in some of these areas. For babies older than twelve months, hlthe2b May 2022 #17
Unfortunately, trade is one of the issues that caused enough Democrats not to support Clinton, Hoyt May 2022 #27
No. Canada has already offered. They DO have surplus because this is not a worldwide issue hlthe2b May 2022 #28
I wonder if they can't find their "preferred brand"? LeftInTX May 2022 #59
Hospitals have long been subject to lobbying efforts by manufacturers to use their product hlthe2b May 2022 #71
Poor parents nt XanaDUer2 May 2022 #15
That's nice ripcord May 2022 #16
Maybe read the thread instead of throwing out your ire at the OP who is merely trying to help hlthe2b May 2022 #20
How does this account for the millions of babies who thrived Arkansas Granny May 2022 #18
Breast feeding was 90% in 20th century and initially formula was used only hlthe2b May 2022 #24
Breastfeeding might have been 90% in early 20th century, but when my babies were born, Arkansas Granny May 2022 #36
" He also prescribed vitamin drops for babies on homemade formulas and breastfed babies." hlthe2b May 2022 #37
This is what you need to post instead of just saying brush May 2022 #44
You should direct your comment to whomever actually said that. I did not. hlthe2b May 2022 #84
Pls, spare us the stories of diluted formula, enhance waters and such,... brush May 2022 #91
I have posted throughout this thread had you bothered to read. hlthe2b May 2022 #96
Re-state it pls. Just the simple advice as to what to feed the babies... brush May 2022 #97
One-size fits all is risky. Their own pediatrician needs to be consulted hlthe2b May 2022 #99
Nice of you to twist my words. I never advocated that anyone "grab a can Arkansas Granny May 2022 #102
Your words: hlthe2b May 2022 #104
The poster said "based on." BlackSkimmer May 2022 #107
Words do matter. The poster with whom I was conversing should have clarified after I and others hlthe2b May 2022 #111
Yep. Notice most people born before 1925 are dead dalton99a May 2022 #19
I wonder when it actually started being used widely drray23 May 2022 #21
I'm pretty sure my younger brother was fed Similac. LeftInTX May 2022 #47
My Sister Definitely Was ProfessorGAC May 2022 #93
Some of them are dead. Mariana May 2022 #77
Funny, I was raised on homemade formula, as was my son. sinkingfeeling May 2022 #22
It's also not safe or recommended Zeitghost May 2022 #23
Many of the parents panicking about this are vanlassie May 2022 #31
Not precisely true... Here in the Dallas area according to a mom of JCMach1 May 2022 #74
Absolute Timewas May 2022 #35
What happened to Carnation Evaporated / Condensed Milk Historic NY May 2022 #40
While it may not be safe or recommended, Ms. Toad May 2022 #41
It is perfectly safe and their are recipes online...the formula comanies have been gouging for Demsrule86 May 2022 #58
The FDA and American Academy of Pediatrics disagree n/t 867-5309. May 2022 #64
So advise what to feed babies with if formula is not to be found. brush May 2022 #94
Thank you. BlackSkimmer May 2022 #83
I wouldn't switch without consulting with my child's doctor Ms. Toad May 2022 #95
Especially for infants under 6 months Sgent May 2022 #119
If it is not safe why aren't the people born in the 1950s and 1960s all dead? former9thward May 2022 #42
Exactly. The inflexibility of these posters saying... brush May 2022 #45
If seat belts work dpibel May 2022 #48
Its fun because your use of math is not your strong point. former9thward May 2022 #49
Beam, meet mote dpibel May 2022 #80
Please point to one dead. former9thward May 2022 #92
You do realize that's patently silly, of course. dpibel May 2022 #98
How about seriously ill? former9thward May 2022 #105
Hmmm... FDA? Am. Acad. of Pediatricians dpibel May 2022 #110
No dead? former9thward May 2022 #112
Again: the FDA is just lying? dpibel May 2022 #113
I notice you are not linking to any specific claim by the FDA. former9thward May 2022 #114
Read the OP dpibel May 2022 #115
Gosh, what about all the people born before 1940? How did they survive infancy without antibiotics? LeftInTX May 2022 #53
Let's see. former9thward May 2022 #70
I bet your grandma was breastfed. Accounting for her vanlassie May 2022 #101
I have no idea. She was born in 1911 in South Carolina LeftInTX May 2022 #118
1911? Breastfed. I would bet money. vanlassie May 2022 #122
Epic thread. Vintage DU. It has everything. BannonsLiver May 2022 #43
I've heard chili is a good substitute BannonsLiver May 2022 #50
Here is a formula if anyone is interested. Mosby May 2022 #55
"I wouldn't recommend using this for more than a couple days as an emergency stopgap" 867-5309. May 2022 #60
That is ridiculous...and there is all sorts of crap in commercial baby formula. Baby boomers Demsrule86 May 2022 #56
My brother was born in 1961, pretty sure he received commercial formula LeftInTX May 2022 #62
So why is the Biden administration working to resolve the shortage? n/t 867-5309. May 2022 #73
My sister, who produced a LOT of milk while nursing her kids, used to donate to a tblue37 May 2022 #65
Well, I was born in late 1951 to a mother who could not breastfeed Trailrider1951 May 2022 #78
Trump shouldn't have included baby formula in his Republican trade war gulliver May 2022 #87
My son born in 1972 could not drink the commercial formulas. scarletlib May 2022 #103
too bad we are all conviced we are not qualified to do anything Kali May 2022 #106
Well said. nt BlackSkimmer May 2022 #108
mind you, the opposite can be bad too Kali May 2022 #109
I agree and if I had been forced to bottlefeed, I would have made my own formula. I made my Demsrule86 May 2022 #116
Yes XanaDUer2 May 2022 #123
hard to figure out why not treestar May 2022 #121
 

867-5309.

(1,189 posts)
9. Would you say the same about seat belts and lead free paint?
Sun May 15, 2022, 11:22 AM
May 2022

"The species survived, so it doesn't matter"

Demsrule86

(68,691 posts)
117. Formula isn't even good for you . Both recall this year and there are more.
Sun May 15, 2022, 05:12 PM
May 2022

1If you use powdered infant formula, be aware certain Similac, Alimentum and EleCare products have been recalled and should not be used.

The U.S. Food and Drug Administration (FDA) is investigating consumer complaints of bacterial infections in four infants who consumed powdered infant formula produced in Abbott Nutrition’s facility in Sturgis, Michigan. All four infants had to be hospitalized and the bacterial infection may have contributed to death in two patients.

2The FDA has published a full list of recalled brands. Recalled products should no longer be available for sale. But if you have these products in your home, check the lot code on the bottom of the package to determine if they are included in the recall

If you want to check if your powdered formula is part of the recall, you can enter the product lot code on the bottom of your package on the company’s websiteExternal Link Disclaimer.

If you have questions or need information about the recall, you can Submit Questions/Get Assistance.

If your infant is experiencing symptoms related to Cronobacter infection, such as poor feeding, irritability, temperature changes, jaundice, grunting breaths, or abnormal body movements; contact your health care provider to report their symptoms and receive immediate care.

LeftInTX

(25,560 posts)
120. I worked in neonatal...We fed commercial formulas to premies..many of these infants are tube fed
Sun May 15, 2022, 06:16 PM
May 2022

Generally we fed them Similac. Do you recommend that hospitals make formulas from evaporated milk and put it in premie's feeding tubes?

What do you recommend that premies receive?

 

867-5309.

(1,189 posts)
11. Thank you
Sun May 15, 2022, 11:23 AM
May 2022

We're the party of science and progress. The reaction to this here is very surprising to me.

drray23

(7,637 posts)
13. What the FDA and APP is suggesting amounts to that.
Sun May 15, 2022, 11:25 AM
May 2022

their recommendation is completely useless and is basically the same as telling people they are on their own.

Reports are that shortages could last until the end of the year. Yet they lecture people on the fact that using anything other than formula may not be optimal for nutrition.

They do not provide any reasonable alternative other than saying look for it harder or phone your pediatrician since maybe they have samples..

hlthe2b

(102,378 posts)
26. I have repeatedly provided some response to this in the thead. I can't make you read
Sun May 15, 2022, 11:41 AM
May 2022

quite obviously what I and others have tried to offer nor to cease lashing out at those who are fully empathetic and merely trying to help.

drray23

(7,637 posts)
29. what you wrote is what I summarized.
Sun May 15, 2022, 11:44 AM
May 2022

call your pediatrician, look for it harder. it's not very useful especially for poor mothers who may not even have a regular pediatrician.
At the point the best we can hope for is that the administration quickly overrides the ban on imports from Canada and solve it that way. Meanwhile , the situation is going to be dire and this is something that has to be addressed , not just ignored. So guidance would be very useful, not blanket statements .

hlthe2b

(102,378 posts)
33. That is most certainly NOT what I said.
Sun May 15, 2022, 11:48 AM
May 2022

I am done with you so attack someone else.


For any who question whether the poster is being honest in their assessment or what I posted (see for yourself):
https://www.democraticunderground.com/?com=view_post&forum=1002&pid=16694235

Demsrule86

(68,691 posts)
57. Some said order on Amazon from Canada...they have plenty...just the corporations
Sun May 15, 2022, 01:04 PM
May 2022

grifting once again if you ask me.

 

867-5309.

(1,189 posts)
66. People may have to use it as an emergency stop gap
Sun May 15, 2022, 01:22 PM
May 2022

But that's different than thinking it's all the same. If they believe that, they may not go back to forumla to save money, etc.

drray23

(7,637 posts)
68. I agree with this 100 %.
Sun May 15, 2022, 01:26 PM
May 2022

My issue with the statement is that it's not proactive enough.

Given that it is going to take a few months to resolve they should provide guidance for emergency situations , not just say call your pediatrician. Many poor mothers may not have easy access to a pediatrician.

 

alphafemale

(18,497 posts)
34. No one has a divine right to not be contradicted.
Sun May 15, 2022, 11:48 AM
May 2022

No matter how sincere they believe themselves to be.

Contaminated formula from the supposed trusted corporate suppliers is what led to this in the first place.

hlthe2b

(102,378 posts)
38. No. but on DU they have a right to civil discourse, not attacks for presenting health safety info
Sun May 15, 2022, 11:57 AM
May 2022

Has this become the equivalent of Fox COVID-19 anti-science day? It sure seems like it. Accusing the OP of wanting babies to starve (and your apparent defending of that poster's doing so) is really off base.

hlthe2b

(102,378 posts)
4. Nor is watering down canned formula to make it "stretch..." The latter is deadly
Sun May 15, 2022, 11:13 AM
May 2022

causing a dramatic blood electrolyte imbalance that if not corrected immediately can kill a baby. I saw a cluster of such cases years ago among well-meaning families experiencing severe financial hardships... Terribly sad...

Powdered formula is largely still available in many states. Otherwise, parents need to check with their pediatrician before making dramatic changes in view of current shortages.

hlthe2b

(102,378 posts)
10. Of course breast feeding is superior, but it is not an answer for women NOW who are no longer
Sun May 15, 2022, 11:22 AM
May 2022

lactating, just as it has always been an obstacle for working poor who can not afford breast pumps nor work in jobs that accommodate these women. Men are frequently so clueless about it, that the thought of allowing a worker to pump at intervals during a shift is considered both unnecessary and often "an excuse to malinger."

But allowing consolidation in the industry among two major (and one slightly less of a player) corporations/manufacturers has made this all but inevitable.

vanlassie

(5,690 posts)
25. Actually, in many cases a mother can relactate.
Sun May 15, 2022, 11:41 AM
May 2022

I’m a retired lactation consultant of 40 years. This is highlighting well known “misunderstandings” about lactation that would be great to get corrected in the population. It’s only the reason we exist as a species after all. Ignore my snark. It’s been a long week.

hlthe2b

(102,378 posts)
39. Yes. It requires hormonal influence so you aren't going to cause a woman to lactate
Sun May 15, 2022, 11:58 AM
May 2022

months later to feed her young toddler unless she has intervention.

vanlassie

(5,690 posts)
51. You are incorrect. It may or may not be necessary or helpful.
Sun May 15, 2022, 12:46 PM
May 2022

In my career I have helped a number of adoptive women induce lactation.

vanlassie

(5,690 posts)
72. Stimulation the the breasts creates the hormonal response.
Sun May 15, 2022, 01:32 PM
May 2022

As I mentioned adoptive ie: women who have never been pregnant can and do induce milk. It’s case by case. Some have produced a full supply and some next to nothing. It is not predictable in advance.

hlthe2b

(102,378 posts)
76. Pituitary-Prolactin loop only works in those who have had a hormonal influence, not in men
Sun May 15, 2022, 01:37 PM
May 2022

no matter how much you stimulate, unless they have a pituitary tumor. Hormonal influence is necessary for that pituitary prolactin loop to be effectuated. The occasional post-menopausal woman who successfully does so, had hormonal influence during the development of this vital brain loop from the pituitary to nerve endings and back which cause prolactin to be released. Some of these women likewise have non-ovarian sources of hormones still circulating, albeit at lower levels.

vanlassie

(5,690 posts)
79. Here is the protocol used by the lactation community.
Sun May 15, 2022, 01:43 PM
May 2022

It is the one I recommend. It is no hearts and flowers- no lactation consultants or LLL leader would say so. You will see that use of hormones is not “necessarily” required. I have worked with mothers who could not find any medical support, especially 30-40 years ago. At that time an adoptive mother would not dare to say she wanted to breastfeed for fear of being denied the adoption.

hlthe2b

(102,378 posts)
81. I never said USE of hormones is necessary. Honestly, you don't to follow what others here
Sun May 15, 2022, 01:48 PM
May 2022

say to any degree. I respect your efforts, but you seem to be misinterpreting what is said. I hope that is not the case with your patients, but I'll leave it there. Hormonal influence does not equate to exogenous hormonal support. I should think you would understand that. If you are conflating my use of the term "medical intervention" as such, I was referring to YOU as the medical intervention, the instruction that can allow a female body in many (not all) cases to lactate we'll beyond their first attempt post-pregnancy, but that only occurs due to the hormonal influence that causes that pituitary-prolactin feedback loop to develop in the first place. Thus we don't see it in men, except for the rare male with a pituitary tumor.

vanlassie

(5,690 posts)
86. You said:
Sun May 15, 2022, 02:04 PM
May 2022

30. If soon after ceasing and with medical intervention.

(Soon is not necessary in induced lactation.)


39. Yes. It requires hormonal influence so you aren't going to cause a woman to lactate
months later to feed her young toddler unless she has intervention.

(Medical intervention would be a conversation? You specifically linked it to “hormonal influence.” The term intervention- in the standard discussions on this subject (which maybe you didn’t know) would mean a prescription of some kind. Usually hormonal support.)

hlthe2b

(102,378 posts)
88. I have repeatedly stated facts. You chose to ignore them and try to redefine what I am saying
Sun May 15, 2022, 02:12 PM
May 2022

I find that dishonest at this point. Good day.

But for any you manage to convince that you are not being disingenuous nor attempting to redefine what I have said, I posted the following in multiple posts on this thread. My decades of medical practice and research are consistent with science, not mere belief.


Pituitary-Prolactin loop only works in those who have had a hormonal influence, not in men

no matter how much you stimulate, unless they have a pituitary tumor. Hormonal influence is necessary for that pituitary prolactin loop to be effectuated. The occasional post-menopausal woman who successfully does so, had hormonal influence during the development of this vital brain loop from the pituitary to nerve endings and back which cause prolactin to be released. Some of these women likewise have non-ovarian sources of hormones still circulating, albeit at lower levels.

Hormonal influence does not equate to exogenous hormonal support. I should think you would understand that. If you are conflating my use of the term "medical intervention" as such, I was referring to YOU as the medical intervention, the instruction that can allow a female body in many (not all) cases to lactate we'll beyond their first attempt post-pregnancy, but that only occurs due to the hormonal influence that causes that pituitary-prolactin feedback loop to develop in the first place. Thus we don't see it in men, except for the rare male with a pituitary tumor.

Women must be under hormonal influence. Prolactin is produced by the pituitary gland in response to nipple stimulation. By itself, prolactin can trigger milk-producing structures in the breast to develop and milk to be produced. But, to suggest that naturally occurring hormonal influence is not necessary for the pituitary-prolactin feedback loop is not true, despite some claiming that men (sans a pituitary tumor) can be induced to lactate. Oncologists have seen it, but this is exceedingly rare. Sorry, no.

It requires hormonal influence so you aren't going to cause a woman to lactate months later to feed her young toddler unless she has intervention. YOU TEACHING HER TO STIMULATE HER BREASTS IS THAT INTERVENTION!

Lettuce Be

(2,337 posts)
124. I have a pituitary tumor and can confirm this is true. I could have been a wet nurse
Sat May 21, 2022, 06:04 PM
May 2022

Had milk, weird. Told the doc, and the tumor was discovered. I ended up taking some medication to reduce my prolactin levels.

vanlassie

(5,690 posts)
89. It can take a number of weeks. There are people currently
Sun May 15, 2022, 02:14 PM
May 2022

in the process of defining “successful.”
Many adoptive mothers believe that getting their adoptive baby to take comfort suckling at the breast (which then can stimulate milk) is a success even if the baby continues to feed on close to 100% formula. I guess you can imagine why! Statistics are not available to give you. In places where there have been disasters, such as the Haiti earthquake, mothers often were able to manage to decrease the need for formula which was vital at the time. And we know of mothers who have been able to produce close to full supplies. Some mothers are able to donate liters of extra milk to milk banks and some barely make enough (sometimes because of mismanagement unfortunately). It varies. There are legitimate reasons some mothers can’t produce milk. It’s thought to be less than 5%.

LeftInTX

(25,560 posts)
46. Easier said than done
Sun May 15, 2022, 12:27 PM
May 2022

It requires lots of work. Moms are gonna worry that their infant isn't getting enough while waiting for their milk to get in. It's even a bit of a challenge with a newborn. My daughter is a pediatric occupational therapist and I'm a former newborn nursery nurse who did the La Leche thing with all three of my kids. I nursed them for several years. So, even before she considered becoming an OT, she was quite familiar with breastfeeding.

She had her first baby in March. She had a C-Section. (He was a healthy 8 lbs 5 ounces) It was a challenge and I did not want to "hover" over her because she is the type "Mom don't interfere". She did a lot of pumping. (Now I rarely pumped, but I did not have an electric pump) But still she pumped and pumped and fed him a combo of pumped milk and nursing. I didn't say anything because it's "her business". She also had a stock of purchased breastmilk. She even thought her son had "tongue tie", so she whisked him off to a specialist.

Yes, she's a "Type A", with a doctorate degree. However, concerns that her son was not "getting enough milk" overrode common wisdom. I believe he is successfully breastfeeding now.

I also had a rough time with my first one. I was ready to "throw in the towel". I had raw sore, cracked nipples for a few weeks. I also had a high forceps delivery and was cut "hole to hole" with the world's worst hemorrhoids' and could not sit for about five weeks. (Ugh)
My oldest has ADHD and was symptomatic pretty much at birth. (I know weird..right?...He showed no interest in anything soothing other than me and my boobs..while other 4 weeks old infants were looking at their mobiles, mine only wanted boob) Ironically, his ADHD may be one of the reasons why I was eventually successful.

vanlassie

(5,690 posts)
54. If a mother is wanting and getting accurate advice
Sun May 15, 2022, 12:54 PM
May 2022

which, as is painfully obvious, is NOT easily available, although many will give THEIR version… then nearly all problems can be overcome, or even better never occur in the first place.
But my comment above was addressing just one misbelief, which was to imply that relactation can’t work if too much time has elapsed, and then, that it requires medication and medical assistance. It doesn’t, necessarily. When people make black and white warnings they discourage mothers from trying. Hard? Of course it is. Then again, hormones stimulated during inducing are calming to the mother.

hlthe2b

(102,378 posts)
67. You are being too simplistic or disingenuous about what I and others have said.
Sun May 15, 2022, 01:23 PM
May 2022

Women must be under hormonal influence. Prolactin is produced by the pituitary gland in response to nipple stimulation. By itself, prolactin can trigger milk-producing structures in the breast to develop and milk to be produced. But, to suggest that naturally occurring hormonal influence is not necessary for the pituitary-prolactin feedback loop is not true, despite some claiming that men (sans a pituitary tumor) can be induced to lactate. Oncologists have seen it, but this is exceedingly rare. Sorry, no.

hlthe2b

(102,378 posts)
69. Yes. I've worked and observed a lot of good laction nurses and they are marvelous, but those
Sun May 15, 2022, 01:28 PM
May 2022

Last edited Mon May 16, 2022, 03:55 PM - Edit history (1)

who insist (with considerable guilt) that EVERY woman can be adequately lactating sufficient to the needs of their child and imply that those who "fail" were just not trying hard enough are ... not.. in my book. I' have seen some who insist even with women who have developed the most severe purulent mastitis in both breasts until a physician, fortunately, stepped in. In those instances--with MRSA infection and post abscess drainage-- even the use of vancomycin, trimethoprim-sulfamethoxazole, or doxycycline (Pregnancy Class D drugs excreted in breast milk and thus a BIG "no no" for infants to continue breastfeeding) did not deter this adamant, well-meaning (yet very wrong) group from continuing to advise women to nurse. Most are not like that, fortunately, and perform an important service to many women seeking to breastfeed.

ARPad95

(1,671 posts)
52. Actually, human milk is not superior. It's the evolutionary norm and where the bar for comparison
Sun May 15, 2022, 12:50 PM
May 2022

needs to be set. It's formula and all other human milk substitutes that are inferior, some vastly inferior. Human babies should receive human milk if at all possible.

 

Hoyt

(54,770 posts)
8. CNN keeps having these pediatricians on who give these warnings. OK, what does one do
Sun May 15, 2022, 11:21 AM
May 2022

if they can't find approved formula? Howsabout some solutions or least harmful thing to do while someone searches for an answer.

2naSalit

(86,801 posts)
14. You'd think someone might think of that by now.
Sun May 15, 2022, 11:26 AM
May 2022

How many days has it been since this shortage became a thing? And all those formula dependent babies are supposed to feed on, what?

hlthe2b

(102,378 posts)
17. Powdered formula is available in some of these areas. For babies older than twelve months,
Sun May 15, 2022, 11:31 AM
May 2022

toddler formulations may be an option after discussing with the pediatrician. For those (granted those with financial means), the purchase of certified breast milk is an option and I've seen quite a few hospitals with large obstetric and pediatric coverage offering outreach for those to match need with currently lactating (and infectious disease-screened) women, who may receive some grant remuneration to encourage help to the more impoverished.

Parents in dire need should be checking first with their pediatrician and hospital and then local health and social services agencies in their county which are scrambling to get these programs together to fill gaps until imported (emergency FDA-approved) formula from overseas and Mexico can begin. There is little reason for Canadian formula to not already be on the way except for the fact that Trump's damned NAFTA provisions disallow its import. Biden admin is trying to find a legal override.

 

Hoyt

(54,770 posts)
27. Unfortunately, trade is one of the issues that caused enough Democrats not to support Clinton,
Sun May 15, 2022, 11:42 AM
May 2022

giving us trump.

I doubt that Canada has sufficient excess of Formula to offset much of the shortage in USA, but every little bit helps.

hlthe2b

(102,378 posts)
28. No. Canada has already offered. They DO have surplus because this is not a worldwide issue
Sun May 15, 2022, 11:44 AM
May 2022

but the impact of Abbott's production line at at least one plant being taken off due to safety violations during FDA inspection in the US (only).

LeftInTX

(25,560 posts)
59. I wonder if they can't find their "preferred brand"?
Sun May 15, 2022, 01:10 PM
May 2022

Switching brands can be a big issue and sometimes babies refuse. So, if you make your own, it's tempting to add more Karo than recommended so that the baby will take it.

Who knows..

hlthe2b

(102,378 posts)
71. Hospitals have long been subject to lobbying efforts by manufacturers to use their product
Sun May 15, 2022, 01:31 PM
May 2022

exclusively, thereby "hooking' nervous parents on the brand. So, I suspect that may be an issue for some, but clearly with Abbott's major manufacturing facility down, there are significant supply issues. That said, I just returned from King Sooper's and saw row after row after row of powdered formula with the aisle lined with crates more-- with infant (and older through toddler stages) formulations available. So, for some, a switch to powder may be an immediate option.

ripcord

(5,537 posts)
16. That's nice
Sun May 15, 2022, 11:30 AM
May 2022

How about telling parents what does work because this shortage isn't going away any time soon.

Arkansas Granny

(31,532 posts)
18. How does this account for the millions of babies who thrived
Sun May 15, 2022, 11:31 AM
May 2022

on formulas based on evaporated milk? Prepared pediatric formulas haven't always been on the grocery shelf.

I'm not advocating any brand or recipe of baby formula. I'm just wondering why babies who were fed homemade formula in the past weren't dying en masse.

hlthe2b

(102,378 posts)
24. Breast feeding was 90% in 20th century and initially formula was used only
Sun May 15, 2022, 11:38 AM
May 2022

to supplement. Prior to commercial formulations, a lot of babies suffered life-threatening anemia from simple cow's milk or evaporated milk formulations that provided little iron. Could they survive on that? Probably especially short term. Thrive? no.

Arkansas Granny

(31,532 posts)
36. Breastfeeding might have been 90% in early 20th century, but when my babies were born,
Sun May 15, 2022, 11:49 AM
May 2022

I knew very few women who breastfed their infants. My pediatrician gave handout sheets with an evaporated milk formula recipe and methods of preparation and sterilization. He also prescribed vitamin drops for babies on homemade formulas and breastfed babies.

hlthe2b

(102,378 posts)
37. " He also prescribed vitamin drops for babies on homemade formulas and breastfed babies."
Sun May 15, 2022, 11:51 AM
May 2022

YES> This is what we are saying. You need to consult with a physician because otherwise, your suggestion of just grabbing a can of evaporated milk carries risks. Anemia from iron deficiency being one of the most serious.

And, as the stats show, When the first commercial formula was first introduced in mid-1920s it was used to supplement not supplant breast milk. By the late 50s- 60s that had begun to change.

brush

(53,876 posts)
44. This is what you need to post instead of just saying
Sun May 15, 2022, 12:15 PM
May 2022

do not feed your baby with home made formula. A home made temporary solution with vitamin drops that's easily accessible to mothers.

Just the blanket "do not use home made" leaves mother no alternative.

hlthe2b

(102,378 posts)
84. You should direct your comment to whomever actually said that. I did not.
Sun May 15, 2022, 01:56 PM
May 2022

I advise those using homemade substitutes to run it by their pediatrician first. I've actually seen and treated babies dying from a diluted formula with hyponatremia and conversely, those who read somewhere to use "so-called enhanced water" to dilute it, causing a life-threatening alkalosis. And for decades some of those babies our grandmothers fed nothing but condensed milk failed to thrive or suffered from the anemia associated with lack of iron.

"First, do no harm" does not just apply to physicians. It should apply to all those offering information without substantial facts. That matters, even (or especially) when dealing with understandably worried or even frantic parents.

brush

(53,876 posts)
91. Pls, spare us the stories of diluted formula, enhance waters and such,...
Sun May 15, 2022, 02:19 PM
May 2022

what do you advise mothers who can't find formula to feed their babies with that quick and easily accessible?

That is needed.

hlthe2b

(102,378 posts)
96. I have posted throughout this thread had you bothered to read.
Sun May 15, 2022, 02:32 PM
May 2022

Spare me your attacks. Why are some DUers attacking physicians here (and others) who merely don't want frantic parents to end up making a fatal mistake? I get that there is a lot of emotion and frantic concern. Of course, there is. However, my very first post cited that powder formula for all stages appears widely available in nearly all states as I can confirm in at least several local stores in Colorado. Those older than 12 months may well be ok with toddler formula. Certified pathogen-free breast milk programs are underway at most larger hospitals across the country and I have heard that more informal, yet screened breast milk programs are being set up in various locales by midwives in collaboration with local public health. To advise that any or all possible solutions should be considered in consultation with their pediatrician is not spewing platitudes, it is good sound medical practice given no one on an anonymous political forum can possibly know the specific medical needs of someone's child like their treating physician or at least the hospital that delivered him/her. Can homemade products possibly substitute under certain short-term conditions? Quite likely, but how foolish not to think they should run the formulation/recipe by their pediatrician. And your ugly comment toward children I've treated or seen die from unfortunate and unintended mistakes on this score (diluted formula) are beyond the pale.

Will we be joining the RW in fighting for non-science-supported alternatives like hydroxychloroquine and ivermectin for COVID-19 now, too? That's what it has begun to sound like by some.

brush

(53,876 posts)
97. Re-state it pls. Just the simple advice as to what to feed the babies...
Sun May 15, 2022, 02:40 PM
May 2022

if formula can't be found.

hlthe2b

(102,378 posts)
99. One-size fits all is risky. Their own pediatrician needs to be consulted
Sun May 15, 2022, 02:45 PM
May 2022

for what is best on the short and long term for their infant.

That said, in most cases powdered formula prepared per label instructions can be readily substituted at the same stage for their regular liquid infant formula and that is certainly where I'd try to start. If the powdered infant formulation can not be located (though it appears it is available), for those over 12 months, toddler powdered formula may be okay for the short term. For those who are at more risk from past or ongoing medical issues or genetic metabolic conditions, breast milk programs may be a better solution. The only way to know for sure is to run it by a pediatrician, Pediatric PA or whoever has been seeing their child, including the delivering OB (if necessary) on the short term. Major hospitals are trying to respond so in many areas they may be developing outreach programs--especially for their breast milk programs. Worth a call.. but no, I can not advise parents to go into this based on internet search results for some homemade formulation without that added consult to ensure it is the best or at least most complete option available.

My grandmother managed to raise 7 kids and countless grandkids with all kinds of passed down "sage" advice, some of which would be lauded today. But some (like the bourbon-filled hot toddies and saturated pacifiers for childhood fussiness, not so much). If I were on a desert island I'm sure I could be more positive about some of the more unproven last resort options, but I'd certainly try the more obvious ones first and take the best scientific and individualized advice where and when it is available.

Arkansas Granny

(31,532 posts)
102. Nice of you to twist my words. I never advocated that anyone "grab a can
Sun May 15, 2022, 03:15 PM
May 2022

of evaporated milk ". I just happen to know that my pediatrician made available a certain recipe for infant feeding that was based on evaporated milk and supplemented by vitamins. I don't imagine he would have done so if those formulas were dangerous.

hlthe2b

(102,378 posts)
104. Your words:
Sun May 15, 2022, 03:19 PM
May 2022

" How does this account for the millions of babies who thrived on formulas based on evaporated milk?"

No, they did not thrive on evaporated milk only-- which contains so little iron as to render a baby severely iron-anemic in a relatively short period of time.

 

BlackSkimmer

(51,308 posts)
107. The poster said "based on."
Sun May 15, 2022, 03:41 PM
May 2022

As you’ve repeatedly stated to others, it’s important to read carefully. Hmm?

hlthe2b

(102,378 posts)
111. Words do matter. The poster with whom I was conversing should have clarified after I and others
Sun May 15, 2022, 03:52 PM
May 2022

pointed out the deficiency of mere evaporated milk. I (and other medical people here) are intent on not letting some of the very bad advice being dispensed (here and elsewhere) be allowed to hurt infants and children no matter how well-meaning.

If you want to buck up harmful advice, so be it. We see that with COVID-19 on RW sites all the time. But, I did think DU would remain more science-based and wary of the harm that comes from repeating all the internet speculation and anonymously-promoted treatments.

Attacking-- as some are here-- those who are trying to warn and educate worried parents is abysmal. I'd hope for better from you.

dalton99a

(81,599 posts)
19. Yep. Notice most people born before 1925 are dead
Sun May 15, 2022, 11:32 AM
May 2022

because they were not formula-fed




(Abbott Laboratories)

drray23

(7,637 posts)
21. I wonder when it actually started being used widely
Sun May 15, 2022, 11:34 AM
May 2022

your infografic says it was invented in 1925. Many babies in the 60's were still not on it I bet. I wonder when it actually became the norm.

LeftInTX

(25,560 posts)
47. I'm pretty sure my younger brother was fed Similac.
Sun May 15, 2022, 12:37 PM
May 2022

He was born in 1961.
I was old enough to have noticed if my mom was putting Karo syrup in his milk.

We lived in Japan at the time. I was a military brat.

I don't know if Similac came in "ready to use", back then, but that would have alleviated concerns about "Japanese water issues". We lived off base when he was born.

I had other siblings who were born in 1958 and 59. I was born in 1956. I have no idea what type of formula they were fed. I know we were all bottle fed. I was a breast feeding flunky.

According to wikipedia:

By the early 1960s, commercial formulas were more commonly used than evaporated milk formulas in the United States, which all but vanished in the 1970s. By the early 1970s, over 75% of American babies were fed on formulas, almost entirely commercially produced.[4]
https://en.wikipedia.org/wiki/Infant_formula

ProfessorGAC

(65,199 posts)
93. My Sister Definitely Was
Sun May 15, 2022, 02:21 PM
May 2022

I was 11 when she was born, so my memory is pretty clear on that.
She is, however, 6 years younger than your brother.

Mariana

(14,861 posts)
77. Some of them are dead.
Sun May 15, 2022, 01:38 PM
May 2022

In my area, in the old death records, the cause of death was listed as "inanition" when a baby died of starvation. It wasn't that uncommon.

Zeitghost

(3,871 posts)
23. It's also not safe or recommended
Sun May 15, 2022, 11:35 AM
May 2022

To drive without a seatbelt, but if that's the only way to the hospital in an emergency, it's better than walking.

vanlassie

(5,690 posts)
31. Many of the parents panicking about this are
Sun May 15, 2022, 11:46 AM
May 2022

looking only for the EXACT brand they have been led to believe is special. That the others will make their child ill. That’s a win for the industry. They ALSO believe breastfeeding is nearly impossible. It’s not at all. Another win for big formula. I’m not here to debate breastfeeding. I would love if people could rethink some of their marketing induced beliefs.

JCMach1

(27,574 posts)
74. Not precisely true... Here in the Dallas area according to a mom of
Sun May 15, 2022, 01:34 PM
May 2022

A 4 month old I know there is nothing on the shelves left but a few of $100+ types.

I sent my friend a link to powdered goats milk if nothing changes soon...

Historic NY

(37,453 posts)
40. What happened to Carnation Evaporated / Condensed Milk
Sun May 15, 2022, 12:02 PM
May 2022

it was always safer than whole milk and raw milk. Growing up it was a constant in the pantry, my father used it for his coffee. It was always great with fresh strawberries. He picked up using from being overseas in WWII.

Ms. Toad

(34,093 posts)
41. While it may not be safe or recommended,
Sun May 15, 2022, 12:03 PM
May 2022

If you aren't already breastfeeding, and cannot find formula, there may be no alternative.

Demsrule86

(68,691 posts)
58. It is perfectly safe and their are recipes online...the formula comanies have been gouging for
Sun May 15, 2022, 01:06 PM
May 2022

years.

brush

(53,876 posts)
94. So advise what to feed babies with if formula is not to be found.
Sun May 15, 2022, 02:25 PM
May 2022

That's what's needed more than what not to do.

Ms. Toad

(34,093 posts)
95. I wouldn't switch without consulting with my child's doctor
Sun May 15, 2022, 02:30 PM
May 2022

About the specific recipe to see thinking about using, or for what they recommend - especially with a child under a year.

My point was really that, even if it isn't ideal, some people may have no choice - do it isn't particularly helpful to say DON'T, without suggesting an alternative.

Sgent

(5,857 posts)
119. Especially for infants under 6 months
Sun May 15, 2022, 06:15 PM
May 2022

please do not use anything but infant formula or breast milk unless under a pediatrician's or pediatric registered dietician's guidance.

brush

(53,876 posts)
45. Exactly. The inflexibility of these posters saying...
Sun May 15, 2022, 12:25 PM
May 2022

"do not use home made formula" but giving no alternative is so rigid that it's unhelpful. Mothers will not let babies starve and what the millions of adults walking around who were raised on light kero syrup, evaporated milk and vitamin drops should IMO be shared as a temporary alternative.

dpibel

(2,854 posts)
48. If seat belts work
Sun May 15, 2022, 12:37 PM
May 2022

why isn't everyone born before the mid-60s dead?

If guns are deadly, why isn't everyone in the US dead?

If COVID-19 can kill you, why isn't everyone who was alive in 2020 dead?

This is fun!

former9thward

(32,082 posts)
49. Its fun because your use of math is not your strong point.
Sun May 15, 2022, 12:45 PM
May 2022

You are actually comparing the use of home based formula with being shot with a gun, Covid and deadly auto accidents? Wow.... If that were remotely true then scores of millions of babies should have died because of its use. Please point to one...

dpibel

(2,854 posts)
80. Beam, meet mote
Sun May 15, 2022, 01:44 PM
May 2022

As opposed to your mathematically precise question why those born in the 50s and 60s are not "all dead."

You do know the meaning of "all," don't you?

dpibel

(2,854 posts)
98. You do realize that's patently silly, of course.
Sun May 15, 2022, 02:45 PM
May 2022

I can no more prove it did happen than you can demonstrate that it didn't. A lot more infants (on a percentage basis, of course) died in the 1950s and 60s than have died subsequently. Your claim, apparently, is that absolutely none of that infant mortality was related to homemade formula, whether via contamination or because of lack of nutrients.

This exchange, please note, started with your cutting irony that, if there were anything at all dangerous about homemade infant formula, then everyone born in the 50s and 60s should be dead. That was a foolish statement on your part, and I pointed that out.

You apparently believe that shifting the goalposts constitutes a win.

Congrats!

former9thward

(32,082 posts)
105. How about seriously ill?
Sun May 15, 2022, 03:39 PM
May 2022

Since you are punting on dead. Why were there no health concerns raised? Why did all the doctors and health professionals just ignore this? Why wait until commercial formula which makes big profits came along and then suddenly home based is declared "unsafe"? Were people bought off in the 40s, 50s and 60s? Everyone? Not one person raising an alarm?

dpibel

(2,854 posts)
110. Hmmm... FDA? Am. Acad. of Pediatricians
Sun May 15, 2022, 03:48 PM
May 2022

You're now doing an ouroboros.

Your original "all the people should be dead" post was offered in rebuttal of the OP, which cites the FDA and the American Academy of Pediatricians as raising an alarm about homemade baby formula.

So you are saying that both of those sources are bought off by Big Forma?

And you are denying the information cited elsewhere in this thread that, even back in the purer days of the 50s and 60s, there were, in fact, alarms raised about feeding babies an unsupplemented Carnation/Karo mix.

You've got yourself all twisted up here.

I look forward to your next dodge.

former9thward

(32,082 posts)
112. No dead?
Sun May 15, 2022, 03:54 PM
May 2022

No seriously ill? How about a stomach ache? Anything to back up your claims? I guess you are ignoring all the other posters with similar views. I know, they are twisted up too.

dpibel

(2,854 posts)
113. Again: the FDA is just lying?
Sun May 15, 2022, 03:58 PM
May 2022

It's your position that the FDA and the pediatricians would warn against the use of homemade formula with no basis whatsoever?

That's pretty far out there.

Or, put another way: You disbelieve the FDA, but it would change your mind if I could cite a specific case?

You really are just being silly at this point.

But you know that.

former9thward

(32,082 posts)
114. I notice you are not linking to any specific claim by the FDA.
Sun May 15, 2022, 04:00 PM
May 2022

Why? What is exactly their "warning"? Do they give specific evidence?

dpibel

(2,854 posts)
115. Read the OP
Sun May 15, 2022, 04:43 PM
May 2022

That can help you sometimes.

Sometimes, though, you may have to follow links and stuff.

It can be harder than just typing.

LeftInTX

(25,560 posts)
53. Gosh, what about all the people born before 1940? How did they survive infancy without antibiotics?
Sun May 15, 2022, 12:51 PM
May 2022

Well, infant mortality was through the roof!

My grandmother survived a ruptured appendix without antibiotics...
But it was a survival of the fittest thing and she attributed her robust immune system to a bout of "scarlet fever" she had as an infant. "If you can survive scarlet fever, you can survive anything"

And sure enough when she had a "death wish" after she broke her hip, it took her three years to finally develop the pneumonia, which she was hoping would "do her in". She sat in bed for three years and would not participate in therapy, because she wanted to develop pneumonia and go out.

former9thward

(32,082 posts)
70. Let's see.
Sun May 15, 2022, 01:29 PM
May 2022

You are comparing the use of commercial formula with the invention of antibiotics. Wow. Before antibiotics there was massive amounts of death due to infection. Before commercial formula there was not a massive amounts of infant deaths because they were using home based formula. Commercial formula came along as a labor saving device for mothers and a profit making device for the companies producing it. There were no health concerns seen or alleged with home based formula which led to the introduction of commercial formula.

LeftInTX

(25,560 posts)
118. I have no idea. She was born in 1911 in South Carolina
Sun May 15, 2022, 06:11 PM
May 2022

The family moved alot.
By 1920 they were in a boarding house way out near Kerrville, Texas. (I have no idea what they were doing there. No relatives or anything from there)

By 1929, the family had relocated to Florida.
My great grandmother is listed as the owner of a barbershop in 1930

I know my grandmother bottle fed my mother who was born in 1932

She said her mother was a former teacher. Her father was a barber

I know my great grandfather was a womanizer. I never met him

Just the way the family "got around", I would not be surprised if she was bottle fed. I know there was not much nurturing going on in that family. They were rednecks, so I don't know how rednecks fed their infants back then...Coca-cola in a bottle? Just joking

 

867-5309.

(1,189 posts)
60. "I wouldn't recommend using this for more than a couple days as an emergency stopgap"
Sun May 15, 2022, 01:11 PM
May 2022

Using it temporarily because you have nothing else is different than thinking it's all the same.

I applaud your including that caution.

Demsrule86

(68,691 posts)
56. That is ridiculous...and there is all sorts of crap in commercial baby formula. Baby boomers
Sun May 15, 2022, 01:00 PM
May 2022

were raised on homemade formula. The formula is and has been super expensive for quite a while now. I breastfed and think that is the best choice. But if I couldn't, I would do my research and make formula...save money and without the shit the baby food companies put in the formula.

LeftInTX

(25,560 posts)
62. My brother was born in 1961, pretty sure he received commercial formula
Sun May 15, 2022, 01:17 PM
May 2022

I don't know what I was raised on because I don't remember. I was born in 1956.

By the early 1960s, commercial formulas were more commonly used than evaporated milk formulas in the United States, which all but vanished in the 1970s. By the early 1970s, over 75% of American babies were fed on formulas, almost entirely commercially produced.[4]

tblue37

(65,490 posts)
65. My sister, who produced a LOT of milk while nursing her kids, used to donate to a
Sun May 15, 2022, 01:20 PM
May 2022

breast milk provider that provided breast milk to women who were unable to nurse. I wonder if they still have those.

Trailrider1951

(3,415 posts)
78. Well, I was born in late 1951 to a mother who could not breastfeed
Sun May 15, 2022, 01:40 PM
May 2022

I thrived on the evaporated milk/karo syrup formula. So did my sisters and brother. The only difference was that the homemade formula was supplemented by vitamin drops prescribed by the doctor. I suppose that in a pinch, where commercial formula is not available, the homemade formula can work for the infant if supplemented with vitamins like these:

https://www.amazon.com/s?k=infant+vitamin+drops&crid=3HSHAUPCCSW0X&sprefix=infant+vi%2Caps%2C157&ref=nb_sb_ss_retrain-deeppltr_5_9

They're not cheap, but are readily available and will contain nutrients (like iron) that baby needs.

Also, if you make your own formula, remember that STERILIZATION of all water, bottles, nipples, utensils etc. used in the making is a MUST.

gulliver

(13,197 posts)
87. Trump shouldn't have included baby formula in his Republican trade war
Sun May 15, 2022, 02:10 PM
May 2022

Huge mistake. We should be calling Republicans out on their support for the trade war. It's behind inflation too, imo. Republicans screw things up. They just do. They're emotional, so charlatans and jerks just have an easy time taking over.

scarletlib

(3,418 posts)
103. My son born in 1972 could not drink the commercial formulas.
Sun May 15, 2022, 03:18 PM
May 2022

My Doctor put him on the evaporated milk with Karo syrup formula. He did just fine. Of course, I followed preparation directions to the letter: sterilizing the bottles, boiling the water etc.

Kali

(55,025 posts)
106. too bad we are all conviced we are not qualified to do anything
Sun May 15, 2022, 03:41 PM
May 2022

other than purchase corporate manufactured goods. to include building shelter, making/growing food, feeding babies.

Kali

(55,025 posts)
109. mind you, the opposite can be bad too
Sun May 15, 2022, 03:48 PM
May 2022

lotsa morans who think they are epidemiologists or climate scientists

Demsrule86

(68,691 posts)
116. I agree and if I had been forced to bottlefeed, I would have made my own formula. I made my
Sun May 15, 2022, 05:09 PM
May 2022

own baby food in the blender.

treestar

(82,383 posts)
121. hard to figure out why not
Sun May 15, 2022, 06:47 PM
May 2022

it must be made out of something and that something used to make it on your own. Just like anything else. Add vitamins. It sounds like they are talking about an ideal, which you can't have when there's nothing to substitute for the perfect.

Babies were able to survive before formula. There were those "raised by hand" not nursed (David Copperfield) - maybe old fashioned and not good enough for these days, but if in these days, there is nothing else, then the old way could be a stopgap.

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