What and how to feed the baby with FPIES

Breastfeeding or Formula in FPIES infants?  

• Breastfeeding moms need to eliminate possible trigger foods from their diet (a portion of the food protein may have crossed their breast milk, and it can again)
• Because of possible milk and soy reactions, formula fed babies need a fully hydrolysed formula
• 10- 36% need a super expensive amino acid-based formula (but it's worth it)

Introduction of foods:

• Any food already tolerated can be continued
• Yellow fruits and vegetables should be started first instead of cereal at 6 months
• If tolerated, grains, legumes, and poultry  can continue
• If they haven't been started grains, it may be best to avoid them until 1 year of age
• Tolerance to one food from a "high-risk" group may mean tolerance of another food in that group. (For example: tolerating chicken may mean they can eat turkey, if they are doing well on soy, they should be able to eat other legumes, etc.)