Frequently Asked Questions
- Why have you changed the name to LactoRelief™?
We have opted to change the name Baby's Only Organic® Lactose Free formula to LactoRelief™ to better reflect the usage of this formula. Only the name has changed. The nutrient content and ingredients are the same. The formula does contain a very small quantity of lactose coming from the organic milk protein concentrate ingredient. This is usually not a problem for children with lactose intolerance. LactoRelief™ continues to be suitable for a child with lactose sensitivities. As previously noted on our labels, this product is not for use in children with galactosemia.
- Can my infant use Baby's Only Organic® toddler formula?
Baby’s Only Organic is not intended for infants under 1-year of age unless specified by a
healthcareprofessional. After formula feeding or breast feeding the first year, Baby’s Only Organic formula is a good choice. Baby’s Only Organic contains all of the nutrition needed to support continued normal growth and development.
Baby’s Only Organic® formulas meet the nutritional requirements of the FDA’s Infant Formula Act. You may wish to print this LactoReliefTM Nutritional Comparison Chart and present it to your baby’s doctor.
For all ages, prepare Baby's Only Organic® according to label instructions.
- BPA Testing and No BPA Used in Packaging for Baby's Only Organic® Formula.
Testing Concludes BPA Undetected
Nature's One® has finalized BPA testing on its powdered formula using a third-party laboratory. The testing method is 10-times more sensitive than the current test used by the FDA. As expected, no BPA was detected in Nature's One® formula products.
Packaging does not contain BPA
With the help of Nature's One® suppliers, all components used in our light-weight canisters are BPA-free. This includes the "easy-open" lid.
Environmentally Friendly Packaging
Our canisters are good for the environment because they are recyclable and on average contain 50% recycled content. Additionally, the canisters are light weight since they are made of paperboard instead of tin. This reduces environmental waste and energy used in manufacturing and transportation. The canister's metal top and bottom are also recyclable. Again, all components of the packaging are BPA-free.
As an organic manufacturer, Nature's One® is concerned over the level of chemicals ingested by infants, toddlers and children and will always use the highest quality ingredients and materials available to produce and package its organic pediatric products.
- What is lactose?
Lactose is a carbohydrate. It is often called milk sugar because it is the primary carbohydrate found in breast milk and other mammalian milk such as cow's milk. It is a disaccharide, meaning that it is made of two monosaccharides, glucose and galactose.
- What is lactose intolerance?
When an infant, child or adult is unable to digest lactose, this is referred to as lactose intolerance. This occurs because the enzyme used by the body to digest lactose, which is called lactase, is either absent or has declined. Without lactase, lactose cannot be broken down into glucose and galactose. The lactose cannot be absorbed by the intestinal wall into the bloodstream like glucose and galactose and, thus, the lactose remains in the intestinal tract. The bacteria in the intestinal tract then use the undigested lactose which produces a large amount of gas. The symptoms of lactose intolerance include stomach cramps, nausea, bloating, gassiness and diarrhea .
- Are there different types of lactose intolerance?
There are three types of lactose intolerance:
Congenital Lactase Deficiency which is a
genetic disorderwhere the body does not produce the enzyme lactase. This type of intolerance will occur at birth.
Primary Lactose Intolerance which occurs when infants, children and adults live in non-dairy consuming environments and are not exposed to the lactose in dairy products. The body has reduced its ability to make the enzyme lactase.
Secondary Lactose Intolerance occurs after certain gastrointestinal diseases where the production of lactase is disrupted. Common causes of temporary secondary lactose intolerance are gastroenteritis, particularly the gastroenteritis caused by rotavirus and
acute diarrhea. .
The first two types of lactose intolerance, congenital lactase deficiency and primary lactose intolerance, can be related to a person's ancestry. For example, over 90% of Asians and Native Americans are lactose intolerant; 75% of African Americans; 50% of North American Hispanics; and 10% of European Americans. 1
1 Adhikari, K et al "Sensory characteristics of commercial lactose-free milks manufactured in the United States," LWT – Food Science and Technology, June, 2009.
- How is lactose intolerance diagnosed?
Usually when an infant is lactose intolerant, symptoms (cramping, nausea, gassiness, fussiness, bloating) will occur soon after feeding the lactose containing product. If there are questions as to whether the infant has lactose intolerance or intolerance to cow's milk protein, a physician can perform a hydrogen breath test to determine if the infant has lactose intolerance. Stools can also be tested for malabsorbed carbohydrate. If questions still remain, an intestinal biopsy can be performed .
- What is the treatment for lactose intolerance?
For a baby with lactose intolerance, a formula without lactose, such as Baby's Only Organic® LactoReliefTM or Soy Formulas, will be recommended.
If lactose intolerance is temporary due to a gastrointestinal upset or diarrhea and the infant is being breastfed, breastfeeding is usually still recommended. However, a formula without lactose may be needed to supplement the baby occasionally until the baby's digestive system is again producing enough lactase to digest the lactose in breast milk. Consultation with baby's healthcare professional and/or a lactation consultant should be sought to ensure that breastfeeding is not negatively affected. If an infant is being solely formula fed, a formula without lactose, such as Baby's Only Organic® LactoReliefTM or Soy Formulas, will usually be recommended in these situations.
If an infant has been diagnosed with a congenital lactase deficiency, a formula made without lactose, such as Baby's Only Organic® LactoReliefTM or Soy Formulas, will be recommended throughout the infant and toddler years and a lactose free diet will usually be needed. .
- Can a Soy Formula be used for lactose intolerance?
Soy formulas, such as Baby's Only Organic® Soy Formula, are lactose free and can be used for lactose intolerance. Because there are some infants who are allergic to soy protein or for families who prefer not to use soy products, Baby's Only Organic® LactoReliefTM is available. Baby's Only Organic® LactoReliefTM and Soy Formulas offer all the nutritional benefits of a standard dairy-based formula, such as Baby's Only Organic® Dairy Formula or leading brand infant formulas, but without the lactose..
- What if my child suffers from galactosemia or a cow's milk protein allergy?
Baby's Only Organic® LactoReliefTM Formula should not be used when galactosemia has been diagnosed or when an infant has a cow's milk protein intolerance. Baby's Only Organic® Soy Formula is suggested for a child with galactosemia or a cow's milk protein intolerance as recommended by a healthcare provider. If the child has documented cow's milk protein allergy, there is a chance that the child may also have an allergy to soy protein. Sometimes for children that have known allergies to both cow's milk and soy protein or absorptive difficulties, a protein hydrolysate formula is recommended. A protein hydrolysate formula is one where the cow's milk protein molecule has been treated in order to break it down into peptides and amino acids. The cow's milk protein is hydrolyzed using enzymes to "unfold" the milk protein. The result is that those children that may have sensitivity to cow's milk intact proteins do not build up the antigens to the "pre-digested" cow's milk protein. Therefore, there would not be an allergic reaction. Currently, there are no organic protein hydrolysate formulas available. The current enzymes used are not organic and, if used, would render Baby's Only Organic® Formula non-organic. Baby's Only Organic® Formula uses a heat process that helps to unfold some of the milk protein and to help with the digestion of the protein but this level of unfolding would still not be appropriate for cow's milk protein allergy treatment.
- Is it dangerous to dilute Baby's Only Organic® formula?
Baby's Only Organic® formula should always be mixed according to label instructions to ensure that the proper balance of water to nutrients is given to an infant. Some parents or caretakers may think the formula is too "thick" and needs to be diluted or they may be trying to "stretch out" the powdered formula for economical reasons by adding more water than recommended. These practices are extremely hazardous to an infant's health and can result in malnutrition because the baby is not receiving the needed calories and nutrients to support growth and development. Formula dilution is life threatening as it can cause water intoxication (over-hydration) and an imbalance of electrolytes resulting in hyponatremia or too little sodium in the baby's body. Drinking too much water basically drowns the cells because the infant's immature kidneys are unable to process the water quickly enough. Symptoms of water intoxication can include pale colored urine and an excessive number of wet diapers (more than 6 to 8 per day). Water intoxication can lead to inconsolable crying because the baby's body tissues, including the brain, swell and can cause a headache; difficulty breathing because the lungs contain too much water; irregular heart beat because the electrolytes are not in balance; seizures noted by odd facial movements, lip smacking, rhythmic jerking of a body part; coma; and ultimately death if not medically treated. Young infants will usually obtain all of the water they need from breast milk or formula and extra water is rarely needed. Always prepare infant formula and Baby's Only Organic® formulas according to label instructions and do not provide your infant with supplemental water unless directed to do so by the baby's healthcare provider.
- What if I am noticing a change in my baby's bowel movements?
Dietary changes can affect the frequency and consistency of your baby's stools. These dietary changes include: switching from breast milk to formula, switching formulas, and adding solid foods to the diet. Noticing a change in the stool consistency is more important than the stool frequency as it is not uncommon for babies to go several days without having a bowel movement. It can take up to a week for a baby's digestive system to "learn" a new food. The stools of breastfed babies are usually soft and more "mushy" whereas formula fed infants have slightly firmer stools. The stools of breastfed babies are also more frequent than babies on formula. Grunting and grimacing during a bowel movement are often just baby's way of experiencing the use of the various muscles associated with having a bowel movement.
If stools are hard and dry when passed and the baby is showing signs of pain and cries while trying to have a bowel movement, constipation may be suspected. Whenever constipation is suspected, it is always best to consult with your child's healthcare professional to ensure that nothing medically is taking place.
Any of the following signs may indicate constipation:
- dry, hard stools and pain on passing them
- hard, pebble-like stools passed with straining during a bowel movement
- drawing legs up on the abdomen, grunting, getting red-faced, and/or crying when trying to have a bowel movement
- streaks of blood along the outside of the stool
- abdominal discomfort and distention along with hard and infrequent stools
- vomiting when trying to have a bowel movement
You might also try the following to prevent and treat mild constipation:
- Prepare the formula using the instructions on the manufacturer's label. Each manufacturer has its own recipe and processing methods, which result in the powdered formula having different densities. So it is important to use the manufacturer's scoop rather than using a scoop from another formula brand. Be sure to use the appropriate amount of water with the powdered formula; otherwise the formula will become overly concentrated and could cause problems such as constipation. If you are using teaspoons and tablespoons to measure the powder, please be sure to use the measuring spoons one would use for baking and not household eating utensil spoons.
- Feed smaller volumes of formula more frequently. One saying that may help is "feed half as much twice as often."
- If your child is in a very hot environment, one to two ounces of water offered between breast milk or formula feedings may help.
- Massage baby's tummy by starting at the belly button and then massaging outwards in a circle in a clockwise direction. Only continue this if your child enjoys the massage and is comfortable and relaxed.
- Place your child on his or her back and move his or her legs in a bicycling motion. Hold the legs and turn them gently in a cycling motion.
- Give your child a bath in warm water. This may relax your child so stools are passed more easily. Once your child is relaxed in the bath, try massaging the tummy as noted above.
- Discuss with your healthcare provider the possibility of using probiotics to help alleviate symptoms.
- Do not use honey with an infant because of the risk of botulism.
- Do not use over-the-counter medicines without first checking with baby's healthcare professional.
If after consulting with your child's healthcare professional and lactose intolerance is suspected to be the cause of constipation, Baby's Only Organic® LactoReliefTM Formula may be an option. If the constipation is a result of a cow's milk protein intolerance, Baby's Only Organic® Soy Formula may help given that it is lactose and dairy free. If your doctor recommends a probiotic, consider Baby's Only Essentials® Probiotic Supplement.
- When should my baby switch from formula to milk or other lactose free beverages?
Most doctors recommend transitioning from formula to cow milk after a baby’s first birthday. However, parents should consider Baby's Only Organics® as it is an iron-fortified nutritional formula that provides the essential vitamins, minerals, protein, essential fatty-acids and carbohydrates needed to support your baby's continued growth and development.
Baby’s Only Organic® is not intended for infants under 1-year of age unless specified by a healthcare professional.
For mothers who are breastfeeding a baby older than 12-months of age, Baby's Only Organic® can be used to supplement breast milk or substitute breast milk feedings as needed. Baby's Only Organic® can also be reconstituted according to package directions and used to mix cereals for the baby at any age.
Baby's Only Organic® has been formulated according to the nutritional requirements as defined in the law called the Infant Formula Act.
- Does Baby's Only Organic® contain DHA & ARA?
There are two basic groupings of fatty acids called (1) essential fatty acids or "precursor fats" (as found in Baby's Only Organic® pediatric formulas) and (2) non-essential fatty acids which can also be "preformed fats" (as found in Baby's Only Essentials® DHA and ARA Fatty Acid Supplement* and Baby’s Only Organic® Dairy Formula with DHA & ARA).
Baby's Only Organic® pediatric formulas contain two essential (precursor) fats: Alpha-Linolenic Acid (ALA) and Linoleic Acid (LA). Alpha-Linolenic and Linoleic fatty acids are called "essential" because the human body cannot make these fats and therefore it is essential to derive them from food sources. Alpha-Linolenic Acid is an omega-3 used by the body to make Docosahexaenoic Acid (DHA). Linoleic Acid is an omega-6 used by the body to make Arachidonic Acid (ARA). DHA and ARA are called "non-essential" fatty acids because full-term, healthy infants, children, and adults can manufacture these from Alpha-Linolenic and Linoleic fatty acids.
Baby's Only Essentials® DHA and ARA Fatty Acid Supplement and Baby’s Only Organic® Dairy Formula with DHA & ARA are made with preformed DHA and ARA long-chain fatty acids. This means the fats are already available in their final forms and the body does not need to manufacture from precursor fats, Alpha-Linolenic and Linoleic fatty acids.
The Human Body Converts Essential Fatty Acids into Non-Essential Fatty Acids Omega Source Essential
Omega-3 Alpha-Linolenic Acid (ALA) Docosahexaenoic Acid (DHA) Omega-6 Linoleic Acid (LA) Arachidonic Acid (ARA)
*These statements have not been evaluated by the Food and Dug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
- Is Baby's Only Organic® USDA Certified Organic®?
Yes, Baby's Only Organic® Dairy , LactoReliefTM, and SOY formula are Certified Organic by OneCert. OneCert is a USDA approved government agency, similar to Quality Assurance International (QAI). For more information about OneCert refer to their website at www.onecert.net. OneCert also complies with the new USDA National Organic Standards Program.
- Concerns regarding Fluoride.
Fluoride is a naturally occurring element found in ground water. Waters with high fluoride content are usually found in calcium-deficient ground waters, ground waters with a granite or gneiss (a rock that has streaks of minerals through it such as feldspar, quartz, and mica) aquiver (a body of rock or sediment that stores and transmits large amounts of groundwater), geothermal waters, and in some low areas of the earth’s crust. Fluoride is also naturally found in vegetables, fruits, tea and other crops. Fluoride is found in the atmosphere as dusts from fluoride-containing soils, from gaseous industrial wastes, from the burning of coal fires, and from volcanic activity gases. Fluoride is freely available in nature. The primary source of ingested fluoride in the United States is from municipal water supplies that are fluoridated.
The recommended daily fluoride levels1 for infants and young children are:
Age of Child Adequate Intake (mg/day) Tolerable Upper Intake (mg/day) Infants 0-6 months 0.01 0.7 Infants 7-12 months 0.5 0.9 Children 1-3 years 0.7 1.3
Also, the recommended concentration of fluoride in infant formula should be less than 0.06 to 0.10 mg/100 Calories (0.40-0.60 mg/liter).2
Nature’s One does not add fluoride to Baby’s Only Organic® Formulas or to PediaSmart®. However, the manufacturing facility for Baby’s Only Organic® powdered formulas and PediaSmart® uses two different water supplies, one of which is a fluoridated municipal water supply. Also, because fluoride is an element naturally occurring in water and food ingredients, Baby’s Only Organic® Formulas and PediaSmart® have been tested for fluoride content to assure the safety of these powdered products for use with young children. Testing of the formulas has shown fluoride levels to be 0.16 milligrams or less of fluoride per liter, which is well below tolerable upper intake levels and also well below the suggested concentration limit of fluoride in an infant formula.
1. Institute of Medicine. Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington, D.C.: National Adademies Press, 1997.
2. Kleinman, RE (editor). Pediatric Nutrition Handbook, 6th Edition. Elk Grove Village, Illinois: American Academy of Pediatrics, 2008.