Make the formula. Feed your cutie. Wash, rinse, repeat. For parents of babies who drink formula, you’ve been doing this dance several times a day (and night) for what seems like forever. But could the end finally be in sight? When do babies stop drinking formula?
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“A healthy baby should drink breast milk or formula until they are 1 year old. Formulas are fortified with vitamins and iron, which they need,” says pediatrician Radhai Prabhakaran, MD. “Generally, babies should have at least 24 ounces per day between the ages of 9 months to 1 year. But once your baby starts eating a full diet of nutritious solid foods, make the switch to cow’s milk, which offers protein and vitamin D.”
Signs your baby is ready to wean off formula
Whether babies are ready to hop aboard the milk express depends on their taste for table food. “Some babies settle into a mostly solid food diet early (between 9 and 12 months) because they like it, and it agrees with them. If they’re eating a nutritionally balanced diet, then it’s OK to wean your baby off formula earlier than 1 year old.”
A healthy solid food diet for a baby should include:
- Protein from meat, eggs or cooked beans.
“Gradually reduce the amount of formula they drink as they eat more. Continue to offer it to drink because sometimes babies aren’t full after eating solid foods,” notes Dr. Prabhakaran. “But wait until they are 1 to introduce cow’s milk, even if they wean earlier.”
Signs your baby is NOT ready to wean off formula
Your baby should continue with formula if they:
- Are not gaining weight.
- Were born prematurely.
- Haven’t established a balanced diet of solid foods.
- Need to continue with formula based on their doctor’s recommendation. (For example, if your baby has food allergies or problems digesting food or absorbing nutrients.)
Health conditions that affect how long babies drink formula
Certain underlying health conditions may affect how long your baby needs to drink formula. Babies may need to stay on formula longer if they have:
- Kidney problems.
- Liver problems.
- Metabolic condition like phenylketonuria (PKU).
“And if your doctor has already told you that your baby might need to go on a special diet, talk to them before weaning your baby off formula,” adds Dr. Prabhakaran. “They can help you put a nutrition plan in place that will make the transition safer.”
How to wean your baby off formula
If your baby likes the taste of cow’s milk:
- Start giving them a 2- to 4- ounce serving of milk for every two or three servings of formula.
- Over the next week to 10 days, increase the milk servings as you decrease the servings of formula.
- Stop giving formula once they are drinking the milk with no issues.
If your baby prefers the taste of formula:
- Make the formula as you usually do. Don’t add cow’s milk to the formula powder.
- Mix 2 ounces of prepared formula and 2 ounces of cow’s milk so you have a 4-ounce drink for your baby.
- Feed your baby the mixture.
- Over the next week to 10 days, add more milk and less formula to the mixture until it’s all cow’s milk.
Bottle or cup?
Get ready to say goodbye to the bottle. Dr. Prabhakaran says drinking from a bottle is a no-no after age 1. “Bottle feeding can affect teeth growth and cause cavities.”
Instead, transition your little one to a sippy, straw or regular cup at around 9 months of age. “If you’re feeling adventurous, wean them off formula and the bottle at the same time.”
Does my baby still need formula during night wakings?
Dr. Prabhakaran notes that most babies this age don’t need to eat when they wake up at night. “Generally, once babies double their birth weight (which happens at around 4 to 6 months) and are regularly eating solids, they don’t need the extra calories and can sleep through the night. So encourage them to keep sleeping.”
Babies at this age also have most of their baby teeth, so drinking milk or formula at night can lead to dental issues. Nighttime feeding can also make them too full to eat what they need during the day.
But as always, there are exceptions. “If your baby’s not gaining weight, your doctor may give you different advice. Breastfed babies may also take a bit longer because breast milk digests faster.”
When to pump the brakes on weaning off formula
Dr. Prabhakaran says to take the transition to cow’s milk even slower if babies start drinking milk and experience:
- Dramatic change in their stools.
If these symptoms stick around or get worse, talk to your baby’s pediatrician about a potential milk allergy. If needed, your doctor can recommend safe milk alternatives for toddlers.
Signs your baby may not be able to tolerate cow’s milk include:
What is the best milk for a 1 year old?
Experts consider whole cow’s milk the best milk for 1 year olds after they wean off formula. “The general rule is whole milk until they’re 2 years old unless there are specific circumstances,” says Dr. Prabhakaran.
Your doctor may recommend 2% milk instead if your baby:
- Is heavy for their size.
- Drinks more than the recommended amount of milk (16 to 24 ounces a day or 2 to 3 cups).
- Is constipated.
Milk alternatives for toddlers
Unsweetened soy milk tends to be among the best cow’s milk alternatives for toddlers because it has a similar amount of protein. But soy milk is lower in calories — which babies need to thrive — than whole milk. Unsweetened rice milk’s calorie count is a bit higher, but it contains less protein and more added sugar.
The best way to decide, says Dr. Prabhakaran, is to look at your child’s overall diet. “There are so many milk alternatives, and babies’ diets vary so much. It’s impossible to have a blanket rule for what’s OK. Some kids may eat a lot of yogurt and cheese. Some babies are vegan. So talk to your baby’s doctor about the best alternative to help your child with specific deficiencies and their overall nutrition.”