PEDIATRIC MILK SUBSTITUTE GUIDELINES

Cow Milk or Milk Calories/ 8 Protein Fat Grams Ca mg/ Vit D IU Vitamins & Minerals Substitute ounces grams

150 8 8 300/100 Good source of: Riboflavin, Vitamin B12 and Whole Milk Phosphorus Fortified with: Calcium, Vitamin A & vitamin D 100 7 4 350/100 Good source of: Vitamin E, B1, B2, B6 and Iron, Soy Potassium, Zinc and Selenium Minerals: Calcium and Magnesium 120 4 3 300/100 Fortified with: 10 vitamins, 15 minerals Oat 100 2 to 4 6 400/80 Fortified with: A, D, E and B12, folic acid, potassium, fiber, phosphorous, riboflavin, Hemp thiamin, niacin, magnesium, iron and zinc, Calcium (more than cow’s milk) 120 1 2.5 300/100 Fortified with: calcium, iron, niacin, Rice phosphorus, Vitamins A, D, C and B12 50 1 2.5 300/100 Fortified with: Calcium (50% more than cow’s milk) and Vitamin D Rich source of: Potassium, Manganese, Almond Magnesium, Vitamin E, Copper, Selenium, Vitamin E, Folic Acid and Iron *Lacks B Vitamins 80 0 5 45%/25% Rich source of:  Mg, P, K, Fiber Coconut  Vitamins C, E, B1, B3, B5 and B6  Fe, iron, selenium, sodium, calcium, magnesium and phosphorous Potato 70 0 0 Fortified with: calcium (as much as cow’s milk)

AMERICAN ACADEMY OF PEDIATRICS RECOMMENDATIONS

 People absorb nutrients and milk products better in animal-based milk, than in plant-based milks.  All milk other than mother’s breast milk NOT recommended < 1 year of age

PEDIATRIC MILK SUBSTITUTE GUIDELINES

ALLERGY & MILK PROS CONS BRANDS & PRICING FLAVORS HIGH in monounsaturated fat: LOW protein: Nut Allergen Almond Breeze (12 -  Reduce risk of heart disease  Not great for cooking 32 oz at $23.95)  Adequate for sauces Free of: NO saturated, trans fats or cholesterol  Lactose Almond Dream (64 LOW Fat:  Gluten oz at $7.09) Omega-3 & 6 Fatty Acids and Medium  Essential for brain  Soy Chain Triglycerides: development in young Pacific Foods (12 – 32  Lower LDL cholesterol children Flavors: Original, oz at $40.64) Almond  Maintain HDL cholesterol  Aids in nutrient Unsweetened, absorption Reduced Sugar, Silk PureAlmond (32 Flavorproteins & antioxidants: Vanilla, Chocolate, oz carton at $3.39)  Protect against heart disease & Lacks B Vitamins/LOW vits: Iced Coffee cancers  Nervous system health So Delicious (12 – 32  Metabolism of fats, oz at $32.79) LOW glycemic index: carbohydrates, & amino  Does not raise blood sugar levels acids rapidly *commercial brands add sugar Cooking: Free of: Aroy D (33.8 fl oz at  Good substitute for yogurt or Coconut “beverages” are  Lactose $7.98) cream moderately fortified  Soy  Canned milk is not  Gluten Coconut Dream (12 - HIGH saturated fat:  Tree Nut 32 oz at $33.50)  essential for brain development in young children Flavors: Original, Grace Coconut Milk  aids in nutrient absorption Unsweetened, Powder (1.75 oz at  boosts immune system Reduced Sugar, $1.15)  has anti-viral, anti-bacterial, anti- Vanilla, Chocolate, microbial and anti-fungal benefits Mint Chocolate, Iced 365 Organic (Whole Coconut  Great source of Medium Chain Coffee Foods Market) Triglycerides  raises HDL cholesterol levels Silk PureCoconut (64 oz carton at $3.25) GOOD source of fiber So Delicious (12 – 32 LOW protein oz at $32.79)

NO cholesterol Thai Kitchen’s Organic (13.66 fl oz can at $4.07)

BEST source of Calcium & Vitamin D in *NOT recommended < 1 year Contains lactose Most readily diet of age (AAP) available Flavors: strawberry, Full Fat HIGH portion of calories come chocolate, vanilla Highly cost effective Cow’s from sugars (Whole) Good source of saturated fat: Powder form  essential for brain development in Protein composition opposite available young children of breast milk:  aids in nutrient absorption  LOW % Whey  boosts immune system  HIGH % Casein

PEDIATRIC MILK SUBSTITUTE GUIDELINES  has anti-viral, anti-bacterial, anti-  Hard to digest microbial and anti-fungal benefits  Great source of Medium Chain Kidney strain: Triglycerides  HIGH protein (compared  raises HDL cholesterol levels to breast milk)  HIGH sodium, potassium, chloride

Fortification requirements:  NO iron  LOW vitamin E and C HIGH omega-3 & omega-6 fatty acids: Free of: Can be made at  reduce risk of heart disease May not be readily available Lactose home (Hemp Seeds)  boosts immune systems Soy  improve early brain development Cooking: Gluten Living Harvest Tempt  Texture between Rice Tree Nut (32 oz at $4.59) Hemp 10 essential amino acids and Soy Milk: watery  sufficient for cooking Flavors: Original, Pacific Foods (32 oz LOW sodium sauces Unsweetened, at $4.55) Chocolate, Vanilla NO cholesterol and sugar

HIGH fiber Must be fortified Gluten Allergen Can be made at  full serving of whole grains in 1  deficient in protein and Contamination home serving vitamins (especially B12) possible  Not suitable for Pacific Foods (32 oz Cooking: LOW Fat Celiac’s Disease at $3.69)  Moderate protein levels – not  Essential for brain equivalent to cow’s milk for baking development in young  Good for gravy and sauces children Free of:  Aids in nutrient Lactose Rich source of Phytochemicals: absorption Soy Oat  Fight cancer & protects chronic Tree Nut diseases Flavors: Original, LOW Fat: Vanilla  Nutritional substitute for low fat milk

LOW sodium

NO cholesterol NO fat Free of: Can be made at NO cholesterol  Essential for brain Gluten home development in young Soy children Lactose DariFree Potato Milk  Aids in nutrient Powder (1 can at absorption Flavors: Chocolate, $14.50) Potato Strawberry NO protein

Must be fortified  Deficient in protein, vitamins and minerals

PEDIATRIC MILK SUBSTITUTE GUIDELINES *NOT recommended for NO allergens Can make at home NO cholesterol those < 2 years of age (AAP) Free of: Pacific Foods (32 oz Cooking: Lactose at $3.09)  Most watery milk Tree Nut alternatives – not useful Rice Dream (2 – 32 oz for cooking Flavors: Original, at $8.18) Vanilla Fortification: West Soy (12 - 32 oz  Not sufficient alternative at $35.98) to milk without heavy fortification  Very low calcium and other nutrients of cow's milk

Rice HIGH glycemic index  Large portion of calories from sugar  More carbohydrate than milk

LOW fat  essential for brain development in young children  aids in nutrient absorption

LOW or NO protein

NO fiber HIGH protein (with fortification) Phytates: Phytoestrogen Eden Foods (12 – 32  enzyme inhibitors that Allergen oz at $41.92) Oligosaccharides prevent proper  performs a prebiotic function absorption of essential Free of: Pacific Foods (12 – 32 minerals Lactose oz at $70.00) Cooking:  poor bone strength Gluten  Good cooking & baking alternative Silk (32 oz at $4.29) Oligosaccharides Flavors: Original, Most readily available  harder to digest Unsweetened, Soy Dream (32 oz at  90% escapes digestion Vanilla $2.58) NO cholesterol Soy Fortification: West Soy (65 oz at

 LOW calcium & vitamin D $3.98)  LOW natural protein

LOW saturated fat  essential for brain development in young children  Nutrient absorption

HIGH sugar and carbohydrate content

PEDIATRIC MILK SUBSTITUTE GUIDELINES