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 .