What Experts Say About Toddler Formula vs. Cow's Milk (2024)

Figuring out what to feed your baby (and when) can be overwhelming and confusing. After all, nutrition in your baby's earliest years is crucially important for overall health. And if you have a growing baby who's teetering on the toddler stage, you've likely wondered whether to transition them to cow's milk or if you should pick up toddler formula instead.

Many of the big-name companies—including Earth's Best, Enfamil, Gerber, Nutramigen, and others—have started making this powdered drink. "Toddler milk is formula marketed to be appropriate for kids one year and older as they transition from infant formula," explains Rachel Dawkins, M.D., medical director of the Pediatric and Adolescent Medicine Clinic at Johns Hopkins All Children's Hospital in St. Petersburg, Florida. However, cow's milk is the better choice.

Even though toddler formula sounds good on paper, many experts don't recommend it. According to the American Academy of Pediatrics (AAP), toddler formula is "unnecessary and potentially harmful to young children." Why? It's costly and full of unhealthy sweeteners—and it's unnecessary if your little one follows a normal diet.

For the majority of toddlers, cow's milk is the drink recommended by the AAP after weaning from chest/breast milk or infant formula. Read on to learn more about why most parents should opt for cow's milk for their toddler over toddler milk.

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Toddler Formula vs. Infant Formula

In short, toddler formula (aka toddler transition formula or toddler milk) is a powered drink marketed for children ages 9 months to 3 years old. It's fairly similar to infant formula and is mostly made of powdered milk, sweeteners, and vegetable oil. However, research shows that there are some important differences when compared to infant formula.

For one, infant formula composition, labeling, and requirements are supervised by the Food and Drug Administration (FDA), says George J. Fuchs, M.D., a pediatric gastroenterologist who serves on the AAP's Committee on Nutrition. Those same requirements don't apply to toddler formula, meaning their compositions aren't regulated to the same degree.

Toddler formulas tend to include more sodium, fat, and sugar than infant formula, says Dr. Fuchs—meaning it's not OK to feed these to an infant—and they are not ideal for toddlers, either.

Toddler milk is also more expensive than infant formula, notes the doctor.

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Should You Ever Use Toddler Formula?

Many infant formula manufacturers also make toddler milk with similar labels. Thanks in part to effective marketing, parents might believe these products are a beneficial next step for their child, says Dr. Fuchs. However, "in general, there is no advantage to a toddler formula," he says, as long as your toddler is consuming an age-appropriate regular diet with an emphasis on fresh fruits and vegetables. Cow's milk is the ideal source of protein, calcium, vitamin D, fat, and other nutrients your toddler needs.

"Parents are led to believe that these are good supplements for picky eaters but in reality, almost all toddlers are picky eaters," says Dr. Dawkins. "If they are growing well along their growth curves and developing as they should be, then they are getting plenty of nutrients."

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Furthermore, there's no evidence that toddler formula is better than whole milk for growth or development, notes the AAP. And toddler formula tends to delay the inevitable, which is that the majority of calories need to eventually come from food, says Samira Armin, M.D., a pediatrician with Texas Children's Pediatrics Humble Fall Creek. You risk getting your toddler attached to formula, and they might even shun whole milk in the future.

That said, toddler formula might be a good addition to your child's diet in certain specific circ*mstances, says Dr. Armin, such as if your child has a medical condition that inhibits their diet, severe milk or food allergy, or irregular growth. But don't pick up a toddler formula unless a pediatrician suggests it, notes Dr. Armin. If it is recommended for your toddler, a doctor can also help you figure out the best toddler formula for your child's specific needs (for example, a hypoallergenic option).

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What to Use Instead of Toddler Milk

Despite all of the toddler milk products on the market, the AAP and Centers for Disease Control and Prevention (CDC) recommends feeding your baby chest/breast milk (aka human milk) or infant formula until at least 12 months of age, and then, switching to whole cow's milk at the 12-month mark (but not before). Offering cow's milk as a beverage is not healthy for babies before they turn one.

At 12 months old, you can start by subbing one feeding per day with a cup of milk and building from there. Around this time, toddlers should aim for between 16 to 24 ounces—two to three cups—of cow's milk a day, says Dr. Dawkins.

However, the CDC advises being careful not to give your toddler too much milk. "Cow's milk is not well digested by the developing gut of a baby in large quantities," agrees Dr. Dawkins. Also, if your child is drinking too much milk, they may not be hungry for food. "Infants should be more dependent on food at this time; milk takes the back burner," says Dr. Armin.

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Most toddlers are advised to drink whole milk because they need the extra fat content for optimal growth. However, if your child is overweight or obese, a pediatrician might suggest 1% or 2% milk.

Children with milk protein allergy might need to transition to soy milk or another cow's milk alternative. However, this decision should always be made in conjunction with a pediatrician.

Beyond milk, it's also important to keep offering a wide variety of healthy food options to toddlers, says Dr. Dawkins. "One day a food will be their favorite and the next day they might hate it and vice versa. This is totally normal though completely frustrating."

Also: "Toddlers don't eat as much as infants," says Dr. Armin. "Their growth isn't as accelerated so portion sizes go down but as long as your baby is growing, that's fine." Serving cow's milk along with their meals and snacks will promote a well-balanced diet for your toddler.

The Bottom Line

Slick marketing campaigns may make toddler formula look like an ideal choice for your child as they grow out of infancy. However, the truth is that these products should be avoided in most cases. Instead, at or around 12 months, you can transition your child from chest/breast milk or infant formula to cow's milk rather than to toddler formula. For the majority of toddlers, whole cow's milk is the healthiest drink (and an ideal calcium source) to include in a well-balanced diet.

What Experts Say About Toddler Formula vs. Cow's Milk (2024)

FAQs

What Experts Say About Toddler Formula vs. Cow's Milk? ›

The AAP recommends:

Is cow's milk or formula better for toddlers? ›

If you have been giving your child toddler formula, don't feel guilty. It's not harmful for your child, but cow's milk is a cheaper option that, when paired with age-appropriate food, meets all their nutritional needs.

Is formula better than cow milk? ›

All baby formula has added vitamins, minerals and fats that babies need, which they can't get from normal cow's milk. Also, babies can't digest and absorb cow's milk as completely or easily as breastmilk or formula. That's because the protein level in cow's milk is too high for babies.

Should a 2 year old be on formula milk? ›

Kids this age don't need special toddler milk or formulas, which contain added sugars. Toddlers can get all the nutrition they need by drinking cow's milk or a fortified soy drink and eating a variety of solid foods. When your child is 2, you can switch to low-fat or nonfat milk.

Why do doctors recommend whole milk for toddlers? ›

It is safe though, to give cow's milk to children after they're 1 year old. A child who is 1 or 2 years old should only drink whole milk. This is because the fat in whole milk is needed for your child's developing brain. After 2 years old, children can drink low-fat milk or even skim milk if they are overweight.

What are the side effects of switching from formula to milk? ›

Switching From Formula To Milk: Side Effects

When switching from formula to milk, side effects most commonly reported are changes in your baby's stools. They may have looser or harder stools, or have trouble passing stools. There could also be a change in colour or texture.

What is the best alternative to cow's milk for toddlers? ›

Fortified soy beverages are the only milk alternative that help meet a child's recommended dairy needs. Choose one that is unflavored and unsweetened. Your child does not need added sugars. Choose one that is fortified with vitamin D and calcium.

What are the long-term effects of formula-fed babies? ›

13,14 increased risk of long-term diseases with an immunological basis, including asthma and other atopic conditions: type 1 diabetes, celiac disease, ulcerative colitis, and Crohn's disease. Formula feeding is also associated with a greater risk of childhood leukemia.

Is the toddler formula worth it? ›

So-called toddler formulas are costly, unnecessary, and sometimes even unhealthy. Once babies are a year old, those who have been drinking infant formula don't need it anymore. By that age, they can and should get most of their nutritional needs met by solid foods.

Is cow's milk necessary for toddlers? ›

Cow's milk is not essential, but vitamin D, protein, calcium and fat are important for growth.

When should I stop giving my toddler formula? ›

Continue breastfeeding or formula feeding while foods are introduced through the first year of life. Keep breastfeeding for as long as mum and baby desire, but stop bottles and infant formula from around 12 months. Offer cow's milk from a cup after 12 months.

Is 2 years old too old for formula? ›

When to wean your baby off formula. The switcheroo from formula to milk typically comes after your child's first birthday. Up until that point, growing babies need the vitamins and nutrients packed into formula or breast milk, says Dr.

Why no formula after 1 year? ›

But as your child hits their first birthday, they're likely eating all of the same table foods you are, and also drinking whole milk, which means formula is no longer necessary from a nutritional standpoint. This is also the case for breastfeeding moms who may be supplementing with formula.

Should I give my 1 year old formula or cow's milk? ›

You should know that the American Academy of Pediatrics still recommends a combination of solid foods and breastmilk or formula for children under 12 months. Only after 1 year do they suggest introducing whole cow's milk.

When to stop giving whole milk to a toddler? ›

So it's usually recommended that kids 1 to 2 years old drink whole milk. Then, if their growth is steady, it's safe to switch to low-fat or nonfat (skim) milk. Note: Kids at risk of becoming overweight can be switched to lower-fat milk before turning 2.

What if I don't want to give my baby cow's milk? ›

When your child is 12 months, you can introduce cow's milk. But if you've made the decision to avoid dairy, then calcium via other foods or supplements must be delivered. Calcium-rich foods such as spinach, peas, broccoli (processed in a blender, of course) can be given to your baby at one year.

Is formula or fresh milk better for 1 year old? ›

Be it fresh or UHT milk, medical experts stress that parents should give full-cream milk to children under the age of two.

Should I give my 2 year old whole milk or 2? ›

Babies and toddlers need fat in their diets for a variety of reasons, including healthy brain development. So it's usually recommended that kids 1 to 2 years old drink whole milk. Then, if their growth is steady, it's safe to switch to low-fat or nonfat (skim) milk.

Which milk is healthier for toddlers? ›

Newborns (0-12 months) – before the age of 12 months, a child should drink breast milk or infant formula. 12-24 months – whole dairy milk, up to two to three cups a day. 2-3 years – skim or low-fat dairy milk, up to two cups a day. 4-8 years – skim or low-fat dairy milk, up to two and a half cups a day.

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