The American Academy of Pediatrics (AAP) finds that isolated soy protein-based formulas are a safe and nutritionally equivalent alternative to cow milk-based formula for term infants whose nutritional needs are not met from breast milk.
The AAP specifically recommends the use of soy formulas for the following:
- Term infants with galactosemia or hereditary lactase deficiency.
- Term infants with documented transient lactose deficiency.
- Infants with documented immunoglobulin E-associated allergy to cow milk who are not also allergic to soy protein.
- Patients seeking a vegetarian-based diet for a term infant.
The use of soy protein-based formula is not recommended for the following:
- Preterm infants with birth weights less than 1800 g.
- Prevention of colic or allergy.
- Infants with cow milk protein-induced enterocolitis or enteropathy.