Think about it lactnetters, why do we need even some of the new MJ thickened formula? Reflux occurs BECAUSE of the introduction of formula into babies whose bodies are designed for slurping down breastmilk, at reasonable rates and in reasonable amounts. So now we can give them age inappropriate solids after causing reflux by giving formula in the first place. I see children with serious eating problems in my job as a consultant for special needs children, and I can easily say that the reflux is a common problem--among the bottlefed children. Some children become so adverse to food that they don't take any chances with it, and only eat certain foods, and some have major oral-motor sensory problems which I believe are related to early reflux. How much would you like food if ever since you ate, you had heartburn? And how about the damage to the esophageal sphincter, and lower esophagus? Just some thoughts... Michelle Scott, RD,MA,IBCLC in unseasonably warm NH where we still haven't had snow in the Mason/Nashua area