On the question of whether we recommend a particular type of formula, I like
Elise's remarks very much, quoted below:

"Maybe, instead of the LC picking what looks like the "least bad" formula
and recommending that, it would work to simply outline the specific
problems associated with particular *types* (not brands) of formula:
-powdered isn't sterile (so liquid wd be safer especially for young or
fragile babies),
-soy doesn't support immune system response to vaccinations (the baby's
overall health, exposure to illnesses, and parental vaccination policies
will be relevant here),
-soy has phytoestrogens that may prove to be a problem,
-both soy and dairy can cause allergies in particular babies,
-dairy subtly irritates the gut causing iron loss...
*Etc.*  "

She goes on to point out that parents are looking to make an informed
decision, not to be told what to do.  This is part of La Leche League, and a
part I really cherish, and try to always remember now that I'm an "expert"
who is paid for my advice. I have a private practice, and I face this
situation all the time.
I think we know enough about the new Lipil/Advance formulas to caution
mothers, and I feel it's my duty to share what I know if I see it in the
house. Also, I always say, ask your doctor. The response of the parents is
revealing since few doctors convey informed opinions.
I'm going to start phrasing it the way Elise did. It's a good way to work
through a decision, instead of making it for the parents.

Kate Sharp
LC in NYC
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