susan these formulas are truly hypoallergenic, from what i have read about them. i beleive there are statements on aap website re infant formula and use of hypoallergenic formula. for example, carnation good start (comfort proteins) says they are hypo but not really. so if you do not want to sensitize or risk allergy in any bf baby that needs supps then nutramigen or alimentum would be the choice (competing companies). if this risk is very small, for ex,no family history, then your hosp may not want to incur the extra cost or the family to have to cont. to buy the higher priced formula. in other words it is a risk vs benefit thing. donor milk is even better, you could make the argument for that. however this can be costly and difficult to obtain for supps. unless there is a milk bank nearby or yhou could tell this doc we need to start a milk bank, if he truly wants hypoallergenicity. hope this makes sense. very late, very tired. laurie Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Chat with friends online, try MSN Messenger: http://messenger.msn.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html