Phyllis has told us of the latest formula promotion gimmick, adding more DHA and ARA into formula. Actually both ingredients are listed on all formula labels as mortierella alpina oil (ARA) and crypthecodinum cohini oil (DHA). There is usually an asterisk for denoting which is which. What is not listed is the exact amount that is in the formula. It usually falls into a list of things that occur in the formula at less than 1% of the whole. You did not mention which formula company has added more of these oils but it is probably Ross, since their formula had about half of what Enfamil contains. Doubling the amount of these oils will probably cause Similac to catch up with Enfamil in numbers of babies experiencing diarrhea. Each time this happens to a baby it should be reported to the FDA's MedWatch program, www.fda.gov, as an adverse event. If clinicians are not reporting these problems to both the FDA and the formula manufacturer, then claims that the formula is well tolerated will continue. There should be a warning on the label that the product can cause diarrhea in newborns. We have no idea if this interferes with nutrient absorption. Both companies use these oils as a marketing tool to dupe parents into thinking that their babies will be smarter, healthier, and see better. The data does not support these claims.
 
The food for clinicians of course, is used to create a cozy relationship between formula makers and nurses. This helps break down the professional barriers that should be in place to protect patients from commercial pressures to use formula. Hospitals that continue to allow formula salespeople to provide food are failing in their ethical role to promote health and avoid harm to patients.
 
Marsha Walker, RN, IBCLC
Weston, MA
 
 
 
 
 
 
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