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.*

Then it's up the parents to decide which formula seems most workable for
their family based on family health history, parents' particular concerns
w/r to this baby, price, etc.

Maybe one way to look at it is, when parents ask what kind of formula to
give, they're really asking for input to help *them* make an informed
decision.  At least, I hope they are, and I think it's reasonable to act as
if they are.  It worries me when parents hand over major decisions about
their own child's nutrition and health care to "experts".  Even when I want
them to believe every word I say about breastfeeding!  :-)

Elise
LLLL, IBCLC

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