Cmpa help please

[Eeeeek2]

I’ve got a nearly 14 month old who is eating well but still has 2/3 bottles of formula. Just managed to train him out of having more overnight, was waking up once/twice a night.

When do they stop prescription formula? I’m slightly terrified that the doctors will realise that he is now over a year and just stop it. What can I do to to reduce the bottles?

Typical day is
5am ish 7-8ozbottle
9am ish breakfast - 1 weetabix oat milk and 1/2 a banana plus 3oz of oat milk in beaker
11am snack of fruit and some water
12.30 lunch - 1 slice of bread with filling (cashew butter, avocado, jam, marmite, mackerel) lump of cucumber, 6ish organix carrot sticks and a soya yogurt or pot of fruit purée. Water
4pm snack something like chicken pieces or bread sticks or fruit
6pm dinner - depends on what we’re having might be stew, spag bol, fish fingers mash and veg
8pm 7-8oz bottle
Sometimes wakes between 10-11 and has another 4oz bottle

Any help and advice would be very welcome please.

For breakfast you could try Blueberry Pancakes made with an alternative milk, crumpets spread with vitalite or smooth nut butter, sausage and beans, scrambled eggs, porridge fingers, banana-Cado, one egg omelette, dry apricot mini shreddies, violife cream cheese and sliced strawberries or grapes on toast,

Sorry pressed post too soon . Try tinned sardines on toast too

DS lives mini apricot shredders and they have mud side is they are high in calcium too. Is there a reason he can't have cereal?

These are great ideas thank you, I don't know what milk substitutes he can / can't have. I read that he can't have rice milk but rice is listed as an ingredient in coconut milk so have avoided that too. We're experimenting with oat milk at the moment.

They can eat rice at this age, it’s just rice milk that’s not advised but I personally won’t give baby rice either. Ot heard of avoiding coconut milk before, sorry if that’s no help.

Forgot to say, if you are giving sausage, just cut it lengthways as it can be a choking hazard if whole. Sausage does make an excellent finger food.

My DS has CPMA and I’ve recently seen the dietician regarding this. He told me:

1. from the age of 1, children don’t need formula as long as they are getting enough calcium and iron in their diet. I asked if I should stop it immediately and he said to reduce it down (DS is currently on 2x7oz bottles per day) over the next few weeks. I will get one more prescription of formula and then it will be stopped.
2. DS has been having oat milk for some time. From age 1 he can have other types such as soya milk/coconut milk etc. The dietician recommended Alpro Growing Up milk as this has a lot of calcium in it. It’s for ages 1-3.
3. The dietician will give you info sheets about the amount of iron and calcium needed each day and how this can be achieved. The info is really easy to follow. For example, children age 1-3 need 350mg calcium per day. The sheet he gave me lists food according to the amount of calcium in it. It’s listed with a star rating - 1 star = 60mg and a one-year-old needs six stars per day. 250ml of the Alpro Growing Up milk is 4 stars. Alpro yoghurts are 2 stars, some bread is 1 star, some is 2 etc.
4. Is your LO on the milk ladder yet? This is normally started from the age of one year and he said that most children outgrow that ology by the age of one. Obviously, this isn’t true for all children and some will take much longer, while a few will never grow out of it.
5. All children should have a multivitamin up to the age of 5.

I think this everything I was told, but if I think of anything else I’ll post again. It’s really worth pushing to see a dietician if you can.

*ignore the reference to an ‘ology’ in my last message - no idea what autocorrect did there!

Seen dietian this week finally. Unfortunately my ds dietitian was not very helpful, she has discharged him because there is nothing she can do because he isn’t suitable for the milk ladder without hospital supervision/allergy testing. She looked at what he was getting now and said that it was enough calcium and to slowly swap the 2 bottles a day to oat milk.

Dontbuymesocks do you know where the info sheets were sourced because she gave me nothing. If I had some guidelines then I’d feel more comfortable that he was getting what he needs.

Now I’ve got to battle the gp to get him referred to paediatrician.

Sorry to hear that Eeeek, that must be so frustrating. My DS hasn’t been allergy tested but the hospital has said it’s CMPA. We are under a paediatrician but they just photocopied the milk ladder and basically told me to get on with it! I’ll try to photograph the sheets and attach them when I finish work but I’m not sure how clear they’ll be as there is a lot of info on them. I’ll be back later!

Found them online but I’ve never done a link before so I hope this works.....
Calcium:
www.bda.uk.com/foodfacts/Calcium.pdf
Iron:
www.bda.uk.com/foodfacts/iron_food_fact_sheet.pdf

Thank you dontbuymesocks that’s brilliant

That's great thank you.