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Goat milk NOT for CMPA — RACP Paediatrics MCQ

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EasyNeonatalGoat milk NOT for CMPARACP Paediatrics

Parents of a 3-month-old with CMPA ask about using goat's milk formula as an alternative. What is the appropriate advice?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CExtensively hydrolysed formula

Goat's milk formula is NOT appropriate for CMPA. There is >90% cross-reactivity between cow's milk and goat's milk proteins. Similarly, sheep's milk and buffalo's milk have high cross-reactivity. Only extensively hydrolysed or amino acid formulas are safe alternatives. Rice milk is nutritionally inadequate for infants.

Reference: RCH Melbourne – 2023 – CMPA CPG; ASCIA – 2024