Goat milk NOT for CMPA — RACP Paediatrics MCQ
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Correct answer: C — Extensively 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