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Hello! I’m Anjali. I’m a board certified health coach, author, wife, mom and food lover from the SF Bay area (now living in Seattle, WA!); with a passion for delicious food and a desire to make healthy eating easy, tasty and fun! Learn more about me here and stay for a while!

Anjali Shah

The Best Hypoallergenic Baby Formulas

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This in-depth, parent-friendly guide will help you find and buy the best hypoallergenic baby formulas. You will learn what types of hypoallergenic baby formulas are available, what ingredients to avoid in formula, and where you can reliably purchase the best hypoallergenic baby formula. I update this post monthly to ensure that all of the information below is recent and accurate!

best hypoallergenic baby formulas

Finding the safest and healthiest formula for your baby can be a stressful process! I’ve heard from many of you that my guide to the best organic baby formula has been helpful in making that process a bit easier.

But navigating the world of hypoallergenic formulas can be even more stressful – because on top of trying to find a healthy solution, you know that your baby is getting sick from the milk protein in regular formula!

I was lucky enough to have two kids who didn’t have any allergies, but I have talked to so many moms who are frustrated with the lack of options for healthy, safe, organic, hypoallergenic baby formulas. So that’s why I created this article!

Below, I have listed the best hypoallergenic baby formula on the market today, followed by more details on each. Click on the formula name to go to the best online retailer of the formula.

The 9 Best Hypoallergenic Baby Formulas: 2020 Guide

While no hypoallergenic formula is perfect, the 7 hypoallergenic baby formulas below are considerably better than the rest. You can click on the formula name in the table below to find the best online retailer of the formula.

hipp ha baby formula
HiPP HA

Try first if: Your baby has a cow’s milk allergy or sensitivity and you haven’t tried another hypoallergenic option (or you’re trying to move away from the US hypoallergenic options because of concerns over ingredients). Has extensively hydrolyzed protein, (86-87% broken down), 100% whey (no casein), but with the same lactose content as a non-hypoallergenic baby formula.

hipp comfort baby formula
HiPP Comfort

Use if: Your baby has a cow’s milk allergy or sensitivity and HiPP HA hasn’t worked. Most similar to a US hypoallergenic formula. Extensively hydrolyzed protein, (86-87% broken down), 100% whey (no casein), reduced lactose content and modified fats.

kabrita usa baby formula
Kabrita USA

Use if: Your baby has a cow’s milk sensitivity, but not a cow’s milk allergy. Goat milk formula has been a good option for babies with a cow’s milk sensitivity. But if your baby has a diagnosed cow’s milk protein allergy, they may have an issue with goat milk protein as well.

alimentum ready to feed - best hypoallergenic formulas
Alimentum® Ready to Feed

Use If: Your baby has a cow’s milk protein allergy, HiPP HA and Comfort have not worked, and you are looking for an option with less sugar (and you’re not as concerned about carrageenan). Carrageenan is a food stabilizer and thickener which can cause inflammation in the body. Between the two versions of Alimentum it’s a tradeoff with more sugar and no carrageenan vs. less sugar and added carrageenan.

alimentum hypoallergenic baby formula
Alimentum®

Use if: You have tried HiPP HA and HiPP Comfort and neither have worked, and your baby has a cow’s milk protein allergy. 93% hydrolyzed, so worth trying if HiPP HA and HiPP Comfort don’t work.

Nutramigen® ready to feed - best hypoallergenic formulas
Nutramigen® Ready to Feed

Use If: Your baby has a cow’s milk protein allergy, HiPP HA and Comfort have not worked, and you are looking for an option with less sugar (and you’re not as concerned about carrageenan). Carrageenan is a food stabilizer and thickener which can cause inflammation in the body. Between the two versions of Nutramigen it’s a tradeoff with more sugar and no carrageenan vs. less sugar and added carrageenan.

Nutramigen®

Use if: You have tried HiPP HA and HiPP Comfort and neither have worked, and your baby has a cow’s milk protein allergy. This is almost identical to Alimentum, so they are pretty interchangeable. It’s 93% hydrolyzed, so worth trying if HiPP HA and HiPP Comfort don’t work.

neocate baby formula
Neocate®

Use if: You need an amino acid based formula, and the other formulas on this list don’t work

elecare baby formula
EleCare®

Use if: You need an amino acid based formula, and the other formulas on this list don’t work

What types of hypoallergenic formulas are out there?

Soy Formulas

While these are an alternative to cow’s milk formulas, 8-14% of infants with a cow’s milk allergy will react to soy. On top of that, too much soy for infants hasn’t been studied in terms of its long term effects – so I don’t like recommending soy formula, especially non-organic soy formula, for babies with a cow’s milk protein allergy.

Goat Milk Formulas

This can be a good option if your baby has a cow’s milk sensitivity vs. a diagnosed cow’s milk protein allergy. For Goat Milk formulas, I’d recommend: Kabrita USA or Holle Goat. For more details on goat milk formula, check out What’s the Best Goat Milk Formula for Your Baby?

Partially Hydrolyzed Formulas

These take a cow’s milk protein whey and break it up into large pieces. But this can still trigger an allergic reaction in babies who are allergic to cow’s milk.

Extensively Hydrolyzed Formulas

These are hypoallergenic. They are made for infants who can’t digest or are allergic to intact cow’s milk protein. These formulas break the casein (the cow’s milk protein) into pieces.

The healthiest options in this category actually come from Europe.

HiPP Comfort is most similar to a US hypoallergenic formula. It has extensively hydrolyzed whey protein (86-87% broken down) and does not contain casein (100:0 ratio). In addition, HiPP Comfort has a reduced lactose content. For those who have babies who are sensitive to both whey and casein, this may be the formula for you!

HiPP HA is another fantastic option, because it does contain extensively hydrolyzed whey protein (86-87% broken down), and it doesn’t contain casein (100:0 ratio), but it does not have a reduced lactose content.

Common Extensively Hydrolyzed formulas in the US include Alimentum® or Nutramigen®, which are about 93% broken down – so slightly more than Comfort/HA. But if your baby tolerates HA or Comfort I would choose those over Alimentum/Nutramigen for a variety of reasons (more on that below!)

Amino Acid Based Formulas

These are hypoallergenic. These don’t include whole protein molecules at all. Instead, they contain all the basic amino acids, which are the building blocks of protein. These are the most expensive and are used when babies react even to extensively hydrolyzed formula. Common and Amino Acid Based formulas in the US include Neocate® or EleCare®. These don’t have great ingredients, but there isn’t a better option that I’ve found out there!

What makes European hypoallergenic formulas better than US formulas?

  • No processed or refined sugars (syrup, syrup solids, maltodextrin, sugar, brown rice syrup, etc).
  • No synthetic preservatives (ascorbic palmitate and beta carotene are the common ones here)
  • Minimal synthetic nutrients: this includes lutein, lycopene, nucleotides, l-methionine. I won’t go into details on each nutrient listed above, but essentially – many are processed with neurotoxic solvents or are either themselves listed as a toxic ingredient.
  • They taste much better than the US hypoallergenic formulas! US hypoallergenic formulas are notorious for tasting and smelling horrible – and that can make it even more challenging to get your baby to drink them. But because they’re made with whole food and minimally processed ingredients the European formulas are usually well tolerated by babies in terms of taste and smell.
  • They’re pretty comparable in price, and sometimes even cheaper than the US hypoallergenic formulas.
  • Note: while most HiPP formulas are organic, HiPP Comfort and HiPP HA are technically not certified organic because the hydrolyzed protein is not available in an organic form.

So are the US formulas really that bad?

Even if you just look at the sugar content and ignore the highly processed ingredients, yes. Look at the ingredients from some of the most popular brands – and you’ll see that over 50% of the ingredients are literally just sugar. That’s just like spoon feeding your infant table sugar! It’s ridiculous. And the two options without a high amount of sugar (Nutramigen® and Alimentum® ready to feed versions) have carrageenan added.

  • Alimentum®: Corn Maltodextrin (35%), Casein Hydrolysate [Derived from Milk] (18%), Sugar (15%), High Oleic Safflower Oil (10%), Medium-Chain Triglycerides (10%), Soy Oil (8%).
  • Neocate®: Corn Syrup Solids (51%), Refined Vegetable Oil (Medium Chain Triglycerides (8%), High Oleic Sunflower Oil (6%), Sunflower Oil (4%), Canola Oil (4%)), Fructooligosaccharides (Oligofructose (4%), Inulin (0.5% )
  • Nutramigen®: Corn Syrup Solids (48%), Vegetable Oil (Palm Olein, Coconut, Soy, and High Oleic Sunflower Oils) (26%), Casein Hydrolysate (Milk) (16%)*, Modified Corn Starch (4%)

If you compare that to the Ingredients in HiPP Comfort or the Ingredients in HiPP HAyou’ll see that there is zero added sugar for both of these formulas!

So if your little one is allergic to cow’s milk protein, I’d definitely recommend trying HiPP Comfort or HiPP HA before any of the US based hypoallergenic formulas. 

As for where to purchase these formulas, I’m in personal contact with the owners of all 5 of these companies: Huggable, MyOrganicCompany,  Dutch Expat Shop, Bottles and Burps, and Organic Baby Food, and I feel comfortable recommending them to you as options!

I hope this post helped you navigate finding best hypoallergenic baby formulas available today. If you have any questions, don’t hesitate to leave a comment or contact me here – I respond to every message I get!

Trying to find a healthy hypoallergenic baby formula for your little one? This post outlines the best hypoallergenic formulas on the market today!

189 responses to “The Best Hypoallergenic Baby Formulas”

  1. Hello,

    Would like your advice on HiPP formula, my son was experiencing bloating, gassiness, nasal congestion, constipation and eczema while breastfeeding. We tried treating his constipation with lactulose but it didn’t help even though he was getting the highest dose. His pediatrician recommended him to be on a hypoallergenic formula. His pediatrician put him on puramino since she didn’t have nutramigen due to COVID. He did not do good on the formula he ended getting more constipated, his belly rumble a lot, gassy, and eczema got worse. So, I tied HiPP, but now he is having been numerous mucous pasty stools. He still has the eczema. Do you think I should try HiPP comfort or something else?

  2. Hi Anjali, thank you for such an informative post (& blog)! Like many, I’m at a desperate point and am not sure which way to go. At 5 months, my daughter started experiencing hives and we weren’t sure whether it was an allergy or a common baby virus. It was additionally tricky because she was drinking Holle since she was days old to supplement my supply (so we didn’t look at a milk allergy right away) but she also never had any additional symptoms to support a virus (ie fever, diarrhea, etc). For weeks, I gave other formulas a try (everything down your list), met with my peds and finally was referred to a pediatric allergist who did a telemedicine appt. Before testing her, he directed me to switch her to soy for a week. I was hesitant but desperate to give my baby relief from hives and now an onset of eczema.
    There was some relief but she still would have a hive here and there. This allowed her to physically see the allergist Who conducted a skin test. She was diagnosed with a cow’s milk allergy (but NOT the casein) and a very small reaction to soy. He suggested I put her on Alimentum or keep her on soy. I wasn’t happy with either choices. Hipp HA and Comfort didn’t work. I tried to wean her off of soy by reintroducing Alimentum ready to feed slowly (2 oz Alimentum mixed with 4 oz Soy). She completely broke out in hives so I assume she isn’t as tolerant to even extensively hydrolyzed Alimentum. Now, I am reduced to possibly the Amino Acid Formulas like Elecare. Would you suggest Elecare over Non-GMO Soy Formula from Earth’s Best? I’m concerned of both the ingredients not being as clean as well as soy not having as many studies in long term use. I did question soy to both my pediatrician as well as the allergist and they both just shrugged it off – additionally, the allergist said if anything, he would be more concerned if my child was a boy due to the phytoestrogen but she’s a girl. I feel pretty lost at this point and would love your feedback. Considering babies can outgrow a milk allergy, do you think I can eventually move her to extensively hydrolyzed like Alimentum and then to the EU HA formulas by chance? I have boxes of them now and would love it if I can move her from the less attractive options in time. Thanks so much for your input!

    • Hi Leslie! I’m so sorry you’ve had so many struggles finding a formula that works! I’m sure that’s been incredibly stressful. Honestly, if it were my baby, I would rather have them on Elecare than on Soy Formula just because I’m wary of the long term effects of too much soy in infancy for boys OR girls. I think I would put her on Elecare and if she does well on it (no hives, etc) then I’d keep using that for a while. After you transition her to solids, you could try reintroducing the ready to feed Alimentum (which has less sugar than the powdered Alimentum). When you reintroduce it I’d do it in extremely small doses over a period of a few weeks where you slowly increase the Alimentum and decrease the Elecare. If that goes well, then I’d keep her on Alimentum for another month or two. And then again, do a very very slow transition from Alimentum to HiPP HA or Comfort. But my first step would be to try Elecare, see how she does and then take it from there. You could also try Baby’s Only with Pea Protein if the Elecare doesn’t work (since that is lactose free but not soy based). I hope that helps and I hope you find something that works soon!

  3. I’m looking to see what your thoughts are on HiPP organic anti reflux milk. My daughter hasn’t been diagnosed but IM sure she has silent reflux. She was on cow and gate but that didn’t agree, she is now on Kendamil after reading amazing reviews but she hasn’t fully settled on it. I can hear her tummy bubbling while she drinks, she can have a lot of wind that can be quite smelly and she has started refusing bottles half way through. She gets the hiccups very often and sometimes gags for no reason , even hours after a feed. I feel at a loose end .

    Any advice ?
    Thanks

    • Hi Lindsay! Thanks for reaching out! HiPP AR is actually a great option for babies whose only symptoms are reflux/silent reflux (vs. babies who have a diagnosed allergy and may need a “stronger” hypoallergenic formula). HiPP AR is designed to help babies “keep it down” — because it includes locust bean gum which makes the formula creamier/thicker. The only real way to know is to buy a box and test it out! I’d recommend buying from Huggable because they have a policy that they will send you a new box of formula for free if your existing box of formula that you purchased from them isn’t working for your baby. Hope that helps!

  4. Hi Anjali,
    Great blog.. My 8 month old was passing blood in her stools on and off since she was 2 months old and most symptoms pointed to cow milk protein allergy. We tried similac and aptamil before (she threw up both of those). She was almost entirely breastfed till 6 months and now I am supplementing her on Bimbosan HA for past two months along with solids. Bimbosan is readily available in Switzerland and she seems to be fine taking couple of feeds. I was wondering whether you have any assessment of the brand Bimbosan?
    Thanks in advance,
    Shraddha

    • Hi Shraddha! Bimbosan Organic is a great brand and I’d recommend them! But their HA formula specifically isn’t as good as HiPP HA because it has added syrup solids in it. I hope that helps! Let me know if you have any other questions!

  5. Hello – this helps a lot. I’m currently trying my 12 week old on HA and the pediatrician said give it 2-3 days then change if the blood in her stool (only symptom) isn’t gone. How long do you recommend giving each one a try?

    • Hi Nicole! I’m so glad this was helpful! Typically I’d say 3-7 days to assess whether a formula is helping/making a difference. But if your pediatrician said 3 days I’d stick to that! Just be sure to transition slowly (over a period of 7 days) to a new formula if you do end up switching!

  6. Hi anjal,
    My baby has been on gerber good start with reflux/ discomfort /gas after eating. We just switched to HiPP combiotik (German) with no immediate relief but likely he is still adjusting. After researching further, I think he’d be better off trying HiPP comfort before trying Alimentum (which is what doc has reccd). Is it ok to switch to comfort having only been on combiotik for 2 days? Thank you!

    • Hi Lisa! Yes, you can switch but again I’d do it gradually — over a period of 1 week where you slowly increase Comfort and decrease regular HiPP so that it’s not too much fo a “shock” to his system!

  7. Also, there are multiple combiotik options available even for hyperallergenic. And comfort is. It hyperallergenic. Looking on huggable website.

    • Hi Jenny! HiPP Comfort and HiPP HA are both hypoallergenic, but HiPP Comfort is the most hypoallergenic formula available in the EU today. HiPP HA is not as broken down as HiPP Comfort is. Hope that helps clarify!

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