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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!

141 responses to “The Best Hypoallergenic Baby Formulas”

  1. Help!😭 I’m at my wits end! My son is almost 4 months old, I exclusively breastfed, then pumped and fed pumped milk for the first few weeks. He developed severe projectile vomiting, I cut EVERYTHING but fresh fruit and veggies from my diet. I figured he couldn’t handle my milk so I started him on hipp dutch stage 1. The spit up and vomiting continued, he was checked twice for pyloric stenosis, his doctor says it’s just severe reflux. He has had a congested nose since about 3 weeks old, he breathes heavy, and was very colicky. His ped said he is 99% sure it isn’t an allergy but to do hypoallergenic formula to help with reflux. We started on hipp comfort. His stuffy nose is still stuffy, he still breathes heavy, sometimes wheezes, developed severe eczema on his face and head and now has a severe red bumpy rash(that is confirmed not to be yeast) on his torso and groin area. His ped still swears he doesn’t have an allergy because we can’t see blood in his stool(which has been very mucousy). I attempted to switch to pea protein formula, his spit up reduced some but not a lot, and it smelled awful, is rash was much smaller when we were using that but he had multiple forceful vomits right after feeding and had retractions in his belly and horrible wheezing. Since his ped said he DOES not have an allergy I decided to try holle goat 1. We used it for 2 days 2oz of holle and 4oz comfort 5 bottles a day. He developed extremely watery poop and his eye and hand swelled up, he also developed a much worse rash on his torso and groin so I went back to comfort only. He is back to excessive spit up and vomiting (I do know the difference). So, my question is, if he can’t handle hipp comfort is it possible he can handle hipp ha pre? If it’s possible I’d like to try that before the alimentum (I HATE the ingredients, especially because they use GMOs). I hope you can help! Thanks in advance.

    • Hi Sharmaine! I’m so so sorry to hear about all of this! This sounds crazy stressful for both you and your son! Given everything you have already tried, and the severity of his reactions, I really doubt that HiPP HA will be any better for your son since it’s even less broken down than HiPP Comfort. While Alimentum’s ingredients aren’t as clean as HiPP HA/Comfort, it is more broken down and sometimes is the only option that will work. I’d recommend trying Alimentum Ready to Feed first – it has way better ingredients than regular Alimentum (way less sugar) – but is more broken down than HiPP Comfort/HA. Hope that helps! Let me know how it turns out!

      • Thank you very much! That was my next step. My oldest two boys had milk/soy protien allergies and one used alimentum where the other had to have amnio based(yuck). They outgrew it luckily. Thank you for helping me!

  2. We are having so much trouble finding a formula for my son. He is still having a reaction on Neocate. Gets a rash and very itchy everywhere. Can he still be allergic to the broken down amino acids? He had a skin allergy test and was positive for milk but not soy. I am hesitant about givung him a soy formula because of the estrogen-like ingredient in soy.

    • Hi Mehreen! It is possible that your son just has a really severe milk allergy and therefore is still reacting to the broken down amino acids in neocate. I totally understand your hesitancy with giving him soy, but the best way to find out if the issue really is a milk allergy is to temporarily switch to an organic soy formula – like from Baby’s Only and see if his rash/symptoms go away. Then you’ll know for sure what the issue is and can talk with your pediatrician about whether options other than soy might work!

  3. Hi Anjali,
    Thank you for all your information on hypoallergenic formula!
    Just had a question for you regarding my little boy, he is 5months old now and at this point only formula fed. I have him on Hipp Comfort UK at this time and he has been on it for about 2 months. He seems happy and his weight gain is going well on it. He does however spit up a lot, has loose poop (which apparently is normal on this type of formula) and recently has started to wake up more in the night with gas. I have also started to notice that his tummy gurgles when he wakes in the night and then he passes some gas. I do feed him when he wakes and he does go back down for a little while.
    I had tried holle goat formula before for him but it made him super constipated to the point that he would cry when trying to pass a poop. I’m not sure if giving Hipp HA 1 Germany a try would be a good idea, if that might help with the gas/spitting up or if he isn’t tolerating the comfort then that most likely means he won’t tolerate the HA…
    Our paediatrician is pushing alimentum and doesn’t suggest European formulas but I’m hesitant because I know that European formulas have better ingredients.
    Any suggestions……

    • Hi Anna! If your baby has been on HiPP Comfort for 2 months, but has just recently started waking up at night due to gas – I’m wondering if that’s formula related or due to something else? Has anything else changed with his diet lately – e.g. have you started solids yet? Because that could be the cause for the gas. Comfort is more broken down than HiPP HA — so if HiPP Comfort is causing the gas problem it’s unlikely HiPP HA would be any different (but you could always try it and see what happens!) If nothing has changed about his diet and you haven’t started solids yet, then it’s possible HiPP Comfort is causing the increased gas problem. In that case, here are the options I can think of: 1) Try adding these gas drops and this gripe water to his diet. You’d give him a dose of each right before every single one of his feeds. See if that helps relieve the gas issue! 2) If that doesn’t work, you can try Alimentum Ready to Feed which is more broken down than HiPP Comfort, but has better ingredients than regular Alimentum. Hope that helps! Let me know if you have any questions and keep me posted on how it goes!

  4. Hi, I’ve been struggling with my poor 4 month old daughter.. every formula I’ve tried so far causes her to have a horrible itchy rash which is very raw. So far she’s had enfamil gentlease, enfamil prosobee ( which made her have forceful vomit) and enfamil nutramigen which started out a bit better when concerning the rash but she is throwing up every day and the horrible rash she had with gentlease came back. I think it shows now because it’s been 2 weeks. I’m desperate, I don’t know what to do. My poor baby is suffering daily and I suffer seeing her like that. Do u think I should try an organic formula versus neocate? I’m scared of trying neocate because there’s been lawsuits due to rickets and other bone issues. Please help

    • Hi Jazmin! I’m so sorry to hear about your daughter’s digestive issues!! That must be so stressful! To your question — it’s hard to know whether it’s the enfamil itself causing the issues she’s having, or whether it’s just a really bad milk protein allergy. You could try switching her to HiPP Comfort for a week or two and see how that goes — and if her symptoms don’t subside, then your only choice will be to move to an amino acid formula. If you’re nervous about Neocate, you can always try Elecare first and see how that goes. I hope this helps! Let me know if you have any other questions!

  5. Hi Anjali!

    Thanks again for providing all of us with such beneficial information. You’re a wonderful person. I too had a quick question about baby formula – my son is almost 4 months and due to struggling issues with breastfeeding, we’ve now been using Plum Organic Formula with him. What are your thoughts on this formula?

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