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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!

The Best Hypoallergenic Baby Formulas

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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 7 Best Hypoallergenic Baby Formulas of 2019

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 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®

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.

  • 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 4 of these companies: HuggableDutch 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!

85 responses to “The Best Hypoallergenic Baby Formulas”

  1. Why would someone pick HiPP HA vs HiPP comfort? My daughter has a milk protein sensitivity and dr recommended nutragemin but I told her we were already on alimentum for a few weeks with no improvement. Most recently we have been on HiPP Combiotik since we didn’t know she had a true milk sensitivity until yesterday. Would HiPP HA or comfort help? I am not a fan of ingredients in neocate or elecare like our dr suggested we try. Thanks.

    • Hi Shelly! The main reason to pick Comfort over HA is that in addition to being extensively hydrolyzed, HiPP Comfort also has a reduced lactose content and modified fats – so it’s even more broken down than HiPP HA. Given your daughter has an already diagnosed milk protein sensitivity, I’d probably try Comfort over HA! Hope that helps!

  2. Hi…my son is 1.5 months old and we’ve been having ongoing issues with formula. We started him on Enfamil Gentlease but he suffered intense gas pains, we switched him to HiPP HA Pre and the gas lessened but he began to projectile vomit. Now the doctor has us changing to Neutramigen but he’s vomiting worse with that! I don’t know what move to make, do we go back to HiPP HA or change to HiPP Comfort or something else entirely? People mentioned adding baby rice powder to the formula for it to be thicker (and stick in his stomach) but I worry about adding anything to the European formula without someone telling me it’s okay (since it’s not fda approved, our doctor won’t direct us on European formulas)…hope you might have some suggestions

    • Hi Jena! I think my question for you would be how quickly did you switch him from one formula to the next? If you switched him over just 1-2 days instead of 7-10 days (which is what I’d recommend) the reactions he’s having could be due to too short of a transition time between formulas. Since it seems like he’s having issues on all of the formulas you’ve tried so far, it might be a good idea to start fresh by doing a slow transition to HiPP Comfort, over a period of at least 7 days. That’s what I would try next. I would not recommend adding cereal to his formula – even if you stuck with the US based ones. There has been no research to show that adding cereal to formula can help with reflux, and in some cases research has shown that it can make reflux worse, that it increases the risk of choking, and that it can cause your baby to overeat without realizing it (source 1, source 2). Hope this helps! If HiPP Comfort doesn’t work for you, please let me know and we’ll figure out another solution!

      • Thank you so much…do you think that since his biggest issue is gas and now vomiting, we should consider HiPP Anti Reflux or is HiPP Comfort the best option of HiPP formula?

      • Hi Jena! Given that it does sound like he’s very reflux prone, it doesn’t hurt to try HiPP AR first. I’d recommend ordering it from Huggable because if it doesn’t work for you, they will replace it and send you HiPP Comfort for free! Hope that helps!

  3. Hi, after reading your post and doing a lot of research I decided to buy hipp Comfort for my 8 week old. We have been using liquid alimentum, but he is having gas and constipation issues with it… and I am not a fan of the ingredients. My question is what do you think the best way is to introduce the new formula? Do you mix them? Do every other bottle?

    • Hi! I’d actually recommend introducing it one oz at a time per bottle per day — you can either do that by mixing it (although the formulas are so different it might taste really weird), or by doing the Comfort first followed by the Alimentum in each feed. So, for example if you were doing 6oz each feed of the Alimentum, on Day 1 you’d do 1oz Comfort followed by 5oz Alimentum in each feed. On Day 2 you’d do 2oz Comfort followed by 4oz Alimentum in each feed, etc. Until you get to Day 6 where you’re at 6oz Comfort and no more Alimentum! Let me know if that makes sense and if you have any other questions!

      • We have been using the comfort for a few days now. He is still pretty gassy and fussy. Do you hipp HA would be a better option? Which one is closest to alimentum?

      • Hi! Comfort is the closest thing to Alimentum — but it can take up to 2 weeks for a baby to adjust to a new formula (so not sure if it’s been that long?) But if, after 2 weeks, Comfort isn’t working for you, I don’t think HA would be any better. At that point you might have to go to Alimentum since that is even more broken down than Comfort is, or an amino acid based formula. I’d recommend talking to your pediatrician about Comfort vs. Alimentum when it comes to your baby’s symptoms to see what they recommend in terms of switching. But when it comes to European formulas, Comfort is the closest thing you’ll get to a US hypoallergenic formula. Hope that helps and I hope you figure out something that works soon!

  4. Question: When it comes to Alimetum vs Nutragen, what is the lesser of two evils (corn syrup solids or corn maltodextrin)? Corn syrup certainly sounds worse, but maybe they are more similar ingredients than I realize. Thank you!

    • Hi Kim! Honestly I think both are pretty equivalent – syrup solids and maltodextrin are both super high glycemic ingredients, but I might give Nutramigen a slight edge and here’s why:
      Nutramigen has DHA, ARA and Probiotics. Corn Syrup solids make up 48% of the formula. Other components of Nutramigen include: 26% mix of vegetable oils (Palm, Coconut, Soy and Sunflower), 16% casein, 4% modified corn starch.
      Alimentum has DHA, ARA but NO probiotics. Corn Maltodextrin makes up 35% of the formula, and sugar makes up an additional 15% of the formula. Other components of Alimentum are: 18% casein, 10% safflower oil, 10% medium chain triglycerides, 8% soy oil.
      Nutramigen wins with having probiotics, and has 2% less processed sugar than Alimentum (which honestly, isn’t a lot but anything is better than nothing). I also like that Nutramigen uses coconut oil as part of their oil mix. It also has 2% less casein which might be good for babies who are also sensitive to too much casein. And I’ve heard anecdotally that Nutramigen might taste slightly better than Alimentum (but both taste pretty bad). So maybe Nutramigen is slightly the lesser of two evils? But if your baby takes to Alimentum better, you should just use that since it’s not a huge difference between the two. I hope that helps!

  5. Hello, Thank you for your dedication to providing parents the most complete information on infant formula! My 6 month old has eczema patches on her cheeks that we have been trying to clear up naturally for the last three months. She has been on Kabrita formula for about three weeks and that has not really made any difference. Do you think it would be worth trying Hipp HA? She doesn’t have any other signs of a milk sensitivity/allergy other than the eczema.

    • Hi Caryn! Aw poor thing! Eczema is the worst! So yes, you can try HiPP HA and that has shown to help with eczema issues when there’s a milk protein allergy involved. I’d also recommend getting her tested for a milk protein allergy if you haven’t already. Because eczema can be related to a food allergy (e.g. milk protein) or environmental (e.g. detergents, fragrances, etc.). I wrote a separate post about this which might help and give you a few other things to try if she tests negative for a milk protein allergy and HiPP HA doesn’t make a difference!

    • Hey momma. My daughter also had a horrible rash on her neck that would not subside for months. It was awful. Something I learned is that skin issues like eczema is almost always a result of something in diet not being tolerated.

      If the kabrita is goats milk then I would begin to suspect that baby isn’t tolerating those proteins and goats milk proteins and cows milk proteins are very similar. Hipp HA is not designed or intended to treat intolerances sensitivities or allergies to food. It’s more aimed to prevent them (in much the same way breastmilk is said to and why exclusive bf is encouraged for 6 months) but if you’re already seeing potential signs of an intolerance then I would get baby on an actual hypoallergenic formula like similac alimentum (the ready to feed is more tolerated than the powder). I know it’s not one of the European formulas we want to use for their organic ingredients but it’s actually truly hypoallergenic where as Hipp ha is not. Formulas that come into the US are not regulated or monitored and testing has shown that the European HA formulas do not measure up to the level necessary to be considered hypoallergenic.

      • Hi Brittney! Thanks for sharing your experience, and given that your daughter had a corn allergy, it makes sense why HiPP HA didn’t work as well as Alimentum did for you. That said, HiPP HA and HiPP Comfort have worked well for numerous babies who do have milk protein allergies, so it really just depends on the baby and the severity of the allergy to figure out which formula might work. I always recommend that parents consult their pediatrician before trying any baby formula, because you and your pediatrician know your baby the best and can determine what the right formula is for your child. Every baby and every allergy is different, so HiPP HA/Comfort might work well for some (in which case I would use those over Alimentum/Neocate), but for other babies with more severe allergies, Alimentum/Neocate are the best options. Your point about formulas coming into the US not being regulated or monitored is inaccurate though, the European Commission actually has higher standards for baby formula than the US does (see more details in point #2 in this post here). Hope that helps clarify!

  6. Hello,
    We just switched our little guy (4 months) from HIPP organic UK stage 1 to HIPP HA Pre and I would really love some advice. He has moderate eczema and I had hoped I would see some improvement. It has only been a few days, and I know it might take time, but, in the past few days I noticed that he has developed a red blotchy rash on his face (admittedly I cannot say for sure that it is bc of the formula, but it seems to have coincided) that wasn’t there before, he is a little more gassy and I feel not his usual happy self. Do you think I need to give it more time, could it just be the transition, or is that enough for me to change formula? Does it sound like a whey allergy? If so, do you think I should try Comfort or Elecare or even go back to the original formula? I feel like he was doing better on the regular formula despite having eczema. And doesn’t Comfort have whey? Not sure what to do and feeling a bit panicked. Also, my little guy suddenly doesn’t want to breastfeed anymore, do you think that could do with the new taste of the formula? It is very difficult for us to get allergy testing…looks like we need to wait months, but I want to help my son as soon as I can. Thanks for a wonderful blog and hoping you can help.

    • Hi Sophie! I’m so sorry to hear how much your little one is struggling! It’s hard for me to know exactly what’s going on but I do have a few questions that might help me figure things out. Why did you switch to HiPP HA PRE? Was it because of the eczema or because he has an actual diagnosed milk protein allergy? Also – how did you transition from HiPP UK to HiPP HA? Did you do it gradually or all at once? If you did it all at once, that can explain the gassiness and mood issues. If it’s only been a few days that’s not long enough to know whether HiPP HA PRE was the issue. But if he was doing fine on HiPP UK, HiPP HA is a much different formulation and he could be reacting to that. Breastfeeding could be totally unrelated — especially given that he’s 4 months and there is always a regression around 4 months when it comes to nursing since babies get more distracted and tend to not want to nurse as much, so I’d ask your pediatrician about that one since they can observe your son and should be able to give you support around getting him back to nursing! I wouldn’t switch formulas again until you know for sure that HiPP HA is the issue, and honestly if he doesn’t have a milk protein allergy the eczema could be environmental in which case HiPP UK would be just fine! I hope that helps and I hope you and he gets some relief soon!

      • Thank you Anjali, I really appreciate the advice! 🙂 Since then our son tested positive for a milk protein allergy (also egg, peanuts and others). The reason I switched is bc I suspected the allergy and I made the switch over 2 days. Now our allergist has us on Elecare but I really rather not (my son doesn’t seem to digest it well, his eczema doesn’t look better ( it might not be enough time), and the ingredients are not ideal). I’d like to try Hipp Comfort – but my allergist won’t let me unless I can confirm it is extensively hydrolyzed. On the Hipp USA site, it said that HIPP HA is only partially hydrolyzed but I couldn’t find anything on Comfort…do you think it is worth trying?:)

      • Hi Sophie! So sorry to hear about your son’s allergies! But at least you know what he’s allergic to, so hopefully now you can find a formula that works for him! HiPP Comfort and HiPP HA are 86-87% broken down (compared to Alimentum, which is 93% broken down). Neither HiPP nor Alimentum is 100% hydrolyzed — and 87% vs. 93% seems pretty close to me – but I’d ask your allergist their opinion on it. The difference between Comfort and HA is that Comfort also has a reduced lactose content and modified fats, while HiPP HA does not. Both HA and Comfort are 100% whey (no casein). But neither Comfort or HA are close to Elecare – which is an amino acid based formula, even more broken down than Alimentum. I hope this helps! Maybe take this information to your allergist and find out what their thoughts are? I hope that helps!

      • Hi Sophie! I believe that’s a typo on their site as I have information from multiple sources verifying that HiPP Comfort is extensively hydrolyzed and has a reduced lactose content! It is definitely worth trying for a milk protein allergy, and if it doesn’t work it might mean your child’s allergy is too severe and then you’ll need to switch to either Alimentum or an amino acid based formula instead!

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