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Peds Q – Whole Milk??

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  • Peds Q – Whole Milk??

    So I was reading this article in the Times about phthalates in boxed macaroni and cheese, and I got to the checklist about what you should do to avoid phthalates, since they're so dangerous. This one point really confuses me:

    "Choose low-fat dairy products such as skim milk and low fat cheeses, and avoid high-fat foods such as cream, whole milk and fatty meats. “We know these more toxic phthalates accumulate in fat,” Dr. Sathyanarayana said."

    https://mobile.nytimes.com/2017/07/1...nd-cheese.html

    Isn't whole milk the recommendation for toddlers between 1 and 2? If whole milk is dangerous, what are people supposed to give toddlers instead?? I'd have to re-read the whole article to be sure, but I think it was mentioned that whether something is organic doesn't have anything to do with the prevalence of phthalates.

  • #2
    I think the recommendation changed from Whole to 2% a year or two ago? Or maybe it's not so straightforward?

    https://www.whattoexpect.com/toddler...-toddlers.aspx

    Heck, when I had my oldest, they said no eggs under one to avoid allergies. No they recommend it...to avoid allergies. Talk about whiplash.

    FWIW, I couldn't get Nate (20 months) to drink milk until the last week or so. He weaned at 14 months so that was 6 months of nothing but water. At his 18 month appt I asked the ped if that was an issue and he said, "No, don't worry about it"

    So there's that.
    Married to a newly minted Pediatric Rad, momma to a sweet girl and a bunch of (mostly) cute boy monsters.



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    • #3
      Peds Q – Whole Milk??

      2% is the rec here, unless you have big kids and then they say low fat/skim. 😒

      Having said that, we don't drink milk of any kind. (Some yogurt, cheese, half and half in coffee, but that's it)


      Sent from my iPhone using Tapatalk
      Wife to Family Medicine attending, Mom to DS1 and DS2
      Professional Relocation Specialist &
      "The Official IMSN Enabler"

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      • #4
        We use 2% milk. We switched C to it mostly because he doesn't drink much milk anymore.
        After reading that article, I wouldn't be hugely concerned about fresh foods. Seems like the more processed it is, the higher the risk. Thanks for the reminder though!

        Sent from my XT1575 using Tapatalk
        Student and Mom to an Oct 2013 boy
        Wife to Anesthesia Critical Care attending

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        • #5
          Does anyone have a link from the guideline changes? Everything I see on the AAP website says whole milk from 1 to 2, then switch to lowfat, but I'm searching on my phone so I'm probably missing stuff.

          We had a great ped at OHSU who was totally up on all the latest recs, but now we go to a family medicine doctor (who I love, love, love, but...) who I don't think is really as up to date on everything in peds as it changes.

          E is still months and months away from cow's milk, so I'm just trying to be prepared with the best info. 😊 I already feel badly enough about how much mac and cheese we eat in our house.

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          • #6
            Yes. Everything I have learned about it is that growing babies, 1-2, need the extra fat for developing brains.
            Heidi, PA-S1 - wife to an orthopaedic surgeon, mom to Ryan, 17, and Alexia, 11.


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            • #7
              Also, I see literally nothing in scientific peer reviewed literature about this. The recommendation is whole milk. You can reduce phthalates by using glass containers.
              Heidi, PA-S1 - wife to an orthopaedic surgeon, mom to Ryan, 17, and Alexia, 11.


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              • #8
                https://brightfutures.aap.org/Bright...ocketGuide.pdf

                Page 29. I guess the whole to 2% change for kids over 2 came in 2008. That's what was on my mind, but you are right, it is still whole for toddlers.
                Married to a newly minted Pediatric Rad, momma to a sweet girl and a bunch of (mostly) cute boy monsters.



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                • #9
                  E drinks organic whole milk at 2.5. She is on the slim side, so the extra fats can't hurt. She doesn't consume a lot of dairy - a piece of cheese here and there, some yogurt on occasion - but drinks more milk than water. The recommendation is whole milk until 2, unless weight is an issue or there are other health concerns. For everyone, it's then 2% or less after 2.


                  Sent from my iPhone using Tapatalk
                  Event coordinator, wife and therapist to a peds attending

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                  • #10
                    I actually did 2% at first. I forget what I read. But my peds office is totally split. Some recommend Whole some say no milk at all. They wets no help to us. I switched to Whole when my DH got mad at me for our kids being to thin )totally absurd, they aren't small kids... but I just didn't want to argue).

                    Best part is that my kids have eaten Annie's mac and cheese with veggies mixed in just about every day for the last 6 months...awesome.


                    Sent from my iPhone using Tapatalk

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                    • #11
                      It feels like there's no winning. We give them whole milk, there's too much phthalates. Give them 2% and you're not following the AAP recommendation. I like what [MENTION=1013]Vanquisher[/MENTION] mentioned about using glass containers though. Maybe the happy medium is something along those lines.

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                      • #12
                        Not sure if this helps at all but when we got rid of all the plastic, we switched to metal (Kleen Kanteen for on the go, stackable metal camping cups for at home). Both available on Amazon.
                        You're right -- you just can't win with parenting! 😂


                        Sent from my iPhone using Tapatalk
                        Wife to Family Medicine attending, Mom to DS1 and DS2
                        Professional Relocation Specialist &
                        "The Official IMSN Enabler"

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                        • #13
                          That's a good idea. I need to see what all is out there. We avoided bottles by switching straight from boob to (plastic) straw cups with both boys. I wonder if kleen kanteen or any other brands have toddler straw cups that aren't made out of plastic?

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                          • #14
                            Pura bottles have been great for us. I don't love the weird silicone covers, but other than that love them. Munchkin started making steel 360 cups that we just got.

                            But this is awesome because my kids have eaten Annie's with cauliflower and broccoli like every night for 6 months. Amazing. Between that and now coconut oil being bad... I feel great about my parenting.


                            Sent from my iPhone using Tapatalk

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                            • #15
                              Originally posted by JDAZ11 View Post
                              Best part is that my kids have eaten Annie's mac and cheese with veggies mixed in just about every day for the last 6 months...awesome.


                              Sent from my iPhone using Tapatalk
                              I was totally stoked the other day when I got E to eat mashed cauliflower with roasted garlic. Told her they were mashed potatoes and she ate them right up! High five to us on sneaking those veggies in 😂

                              On the whole milk: it's just a recommendation and YMMV. I have only given her organic whole, because of concern about hormones. But now this phthalates thing also gives me pause. Damned if we do and damned if we don't.


                              Sent from my iPhone using Tapatalk
                              Event coordinator, wife and therapist to a peds attending

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