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  1. For more detailed directions to diagnose and manage CMA, use the ‘Managing Allergy in Primary care’ (iMAP) guidelines (developed by a team of specialists in the field of paediatric milk allergy but published by Nutricia). CMPA commonly appear when a formula is introduced in a usually breastfed baby.

  2. Cow’s milk allergy (CMA), also known as cow’s milk protein allergy (CMPA), is an abnormal response of the body’s immune system to the proteins in milk. CMA affects less than 2% of infants in the UK1, and most children will outgrow the allergy.

  3. Cow’s milk protein allergy (CMPA) is an abnormal response of the body’s immune system to the proteins in milk. CMPA affects 2-4% of infants and most children will outgrow the allergy.

  4. Before initiating a formula for the management of Cow’s milk protein allergy (CMPA) refer to the updated iMAP guidelines on the recognition and management of CMPA. Always support and encourage continued breast feeding where possible. EXTENSIVELY HYDROLYSED FORMULAS (EHF)

  5. CMPA commonly appear when a formula is introduced in a usually breastfed baby. Therefore returning to exclusive breastfeeding should be discussed and encouraged at the earliest opportunity. Only about 10% of babies with CMPA will require an Amino Acid Formula (AAF) (Murano et al., 2014).

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  7. appropriate and cost effective initiation and monitoring of infant formula for children with cows’ milk protein allergy (CMPA). Objectives 1. To understand the: Type and quantity of formula to prescribe Range of products available and their costs Criteria for referral to the Community Nutrition and Dietetics Service and/or

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