Using Neocate for the first time

Neocate is an amino acid-based formula that has been specifically developed for infants and children with cows’ milk protein allergy, multiple food protein allergies, eosinophilic oesophagitis, short bowel syndrome or other conditions where an amino acid-based formula (elemental diet) is required. Amino acids are non-allergenic and are the basic building blocks of protein. These amino acids have a characteristic smell, appearance and taste. It is possible for your child to take some time adjusting to Neocate when first using the formula and this is nothing to worry about. 

What if my baby will not take Neocate formula? 

If you experience difficulties getting your baby started on Neocate, the following tips may help: 

It is not unusual for babies to refuse an amino acid formula when you first introduce them to it. It may take a little perseverance to get your baby started on Neocate so don’t give up. Generally, symptoms start to improve after 3-5 days, however it can take up to 14 days for some children. If symptoms have not improved after 14 days, consult your healthcare professional. 

One option is to alter the flavour of Neocate initially and then gradually stop this practice. For example, add 1-2 drops of pure unpreserved vanilla essence (containing no sorbate) to a bottle of prepared Neocate formula for a few days. Once your baby is taking Neocate, gradually decrease this quantity and stop adding vanilla essence altogether. 

Persistence is key; research has shown some babies can take at least 15 tries before they accept a new taste.1 

If your baby is taking solids, try adding Neocate to suitable foods so your baby can get used to the taste. Some good recipes to try are custard or fruit purees. For some allergy-friendly recipe ideas, see the recipe on this site. 

This article is not intended to be a substitute for medical advice. Always consult your doctor. 

References: 

1. Ventura & Worobey. Current Biology. 2013; 23(9): R401-R408