Question: What is the single most important change that should be made in Kevinâs diet now? Why is this important?
Kevin comes into your clinic for his 9-month check-up. Kevinâs mother stopped breastfeeding when he was 2 months old. He was constipated after he started infant formula so his mother switched to a low-iron formula. When Kevin reached 6 months of age, his grandmother insisted that he was old enough to start drinking cowâs milk instead of infant formula. Kevinâs parents decided to feed him 2% fat milk because his father has high cholesterol and they are worried Kevin will also develop high cholesterol if he eats high-fat foods. His hemoglobin is 9.0 g/dL.
At 9 months he is drinking milk and apple juice, but does not have much appetite for his baby food.
Foods were introduced into Kevinâs diet on the following schedule:
0-2 months
Breast milk
2 months
Low iron Enfamil infant formula (provides about 4mg iron per day)
Juice (in a bottle) to help with constipation.
Infant cereal (added to the evening bottle to help him sleep through the night)
3 months
Strained fruits and vegetables (but he kept spitting them back out when a spoon was used)
6 months
2% fat cowâs milk (discontinued Enfamil)
strained infant foods (chicken)
infant rice cereal with a spoon
9 months
Biter (teething) biscuits
dry Cheerios (finger food)
Kevinâs daily typical intake at 9 months of age is as follows:
24 oz 2% cowâs milk
2 oz strained green beans (baby food)
2 oz strained applesauce (baby food)
1 oz strained chicken (baby food)
3 Tbsp infant rice cereal made with cowâs milk
4 oz juice in a bottle, 2x per day
Teething Biscuits or cheerios as snacks
Question: What is the single most important change that should be made in Kevinâs diet now? Why is this important?
Kevin comes into your clinic for his 9-month check-up. Kevinâs mother stopped breastfeeding when he was 2 months old. He was constipated after he started infant formula so his mother switched to a low-iron formula. When Kevin reached 6 months of age, his grandmother insisted that he was old enough to start drinking cowâs milk instead of infant formula. Kevinâs parents decided to feed him 2% fat milk because his father has high cholesterol and they are worried Kevin will also develop high cholesterol if he eats high-fat foods. His hemoglobin is 9.0 g/dL.
At 9 months he is drinking milk and apple juice, but does not have much appetite for his baby food.
Foods were introduced into Kevinâs diet on the following schedule:
0-2 months | Breast milk |
2 months | Low iron Enfamil infant formula (provides about 4mg iron per day) Juice (in a bottle) to help with constipation. Infant cereal (added to the evening bottle to help him sleep through the night) |
3 months | Strained fruits and vegetables (but he kept spitting them back out when a spoon was used) |
6 months | 2% fat cowâs milk (discontinued Enfamil) strained infant foods (chicken) infant rice cereal with a spoon |
9 months | Biter (teething) biscuits dry Cheerios (finger food) |
Kevinâs daily typical intake at 9 months of age is as follows:
24 oz 2% cowâs milk
2 oz strained green beans (baby food)
2 oz strained applesauce (baby food)
1 oz strained chicken (baby food)
3 Tbsp infant rice cereal made with cowâs milk
4 oz juice in a bottle, 2x per day
Teething Biscuits or cheerios as snacks