Search

Background:Standard practice for management of food protein-induced enterocolitis syndrome (FPIES) frequently requires the use of hypoallergenic semi-elemental or elemental formulas. For some patients, there is poor tolerance of these formulas and no improvement of gastrointestinal symptoms. For others, especially those over 4 months of age, the introduction of these formulas is difficult due to their scientifically demonstrated poor palatability. Case presentation:This case report features an 18-month-old child diagnosed with FPIES at 4 months who failed to tolerate standard hypoallergenic semi-elemental and elemental formulas to supplement maternal breast milk feedings resulting in suboptimal growth. After failing to tolerate all standard options, the patient was introduced off-label to a plant-based pediatric formula, Else Toddler, at 6 months-of-age. Outcomes and implications:In this case, Else Toddler was tolerated as a source of supplemental nutrition without triggering FPIES symptoms. Recommendations:This case demonstrates the successful use of Else Toddler, a pediatric formula sourced from almond butter, buckwheat flour, and tapioca maltodextrin, as a possible alternative to the standard use of hydrolysate or elemental amino-acid formulas. It is free of some of the most common FPIES triggers – dairy, soy, rice, and pea proteins and there for a possible acceptable alternative approach to FPIES management.

You can travel the world on vacations to every country in the world and never experience another culture. The only way you can truly experience another culture is to walk […]

The article presents the author's view on traveling. One can travel the world on vacations to every country in the world and never experience another culture. The only way, he believes, one can truly experience another culture is to walk around like the commoner and get to know the natives. A country may be defined in books by the landscapes or museums, but a country is defined in real life by the way the average citizen lives. Having a cross-cultural experience requires that one gets a glimpse of everyday life for the citizens, the workers of the country. Finding out how people live and what their homes look like, not only on the outside, but on the inside as well leads, leads to experiencing their way of life.