Mother Talkers

DHA/ARA Merely a Marketing Gimmick

Tue Jan 29, 2008 at 10:45:04 AM PDT

Yuck! I have been supplementing with formula, and I admit to being swayed by the "DHA/ARA" label on the can. Don't they all have it? What is a bottle-feeding mama to do? -Elisa

The Cornicopia Institute, a Wisconsin-based farm and food policy research group and corporate watchdog presented a report about the safety of DHA/ARA additives in infant formula recently along with the National Alliance for Breastfeeding Advocacy.  

The findings are troubling.  According to the report, DHA/ARA (DHASCO/ARASCO) are causing many infants to become ill...  

Incidences of infants experiencing adverse reactions, including diarrhea, vomiting, bloating, and gastrointestinal distress, have been reported to the FDA’s MedWatch system. These reports suggest that a subset of the population reacts adversely to the DHA and ARA oils that have been added to infant formula since 2002.

An Ohio nurse says this about the formula containing DHA/ARA...

“When I worked in the hospital’s neonatal ward, the nurses all called it ‘the diarrhea formula’,” says Sam Heather Doak, LPN, IBCLC, from Marietta , Ohio. “We’ve seen infants, tiny little humans, with diarrhea that just wouldn’t stop after being given this formula.”  For infants, virulent and long-term diarrhea is considered a serious and life-threatening medical episode.

DHA/ARA is produced from fermented algae and fungus, and uses hexane (a neurotoxin) in the manufacturing process.

If that isn’t disturbing enough, there’s more:

“While infant formula manufacturers claim that these oils are perfectly safe and necessary for proper development, our report aims to provide a more balanced and detailed picture,” said Charlotte Vallaeys, Farm and Food Policy Analyst with the Cornucopia Institute and lead author of the report. “We investigated how a toxic chemical is used as processing agents in the manufacturing process, the inadequate testing for safety, and most importantly, how some infants are experiencing serious adverse reactions from consuming formula supplemented with these oils,” Vallaeys added.

And, it seems the FDA never really determined the safety of DHA/ARA. From the report:

But the FDA has no legal power to stop the addition of ingredients such as DHASCO and ARASCO. The agency does not give approval for a novel ingredient in infant formula, it can only raise questions regarding a company’s petition for an ingredient’s generally recognized as safe (GRAS) status. While the FDA did not block the addition of Martek’s DHASCO and ARASCO in infant formula, it also did not affirm their safety. The FDA allowed the ingredients on the market with a warning that manufacturers must perform rigorous in-market surveillance of DHASCO and ARASCO in formula.

At the request of the FDA and Health Canada, a panel of independent scientists was convened by the Institute of Medicine’s Food and Nutrition Board to take a critical look at tests performed for new ingredients in infant formula. They point to problems with Martek’s premarket safety tests for DHASCO and ARASCO.

In test rats, scientists found that 5 out of 13 studies indicated a statistically significant increase in relative liver weights at the highest doses of DHASCO and ARASCO. Results of the safety studies on rats also indicated an increase in spleen weight in the groups that were fed Martek’s DHASCO and ARASCO.

The FDA expects infant formula manufacturers to perform postmarket surveillance, and parents are urged to report any adverse effects of the infant formula to the FDA. Marsha Walker,RN, IBCLC, a healthcare professional who also heads the National Alliance for Breastfeeding Advocacy, points out, “This is a huge uncontrolled experiment.” She explains that a subgroup of infants reacts very badly to DHASCO and ARASCO supplemented infant formula, with watery, explosive diarrhea,
among other side effects.

Once again, it is corporate greed at it’s best.  There’s no proof that these additives are helping babies at all. On the contrary, DHA/ARA seems to be harming them.  But, it’s been a fabulous marketing tool.  Warm fuzzy photos of smiling and cooing babies fill the screen and magazine pages.  They market the formula as “close to breastmilk” so that consumers feel safe giving it to their babies.  It’s a false sense of security since the additives have never been adequately tested.  I think it’s despicable that these companies are profiting this way.  As one mother states:

I took [my infant son] off the Next Step [with DHA and ARA] immediately. Today was the first day in three months that he actually had a firm stool with no sign of diarrhea. My baby is not an experiment.

~From an official adverse reaction report submitted to the FDA by the mother of an infant sickened by DHA/ARA formula.

Hopefully, this story will reach far and wide and parents will get the message to take their babies off the formula containing DHA/ARA and start feeding them one without the additives.   And... I hope these companies are skewered for what they have done to these families.  These people trusted these companies not to use their babies as “an experiment”.  

Tags: DHA-ARA, infant formula, marketing, Martek, The Cornucopia Institute, The National Alliance of Breastfeeding Advocacy (all tags)

Permalink | 63 comments

  • yuck (0 / 0)

    That is disturbing.

    I have seen DHAs marketed as "comfort proteins"...WTF does that mean?

    I nursed Maya for 14 months but supplemented with formula starting at 7 months. If I have another baby, I will make it a point to steer clear of formulas with DHAs in them.

    • WTF is right... (0 / 0)

      My nephew is on one of the toddler formulas... I think Enfamil Next Step.  It has the DHA/ARA in it.  I already sent her an e-mail telling her about it.

      Another disturbing trend is adding DHA to cow's milk.  Even Horizon organic is doing it.  There's a blurb on the back of my milk carton about "Horizon Milk Plus DHA... helps support a healthy brain".

      Other companies are doing it too:
      Horizon Organic milk
      Stremicks milk141 (sold on the West Coast)
      NuGo Nutrition Bars
      Happy Baby brand of organic baby foods

      (From page 27 of the report)

      "We are the music makers, and we are the dreamers of the dream..."

      by 1plain1peanut on Tue Jan 29, 2008 at 11:04:22 AM PDT

      [ Parent ]

      • Meant to say (0 / 0)

        I sent my SIL and e-mail about it.  I'm hoping she'll be able to find an alternative.

        "We are the music makers, and we are the dreamers of the dream..."

        by 1plain1peanut on Tue Jan 29, 2008 at 11:10:04 AM PDT

        [ Parent ]

      • WTF? (0 / 0)

        How are those organic with an industrially produced chemical in them? Anyone?

        "You're never more alone than when you're alone in a crowd."

        by Expat Briton on Tue Jan 29, 2008 at 12:31:06 PM PDT

        [ Parent ]

        • The Cornucopia Institute says (0 / 0)

          that they're in violation and that is part of the focus of this news release.

          The point of contention might be that these are "vitamins and minerals.' Vitamins and minerals are the only ingredients that do not have to be explicitly approved by the National Organic Standards Board. Note, however, that Martek tried to get these ingredients added to the NOSB list and was unsuccessful.

      • Damn (0 / 0)

        The DHA is in ALL HOrizon milk?  I thought it was a special label version you had to pick out.  I already dislike Horizon, so this kinda clinches it.  I'm sticking to Stonyfield.

    • no, that's something else (0 / 0)

      It's not DHA that is marketed as "comfort proteins". That term is used for hydrolyzed milk protein - basically, partially predigested protein - though 'comfort protein' sound so much nicer, doesn't it?  I believe this is unique to Carnation Good Start formulas.

      • I saw that (0 / 0)

        when I was checking out formulas, and I couldn't figure out what the hell it was.  What is that supposed to do?  Is it crap too?  

        • Pretty much, yes (0 / 0)

          Every new addition to infant formula is seen as some kind of an improvement, making their formula better, while never admitting what that means for everyone being fed that formula before that addition (i.e. it was suboptimal for development).  And that is the BEST case scenario (when they add things babies actually NEED and benefit from but didn't get with the old brand), when it's unproven and then added only to find out it is harmful, how do you spin it?  They're experimenting on our children, they've been allowed to experiment on our children for decades and it's up to the scientists to understand the effects of these uncontrolled experiments.  

          • asdf (0 / 0)

            I'm not sure I'm following your objection, though.  Formula IS suboptimal for development - even the formula companies don't try to deny this - so improving it is an important goal.  What we have today is a great deal better than what we were fed 50 years ago - in my case, a mix of 50% whole milk and 50% nonfat dry milk, with a dose of Karo syrup (corn syrup) mixed in.  How's that for suboptimal?  We survived, however.

            • They should be admitting their formula was sub (0 / 0)

              optimal, not touting their formula as new and improved.  I guess I see it similar to the argument perhaps breastfeeding shouldn't be seen as a benefit so much as not breastfeeding is a health risk.  

        • hydrolyzed protein (0 / 0)

          I don't recall the exact rationale behind it, but the idea is that cows' milk protein might be difficult for infants, or maybe just some infants, to digest.  It's probably a fairly gentle treatment that just breaks down the protein a little; nutritionally, it would not be any different than whole protein.  

          Infants with severe food allergies are fed formula with fully hydrolyzed protein, which breaks down the protein into amino acids which are non-antigenic.  So perhaps there is some allergy gain with the partial stuff, though I really don't know.

  • Well, crap. (0 / 0)

    I just got back from the store about an hour ago getting formula for DS #2 for the first time.  He is 4.5 months, and I just don't seem to be filling him up any more.  I started on solids this week, and he seems to like the cereal OK (although I think he'd like it better if it came out of a nipple).  I was perusing Wal Mart's selection (we have VERY limited selections in this town) trying to figure out what was best and thought DHA/ARA was better. I got the same kind I used to give DS #1.  I just got a small can, though, since I planned to mainly mix it in his cereal and stuff.

    Ugh.

  • Just want to clarify (0 / 0)

    DHA and EPA are essential nutrients whose benefits become increasingly apparent with every year of research.  We do not know how much we "need" in our diets, and there is no federally approved intake guideline.  But the benefits are clear and diverse.  

    The problem is that the formula isn't made with purified DHA and EPA, it's made with an additive that contains DHA and EPA.  What else is in that additive?

    • Clarification is good (0 / 0)

      Yes, it's the industrial process that is suspect.
    • Definitely. (0 / 0)

      If you want to supplement DHA, there are eggs that are produced by chickens with a high DHA diet.

      • But (0 / 0)

        But those are just eggs from chickens that ate a lot of fish meal, made from fish, who ate the algae.  

        Then with fish, you have the whole  metal pollution thing..

        There's always something...

        • No hexane, though (0 / 0)

          and it will be the normal DHA molecule, not with these other variants.

          • True (0 / 0)

            No hexane, but how do we know that they aren't evaporating all of the hexane off?

            Back to the eggs, there could be increased heavy metals though, like mercury, from the fish meal they make them eat.

            • Certainly it's their intent (0 / 0)

              to distill off all the hexane. The Cornucopia Institute  says that traces can be found.

              Solvent-based oil extraction is the norm in American food processing. If you want oils (for example, canola) that have not been extracted using solvents, you need to look for "expeller-pressed" (or in olive oil, 'extra virgin') on the label. For an ordinary healthy adult its probably negligible. For an unhealthy adult, or an infant, I'm not sure it is.

        • Exactly (0 / 0)

          There's ALWAYS something.  I worry about eating fish and breatfeeding.  Every toy my baby picks up looks like a toxic hazard.  I already bought new bottles that don't have that bisphenol A crap, and now the formula that goes in them is junk too?  I'm worn out.

    • just like melamine (0 / 0)

      "Now, with more Nitrogen!"

    • It is (0 / 0)

      It is purified DHA from what I understand.

      • read the PDF (0 / 0)

        The Cornucopia Institute may well have a bit of sky-is-falling aspect to them, and definitely the first concern, it seems, isn't the molecule but the issue that mothers are seeing the ads for these formulas and becoming less likely to breastfeed.

        Nevertheless, the two oils in question aren't exactly DHA/AHA, and they haven't been tested. They're extracted with hexane and some of the trigliceride molecules are different. There are other components, like sterols that are usually found in shellfish. I'm especially uncomfortable that any ingredient produced using solvents like hexane is being put into organic formulas - that's not supposed to be allowed.

        Clearly, there are some infants responding adversely to these formulas, and we have no idea why. It's important to figure out why a supplement that we thought would only help could be creating a problem.

        • interesting (0 / 0)

          Interesting.  I see their point about whether or not these should be allowed in "organic" formulas, organic being such a strict definition.  I also see the point that they may make women feel more ok about not breastfeeding (awful grammar there).  The sterols don't seem to be a big deal to me.  

          I do agree that if some infants are reacting adversely to them, we should try to understand it.

  • I don't know (0 / 0)

    My daughter is 13 months old, and she's been taking formula since she was 3 months, started as a supplement to breast milk. Now, she's on the Enfamil Next Step, since she seemed to have diarrhea when we tried to switch her to milk.

    I haven't seen any digestive problems or health-related issues from the formula, which has had this stuff in it. I only saw her having problems when we quit giving it to her.

    Gosh, we have to worry about so many things as parents -- why can't formula be simple? I already am worried about the hormones in meat and other things we put in our foods, as far as the early onset of puberty in girls ... but that's for another post, I guess.

  • DHA (0 / 0)

    Here's what I understand about the whole DHA/ARA thing:

    The World Health Organization recommends DHA/ARA supplemented formulas when human milk isn't used.

    It's been used in Europe for years.  It's not FDA approved because it doesn't have to be.  It's "generally recognized as safe." The company has to prove it's pure DHA/ARA, which is straightforward. We know that DHA/ARA is safe for human consumption obviously, it's not some new chemical.  And again, for further reassurance, it has been used in Europe for a long time.

    I wouldn't worry about it coming from the algae.  Sounds creepy, but that's where the fish get it from anyway.

    I do believe that some babies can get gassy from it, but I've never heard of ongoing diarrhea.  That sounds more like a milk allergy to me, but who knows.  If your kid seems to do better on the non-DHA formula, then use that.

    If you have to use formula, and don't use a DHA/ARA one, that's fine too, because the precursor linolenic acid is in there, and the body can make its own, although not very efficiently.

    From what I understand, nursing mothers have to make sure they intake enough DHA/ARA also.  So the whole DHA thing is more complicated than just formula unfortunately.

    I worry more about fish oil supplements, which can be loaded with heavy metals like mercury, especially now that our fish supplies are becoming more and more polluted.

    • fish oil? (0 / 0)

      Are you talking about supplements like Expecta? I am trying to conceive, and my OB/GYN recommended I start taking Expecta in addition to prenatal vitamins. Should I steer clear?
      • Expecta (0 / 0)

        Expecta is basically the same supplement that they put into the formula.  It's made from algae.

        Pregnant women should get these fat, so the question is from where.  I think Expecta is a safe bet.

        In fact, right now, if I was preggers, I would take Expecta in a second.  

        I would not be eating fish or taking fish oil supplements, with all the heavy metal pollution like mercury.

    • Thank you for this (0 / 0)

      I breastfed baby number 1 & 3, but baby number 2 was adopted so we needed to supplement with formula.  This post isn't quite what I wanted to read and I don't have the time to look into it in more depth right now.

      To all breastfeeding advocates out there -- I totally hear you that breastmilk is best for babies.  There are situations, though, where it's not a possibility, or where formula is necessary.  Please, when discussing issues relating to formula remember that it's not just about the manufacturers -- there are parents who are doing their best to get their children what they need.

      • nobody is disputing this: (0 / 0)

        There are situations, though, where it's not a possibility, or where formula is necessary.

        I think the overriding sentiment is that as mothers, we want formulas that are as safe as possible for our babies.

        • Exactly... (0 / 0)

          Berating formula in general is not my intent here.

          However, when something like this comes about about the safety of certain formula additives, I think the public has a right to know about it.  

          "We are the music makers, and we are the dreamers of the dream..."

          by 1plain1peanut on Tue Jan 29, 2008 at 12:42:31 PM PDT

          [ Parent ]

          • I'm not sure of this one (0 / 0)

            It's not clear to me that avoiding these formulas would be better for my daughter.  She has none of the diarrhea problems mentioned and never did.  Most formula fed babies have problems with constipation, rather than the reverse.  For a medical provider to think 3 months of diarrhea in a formula fed baby was normal really boggles my mind.  Seems like someone dropped the ball there.

            Most of the medical sources I see recommend the added DHA & AHA as getting closer to breastmilk.  The advertising may be awful but the formula may still be a better choice.   This formula may need tweaking and may not be right for a subset of infants.  If, on the other hand, it is helpful for 95% of babies (one of which is mine) then I still want to use it.

            • me too (0 / 0)

              I was thinking that too.  Who would let a baby have diarrhea for three months?  Yikes.

            • I also think... (0 / 0)

              trying various formulas is a good idea, too. INiitally, I was spooked out by this post, but I am sticking with the formula I bought Eli, which admittedly is not organic. There are two organic formulas at Whole Foods and neither worked for us. Eli did not like the Earth's Best and "Baby Only" gave her the runs.

              I actually opted for the Walgreen's brand. Hey, we are supplementing. I figure she likes it, and it is not having an adverse effect on her system. Of course, I am glad attention is brought to the chemicals in formula so they are safe. Also, I don't appreciate being manipulated by the "DHA" label, which did make me justify the Walgreen's formula. But overall, I put things into perspective: She is growing so she is getting the nutrients that she needs. I am not producing enough milk to meet ALL her needs, so I cannot fret over this.

      • Don't worry! (0 / 0)

        How old is your baby #2 now BTW?  How is she doing?

        • Fantastic :-) (0 / 0)

          She's 7 months and the light of our lives.  She has the most delicious thighs and the prettiest big brown eyes ever.  She's snuggling next to me right now.

          Number 1 is a typical emotional three year old but amazing nevertheless.  Number 3 is managing to breastfeed without being topped off with a bottle, which is pretty impressive for a preemie.  So precocious ;-)

          • Congrats! (0 / 0)

            I'm sorry, I totally missed the announcement of number three also! Congratulations!  

            (Note to self, keep up with open threads, people sneak baby announcements in there!)

            Glad all is going well with your newest born, he sounds like a tough little guy.

            You must be busy with a three y.o., 7 m.o, and newborn.  Glad all are doing well!  You must have a fun house for sure.  : )

          • Wow (0 / 0)

            I missed this too.  And I thought I had my hands full with a 2yo and a 4month old.  I gotta stop my whining!

            • Whine away!! (0 / 0)

              We've had great help from the grandparents and it still feels crazy.  Talk about guilt -- I feel guilty when I'm not holding the 7 month old and then guilty when I'm not holding the newborn.

              I am realizing that multitasking is a must.  As in, quality time with mom involves doing laundry, cooking dinner and the like ;-)

          • I love baby flesh (0 / 0)

            ok, sounds weird, but I just love all the little folds and soft skin. Awwww...

      • FWIW (0 / 0)

        I think the same expectations for safety apply to anything we feed our families... formula, food, and supplements.  For that matter, we expect toys, carseats, cribs, and other items to be safe as well.  I want the highest standard for all these things.  As parents, we should demand it.  

        "We are the music makers, and we are the dreamers of the dream..."

        by 1plain1peanut on Tue Jan 29, 2008 at 01:14:32 PM PDT

        [ Parent ]

    • mercury (0 / 0)

      Nice post, NJ mom!

      About fish and mercury:  there was a study that came out not too long ago that compared the IQs of children of women who ate fish during pregnancy with the children of women who avoided it.  They expected the fish group to have lower IQs due to mercury exposure, but it turns out that it was the moms who carefully avoided fish who lowered their kids scores.  The benefits of fish outweigh the risks.

      I feel funny recommending this since the science reporting in Time magazine is generally wretched, but they had a really good article in response to the mercuric sushi story.  A very measured and readable assessment of risks and benefits.

      http://www.time.com/...

      • Rec (0 / 0)

        So what's the rec now on fish and pg?  I seriously can't keep track!  I know tuna and swordfish are out?

        That sushi story was crazy last week.

        • wild Salmon are generally good (0 / 0)

          You want fish with short life cycles.

          Wild Pacific salmon are high in important fatty acids and also have a short lifespan.

          Atlantic salmon are almost all farmed, and I would avoid those for various reasons.

          Also, another good source of Omega-3 fatty acids, actually, is grass-fed beef. It has to be fully grass-finished, though.

        • Depends who you talk to (0 / 0)

          The recommendation you get depends on who is doing the recommending.  Europe will tell you to eat the fish.  The US is more concerned about mercury.  Unfortunately the richer a fish is as a source of omega-3 FAs, the richer the source of mercury.  So it's not strictly about which fish to choose.

          I read the articles on mercury and tuna last week, then discussed them with my husband that evening over a dinner of tekka don (raw tuna).  Which shows you where my bias lies.  If I were pregnant I'd increase my fish intake, but that's me.

  • Ugh (0 / 0)

    Once again, industry takes a useful nutrient and gives it a black eye by trying to fake the system.

  • All formula is additives (0 / 0)

    Formula is a synthetic concoction of "additives".  I don't know how many of the ingredients have been rigorously safety tested - most foods aren't, it's more of an innocent until proven guilty standard.

    I don't blame the companies for trying to improve the formula.  The evidence for omega-3 FAs is strong.  These supplements have been standard for years in europe, and here in the US there is generally little objection to plant based derivatives.

    If the companies have failed to do the mandated surveillance, on the other hand, that is unconscionable.  If I had to guess (only a guess), I'd guess that the algal source can cause an allergic reaction.  But the companies should know and be warning us to watch for this by now.

  • mean old FDA (0 / 0)

    The FDA lost the authority to regulate nutritional supplements more than a decade ago, due to regulations passed under powerful lobbying to "protect our access" to dietary supplements.  We have the right to choose our poison without government interference.  Fortunately we can trust the manufacturers to provide all the guidance we need.  After all, they are only looking out for our best interests - unlike those mean old bureaucrats who want to take away our vitamins and keep us unhealthy.

    Does that sound cynical enough?

  • Check PubMed for research (0 / 0)

    It's not exhaustive, but the review studies I found suggest that while the evidence isn't conclusive, there may be benefits to DHA and ARA formula versus formulas without.  As with any formula, breastmilk is best and the formula that your infant tolerates best is the second best to breastmlik.

    I searched using "infant formula dha ara" and looked at review studies...
    PubMed is here

  • Formula shoud be treated like a drug (0 / 0)

    and not a food.  Period.  Infant formula provides EVERY nutritional need to one of the most vulnerable populations, give me one example of any other food that is used in such a way.  

    The FDA needs to regulate this industry much more strictly and instead of just having minimum requirements for certain vitamins and minerals, they need to systematically assess and regulate maximums as well.  Instead, they allow these companies regulate themselves, they are not beholden one bit to the FDA.  Self regulation works really great, too.  Look at Bush and Co.

    For the babies that do NEED infant formula, this industry needs regulated.  For those in the 5% group having adverse reactions from DHA/ARA, keep in mind how many babies that is in the US; thousands upon thousands every year.  Why?  To sell more formula.

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