Article: The diagnosis and management of cow milk protein intolerance in the primary care setting.(Primary Care Approaches)

The advent of pasteurization and improved hygiene in farming over the last 100 years has led to the dramatic increase in consumption of cow milk-based products by infants and breast-feeding mothers (Brown, 2002). Despite the numerous health benefits of milk, there are potential detrimental effects, such as gastrointestinal complaints, colic, eczema, rhinitis, asthma, and anaphylaxis (Lake, 2001; Nocerino & Guandalini, 2003). The health risks are no surprise since cow's milk was not intended for human infants. Two conditions that explain these symptoms are cow milk protein intolerance (CMPI) and cow milk allergy (CMA). Both involve the body's inability to digest the cow ...

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