Wholy Cow! What’s the Big Deal?
Wholy Cow! What’s the Big Deal?
By Brett Mendez, MS, APRN, NNP‑BC • VitalStart Pediatrics, A Professional Nursing Corporation
A friendly, evidence‑informed guide on the recent interest in whole‑milk formulas and how U.S. products compare with those from the UK and Germany.
Quick Take
Whole‑milk formulas use full‑cream milk as the fat source rather than skim milk plus added oils. This approach, popularized in Europe (notably the UK), is now available in the U.S. through brands like Bobbie, ByHeart, and Nara. All infant formulas sold legally in the U.S. must meet FDA nutrient standards, and EU/UK products must meet their own strict rules. Key differences relate to DHA requirements, typical iron levels, and the use of palm oil.1, 2
Why the Buzz about Whole Milk?
Most formulas historically started with skim milk and then added vegetable oils to reach the right fat content. Newer offerings preserve more of the natural milk fat, including components like the milk fat globule membrane (MFGM), which some parents feel makes formula seem more like breast milk. Consumer interest has grown alongside broader nutrition trends that view dietary fat more favorably—especially for infants who rely on fat for growth and brain development.3, 4
The U.S. Landscape: New Whole‑Milk Options
American brands now offering whole‑milk‑based formulas include Bobbie (Whole Milk), ByHeart, and Nara Organics. These products emphasize being palm‑oil free, including DHA, and highlighting naturally occurring milk fats. They still must comply with the FDA’s compositional standards for infant formula.4, 1
Europe at a Glance
In the UK, Kendamil popularized whole‑milk fat formulas (and is known for being palm‑oil free). In Germany, many mainstream formulas such as HiPP and Holle generally remain skim‑milk plus oils, though some goat‑milk products use full‑cream goat’s milk. EU/UK rules require DHA in all standard infant formulas.5, 2
U.S. vs. UK vs. Germany: Key Differences
Topic United States United Kingdom Germany
Whole‑milk fat base Available from newer brands (Bobbie, ByHeart, Nara) Kendamil widely uses whole‑milk fat. Most leading cow‑milk formulas remain skim‑based
Palm oil Several palm‑free options among whole‑milk lines Kendamil is palm‑oil‑free. Often used in blends (brand‑dependent)
DHA (omega‑3) Not mandated by FDA; added by many brands Required by EU/UK regulations (≥ 20 mg/100 kcal) Required by EU regulations
Iron Typically higher (often ≥1 mg/100 kcal) Commonly lower in first milks (≈0.3–1.3 mg/100 kcal) Similar to UK/EU ranges
What This Means for Families
All legally sold infant formulas meet strict safety and nutrition standards—in the U.S. (FDA) and in the EU/UK.1, 2
Whole‑milk formulas may appeal to families who prefer palm‑oil‑free options or a creamier texture.
DHA and iron are the biggest label differences when comparing regions: EU/UK mandate DHA; U.S. products vary. U.S. formulas often provide more iron per 100 kcal than EU/UK first milks.2
If you’re considering a switch or an imported product, please talk with your pediatric provider first so we can consider your baby’s unique needs.
Parent FAQs
Is whole cow’s milk the same as whole‑milk formula?
No. Regular cow’s milk isn’t appropriate as a main drink before 12 months. Infant formula—whether whole‑milk‑based or skim‑based—has a regulated balance of protein, fat, vitamins, and minerals for infants.6
Are EU/UK formulas “better” than U.S. formulas?
They’re regulated differently, but not inherently better. EU/UK mandate DHA and often have lower iron in first milks. U.S. formulas typically provide more iron and may or may not include DHA. Always check the exact product’s label and discuss with your clinician.2, 1
References
U.S. Food & Drug Administration. Infant Formula Requirements Including 21 CFR 106 & 107. Composition & labeling standards. https://www.fda.gov/food/infant-formula-guidance-documents-regulatory-information
European Commission. Commission Delegated Regulation (EU) 2016/127 supplementing Regulation (EU) No 609/2013 regarding infant formula & follow‑on formula. Mandatory DHA; compositional rules.
Parents.com. “Are Organic Whole‑Milk Baby Formulas Better?” Overview of whole‑milk base & MFGM concepts.
Axios (2025). “Whole milk comeback—now in baby formula.” Market trend context.
Kendamil UK. Brand pages describing whole‑milk fat, palm‑oil‑free positioning, and inclusion of DHA as per UK/EU rules.
HealthyChildren.org (AAP). “Why Formula Instead of Cow’s Milk?” Guidance on avoiding cow’s milk as main drink before 12 months.
Links are provided for transparency; product availability and formulations change—please review labels and consult your clinician.
© 2025 VitalStart Pediatrics, A Professional Nursing Corporation. This resource is educational and not a substitute for personalized medical advice.