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Giving baby food for the first time


When, What, and How to Introduce Solid Foods | Nutrition

For more information about how to know if your baby is ready to starting eating foods, what first foods to offer, and what to expect, watch these videos from 1,000 Days.

The Dietary Guidelines for Americans and the American Academy of Pediatrics recommend children be introduced to foods other than breast milk or infant formula when they are about 6 months old.  Introducing foods before 4 months old is not recommended. Every child is different. How do you know if your child is ready for foods other than breast milk or infant formula? You can look for these signs that your child is developmentally ready.

Your child:

  • Sits up alone or with support.
  • Is able to control head and neck.
  • Opens the mouth when food is offered.
  • Swallows food rather than pushes it back out onto the chin.
  • Brings objects to the mouth.
  • Tries to grasp small objects, such as toys or food.
  • Transfers food from the front to the back of the tongue to swallow.

What Foods Should I Introduce to My Child First?

The American Academy of Pediatrics says that for most children, you do not need to give foods in a certain order. Your child can begin eating solid foods at about 6 months old. By the time he or she is 7 or 8 months old, your child can eat a variety of foods from different food groups. These foods include infant cereals, meat or other proteins, fruits, vegetables, grains, yogurts and cheeses, and more.

If your child is eating infant cereals, it is important to offer a variety of fortifiedalert icon infant cereals such as oat, barley, and multi-grain instead of only rice cereal. Only providing infant rice cereal is not recommended by the Food and Drug Administration because there is a risk for children to be exposed to arsenic. Visit the U.S. Food & Drug Administrationexternal icon to learn more.

How Should I Introduce My Child to Foods?

Your child needs certain vitamins and minerals to grow healthy and strong.

Now that your child is starting to eat food, be sure to choose foods that give your child all the vitamins and minerals they need.

Click here to learn more about some of these vitamins & minerals.

Let your child try one single-ingredient food at a time at first. This helps you see if your child has any problems with that food, such as food allergies. Wait 3 to 5 days between each new food. Before you know it, your child will be on his or her way to eating and enjoying lots of new foods.

Introduce potentially allergenic foods when other foods are introduced.

Potentially allergenic foods include cow’s milk products, eggs, fish, shellfish, tree nuts, peanuts, wheat, soy, and sesame. Drinking cow’s milk or fortified soy beverages is not recommended until your child is older than 12 months, but other cow’s milk products, such as yogurt, can be introduced before 12 months. If your child has severe eczema and/or egg allergy, talk with your child’s doctor or nurse about when and how to safely introduce foods with peanuts.

How Should I Prepare Food for My Child to Eat?

At first, it’s easier for your child to eat foods that are mashed, pureed, or strained and very smooth in texture. It can take time for your child to adjust to new food textures. Your child might cough, gag, or spit up. As your baby’s oral skills develop, thicker and lumpier foods can be introduced.

Some foods are potential choking hazards, so it is important to feed your child foods that are the right texture for his or her development. To help prevent choking, prepare foods that can be easily dissolved with saliva and do not require chewing. Feed small portions and encourage your baby to eat slowly. Always watch your child while he or she is eating.

Here are some tips for preparing foods:

  • Mix cereals and mashed cooked grains with breast milk, formula, or water to make it smooth and easy for your baby to swallow.
  • Mash or puree vegetables, fruits and other foods until they are smooth.
  • Hard fruits and vegetables, like apples and carrots, usually need to be cooked so they can be easily mashed or pureed.
  • Cook food until it is soft enough to easily mash with a fork.
  • Remove all fat, skin, and bones from poultry, meat, and fish, before cooking.
  • Remove seeds and hard pits from fruit, and then cut the fruit into small pieces.
  • Cut soft food into small pieces or thin slices.
  • Cut cylindrical foods like hot dogs, sausage and string cheese into short thin strips instead of round pieces that could get stuck in the airway.
  • Cut small spherical foods like grapes, cherries, berries and tomatoes into small pieces.
  • Cook and finely grind or mash whole-grain kernels of wheat, barley, rice, and other grains.

Learn more about potential choking hazards and how to prevent your child from choking.

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Baby's first foods: How to introduce solids to your baby

Babies are typically ready to start solids between 4 and 6 months, as long as they're showing signs of readiness, such as being able to sit upright with good head control. Talk to your baby's doctor about which foods to introduce first, particularly if you're concerned about a risk for an allergy. In general, infant cereal and pureed, one-ingredient veggies, fruits, and meats are great first foods. Try spoon-feeding or baby-led weaning, and keep up the breast milk or formula until your baby's first birthday.

When do babies start eating baby food?

It depends. As long as your baby shows signs of readiness, your pediatrician will probably give you the go-ahead to start baby food (also called solid food or solids) any time between 4 and 6 months.

Until then, breast milk or formula provides all the calories and nourishment your baby needs. Infants don't yet have the physical skills to swallow solid foods safely, and their digestive system isn't ready for solids until they're at least 4 months old.

The American Academy of Pediatrics (AAP) and World Health Organization (WHO) recommend breastfeeding exclusively for the first six months of your baby's life and introducing solids at 6 months old. The AAP advises breastfeeding until age 1 – and longer if you and your baby want to.

Signs your baby is ready for solids

Your baby will give you clear signs when they're ready. Look for:

  • Head control. Your baby needs to be able to keep their head in a steady, upright position.
  • Sitting well when supported. Your baby needs to be able to sit upright in a baby seat or highchair to swallow well.
  • Losing the "extrusion reflex." Your baby's mouth and tongue develop in sync with their digestive system. To start solids, they should be able to move food to the back of their mouth and swallow it, instead of using their tongue to push food out of their mouth.
  • Curiosity about food. Your baby may start showing interest in what you're eating, reaching for your food or even opening their mouth if you offer them a spoonful.

Starting solids by 6 months old is important for your baby's oral motor development (the use of their lips, tongue, jaw, teeth, and hard and soft palates). Also, solid foods can provide specific nutrients your baby needs, such as iron and zinc. (These are especially important if your baby has been exclusively breastfed.)

What are the best first baby foods?

Start your baby with any pureed, single-ingredient food. Although it used to be standard for parents to give rice cereal as a first food, that's not necessary. In fact, pediatricians often don't recommend baby rice cereal since it can contain inorganic arsenic, and it's not as nutritious as some other first foods.

Good first baby foods include

  • pureed squash
  • applesauce
  • mashed bananas
  • mashed avocado
  • pureed peaches
  • pureed pears
  • pureed meats
  • whole-grain, iron-enriched baby cereal such as oatmeal

If your baby is breastfed, the AAP suggests meat as a first food because the iron in beef, chicken, and turkey helps to replace iron stores, which start to diminish at about 6 months of age.

How to introduce solids to your baby

The traditional way to start solids is by spoon-feeding your baby cereal or purees, but some parents use a different method called baby-led weaning. Using this method, you put chunks of soft, developmentally appropriate food on the highchair tray or table and let your baby grab the food and feed themself.

Here's how to start spoon-feeding your baby:

For your first few feedings, start with just 1 or 2 teaspoons of pureed solid food or baby cereal about an hour after nursing or bottle-feeding (so your baby isn't too hungry or full).

Use a soft-tipped plastic spoon to feed your baby to avoid injuring their gums. Put a small amount of food on the tip of the spoon and offer it to them. If your baby doesn't seem very interested, just let them smell the food for now and try again another time.

If you're feeding your baby ready-to-eat jars or pouches of baby food, put some into a small dish and feed them from that. (If you dip the feeding spoon into the jar, it's not a good idea to save the leftovers because bacteria from your baby's mouth will now be in the jar.) Store leftovers in the fridge and throw away any opened baby food jars or pouches within a day or two of opening them.

If you decide to start with cereal, give your baby 1 to 2 teaspoons of diluted infant cereal. Add breast milk or formula to a tiny pinch of cereal. It will be very runny at first, but as your baby starts to eat more solid foods, you can gradually thicken the consistency by using less liquid.

Begin with one daily feeding in the morning whenever your baby isn't too tired, hungry, or cranky. Your baby may not eat much at first, but give them time to get used to the experience. Don't be surprised if your baby is confused or rejects solid food at first. Some babies need practice keeping food in their mouths and swallowing.

Eventually you can start giving your baby more solid food until they're having a few tablespoons a day, over two feedings. In general, your baby could start with pureed or semi-liquid food, then move on to strained or mashed food, and finally graduate to small pieces of finger foods.

Signs that your baby is full

Your baby's appetite will vary from one feeding to the next, so a strict accounting of how much they've eaten isn't a reliable way to tell when they've had enough. Look for these signs that your baby's probably done:

  • They lean back in their chair
  • They turn their head away from food
  • They start playing with the spoon
  • They refuse to open up for the next bite (Sometimes a baby will keep their mouth closed because they haven't finished the first mouthful, so give them time to swallow.)

Food allergies and introducing solids

Experts recommend that you introduce one food at a time to your baby, and wait 3 to 5 days before introducing another food, so you can watch for any allergic reactions. It's also a good idea to write down the foods your baby samples. If they have an adverse reaction, a food log will make it easier to pinpoint the cause.

You don't have to hold off on giving allergenic foods such as eggs, peanut butter, or soy. There's no evidence that waiting to introduce certain foods will help your baby avoid allergies. In fact, there's evidence that the opposite is true.

According to the American Academy of Allergy Asthma and Immunology (AAAAI), incorporating commonly allergenic foods into your baby's diet starting at around 4 to 6 months (and continuing through childhood) may actually help prevent the development of food allergies.

Start with traditional first foods, such as iron-fortified infant cereal, pureed veggies, fruits, and meats. Once you've tried a few of these foods and your baby seems to be tolerating them well, you can introduce more commonly allergenic foods, such as soy, eggs, wheat, fish, and peanut products.

Food manufacturers have products on the market designed to help you incorporate commonly allergenic foods into your child's diet. These stir-in powders and finger foods may contain one commonly allergenic protein or a blend of several.

Special precautions need to be taken with certain babies. If your child falls into any of the following categories, consult with your baby's doctor or an allergist to create a customized feeding plan before adding solids to your baby's diet:

  • Your baby has a sibling with a peanut allergy.
  • Your baby has moderate to severe eczema despite following a doctor's treatment plan.
  • Your baby previously had an immediate allergic reaction to a new food or has been diagnosed with a food allergy.

If your baby is allergic to a new food, you'll see signs of a reaction within a few minutes or hours. Most children with food allergies have mild reactions. If you notice a few hives, a new rash, or diarrhea, call your baby's doctor for advice.

If you notice wheezing, difficulty breathing, vomiting, facial swelling (including the tongue and lips), or more than two body systems affected (such as hives and vomiting), your baby may be having a life-threatening reaction called anaphylaxis. Call 911 or your local emergency number immediately.

Baby food feeding tips

  • Offer fruits or vegetables in any order. Some parents may tell you to start with vegetables instead of fruits so your infant won't develop a taste for sweets. But babies are born with a preference for sweets, so you don't have to worry about introducing sweet or savory foods in any particular order.
  • Feed cereal with a spoon only. Unless your baby's doctor asks you to, don't add cereal to a bottle – your baby could choke or end up gaining too much weight.
  • Encourage adventurous eating. You don't have to stick with bland and boring. See how to make your own baby food and use spices and seasonings to create delicious baby food flavors.
  • Give new foods time. If your baby turns away from a particular food, don't push. Try again in a few days.
  • Check for added sugars and too much salt. Check the Nutrition Facts label on canned, frozen, or packaged foods for "Added Sugars." If there's 1 gram or more listed, give your baby something else. Also look at sodium amounts. Babies shouldn't have no more than 1,200 mg of sodium per day.
  • Avoid unsafe foods. Don't give your baby foods that could cause choking, such as whole grapes or popcorn. Babies under 1 can't have honey, cow's milk, or soy milk. Also, unpasteurized juices and undercooked fish, meat, eggs, or poultry could be a source of bacteria.
  • Watch for constipation. Your baby's poop sometimes changes when their diet does. Although it's usually temporary, your baby may have constipation after you introduce solids. If you notice that your baby is having less frequent bowel movements, or that their stools have become hard or dry and seem difficult to pass, let their doctor know. Some doctors recommend adding high-fiber fruits such as pears, prunes, and peaches to a baby's diet, or giving a few ounces of prune, apple, or pear juice every day until bowel movements are back to normal.

Also, don't be surprised if your baby's poop changes color and odor when you add solids to their diet. If your baby has been exclusively breastfed up to this point, you'll probably notice a strong odor to their formerly mild-smelling stools as soon as they start eating even tiny amounts of solids. This is normal.

If your baby shies away from new foods, here are a few things you can try:

  • Test a range of textures. If your baby doesn't like pear puree, try giving them pieces of very ripe pear instead.
  • In a similar vein, try different cooking methods. If your baby doesn't like steamed veggies, try giving them roasted vegetables.
  • Serve food at different temperatures. Some babies prefer broccoli cold rather than warm, for example.
  • Combine the new food with a familiar favorite. If your baby rejects a new food on its own, mix it in with something you know they like.
  • Add a dipping sauce! Try shredded chicken with applesauce, yogurt with baked apple slices, or hummus with well-cooked pieces of carrot.
  • Above all, be patient. Sometimes it takes a while for a baby to get used to new flavors and textures, so keep trying and eventually they'll accept the new food.

How many times a day should my baby eat solids?

At first your baby will eat solid food just once a day. By around 6 to 7 months, two meals a day is the norm. Starting around 8 to 9 months, they may be eating solid food three times a day plus a snack. A typical day's diet at 8 months might include a combination of:

  • Breast milk or iron-fortified formula
  • Iron-fortified cereal
  • Vegetables
  • Fruit
  • Small amounts of protein, such as eggs, cheese, yogurt, poultry, lentils, tofu, and meat
  • High-allergy foods, if appropriate

See our age-by-age baby feeding guide for more detail on how much to feed your baby and when.

How much breast milk or formula does my baby need after we introduce solids?

Even after your baby starts solids, breast milk or formula will provide the majority of their calories and nutrition until they're 9 months to 1 year old. Breast milk and formula contain important vitamins, iron, and protein in a form that's easy to digest.

You may notice that as your baby starts to eat more solid foods (around 9 months old), they'll gradually decrease their intake of formula or breast milk. This is normal. Over time, your baby will take fewer bottles with more ounces in each.

Here's how much breast milk or formula babies need after starting solids:

  • 4 to 6 months old: 4 to 6 feedings a day (breastfeeding, or bottles with 4 to 6 ounces)
  • 6 to 8 months old: 3 to 5 feedings a day (breastfeeding, or bottles with 6 to 8 ounces)
  • 8 to 12 months old: 3 to 4 feedings a day (breastfeeding, or bottles with 7 to 8 ounces)

What equipment do I need to introduce solids?

It's helpful to have:

  • A highchair
  • Baby bowls and plates
  • Baby spoons
  • Bibs
  • A splat mat on the floor

You may also want to introduce your baby to a sippy cup soon after you start solids.

If you're making your own baby food, you'll need:

  • A tool to puree the food, like a blender, food processor, or baby food maker

Storage containers for refrigerating and freezing extra portions (Some parents use ice cube trays – or similar devices made just for baby food – to store and freeze individual portions. )

what products are possible, features of complementary foods

It is no secret that young and not very experienced mothers receive information on the nutrition of an infant, including recommendations on how to introduce the first complementary foods, mainly from two sources: grandmother's stories and from the Internet. Unfortunately, both of these respected sources of information may voluntarily or not voluntarily, but be very mistaken, since grandmothers grew up in a more prosperous time in terms of environmental conditions, and the Internet is littered with various articles that are rarely written by professionals, moreover, they rely either on explicit outdated guides on baby food, or frankly on unverified information.

In this article, I will try to combine the latest scientific data and recommendations on how to introduce the first complementary foods with many years of observations from the experience of a practical pediatrician and an allergist-immunologist.

At what age is it time to introduce the first complementary foods

According to the recommendations of the Research Institute of Nutrition of the Russian Academy of Medical Sciences, the first complementary foods can be introduced from 4.5 - 5 months, regardless of the type of feeding. This is "average". In practice, the choice of when to start introducing complementary foods still depends on the individual characteristics of the child. For example, for a child with widespread atopic dermatitis (diathesis), we will not introduce complementary foods until at least acute skin symptoms, such as cracks, weeping or secondary eczema, have steadily disappeared. Increased dryness and flaking of the skin, of course, require constant application of moisturizers to the skin, but in no case are they a contraindication to the start of the introduction of the first complementary foods.

Another important point when choosing the time to start introducing complementary foods is the dynamics of the child's weight gain. The more intensively the child gains in height and weight, the sooner he may need additional calories, since the energy value of breast milk or artificial formula alone will most likely not be enough for a child who grows faster than his peers by 4 - 5 months. We must not forget that natural products contain a fairly large range of minerals and vitamins, and a mother’s body, alas, cannot be an eternal and bottomless source of useful nutrients, somewhere something will gradually begin to be missed.

In addition, the nature of lactation in the mother has a great influence on the timing of the introduction of complementary foods. If a nursing mother begins to feel a lack of milk, I would prefer to first give her advice on stimulating lactation, and at the same time begin to introduce complementary foods. It will be better than introducing an artificial mixture. But I repeat that the earliest start date for the introduction of the first complementary foods is the age of 4 months, before the child's body is not yet ready, the risk of developing allergies is also high.

So, we agree with you that the first complementary foods can be introduced no earlier than 4 months of a child's life.

First complementary foods: Which foods to choose?

The first complementary foods, as a rule, should consist of vegetable or fruit purees, but in no case juices. Still, juices, even for children, are highly filtered, mainly contain a large amount of organic acids and “light” carbohydrates (that is, sugar, to make it clear to everyone). I will not waste time explaining why juices are harmful to an infant, but I will describe a clinical case from practice.

Parents with an 8-month-old girl came to the reception. Somewhere from 5 months she practically did not gain weight, although before that all indicators were normal. In the analyzes, apart from visible signs of iron deficiency, slightly reduced hemoglobin, no pathology was also detected. The main complaint: "does not eat anything." And when I began to find out what she still eats, it turned out that the child drinks half a liter of juice every day. But porridge or cottage cheese, or mashed potatoes cannot be forced together, they spit everything out. I don't like the taste. And so - for three months. The child, of course, became very nervous, yelling at night, demanding juice.

So draw your own conclusions and be careful.

For the first feeding, this is now recognized by everyone, the best dishes are vegetable purees from green varieties of vegetables: zucchini, cauliflower, broccoli. The first complementary foods are introduced, starting with half a teaspoon, in the morning for three days, then gradually increase the amount of the product to 40-50 grams per week. Supplemented with breast milk or formula.

For problems with stools, constipation, it’s good to start introducing prune puree, green apple, you can try pumpkin, even apricot puree, but in no case start with carrots. Beta-carotenoids, which are abundant in carrots, are generally poorly absorbed and can cause allergies in a child.

Second food.

Porridge or meat?

Even 5 - 6 years ago, we taught students at the medical institute that from 5 - 5.5 months old, an infant should begin to give cereal porridge for complementary foods. This is rice, buckwheat, corn. The first week you can cook 5% porridge: 5 grams of ground cereal per 100 ml of water. Then the porridges are cooked already denser: 10 grams of cereal per 100 ml of water. But now, basically everyone uses instant (soluble) cereals, which are diluted with water according to the instructions on the package. In addition, ready-to-eat liquid cereals are on sale: for example, Bellakt, Frutonyanya, etc.

Why meat? You ask. According to modern recommendations (they really began to change quite often), but in this case I support: if a child has a pronounced decrease in hemoglobin in the blood below 100 g / l by the age of 5 months, it makes sense to start introducing fruit or vegetable purees as a second types of complementary foods - meat purees as a source of the most well-absorbed heme iron. You need to choose from varieties such as turkey, rabbit, lamb. Beef and veal can only be offered to children who did not have red cheeks and diathesis.

In the absence of problems with low hemoglobin, feel free to introduce porridge as the second meal of complementary foods, especially if the child is small and does not gain weight very well. In this case, we can recommend breeding cereals with the addition of breast milk or a mixture (Nan, Nutrilon, Celia, Nanny). With mixtures based on goat's milk, parents of children with a predisposition to allergies should be very careful. Goat milk formulas are not the best choice for babies who are allergic or intolerant to cow's milk protein, whatever the internet says. Believe me, there are serious scientific articles by foreign authors, which provided data on a very high frequency of cross-allergy between cow and goat milk proteins in children who were transferred to goat milk mixtures. And I saw it myself in my practice, when a child with dermatitis was transferred to a mixture of goat's milk, there was a clear improvement for a month or two, and then all over again and with a doubled degree of allergic skin damage.

Introduction to fermented milk products

This is the most difficult question. I am sure that most of our grandparents demand that their stupid parents start drinking milk and kefir as soon as possible. In a number of cases, children really start to absorb sour-milk products quite well after 6 months, but before this age I am very careful even with sour-milk Agusha, and even introducing milk or kefir before 6 months is a bad form, believe me, and can lead to very bad consequences for the child. I understand the Western European medical community, which has recently banned its pediatricians from recommending fermented milk products for complementary foods for children under 3 years of age, just imagine!

They (the Europeans) need to do something with their artificial milk mixtures. Even 20 years ago, we did not know other mixtures after the "two", that is, the second formula for children from 6 to 12 months. Then there were formulas for children from 1 to 2 years old, then from 2 to 3 years old, and now there are already mixtures for children up to 4 years old, and I think if this goes on, then until the age of sixteen there will be their own milk substitutes. Dismiss me, I don't think this approach is correct. But the fact is that our grandparents had much better genetics than the generation of our children, alas. In the context of the growth of medical capabilities, genetically determined diseases are also growing, and in this case, intolerance to cow's milk protein, and with every 10 years there are more and more such people among us. But if a child really suffers from an allergy to cow's milk protein or is severely deficient in enzymes, then he will carry this peculiarity through his whole life, and most likely he will not drink milk or kefir himself, and there is no need to force him if he himself won't want to!

But you are lucky with genetics, and no one in the family has ever had an allergy (which is hard to imagine nowadays), and most importantly, if your child has always had perfectly clean skin, then the first of the dairy products - cottage cheese, you will begin to offer your child with 7 months, kefir - from 10 months. Milk - after a year. It will be better this way.

But if your family does not have a very close and joyful relationship with milk, then it is better to postpone even the introduction of kefir and yogurt into complementary foods for a child until the age of 18 months.

Fish day and first meal

Fish is a very healthy product, rich in vitamins and antioxidants, but it must also be introduced carefully. I advise you to start introducing the first fish food at about 7-8 months. It is better to start with species such as cod, hake, haddock. The rules are the same: the first three days on the "gram," then slowly add. If there are no problems in a week or two, you can try such delicacies as tuna or salmon, of course, canned children, if you can find it. It is better not to mess with trout and salmon in the first year of life, this fish is all stuffed with dyes and antibiotics.

No matter how hard I tried, the article about the first complementary foods turned out to be long. Thank you for reading to the end, I hope it will be useful. If you have questions about the introduction of complementary foods, you can write your appeals on our website in the question to a specialist section. A short answer can be obtained on the Internet, but in order to make a diagnosis and give a detailed consultation, of course, you need to come to a face-to-face appointment with a pediatrician and a pediatric allergist.

Rules for the introduction of complementary foods for a child 4 - 12 months: first complementary foods, menus, charts, tables, principles of nutrition for a baby

Modern principles of feeding children is a kind of fusion of practical experience and the latest scientific developments. They are based on the recommendations of the European Association of Pediatric Gastroenterologists, Hepatologists, Nutritionists ESPGHAN , the American Academy of Pediatrics AAP and national recommendations of relevant ministries and associations.

Modern recommendations are based on the analysis of the results of many studies on the composition, timing of the introduction of complementary foods in Europe for healthy full-term newborns, taking into account various aspects of the introduction of complementary foods, its impact on indicators of physical and mental development. Timely introduction of complementary foods contributes to the optimal development of all systems and organs of the child, physical parameters, psychomotor development, and the activity of the nervous system. The period of introduction of complementary foods is very important for the growth and development of the child, as well as an outstanding stage in the transition of the child from breastfeeding to feeding from the general table.

  • It is inappropriate to develop separate recommendations for the introduction of complementary foods for breastfed or artificially fed children, the approaches in these cases are the same
  • Breast milk mothers remains the gold standard of exclusive breastfeeding for at least 4 months (17 weeks) of an infant's life, up to 6 months (26 weeks) of exclusive or predominant breastfeeding
  • The digestive tract and kidney function are mature enough for a baby to accept complementary foods at 4 months of age, and between 5 and 6 months the baby develops the necessary motor skills to consume solid foods. Therefore, at this age, it is important to give food of the right consistency and in the right way
  • A well-nourished mother can provide all the nutrients, vitamins, and minerals her baby needs through exclusive breastfeeding up to a maximum of 6 months of age
  • Some children may need iron supplementation earlier than 6 months
  • It is important to continue breastfeeding in parallel with the introduction of complementary foods. This has been shown to reduce the risk of gastrointestinal and respiratory infections, as well as hospitalizations in a child
  • When comparing initiation of complementary foods at 4 or 6 months of age, no significant differences were found in the effect on growth and body weight, development of obesity during the first 3 years of life
  • At the same time, a high risk of developing overweight and obesity was established with the introduction of complementary foods before 4 months of age
  • Complementary foods (solid or liquid food other than breast milk or infant formula) should be started not earlier than 4 months and not later than 6 months
  • With age, with the introduction of complementary foods, the child should be offered food varied in texture, texture, taste, smell
  • Children have an innate tendency to distinguish and prefer sweet and salty foods, reluctantly eat bitter, which we cannot change. But we can shape and adjust the child's taste preferences through training, systematically offering the child foods with different tastes, including sour, bitter green vegetables
  • Whole cow's milk is not recommended for children under 12 months of age. The use of cow's milk is associated with the intake of an increased amount of energy, protein, fat, and lower - iron. Therefore, children who consumed large amounts of cow's milk at an early age had a higher risk of developing iron deficiency anemia
  • Eating more protein when complementary foods increase the risk of overweight and obesity, especially in individuals with a predisposition to this, so protein intake should not exceed 15% of energy intake during the day
  • The baby's need for iron is very high during the entire period of complementary feeding, so it is necessary to ensure the provision of iron-rich foods, especially for breastfed children
  • Allergenic products can be administered from 4 months of age at any time, since it is during this period that immune tolerance to the allergen is formed. For example, children at high risk of developing allergic reactions to peanuts should be administered at 4-12 months of age under specialist supervision. No relationship was found between the timing of the introduction of allergenic complementary foods and the development of allergic or immunological diseases. However, this does not mean the need for early introduction of allergenic products to everyone, but it emphasizes that there is no need to postpone the introduction of allergenic products after 4 months for a longer period;
  • Gluten can be offered to a child aged 4-12 months, but large amounts of gluten should be avoided during the first weeks after initiation of its introduction, thereafter a safe amount has not been established. The type of feeding (breast/artificial) was not identified with the introduction of gluten to reduce the risk of developing celiac disease, type 1 diabetes;
  • Sugar or salt should not be added to complementary foods, and sweetened drinks and juices should be avoided. Sugary drinks are liked by babies in the first months, but if they are not given, but after 6 months, the children no longer like them very much. Sugar affects future eating behavior. Sugar is an important factor in the development of caries - it contributes to caries, as glucans can be formed, which increase the adhesion of bacteria to tooth enamel, disrupt the diffusion balance of acid and buffer systems, which ultimately contributes to damage to the enamel.
  • Vegetarian diets are contraindicated in young children due to the risk of vitamin B12, iron, zinc, folate, long chain fatty acid, protein and calcium deficiencies, which can lead to irreversible adverse effects and impaired cognitive development;
  • Vegetarian diet can be used only under the close supervision of a doctor and nutritionist, with the obligatory additional administration of vitamins B, D, iron, zinc, calcium, proteins, PUFAs, which can ensure the appropriate growth and development of the child. It is important that parents should be aware of the risk of irreversible harmful consequences (mental disability, death of the child) that may develop if they do not follow the recommendations of specialists.

The General Rules for the introduction of complementary foods for children of the first year of life:

  • Introduce the first feeding It is better in the morning feeding 9-11 in the morning to trace the reaction of the child to the new product.
  • Sugar and salt free .
  • Give the first complementary foods to the child when he is calm and not tired .
  • Start with 0.5-2 teaspoons. If the child refuses, do not insist, try to give later or the next day.
  • If the reaction is normal - no rash, no skin changes, no stool changes, double the dose the next day. Gradually bring the baby's first complementary foods to the age norm 80-200 g
  • If there is an allergic reaction or other intolerance reaction - refuse to introduce this complementary food for three days, if the adverse reaction occurs again - do not give this product, contact your pediatrician.
  • Each subsequent new complementary food must be one-component only: marrow, cabbage, broccoli, buckwheat, meat, etc.
  • Mixed food dish give when the child has already got to know all the products separately.
  • It is not advisable to introduce new foods three days before and after vaccinations.

If you are thinking about introducing complementary foods, then your child should already have certain signs of readiness for this:
  1. Holds head
  2. Able to stand alone, practically without support, sit on a special high chair with side support
  3. Opens mouth when a spoonful of food is brought
  4. Turns away from a spoonful of food when not hungry
  5. Closes mouth with spoon in mouth holds food in mouth and then swallows rather than pushing or spitting it out

The first complementary foods at 4 months

Age at 4 months as the minimum for the introduction of complementary foods was also chosen because at 4 months the child's gastrointestinal tract becomes more mature: the initially increased permeability of the small intestine mucosa decreases, the number of digestive enzymes, a sufficient level of local immunity is formed, the child acquires the ability to swallow semi-liquid and thicker food, associated with the extinction of the “spoon ejection reflex”.

Therefore, to the question whether it is necessary to give complementary foods to a 3-month-old baby , one can unequivocally answer: no, it's too early!

But 4 months, this is the time when you can think about the introduction of complementary foods. At the same time, it should be remembered that at the age of 4 months, the child has enough mother's milk or a highly adapted milk formula for its full development. In addition, when they talk about complementary foods at 4 months, they usually mean the end of the 4th month of life. It is important to continue breastfeeding in parallel with the introduction of complementary foods.

Video: complementary foods at 4 months

If you enter complementary foods at the 4th month of the child’s life -this is usually a single-component Puree , if the child does not gain weight not well well gained well , then it can be gluten-free cereals: rice and buckwheat . It is better to start with vegetable puree. Kids are smart and if he tries a sweeter fruit puree, he can refuse vegetable puree for quite some time and you may have difficulty introducing this very healthy dish.

What is useful in vegetable supplements and what is the best way to prepare it?

Vegetable puree - for the first feeding can be prepared from cauliflower, zucchini, pumpkin, broccoli - these are low-allergenic products, are among the ten most useful vegetables in the diet of children, contain a large amount of healthy proteins, fiber and vitamins, microelements ! Fiber helps move food through the digestive tract and promote beneficial microflora in the gut. Pectins absorb and remove toxins from the baby's body. Vegetables have a positive effect on the acid-base balance of the body, creating conditions for the proper functioning of all organs and systems.

Cauliflower - is a good source of fiber, protein, minerals and vitamins: A, B1, B2, B3 (PP), B6, as well as a small amount of vitamins K, D and tocopherol (vitamin E). In the inflorescences of cabbage there is a lot of magnesium, sodium, potassium, phosphorus, calcium, iron. It contains twice as much iron as green peas, peppers and lettuce. Cauliflower protein is easily digestible and its content is quite high. Cauliflower protein contains essential vitamin U (methionine). It is one of the essential amino acids that cannot be synthesized by the human body. Other essential amino acids are also present in a small amount: arginine, tryptophan.

Zucchini - rich in vitamins and microelements. It contains potassium, magnesium, phosphorus, calcium, vitamins C, B1 and B2 and others, folic acid. Which plays an important role in the processes of hematopoiesis. Zucchini is rich in such important trace elements as iron and copper. They are necessary for the formation of nervous tissue, normalization of metabolism, as well as for the formation of hemoglobin, which is a good prevention of anemia.

Broccoli is a very useful vegetable, which is a type of cauliflower. Pleasant soft taste and good digestibility of the product, unique composition have a beneficial effect on the health of both adults and children. Eat unopened cabbage inflorescences. This is also a low-allergenic vegetable, rich in protein, fiber, vitamins, calcium, iron, trace elements and even phytoncides. The content of calcium and magnesium is sufficient to balance the functioning of the nervous system, ensure the normal regulation of the child's sleep and wake cycle, and good stress resistance. A child with such nutrition becomes calmer, less excited and naughty.

Broccoli is the leader in choline and methionine content. Only 50 g of broccoli provides the baby with a full set of nutrients for a day.

Pumpkin is the largest vegetable on Earth. It is one of the ten most useful vegetables in the diet of children, contains a large amount of useful proteins, fiber and vitamins, including beta-carotene, vitamin C, E, K, iron, potassium, magnesium, trace elements that are indispensable for children's nutrition, as they strengthen immunity and help fight inflammation, have a beneficial effect on the nervous system. By the content of carotene, pumpkin exceeds carrots by 5 times.

Vitamins and microelements contained in pumpkin help the child grow, provide healthy sleep, are responsible for the condition of the skin and eyes, improve metabolic processes, and accelerate the removal of harmful substances from the child's body. Due to its beneficial qualities, pumpkin can be one of the first types of complementary foods for an infant.

All vegetable purees have a specific vegetable smell, this is absolutely normal

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Introduction of vegetable puree

Vegetables should be introduced into the child's menu gradually. Start giving each new vegetable in the form of a monocomponent puree in the amount of ½ teaspoon, preferably at breakfast, so you can track the manifestations of food allergies or intolerance reactions to this product. If all is well, then the next day, offer him a teaspoon. So gradually you need to bring the portion to 50-100 grams. A serving of vegetable puree per day for an 8-month-old baby is approximately 80 grams. In a year, you can increase up to 150 grams. The next product can be administered no earlier than 4-5 days later. If a child has skin rashes, his stool has changed, then you need to remove the product from the diet and consult a pediatrician.

If the child does not like the dish, for example, broccoli, do not give up and continue to offer this vegetable in small quantities - 1-2 spoons a day, maybe not even once, but 2-3 times before meals, and after 7 - 10, and sometimes 15 days, the baby will get used to the new taste. This diversifies the diet, will help form the right taste habits in the child.

Fruit puree introduction

Fruit puree is a definite alternative and addition to vegetables. It can be made from apples, bananas - by the way, do you know what a berry is?, sweet varieties of pears. These fruits contain substances useful for babies, vitamins and minerals, including iron, which is extremely necessary for children. Prune puree is somewhat separate, it has a good effect on the baby's digestion, especially with a tendency to constipation, and, of course, also contains many useful substances.

Porridge in the diet of a child in the first year of life.

Porridge can be introduced into the baby's diet at the end of 4 months or at the fifth, sixth month of life. As a rule, they go as a second food after vegetable or fruit puree. But if your child is not gaining weight very well, or you have been feeding your child with breast milk or infant formula until almost the end of 6 months, then complementary foods can be started with the introduction of cereals.

It is important to start with one-component, low-allergenic cereals which does not contain gluten : this is buckwheat, rice, corn porridge .

gluten-containing cereals include: wheat, oats, rye, barley, millet .

According to modern data the period of introduction of gluten into the child's diet is not of fundamental importance, but the latest recommendations draw attention to the fact that its amount in the baby's diet should not be large. Therefore, it is better to add semolina and oatmeal to other porridge in a limited amount, and not to give it on its own. No relationship was found between the timing of the start of complementary foods that contain gluten and the development of celiac disease in a child. If your child hasn't tried porridge yet, start with a dairy-free, gluten-free, one-ingredient buckwheat or rice porridge.

Rice - very useful for growing baby. It has a low content of vegetable proteins, therefore it is easily digested and is especially useful for toddlers with unstable stools. Rice has a high nutritional value and, to a certain extent, protects the delicate intestines of the baby due to its enveloping effect. This is a hearty and nutritious dish with a good content of carbohydrates and proteins, potassium and magnesium, calcium and phosphorus, beneficial amino acids and vitamins. It replenishes energy costs, energizes and gives strength. Rice is not recommended for overweight children and those who suffer from severe constipation.

Gluten-free buckwheat porridge - very nutritious and rich in iron, fiber, rich in various vitamins and microelements. This is also a good option for starting a child's acquaintance with adult food. These porridges can be prepared with water, breast milk, milk formula, which your child is used to. No need to add salt and sugar.

Rules for introducing porridge into baby food

If the child already eats porridge from 5 months, then at 6 months you can offer a more complex porridge - for example, rice porridge with apricot or raspberries, rice porridge with banana (this is very successful a combination both in taste and in its properties) or even more complex porridge - corn-rice with banana.

Over time, you can start adding apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries to porridge, , provided that the child is not allergic to them.

The rules for introducing cereals are the same as for vegetable puree. In order for the child to get used to the new product and its consistency more easily, first prepare 5% porridge (5 g of cereal per 100 g of water), if you make it yourself. Porridge is usually cooked with water, but can be made with breast milk, infant formula. First, give the baby one teaspoon, then, within 7-10 days, bring the volume of porridge of the same percentage to the full volume of feeding (150 g). If all this time the porridge is well tolerated, i.e. there are no skin rashes, the child has stable stools, they switch to a gradual (starting from 20-30 g) introduction of porridge of the same cereal, but already at a 10% concentration (10 g of cereal per 100 g of water). In other words, a thicker porridge is administered no earlier than 7-10 days from the beginning of the introduction of porridge. The complete introduction of 10% porridge to the baby is also carried out in 7-10 days. The third week falls on the complete addiction of the child to a new dish. Only after that you can introduce a new cereal (in the form of 10% porridge) or the next complementary foods.

Video: feeding porridge

You need to give porridge with a spoon, it is better in the morning for breakfast. After porridge at the stage of its introduction, the child should be offered breast or milk formula. With artificial feeding, the volume of the mixture after a portion of porridge should be such that, together with porridge, it is 200 ml with five meals a day.

Norms for the introduction of cereals

In the future, the volume of the portion of porridge gradually increases, amounting to:

  • 7-8 months - 160-170 ml
  • 8-9 months - 170-180 ml
  • 9-12 months - up to 200 ml (there is a complete replacement of one feeding of the child with complementary foods)

Cereal schedule

  • Day 1 – 1 teaspoon (5 g)
  • Day 2 - 2 teaspoons (10 g)
  • Day 3 - 3 teaspoons (15 g)
  • Day 4 - 4 teaspoons (20 g)
  • Day 5 - 50 ml (50 g)
  • Day 6 - 100 ml (100 g)
  • Day 7 - 150 ml (150 g)

Meat complementary foods - the rules for introducing meat into the child's diet

Meat is usually the third, very important product of complementary foods, after vegetables and cereals. The meat contains amino acids, complete animal protein, B vitamins (B1, B2, B6 and B12), heme iron, potassium, calcium, zinc, phosphorus, which are necessary for the growth and development of the child. It is very important to understand that mashed meat contains iron, which is easily absorbed. And the addition of meat to vegetables improves the absorption of iron from them, from vegetables.

Iron deficiency can seriously affect the intellectual development of the child, his immunity, hematopoiesis. Since your task is to raise a healthy and intelligent child, meat complementary foods must be introduced without fail and in a timely manner.

Heme iron - found in meat products and easily digestible (red meat-veal, liver), absorption is about 25%.

Non-heme iron - found in plant foods (beans, beans, lentils, peas, nuts, tomatoes, cauliflower, green leafy vegetables, apples, dried fruits, but it is absorbed much worse from plants - only 3-5% Iron absorption from other animal products (eggs, fish) is 10-15%. 0003

It is important to know that human milk enhances and cow's milk reduces iron absorption .

Timing of the introduction of meat complementary foods

It is advisable to introduce meat puree to a child aged 6-8 months . This, to some extent, depends on when cereals and vegetable/fruit purees were introduced. if your baby has been eating vegetables and cereals since 4 months, meat can be introduced at 6 months. From 7 months it can be administered if the child is not gaining weight. From 8 months to children who started complementary foods at 6 months.

Children at risk of anemia are advised to introduce meat earlier at the age of 5-6 months.

It has been proven that only the daily use of children's enriched porridge and meat puree can fully meet the needs of children in iron, zinc and other micronutrients.

You can start meat complementary foods with lean beef, veal , but better with less allergenic poultry meat ( turkey, chicken ), or rabbit, these are the most easily digestible meats.

Goose and pork are fatty for the baby, and the meat of duck and other birds of the reservoirs is also not suitable for the first feeding. They are recommended to give only after 3 years;

Horsemeat is perfect for your baby. The product is rich in carbohydrates and proteins, but it is almost impossible to find horse meat for sale.

Meat should be introduced into the child's diet gradually, at lunchtime, at first, a quarter of a teaspoon and, gradually adding, bring it to the daily norm: At 8 months, about 50 g, at 9months-60-70 g.

Video: Power feeding meat

Scheme for the introduction of puree

  • 1 day with vegetables
  • Day 2 - ½ teaspoon
  • Day 3 - 1 teaspoon
  • Day 4 - 2 teaspoons
  • Day 5 - 3 teaspoons
  • Day 6 3-4 teaspoons + vegetables

At first, it is better to give meat with vegetable puree, which the child has already eaten, so he adapts better to the new product, and iron is better absorbed. Children at the end of the first year of life can already be given 3 varieties of mashed meat.

Baby menu at 7-8 months

At 7-8 months you can start giving children 5 baby cottage cheese 9005 Start with 1/2 teaspoon. Within a month, the daily volume of cottage cheese consumption by a baby can be increased to 30-40 g. In addition, a child of 8 months is recommended to give sour-milk infant formula. But ordinary yogurt from the store should not be given. At this age, the child should receive 5 g of butter and 5 g (1 teaspoon) of vegetable oil, ¼- yolk - 2-3 times a week.

Baby's menu at 9 months old

At the age of 9 months old Your baby is already familiar at this age already usually familiar with: , egg yolk . You may have already met meat . Therefore, at this age, they usually give more complex purees and porridges, less homogenized, of various tastes , gradually preparing him for adult nutrition, increasing the variety and quantity of complementary foods. It is desirable to feed the baby at the table with other family members, he must see how his parents eat with pleasure, he learns from them. The amount of food offered should be based on the principles of actively encouraging the baby to eat, it is necessary to continue to gradually change the consistency and increase the variety of complementary foods, adhering to the recommended frequency of introducing complementary foods.
At this age, the child usually gets complementary foods 3 times a day . His diet depends on the age of the start of complementary foods. If the baby began to give new food at 4-5 months, the list of allowed foods will be much wider than if this happened at 6-7 months. Therefore, all this is very individual, there are no absolutely rigid frameworks and recommendations. On the Internet you will find a lot of different advice on baby food, if you are not sure about something, it is better to consult your pediatrician.


From vegetables the baby can be given what he ate before, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots and others, adding 1 tsp. vegetable oil . If the baby does not have skin reactions, then you can give beets . It is also already possible to give two-, three-component vegetable purees and soups , but only on condition that he is already familiar with these products and he has not had a reaction to them.
If you have introduced complementary foods, then you need to remember that water is an important part of baby food. You can use purified water or special water for children .
In addition, at 9 months you can give special baby wheat cookies , which the baby will be happy to eat on his own as an adult, white wheat bread, this improves hand motility, improves eating skills, but at the same time he must be supervised.
At this age, you can start giving fish puree from low-fat varieties: river perch, pollock, hake, haddock, zander, pollack - start with ½ teaspoon, bringing up to 40-50 g , watching the reaction of the child , give at lunchtime instead of mashed meat, 1-2 times a week. But a number of pediatricians do not advise giving it up to a year, it is a useful, but highly allergenic product.

Baby menu at 10 months

B 10 months usually 2 times a day the child receives the mother's breast or special milk formulas . Various porridges : buckwheat, rice, corn, oatmeal, wheat, semolina porridge . add 5-10 g of butter to cereals. At this age, it is already possible to make complex cereals from 2-3 cereals with which the child is familiar, add various fruits, vegetables: apple, banana, pear, plum and prunes, apricot and dried apricots, broccoli, carrots, berries , provided that the child is not allergic to them, or use ready-made cereals with fruit.


From vegetables the baby can be given what he ate earlier, mixing them: pumpkin, zucchini, cauliflower, broccoli, carrots, beets and others, adding 1 tsp. vegetable oil . It is also already possible to give two-, three-component vegetable purees and soups, but only on condition that he is already familiar with these products and he did not have a reaction to them.
At this age, the baby already usually eats about 40-50 g of baby meat puree from chicken, turkey, rabbit , with good tolerance to cow's milk proteins from veal or beef. If he has been eating meat for a month or more, you can start giving him two-component meat purees , for example from chicken and turkey.
At this age, fish puree from low-fat varieties is usually started: river perch, pollock, hake, haddock, zander, pollack with ½ teaspoon, bringing to 40-50 g, following the reaction of the child, it is better to give at lunchtime instead of mashed meat, 1-2 times a week .
At 10 months, children's cottage cheese should be given 2 times a week. Start with 1/2 teaspoon if you have not given it before, the daily amount of curd at this age is 40-50 g .
It is recommended to give special sour-milk baby formulas.
At this age, a child can receive 5-10 g of butter and 5 g (1 teaspoon) of vegetable oil, and 2-3 times a week½ - yolk .

1 year old child's menu

The child is one year old. He has already grown up, he already has 6-10 teeth, with which he gnaws everything he sees, he is interested in chewing food, his digestive enzymes already work well and he has already become acquainted with various products: vegetable and fruit purees, various cereal cereals, meat and fish, sour-milk mixtures. In fact, he is already prepared for the transition to a more adult diet. In a year, changing the diet involves turning to new products and gradually changing the way they are prepared and the degree of grinding.
You need to eat 5 times a day with an interval 3.5-4 hours .
semi-liquid dishes should still remain the basis of nutrition, but not only mashed dishes, but also containing small pieces of food . Too dry food should not be given to the baby yet, as he may have difficulty swallowing.


In the year the child already tries to eat with his hands and he should be encouraged to do so. Finely chopped, soft foods can be given eg: small pieces of soft fruit, vegetables, cheese, well-cooked meat, pasta , etc. and foods that dissolve quickly, children's biscuits, children's bread rolls - as food with the help of hands.
Must avoid products that can enter the respiratory tract and cause asphyxia - sausages and other hard meat products , nuts (especially peanuts), grapes, raisins, raw carrots, popcorn, round candies . Hold off on this for now.
In a year, part of the children are without mother's milk. But if your baby is still not weaned - do not rush, if possible, give him a breast before bed at night. You can also breastfeed between meals. At this age, the child receives all the main vitamins and minerals from food, but he can get a number of biologically active components from breast milk.

Dairy products

Dairy products still occupy an important place in the child's diet, it is a source of calcium, B vitamins, protein, milk sugar and fat. It is better to use special baby milk (marked with a triple on the package), baby fermented milk products: kefir, yogurt in total 500-600 ml per day .

Cottage cheese

The child should be given cottage cheese. The daily dose of cottage cheese after 1 year can be increased up to 70 g per day . It can be given pureed or combined with fruit puree, pudding, casserole. This contributes to the development of chewing skills.

Butter
Butter can be added to cereals or smeared on wheat bread, cookies in a dose of up to 12 g per day.

Low fat sour cream and cream
After 1 year, you can give low-fat sour cream and cream in small quantities.

Vegetables
Every year a child must be given various vegetables, it is good to combine them with protein products, meat . The vegetable diet can now be diversified with green peas, tomatoes, turnips, beets, carrots, spinach in the form of mashed potatoes. Legumes are still better not to give.

Fruits and berries
After 1 year, you can gradually introduce the baby to new fruits and berries: strawberries, cherries, cherries, kiwi, currants, gooseberries, chokeberries, sea buckthorn, raspberries, blackberries, cranberries, blueberries, lingonberries and even citrus fruits . But do it gradually, watching the reaction of the child. Berries with a dense peel (gooseberries) are best mashed, while soft juicy fruits (peaches, strawberries, apricots, kiwi) can be offered to the baby in pieces.
Daily dose of fruits - approx.

Meat products

Meat products can be given in the form of steam cutlets, meatballs, meatballs, meat soufflé and pudding in an amount up to 100 g daily - beef, veal, lean pork, rabbit, turkey, chicken.

Fish

Fish can be given once or twice a week for 30-40 g per meal as a substitute for meat dishes

Eggs
Chicken, quail eggs give boiled or in the form of omelettes in milk, you can try with vegetables.

Kashi
Porridge can be cooked from rice, oatmeal, buckwheat, corn, millet, semolina. At this age, they should still have a uniform consistency, so it will be easier for him to swallow. You can use ready-made industrial, children's instant cereals, for example, various multi-cereal cereals, in which fruits, crackers, cereals have already been added. Give 1 time per day.

Water
Be sure to give the child clean water to drink, better bottled water for children, as much as he wants . In addition to her baby can drink vegetable and fruit juices, dairy products, compotes, weak tea.

No need to give:

1 year old child still no need to give confectionery and sweets . From sweets at this age, you can sometimes give marmalade, dried fruits and cookies.
Do not give sausages and sausages , they are rarely prepared from high quality meats and are rich in various food additives

Calorie content and volume

0055 1200 ml .

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