{"title":"Anti-Reflux Baby Formula (AR)","description":"\u003cp\u003e\u003cstrong\u003eAnti-reflux baby formula\u003c\/strong\u003e, usually labelled \u003cstrong\u003eAR\u003c\/strong\u003e, is thickened so it is heavier in the stomach and less likely to come back up. The thickener is normally locust bean gum or a starch, and the formula is otherwise a complete infant milk.\u003c\/p\u003e\u003cp\u003eThis collection holds the anti-reflux formulas we stock, from \u003cstrong\u003eHiPP\u003c\/strong\u003e and \u003cstrong\u003eAptamil\u003c\/strong\u003e.\u003c\/p\u003e\u003ch2\u003eBefore you switch\u003c\/h2\u003e\u003cp\u003e🔴 \u003cstrong\u003eMost spitting up is not a problem that needs a different formula.\u003c\/strong\u003e Bringing up milk after a feed is very common in the first months and usually fades on its own as a baby’s digestion matures. Smaller, more frequent feeds, a slower teat and keeping your baby upright afterwards often help more than switching. \u003cstrong\u003eTalk to your pediatrician before moving to an AR formula\u003c\/strong\u003e, especially if your baby is uncomfortable, refusing feeds or not gaining weight — those need looking at, not a thicker milk.\u003c\/p\u003e\u003ch2\u003ePractical notes\u003c\/h2\u003e\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eAR formula is thicker in the bottle\u003c\/strong\u003e and often needs a faster-flow teat.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFollow the pack instructions exactly.\u003c\/strong\u003e AR formulas sometimes call for a different water temperature than a standard formula, because heat affects the thickener.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eIt is a complete feed\u003c\/strong\u003e, not a supplement — it replaces the usual formula rather than being added to it.\u003c\/li\u003e\n\u003c\/ul\u003e\u003ch2\u003eQuestions parents ask\u003c\/h2\u003e\u003cp\u003e\u003cstrong\u003eIs spitting up the same as reflux?\u003c\/strong\u003e Not quite. Comfortable spitting up in a baby who is feeding and growing well is normal. Reflux that causes pain, feed refusal or poor weight gain is a medical matter.\u003c\/p\u003e\u003cp\u003e\u003cstrong\u003eCan I thicken a normal formula myself?\u003c\/strong\u003e No — not without medical advice. Adding cereal or thickener to a bottle changes its nutrition and carries a choking risk.\u003c\/p\u003e\u003cp\u003eEverything here ships from our own stock in Burbank, California.\u003c\/p\u003e","products":[{"product_id":"hipp-ar-anti-reflux-600g","title":"HiPP Anti-Reflux (AR) Formula - German Infant Formula 600g (From Birth+)","description":"\u003cdiv class=\"bpk\" id=\"full-description\"\u003e\n\u003c!-- BPK-CSS-START --\u003e\n\u003cstyle\u003e\n.bpk{\n--navy:#1B3A6B;--ink:#2C3A47;--ink-2:#55636F;--ink-3:#8A939C;\n--cream:#FFFDF7;--line:#E7E3D9;\n--green:#3E7A46;--blue:#2E6DA4;--gold:#B8802E;--rose:#C24A67;\n--green-t:#E9F2EA;--blue-t:#E8F0F8;--gold-t:#FAF2E4;--rose-t:#FBEBEF;\n--tick:url(\"data:image\/svg+xml;utf8,\u003csvg xmlns='http:\/\/www.w3.org\/2000\/svg' viewBox='0 0 20 20'\u003e\u003ccircle cx='10' cy='10' r='9' fill='%233E7A46'\/\u003e\u003cpath d='M6 10.4l2.6 2.6L14 7.6' stroke='%23fff' stroke-width='2.1' fill='none' stroke-linecap='round' stroke-linejoin='round'\/\u003e\u003c\/svg\u003e\");\n --green-b:#C2D8C5;--blue-b:#BFD5EA;--gold-b:#EBD8B4;--rose-b:#EFC8D2;\nmax-width:1280px;margin:0 auto;padding:8px 0 4px;color:var(--ink);background:#fff;\nfont-family:inherit;font-size:16px;line-height:1.65;-webkit-font-smoothing:antialiased}\n.bpk *{box-sizing:border-box}\n.bpk p{margin:0 0 1em;color:var(--ink-2)}\n.bpk h2{font-size:clamp(20px,2.3vw,26px);line-height:1.3;margin:0 0 .5em;color:var(--navy);font-weight:700;letter-spacing:-.01em}\n.bpk h3{font-size:clamp(16px,1.5vw,18px);margin:0 0 .5em;color:var(--navy);font-weight:700}\n.bpk strong{color:var(--ink);font-weight:700}\n.bpk .answer{font-size:clamp(16px,1.6vw,17.5px);color:var(--ink);font-weight:600;line-height:1.55;margin:0 0 .8em}\n.bpk section{padding:32px 0;border-top:1px solid var(--line)}\n.bpk section:first-of-type{border-top:0;padding-top:6px}\n.bpk a{color:var(--blue);text-decoration:underline;text-underline-offset:2px}\n.bpk .eyebrow{display:inline-block;font-size:11.5px;font-weight:800;letter-spacing:.13em;text-transform:uppercase;margin:0 0 10px;padding:4px 11px;border-radius:99px}\n.bpk .e-g{color:var(--green);background:var(--green-t)}\n.bpk .e-b{color:var(--blue);background:var(--blue-t)}\n.bpk .e-a{color:var(--gold);background:var(--gold-t)}\n.bpk .e-r{color:var(--rose);background:var(--rose-t)}\n.bpk \u003e section \u003e p,.bpk \u003e section \u003e .answer,.bpk .faq p,.bpk .faq h3{max-width:76ch}\n.bpk .bars,.bpk .bars + .fine{max-width:940px}\n.bpk \u003e section \u003e .cards,.bpk \u003e section \u003e .cards + .fine{max-width:760px}\n.bpk .stats{display:grid;grid-template-columns:repeat(auto-fit,minmax(150px,1fr));gap:12px;margin:22px 0 4px}\n.bpk .stat{border-radius:14px;padding:18px 14px;text-align:center;border:1px solid}\n.bpk .stat b{display:block;font-size:clamp(19px,2.1vw,23px);line-height:1.2;font-weight:800}\n.bpk .stat span{display:block;font-size:12.5px;color:var(--ink-3);margin-top:5px}\n.bpk .s-g{background:var(--green-t);border-color:var(--green-b)} .bpk .s-g b{color:var(--green)}\n.bpk .s-b{background:var(--blue-t);border-color:var(--blue-b)} .bpk .s-b b{color:var(--blue)}\n.bpk .s-a{background:var(--gold-t);border-color:var(--gold-b)} .bpk .s-a b{color:var(--gold)}\n.bpk .s-r{background:var(--rose-t);border-color:var(--rose-b)} .bpk .s-r b{color:var(--rose)}\n.bpk .split{display:grid;grid-template-columns:minmax(260px,1fr) minmax(280px,1.15fr);gap:30px;align-items:center}\n@media(max-width:720px){.bpk .split{grid-template-columns:1fr;gap:22px}}\n.bpk .scroll{overflow-x:auto;-webkit-overflow-scrolling:touch}\n.bpk table{width:100%;border-collapse:collapse;font-size:14.5px;min-width:440px}\n.bpk th,.bpk td{text-align:left;padding:11px 13px;border-bottom:1px solid var(--line)}\n.bpk thead th{background:var(--blue-t);color:var(--navy);font-weight:700;font-size:13px;border-bottom:2px solid var(--blue-b)}\n.bpk tbody tr:nth-child(even){background:#FFFDF7}\n.bpk td.num,.bpk th.num{text-align:right;font-variant-numeric:tabular-nums;white-space:nowrap}\n.bpk .yes{color:var(--green);font-weight:700}\n.bpk .no{color:var(--ink-3)}\n.bpk .legend{list-style:none;padding:0;margin:18px 0 0}\n.bpk .legend li{display:flex;align-items:flex-start;gap:10px;padding:8px 0;font-size:14.5px;border-bottom:1px solid var(--line)}\n.bpk .legend li:last-child{border-bottom:0}\n.bpk .sw{width:13px;height:13px;border-radius:4px;flex:0 0 13px;margin-top:5px}\n.bpk .legend b{margin-left:auto;font-variant-numeric:tabular-nums;color:var(--ink)}\n.bpk .checks{display:grid;grid-template-columns:repeat(auto-fit,minmax(190px,1fr));gap:10px;list-style:none;padding:0;margin:20px 0 0}\n.bpk .checks li{display:flex;align-items:center;gap:9px;background:var(--green-t);border:1px solid var(--green-b);border-radius:11px;padding:12px 14px;font-size:14.5px;font-weight:600;color:var(--green)}\n.bpk .checks li::before{content:\"\";flex:0 0 17px;height:17px;background:var(--tick) no-repeat center\/contain}\n.bpk .note{background:var(--rose-t);border:1px solid var(--rose-b);border-left:4px solid var(--rose);border-radius:11px;padding:17px 19px;margin:22px 0 0}\n.bpk .note h3{color:var(--rose);margin-bottom:6px;font-size:15.5px}\n.bpk .note p{margin:0;font-size:14.5px;color:var(--ink)}\n.bpk .tip{background:var(--cream);border:1px solid var(--line);border-radius:13px;padding:19px 21px}\n.bpk .tip-a{background:var(--gold-t);border-color:var(--gold-b)}\n.bpk .tip-a h3{color:var(--gold)}\n.bpk .steps-grid{display:grid;grid-template-columns:repeat(auto-fit,minmax(232px,1fr));gap:16px;margin:26px 0 0}\n@media(min-width:900px){.bpk .steps-grid{grid-template-columns:repeat(3,1fr)}}\n.bpk .step{background:#fff;border:1px solid var(--line);border-radius:15px;padding:24px 20px 20px;position:relative}\n.bpk .step .n{position:absolute;top:-12px;left:20px;width:28px;height:28px;border-radius:50%;background:var(--blue);color:#fff;font-size:13.5px;font-weight:800;display:flex;align-items:center;justify-content:center}\n.bpk .step .ico{display:block;margin:2px 0 14px}\n.bpk .step h4{font-size:15px;color:var(--navy);margin:0 0 6px;font-weight:700}\n.bpk .step p{font-size:14px;margin:0;color:var(--ink-2);line-height:1.55}\n.bpk .caution{display:flex;gap:11px;align-items:flex-start;background:var(--gold-t);border:1px solid var(--gold-b);border-radius:12px;padding:15px 17px;margin:20px 0 0;font-size:14.5px;color:var(--ink)}\n.bpk .caution svg{flex:0 0 19px;margin-top:2px}\n.bpk .figlabels{list-style:none;padding:0;margin:14px 0 0;text-align:left;display:inline-block}\n.bpk .figlabels li{display:flex;align-items:center;gap:8px;font-size:12.5px;color:var(--ink-2);padding:3px 0}\n.bpk .figlabels .k{width:11px;height:11px;border-radius:3px;flex:0 0 11px}\n.bpk .sci{background:#fff;border:1px solid var(--line);border-radius:15px;padding:20px 20px 18px}\n.bpk .sci-row{margin-bottom:6px}\n.bpk .sci-h{font-size:12.5px;font-weight:800;letter-spacing:.02em;margin-bottom:2px}\n.bpk .sci-h em{font-style:normal;font-weight:600;opacity:.7}\n.bpk .sci svg{display:block;width:100%;height:auto}\n.bpk .sci-note{font-size:12.5px;color:var(--ink-3);margin:6px 0 16px;line-height:1.5}\n.bpk .sci-nets{display:grid;grid-template-columns:1fr 1fr;gap:16px;border-top:1px solid var(--line);padding-top:16px}\n.bpk .sci-nets span{display:block;font-size:12.5px;font-weight:700;text-align:center;margin-top:4px}\n.bpk .dial{display:grid;grid-template-columns:1fr 1fr;gap:10px;margin-top:14px}\n.bpk .dial div{background:#fff;border:1px solid var(--blue-b);border-radius:11px;padding:14px;text-align:center}\n.bpk .dial b{display:block;font-size:28px;color:var(--blue);font-weight:800;line-height:1}\n.bpk .dial span{font-size:12px;color:var(--ink-3);display:block;margin-top:5px}\n.bpk .trust{background:var(--cream);border:1px solid var(--line);border-radius:16px;padding:26px}\n.bpk .trust ul{display:grid;grid-template-columns:repeat(auto-fit,minmax(230px,1fr));gap:9px 24px;list-style:none;padding:0;margin:14px 0 0}\n.bpk .trust li{display:flex;gap:9px;align-items:flex-start;font-size:14.5px;color:var(--ink-2)}\n.bpk .trust li::before{content:\"\";flex:0 0 16px;height:16px;margin-top:3px;background:var(--tick) no-repeat center\/contain}\n.bpk .fine{font-size:12.5px;color:var(--ink-3);margin-top:14px;line-height:1.5}\n.bpk figure{margin:0}\n.bpk .cards{display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:16px;margin:22px 0 0}\n.bpk .card{border-radius:16px;padding:22px 18px;text-align:center}\n.bpk .card.tint-b{background:var(--blue-t);border:1px solid var(--blue-b)}\n.bpk .card.tint-g{background:var(--green-t);border:1px solid var(--green-b)}\n.bpk .card.plain{background:#F4F1E9;border:1px solid #E7E3D9}\n.bpk .card h4{margin:0 0 3px;font-size:13.5px;font-weight:800;letter-spacing:.06em;text-transform:uppercase}\n.bpk .card.tint-b h4{color:var(--blue)} .bpk .card.tint-g h4{color:var(--green)} .bpk .card.plain h4{color:var(--ink-3)}\n.bpk .card .sub{font-size:13px;margin:0 0 16px;color:var(--ink-2)}\n.bpk .card.plain .sub{color:var(--ink-3)}\n.bpk .card svg{display:block;margin:0 auto;max-width:230px;width:100%}\n.bpk .card .tagline{font-size:13.5px;font-weight:700;margin:14px 0 0}\n.bpk .card.tint-b .tagline{color:var(--blue)} .bpk .card.tint-g .tagline{color:var(--green)} .bpk .card.plain .tagline{color:var(--ink-3)}\n.bpk .bars{margin:24px 0 0}\n.bpk .brow{margin-bottom:17px}\n.bpk .blab{font-size:14px;color:var(--ink);font-weight:600;margin-bottom:6px}\n.bpk .bwrap{display:flex;align-items:center;gap:12px}\n.bpk .btrack{flex:1;background:#E2DFD6;border-radius:6px;height:27px;display:flex;overflow:hidden}\n.bpk .bfill{background:var(--blue);height:100%;border-radius:0 5px 5px 0}\n.bpk .bext{background:#B9C6AC;height:100%;border-radius:0 5px 5px 0;margin-left:2px}\n.bpk .bval{font-size:13.5px;font-weight:700;color:var(--navy);white-space:nowrap;min-width:62px;text-align:right}\n.bpk .axis{font-size:12px;color:var(--ink-3);margin-top:12px}\n.bpk .faq{margin:20px 0 0;border-top:1px solid var(--line)}\n.bpk .faq .qa{padding:19px 0;border-bottom:1px solid var(--line)}\n.bpk .faq h3{margin:0 0 7px;font-size:16.5px}\n.bpk .faq p{margin:0;font-size:15px}\n.bpk .rel{display:grid;grid-template-columns:repeat(auto-fit,minmax(215px,1fr));gap:11px;margin:20px 0 0;list-style:none;padding:0}\n.bpk .rel li{background:#fff;border:1px solid var(--line);border-radius:12px;padding:15px 16px}\n.bpk .rel a{display:block;font-weight:700;font-size:14.5px;text-decoration:none;color:var(--navy);margin-bottom:3px}\n.bpk .rel a:hover{text-decoration:underline}\n.bpk .rel span{font-size:13px;color:var(--ink-3);line-height:1.45;display:block}\n.bpk .reviewed{font-size:12.5px;color:var(--ink-3);border-top:1px solid var(--line);padding-top:16px;margin-top:8px}\n\u003c\/style\u003e\n\u003c!-- BPK-CSS-END --\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003e600g Box · German Version · From Birth\u003c\/span\u003e\n\u003ch2\u003eWhat is HiPP Anti-Reflux (AR) formula?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eHiPP AR is a German \u003cstrong\u003eanti-reflux infant formula\u003c\/strong\u003e for babies from birth, thickened with locust bean gum so that feeds are less likely to come back up. It is a food for special medical purposes, meant to be used on the advice of a doctor or health visitor rather than chosen as an everyday formula. One 600g box makes about 164 fl oz of prepared formula — roughly 33 five-ounce bottles.\u003c\/p\u003e\n\u003cp\u003eThe mechanism is physical rather than nutritional. \u003cstrong\u003eLocust bean gum\u003c\/strong\u003e, also called carob bean gum, is a plant fibre that swells once the bottle has been mixed and left to stand for a few minutes. The prepared feed becomes thicker and heavier, and a heavier feed stays down more easily. The protein in HiPP AR is ordinary, intact cow's milk protein — this is \u003cstrong\u003enot a hydrolysed formula\u003c\/strong\u003e and it does nothing about allergy risk.\u003c\/p\u003e\n\u003cp\u003eThat places it in a different category from the rest of HiPP's functional range. HiPP Comfort changes the carbohydrate, HiPP HA changes the protein structure, and HiPP AR changes only the texture of the prepared bottle. If your baby's problem is colic, constipation or a family history of allergy rather than frequent regurgitation, one of those is the better fit and we stock both.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eHiPP Anti-Reflux is not EU Organic certified.\u003c\/strong\u003e There is no organic leaf on this box. On its Bio Combiotik range HiPP marks every farmed ingredient as organic; on this one it marks none, so \u003cstrong\u003ewe cannot tell you the milk here is organically farmed\u003c\/strong\u003e — that comes from reading HiPP's own ingredient declaration, not from the brand name.\u003c\/p\u003e\n\u003cp\u003eHiPP's own explanation is that legislation does not allow specialist milks such as anti-reflux to be certified organic. This is a food for special medical purposes with one job: to thicken in the bottle with carob bean gum so feeds stay down. \u003cstrong\u003eYou are choosing that function over the certificate\u003c\/strong\u003e — and it is still made by HiPP, under the same EU infant formula law as everything else we sell.\u003c\/p\u003e\n\u003cp\u003eFrequent spit-up is common in the first months and usually settles on its own, often without any formula change at all. \u003cstrong\u003eAnti-reflux formula belongs in a feeding plan agreed with a health professional.\u003c\/strong\u003e Ask your paediatrician or health visitor before you start, and ask them again before you stop.\u003c\/p\u003e\n\u003cdiv class=\"stats\"\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e0+ mo\u003c\/b\u003e\u003cspan\u003eFrom birth\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-g\"\u003e\n\u003cb\u003e600g\u003c\/b\u003e\u003cspan\u003eOne box\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-a\"\u003e\n\u003cb\u003e~164 fl oz\u003c\/b\u003e\u003cspan\u003e≈ 33 × 5oz bottles\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003eGermany\u003c\/b\u003e\u003cspan\u003eGerman version, not UK\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eNutrition\u003c\/span\u003e\n\u003ch2\u003eWhat's in HiPP Anti-Reflux formula per 100ml?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003ePrepared as directed, every 100ml provides 66 kcal, 3.6g fat, 1.25g protein, 6.9g carbohydrate, 51mg calcium, 0.7mg iron and 13.2mg DHA sourced from fish oil. All 6.9g of the carbohydrate is \u003cstrong\u003elactose\u003c\/strong\u003e. The thickener is \u003cstrong\u003elocust bean gum\u003c\/strong\u003e, and the formula carries HiPP's Limosilactobacillus fermentum hereditum probiotic culture.\u003c\/p\u003e\n\u003cdiv class=\"split\"\u003e\n\u003cfigure\u003e\n\u003csvg viewbox=\"0 0 240 240\" width=\"100%\" style=\"max-width:360px;display:block;margin:0 auto\" role=\"img\" aria-label=\"Doughnut chart: carbohydrate 59 percent, fat 31 percent, protein 11 percent of macronutrient grams per 100ml prepared\"\u003e\n\u003cg transform=\"rotate(-90 120 120)\" fill=\"none\" stroke-linecap=\"butt\"\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#E2DFD6\" stroke-width=\"32\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#1B3A6B\" stroke-width=\"32\" stroke-dasharray=\"322.7 552.9\" stroke-dashoffset=\"0\"\u003e\u003ctitle\u003eCarbohydrate — 6.9g per 100ml (59%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#2E6DA4\" stroke-width=\"32\" stroke-dasharray=\"167.4 552.9\" stroke-dashoffset=\"-324.7\"\u003e\u003ctitle\u003eFat — 3.6g per 100ml (31%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#C2D8C5\" stroke-width=\"32\" stroke-dasharray=\"56.8 552.9\" stroke-dashoffset=\"-494.1\"\u003e\u003ctitle\u003eProtein — 1.25g per 100ml (11%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003c\/g\u003e\n\u003ctext x=\"120\" y=\"116\" text-anchor=\"middle\" font-size=\"20\" font-weight=\"800\" fill=\"#1B3A6B\"\u003e66\u003c\/text\u003e\n\u003ctext x=\"120\" y=\"134\" text-anchor=\"middle\" font-size=\"10.5\" fill=\"#8A939C\"\u003ekcal \/ 100ml\u003c\/text\u003e\n\u003c\/svg\u003e\n\u003cul class=\"legend\"\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#1B3A6B\"\u003e\u003c\/span\u003e Carbohydrate \u003cb\u003e6.9 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#2E6DA4\"\u003e\u003c\/span\u003e Fat \u003cb\u003e3.6 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#C2D8C5\"\u003e\u003c\/span\u003e Protein \u003cb\u003e1.25 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/figure\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth\u003ePer 100ml prepared\u003c\/th\u003e\n\u003cth class=\"num\"\u003eAmount\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003eEnergy\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e66 kcal\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFat\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e3.6 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eProtein (intact)\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e1.25 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCarbohydrate\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e6.9 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e  — lactose\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e6.9 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalcium\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e51 mg\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIron\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e0.7 mg\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDHA (from fish oil)\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e13.2 mg\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eThickener\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eLocust bean gum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eProbiotic\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eL. fermentum hereditum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003cp class=\"fine\"\u003eAllergens: milk and fish. Figures as published for the German 600g box.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eClean label\u003c\/span\u003e\n\u003ch2\u003eWhat is not in HiPP Anti-Reflux formula?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eThere is no starch, no maltodextrin and no added sugar — all of the carbohydrate in the box is lactose — and the thickener is a plant fibre rather than a synthetic additive. What is also not there is an organic certificate: \u003cstrong\u003ethis German 600g box is not EU Organic certified\u003c\/strong\u003e, and it is not Demeter or Bioland certified either. It does contain palm oil and fish oil.\u003c\/p\u003e\n\u003cul class=\"checks\"\u003e\n\u003cli\u003ePlant-derived thickener only\u003c\/li\u003e\n\u003cli\u003eFull-lactose carbohydrate\u003c\/li\u003e\n\u003cli\u003eNo starch or maltodextrin\u003c\/li\u003e\n\u003cli\u003eNo added sugars\u003c\/li\u003e\n\u003cli\u003eProbiotic culture included\u003c\/li\u003e\n\u003cli\u003eNot a hydrolysed formula\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-a\"\u003eComparison\u003c\/span\u003e\n\u003ch2\u003eHow does HiPP AR compare to Aptamil AR and HiPP UK Anti-Reflux?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAll three are thickened with locust bean gum, all three are regulated as foods for special medical purposes, and \u003cstrong\u003enone of the three is organic certified\u003c\/strong\u003e. The differences that matter in practice are the probiotic culture, the pack size, and how clearly each manufacturer publishes its preparation rules.\u003c\/p\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eAnti-reflux · from birth\u003c\/th\u003e\n\u003cth\u003eHiPP AR (German)\u003c\/th\u003e\n\u003cth\u003eAptamil AR\u003c\/th\u003e\n\u003cth\u003eHiPP AR (UK)\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eOrganic certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eRegulatory category\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eFood for special medical purposes\u003c\/td\u003e\n\u003ctd\u003eFood for special medical purposes\u003c\/td\u003e\n\u003ctd\u003eFood for special medical purposes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eThickener\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProtein\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eIntact, 1.25 g \/ 100ml\u003c\/td\u003e\n\u003ctd\u003eIntact, 1.3 g \/ 100ml\u003c\/td\u003e\n\u003ctd\u003eIntact, 1.25 g \/ 100ml\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eEnergy\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e66 kcal \/ 100ml\u003c\/td\u003e\n\u003ctd\u003e66 kcal \/ 100ml\u003c\/td\u003e\n\u003ctd\u003e66 kcal \/ 100ml\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProbiotic culture\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eL. fermentum hereditum\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eL. fermentum hereditum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHalal certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNot certified\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eHalal certified\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNot confirmed\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eThickening rest before feeding\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eAbout 7 minutes\u003c\/td\u003e\n\u003ctd\u003eAbout 5 minutes\u003c\/td\u003e\n\u003ctd\u003eAbout 5–7 minutes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eBottle warmer or machine\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNot addressed by HiPP\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eManufacturer says do not use\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNot addressed by HiPP\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePack size\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003e600g box\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003e800g tin\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003e800g tin\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePrepared yield\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e~164 fl oz\u003c\/td\u003e\n\u003ctd\u003e~210 fl oz\u003c\/td\u003e\n\u003ctd\u003e~189 fl oz\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003cp style=\"margin-top:18px;font-size:14.5px\"\u003e\u003cstrong\u003eBeing straight with you:\u003c\/strong\u003e \u003ca href=\"\/es\/products\/aptamil-ar-anti-reflux-formula-800g\"\u003eAptamil AR\u003c\/a\u003e beats this box on three counts. It comes in an 800g tin against this 600g box, so comparing pack prices is misleading — compare cost per prepared ounce instead, and at roughly 210 fl oz per tin against about 164 fl oz here, Aptamil usually comes out ahead. It is Halal certified, which HiPP is not. And Aptamil's manufacturer publishes an explicit instruction not to use bottle warmers or formula machines with its thickened feed, where HiPP does not address the question at all — silence is less helpful than a clear rule, not safer than one. What HiPP AR has that Aptamil AR does not is the Combiotik probiotic culture. \u003ca href=\"\/es\/products\/hipp-uk-anti-reflux-800g\"\u003eHiPP UK Anti-Reflux\u003c\/a\u003e is the same probiotic in a larger 800g tin, if pack size is what you are after.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-a\"\u003ePlanning ahead\u003c\/span\u003e\n\u003ch2\u003eHow many boxes of anti-reflux formula will my baby need per month?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eA baby fed on HiPP AR typically uses roughly \u003cstrong\u003e3 to 5 boxes per month\u003c\/strong\u003e, depending on age and feed volume. One 600g box makes about 164 fl oz of prepared formula, which is around 33 five-ounce bottles.\u003c\/p\u003e\n\u003cp\u003eAnti-reflux feeding is usually a stage rather than a whole first year. Many babies move back to an ordinary infant formula once reflux settles, often well before 12 months. Buy in smaller quantities until you know how long your baby will be on it, and keep that decision with your health professional rather than making it from the shelf.\u003c\/p\u003e\n\u003cdiv class=\"bars\" role=\"img\" aria-label=\"Estimated 600 gram boxes used per month: younger baby with smaller feeds, about 3 boxes; typical across the first year, about 3 to 5 boxes; larger feeds closer to twelve months, about 5 boxes\"\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eYounger baby, smaller feeds\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\u003cdiv class=\"bfill\" style=\"width:50%\"\u003e\u003c\/div\u003e\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~3 boxes\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eTypical across the first year\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\n\u003cdiv class=\"bfill\" style=\"width:50%\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"bext\" style=\"width:33%\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~3–5\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eLarger feeds, closer to 12 months\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\u003cdiv class=\"bfill\" style=\"width:83%\"\u003e\u003c\/div\u003e\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~5 boxes\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"axis\"\u003eScale: 0 to 6 boxes (600g) per month · lighter shading shows the upper end of the range\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eEstimates for exclusive formula feeding. Every baby feeds differently — use these for planning, not as a target.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003ePreparation\u003c\/span\u003e\n\u003ch2\u003eHow do you prepare HiPP Anti-Reflux formula?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eSterilise everything, boil fresh water and let it cool to about 40–50°C, pour the measured water into the bottle first, add one level scoop for every 30ml, shake thoroughly, then \u003cstrong\u003eleave the bottle to stand for 7 minutes\u003c\/strong\u003e so the locust bean gum can thicken. Shake again, test the temperature on your wrist and feed. \u003cstrong\u003ePrepare HiPP AR by hand\u003c\/strong\u003e — a thickened formula is not suited to a bottle warmer or an automatic formula machine.\u003c\/p\u003e\n\u003cdiv class=\"stats\"\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e40–50°C\u003c\/b\u003e\u003cspan\u003eWater temperature\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-g\"\u003e\n\u003cb\u003e1 : 30ml\u003c\/b\u003e\u003cspan\u003eOne level scoop per 30ml\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-a\"\u003e\n\u003cb\u003e7 minutes\u003c\/b\u003e\u003cspan\u003eThickening rest before feeding\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e1 hour\u003c\/b\u003e\u003cspan\u003eDiscard after feeding starts\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"steps-grid\"\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e1\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M18 5h12M20 5v5c0 2.5-4 4.5-4 9.5V39a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V19.5c0-5-4-7-4-9.5V5\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M40 8l1.4 3.1L44.5 12.5l-3.1 1.4L40 17l-1.4-3.1-3.1-1.4 3.1-1.4z\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eSterilise everything\u003c\/h4\u003e\n\u003cp\u003eSterilise the bottle, teat, ring and cap, and wash your hands before you start.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e2\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M11 21h21v13a7 7 0 0 1-7 7h-7a7 7 0 0 1-7-7z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M32 25h5.5l-3.5 6\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M18 15c0-3 3-3.2 3-6.5M26 15c0-3 3-3.2 3-6.5\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eBoil and cool\u003c\/h4\u003e\n\u003cp\u003eBoil fresh drinking water, then let it cool to roughly 40–50°C before you mix.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e3\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M18 5h12M20 5v5c0 2.5-4 4.5-4 9.5V39a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V19.5c0-5-4-7-4-9.5V5\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M16.4 28c2.7 0 2.7 2 5.4 2s2.7-2 5.4-2 2.7 2 5.4 2\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eWater into the bottle first\u003c\/h4\u003e\n\u003cp\u003ePour the measured water into the sterilised bottle before you add any powder — never the other way round.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e4\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M9 24h22\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M12 24a9 9 0 0 1 18 0v1.5a4 4 0 0 1-4 4h-10a4 4 0 0 1-4-4z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M31 24l8-9\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eAdd level scoops\u003c\/h4\u003e\n\u003cp\u003eAdd one level scoop for every 30ml of water, following the feeding chart on your box. Never heap or press a scoop.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e5\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cg transform=\"rotate(14 24 24)\"\u003e\n\u003cpath d=\"M18 8h12M20 8v4.5c0 2.5-4 4.5-4 9V38a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V21.5c0-4.5-4-6.5-4-9V8\"\u003e\u003c\/path\u003e\n\u003c\/g\u003e\n\u003cpath d=\"M9 16c-2.5 2.8-2.5 7 0 10M41 16c2.5 2.8 2.5 7 0 10\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eShake, then wait 7 minutes\u003c\/h4\u003e\n\u003cp\u003eShake until the powder dissolves, then leave the bottle to stand for 7 minutes. Feeding before the thickener has worked defeats the purpose of an anti-reflux formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e6\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M24 6a4.5 4.5 0 0 1 4.5 4.5v16.2a8.5 8.5 0 1 1-9 0V10.5A4.5 4.5 0 0 1 24 6z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M24 16v14\"\u003e\u003c\/path\u003e\n\u003ccircle cx=\"24\" cy=\"34.5\" r=\"3.6\" fill=\"#2E6DA4\" stroke=\"none\"\u003e\u003c\/circle\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eShake again, test, feed\u003c\/h4\u003e\n\u003cp\u003eShake once more until the feed is evenly thick, check a drop on the inside of your wrist for about 37°C, and feed within the hour.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"caution\"\u003e\n\u003csvg width=\"19\" height=\"19\" viewbox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\"\u003e\u003ccircle cx=\"10\" cy=\"10\" r=\"9\" fill=\"#2E6DA4\"\u003e\u003c\/circle\u003e\u003cpath d=\"M10 5.5v5.2M10 14.2v.1\" stroke=\"#fff\" stroke-width=\"2.2\" stroke-linecap=\"round\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n\u003cspan\u003eNever microwave a thickened formula — it heats unevenly and can scald your baby. Never use artificially softened water or water that has been boiled more than once. Prepare a fresh bottle for every feed, never reheat, and discard anything left 1 hour after your baby starts drinking.\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eA note on water temperature.\u003c\/strong\u003e HiPP specifies water at about 40–50°C for this formula, and that is the instruction printed on your box. It is set deliberately — hotter water damages the live cultures and heat-sensitive vitamins this formula is built around.\u003cbr\u003e\u003cbr\u003eMany health authorities, including the NHS and WHO, advise 70°C or hotter for any powdered formula, because powder is not sterile and that temperature kills bacteria that can occasionally be present. The difference matters most for newborns, premature babies, and babies with weakened immunity. If your baby is in one of those groups, ask your paediatrician or health visitor which to follow for your situation.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"split\" style=\"align-items:start;margin-top:26px\"\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"note\"\u003e\n\u003ch3\u003ePlease read before buying\u003c\/h3\u003e\n\u003cp\u003eHiPP AR is a \u003cstrong\u003efood for special medical purposes\u003c\/strong\u003e and should be used on the advice of a doctor, paediatrician or health visitor, and under their supervision. It is made from intact cow's milk protein and is \u003cstrong\u003enot suitable for a baby with a diagnosed cow's milk protein allergy\u003c\/strong\u003e. Breastfeeding is best for your baby — talk to your health visitor or doctor before starting or changing a formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eStore boxes in a cool, dry place. Once opened, use the powder within 3 weeks. Never reheat or microwave prepared formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"tip tip-a\"\u003e\n\u003ch3\u003ePrepare by hand, not by machine\u003c\/h3\u003e\n\u003cp style=\"font-size:14.5px;margin:0\"\u003eLocust bean gum only thickens if the mixed bottle is left to rest and then shaken a second time. That is why manufacturers of thickened anti-reflux formula caution against preparing it in a bottle warmer or an automatic formula machine, and it is why we publish no machine setting for this product. Mix it by hand, give it the full 7 minutes, and shake it again before you feed.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eQuestions parents ask\u003c\/span\u003e\n\u003ch2\u003eHiPP Anti-Reflux formula: frequently asked questions\u003c\/h2\u003e\n\u003cdiv class=\"faq\"\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs HiPP Anti-Reflux formula organic?\u003c\/h3\u003e\n\u003cp\u003eNo. The German 600g HiPP AR box is not EU Organic certified, and it is not Demeter or Bioland certified either. HiPP's own explanation is that legislation does not allow specialist milks such as anti-reflux to be certified organic. HiPP does not mark any ingredient in this box as organically produced, where on its Bio Combiotik range it marks every farmed ingredient as organic — so we cannot tell you the milk here is organically farmed. If organic certification is what you are looking for, HiPP's Bio Combiotik range is the certified line.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eWhy do you have to wait 7 minutes before feeding HiPP AR?\u003c\/h3\u003e\n\u003cp\u003eBecause the thickener needs time to work. Locust bean gum is a plant fibre that only swells and thickens once it has been mixed into liquid and left to stand. Shaking the bottle and feeding straight away gives your baby a normal-thickness feed with a little extra fibre in it, which is not what an anti-reflux formula is for. Mix, shake, leave the bottle for a full 7 minutes, then shake again before you check the temperature and feed.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eCan I prepare HiPP Anti-Reflux in a bottle warmer or an automatic formula machine?\u003c\/h3\u003e\n\u003cp\u003ePrepare it by hand. A thickened formula needs a measured resting period and a second shake, and a warmer or an automatic dispenser is not designed to give it either. Manufacturers of locust bean gum thickened anti-reflux formula caution against machine and bottle-warmer preparation for exactly this reason, and Bonpek Baby publishes no machine setting for this product. Never microwave a thickened feed, as it heats unevenly and can scald.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs HiPP AR the same as HiPP Comfort or HiPP HA?\u003c\/h3\u003e\n\u003cp\u003eNo, and they solve different problems. HiPP AR thickens the prepared bottle with locust bean gum to reduce spit-up, and leaves the protein and carbohydrate intact. HiPP Comfort changes the carbohydrate, blending starch and maltodextrin with reduced lactose for colic and constipation. HiPP HA changes the protein structure through hydrolysis, for babies in families with a history of allergy. Choosing between them is a conversation to have with your paediatrician, not a guess.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eHow much prepared formula does one box of HiPP AR make?\u003c\/h3\u003e\n\u003cp\u003eOne 600g box of HiPP Anti-Reflux makes approximately 164 fluid ounces of prepared formula, which works out at about 33 five-ounce bottles. Depending on your baby's age and how much they take at each feed, that generally translates to somewhere between 3 and 5 boxes a month for a baby who is exclusively formula fed.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eCan I use HiPP AR if my baby has a cow's milk allergy?\u003c\/h3\u003e\n\u003cp\u003eNo. HiPP AR is made with intact, non-hydrolysed cow's milk protein and is not suitable for a baby with a diagnosed or suspected cow's milk protein allergy. Thickening changes the texture of the feed, not its protein, so it offers no protection against an allergic reaction. A baby with diagnosed CMPA needs an extensively hydrolysed or amino-acid formula prescribed by a doctor. It also contains fish oil.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eHow long should my baby stay on anti-reflux formula?\u003c\/h3\u003e\n\u003cp\u003eThat is a decision for your doctor or health visitor rather than one to make at home. Reflux and frequent spit-up very often settle on their own during the first year, and many babies move back to an ordinary infant formula well before 12 months. HiPP AR provides complete nutrition from birth to 6 months and can continue as part of a mixed diet with solid food after that, but it is intended for use for as long as the symptoms need managing, not by default.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003eExplore the range\u003c\/span\u003e\n\u003ch2\u003eRelated formulas at Bonpek Baby\u003c\/h2\u003e\n\u003cul class=\"rel\"\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/aptamil-ar-anti-reflux-formula-800g\"\u003eAptamil AR Anti-Reflux 800g\u003c\/a\u003e\u003cspan\u003eThe same thickening approach in a larger tin, Halal certified.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-uk-anti-reflux-800g\"\u003eHiPP UK Anti-Reflux 800g\u003c\/a\u003e\u003cspan\u003eHiPP's UK-market anti-reflux milk, from birth, in an 800g tin.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-comfort-german-600g\"\u003eHiPP Comfort (German)\u003c\/a\u003e\u003cspan\u003eFor colic and constipation rather than spit-up.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-ha-stage1-hypoallergenic-600g\"\u003eHiPP HA Stage 1\u003c\/a\u003e\u003cspan\u003eHydrolysed protein, for families with a history of allergy.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-stage-1-bio-combiotik-formula-hipp-1-germany\"\u003eHiPP Stage 1 Bio Combiotik\u003c\/a\u003e\u003cspan\u003eThe organic everyday formula to move back to when reflux settles.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/collections\/all-baby-formulas\"\u003eAll baby formulas\u003c\/a\u003e\u003cspan\u003eBrowse every European formula we stock, by brand and stage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cdiv class=\"trust\"\u003e\n\u003ch2 style=\"margin-bottom:2px\"\u003eWhy parents buy from Bonpek Baby\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eAuthentic from Europe for 8+ years\u003c\/li\u003e\n\u003cli\u003eUS stock — no shipping or customs delays\u003c\/li\u003e\n\u003cli\u003eSame-day pickup \u0026amp; delivery for locals\u003c\/li\u003e\n\u003cli\u003eAlways fresh — receiving weekly\u003c\/li\u003e\n\u003cli\u003eBest prices, or we'll match and add a free gift\u003c\/li\u003e\n\u003cli\u003eTrusted by 9,000+ parents in the US\u003c\/li\u003e\n\u003cli\u003ePrompt customer support text line\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"reviewed\"\u003eProduct information last reviewed by the Bonpek Baby team in September 2026 against the manufacturer's current published ingredient and nutrition data. Always check the label on your tin, as manufacturers reformulate from time to time.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003c\/div\u003e","brand":"HiPP","offers":[{"title":"Default Title","offer_id":42000174317737,"sku":null,"price":38.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0507\/5802\/5385\/products\/HiPPAntiReflux60005_1400x_e5530d5c-4e1c-48ed-91e8-5c5057dd8fa4.jpg?v=1645550116"},{"product_id":"aptamil-ar-anti-reflux-formula-800g","title":"Aptamil AR Anti Reflux Formula - 800g","description":"\u003c!-- BPK-CSS-START --\u003e\n\u003cstyle\u003e\n.bpk{\n--navy:#1B3A6B;--ink:#2C3A47;--ink-2:#55636F;--ink-3:#8A939C;\n--cream:#FFFDF7;--line:#E7E3D9;\n--green:#3E7A46;--blue:#2E6DA4;--gold:#B8802E;--rose:#C24A67;\n--green-t:#E9F2EA;--blue-t:#E8F0F8;--gold-t:#FAF2E4;--rose-t:#FBEBEF;\n--tick:url(\"data:image\/svg+xml;utf8,\u003csvg xmlns='http:\/\/www.w3.org\/2000\/svg' viewBox='0 0 20 20'\u003e\u003ccircle cx='10' cy='10' r='9' fill='%233E7A46'\/\u003e\u003cpath d='M6 10.4l2.6 2.6L14 7.6' stroke='%23fff' stroke-width='2.1' fill='none' stroke-linecap='round' stroke-linejoin='round'\/\u003e\u003c\/svg\u003e\");\n --green-b:#C2D8C5;--blue-b:#BFD5EA;--gold-b:#EBD8B4;--rose-b:#EFC8D2;\nmax-width:1280px;margin:0 auto;padding:8px 0 4px;color:var(--ink);background:#fff;\nfont-family:inherit;font-size:16px;line-height:1.65;-webkit-font-smoothing:antialiased}\n.bpk *{box-sizing:border-box}\n.bpk p{margin:0 0 1em;color:var(--ink-2)}\n.bpk h2{font-size:clamp(20px,2.3vw,26px);line-height:1.3;margin:0 0 .5em;color:var(--navy);font-weight:700;letter-spacing:-.01em}\n.bpk h3{font-size:clamp(16px,1.5vw,18px);margin:0 0 .5em;color:var(--navy);font-weight:700}\n.bpk strong{color:var(--ink);font-weight:700}\n.bpk .answer{font-size:clamp(16px,1.6vw,17.5px);color:var(--ink);font-weight:600;line-height:1.55;margin:0 0 .8em}\n.bpk section{padding:32px 0;border-top:1px solid var(--line)}\n.bpk section:first-of-type{border-top:0;padding-top:6px}\n.bpk a{color:var(--blue);text-decoration:underline;text-underline-offset:2px}\n.bpk .eyebrow{display:inline-block;font-size:11.5px;font-weight:800;letter-spacing:.13em;text-transform:uppercase;margin:0 0 10px;padding:4px 11px;border-radius:99px}\n.bpk .e-g{color:var(--green);background:var(--green-t)}\n.bpk .e-b{color:var(--blue);background:var(--blue-t)}\n.bpk .e-a{color:var(--gold);background:var(--gold-t)}\n.bpk .e-r{color:var(--rose);background:var(--rose-t)}\n.bpk \u003e section \u003e p,.bpk \u003e section \u003e .answer,.bpk .faq p,.bpk .faq h3{max-width:76ch}\n.bpk .bars,.bpk .bars + .fine{max-width:940px}\n.bpk \u003e section \u003e .cards,.bpk \u003e section \u003e .cards + .fine{max-width:760px}\n.bpk .stats{display:grid;grid-template-columns:repeat(auto-fit,minmax(150px,1fr));gap:12px;margin:22px 0 4px}\n.bpk .stat{border-radius:14px;padding:18px 14px;text-align:center;border:1px solid}\n.bpk .stat b{display:block;font-size:clamp(19px,2.1vw,23px);line-height:1.2;font-weight:800}\n.bpk .stat span{display:block;font-size:12.5px;color:var(--ink-3);margin-top:5px}\n.bpk .s-g{background:var(--green-t);border-color:var(--green-b)} .bpk .s-g b{color:var(--green)}\n.bpk .s-b{background:var(--blue-t);border-color:var(--blue-b)} .bpk .s-b b{color:var(--blue)}\n.bpk .s-a{background:var(--gold-t);border-color:var(--gold-b)} .bpk .s-a b{color:var(--gold)}\n.bpk .s-r{background:var(--rose-t);border-color:var(--rose-b)} .bpk .s-r b{color:var(--rose)}\n.bpk .split{display:grid;grid-template-columns:minmax(260px,1fr) minmax(280px,1.15fr);gap:30px;align-items:center}\n@media(max-width:720px){.bpk .split{grid-template-columns:1fr;gap:22px}}\n.bpk .scroll{overflow-x:auto;-webkit-overflow-scrolling:touch}\n.bpk table{width:100%;border-collapse:collapse;font-size:14.5px;min-width:440px}\n.bpk th,.bpk td{text-align:left;padding:11px 13px;border-bottom:1px solid var(--line)}\n.bpk thead th{background:var(--blue-t);color:var(--navy);font-weight:700;font-size:13px;border-bottom:2px solid var(--blue-b)}\n.bpk tbody tr:nth-child(even){background:#FCFBF7}\n.bpk td.num,.bpk th.num{text-align:right;font-variant-numeric:tabular-nums;white-space:nowrap}\n.bpk .yes{color:var(--green);font-weight:700}\n.bpk .no{color:var(--ink-3)}\n.bpk .legend{list-style:none;padding:0;margin:18px 0 0}\n.bpk .legend li{display:flex;align-items:flex-start;gap:10px;padding:8px 0;font-size:14.5px;border-bottom:1px solid var(--line)}\n.bpk .legend li:last-child{border-bottom:0}\n.bpk .sw{width:13px;height:13px;border-radius:4px;flex:0 0 13px;margin-top:5px}\n.bpk .legend b{margin-left:auto;font-variant-numeric:tabular-nums;color:var(--ink)}\n.bpk .checks{display:grid;grid-template-columns:repeat(auto-fit,minmax(190px,1fr));gap:10px;list-style:none;padding:0;margin:20px 0 0}\n.bpk .checks li{display:flex;align-items:center;gap:9px;background:var(--green-t);border:1px solid var(--green-b);border-radius:11px;padding:12px 14px;font-size:14.5px;font-weight:600;color:var(--green)}\n.bpk .checks li::before{content:\"\";flex:0 0 17px;height:17px;background:var(--tick) no-repeat center\/contain}\n.bpk .note{background:var(--rose-t);border:1px solid var(--rose-b);border-left:4px solid var(--rose);border-radius:11px;padding:17px 19px;margin:22px 0 0}\n.bpk .note h3{color:var(--rose);margin-bottom:6px;font-size:15.5px}\n.bpk .note p{margin:0;font-size:14.5px;color:#6E4550}\n.bpk .tip{background:var(--cream);border:1px solid var(--line);border-radius:13px;padding:19px 21px}\n.bpk .tip-a{background:var(--gold-t);border-color:var(--gold-b)}\n.bpk .tip-a h3{color:var(--gold)}\n.bpk .steps-grid{display:grid;grid-template-columns:repeat(auto-fit,minmax(232px,1fr));gap:16px;margin:26px 0 0}\n@media(min-width:900px){.bpk .steps-grid{grid-template-columns:repeat(3,1fr)}}\n.bpk .step{background:#fff;border:1px solid var(--line);border-radius:15px;padding:24px 20px 20px;position:relative}\n.bpk .step .n{position:absolute;top:-12px;left:20px;width:28px;height:28px;border-radius:50%;background:var(--blue);color:#fff;font-size:13.5px;font-weight:800;display:flex;align-items:center;justify-content:center}\n.bpk .step .ico{display:block;margin:2px 0 14px}\n.bpk .step h4{font-size:15px;color:var(--navy);margin:0 0 6px;font-weight:700}\n.bpk .step p{font-size:14px;margin:0;color:var(--ink-2);line-height:1.55}\n.bpk .caution{display:flex;gap:11px;align-items:flex-start;background:var(--gold-t);border:1px solid var(--gold-b);border-radius:12px;padding:15px 17px;margin:20px 0 0;font-size:14.5px;color:#6B5427}\n.bpk .caution svg{flex:0 0 19px;margin-top:2px}\n.bpk .sci{background:#fff;border:1px solid var(--line);border-radius:15px;padding:20px 20px 18px}\n.bpk .sci-row{margin-bottom:6px}\n.bpk .sci-h{font-size:12.5px;font-weight:800;letter-spacing:.02em;margin-bottom:2px}\n.bpk .sci-h em{font-style:normal;font-weight:600;opacity:.7}\n.bpk .sci svg{display:block;width:100%;height:auto}\n.bpk .sci-note{font-size:12.5px;color:var(--ink-3);margin:6px 0 16px;line-height:1.5}\n.bpk .sci-nets{display:grid;grid-template-columns:1fr 1fr;gap:16px;border-top:1px solid var(--line);padding-top:16px}\n.bpk .sci-nets span{display:block;font-size:12.5px;font-weight:700;text-align:center;margin-top:4px}\n.bpk .trust{background:var(--cream);border:1px solid var(--line);border-radius:16px;padding:26px}\n.bpk .trust ul{display:grid;grid-template-columns:repeat(auto-fit,minmax(230px,1fr));gap:9px 24px;list-style:none;padding:0;margin:14px 0 0}\n.bpk .trust li{display:flex;gap:9px;align-items:flex-start;font-size:14.5px;color:var(--ink-2)}\n.bpk .trust li::before{content:\"\";flex:0 0 16px;height:16px;margin-top:3px;background:var(--tick) no-repeat center\/contain}\n.bpk .fine{font-size:12.5px;color:var(--ink-3);margin-top:14px;line-height:1.5}\n.bpk figure{margin:0}\n.bpk .bars{margin:24px 0 0}\n.bpk .brow{margin-bottom:17px}\n.bpk .blab{font-size:14px;color:var(--ink);font-weight:600;margin-bottom:6px}\n.bpk .bwrap{display:flex;align-items:center;gap:12px}\n.bpk .btrack{flex:1;background:#F2F0EA;border-radius:6px;height:27px;display:flex;overflow:hidden}\n.bpk .bfill{background:var(--blue);height:100%;border-radius:0 5px 5px 0}\n.bpk .bext{background:#A9C6E2;height:100%;border-radius:0 5px 5px 0;margin-left:2px}\n.bpk .bval{font-size:13.5px;font-weight:700;color:var(--navy);white-space:nowrap;min-width:62px;text-align:right}\n.bpk .axis{font-size:12px;color:var(--ink-3);margin-top:12px}\n.bpk .faq{margin:20px 0 0;border-top:1px solid var(--line)}\n.bpk .faq .qa{padding:19px 0;border-bottom:1px solid var(--line)}\n.bpk .faq h3{margin:0 0 7px;font-size:16.5px}\n.bpk .faq p{margin:0;font-size:15px}\n.bpk .rel{display:grid;grid-template-columns:repeat(auto-fit,minmax(215px,1fr));gap:11px;margin:20px 0 0;list-style:none;padding:0}\n.bpk .rel li{background:#fff;border:1px solid var(--line);border-radius:12px;padding:15px 16px}\n.bpk .rel a{display:block;font-weight:700;font-size:14.5px;text-decoration:none;color:var(--navy);margin-bottom:3px}\n.bpk .rel a:hover{text-decoration:underline}\n.bpk .rel span{font-size:13px;color:var(--ink-3);line-height:1.45;display:block}\n.bpk .reviewed{font-size:12.5px;color:var(--ink-3);border-top:1px solid var(--line);padding-top:16px;margin-top:8px}\n\u003c\/style\u003e\n\u003c!-- BPK-CSS-END --\u003e\n\n\u003cdiv class=\"bpk\" id=\"full-description\"\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003eAnti-Reflux · 800 g\u003c\/span\u003e\n\u003ch2\u003eWhat is Aptamil AR Anti Reflux formula?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAptamil AR is a \u003cstrong\u003ethickened European anti-reflux baby formula\u003c\/strong\u003e for infants from birth who bring up milk frequently. It is thickened with \u003cstrong\u003elocust bean gum\u003c\/strong\u003e, a plant fibre also called carob bean gum, which makes the feed heavier so it is less likely to come back up. This listing is the large 800 g box — about \u003cstrong\u003e210 fl oz\u003c\/strong\u003e of prepared formula, roughly 42 bottles of 5 fl oz.\u003c\/p\u003e\n\u003cp\u003eThe regulatory category matters here. Aptamil AR is sold as a \u003cstrong\u003eFood for Special Medical Purposes\u003c\/strong\u003e — the EU classification for a food designed to manage a specific condition, intended to be used with healthcare-professional advice rather than picked off a shelf. It is not a premium everyday milk and it is not a general \"sensitive tummy\" formula. It is also \u003cstrong\u003enot suitable for premature infants\u003c\/strong\u003e.\u003c\/p\u003e\n\u003cp\u003eThis particular 800 g box is the German-market pack, produced by Nutricia Milupa GmbH. Our 400 g box carries a different European barcode because it comes from a different national market — that is a normal regional registration difference, not a different recipe. We found no evidence of any formulation difference between the two pack sizes: same locust bean gum thickener, same lactose, skimmed milk and whey base, same nutrition per 100ml.\u003c\/p\u003e\n\u003cp\u003eWhere it sits in the feeding journey: AR can be used from birth as a complete formula, and parents typically arrive at it after their doctor or health visitor has confirmed the spit-up is frequent reflux rather than ordinary posseting. Because the feed is thickened, it needs a \u003cstrong\u003efast-flow, single-hole teat\u003c\/strong\u003e and a preparation routine that differs from ordinary formula in ways that matter — read the preparation section before your first bottle. Breastfeeding, where it is possible, remains the first option.\u003c\/p\u003e\n\u003cdiv class=\"stats\"\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003eFrom birth\u003c\/b\u003e\u003cspan\u003eUnder medical guidance\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-g\"\u003e\n\u003cb\u003e800 g\u003c\/b\u003e\u003cspan\u003e1.76 lb per box\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-a\"\u003e\n\u003cb\u003e~210 fl oz\u003c\/b\u003e\u003cspan\u003e≈ 42 × 5 oz bottles\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003eCarob gum\u003c\/b\u003e\u003cspan\u003eLocust bean gum thickener\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eNutrition\u003c\/span\u003e\n\u003ch2\u003eWhat's in Aptamil AR per 100ml?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003ePrepared as directed, every 100ml provides 276 kJ \/ 66 kcal, 3.4g fat of which 1.5g is saturated, 1.3g protein, 7.3g carbohydrate of which 7.0g is lactose, and 0.7g fibre from the gum thickener. The formula also carries \u003cstrong\u003eDHA and ARA\u003c\/strong\u003e, a \u003cstrong\u003eGOS\/FOS prebiotic blend\u003c\/strong\u003e, taurine, L-carnitine, choline and nucleotides.\u003c\/p\u003e\n\u003cdiv class=\"split\"\u003e\n\u003cfigure\u003e\n\u003csvg viewbox=\"0 0 240 240\" width=\"100%\" style=\"max-width:360px;display:block;margin:0 auto\" role=\"img\" aria-label=\"Doughnut chart: carbohydrate 61 percent, fat 28 percent, protein 11 percent of macronutrient grams per 100ml prepared formula\"\u003e\n\u003cg transform=\"rotate(-90 120 120)\" fill=\"none\" stroke-linecap=\"butt\"\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#E7E3D9\" stroke-width=\"32\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#3E7A46\" stroke-width=\"32\" stroke-dasharray=\"336.4 552.9\" stroke-dashoffset=\"0\"\u003e\u003ctitle\u003eCarbohydrate — 7.3g per 100ml (61%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#2E6DA4\" stroke-width=\"32\" stroke-dasharray=\"156.7 552.9\" stroke-dashoffset=\"-338.4\"\u003e\u003ctitle\u003eFat — 3.4g per 100ml (28%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#C2D8C5\" stroke-width=\"32\" stroke-dasharray=\"59.8 552.9\" stroke-dashoffset=\"-497.1\"\u003e\u003ctitle\u003eProtein — 1.3g per 100ml (11%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003c\/g\u003e\n\u003ctext x=\"120\" y=\"116\" text-anchor=\"middle\" font-size=\"20\" font-weight=\"800\" fill=\"#3E7A46\"\u003e66\u003c\/text\u003e\n\u003ctext x=\"120\" y=\"134\" text-anchor=\"middle\" font-size=\"10.5\" fill=\"#8A939C\"\u003ekcal \/ 100ml\u003c\/text\u003e\n\u003c\/svg\u003e\n\u003cul class=\"legend\"\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#3E7A46\"\u003e\u003c\/span\u003e Carbohydrate \u003cb\u003e7.3 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#2E6DA4\"\u003e\u003c\/span\u003e Fat \u003cb\u003e3.4 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#C2D8C5\"\u003e\u003c\/span\u003e Protein \u003cb\u003e1.3 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/figure\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth\u003ePer 100ml prepared\u003c\/th\u003e\n\u003cth class=\"num\"\u003eAmount\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003eEnergy\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e276 kJ \/ 66 kcal\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFat\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e3.4 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e— of which saturates\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e1.5 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eProtein\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e1.3 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCarbohydrate\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e7.3 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e— of which lactose\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e7.0 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFibre (from carob bean gum)\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e0.7 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePrebiotic\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eGOS\/FOS\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDHA source\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eFish oil\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlso contains\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eARA, taurine, L-carnitine, choline, nucleotides\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe ingredient deck is built on a dairy blend of lactose, vegetable oils (palm, coconut, rapeseed, sunflower and high oleic sunflower), skimmed milk and two whey fractions, followed by galacto-oligosaccharides, the \u003cstrong\u003ecarob bean gum thickener\u003c\/strong\u003e, whey protein, fructo-oligosaccharides, oil from \u003cem\u003eMortierella alpina\u003c\/em\u003e for ARA, and the full vitamin and mineral spread. Declared allergens are \u003cstrong\u003emilk, fish and soy\u003c\/strong\u003e — the soy comes from the lecithin emulsifier.\u003c\/p\u003e\n\u003cp class=\"fine\"\u003eOne correction worth making plainly: this is \u003cstrong\u003enot a reduced-lactose formula\u003c\/strong\u003e. The published panel shows 7.0 g of lactose in 7.3 g of total carbohydrate, so lactose is essentially the whole carbohydrate load. Anti-reflux works here through thickening, not through removing lactose. If lactose is the problem your doctor has identified, AR is not the answer.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eThe science\u003c\/span\u003e\n\u003ch2\u003eHow does a thickened anti-reflux formula work?\u003c\/h2\u003e\n\u003cdiv class=\"split\" style=\"align-items:start\"\u003e\n\u003cdiv\u003e\n\u003cp class=\"answer\"\u003eAptamil AR contains \u003cstrong\u003elocust bean gum\u003c\/strong\u003e, a fibre milled from carob seeds. Once it has been mixed and allowed to stand, the gum swells and raises the viscosity of the feed — a heavier, thicker liquid is simply harder to bring back up than thin milk.\u003c\/p\u003e\n\u003cp\u003eThat is the whole mechanism, and it explains two things parents often find surprising. The first is the \u003cstrong\u003efive-minute standing time\u003c\/strong\u003e after mixing: the gum needs those minutes to swell. Feeding immediately gives your baby thin formula and largely defeats the point of buying it. The second is the teat — a thickened feed will not flow through a standard slow-flow hole, so Aptamil specifies a \u003cstrong\u003efast-flow, single-hole teat\u003c\/strong\u003e.\u003c\/p\u003e\n\u003cp\u003eIt also explains the manufacturer's firmest preparation rule. Because the feed thickens over time and can clog or set unevenly, Aptamil's own safe-preparation guidance says \u003cstrong\u003enot to use bottle warmers, formula preparation machines or similar dispensing devices\u003c\/strong\u003e with AR. Anti-reflux formula is made by hand, bottle by bottle. There is more on that in the preparation section below.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"sci\"\u003e\n\u003cdiv class=\"sci-row\"\u003e\n\u003cdiv class=\"sci-h\" style=\"color:#3E7A46\"\u003eLocust bean gum \u003cem\u003e· swollen after standing\u003c\/em\u003e\n\u003c\/div\u003e\n\u003csvg viewbox=\"0 0 292 70\" role=\"img\" aria-label=\"Diagram: swollen gum fibres forming a dense connected mesh that holds the liquid together\"\u003e\n\u003cpath d=\"M18 20c22 14 44-8 66 6s44-8 66 6 44-8 66 6 30-4 44 2\" stroke=\"#3E7A46\" stroke-width=\"4\" fill=\"none\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M18 42c22 14 44-8 66 6s44-8 66 6 44-8 66 6 30-4 44 2\" stroke=\"#3E7A46\" stroke-width=\"4\" fill=\"none\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M52 12v46M118 12v46M184 12v46M250 12v46\" stroke=\"#C2D8C5\" stroke-width=\"4\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"sci-row\"\u003e\n\u003cdiv class=\"sci-h\" style=\"color:#8A939C\"\u003eUnthickened feed \u003cem\u003e· standard formula\u003c\/em\u003e\n\u003c\/div\u003e\n\u003csvg viewbox=\"0 0 292 70\" role=\"img\" aria-label=\"Diagram: loose separated particles with no connecting network, representing a thin unthickened feed\"\u003e\n\u003ccircle cx=\"32\" cy=\"24\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"78\" cy=\"44\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"124\" cy=\"20\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"168\" cy=\"46\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"214\" cy=\"24\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"258\" cy=\"44\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"56\" cy=\"52\" r=\"5\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"148\" cy=\"52\" r=\"5\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"238\" cy=\"14\" r=\"5\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003c\/svg\u003e\n\u003c\/div\u003e\n\u003cp class=\"sci-note\"\u003eThe gum needs five minutes of standing after mixing to swell and connect. Before that, the bottle in your hand is still ordinary thin formula.\u003c\/p\u003e\n\u003cdiv class=\"sci-nets\"\u003e\n\u003cdiv\u003e\n\u003csvg viewbox=\"0 0 150 108\" role=\"img\" aria-label=\"Diagram: after five minutes standing, the feed is thick and evenly gelled\"\u003e\n\u003crect x=\"4\" y=\"4\" width=\"142\" height=\"100\" rx=\"10\" fill=\"#E9F2EA\"\u003e\u003c\/rect\u003e\n\u003cpath d=\"M18 30h114M18 50h114M18 70h114M18 88h114\" stroke=\"#3E7A46\" stroke-width=\"7\" stroke-linecap=\"round\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003cspan style=\"color:#3E7A46\"\u003eAfter 5 minutes\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003csvg viewbox=\"0 0 150 108\" role=\"img\" aria-label=\"Diagram: immediately after mixing, the feed is still thin with scattered particles\"\u003e\n\u003crect x=\"4\" y=\"4\" width=\"142\" height=\"100\" rx=\"10\" fill=\"#F2F0EA\"\u003e\u003c\/rect\u003e\n\u003ccircle cx=\"38\" cy=\"34\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"86\" cy=\"28\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"118\" cy=\"46\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"44\" cy=\"70\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"90\" cy=\"78\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"116\" cy=\"84\" r=\"5\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003c\/svg\u003e\n\u003cspan style=\"color:#8A939C\"\u003eStraight after mixing\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eSchematic illustrations of thickening, not to scale and not microscopy. Frequent or forceful vomiting, poor weight gain, blood in the vomit or distress during feeds need a doctor, not a formula change.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eFull transparency\u003c\/span\u003e\n\u003ch2\u003eWhat is not in Aptamil AR — and what is?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAptamil AR is a functional medical formula, not a clean-label or organic product, and we would rather say so than stretch the word \"natural\" over a gum thickener. It is \u003cstrong\u003eHalal certified\u003c\/strong\u003e and it is \u003cstrong\u003enot organic certified\u003c\/strong\u003e. It contains palm oil, soy lecithin, fish oil and locust bean gum.\u003c\/p\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth\u003eIn this box\u003c\/th\u003e\n\u003cth\u003eAptamil AR 800 g\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eLocust bean gum thickener\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes — this is how it works\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePrebiotics\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes — GOS and FOS\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eDHA and ARA\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHalal certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePalm oil\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eYes, in the vegetable oil blend\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eSoy\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eYes — soy lecithin emulsifier\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFish oil\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eYes — the DHA source\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eReduced lactose\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo — 7.0 g of the 7.3 g carbohydrate\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProbiotic culture\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eOrganic certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eAllergens\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMilk, fish, soy\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eNo Non-GMO claim was found on the manufacturer's documentation for this product, so we do not make one. Suitable from birth, but not for premature infants.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-a\"\u003eComparison\u003c\/span\u003e\n\u003ch2\u003eHow does Aptamil AR 800 g compare to Aptamil AR 400 g and HiPP UK Anti Reflux?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAptamil AR 800 g and 400 g are the same formulation in two pack sizes from different European markets — not two recipes. HiPP UK Anti Reflux is the closest rival: same 800 g size, same locust bean gum thickening, same Food for Special Medical Purposes category, also not organic, and it adds a live probiotic culture that Aptamil AR does not have.\u003c\/p\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eAnti-reflux · from birth\u003c\/th\u003e\n\u003cth\u003eAptamil AR 800 g\u003c\/th\u003e\n\u003cth\u003eAptamil AR 400 g\u003c\/th\u003e\n\u003cth\u003eHiPP UK Anti Reflux 800 g\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eThickener\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eEnergy\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e66 kcal\u003c\/td\u003e\n\u003ctd\u003e66 kcal\u003c\/td\u003e\n\u003ctd\u003e66 kcal\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProtein\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e1.3 g\u003c\/td\u003e\n\u003ctd\u003e1.3 g\u003c\/td\u003e\n\u003ctd\u003e1.25 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFat\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e3.4 g\u003c\/td\u003e\n\u003ctd\u003e3.4 g\u003c\/td\u003e\n\u003ctd\u003e3.6 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eCarbohydrate\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e7.3 g (7.0 g lactose)\u003c\/td\u003e\n\u003ctd\u003e7.3 g (7.0 g lactose)\u003c\/td\u003e\n\u003ctd\u003e6.9 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProbiotic culture\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eLactobacillus fermentum hereditum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFolate form\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eSee product page\u003c\/td\u003e\n\u003ctd\u003eSee product page\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eMetafolin bioactive folate\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eOrganic certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHalal certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNot confirmed\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eStanding time after mixing\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e5 minutes\u003c\/td\u003e\n\u003ctd\u003e5 minutes\u003c\/td\u003e\n\u003ctd\u003e5–7 minutes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eMachines and bottle warmers\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eManufacturer says do not use\u003c\/td\u003e\n\u003ctd\u003eManufacturer says do not use\u003c\/td\u003e\n\u003ctd\u003eNo equivalent instruction found\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eYield per box\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e~210 fl oz\u003c\/td\u003e\n\u003ctd\u003e~100–105 fl oz (est.)\u003c\/td\u003e\n\u003ctd\u003e~189 fl oz\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePack size\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e800 g\u003c\/td\u003e\n\u003ctd\u003e400 g\u003c\/td\u003e\n\u003ctd\u003e800 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003cp style=\"margin-top:18px;font-size:14.5px\"\u003e\u003cstrong\u003eBeing straight with you:\u003c\/strong\u003e two of these boxes are 800 g and one is 400 g, so do not read the three shelf prices as a like-for-like comparison — \u003ca href=\"\/es\/products\/aptamil-ar-anti-reflux-formula-400g\"\u003eour 400 g Aptamil AR\u003c\/a\u003e is half the powder for the identical formula, and it is the one to buy only for a first trial, not for ongoing feeding. Against \u003ca href=\"\/es\/products\/hipp-uk-anti-reflux-800g\"\u003eHiPP UK Anti Reflux\u003c\/a\u003e, the two 800 g boxes are genuinely close, and HiPP wins on two real points: it contains a live probiotic culture that Aptamil AR has none of, and it uses Metafolin bioactive folate. Aptamil AR's edges are Halal certification, a slightly higher yield per box at about 210 fl oz against roughly 189, and a manufacturer that publishes an explicit instruction about machines and bottle warmers. That last one is a difference in what has been published rather than proof that HiPP AR is safe in a machine — both use the same thickener, and we would prepare either by hand.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-a\"\u003ePlanning ahead\u003c\/span\u003e\n\u003ch2\u003eHow many boxes of Aptamil AR will my baby need per month?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eOne 800 g box of Aptamil AR makes approximately \u003cstrong\u003e210 fl oz\u003c\/strong\u003e of prepared formula, about 42 bottles of 5 fl oz. An exclusively formula-fed baby uses around \u003cstrong\u003e2 boxes a month in the first four weeks\u003c\/strong\u003e, rising to roughly \u003cstrong\u003e3.5 boxes a month by seven months and older\u003c\/strong\u003e — with most families landing somewhere in a 2 to 4 box range across the whole period.\u003c\/p\u003e\n\u003cp\u003ePlan against the range for your baby's current age rather than a flat monthly number, and remember that any breastfeeding alongside the formula pulls the figure down. If you are buying this box rather than the 400 g pack, you are already getting the better price per prepared ounce for identical formula.\u003c\/p\u003e\n\u003cdiv class=\"bars\" role=\"img\" aria-label=\"Estimated 800 gram boxes used per month: first four weeks about 2 boxes; through the middle months about 2 to 4 boxes; from seven months about 3.5 boxes\"\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eFirst 4 weeks\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\u003cdiv class=\"bfill\" style=\"width:50%\"\u003e\u003c\/div\u003e\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~2 boxes\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eThrough the middle months\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\n\u003cdiv class=\"bfill\" style=\"width:50%\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"bext\" style=\"width:50%\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~2–4\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eFrom 7 months\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\u003cdiv class=\"bfill\" style=\"width:88%\"\u003e\u003c\/div\u003e\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~3.5 boxes\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"axis\"\u003eScale: 0 to 4 boxes of 800 g per month · lighter shading shows the upper end of the range\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eEstimates for exclusive formula feeding. Every baby feeds differently — use these for planning, not as a target.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003ePreparation\u003c\/span\u003e\n\u003ch2\u003eHow do you prepare Aptamil AR Anti Reflux formula?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAptamil AR is prepared differently from ordinary formula and the differences are not optional. Cool boiled water to about 40°C, pour two-thirds of the measured water into a sterilised bottle, add the exact number of level scoops, shake vigorously for 10 seconds, add the remaining water and shake again, then \u003cstrong\u003elet the bottle stand for 5 minutes\u003c\/strong\u003e so the gum thickens, shake briefly, check the temperature and feed through a fast-flow single-hole teat.\u003c\/p\u003e\n\u003cdiv class=\"stats\"\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e~40°C\u003c\/b\u003e\u003cspan\u003eWater temperature\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-g\"\u003e\n\u003cb\u003e5 min\u003c\/b\u003e\u003cspan\u003eStanding time to thicken\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-a\"\u003e\n\u003cb\u003eFast-flow\u003c\/b\u003e\u003cspan\u003eSingle-hole teat required\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e2 hours\u003c\/b\u003e\u003cspan\u003eDiscard unfinished feed\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"steps-grid\"\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e1\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M18 5h12M20 5v5c0 2.5-4 4.5-4 9.5V39a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V19.5c0-5-4-7-4-9.5V5\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M40 8l1.4 3.1L44.5 12.5l-3.1 1.4L40 17l-1.4-3.1-3.1-1.4 3.1-1.4z\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eSterilise everything\u003c\/h4\u003e\n\u003cp\u003eThoroughly clean and sterilise the bottle, teat and ring, and wash your hands before you start.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e2\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M11 21h21v13a7 7 0 0 1-7 7h-7a7 7 0 0 1-7-7z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M32 25h5.5l-3.5 6\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M18 15c0-3 3-3.2 3-6.5M26 15c0-3 3-3.2 3-6.5\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eBoil and cool to 40°C\u003c\/h4\u003e\n\u003cp\u003eBoil fresh drinking water and let it cool to about 40°C, the temperature Aptamil specifies for this thickened formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e3\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M18 5h12M20 5v5c0 2.5-4 4.5-4 9.5V39a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V19.5c0-5-4-7-4-9.5V5\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M16.4 28c2.7 0 2.7 2 5.4 2s2.7-2 5.4-2 2.7 2 5.4 2\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eTwo-thirds of the water first\u003c\/h4\u003e\n\u003cp\u003ePour about two-thirds of the measured water into the sterilised bottle before any powder goes in.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e4\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M9 24h22\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M12 24a9 9 0 0 1 18 0v1.5a4 4 0 0 1-4 4h-10a4 4 0 0 1-4-4z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M31 24l8-9\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eExact level scoops\u003c\/h4\u003e\n\u003cp\u003eLevel each scoop against the scraper and add the exact number from the feed table — never press, heap or add an extra.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e5\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cg transform=\"rotate(14 24 24)\"\u003e\n\u003cpath d=\"M18 8h12M20 8v4.5c0 2.5-4 4.5-4 9V38a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V21.5c0-4.5-4-6.5-4-9V8\"\u003e\u003c\/path\u003e\n\u003c\/g\u003e\n\u003cpath d=\"M9 16c-2.5 2.8-2.5 7 0 10M41 16c2.5 2.8 2.5 7 0 10\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eShake, top up, shake again\u003c\/h4\u003e\n\u003cp\u003eCap and shake vigorously for 10 seconds, pour in the remaining water, then shake vigorously again.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e6\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003ccircle cx=\"24\" cy=\"26\" r=\"15\"\u003e\u003c\/circle\u003e\n\u003cpath d=\"M24 18v8l5 3\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M17 6h14\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eStand 5 minutes, then feed\u003c\/h4\u003e\n\u003cp\u003eLeave the bottle to stand for 5 minutes so the gum thickens, shake briefly, check it is about 37°C and feed through a fast-flow teat.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"caution\"\u003e\n\u003csvg width=\"19\" height=\"19\" viewbox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\"\u003e\u003ccircle cx=\"10\" cy=\"10\" r=\"9\" fill=\"#2E6DA4\"\u003e\u003c\/circle\u003e\u003cpath d=\"M10 5.5v5.2M10 14.2v.1\" stroke=\"#fff\" stroke-width=\"2.2\" stroke-linecap=\"round\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n\u003cspan\u003e\u003cstrong\u003eDo not use a bottle warmer, a formula preparation machine or any similar dispensing device with Aptamil AR.\u003c\/strong\u003e This is the manufacturer's own instruction, and the thickener is the reason for it — a feed that thickens on a timer can set unevenly or clog. Prepare every AR bottle by hand. Never microwave it, never add extra scoops or a second thickener, never combine it with antacids, and never reuse a feed — discard anything unfinished after 2 hours.\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eA note on water temperature.\u003c\/strong\u003e Aptamil specifies water at about 40°C for this formula, and that is the instruction printed on your box. It is set deliberately — hotter water damages the heat-sensitive vitamins this formula is built around.\u003cbr\u003e\u003cbr\u003eMany health authorities, including the NHS and WHO, advise 70°C or hotter for any powdered formula, because powder is not sterile and that temperature kills bacteria that can occasionally be present. The difference matters most for newborns, premature babies, and babies with weakened immunity. If your baby is in one of those groups, ask your paediatrician or health visitor which to follow for your situation.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"split\" style=\"align-items:start;margin-top:26px\"\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"note\"\u003e\n\u003ch3\u003ePlease read before buying\u003c\/h3\u003e\n\u003cp\u003eAptamil AR is a \u003cstrong\u003eFood for Special Medical Purposes\u003c\/strong\u003e for the management of frequent regurgitation, and is intended to be used \u003cstrong\u003ewith the advice of your doctor or health visitor\u003c\/strong\u003e rather than chosen on your own. It is \u003cstrong\u003enot suitable for premature infants\u003c\/strong\u003e. Persistent forceful vomiting, poor weight gain, blood in the vomit, or a baby who is distressed at every feed needs medical assessment, not a new formula. Contains milk, fish and soy. Breastfeeding is best for your baby — talk to your health visitor or doctor before starting or changing a formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eStore boxes in a cool, dry place. Once opened, use within the period stated on the pack. Never reheat or microwave prepared formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"tip tip-a\"\u003e\n\u003ch3\u003eYou will need a different teat\u003c\/h3\u003e\n\u003cp style=\"font-size:14.5px;margin:0\"\u003eThickened formula will not flow properly through a standard newborn slow-flow teat. Aptamil specifies a \u003cstrong\u003esingle-hole, fast-flow teat\u003c\/strong\u003e for AR. If your baby seems to be working hard at the bottle and getting frustrated, the teat is the first thing to check — before you conclude the formula is not working.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eQuestions parents ask\u003c\/span\u003e\n\u003ch2\u003eAptamil AR 800 g: frequently asked questions\u003c\/h2\u003e\n\u003cdiv class=\"faq\"\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eWhat age is Aptamil AR for?\u003c\/h3\u003e\n\u003cp\u003eAptamil AR is labelled from birth and can be used as a baby's complete formula. It is not suitable for premature infants. Because it is classified as a Food for Special Medical Purposes, it is meant to be started on the advice of a doctor or health visitor who has confirmed that frequent regurgitation is the problem, rather than chosen from a shelf on a hunch.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eHow much prepared formula does one 800 g box make?\u003c\/h3\u003e\n\u003cp\u003eOne 800 g box of Aptamil AR makes approximately 210 fluid ounces of prepared formula, which works out at roughly 42 bottles of 5 fl oz. Actual yield depends on how accurately each scoop is levelled. For planning, an exclusively formula-fed baby uses about 2 boxes a month in the first four weeks, rising toward 3.5 boxes a month by seven months.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eCan I use a bottle warmer or a formula machine with Aptamil AR?\u003c\/h3\u003e\n\u003cp\u003eNo. Aptamil's own safe-preparation guidance says not to use bottle warmers, formula preparation machines or other dispensing devices with AR formula. The locust bean gum thickener is the reason: a feed designed to thicken over five minutes can set unevenly, clog a device, or sit pre-thickened in a reservoir. Anti-reflux formula is prepared by hand, one bottle at a time.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eWhy do I have to let the bottle stand for five minutes?\u003c\/h3\u003e\n\u003cp\u003eBecause that is how long the locust bean gum needs to swell and thicken the feed. If you feed straight after shaking, your baby gets ordinary thin formula and the anti-reflux effect is largely lost. Shake, wait five minutes, shake briefly again, check the temperature is around 37°C, then feed. It is the single step parents most often skip.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs the 800 g box the same formula as the 400 g box?\u003c\/h3\u003e\n\u003cp\u003eYes. The two pack sizes carry different European barcodes because they are registered for different national markets — this 800 g box is the German-market pack — but we found no evidence of any formulation difference. Same locust bean gum thickener, same lactose, skimmed milk and whey base, same nutrition per 100ml. The 800 g box simply costs less per prepared ounce.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs Aptamil AR a reduced-lactose formula?\u003c\/h3\u003e\n\u003cp\u003eNo, despite what some product listings say. The published nutrition panel shows 7.0 g of lactose within 7.3 g of total carbohydrate per 100ml, which means lactose is essentially the entire carbohydrate load. Aptamil AR works by thickening the feed, not by removing lactose. If lactose is the issue your doctor has identified, this is not the right formula for it.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs Aptamil AR organic or Halal?\u003c\/h3\u003e\n\u003cp\u003eIt is Halal certified, which the manufacturer confirms on its own product page, but it is not organic certified. This is a functional medical formula containing palm oil, soy lecithin and a gum thickener, so an organic or clean-label framing would be misleading. Its strengths are clinical formulation and EU medical-food regulation, not certification of the organic kind.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003eExplore the range\u003c\/span\u003e\n\u003ch2\u003eRelated formulas at Bonpek Baby\u003c\/h2\u003e\n\u003cul class=\"rel\"\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/aptamil-ar-anti-reflux-formula-400g\"\u003eAptamil AR 400 g\u003c\/a\u003e\u003cspan\u003eThe same anti-reflux formula in a smaller box, for a first trial.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-uk-anti-reflux-800g\"\u003eHiPP UK Anti Reflux 800 g\u003c\/a\u003e\u003cspan\u003eThe closest rival at the same size, with a live probiotic culture.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-ar-anti-reflux-600g\"\u003eHiPP Anti Reflux German 600 g\u003c\/a\u003e\u003cspan\u003eSame thickening mechanism, 600 g box, also with a probiotic culture.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/aptamil-ha-1-hydrolyzed-infant-formula-stage-1-800-g\"\u003eAptamil HA 1\u003c\/a\u003e\u003cspan\u003ePartially hydrolysed, for reducing allergy risk in at-risk families.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/aptamil-pepti-stage-1-specialized-formula-800-g\"\u003eAptamil Pepti 1\u003c\/a\u003e\u003cspan\u003eExtensively hydrolysed, for a diagnosed cow's milk protein allergy.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/collections\/all-baby-formulas\"\u003eAll baby formulas\u003c\/a\u003e\u003cspan\u003eBrowse every European formula we stock, by brand and stage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cdiv class=\"trust\"\u003e\n\u003ch2 style=\"margin-bottom:2px\"\u003eWhy parents buy from Bonpek Baby\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eAuthentic from Europe for 8+ years\u003c\/li\u003e\n\u003cli\u003eUS stock — no shipping or customs delays\u003c\/li\u003e\n\u003cli\u003eSame-day pickup \u0026amp; delivery for locals\u003c\/li\u003e\n\u003cli\u003eAlways fresh — receiving weekly\u003c\/li\u003e\n\u003cli\u003eBest prices, or we'll match and add a free gift\u003c\/li\u003e\n\u003cli\u003eTrusted by 9,000+ parents in the US\u003c\/li\u003e\n\u003cli\u003ePrompt customer support text line\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"reviewed\"\u003eProduct information last reviewed by the Bonpek Baby team in September 2026 against the manufacturer's current published ingredient and nutrition data. Always check the label on your box, as manufacturers reformulate from time to time.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003c\/div\u003e","brand":"Aptamil","offers":[{"title":"Default Title","offer_id":43109285331113,"sku":"","price":54.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0507\/5802\/5385\/files\/39.png?v=1687146186"},{"product_id":"hipp-uk-anti-reflux-800g","title":"HiPP UK Anti Reflux from Birth 800 g","description":"\u003c!-- BPK-CSS-START --\u003e\n\u003cstyle\u003e\n.bpk{\n--navy:#1B3A6B;--ink:#2C3A47;--ink-2:#55636F;--ink-3:#8A939C;\n--cream:#FFFDF7;--line:#E7E3D9;\n--green:#3E7A46;--blue:#2E6DA4;--gold:#B8802E;--rose:#C24A67;\n--green-t:#E9F2EA;--blue-t:#E8F0F8;--gold-t:#FAF2E4;--rose-t:#FBEBEF;\n--tick:url(\"data:image\/svg+xml;utf8,\u003csvg xmlns='http:\/\/www.w3.org\/2000\/svg' viewBox='0 0 20 20'\u003e\u003ccircle cx='10' cy='10' r='9' fill='%233E7A46'\/\u003e\u003cpath d='M6 10.4l2.6 2.6L14 7.6' stroke='%23fff' stroke-width='2.1' fill='none' stroke-linecap='round' stroke-linejoin='round'\/\u003e\u003c\/svg\u003e\");\n--green-b:#C2D8C5;--blue-b:#BFD5EA;--gold-b:#EBD8B4;--rose-b:#EFC8D2;\nmax-width:1280px;margin:0 auto;padding:8px 0 4px;color:var(--ink);background:#fff;\nfont-family:inherit;font-size:16px;line-height:1.65;-webkit-font-smoothing:antialiased}\n.bpk *{box-sizing:border-box}\n.bpk p{margin:0 0 1em;color:var(--ink-2)}\n.bpk h2{font-size:clamp(20px,2.3vw,26px);line-height:1.3;margin:0 0 .5em;color:var(--navy);font-weight:700;letter-spacing:-.01em}\n.bpk h3{font-size:clamp(16px,1.5vw,18px);margin:0 0 .5em;color:var(--navy);font-weight:700}\n.bpk strong{color:var(--ink);font-weight:700}\n.bpk .answer{font-size:clamp(16px,1.6vw,17.5px);color:var(--ink);font-weight:600;line-height:1.55;margin:0 0 .8em}\n.bpk section{padding:32px 0;border-top:1px solid var(--line)}\n.bpk section:first-of-type{border-top:0;padding-top:6px}\n.bpk a{color:var(--blue);text-decoration:underline;text-underline-offset:2px}\n.bpk .eyebrow{display:inline-block;font-size:11.5px;font-weight:800;letter-spacing:.13em;text-transform:uppercase;margin:0 0 10px;padding:4px 11px;border-radius:99px}\n.bpk .e-g{color:var(--green);background:var(--green-t)}\n.bpk .e-b{color:var(--blue);background:var(--blue-t)}\n.bpk .e-a{color:var(--gold);background:var(--gold-t)}\n.bpk .e-r{color:var(--rose);background:var(--rose-t)}\n.bpk \u003e section \u003e p,.bpk \u003e section \u003e .answer,.bpk .faq p,.bpk .faq h3{max-width:76ch}\n.bpk .bars,.bpk .bars + .fine{max-width:940px}\n.bpk \u003e section \u003e .cards,.bpk \u003e section \u003e .cards + .fine{max-width:760px}\n.bpk .stats{display:grid;grid-template-columns:repeat(auto-fit,minmax(150px,1fr));gap:12px;margin:22px 0 4px}\n.bpk .stat{border-radius:14px;padding:18px 14px;text-align:center;border:1px solid}\n.bpk .stat b{display:block;font-size:clamp(19px,2.1vw,23px);line-height:1.2;font-weight:800}\n.bpk .stat span{display:block;font-size:12.5px;color:var(--ink-3);margin-top:5px}\n.bpk .s-g{background:var(--green-t);border-color:var(--green-b)} .bpk .s-g b{color:var(--green)}\n.bpk .s-b{background:var(--blue-t);border-color:var(--blue-b)} .bpk .s-b b{color:var(--blue)}\n.bpk .s-a{background:var(--gold-t);border-color:var(--gold-b)} .bpk .s-a b{color:var(--gold)}\n.bpk .s-r{background:var(--rose-t);border-color:var(--rose-b)} .bpk .s-r b{color:var(--rose)}\n.bpk .split{display:grid;grid-template-columns:minmax(260px,1fr) minmax(280px,1.15fr);gap:30px;align-items:center}\n@media(max-width:720px){.bpk .split{grid-template-columns:1fr;gap:22px}}\n.bpk .scroll{overflow-x:auto;-webkit-overflow-scrolling:touch}\n.bpk table{width:100%;border-collapse:collapse;font-size:14.5px;min-width:440px}\n.bpk th,.bpk td{text-align:left;padding:11px 13px;border-bottom:1px solid var(--line)}\n.bpk thead th{background:var(--blue-t);color:var(--navy);font-weight:700;font-size:13px;border-bottom:2px solid var(--blue-b)}\n.bpk tbody tr:nth-child(even){background:#FFFDF7}\n.bpk td.num,.bpk th.num{text-align:right;font-variant-numeric:tabular-nums;white-space:nowrap}\n.bpk .yes{color:var(--green);font-weight:700}\n.bpk .no{color:var(--ink-3)}\n.bpk .legend{list-style:none;padding:0;margin:18px 0 0}\n.bpk .legend li{display:flex;align-items:flex-start;gap:10px;padding:8px 0;font-size:14.5px;border-bottom:1px solid var(--line)}\n.bpk .legend li:last-child{border-bottom:0}\n.bpk .sw{width:13px;height:13px;border-radius:4px;flex:0 0 13px;margin-top:5px}\n.bpk .legend b{margin-left:auto;font-variant-numeric:tabular-nums;color:var(--ink)}\n.bpk .checks{display:grid;grid-template-columns:repeat(auto-fit,minmax(190px,1fr));gap:10px;list-style:none;padding:0;margin:20px 0 0}\n.bpk .checks li{display:flex;align-items:center;gap:9px;background:var(--green-t);border:1px solid var(--green-b);border-radius:11px;padding:12px 14px;font-size:14.5px;font-weight:600;color:var(--green)}\n.bpk .checks li::before{content:\"\";flex:0 0 17px;height:17px;background:var(--tick) no-repeat center\/contain}\n.bpk .note{background:var(--rose-t);border:1px solid var(--rose-b);border-left:4px solid var(--rose);border-radius:11px;padding:17px 19px;margin:22px 0 0}\n.bpk .note h3{color:var(--rose);margin-bottom:6px;font-size:15.5px}\n.bpk .note p{margin:0;font-size:14.5px;color:var(--ink)}\n.bpk .tip{background:var(--cream);border:1px solid var(--line);border-radius:13px;padding:19px 21px}\n.bpk .tip-a{background:var(--gold-t);border-color:var(--gold-b)}\n.bpk .tip-a h3{color:var(--gold)}\n.bpk .steps-grid{display:grid;grid-template-columns:repeat(auto-fit,minmax(232px,1fr));gap:16px;margin:26px 0 0}\n@media(min-width:900px){.bpk .steps-grid{grid-template-columns:repeat(3,1fr)}}\n.bpk .step{background:#fff;border:1px solid var(--line);border-radius:15px;padding:24px 20px 20px;position:relative}\n.bpk .step .n{position:absolute;top:-12px;left:20px;width:28px;height:28px;border-radius:50%;background:var(--blue);color:#fff;font-size:13.5px;font-weight:800;display:flex;align-items:center;justify-content:center}\n.bpk .step .ico{display:block;margin:2px 0 14px}\n.bpk .step h4{font-size:15px;color:var(--navy);margin:0 0 6px;font-weight:700}\n.bpk .step p{font-size:14px;margin:0;color:var(--ink-2);line-height:1.55}\n.bpk .caution{display:flex;gap:11px;align-items:flex-start;background:var(--gold-t);border:1px solid var(--gold-b);border-radius:12px;padding:15px 17px;margin:20px 0 0;font-size:14.5px;color:var(--ink)}\n.bpk .caution svg{flex:0 0 19px;margin-top:2px}\n.bpk .figlabels{list-style:none;padding:0;margin:14px 0 0;text-align:left;display:inline-block}\n.bpk .figlabels li{display:flex;align-items:center;gap:8px;font-size:12.5px;color:var(--ink-2);padding:3px 0}\n.bpk .figlabels .k{width:11px;height:11px;border-radius:3px;flex:0 0 11px}\n.bpk .sci{background:#fff;border:1px solid var(--line);border-radius:15px;padding:20px 20px 18px}\n.bpk .sci-row{margin-bottom:6px}\n.bpk .sci-h{font-size:12.5px;font-weight:800;letter-spacing:.02em;margin-bottom:2px}\n.bpk .sci-h em{font-style:normal;font-weight:600;opacity:.7}\n.bpk .sci svg{display:block;width:100%;height:auto}\n.bpk .sci-note{font-size:12.5px;color:var(--ink-3);margin:6px 0 16px;line-height:1.5}\n.bpk .sci-nets{display:grid;grid-template-columns:1fr 1fr;gap:16px;border-top:1px solid var(--line);padding-top:16px}\n.bpk .sci-nets span{display:block;font-size:12.5px;font-weight:700;text-align:center;margin-top:4px}\n.bpk .trust{background:var(--cream);border:1px solid var(--line);border-radius:16px;padding:26px}\n.bpk .trust ul{display:grid;grid-template-columns:repeat(auto-fit,minmax(230px,1fr));gap:9px 24px;list-style:none;padding:0;margin:14px 0 0}\n.bpk .trust li{display:flex;gap:9px;align-items:flex-start;font-size:14.5px;color:var(--ink-2)}\n.bpk .trust li::before{content:\"\";flex:0 0 16px;height:16px;margin-top:3px;background:var(--tick) no-repeat center\/contain}\n.bpk .fine{font-size:12.5px;color:var(--ink-3);margin-top:14px;line-height:1.5}\n.bpk figure{margin:0}\n.bpk .cards{display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:16px;margin:22px 0 0}\n.bpk .card{border-radius:16px;padding:22px 18px;text-align:center}\n.bpk .card.tint-b{background:var(--blue-t);border:1px solid var(--blue-b)}\n.bpk .card.tint-g{background:var(--green-t);border:1px solid var(--green-b)}\n.bpk .card.plain{background:#F7F6F2;border:1px solid #E2DFD6}\n.bpk .card h4{margin:0 0 3px;font-size:13.5px;font-weight:800;letter-spacing:.06em;text-transform:uppercase}\n.bpk .card.tint-b h4{color:var(--blue)} .bpk .card.tint-g h4{color:var(--green)} .bpk .card.plain h4{color:var(--ink-3)}\n.bpk .card .sub{font-size:13px;margin:0 0 16px;color:var(--ink-2)}\n.bpk .card.plain .sub{color:var(--ink-3)}\n.bpk .card svg{display:block;margin:0 auto;max-width:230px;width:100%}\n.bpk .card .tagline{font-size:13.5px;font-weight:700;margin:14px 0 0}\n.bpk .card.tint-b .tagline{color:var(--blue)} .bpk .card.tint-g .tagline{color:var(--green)} .bpk .card.plain .tagline{color:var(--ink-3)}\n.bpk .bars{margin:24px 0 0}\n.bpk .brow{margin-bottom:17px}\n.bpk .blab{font-size:14px;color:var(--ink);font-weight:600;margin-bottom:6px}\n.bpk .bwrap{display:flex;align-items:center;gap:12px}\n.bpk .btrack{flex:1;background:#F2F0EA;border-radius:6px;height:27px;display:flex;overflow:hidden}\n.bpk .bfill{background:var(--blue);height:100%;border-radius:0 5px 5px 0}\n.bpk .bext{background:#A9C6E2;height:100%;border-radius:0 5px 5px 0;margin-left:2px}\n.bpk .bval{font-size:13.5px;font-weight:700;color:var(--navy);white-space:nowrap;min-width:62px;text-align:right}\n.bpk .axis{font-size:12px;color:var(--ink-3);margin-top:12px}\n.bpk .faq{margin:20px 0 0;border-top:1px solid var(--line)}\n.bpk .faq .qa{padding:19px 0;border-bottom:1px solid var(--line)}\n.bpk .faq h3{margin:0 0 7px;font-size:16.5px}\n.bpk .faq p{margin:0;font-size:15px}\n.bpk .rel{display:grid;grid-template-columns:repeat(auto-fit,minmax(215px,1fr));gap:11px;margin:20px 0 0;list-style:none;padding:0}\n.bpk .rel li{background:#fff;border:1px solid var(--line);border-radius:12px;padding:15px 16px}\n.bpk .rel a{display:block;font-weight:700;font-size:14.5px;text-decoration:none;color:var(--navy);margin-bottom:3px}\n.bpk .rel a:hover{text-decoration:underline}\n.bpk .rel span{font-size:13px;color:var(--ink-3);line-height:1.45;display:block}\n.bpk .reviewed{font-size:12.5px;color:var(--ink-3);border-top:1px solid var(--line);padding-top:16px;margin-top:8px}\n\u003c\/style\u003e\n\u003c!-- BPK-CSS-END --\u003e\n\n\u003cdiv class=\"bpk\" id=\"full-description\"\u003e\n\n\u003c!-- ===== 1. WHAT IS IT ===== --\u003e\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003eSingle 800g Tin · UK Version\u003c\/span\u003e\n\u003ch2\u003eWhat is HiPP UK Anti-Reflux formula?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eHiPP UK Anti-Reflux is a German-made, UK-labelled \u003cstrong\u003eanti-reflux baby formula\u003c\/strong\u003e for babies from birth, thickened with locust bean gum so that feeds are less likely to come back up. It is classed in the EU as a food for special medical purposes and is intended for use on a health professional's advice. One 800g tin makes about 189 fl oz of prepared formula.\u003c\/p\u003e\n\u003cp\u003eReflux formula works mechanically, not chemically. \u003cstrong\u003eLocust bean gum\u003c\/strong\u003e — carob bean gum, a plant fibre — makes the prepared bottle thicker and heavier, so a baby who brings feeds back up frequently is more likely to keep them down. The protein in this tin is intact cow's milk protein, not hydrolysed, so it is not an allergy formula and is not a substitute for one.\u003c\/p\u003e\n\u003cp\u003eWhat separates this tin from the other \u003cstrong\u003eEuropean anti-reflux formula\u003c\/strong\u003e parents cross-shop is the live culture. HiPP includes \u003cstrong\u003eLactobacillus fermentum\u003c\/strong\u003e (hereditum), the same Combiotik culture used across its everyday range. Aptamil AR, the closest alternative, contains no probiotic strain at all.\u003c\/p\u003e\n\u003cp\u003eBe clear about one thing before you buy: this tin is \u003cstrong\u003enot organic certified\u003c\/strong\u003e. HiPP's everyday Bio Combiotik range carries the EU Organic leaf; the thickened anti-reflux recipe does not. It also contains palm oil and fish oil. This is a functional formula bought to solve a feeding problem, not a clean-label or organic choice.\u003c\/p\u003e\n\u003cdiv class=\"stats\"\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e0–12 mo\u003c\/b\u003e\u003cspan\u003eFrom birth\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-g\"\u003e\n\u003cb\u003e800 g\u003c\/b\u003e\u003cspan\u003eSingle tin\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-a\"\u003e\n\u003cb\u003e~189 fl oz\u003c\/b\u003e\u003cspan\u003e≈ 37 × 5oz bottles\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003eThickened\u003c\/b\u003e\u003cspan\u003eLocust bean gum\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003c!-- ===== 2. NUTRITION ===== --\u003e\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eNutrition\u003c\/span\u003e\n\u003ch2\u003eWhat's in HiPP UK Anti-Reflux per 100ml?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003ePrepared as directed, every 100ml provides 66 kcal, 3.6g fat, 1.25g protein, 6.9g carbohydrate, 51mg calcium, 0.70mg iron and 0.60mg zinc. The carbohydrate is \u003cstrong\u003elactose\u003c\/strong\u003e, the thickener is locust bean gum, and the long-chain fats come from fish oil and Mortierella alpina oil. There is no added GOS or FOS in this recipe — the gut support here is the Lactobacillus fermentum culture.\u003c\/p\u003e\n\u003cdiv class=\"split\"\u003e\n\u003cfigure\u003e\n\u003csvg viewbox=\"0 0 240 240\" width=\"100%\" style=\"max-width:360px;display:block;margin:0 auto\" role=\"img\" aria-label=\"Doughnut chart: carbohydrate 59 percent, fat 31 percent, protein 11 percent of macronutrient grams per 100ml\"\u003e\n\u003cg transform=\"rotate(-90 120 120)\" fill=\"none\" stroke-linecap=\"butt\"\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#F2F0EA\" stroke-width=\"32\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#1B3A6B\" stroke-width=\"32\" stroke-dasharray=\"324.7 552.9\" stroke-dashoffset=\"0\"\u003e\u003ctitle\u003eCarbohydrate — 6.9g per 100ml (59%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#2E6DA4\" stroke-width=\"32\" stroke-dasharray=\"169.4 552.9\" stroke-dashoffset=\"-326.7\"\u003e\u003ctitle\u003eFat — 3.6g per 100ml (31%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#C2D8C5\" stroke-width=\"32\" stroke-dasharray=\"58.8 552.9\" stroke-dashoffset=\"-498.1\"\u003e\u003ctitle\u003eProtein — 1.25g per 100ml (11%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003c\/g\u003e\n\u003ctext x=\"120\" y=\"116\" text-anchor=\"middle\" font-size=\"20\" font-weight=\"800\" fill=\"#1B3A6B\"\u003e66\u003c\/text\u003e\n\u003ctext x=\"120\" y=\"134\" text-anchor=\"middle\" font-size=\"10.5\" fill=\"#8A939C\"\u003ekcal \/ 100ml\u003c\/text\u003e\n\u003c\/svg\u003e\n\u003cul class=\"legend\"\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#1B3A6B\"\u003e\u003c\/span\u003e Carbohydrate \u003cb\u003e6.9 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#2E6DA4\"\u003e\u003c\/span\u003e Fat \u003cb\u003e3.6 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#C2D8C5\"\u003e\u003c\/span\u003e Protein \u003cb\u003e1.25 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/figure\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth\u003ePer 100ml prepared\u003c\/th\u003e\n\u003cth class=\"num\"\u003eAmount\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003eEnergy\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e66 kcal\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFat\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e3.6 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eProtein\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e1.25 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCarbohydrate\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e6.9 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCalcium\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e51 mg\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eIron\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e0.70 mg\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eZinc\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e0.60 mg\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCarbohydrate source\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eLactose\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eThickener\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eLocust bean gum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eLong-chain fats\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eFish oil\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCulture\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eL. fermentum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eProtein is intact cow's milk protein. This formula is not hydrolysed and makes no hypoallergenic claim.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003c!-- ===== 5. INGREDIENT FACTS ===== --\u003e\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eIngredient facts\u003c\/span\u003e\n\u003ch2\u003eWhat is not in HiPP UK Anti-Reflux?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eNo maltodextrin, no corn syrup, no starch, no soy and no added sugar — the only carbohydrate is lactose, and the ingredients are non-GMO. What it does contain, and what we will not hide behind a tick list, is palm oil, fish oil and a gum thickener. Judge this tin on whether it settles your baby's feeds, not on its ingredient deck.\u003c\/p\u003e\n\u003cul class=\"checks\"\u003e\n\u003cli\u003eNo maltodextrin\u003c\/li\u003e\n\u003cli\u003eNo corn syrup\u003c\/li\u003e\n\u003cli\u003eNo starch\u003c\/li\u003e\n\u003cli\u003eNo soy\u003c\/li\u003e\n\u003cli\u003eNo added sugar\u003c\/li\u003e\n\u003cli\u003eNon-GMO ingredients\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/section\u003e\n\n\u003c!-- ===== 6. COMPARISON ===== --\u003e\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-a\"\u003eComparison\u003c\/span\u003e\n\u003ch2\u003eHow does HiPP UK Anti-Reflux compare to HiPP AR German 600g and Aptamil AR?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAll three are thickened with locust bean gum, all three are regulated as foods for special medical purposes, and none of the three is organic certified. The two HiPP tins carry a probiotic culture that Aptamil AR does not. Aptamil AR carries a GOS and FOS prebiotic blend that neither HiPP tin does, and it is Halal certified.\u003c\/p\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eAnti-reflux · from birth\u003c\/th\u003e\n\u003cth\u003eHiPP UK AR\u003c\/th\u003e\n\u003cth\u003eHiPP AR German\u003c\/th\u003e\n\u003cth\u003eAptamil AR\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eOrganic certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eMilk base\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eSkimmed milk + whey\u003c\/td\u003e\n\u003ctd\u003eSkimmed milk + whey\u003c\/td\u003e\n\u003ctd\u003eSkimmed milk + whey\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eEnergy\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e66 kcal\u003c\/td\u003e\n\u003ctd\u003e66 kcal\u003c\/td\u003e\n\u003ctd\u003e66 kcal\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProtein\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e1.25 g\u003c\/td\u003e\n\u003ctd\u003e1.25 g\u003c\/td\u003e\n\u003ctd\u003e1.3 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProbiotic culture\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eL. fermentum\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eL. fermentum\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePrebiotic\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eGOS + FOS\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHalal certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNot confirmed\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNot confirmed\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePalm oil\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eYes\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eYes\u003c\/td\u003e\n\u003ctd\u003eSee product page\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eDHA source\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eFish oil\u003c\/td\u003e\n\u003ctd\u003eFish oil\u003c\/td\u003e\n\u003ctd\u003eFish oil\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eTin size\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e800 g\u003c\/td\u003e\n\u003ctd\u003e600 g\u003c\/td\u003e\n\u003ctd\u003e800 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003cp style=\"margin-top:18px;font-size:14.5px\"\u003e\u003cstrong\u003eBeing straight with you:\u003c\/strong\u003e if Halal certification or a prebiotic blend matters to you, \u003ca href=\"\/es\/products\/aptamil-ar-anti-reflux-formula-800g\"\u003eAptamil AR\u003c\/a\u003e is the better tin and we stock it. Aptamil's manufacturer also publishes explicit instructions to prepare AR formula by hand rather than in a machine; HiPP publishes no equivalent instruction for this tin, and that is less clarity for you, not more freedom. HiPP's real advantage here is the Lactobacillus fermentum culture. If you would rather trial the same thickened recipe in a smaller box first, the \u003ca href=\"\/es\/products\/hipp-ar-anti-reflux-600g\"\u003eHiPP AR German 600g\u003c\/a\u003e is the cheaper way in — but compare price per prepared ounce, not per box, because that is a 600g box against this 800g tin.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003c!-- ===== 7. HOW MANY TINS ===== --\u003e\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-a\"\u003ePlanning ahead\u003c\/span\u003e\n\u003ch2\u003eHow many tins of formula will my baby need per month?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eNo tins-per-month figure is published for this exact 800g UK tin. What is solid is the yield: one tin makes about 189 fl oz, roughly 37 five-ounce bottles. On that basis a baby feeding exclusively on it uses about 2 to 3 tins a month in the newborn weeks, rising to roughly 4 to 5 tins a month by six months.\u003c\/p\u003e\n\u003cp\u003eAnti-reflux formula is usually started, reviewed and often stopped on a clinician's advice, and many babies outgrow reflux during the first year. Buy for the next few weeks rather than the next few months until you know it is working for your baby.\u003c\/p\u003e\n\u003cdiv class=\"bars\" role=\"img\" aria-label=\"Estimated 800g tins used per month: first one to two months about 2 to 3 tins; around three to five months about 3 to 4 tins; at six months and beyond about 4 to 5 tins\"\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eFirst 1–2 months\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\n\u003cdiv class=\"bfill\" style=\"width:40%\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"bext\" style=\"width:20%\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~2–3 tins\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eAround 3–5 months\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\n\u003cdiv class=\"bfill\" style=\"width:60%\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"bext\" style=\"width:20%\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~3–4\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eSix months and beyond\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\n\u003cdiv class=\"bfill\" style=\"width:80%\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"bext\" style=\"width:20%\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~4–5\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"axis\"\u003eScale: 0 to 5 tins per month · lighter shading shows the upper end of each range\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eEstimates for exclusive formula feeding, worked from this tin's own yield rather than a manufacturer figure. Every baby feeds differently — use these for planning, not as a target.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003c!-- ===== 8. PREPARATION ===== --\u003e\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003ePreparation\u003c\/span\u003e\n\u003ch2\u003eHow do you prepare HiPP UK Anti-Reflux?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eBoil 500 ml of freshly run water and leave it to cool for \u003cstrong\u003e45 minutes\u003c\/strong\u003e, measure the water you need into a sterilised bottle, add \u003cstrong\u003eone level scoop of powder for each fluid ounce (about 30 ml)\u003c\/strong\u003e of water, roll the bottle between your palms for 5 seconds and shake for 20 seconds, then leave it to stand \u003cstrong\u003e7 minutes to thicken\u003c\/strong\u003e. Shake again, check the milk is at feeding temperature, about \u003cstrong\u003e37°C (98.6°F)\u003c\/strong\u003e, and always test a drop before feeding. Prepare it by hand.\u003c\/p\u003e\n\u003cdiv class=\"stats\"\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e45 min\u003c\/b\u003e\u003cspan\u003eCool the boiled water\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-g\"\u003e\n\u003cb\u003e7 min\u003c\/b\u003e\u003cspan\u003eStanding time to thicken\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-a\"\u003e\n\u003cb\u003e1 : 30ml\u003c\/b\u003e\u003cspan\u003eOne level scoop per fl oz\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e~37°C\u003c\/b\u003e\u003cspan\u003e98.6°F · feeding temperature\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"steps-grid\"\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e1\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M18 5h12M20 5v5c0 2.5-4 4.5-4 9.5V39a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V19.5c0-5-4-7-4-9.5V5\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M40 8l1.4 3.1L44.5 12.5l-3.1 1.4L40 17l-1.4-3.1-3.1-1.4 3.1-1.4z\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eSterilise everything\u003c\/h4\u003e\n\u003cp\u003eWash and sterilise the bottle, teat, ring and cap, and wash your hands before you start.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e2\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M11 21h21v13a7 7 0 0 1-7 7h-7a7 7 0 0 1-7-7z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M32 25h5.5l-3.5 6\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M18 15c0-3 3-3.2 3-6.5M26 15c0-3 3-3.2 3-6.5\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eBoil, then cool 45 minutes\u003c\/h4\u003e\n\u003cp\u003eBoil 500 ml of freshly run water and leave it to cool for 45 minutes. Do not use artificially softened or repeatedly boiled water.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e3\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M18 5h12M20 5v5c0 2.5-4 4.5-4 9.5V39a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V19.5c0-5-4-7-4-9.5V5\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M16.4 28c2.7 0 2.7 2 5.4 2s2.7-2 5.4-2 2.7 2 5.4 2\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eWater into the bottle first\u003c\/h4\u003e\n\u003cp\u003eMeasure the amount of water your feeding guide gives into the sterilised bottle, before any powder goes in.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e4\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M9 24h22\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M12 24a9 9 0 0 1 18 0v1.5a4 4 0 0 1-4 4h-10a4 4 0 0 1-4-4z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M31 24l8-9\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eOne scoop per fluid ounce\u003c\/h4\u003e\n\u003cp\u003eAdd one level scoop of powder for each fluid ounce (about 30 ml) of water, levelling each scoop with the leveller. Never press the powder down.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e5\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cg transform=\"rotate(14 24 24)\"\u003e\n\u003cpath d=\"M18 8h12M20 8v4.5c0 2.5-4 4.5-4 9V38a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V21.5c0-4.5-4-6.5-4-9V8\"\u003e\u003c\/path\u003e\n\u003c\/g\u003e\n\u003cpath d=\"M9 16c-2.5 2.8-2.5 7 0 10M41 16c2.5 2.8 2.5 7 0 10\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eRoll, shake, stand 7 minutes\u003c\/h4\u003e\n\u003cp\u003eCap the bottle, roll it between your palms for 5 seconds, shake for 20 seconds, then leave it to stand 7 minutes so the gum thickens. Shake again before feeding.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e6\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M24 6a4.5 4.5 0 0 1 4.5 4.5v16.2a8.5 8.5 0 1 1-9 0V10.5A4.5 4.5 0 0 1 24 6z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M24 16v14\"\u003e\u003c\/path\u003e\n\u003ccircle cx=\"24\" cy=\"34.5\" r=\"3.6\" fill=\"#2E6DA4\" stroke=\"none\"\u003e\u003c\/circle\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eCheck and feed\u003c\/h4\u003e\n\u003cp\u003eCheck the milk is at feeding temperature, about 37°C (98.6°F). Always test a drop on your inner wrist first, then feed immediately.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"caution\"\u003e\n\u003csvg width=\"19\" height=\"19\" viewbox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\"\u003e\u003ccircle cx=\"10\" cy=\"10\" r=\"9\" fill=\"#2E6DA4\"\u003e\u003c\/circle\u003e\u003cpath d=\"M10 5.5v5.2M10 14.2v.1\" stroke=\"#fff\" stroke-width=\"2.2\" stroke-linecap=\"round\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n\u003cspan\u003e\u003cstrong\u003ePrepare this formula by hand.\u003c\/strong\u003e Locust bean gum thickens while the bottle stands for those 7 minutes, and that is exactly the step bottle warmers and automatic formula machines are not built around — which is why manufacturers of thickened anti-reflux formulas caution against using them. HiPP publishes no machine instructions for this tin, so we publish none either. Never use artificially softened water or water boiled more than once, never microwave a prepared bottle, and discard anything left 1 to 2 hours after your baby starts drinking.\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eA note on water temperature — this tin is different.\u003c\/strong\u003e HiPP does not print a target temperature for the UK Anti-Reflux tin. The instruction is to boil 500 ml of freshly run water and leave it to cool for \u003cstrong\u003e45 minutes\u003c\/strong\u003e before you measure it out. That is longer than the cooling time given for ordinary infant formula, and it is deliberate: the locust bean gum needs cooler water to hydrate and thicken properly, and the live Lactobacillus fermentum culture does not survive hot water. Follow the tin's 45 minutes rather than trying to hit a temperature.\u003cbr\u003e\u003cbr\u003eYou may have read different advice. The World Health Organization and the UK's NHS advise water at 70°C (158°F) or hotter for any powdered formula, because powder is not sterile. In the United States the FDA and CDC take a narrower position: they advise water of at least 158°F (70°C) when a baby is \u003cstrong\u003eunder 2 months old, born prematurely, or has a weakened immune system\u003c\/strong\u003e, and say that for most other babies, preparing formula according to the manufacturer's instructions is considered safe.\u003cbr\u003e\u003cbr\u003eIf your baby is in one of those higher-risk groups, ask your pediatrician which to follow before using the tin's method. Whichever you use: sterilise everything, make each bottle fresh, and never re-use a made-up bottle.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"split\" style=\"align-items:start;margin-top:26px\"\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"note\"\u003e\n\u003ch3\u003ePlease read before buying\u003c\/h3\u003e\n\u003cp\u003e\u003cstrong\u003eAnti-reflux formula is a food for special medical purposes.\u003c\/strong\u003e Start it, and stop it, on the advice of your pediatrician, GP or health visitor — frequent spit-up has several causes and only some of them are helped by thickening. This formula uses intact cow's milk protein and is \u003cstrong\u003enot suitable for a baby with a diagnosed cow's milk protein allergy\u003c\/strong\u003e. It contains fish. Breastfeeding is best for your baby — talk to your health visitor or doctor before starting or changing a formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eStore the tin in a cool, dry place with the lid closed. Once opened, use within the period printed on the pack. Never reheat or microwave prepared formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"tip tip-a\"\u003e\n\u003ch3\u003ePackaging \u0026amp; tins\u003c\/h3\u003e\n\u003cp style=\"font-size:14.5px;margin:0\"\u003eTins can pick up small dents in transit. A dent in the outer metal does not affect the sealed powder inside. If a seal is ever broken, or the powder looks or smells wrong, do not use it — message us and we will replace it.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003c!-- ===== 9. FAQ ===== --\u003e\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eQuestions parents ask\u003c\/span\u003e\n\u003ch2\u003eHiPP UK Anti-Reflux: frequently asked questions\u003c\/h2\u003e\n\u003cdiv class=\"faq\"\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eWhat water temperature does HiPP UK Anti-Reflux need?\u003c\/h3\u003e\n\u003cp\u003eThis tin does not give a temperature. It tells you to boil 500 ml of freshly run water and leave it to cool for 45 minutes before measuring it out — a longer cool than ordinary infant formula, because the locust bean gum needs cooler water to thicken and the live culture does not survive hot water. The made-up bottle should then be at about 37°C (98.6°F) when you feed it. That mixing method gives water below the 70°C (158°F) the WHO and NHS advise for powdered formula generally; US guidance from the FDA and CDC reserves the 70°C method for babies under 2 months, born prematurely, or with a weakened immune system. If your baby is in one of those groups, ask your pediatrician which to follow.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs HiPP UK Anti-Reflux organic?\u003c\/h3\u003e\n\u003cp\u003eNo. This thickened anti-reflux tin is not organic certified, even though HiPP's everyday Bio Combiotik range is. Thickened and specialised infant formulas commonly fall outside organic certification because of how they are formulated. If an organic certificate is what you came for, HiPP's Dutch and German Combiotik tins carry the EU Organic leaf and are the right place to look instead.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eDo I need a doctor's advice before using anti-reflux formula?\u003c\/h3\u003e\n\u003cp\u003eYes, you should have it. Anti-reflux formula is regulated in the EU as a food for special medical purposes, which means it is intended for use under medical supervision. Frequent spit-up is very common and usually harmless, but it can also point to overfeeding, feeding position, or a cow's milk protein allergy — none of which a thickener fixes. Ask your pediatrician or health visitor before you switch.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eCan I prepare this formula in a bottle warmer or a formula machine?\u003c\/h3\u003e\n\u003cp\u003ePrepare it by hand instead. Locust bean gum only thickens after the made-up bottle has stood for 7 minutes, and automatic formula machines and bottle warmers are not designed around that step, which is why manufacturers of thickened anti-reflux formulas caution against them. Mix it in a sterilised bottle, let it stand, shake it again and feed. HiPP publishes no machine instructions for this tin.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs this the same as the HiPP AR German 600g box?\u003c\/h3\u003e\n\u003cp\u003eThey are close relatives rather than the same product. The German box holds 600g and is labelled for the German market; this tin holds 800g and is labelled for the UK market, although it is manufactured in Germany. Both are thickened with locust bean gum, both carry the Lactobacillus fermentum culture, and both publish the same energy and protein figures per 100ml. Their preparation instructions differ, though, so follow the panel on the pack you actually own rather than assuming they match.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eCan my baby have this from birth, and how long can they stay on it?\u003c\/h3\u003e\n\u003cp\u003eYes. It is a from-birth formula and is nutritionally complete, so it can be a baby's only milk for the first six months and can continue alongside solid food after that, to around twelve months. How long a baby should stay on it is a clinical decision rather than a shopping one — many babies outgrow reflux well before their first birthday and move back to a standard infant formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eHow much prepared formula does one tin make?\u003c\/h3\u003e\n\u003cp\u003eAbout 189 fluid ounces, which is roughly 37 bottles of five ounces. Working from that yield, a baby feeding exclusively on formula tends to use about two to three tins a month in the newborn weeks, rising to roughly four to five tins a month by six months. Those are planning estimates rather than manufacturer figures, and any breastfeeding alongside formula brings them down.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eDoes it contain a probiotic or a prebiotic?\u003c\/h3\u003e\n\u003cp\u003eIt contains a probiotic culture, Lactobacillus fermentum (hereditum), the same culture HiPP uses across its Combiotik range. That is a genuine difference from Aptamil AR, which has no probiotic strain. It does not contain added GOS or FOS prebiotics, however, where Aptamil AR does carry a prebiotic blend — so the two tins support the gut in different ways rather than one simply beating the other.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eWhat should I feed my baby once the reflux settles?\u003c\/h3\u003e\n\u003cp\u003eMost families move back to a standard infant formula for their baby's age. If you want an organic tin, HiPP Dutch Stage 1 covers birth to six months and HiPP Dutch Stage 2 covers six months onwards, both EU Organic certified and both carrying the same Lactobacillus fermentum culture as this anti-reflux tin. Make the change gradually and mention it to your health visitor.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003c!-- ===== 10. RELATED ===== --\u003e\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003eExplore the range\u003c\/span\u003e\n\u003ch2\u003eRelated formulas at Bonpek Baby\u003c\/h2\u003e\n\u003cul class=\"rel\"\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-ar-anti-reflux-600g\"\u003eHiPP AR German 600g\u003c\/a\u003e\u003cspan\u003eThe same thickened recipe in a smaller box, if you want to trial it first.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/aptamil-ar-anti-reflux-formula-800g\"\u003eAptamil AR 800g\u003c\/a\u003e\u003cspan\u003eThe other European anti-reflux tin: prebiotic blend and Halal certified, no probiotic.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-comfort-uk-baby-formula\"\u003eHiPP Comfort UK\u003c\/a\u003e\u003cspan\u003eFor colic and constipation rather than reflux — hydrolysed protein, reduced lactose.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-ha-stage1-hypoallergenic-600g\"\u003eHiPP HA Stage 1\u003c\/a\u003e\u003cspan\u003eHydrolysed protein, for babies at risk of allergy rather than babies who spit up.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-dutch-stage-1-organic-baby-formula-800g\"\u003eHiPP Dutch Stage 1\u003c\/a\u003e\u003cspan\u003eThe everyday EU Organic tin to move back to once reflux settles.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/collections\/all-baby-formulas\"\u003eAll baby formulas\u003c\/a\u003e\u003cspan\u003eBrowse every European formula we stock, by brand and stage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/section\u003e\n\n\u003c!-- ===== 11. TRUST ===== --\u003e\n\u003csection\u003e\n\u003cdiv class=\"trust\"\u003e\n\u003ch2 style=\"margin-bottom:2px\"\u003eWhy parents buy from Bonpek Baby\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eAuthentic from Europe for 8+ years\u003c\/li\u003e\n\u003cli\u003eUS stock — no shipping or customs delays\u003c\/li\u003e\n\u003cli\u003eSame-day pickup \u0026amp; delivery for locals\u003c\/li\u003e\n\u003cli\u003eAlways fresh — receiving weekly\u003c\/li\u003e\n\u003cli\u003eBest prices, or we'll match and add a free gift\u003c\/li\u003e\n\u003cli\u003eTrusted by 9,000+ parents in the US\u003c\/li\u003e\n\u003cli\u003ePrompt customer support text line\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"reviewed\"\u003eProduct information last reviewed by the Bonpek Baby team in September 2026 against the manufacturer's current published ingredient and nutrition data. Always check the label on your tin, as manufacturers reformulate from time to time.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003c\/div\u003e","brand":"HiPP","offers":[{"title":"Default Title","offer_id":46463697977513,"sku":null,"price":52.99,"currency_code":"USD","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0507\/5802\/5385\/files\/HiPPARAntiRefluxUK.png?v=1759862000"},{"product_id":"aptamil-ar-anti-reflux-formula-400g","title":"Aptamil AR Anti Reflux Formula - 400g","description":"\u003c!-- BPK-CSS-START --\u003e\n\u003cstyle\u003e\n.bpk{\n--navy:#1B3A6B;--ink:#2C3A47;--ink-2:#55636F;--ink-3:#8A939C;\n--cream:#FFFDF7;--line:#E7E3D9;\n--green:#3E7A46;--blue:#2E6DA4;--gold:#B8802E;--rose:#C24A67;\n--green-t:#E9F2EA;--blue-t:#E8F0F8;--gold-t:#FAF2E4;--rose-t:#FBEBEF;\n--tick:url(\"data:image\/svg+xml;utf8,\u003csvg xmlns='http:\/\/www.w3.org\/2000\/svg' viewBox='0 0 20 20'\u003e\u003ccircle cx='10' cy='10' r='9' fill='%233E7A46'\/\u003e\u003cpath d='M6 10.4l2.6 2.6L14 7.6' stroke='%23fff' stroke-width='2.1' fill='none' stroke-linecap='round' stroke-linejoin='round'\/\u003e\u003c\/svg\u003e\");\n --green-b:#C2D8C5;--blue-b:#BFD5EA;--gold-b:#EBD8B4;--rose-b:#EFC8D2;\nmax-width:1280px;margin:0 auto;padding:8px 0 4px;color:var(--ink);background:#fff;\nfont-family:inherit;font-size:16px;line-height:1.65;-webkit-font-smoothing:antialiased}\n.bpk *{box-sizing:border-box}\n.bpk p{margin:0 0 1em;color:var(--ink-2)}\n.bpk h2{font-size:clamp(20px,2.3vw,26px);line-height:1.3;margin:0 0 .5em;color:var(--navy);font-weight:700;letter-spacing:-.01em}\n.bpk h3{font-size:clamp(16px,1.5vw,18px);margin:0 0 .5em;color:var(--navy);font-weight:700}\n.bpk strong{color:var(--ink);font-weight:700}\n.bpk .answer{font-size:clamp(16px,1.6vw,17.5px);color:var(--ink);font-weight:600;line-height:1.55;margin:0 0 .8em}\n.bpk section{padding:32px 0;border-top:1px solid var(--line)}\n.bpk section:first-of-type{border-top:0;padding-top:6px}\n.bpk a{color:var(--blue);text-decoration:underline;text-underline-offset:2px}\n.bpk .eyebrow{display:inline-block;font-size:11.5px;font-weight:800;letter-spacing:.13em;text-transform:uppercase;margin:0 0 10px;padding:4px 11px;border-radius:99px}\n.bpk .e-g{color:var(--green);background:var(--green-t)}\n.bpk .e-b{color:var(--blue);background:var(--blue-t)}\n.bpk .e-a{color:var(--gold);background:var(--gold-t)}\n.bpk .e-r{color:var(--rose);background:var(--rose-t)}\n.bpk \u003e section \u003e p,.bpk \u003e section \u003e .answer,.bpk .faq p,.bpk .faq h3{max-width:76ch}\n.bpk .bars,.bpk .bars + .fine{max-width:940px}\n.bpk \u003e section \u003e .cards,.bpk \u003e section \u003e .cards + .fine{max-width:760px}\n.bpk .stats{display:grid;grid-template-columns:repeat(auto-fit,minmax(150px,1fr));gap:12px;margin:22px 0 4px}\n.bpk .stat{border-radius:14px;padding:18px 14px;text-align:center;border:1px solid}\n.bpk .stat b{display:block;font-size:clamp(19px,2.1vw,23px);line-height:1.2;font-weight:800}\n.bpk .stat span{display:block;font-size:12.5px;color:var(--ink-3);margin-top:5px}\n.bpk .s-g{background:var(--green-t);border-color:var(--green-b)} .bpk .s-g b{color:var(--green)}\n.bpk .s-b{background:var(--blue-t);border-color:var(--blue-b)} .bpk .s-b b{color:var(--blue)}\n.bpk .s-a{background:var(--gold-t);border-color:var(--gold-b)} .bpk .s-a b{color:var(--gold)}\n.bpk .s-r{background:var(--rose-t);border-color:var(--rose-b)} .bpk .s-r b{color:var(--rose)}\n.bpk .split{display:grid;grid-template-columns:minmax(260px,1fr) minmax(280px,1.15fr);gap:30px;align-items:center}\n@media(max-width:720px){.bpk .split{grid-template-columns:1fr;gap:22px}}\n.bpk .scroll{overflow-x:auto;-webkit-overflow-scrolling:touch}\n.bpk table{width:100%;border-collapse:collapse;font-size:14.5px;min-width:440px}\n.bpk th,.bpk td{text-align:left;padding:11px 13px;border-bottom:1px solid var(--line)}\n.bpk thead th{background:var(--blue-t);color:var(--navy);font-weight:700;font-size:13px;border-bottom:2px solid var(--blue-b)}\n.bpk tbody tr:nth-child(even){background:#FCFBF7}\n.bpk td.num,.bpk th.num{text-align:right;font-variant-numeric:tabular-nums;white-space:nowrap}\n.bpk .yes{color:var(--green);font-weight:700}\n.bpk .no{color:var(--ink-3)}\n.bpk .legend{list-style:none;padding:0;margin:18px 0 0}\n.bpk .legend li{display:flex;align-items:flex-start;gap:10px;padding:8px 0;font-size:14.5px;border-bottom:1px solid var(--line)}\n.bpk .legend li:last-child{border-bottom:0}\n.bpk .sw{width:13px;height:13px;border-radius:4px;flex:0 0 13px;margin-top:5px}\n.bpk .legend b{margin-left:auto;font-variant-numeric:tabular-nums;color:var(--ink)}\n.bpk .checks{display:grid;grid-template-columns:repeat(auto-fit,minmax(190px,1fr));gap:10px;list-style:none;padding:0;margin:20px 0 0}\n.bpk .checks li{display:flex;align-items:center;gap:9px;background:var(--green-t);border:1px solid var(--green-b);border-radius:11px;padding:12px 14px;font-size:14.5px;font-weight:600;color:var(--green)}\n.bpk .checks li::before{content:\"\";flex:0 0 17px;height:17px;background:var(--tick) no-repeat center\/contain}\n.bpk .note{background:var(--rose-t);border:1px solid var(--rose-b);border-left:4px solid var(--rose);border-radius:11px;padding:17px 19px;margin:22px 0 0}\n.bpk .note h3{color:var(--rose);margin-bottom:6px;font-size:15.5px}\n.bpk .note p{margin:0;font-size:14.5px;color:#6E4550}\n.bpk .tip{background:var(--cream);border:1px solid var(--line);border-radius:13px;padding:19px 21px}\n.bpk .tip-a{background:var(--gold-t);border-color:var(--gold-b)}\n.bpk .tip-a h3{color:var(--gold)}\n.bpk .steps-grid{display:grid;grid-template-columns:repeat(auto-fit,minmax(232px,1fr));gap:16px;margin:26px 0 0}\n@media(min-width:900px){.bpk .steps-grid{grid-template-columns:repeat(3,1fr)}}\n.bpk .step{background:#fff;border:1px solid var(--line);border-radius:15px;padding:24px 20px 20px;position:relative}\n.bpk .step .n{position:absolute;top:-12px;left:20px;width:28px;height:28px;border-radius:50%;background:var(--blue);color:#fff;font-size:13.5px;font-weight:800;display:flex;align-items:center;justify-content:center}\n.bpk .step .ico{display:block;margin:2px 0 14px}\n.bpk .step h4{font-size:15px;color:var(--navy);margin:0 0 6px;font-weight:700}\n.bpk .step p{font-size:14px;margin:0;color:var(--ink-2);line-height:1.55}\n.bpk .caution{display:flex;gap:11px;align-items:flex-start;background:var(--gold-t);border:1px solid var(--gold-b);border-radius:12px;padding:15px 17px;margin:20px 0 0;font-size:14.5px;color:#6B5427}\n.bpk .caution svg{flex:0 0 19px;margin-top:2px}\n.bpk .sci{background:#fff;border:1px solid var(--line);border-radius:15px;padding:20px 20px 18px}\n.bpk .sci-row{margin-bottom:6px}\n.bpk .sci-h{font-size:12.5px;font-weight:800;letter-spacing:.02em;margin-bottom:2px}\n.bpk .sci-h em{font-style:normal;font-weight:600;opacity:.7}\n.bpk .sci svg{display:block;width:100%;height:auto}\n.bpk .sci-note{font-size:12.5px;color:var(--ink-3);margin:6px 0 16px;line-height:1.5}\n.bpk .sci-nets{display:grid;grid-template-columns:1fr 1fr;gap:16px;border-top:1px solid var(--line);padding-top:16px}\n.bpk .sci-nets span{display:block;font-size:12.5px;font-weight:700;text-align:center;margin-top:4px}\n.bpk .trust{background:var(--cream);border:1px solid var(--line);border-radius:16px;padding:26px}\n.bpk .trust ul{display:grid;grid-template-columns:repeat(auto-fit,minmax(230px,1fr));gap:9px 24px;list-style:none;padding:0;margin:14px 0 0}\n.bpk .trust li{display:flex;gap:9px;align-items:flex-start;font-size:14.5px;color:var(--ink-2)}\n.bpk .trust li::before{content:\"\";flex:0 0 16px;height:16px;margin-top:3px;background:var(--tick) no-repeat center\/contain}\n.bpk .fine{font-size:12.5px;color:var(--ink-3);margin-top:14px;line-height:1.5}\n.bpk figure{margin:0}\n.bpk .bars{margin:24px 0 0}\n.bpk .brow{margin-bottom:17px}\n.bpk .blab{font-size:14px;color:var(--ink);font-weight:600;margin-bottom:6px}\n.bpk .bwrap{display:flex;align-items:center;gap:12px}\n.bpk .btrack{flex:1;background:#F2F0EA;border-radius:6px;height:27px;display:flex;overflow:hidden}\n.bpk .bfill{background:var(--blue);height:100%;border-radius:0 5px 5px 0}\n.bpk .bext{background:#A9C6E2;height:100%;border-radius:0 5px 5px 0;margin-left:2px}\n.bpk .bval{font-size:13.5px;font-weight:700;color:var(--navy);white-space:nowrap;min-width:62px;text-align:right}\n.bpk .axis{font-size:12px;color:var(--ink-3);margin-top:12px}\n.bpk .faq{margin:20px 0 0;border-top:1px solid var(--line)}\n.bpk .faq .qa{padding:19px 0;border-bottom:1px solid var(--line)}\n.bpk .faq h3{margin:0 0 7px;font-size:16.5px}\n.bpk .faq p{margin:0;font-size:15px}\n.bpk .rel{display:grid;grid-template-columns:repeat(auto-fit,minmax(215px,1fr));gap:11px;margin:20px 0 0;list-style:none;padding:0}\n.bpk .rel li{background:#fff;border:1px solid var(--line);border-radius:12px;padding:15px 16px}\n.bpk .rel a{display:block;font-weight:700;font-size:14.5px;text-decoration:none;color:var(--navy);margin-bottom:3px}\n.bpk .rel a:hover{text-decoration:underline}\n.bpk .rel span{font-size:13px;color:var(--ink-3);line-height:1.45;display:block}\n.bpk .reviewed{font-size:12.5px;color:var(--ink-3);border-top:1px solid var(--line);padding-top:16px;margin-top:8px}\n\u003c\/style\u003e\n\u003c!-- BPK-CSS-END --\u003e\n\n\u003cdiv class=\"bpk\" id=\"full-description\"\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003eAnti-Reflux · 400 g\u003c\/span\u003e\n\u003ch2\u003eWhat is Aptamil AR Anti Reflux formula?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAptamil AR is a \u003cstrong\u003ethickened European anti-reflux baby formula\u003c\/strong\u003e for infants from birth who bring up milk frequently. It is thickened with \u003cstrong\u003elocust bean gum\u003c\/strong\u003e, a plant fibre also called carob bean gum, which makes the feed heavier so it is less likely to come back up. This listing is a 400 g box, roughly 100 to 105 fl oz of prepared formula.\u003c\/p\u003e\n\u003cp\u003eThe regulatory category matters here. Aptamil AR is sold as a \u003cstrong\u003eFood for Special Medical Purposes\u003c\/strong\u003e — the EU classification for a food designed to manage a specific condition, intended to be used with healthcare-professional advice rather than picked off a shelf. It is not a premium everyday milk and it is not a general \"sensitive tummy\" formula. It is also \u003cstrong\u003enot suitable for premature infants\u003c\/strong\u003e.\u003c\/p\u003e\n\u003cp\u003eAptamil is a Danone brand made by Nutricia, whose roots run through Dutch and German infant nutrition — in several European markets this product is still badged Milupa Aptamil, which is why the box in your hand may carry both names. The AR line is Aptamil's functional sub-range, distinct from the mainstream Aptamil 1, 2 and 3 milks.\u003c\/p\u003e\n\u003cp\u003eWhere it sits in the feeding journey: AR can be used from birth as a complete formula, and parents typically arrive at it after their doctor or health visitor has confirmed the spit-up is frequent reflux rather than ordinary posseting. Because the feed is thickened, it needs a \u003cstrong\u003efast-flow, single-hole teat\u003c\/strong\u003e and a preparation routine that differs from ordinary formula in ways that matter — read the preparation section before your first bottle. Breastfeeding, where it is possible, remains the first option.\u003c\/p\u003e\n\u003cdiv class=\"stats\"\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003eFrom birth\u003c\/b\u003e\u003cspan\u003eUnder medical guidance\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-g\"\u003e\n\u003cb\u003e400 g\u003c\/b\u003e\u003cspan\u003eSingle box\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-a\"\u003e\n\u003cb\u003e~100–105 fl oz\u003c\/b\u003e\u003cspan\u003e≈ 20–21 × 5 oz bottles (est.)\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003eCarob gum\u003c\/b\u003e\u003cspan\u003eLocust bean gum thickener\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eThe yield figure is scaled from the published figure for the 800 g box rather than measured for this pack, so treat it as an estimate. Check the feed table printed on your own box.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eNutrition\u003c\/span\u003e\n\u003ch2\u003eWhat's in Aptamil AR per 100ml?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003ePrepared as directed, every 100ml provides 276 kJ \/ 66 kcal, 3.4g fat of which 1.5g is saturated, 1.3g protein, 7.3g carbohydrate of which 7.0g is lactose, and 0.7g fibre from the gum thickener. The formula also carries \u003cstrong\u003eDHA and ARA\u003c\/strong\u003e, a \u003cstrong\u003eGOS\/FOS prebiotic blend\u003c\/strong\u003e, taurine, L-carnitine, choline and nucleotides.\u003c\/p\u003e\n\u003cdiv class=\"split\"\u003e\n\u003cfigure\u003e\n\u003csvg viewbox=\"0 0 240 240\" width=\"100%\" style=\"max-width:360px;display:block;margin:0 auto\" role=\"img\" aria-label=\"Doughnut chart: carbohydrate 61 percent, fat 28 percent, protein 11 percent of macronutrient grams per 100ml prepared formula\"\u003e\n\u003cg transform=\"rotate(-90 120 120)\" fill=\"none\" stroke-linecap=\"butt\"\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#E7E3D9\" stroke-width=\"32\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#3E7A46\" stroke-width=\"32\" stroke-dasharray=\"336.4 552.9\" stroke-dashoffset=\"0\"\u003e\u003ctitle\u003eCarbohydrate — 7.3g per 100ml (61%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#2E6DA4\" stroke-width=\"32\" stroke-dasharray=\"156.7 552.9\" stroke-dashoffset=\"-338.4\"\u003e\u003ctitle\u003eFat — 3.4g per 100ml (28%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"120\" cy=\"120\" r=\"88\" stroke=\"#C2D8C5\" stroke-width=\"32\" stroke-dasharray=\"59.8 552.9\" stroke-dashoffset=\"-497.1\"\u003e\u003ctitle\u003eProtein — 1.3g per 100ml (11%)\u003c\/title\u003e\u003c\/circle\u003e\n\u003c\/g\u003e\n\u003ctext x=\"120\" y=\"116\" text-anchor=\"middle\" font-size=\"20\" font-weight=\"800\" fill=\"#3E7A46\"\u003e66\u003c\/text\u003e\n\u003ctext x=\"120\" y=\"134\" text-anchor=\"middle\" font-size=\"10.5\" fill=\"#8A939C\"\u003ekcal \/ 100ml\u003c\/text\u003e\n\u003c\/svg\u003e\n\u003cul class=\"legend\"\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#3E7A46\"\u003e\u003c\/span\u003e Carbohydrate \u003cb\u003e7.3 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#2E6DA4\"\u003e\u003c\/span\u003e Fat \u003cb\u003e3.4 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003cspan class=\"sw\" style=\"background:#C2D8C5\"\u003e\u003c\/span\u003e Protein \u003cb\u003e1.3 g\u003c\/b\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/figure\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth\u003ePer 100ml prepared\u003c\/th\u003e\n\u003cth class=\"num\"\u003eAmount\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003eEnergy\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e276 kJ \/ 66 kcal\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFat\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e3.4 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e— of which saturates\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e1.5 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eProtein\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e1.3 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eCarbohydrate\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e7.3 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e— of which lactose\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e7.0 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eFibre (from carob bean gum)\u003c\/td\u003e\n\u003ctd class=\"num\"\u003e0.7 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePrebiotic\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eGOS\/FOS\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eDHA source\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eFish oil\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAlso contains\u003c\/td\u003e\n\u003ctd class=\"num\"\u003eARA, taurine, L-carnitine, choline, nucleotides\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe ingredient deck is built on a dairy blend of lactose, vegetable oils (palm, coconut, rapeseed, sunflower and high oleic sunflower), skimmed milk and two whey fractions, followed by galacto-oligosaccharides, the \u003cstrong\u003ecarob bean gum thickener\u003c\/strong\u003e, whey protein, fructo-oligosaccharides, oil from \u003cem\u003eMortierella alpina\u003c\/em\u003e for ARA, and the full vitamin and mineral spread. Declared allergens are \u003cstrong\u003emilk, fish and soy\u003c\/strong\u003e — the soy comes from the lecithin emulsifier.\u003c\/p\u003e\n\u003cp class=\"fine\"\u003eOne correction worth making plainly: this is \u003cstrong\u003enot a reduced-lactose formula\u003c\/strong\u003e. The published panel shows 7.0 g of lactose in 7.3 g of total carbohydrate, so lactose is essentially the whole carbohydrate load. Anti-reflux works here through thickening, not through removing lactose. If lactose is the problem your doctor has identified, AR is not the answer.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eThe science\u003c\/span\u003e\n\u003ch2\u003eHow does a thickened anti-reflux formula work?\u003c\/h2\u003e\n\u003cdiv class=\"split\" style=\"align-items:start\"\u003e\n\u003cdiv\u003e\n\u003cp class=\"answer\"\u003eAptamil AR contains \u003cstrong\u003elocust bean gum\u003c\/strong\u003e, a fibre milled from carob seeds. Once it has been mixed and allowed to stand, the gum swells and raises the viscosity of the feed — a heavier, thicker liquid is simply harder to bring back up than thin milk.\u003c\/p\u003e\n\u003cp\u003eThat is the whole mechanism, and it explains two things parents often find surprising. The first is the \u003cstrong\u003efive-minute standing time\u003c\/strong\u003e after mixing: the gum needs those minutes to swell. Feeding immediately gives your baby thin formula and largely defeats the point of buying it. The second is the teat — a thickened feed will not flow through a standard slow-flow hole, so Aptamil specifies a \u003cstrong\u003efast-flow, single-hole teat\u003c\/strong\u003e.\u003c\/p\u003e\n\u003cp\u003eIt also explains the manufacturer's firmest preparation rule. Because the feed thickens over time and can clog or set unevenly, Aptamil's own safe-preparation guidance says \u003cstrong\u003enot to use bottle warmers, formula preparation machines or similar dispensing devices\u003c\/strong\u003e with AR. Anti-reflux formula is made by hand, bottle by bottle. There is more on that in the preparation section below.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"sci\"\u003e\n\u003cdiv class=\"sci-row\"\u003e\n\u003cdiv class=\"sci-h\" style=\"color:#3E7A46\"\u003eLocust bean gum \u003cem\u003e· swollen after standing\u003c\/em\u003e\n\u003c\/div\u003e\n\u003csvg viewbox=\"0 0 292 70\" role=\"img\" aria-label=\"Diagram: swollen gum fibres forming a dense connected mesh that holds the liquid together\"\u003e\n\u003cpath d=\"M18 20c22 14 44-8 66 6s44-8 66 6 44-8 66 6 30-4 44 2\" stroke=\"#3E7A46\" stroke-width=\"4\" fill=\"none\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M18 42c22 14 44-8 66 6s44-8 66 6 44-8 66 6 30-4 44 2\" stroke=\"#3E7A46\" stroke-width=\"4\" fill=\"none\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M52 12v46M118 12v46M184 12v46M250 12v46\" stroke=\"#C2D8C5\" stroke-width=\"4\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"sci-row\"\u003e\n\u003cdiv class=\"sci-h\" style=\"color:#8A939C\"\u003eUnthickened feed \u003cem\u003e· standard formula\u003c\/em\u003e\n\u003c\/div\u003e\n\u003csvg viewbox=\"0 0 292 70\" role=\"img\" aria-label=\"Diagram: loose separated particles with no connecting network, representing a thin unthickened feed\"\u003e\n\u003ccircle cx=\"32\" cy=\"24\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"78\" cy=\"44\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"124\" cy=\"20\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"168\" cy=\"46\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"214\" cy=\"24\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"258\" cy=\"44\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"56\" cy=\"52\" r=\"5\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"148\" cy=\"52\" r=\"5\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"238\" cy=\"14\" r=\"5\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003c\/svg\u003e\n\u003c\/div\u003e\n\u003cp class=\"sci-note\"\u003eThe gum needs five minutes of standing after mixing to swell and connect. Before that, the bottle in your hand is still ordinary thin formula.\u003c\/p\u003e\n\u003cdiv class=\"sci-nets\"\u003e\n\u003cdiv\u003e\n\u003csvg viewbox=\"0 0 150 108\" role=\"img\" aria-label=\"Diagram: after five minutes standing, the feed is thick and evenly gelled\"\u003e\n\u003crect x=\"4\" y=\"4\" width=\"142\" height=\"100\" rx=\"10\" fill=\"#E9F2EA\"\u003e\u003c\/rect\u003e\n\u003cpath d=\"M18 30h114M18 50h114M18 70h114M18 88h114\" stroke=\"#3E7A46\" stroke-width=\"7\" stroke-linecap=\"round\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003cspan style=\"color:#3E7A46\"\u003eAfter 5 minutes\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003csvg viewbox=\"0 0 150 108\" role=\"img\" aria-label=\"Diagram: immediately after mixing, the feed is still thin with scattered particles\"\u003e\n\u003crect x=\"4\" y=\"4\" width=\"142\" height=\"100\" rx=\"10\" fill=\"#F2F0EA\"\u003e\u003c\/rect\u003e\n\u003ccircle cx=\"38\" cy=\"34\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"86\" cy=\"28\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"118\" cy=\"46\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"44\" cy=\"70\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"90\" cy=\"78\" r=\"6\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003ccircle cx=\"116\" cy=\"84\" r=\"5\" fill=\"#8A939C\"\u003e\u003c\/circle\u003e\n\u003c\/svg\u003e\n\u003cspan style=\"color:#8A939C\"\u003eStraight after mixing\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eSchematic illustrations of thickening, not to scale and not microscopy. Frequent or forceful vomiting, poor weight gain, blood in the vomit or distress during feeds need a doctor, not a formula change.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eFull transparency\u003c\/span\u003e\n\u003ch2\u003eWhat is not in Aptamil AR — and what is?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAptamil AR is a functional medical formula, not a clean-label or organic product, and we would rather say so than stretch the word \"natural\" over a gum thickener. It is \u003cstrong\u003eHalal certified\u003c\/strong\u003e and it is \u003cstrong\u003enot organic certified\u003c\/strong\u003e. It contains palm oil, soy lecithin, fish oil and locust bean gum.\u003c\/p\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth\u003eIn this box\u003c\/th\u003e\n\u003cth\u003eAptamil AR 400 g\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eLocust bean gum thickener\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes — this is how it works\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePrebiotics\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes — GOS and FOS\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eDHA and ARA\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHalal certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePalm oil\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eYes, in the vegetable oil blend\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eSoy\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eYes — soy lecithin emulsifier\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFish oil\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eYes — the DHA source\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eReduced lactose\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo — 7.0 g of the 7.3 g carbohydrate\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProbiotic culture\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eOrganic certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eAllergens\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eMilk, fish, soy\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eNo Non-GMO claim was found on the manufacturer's documentation for this product, so we do not make one. Suitable from birth, but not for premature infants.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-a\"\u003eComparison\u003c\/span\u003e\n\u003ch2\u003eHow does Aptamil AR 400 g compare to Aptamil AR 800 g and HiPP Anti Reflux German?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAptamil AR 400 g and 800 g are the same formulation in two pack sizes sourced from different European markets — not two different recipes. HiPP's German 600 g Anti Reflux uses the same locust bean gum thickening mechanism, is also not organic, and adds something Aptamil AR does not have: a live probiotic culture.\u003c\/p\u003e\n\u003cdiv class=\"scroll\"\u003e\n\u003ctable\u003e\n\u003cthead\u003e\n\u003ctr\u003e\n\u003cth\u003eAnti-reflux · from birth\u003c\/th\u003e\n\u003cth\u003eAptamil AR 400 g\u003c\/th\u003e\n\u003cth\u003eAptamil AR 800 g\u003c\/th\u003e\n\u003cth\u003eHiPP AR German 600 g\u003c\/th\u003e\n\u003c\/tr\u003e\n\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eThickener\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003ctd\u003eLocust bean gum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProtein\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e1.3 g\u003c\/td\u003e\n\u003ctd\u003e1.3 g\u003c\/td\u003e\n\u003ctd\u003e1.25 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eFat\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e3.4 g\u003c\/td\u003e\n\u003ctd\u003e3.4 g\u003c\/td\u003e\n\u003ctd\u003e3.6 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eCarbohydrate\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e7.3 g (7.0 g lactose)\u003c\/td\u003e\n\u003ctd\u003e7.3 g (7.0 g lactose)\u003c\/td\u003e\n\u003ctd\u003e6.9 g (all lactose)\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eProbiotic culture\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNone\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eLimosilactobacillus fermentum hereditum\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eOrganic certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNo\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eHalal certified\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003ctd class=\"yes\"\u003eYes\u003c\/td\u003e\n\u003ctd class=\"no\"\u003eNot claimed\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eStanding time after mixing\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e5 minutes\u003c\/td\u003e\n\u003ctd\u003e5 minutes\u003c\/td\u003e\n\u003ctd\u003e7 minutes\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003eMachines and bottle warmers\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003eManufacturer says do not use\u003c\/td\u003e\n\u003ctd\u003eManufacturer says do not use\u003c\/td\u003e\n\u003ctd\u003eNo equivalent instruction found\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003e\u003cstrong\u003ePack size\u003c\/strong\u003e\u003c\/td\u003e\n\u003ctd\u003e400 g\u003c\/td\u003e\n\u003ctd\u003e800 g\u003c\/td\u003e\n\u003ctd\u003e600 g\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\n\u003c\/div\u003e\n\u003cp style=\"margin-top:18px;font-size:14.5px\"\u003e\u003cstrong\u003eBeing straight with you:\u003c\/strong\u003e the pack sizes here are 400 g, 800 g and 600 g, so comparing the three shelf prices side by side will mislead you — work in price per prepared fluid ounce instead. On that basis \u003ca href=\"\/es\/products\/aptamil-ar-anti-reflux-formula-800g\"\u003eour 800 g Aptamil AR\u003c\/a\u003e is the better value for the identical formula, and if your baby is going to be on AR for a while it is the box to buy. This 400 g size makes more sense for a first trial, when you do not yet know whether AR suits your baby. On the merits, \u003ca href=\"\/es\/products\/hipp-ar-anti-reflux-600g\"\u003eHiPP Anti Reflux German 600 g\u003c\/a\u003e genuinely beats Aptamil AR on one point: it contains a live probiotic culture and Aptamil AR contains none. Aptamil AR's advantages are Halal certification and, oddly, the clarity of its own warnings — Aptamil publishes an explicit instruction not to use machines or bottle warmers, while no equivalent instruction was found for HiPP AR. That is a difference in what each manufacturer has published, not proof that one is safer in a machine than the other.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-a\"\u003ePlanning ahead\u003c\/span\u003e\n\u003ch2\u003eHow many boxes of Aptamil AR will my baby need per month?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eA 400 g box of Aptamil AR makes approximately \u003cstrong\u003e100 to 105 fl oz\u003c\/strong\u003e of prepared formula, roughly 20 bottles of 5 fl oz. An exclusively formula-fed baby uses around \u003cstrong\u003e4 boxes of this size in the first month\u003c\/strong\u003e, rising to roughly \u003cstrong\u003e7 boxes a month by seven months and older\u003c\/strong\u003e as feed volumes grow.\u003c\/p\u003e\n\u003cp\u003eThose figures are scaled from the published monthly counts for the 800 g box, so treat them as planning estimates rather than measured numbers. If your baby is going through four or more of these boxes a month, the 800 g pack will cost you noticeably less per ounce for exactly the same formula.\u003c\/p\u003e\n\u003cdiv class=\"bars\" role=\"img\" aria-label=\"Estimated 400 gram boxes used per month: first four weeks about 4 boxes; through the middle months about 4 to 8 boxes; from seven months about 7 boxes\"\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eFirst 4 weeks\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\u003cdiv class=\"bfill\" style=\"width:50%\"\u003e\u003c\/div\u003e\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~4 boxes\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eThrough the middle months\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\n\u003cdiv class=\"bfill\" style=\"width:50%\"\u003e\u003c\/div\u003e\n\u003cdiv class=\"bext\" style=\"width:50%\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~4–8\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"brow\"\u003e\n\u003cdiv class=\"blab\"\u003eFrom 7 months\u003c\/div\u003e\n\u003cdiv class=\"bwrap\"\u003e\n\u003cdiv class=\"btrack\"\u003e\u003cdiv class=\"bfill\" style=\"width:88%\"\u003e\u003c\/div\u003e\u003c\/div\u003e\n\u003cdiv class=\"bval\"\u003e~7 boxes\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"axis\"\u003eScale: 0 to 8 boxes of 400 g per month · lighter shading shows the upper end of the range\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eEstimates for exclusive formula feeding, scaled from published figures for the 800 g pack. Every baby feeds differently — use these for planning, not as a target.\u003c\/p\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003ePreparation\u003c\/span\u003e\n\u003ch2\u003eHow do you prepare Aptamil AR Anti Reflux formula?\u003c\/h2\u003e\n\u003cp class=\"answer\"\u003eAptamil AR is prepared differently from ordinary formula and the differences are not optional. Cool boiled water to about 40°C, pour two-thirds of the measured water into a sterilised bottle, add the exact number of level scoops, shake vigorously for 10 seconds, add the remaining water and shake again, then \u003cstrong\u003elet the bottle stand for 5 minutes\u003c\/strong\u003e so the gum thickens, shake briefly, check the temperature and feed through a fast-flow single-hole teat.\u003c\/p\u003e\n\u003cdiv class=\"stats\"\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e~40°C\u003c\/b\u003e\u003cspan\u003eWater temperature\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-g\"\u003e\n\u003cb\u003e5 min\u003c\/b\u003e\u003cspan\u003eStanding time to thicken\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-a\"\u003e\n\u003cb\u003eFast-flow\u003c\/b\u003e\u003cspan\u003eSingle-hole teat required\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"stat s-b\"\u003e\n\u003cb\u003e2 hours\u003c\/b\u003e\u003cspan\u003eDiscard unfinished feed\u003c\/span\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"steps-grid\"\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e1\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M18 5h12M20 5v5c0 2.5-4 4.5-4 9.5V39a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V19.5c0-5-4-7-4-9.5V5\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M40 8l1.4 3.1L44.5 12.5l-3.1 1.4L40 17l-1.4-3.1-3.1-1.4 3.1-1.4z\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eSterilise everything\u003c\/h4\u003e\n\u003cp\u003eThoroughly clean and sterilise the bottle, teat and ring, and wash your hands before you start.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e2\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M11 21h21v13a7 7 0 0 1-7 7h-7a7 7 0 0 1-7-7z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M32 25h5.5l-3.5 6\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M18 15c0-3 3-3.2 3-6.5M26 15c0-3 3-3.2 3-6.5\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eBoil and cool to 40°C\u003c\/h4\u003e\n\u003cp\u003eBoil fresh drinking water and let it cool to about 40°C, the temperature Aptamil specifies for this thickened formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e3\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M18 5h12M20 5v5c0 2.5-4 4.5-4 9.5V39a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V19.5c0-5-4-7-4-9.5V5\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M16.4 28c2.7 0 2.7 2 5.4 2s2.7-2 5.4-2 2.7 2 5.4 2\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eTwo-thirds of the water first\u003c\/h4\u003e\n\u003cp\u003ePour about two-thirds of the measured water into the sterilised bottle before any powder goes in.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e4\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cpath d=\"M9 24h22\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M12 24a9 9 0 0 1 18 0v1.5a4 4 0 0 1-4 4h-10a4 4 0 0 1-4-4z\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M31 24l8-9\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eExact level scoops\u003c\/h4\u003e\n\u003cp\u003eLevel each scoop against the scraper and add the exact number from the feed table — never press, heap or add an extra.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e5\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003cg transform=\"rotate(14 24 24)\"\u003e\n\u003cpath d=\"M18 8h12M20 8v4.5c0 2.5-4 4.5-4 9V38a4 4 0 0 0 4 4h8a4 4 0 0 0 4-4V21.5c0-4.5-4-6.5-4-9V8\"\u003e\u003c\/path\u003e\n\u003c\/g\u003e\n\u003cpath d=\"M9 16c-2.5 2.8-2.5 7 0 10M41 16c2.5 2.8 2.5 7 0 10\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eShake, top up, shake again\u003c\/h4\u003e\n\u003cp\u003eCap and shake vigorously for 10 seconds, pour in the remaining water, then shake vigorously again.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"step\"\u003e\n\u003cdiv class=\"n\"\u003e6\u003c\/div\u003e\n\u003csvg class=\"ico\" width=\"52\" height=\"52\" viewbox=\"0 0 48 48\" fill=\"none\" stroke=\"#2E6DA4\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"\u003e\n\u003ccircle cx=\"24\" cy=\"26\" r=\"15\"\u003e\u003c\/circle\u003e\n\u003cpath d=\"M24 18v8l5 3\"\u003e\u003c\/path\u003e\n\u003cpath d=\"M17 6h14\"\u003e\u003c\/path\u003e\n\u003c\/svg\u003e\n\u003ch4\u003eStand 5 minutes, then feed\u003c\/h4\u003e\n\u003cp\u003eLeave the bottle to stand for 5 minutes so the gum thickens, shake briefly, check it is about 37°C and feed through a fast-flow teat.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"caution\"\u003e\n\u003csvg width=\"19\" height=\"19\" viewbox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\"\u003e\u003ccircle cx=\"10\" cy=\"10\" r=\"9\" fill=\"#2E6DA4\"\u003e\u003c\/circle\u003e\u003cpath d=\"M10 5.5v5.2M10 14.2v.1\" stroke=\"#fff\" stroke-width=\"2.2\" stroke-linecap=\"round\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n\u003cspan\u003e\u003cstrong\u003eDo not use a bottle warmer, a formula preparation machine or any similar dispensing device with Aptamil AR.\u003c\/strong\u003e This is the manufacturer's own instruction, and the thickener is the reason for it — a feed that thickens on a timer can set unevenly or clog. Prepare every AR bottle by hand. Never microwave it, never add extra scoops or a second thickener, never combine it with antacids, and never reuse a feed — discard anything unfinished after 2 hours.\u003cbr\u003e\u003cbr\u003e\u003cstrong\u003eA note on water temperature.\u003c\/strong\u003e Aptamil specifies water at about 40°C for this formula, and that is the instruction printed on your box. It is set deliberately — hotter water damages the heat-sensitive vitamins this formula is built around.\u003cbr\u003e\u003cbr\u003eMany health authorities, including the NHS and WHO, advise 70°C or hotter for any powdered formula, because powder is not sterile and that temperature kills bacteria that can occasionally be present. The difference matters most for newborns, premature babies, and babies with weakened immunity. If your baby is in one of those groups, ask your paediatrician or health visitor which to follow for your situation.\u003c\/span\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"split\" style=\"align-items:start;margin-top:26px\"\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"note\"\u003e\n\u003ch3\u003ePlease read before buying\u003c\/h3\u003e\n\u003cp\u003eAptamil AR is a \u003cstrong\u003eFood for Special Medical Purposes\u003c\/strong\u003e for the management of frequent regurgitation, and is intended to be used \u003cstrong\u003ewith the advice of your doctor or health visitor\u003c\/strong\u003e rather than chosen on your own. It is \u003cstrong\u003enot suitable for premature infants\u003c\/strong\u003e. Persistent forceful vomiting, poor weight gain, blood in the vomit, or a baby who is distressed at every feed needs medical assessment, not a new formula. Contains milk, fish and soy. Breastfeeding is best for your baby — talk to your health visitor or doctor before starting or changing a formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cp class=\"fine\"\u003eStore boxes in a cool, dry place. Once opened, use within the period stated on the pack. Never reheat or microwave prepared formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdiv class=\"tip tip-a\"\u003e\n\u003ch3\u003eYou will need a different teat\u003c\/h3\u003e\n\u003cp style=\"font-size:14.5px;margin:0\"\u003eThickened formula will not flow properly through a standard newborn slow-flow teat. Aptamil specifies a \u003cstrong\u003esingle-hole, fast-flow teat\u003c\/strong\u003e for AR. If your baby seems to be working hard at the bottle and getting frustrated, the teat is the first thing to check — before you conclude the formula is not working.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-g\"\u003eQuestions parents ask\u003c\/span\u003e\n\u003ch2\u003eAptamil AR 400 g: frequently asked questions\u003c\/h2\u003e\n\u003cdiv class=\"faq\"\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eWhat age is Aptamil AR for?\u003c\/h3\u003e\n\u003cp\u003eAptamil AR is labelled from birth and can be used as a baby's complete formula. It is not suitable for premature infants. Because it is classified as a Food for Special Medical Purposes, it is meant to be started on the advice of a doctor or health visitor who has confirmed that frequent regurgitation is the problem, rather than chosen from a shelf on a hunch.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eCan I use a bottle warmer or a formula machine with Aptamil AR?\u003c\/h3\u003e\n\u003cp\u003eNo. Aptamil's own safe-preparation guidance says not to use bottle warmers, formula preparation machines or other dispensing devices with AR formula. The locust bean gum thickener is the reason: a feed designed to thicken over five minutes can set unevenly, clog a device, or sit pre-thickened in a reservoir. Anti-reflux formula is prepared by hand, one bottle at a time.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eWhy do I have to let the bottle stand for five minutes?\u003c\/h3\u003e\n\u003cp\u003eBecause that is how long the locust bean gum needs to swell and thicken the feed. If you feed straight after shaking, your baby gets ordinary thin formula and the anti-reflux effect is largely lost. Shake, wait five minutes, shake briefly again, check the temperature is around 37°C, then feed. It is the single step parents most often skip.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs Aptamil AR a reduced-lactose formula?\u003c\/h3\u003e\n\u003cp\u003eNo, despite what some product listings say. The published nutrition panel shows 7.0 g of lactose within 7.3 g of total carbohydrate per 100ml, which means lactose is essentially the entire carbohydrate load. Aptamil AR works by thickening the feed, not by removing lactose. If lactose is the issue your doctor has identified, this is not the right formula for it.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eIs Aptamil AR organic or Halal?\u003c\/h3\u003e\n\u003cp\u003eIt is Halal certified, which the manufacturer confirms on its own product page, but it is not organic certified. This is a functional medical formula containing palm oil, soy lecithin and a gum thickener, so an organic or clean-label framing would be misleading. Its strengths are clinical formulation and EU medical-food regulation, not certification of the organic kind.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eDo I need a special teat for Aptamil AR?\u003c\/h3\u003e\n\u003cp\u003eYes. Aptamil specifies a single-hole, fast-flow teat because thickened formula will not pass properly through a standard slow-flow newborn teat. A baby struggling, tiring or getting frustrated at the bottle on AR is very often a teat problem rather than a formula problem, so check the teat before you decide the formula is not suiting your baby.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"qa\"\u003e\n\u003ch3\u003eShould I buy the 400 g or the 800 g box?\u003c\/h3\u003e\n\u003cp\u003eThe formulation is identical, so the choice is purely about value and commitment. The 400 g box is the sensible size for a first trial, when you do not yet know whether AR will suit your baby. If your baby settles on AR and you are going through four or more of these a month, the 800 g box costs less per prepared ounce for exactly the same formula.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cspan class=\"eyebrow e-b\"\u003eExplore the range\u003c\/span\u003e\n\u003ch2\u003eRelated formulas at Bonpek Baby\u003c\/h2\u003e\n\u003cul class=\"rel\"\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/aptamil-ar-anti-reflux-formula-800g\"\u003eAptamil AR 800 g\u003c\/a\u003e\u003cspan\u003eThe same anti-reflux formula in the larger, better-value box.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-ar-anti-reflux-600g\"\u003eHiPP Anti Reflux German 600 g\u003c\/a\u003e\u003cspan\u003eSame thickening mechanism, plus a live probiotic culture.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/hipp-uk-anti-reflux-800g\"\u003eHiPP UK Anti Reflux 800 g\u003c\/a\u003e\u003cspan\u003eThe UK-market HiPP thickened formula, also with a probiotic culture.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/aptamil-ha-1-hydrolyzed-infant-formula-stage-1-800-g\"\u003eAptamil HA 1\u003c\/a\u003e\u003cspan\u003ePartially hydrolysed, for reducing allergy risk in at-risk families.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/products\/aptamil-pepti-stage-1-specialized-formula-800-g\"\u003eAptamil Pepti 1\u003c\/a\u003e\u003cspan\u003eExtensively hydrolysed, for a diagnosed cow's milk protein allergy.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003cli\u003e\n\u003ca href=\"\/es\/collections\/all-baby-formulas\"\u003eAll baby formulas\u003c\/a\u003e\u003cspan\u003eBrowse every European formula we stock, by brand and stage.\u003c\/span\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/section\u003e\n\n\u003csection\u003e\n\u003cdiv class=\"trust\"\u003e\n\u003ch2 style=\"margin-bottom:2px\"\u003eWhy parents buy from Bonpek Baby\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eAuthentic from Europe for 8+ years\u003c\/li\u003e\n\u003cli\u003eUS stock — no shipping or customs delays\u003c\/li\u003e\n\u003cli\u003eSame-day pickup \u0026amp; delivery for locals\u003c\/li\u003e\n\u003cli\u003eAlways fresh — receiving weekly\u003c\/li\u003e\n\u003cli\u003eBest prices, or we'll match and add a free gift\u003c\/li\u003e\n\u003cli\u003eTrusted by 9,000+ parents in the US\u003c\/li\u003e\n\u003cli\u003ePrompt customer support text line\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"reviewed\"\u003eProduct information last reviewed by the Bonpek Baby team in September 2026 against the manufacturer's current published ingredient and nutrition data. Always check the label on your box, as manufacturers reformulate from time to time.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/section\u003e\n\n\u003c\/div\u003e","brand":"Aptamil","offers":[{"title":"Default Title","offer_id":46668366348457,"sku":null,"price":33.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0507\/5802\/5385\/files\/AptamilAR400g_3115c61e-b823-4cde-affb-acc442497cf6.png?v=1765346655"}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0507\/5802\/5385\/collections\/bonpek-anti-reflux-formula.jpg?v=1790558041","url":"https:\/\/www.bonpek.com\/es\/collections\/anti-reflux-formula.oembed","provider":"Bonpek  Baby","version":"1.0","type":"link"}