Infant Formula References and Citations

Michelle Perro, MD
Published: March 24, 2025

GMOScience has developed a comprehensive body of work under the “Got REAL Milk” series, centered on our 2024 study examining toxic metals in infant formulas. This series explores issues related to toxic metal contaminants affecting infant nutrition and the health impacts of the exposures in children, as well as regulatory perspectives from agencies such as the FDA, EPA, and the California Department of Public Health.

In compiling this information, it was noted that certain citations and data points previously accessible on official regulatory websites have since been removed without public clarification. To maintain transparency and rigor, I am providing this updated list of references and citations, which forms the scientific foundation for our investigative articles on infant feeding and environmental toxicology.

Additional references and resources will be updated on an on-going basis.

  1. A History of Infant Feeding
    PMCID: PMC2684040  PMID: 20190854
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684040
  2. A Narrative Review of Toxic Heavy Metal Content of Infant and Toddler Foods and Evaluation of United States Policy
    PMCID: PMC9271943  PMID: 35832055
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271943/
  3. Heavy Metals and Human Health: Possible Exposure Pathways and the Competition for Protein Binding Sites
    PMCID: PMC8511997  PMID: 34641604
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8511997/
  4. An assessment of heavy metal level in infant formula on the market in Turkey and the hazard index
    https://doi.org/10.1016/j.jfca.2021.104258
    https://www.sciencedirect.com/science/article/abs/pii/S0889157521004580
  5. Determination of lead, cadmium and arsenic in infant formula in the Lebanese market
    https://doi.org/10.1016/j.foodcont.2020.107750
    https://www.sciencedirect.com/science/article/abs/pii/S0956713520306666
  6. Determination of toxic elements in infant formulae by using electrothermal atomic absorption spectrometer
    https://doi.org/10.1016/j.fct.2009.03.025
    https://www.sciencedirect.com/science/article/abs/pii/S027869150900132X
  7. Best Organic Baby Formulas 2025: Expert Reviews – Mommyhood 101
    https://mommyhood101.com/best-organic-baby-formula
  8. FDA Total Diet Study (TDS) FY2018-FY2020 Report Supplement: Summary of Analytical Results – Reported on 4 infant formulas
    https://www.fda.gov/media/159751/download?attachment
  9. FDA Total Diet Study
    https://www.fda.gov/food/reference-databases-and-monitoring-programs-food/fda-total-diet-study-tds
  10. EPA Summary The Toxic Substances Control Act
    https://www.epa.gov/laws-regulations/summary-toxic-substances-control-act
  11. Exposure routes and health effects of heavy metals on children
    PMID: 30941546 DOI: 10.1007/s10534-019-00193-5
    https://pubmed.ncbi.nlm.nih.gov/30941546/
  12. Long-Term National Strategy to Increase the Resiliency of the U.S. Infant Formula Market
    https://www.fda.gov/food/infant-formula-guidance-documents-regulatory-information/long-term-national-strategy-increase-resiliency-us-infant-formula-market
  13. FDA Infant Formula Spotlight, Jan. 10, 2025
    https://www.fda.gov/food/resources-you-food/infant-formula
  14. FDA NEWS RELEASE: HHS, FDA Announce Operation Stork Speed to Expand Options for Safe, Reliable, and Nutritious Infant Formula for American Families; Mar. 18, 2025
    https://www.fda.gov/news-events/press-announcements/hhs-fda-announce-operation-stork-speed-expand-options-safe-reliable-and-nutritious-infant-formula?
  15. Handling Infant Formula Safely: What You Need to Know
    https://www.fda.gov/food/buy-store-serve-safe-food/handling-infant-formula-safely-what-you-need-know
  16. Food Safety for infants and Toddlers
    https://www.fda.gov/food/people-risk-foodborne-illness/food-safety-infants-toddlers
  17. FOOD AND DRUG ADMINISTRATION COMPLIANCE PROGRAM MANUAL PROGRAM 7321.006
    CHAPTER 21 – FOOD COMPOSITION, STANDARDS, LABELING, AND ECONOMICS
    https://www.fda.gov/media/71695/download?attachment
  18. Aluminum and Glyphosate Can Synergistically Induce Pineal Gland Pathology: Connection to Gut Dysbiosis and Neurological Disease
    DOI: 10.4236/as.2015.61005
    https://www.scirp.org/journal/paperinformation?paperid=53106
  19. Environmental toxicants and infant mortality in America. Peertechz Journal of Biological Research and Development, 1(1), 36-61. Article · November 2016
    https://www.researchgate.net/profile/David-Kennedy-40/publication/333582853_Environmental_toxicants_and_infant_mortality_in_America_Peertechz_Journal_of_Biological_Research_and_Development_11_36-61/links/5d111f6592851cf440492ee1/Environmental-toxicants-and-infant-mortality-in-America-Peertechz-Journal-of-Biological-Research-and-Development-11-36-61.pdf
  20. EWG’s Guide to Infant Formula and Baby Bottles; Dec. 5 2007
    https://www.ewg.org/research/ewgs-guide-infant-formula-and-baby-bottles
  21. Safe, Non-Toxic Baby Formula Free Of Heavy Metals; May 19, 2022
    https://www.inonaround.org/baby-formula/
  22. California Dept. of Public Health; Infant Formula; May 24, 2023
    https://www.cdph.ca.gov/Programs/CFH/Pages/Infant-Formula-Availability/Infant-Formula-Availability.aspx
  23. AB-899 Food safety: baby food.(2023-2024): CA Bill did not include infant formula
    https://leginfo.legislature.ca.gov/faces/billCompareClient.xhtml?bill_id=202320240AB899&showamends=false
  24. Exposure to Aluminum, Cadmium, and Mercury and Autism Spectrum Disorder in Children: A Systematic Review and Meta-Analysis. 12 Oct 2020, 33(11):2699-2718; https://doi.org/10.1021/acs.chemrestox.0c00167
    https://europepmc.org/article/MED/32990432
  25. DA: Agricultural Biotechnology; July 9, 2024;
    https://www.fda.gov/food/consumers/agricultural-biotechnology
  26. FDA: Enforcement Discretion to Manufacturers to Increase Infant Formula Supplies; Feb. 13, 2025.
    https://www.fda.gov/food/infant-formula-guidance-documents-regulatory-information/enforcement-discretion-manufacturers-increase-infant-formula-supplies#regular
  27. Prenatal Mercury Exposure and Neurodevelopment up to the Age of 5 Years: A Systematic Review
    PMCID: PMC8871549  PMID: 35206164
    https://pmc.ncbi.nlm.nih.gov/articles/PMC8871549/
  28. Fetal and postnatal metal dysregulation in autism
    PMCID: PMC5461492  PMID: 28569757
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5461492/
  29. Lead and mercury exposures: interpretation and action
    PMCID: PMC1764574  PMID: 17200393
    https://pmc.ncbi.nlm.nih.gov/articles/PMC1764574/
  30. Lead and cadmium contamination in a large sample of United States infant formulas and baby foods
    https://doi.org/10.1016/j.scitotenv.2018.09.026
    https://www.sciencedirect.com/science/article/abs/pii/S0048969718334442
  31. FDA Releases Action Plan for Reducing Exposure to Toxic Elements from Foods for Babies, Young Children; April 8, 2021
    https://www.fda.gov/news-events/press-announcements/fda-releases-action-plan-reducing-exposure-toxic-elements-foods-babies-young-children
  32. Supplementation of Infant Formula with Probiotics, Prebiotics, DHA & ARA: A Systematic Review; August 10, 2014
    https://sciencepublishinggroup.com/article/10.11648/j.jfns.20140204.24
  33. NIH: Infant Formula: Evaluating the Safety of New Ingredients: National Academies Press 2004
    https://www.ncbi.nlm.nih.gov/books/NBK215837/
  34. A comprehensive review on infant formula: nutritional and functional constituents, recent trends in processing and its impact on infantsgut microbiota; PMC10320619  PMID: 37415910
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10320619/
  35. Nourishing Traditions; Bringing Up Baby; Jan 8, 2017
    https://nourishingtraditions.com/bringing-baby-part-1/
  36. What Do We Know of Childhood Exposures to Metals (Arsenic, Cadmium, Lead, and Mercury) in Emerging Market Countries?
    PMC3556434  PMID: 23365584
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3556434/
  37. Prenatal exposure to mixtures of heavy metals and neurodevelopment in infants at 6 months
    https://doi.org/10.1016/j.envres.2020.109122
    https://www.sciencedirect.com/science/article/abs/pii/S001393512030013X
  38. Association of blood heavy metals with developmental delays and health status in children
    PMCID: PMC5333623  PMID: 28252669
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5333623/
  39. Impact of Infant Growth and Physiology on Heavy Metal Toxicity
    https://link.springer.com/chapter/10.1007/978-3-642-68740-2_4
  40. Heavy metals and neurodevelopment of children in low and middle-income countries: A systematic review: March 31, 202
    https://doi.org/10.1371/journal.pone.0265536
    https://journals.plos.org/plosone/article?id=10.1371journal.pone.0265536
  41. Effects of Heavy Metals on the Health of Pregnant Women and Fetus: A Review; January 2020
    https://www.researchgate.net/publication/https://www.researchgate.net/publication/338750193_Effects_of_Heavy_Metals_on_the_Health_of_Pregnant_Women_and_Fetus_A_Review
  42. Daily intake of heavy metals by infants through milk and milk products
    PMID: 10231985 DOI: 10.1016/s0048-9697(99)00018-2
    https://pubmed.ncbi.nlm.nih.gov/10231985/

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