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What parents need to know about that viral milk anemia story

It might be scary, but we break it down, mama.

What parents need to know about that viral milk anemia story

When Anastacia Gencarelli shared the story of how her 2-year-old daughter ended up being hospitalized for milk anemia she was not trying to scare anyone—she just wanted other parents to know that "milk anemia is a thing"because she didn't.

But when her Facebook post went viral and the headlines were super scary that didn't quite tell the whole story.

"Toddler who was nearly killed by COW'S MILK," the Daily Mail's headline reads.

Yes, Gencarelli's 2-year-old daughter Mia was hospitalized after drinking too much milk, but it is more complicated than that, we have learned.

Here is what you need to know about this viral story + milk anemia

As Gencarelli explained in her original Facebook post, she shared her story to spread awareness of the existence of milk anemia. While it is well documented that overconsumption of milk can have a negative effect on a toddler's iron levels, it's not something all parents know.

Basically, cow's milk is not a high iron food and what iron it does contain is not well absorbed. So if a child stops consuming breastmilk and/or iron-fortified formula or cereal and starts drinking a lot of cow's milk without adding other sources of iron, they're at risk for anemia.

Anemia can be treated or prevented with supplements, but the preferred method of prevention is through iron-rich foods. "Ideally, we would prevent iron deficiency and iron-deficiency anemia with a diet consisting of foods that are naturally rich in iron," Dr. Robert Baker, co-author of an American Academy of Pediatrics report on the prevention of iron deficiency and iron-deficiency anemia has previously explained.

"Feeding older infants and toddlers foods like meat, shellfish, legumes and iron-rich fruits and vegetables, as well as iron-fortified cereals and fruits rich in vitamin C, which help iron absorption, can help prevent iron deficiency," he said.

Gencarelli tells Motherly her daughter was drinking 4 to 6 bottles of cow's milk a day and that while she's not a particularly picky eater she is not a huge fan of meat.

Doctors recommend toddlers consume 2.5 servings of dairy per day, and a study in the journal Pediatrics found 2 cups a day is the best amount of milk for toddlers.

"We saw that two cups of cow's milk per day was enough to maintain adequate vitamin D levels for most children, while also maintaining iron stores. With additional cow's milk, there was a further reduction in iron stores without greater benefit from vitamin D," Dr. Jonathon Maguire, a pediatrician at St. Michael's Hospital and the lead author of the study has previous explained.

As reported by CBC, drinking from a bottle rather than a cup is linked to a more dramatic decrease in toddler's iron stores. It's possible that serving milk in a bottle contributes to parental underreporting of milk consumption. Parents might not even realize that milk is keeping their child full, which makes it hard to get iron rich foods into them.

So what can parents do to prevent milk anemia?

If you are concerned your child may be anemic talk to your doctor right away and consider offering more iron-rich foods at home.

Kacie Barnes, Registered Dietitian Nutritionist (RDN), tells Motherly that while extreme cases like the one described by Gencarelli are not common, mild iron deficiency is common. That's why she recommends serving meat, as it contains the best absorbed type of iron.

"Even babies can eat ground or soft cooked, tender meats. Think crockpot, stewed, or braised," says Barnes, who recommends chili as a family-friendly iron-rich meal (just keep the salt and the spicy stuff out of your little one's serving).

She continues: "Beans, peas, lentils, and chickpeas contain iron, so I encourage parents of babies and toddlers to serve those often, especially if their little one doesn't eat much (or any) meat. Vitamin C boosts iron absorption, so it's helpful to serve iron rich foods alongside fruit or veggies like citrus, strawberries, or broccoli. Another helpful trick: Cook with a cast iron pan. Small amounts of iron do absorb into food when you cook with it—and this is a good thing!"

The bottom line:

It's important to remember that Gencarelli's story is the story of her individual child, who is currently undergoing further medial care to deal not just with the anemia, but other issues that presented afterward. When her daughter is discharged from the hospital Gencarelli will be continuing to serve iron supplements and says her medical team has provided her with some iron-rich recipes.

Her post went viral not because she was trying to scare anyone away from milk, but because she was trying to save other mamas from being as scared as she was when her little girl got sick. You only know what you know, and now that she knows her daughter was consuming too much milk she plans to serve fewer servings.

We hope that Mia has a quick recovery and we're thankful that Gencarelli shared her story online. Her family is in a lot of pain right now (something made worse by the many mean comments she's received about her daughter's milk consumption) and she just wants to prevent other families from feeling that pain, too.



14 Toys that will keep your kids entertained inside *and* outside

They transition seamlessly for indoor play.

With Labor day weekend in the rearview and back-to-school in full swing, most parents are fresh out of boxes to check on their "Fun Concierge" hit list. It's also the point of diminishing returns on investing in summer-only toys. So with that in mind, we've rounded up some of our favorite toys that are not only built to last but will easily make the transition from outdoor to indoor play. Even better, they're Montessori-friendly and largely open-ended so your kids can get a ton of use out of them.

From sunny backyard afternoons to rainy mornings stuck inside, these toys are sure to keep little ones engaged and entertained.

Wooden doll stroller

Janod wooden doll strollerWooden Doll Stroller

Take their charges on a stroll around the block with this classic doll stroller. With the same versatility they're used to in their own ride, this heirloom quality carriage allows their doll or stuffy to face them or face the world.

$120

Detective set

Plan Toys detective setDetective Set

This set has everything your little detective needs to solve whatever mystery they might encounter: an eye glasses, walkie-talkie, camera, a red lens, a periscope and a bag. Neighborhood watch? Watch out.

$40

Sand play set

Plan Toys sand set

Whether you're hitting the beach or the backyard sandbox, this adorable wooden sand set is ready for action. Each scoop has an embossed pattern that's perfect for sand stamping. They're also totally suitable for water play in the wild or the bathtub.

$30

Water play set

Plan Toys water play set

Filled with sand or water, this tabletop sized activity set keeps little ones busy, quiet and happy. (A mama's ideal trifecta 😉). It's big enough to satisfy their play needs but not so big it's going to flood your floors if you bring the fun inside on a rainy day.

$100

Mini golf set

Plan Toys mini golf set

Fore! This mini golf set is lawn and living room ready. Set up a backyard competition or incorporate into homeschooling brain breaks that shift focus and build concentration.

$40

Vintage scooter balance bike

Janod retro scooter balance bike

Pedals are so 2010. Balance bikes are the way to go for learning to ride a bike while skipping the training wheels stage altogether. This impossibly cool retro scooter-style is built to cruise the neighborhood or open indoor space as they're learning.

$121

Wooden rocking pegasus

plan toys wooden rocking pegasus

Your little will be ready to take flight on this fun pegasus. It gently rocks back and forth, but doesn't skimp on safety—its winged saddle, footrests and backrest ensure kids won't fall off whether they're rocking inside or outside.

$100

Croquet set

Plan Toys croquet set

The cutest croquet set we've ever seen! With adorable animal face wooden balls and a canvas bag for easy clean up, it's also crafted to stick around awhile. Round after round, it's great for teaching kiddos math and problem-solving skills as well.

$45

Wooden digital camera

fathers factory wooden digital camera

Kids get the chance to assemble the camera on their own then can adventure anywhere to capture the best moments. With two detachable magnetic lenses, four built-in filters and video recorder, your little photographer can tap into their creativity from summertime to the holidays.

$179

Wooden bulldozer toy

plan toys wooden bulldozer toy

Whether they're digging up sand in the backyad or picking up toys inside, kids can get as creative as they want picking up and moving things around. Even better? Its wooden structure means it's not an eye sore to look at wherever your digger drops it.

$100

Pull-along hippo

janod toys pull along hippo toy

There's just something so fun about a classic pull-along toy and we love that they seamlessly transition between indoor and outdoor play. Crafted from solid cherry and beechwood, it's tough enough to endure outdoor spaces your toddler takes it on.

$33

Baby forest fox ride-on

janod toys baby fox ride on

Toddlers will love zooming around on this fox ride-on, and it's a great transition toy into traditional balance bikes. If you take it for a driveway adventure, simply use a damp cloth to wipe down the wheels before bringing back inside.

$88

Balance board

Plan Toys balance board

Balance boards are a fabulous way to get the wiggles out. This one comes with a rope attachment, making it suitable for even the youngest wigglers. From practicing their balance and building core strength to working on skills that translate to skateboarding and snowboarding, it's a year-round physical activity that's easy to bring inside and use between Zoom classes, too!

$75

Meadow ring toss game

Plan Toys meadow ring toss game

Besides offering a fantastic opportunity to hone focus, coordination, determination and taking turns, lawn games are just plain fun. Set them up close together for the littles and spread them out when Mom and Dad get in on the action. With their low profile and rope rings, they're great for indoors as well.

$30

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