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June 26, 1943


JAMA. 1943;122(9):636. doi:10.1001/jama.1943.02840260064023

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To the Editor:—  This is a protest against the administration of orange juice to infants naturally fed. Scurvy is practically unknown in infants receiving human milk exclusively. The earlier researches indicated that breast milk was generally low in its ascorbic acid content; consequently the dictum that all infants should receive orange juice daily became incorporated in the dietary directions. Nearly every mothes on leaving the hospital is directed to give her baby orange juice. The result is that an allergy to orange juice has become widely disseminated among infants. The fact that orange juice contains a soluble protein (about 1 per cent) is generally overlooked. This protein substance may readily be absorbed unchanged by the breast fed infant and, I believe, is the cause of this sensitization.Moreover, human milk is approximately isotonic with the blood of the infant. The daily administration of orange juice supplies an excess of alkaline

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