For feeding a pancreatic insufficient CF infant, which option NOT indicated?

• A. Protein hydrolysate or free amino acid formulas with MCT are indicated only if there is another medical reason
• B. Human milk
• C. Standard formula with enzymes
• D. Milk-based alternatives without enzymes

Answer: (A)

In pancreatic insufficiency CF, the digestion of fats (and other nutrients) hinges on providing pancreatic enzyme replacement with every feeding. Once enzyme support is in place, standard feeding options like human milk or standard formula with added enzymes are appropriate because they support growth while allowing digestion to proceed with the enzymes. Specialized formulas such as protein hydrolysates or free amino acids with MCT are reserved for specific additional problems (for example, intolerance to intact protein, persistent severe fat malabsorption, or other medical issues). They are not routinely indicated solely because the infant has CF with pancreatic insufficiency. Therefore, those hydrolysate or amino acid formulas with MCT are the option that is not indicated in the usual management, unless another medical reason exists.