Vitamins

Vitamins and Fluoride

Breastmilk provides the best nutrients for your baby. However, it is likely that your precious jewel will need some additional vitamin D to absorb calcium and phosphorus and also support his/her immune system. If you breastfeed or partially breastfeed your baby, you should give your baby 400 International Units (IU) of Vitamin D by mouth per day. You should also give this supplement if your baby receives less than 32 oz of Vitamin D-fortified formula in a day.

Flouride provides your child with excellent protection from cavities. Upon the eruption of his/her first tooth, you should subsequently brush the teeth with "half a pea-size" smear of flouridated toothpaste. You may increase that amount to a "pea-sized" smear at 3 years of age. At the 6 month well child visit, ask your provider if they recommend that a flouride varnish be applied to your child's teeth after they erupt.

If or when you start your young child on supplemental formula, you may use city tap water to mix with the formula for this is already supplemented with flouride. If you use well water for your drinking water, please check with your county health department** to have your well water tested and then consult with your pediatrician or family physician to assure that your child is getting the right amount of flouride.

**or check out the My Water's Flouride website.

Date Updated: Nov 04 2025 00:00 Version 0.4

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Customzed from Breastfeeding Article v0.1 7/7/2025

Is Your Child Sick?®

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starfish
February 12, 2026
There have been cases of measles in NC, with exposures in Chapel Hill, Durham, and Wake County. We can give the MMR dose early to families who want it. This applies to infants 6-12 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. At this time, the NC DHHS and health departments are not recommending this unless traveling or living in an area with sustained transmission. Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!