HiPP Anti-Reflux (HiPP AR) is a specialty formula for babies who spit up more than usual, from birth onward. It helps milk stay down, so feeds are calmer and more comfortable for your little one.
 

HiPP AR is the leading European anti-reflux formula available in the US. Its secret is a natural thickener, locust bean gum from the carob tree, which makes the formula especially creamy so it stays in the tummy instead of coming back up. Natural probiotic cultures look after the gut, DHA and ARA support brain and eyesight, and vitamin D supports the immune system. This clean recipe contains no added sugar, corn syrup, or soy.
 

This gentle specialty formula is crafted in Germany to the most stringent European quality standards and comes in a 600 g (21.2 oz) box with a resealable inner bag. The label is in German, so we translated the preparation instructions, feeding chart, and ingredient info into English here.
 

This formula is rated 4.9 stars by parents in our store. "No more reflux or spit-up two weeks into using this formula. Thank you!"
 

Key Facts at a Glance
 

• Age: from birth
• For frequent spit-up and regurgitation
• Natural thickener from locust bean gum (carob), so milk stays down
• Natural probiotic cultures, good for the tummy
• Metafolin®, a natural folate like the folate in breast milk
• DHA and ARA, 13.2 mg each per 100 ml (3.4 fl oz), for brain and eyesight
• Lactose as the only sugar, about 66 kcal per 100 ml (3.4 fl oz)
• No added sugar, no corn syrup, no soy

What Makes This Formula Special
 

Watching a little one struggle after a feed is hard. Frequent spit-up can steal sleep and turn every bottle into a worry. Spitting up happens because the muscle at the top of a baby's stomach is still immature so milk can flow back up. HiPP AR tackles that with one simple, natural idea.
 

Locust bean gum, a plant-based thickener from the carob tree, makes the prepared formula especially creamy. A creamier feed sits better in the stomach, which means fewer spit-ups and calmer moments after the bottle. The gum is also a natural plant fiber. One honest note: when switching to HiPP AR, stools can become a little softer, and that is normal.
 

One preparation step makes it all work. After mixing, let the bottle sit for 7 minutes, then shake it again before feeding. The thickener needs those minutes to do its job; feed too soon, and the formula will still be thin. Because the prepared feed is creamier, some babies also do better with a slightly larger nipple size.
 

Beyond the thickener, the recipe stays complete and gentle. The natural probiotic culture L. fermentum, originally found in breast milk, supports a healthy gut. HiPP also uses Metafolin® instead of ordinary folic acid. It is a natural premium folate, the same form found in breast milk, and it is directly available so every baby can use it right away. Vitamin C works alongside vitamin D for the immune system, and the protein comes from skim milk and whey.
 

Adding the thickener is extra processing, so the finished formula does not carry the EU Organic seal, the same as HiPP Comfort and HiPP HA. The ingredients still come from high-quality, non-GMO sources, and every batch runs through the same strict HiPP factory checks as the organic lines.
 

Please note: this is a specialty formula, not a standard infant formula, and not suitable for a confirmed or suspected cow's milk protein allergy. Use it in consultation with your pediatrician, and as long as the symptoms need it. You can find all our gentle options on our Specialty Formulas for Sensitive Tummies page.
 

Not sure which specialty path to choose? HiPP AR is for milk coming back up: spit-up and regurgitation. HiPP Comfort is for what stays inside and hurts: colic, gas, and constipation. And once the spitting settles, HiPP Dutch Stage 1 is the regular organic formula to return to.
 

Safety, Quality and Animal Welfare
 

Every batch goes through up to 260 safety checks before it leaves quarantine, from the raw materials to the finished box. HiPP tests far more residues than the law requires and only packs a batch if it meets HiPP's own tighter limits.
 

EU baby formula follows strict European Food Safety Authority (EFSA) rules, including required DHA and no corn syrup solids. Those rules are a higher bar than FDA formula standards and apply to all EU and UK formulas we carry. Read more in our EU vs US formula guide.
 

Why Parents Trust HiPP Anti-Reflux
 

Most families come to HiPP AR after a stretch of unhappy feeds, or because their pediatrician suggested a thickened formula. In our reviews, the relief is often fast and vivid. One parent wrote: "My baby hates tummy time and would scream every time I'd put him on his belly. The very first day we began HiPP, the projectile smelly spit-ups stopped, and he was smiling." Others mention the same pattern: "My baby barely ever spits up and has never had any gas issues with this formula."
 

Why Choose HiPP AR?
 

• From birth, for babies whose milk keeps coming back up
• One natural thickener does the work, no artificial additives
• Probiotic cultures support a settling tummy
• Complete nutrition, so reflux relief never costs growth
• Fewer soaked burp cloths, calmer feeds, better sleep for everyone

If feeding time has turned into a towel-on-the-shoulder routine and you are looking for a formula that helps milk stay down, HiPP Anti-Reflux is the one to consider. It naturally calms spit-up while feeding everything your baby needs to grow. Less mess, more smiles after the bottle.
 

Why Order from Organic Formula Shop?
 

Organic Formula Shop receives this formula directly from HiPP. It goes from the manufacturer to our temperature-controlled warehouse, then straight to you using our trusted partners. The supply chain is short, transparent, and reliable.
 

Because of our high order volume, we regularly receive fresh batches. Every box is 100% authentic and arrives in original sealed packaging with a guaranteed minimum 6-month shelf life. Your order ships with free express delivery in 2 to 4 business days, and the price you see already includes all customs and duties. We carefully pack every order to help prevent damage in transit.
 

Parents who order with us say they want "a solid, credible company to order from." Our dedicated customer support can help with any questions from both US and EU time zones. Parents have left thousands of reviews, with a 4.9-star average, and we have shipped 250,000+ orders worldwide.
 

Helpful tools:
 

• Formula calculator to see exactly how many boxes you need
• Formula Finder for a quick personal recommendation
• Full HiPP collection

What's Included
 

• 600 g (21.2 oz) of formula powder in a resealable inner bag, good for 46 bottles of 100 ml (3.4 fl oz)
• Measuring scoop: 4.3 g (0.15 oz) per 30 ml of water
• Feeding chart with recommended amounts for every age, from the first week
• About 66 kcal per 100 ml (3.4 fl oz) prepared
• After mixing, let the bottle sit for 7 minutes, then shake again
• Once opened, use the bag within 3 weeks
• German labeling, with our English preparation instructions and ingredient info
• HiPP uses the European date format (DD/MM/YYYY)

FAQ about HiPP Anti-Reflux
 

Is HiPP AR organic?
No. Adding the natural thickener is extra processing, so it cannot carry the EU Organic seal. The ingredients still come from high-quality, non-GMO sources, and every batch passes the same strict HiPP checks as the organic lines.
 

How many bottles does one box make?
One 600 g box makes 46 bottles of 100 ml (3.4 fl oz).
 

Why does HiPP AR need to sit for 7 minutes after mixing?
The natural locust bean gum needs those minutes to thicken. If you feed too soon, the formula will still be thin, so let it sit for 7 minutes, then shake again.
 

Is it suitable for a cow's milk protein allergy?
No. HiPP AR is a thickened formula for spit-up and regurgitation, not a treatment for a confirmed or suspected cow's milk protein allergy.
 

What is the difference between HiPP AR and HiPP Comfort?
AR is for milk coming back up: spit-up and regurgitation. Comfort is for colic, gas, and constipation. They solve different problems.
 

Looking for something different? Browse our full formula collection.
 

Any questions? Please get in touch with our dedicated, friendly customer support team.
 

Skimmed milk, whey product, vegetable oils (palm oil♥, rapeseed oil, sunflower oil), lactose, thickener locust bean gum, fish oil, potassium chloride, choline, Mortierella alpina oil, calcium carbonate, sodium citrate, L-phenylalanine, sodium selenite, L-tyrosine, zinc sulfate, calcium orthophosphates, L-tryptophan, L-histidine, iron sulfate, potassium iodate, vitamin C, natural lactic acid culture¹, vitamin E, niacin, pantothenic acid, copper sulfate, vitamin B1, vitamin A, magnesium carbonate, vitamin B6, calcium-L-methylfolate², vitamin K, vitamin D, biotin, vitamin B12.
 

¹ Limosilactobacillus fermentum CECT5716.
² Metafolin is a registered trademark of Merck KGaA, Darmstadt, Germany.
♥ Palm oil from sustainable cultivation.
- Protein is intact cow milk protein. The sugar is natural milk sugar (lactose).
- Packaged under protective atmosphere.
- Allergens: Contains milk (skimmed milk, whey product, lactose) and fish (fish oil).
 

Please note:
- The recommended drinking amounts and feeding times are only general guidelines. Minor individual variations are completely normal and harmless. Always consult your pediatrician for personalized advice.
- Organic Formula Shop strives to keep the information accurate; however, the manufacturer may change the package label, ingredients, and/or packaging style at any time without prior notice. Always check the packaging carefully and follow the instructions on your packaging, even if they differ from the information above. 
- This product is manufactured to meet European Union nutritional standards. Consequently, it may not meet the requirements of customers outside the EU.

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Please note: 
HiPP Anti-Reflux Milk preparation instructions differ from those for standard infant formulas. Please follow the preparation instructions written in this nutrition and feeding chart carefully. HiPP Anti-Reflux is a specialty formula and not a medical treatment. Before deciding to use it, we advise consulting your pediatrician.
 

Preparation for powdered formulas:

1. Wash your hands and sterilize the bottle, teat, and cap before use.
2. Boil fresh drinking water and let it cool to approximately 50°C (120°F).
3. Pour two-thirds of the required water into the sterilized bottle.
4. Add the correct number of leveled scoops using only the scoop provided (1 scoop per 30ml water). Scoop size: 4.3g.
5. Close the bottle and shake vigorously until the powder is fully dissolved.
6. Add the remaining one-third of water and shake again. 7. IMPORTANT: Put the bottle aside for 7 minutes to allow the formula to thicken.
7. Shake briefly once more, then cool to drinking temperature, approximately 37°C (98°F). Test on the inside of your wrist before feeding.  Facts

Important Feeding Information:

• Only use the scoop provided in the pack.
• Do not make feeds weaker or stronger than indicated by adding extra water/scoops, and do not add anything else to the milk.
• Always freshly prepare formula and do not prepare in advance. Use immediately, and discard leftovers at the end of the feed.
• Do not heat a bottle in a microwave as hot spots may occur, which could cause scalding.
• All opened formula should be used within 21 days. Never use formula beyond its expiration date. The expiration date on the formula box/tin is listed according to European standard: day/month/year
• Avoid storing in an area of high heat or humidity