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**Extensively hydrolyzed casein formula with Lactobacillus rhamnosus GG** is a hypoallergenic oral nutritional formula developed by Mead Johnson for the dietary management of cow's milk allergy in infants and children. It combines extensively hydrolyzed casein, which reduces exposure to intact cow's milk protein allergens, with the probiotic *Lactobacillus rhamnosus* GG. The product is marketed as **Nutramigen LGG** and is used as a non-pharmaceutical therapeutic nutrition intervention rather than a conventional drug. Published clinical and health-economic studies indicate that, compared with extensively hydrolyzed formula without LGG or some alternative hypoallergenic formulas, it can improve symptom control, support earlier acquisition of tolerance to cow's milk protein, and reduce subsequent allergic manifestations, likely through immunomodulatory effects including reduced Th2-skewed inflammation and increased regulatory immune signaling.
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