When can my baby drink cow's milk?
Wait until your baby is about 9 to 12 months old before starting whole cow's milk as a drink, and limit it to no more than 500 to 750 mL a day after 12 months.
Canadian guidance allows starting between 9 and 12 months, while US guidance says to wait until 12 months exactly.
Strong
Based on consistent national pediatric guidelines from Canada (Health Canada, CPS) and the US (CDC, AAP), supported by observational data on iron deficiency risk.
What the evidence says
In Canada, health authorities say you can start introducing whole cow's milk somewhere between 9 and 12 months of age, as long as your baby is already eating iron-rich solid foods. Health Canada advises using homogenized (3.25%) milk and keeping intake to no more than 750 mL a day, while the Canadian Paediatric Society suggests a slightly lower cap of 500 mL a day once your baby is over 12 months.
In the US, the CDC and AAP recommend waiting until exactly 12 months before offering whole cow's milk, since younger babies find it harder to digest and it lacks enough iron, vitamin E, and healthy fats for their needs. Before 12 months, cow's milk can also strain a baby's kidneys and slightly raise the risk of intestinal bleeding.
Once you do start, avoid skim or low-fat milk until your child is 2 years old, since babies need the fat for brain development. Also try to limit how much milk your toddler drinks day to day, since too much can crowd out solid foods and lead to iron deficiency.
If your baby has a milk allergy or you are unsure about formula alternatives, it's best to check with your doctor.
Sources
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Guideline
Nutrition for Healthy Term Infants: Recommendations from Six to 24 Months
Health Canada / Canada.ca, 2014
Canadian guidance: introduce cow's milk 9-12 months, limit to 750 mL/day
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Guideline
Infant nutrition
Health Canada / Canada.ca, 2024
Use homogenized 3.25% milk; avoid skim/low-fat before age 2
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Guideline
Iron needs of babies and children
Canadian Paediatric Society, 2024
Wait 9-12 months; limit to 500 mL/day after 12 months
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Guideline
Cow's Milk and Milk Alternatives
CDC, 2026
US guidance: start at 12 months, not before
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Guideline
Why Do Infants Need Baby Formula Instead of Cow's Milk?
HealthyChildren.org (AAP), 2023
Explains digestion and nutrient reasons for waiting until 12 months
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Guideline
Cow's milk - infants
MedlinePlus, 2025
Confirms AAP recommendation against cow's milk before 12 months
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked July 29, 2026