and includefailure to gain weight, decreased stature, kwashiorkor, electrolyte disor-ders, kidney stones, and severe nutrient deficiencies including iron defi-ciency anemia, rickets, and scurvy. Such adverse nutritional outcomes arelargely preventable. It is the position of the North American Society forPediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN)Nutrition Committee, on behalf ,including with edema (kwashiorkor) (8,63) all of which may leadto compromise of future growth and development (64). Specificmicronutrient concerns that have been documented include vitaminA deficiency (65), low vitamin D (53,66), rickets (8), scurvy (8),and iron deficiency anemia (8). In the Vitoria (8) report, soy milkwas specifically associated with rickets, rice milk with kwashior-kor