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Quickly switched bub to this shortly after leaving hospital. With so many brands and options on the markets it's so confusing but we settled on Karicare because of the quality of ingredients (New Zealand milk) and the price. Bub devours it - no issues with constipation, diarrhoea or reflux. Powder itself is a bit 'sticky/tacky' and takes a bit of shaking in the bottle to dissolve. Not sure if this is a common thing amongst other Step 1 formulas.