Anti reflux formula...HELP

We've just started our girl on Aptamil anti reflux formula and she's really struggling to suck the milk out of the easy start size 1 mam teat..
The formula is so thick!
I've been making it via the hot shot method but it thickens up so fast and has lumps in
Idk what to do! Would going up a teat size help???

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Deffo up your teat size. We use tommee tippee and went up a size but some people find they need to go up 2.
If you get lumps we find using a spring coil mini whisk in the bottle is ideal for breaking the lumps with the hot shot before adding the rest (we use the rapid cool for the remaining water)
Would like to mention we're not using aptimil anti reflux, we were advised to use our choice of formula and add cow and gates carabel (cheaper in long run and same result)

We had the same issue with the Sma anti reflux. We found the best way was how the said on the packet after trying different ways. It was literally 5 seconds shaking with the bottle upright side to side and then 10 seconds up and down. We like to do that twice and it doesn’t have any lumps. We like to then slam the bottle on the counter to release bubbles. I don’t know if it works but I used to be a mixologist and we did it for that reason with the cocktails 😅. It’s thick but it comes through okay.

We had to go to size 2 of the mam teats

Go to the next size up in teats. I had the same issue with the aptimil reflux too as it’s a thicker formula x

Thanks all I've purchased some more teats in the next size but they don't arrive till tomorrow so for now we've had to go back to the normal baby aptimil x

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