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Hi Scott. Among Muslims, there is a Sunnah – a kind of religious recommendation – to breastfeed for two years and many families follow this. Bottle feeding may also be more closely associated with social class and wealth in the developing world. I thought that recommendations from Western medicine were to breastfed, and generally for up to two years. There is some public resistance to this – I’ve heard of women being thrown out of restaurants and chased out of public spaces for nursing their children. Part of the weird prudishness of N America. All the flesh you can handle on TV, but no breastfeeding in public.