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We were MSPI & are STILL bf'ing at 17 mths!!!! I ultimately had to a cut: dairy, soy, gluten, egg, nuts, peanuts, & coffee! It wasn't easy & increased our grocery bill quite a bit, but the formula we would've needed costs more & I'm glad we were able to stick it out! We were able to add everything back by 14 mths without issue..... for other reasons we're fixing to cut dairy & wheat again along with processed foods so soy will mostly go too.

You can totally do it!!!! Check out Mrs. Jacks blog post... it was such a life saver!
http://www.hellobee.com/2012/06/04/beyond-colic-milksoy-protein-intolerance/

With dedication it can be done, my sister did it for 15 months with her first child! She was very dedicated to breastfeeding despite the diet restrictions. the hardest times for her were the holidays, so she would bring her own food with her to suppliment (my family uses cheese in everything she discovered!)

On the opposite side, I choose to not do the diet and put my daugther on Allimentum, she was a very happy baby as well so if you do formula, you are not a faliure!

@Mrs. Jacks: Not make you give out medical advice online or anything, but I have been going back and forth with LO's pediatrician about whether or not she has MSPI. I have essentially been told that nothing is wrong. LO has not had some of the symptoms but she does have others. The green poop, wheezing, reflux (although that seems to be going away but it did seem to happen when I ate dairy) and once she had a very suspect bowel movement (it looked dark like grape jelly). The wheezing that comes and goes from time to time concerns me, and I also think it is related to it. I know that when I don't eat dairy, she has perfect yellow poop. I wish my pediatrician would really listen. My mother's intuition tells me something is not totally right.

My LO was not only MSPI but also intolerant to eggs wheat nuts and fish and I was STILL successful at exclusively breastfeeding. It takes dedication but you can do it!

PS... I would consider finding a different ped if breastfeeding is important to you. Mine never once suggested formula and I love him for it.

We were only on the MSPI diet for 2 months (we started it at 4 months after lots of spit up for her whole life and eventually bloody stool). It resolved itself at 6 months when we introduced solids. Best of luck to you! It is difficult, but worth it. And like @MamaMoose: said, you may want to find a new ped. Mine NEVER suggested formula. They did warn me that it is really difficult, but did not suggest formula.

@BKCaribBaby: If your baby gets better with a strict elimination diet, then you pretty much have your answer. A lot of docs are not familiar with the diagnosis, and if they've never experienced it, can easily dismiss it as "worried mom".

I know that I had a pretty intense education when we went through it!