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They both do exactly the same thing, so only one or the other is necessary.
May be necessary - we have used neither and never had any problems. Our only investment was a small bottle brush to clean the teat and the screw cap of the bottle. We have not used any tablets, nor steam sterilizers.
I don't think many Mums sterilize their breasts before nursing, I am not really sure why there is such discipline on sterilizing bottles.
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