I think this topic is an example of many people's false sense of security 
about the safety of infant formulas.  At the time Julia was placed with us 
for adoption,  one of her doctors had been having her foster mother mix four 
scoops of formula powder, which would usually be mixed with eight ounces of 
water, with only five ounces of water.  This was fed to her through a 
gastostomy. I did not choose to keep feeding her like that, for several 
reasons.  I was afraid of what it might do to her kidneys, to concentrate 
the formula like that.  I felt like there were many other, safer, things 
that could be done!

Adding a scoop of formula powder to one ouce of water would result in 
something of basically the same composition as the condensed versions of 
formulas that are meant to be mixed with equal amounts of water.  Mixing it 
with breastmilk rather than water would result in something almost as 
concentrated as evaporated milk!  Especially if it was a young baby who was 
not getting other liquids, such a practice would be very dangerous, IMO!  I 
wonder if the person who suggested adding that much powder to breast milk 
wasn't confused about some aspect of it, or misunderstood.  I could see 
maybe adding something like  a scoop into 8 ounces of breast milk, but 
certainly not to just one ounce!  I would tend to agree that doing something 
to concentrate the fat content of EBM would be a more reasonable thing to 
do.  With Julia, I asked the ped about adding a little regular dairy cream 
to her formula (this was before I figured out how to get her breastfeeding 
and had no access to EBM).  He acted like that was the silliest idea he'd 
every heard of, and told me to just reduce the water in the formula.  I 
tried the cream anyway.  I started adding about half a tablespoon of cream 
to 4 ounces of prepared formula, three or four times a day.  I didn't want 
to just add alot of empty calories, so I thought a total of one ounce of 
cream a day was plenty.  I was doing several things at once to try to get 
her gaining weight, but felt like the cream did contribute to the fact that 
she started growing, and just being healthier, in general.  Had she been 
sigificantly younger than 6 months, at the time, I would have done more 
research before adding the cream, to try to determine what the effects would 
be, as far as increasing the ash content of the formula.
I wish the mom of the baby with weight concerns well!

Darillyn

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