If you read the AAP recommendation, you will find that it states very  
clearly that breastmilk/breastfeeding is best, but human milk was never meant to  
supply all the Vit D an infant needs - sunlight was.  Now that we are all  
staying out of the sun for skin cancer reasons, additional Vit D is needed for  
some infants.  For public health reasons (ie one recommendation for all),  the 
recommendation was expanded to all infants.  We have had clinical Vit D  
deficiency in sunny San Diego!  Carol Wagner's research shows clearly that  a mother 
must take huge amounts of Vit D (4-6000 Units/day or more) to have  enough get 
into the milk.  Vit D in large amounts can be dangerous.
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP
Neonatologist
Sharp Mary Birch Hospital for Women and Rady Children's  Hospital San Diego
Medical Director, Sharp HealthCare Lactation  Services
San Diego, CA 
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