We have ample evidence that breastmilk alone is insufficient for optimal (definition here the problem) growth in the tiniest infants (<1500 gm). I do not want to see the osteoporosis, rickets poor weight gain, and slow head growth come back. I wish we had something better to add, like human milk powder, to fulfill our tiniest infant's needs. Although I am a Neonatologist, I do not pretend to be on the cutting edge of preterm nutrition research. I'm sorry Jack, but I don't believe you have those credentials either. Rich Schanler (the author of the last premie paper eveyone is quoting) does have the credentials, research background and common sense to figure this out for us. He also has a strong committment to breastmilk and breastfeeding. He is the incoming president of the Academy of Breastfeeding Medicine. Nancy Wight MD, FAAP, IBCLC Neonatologist *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html