Hello, everyone: Since I've been in major lurk mode for months (I haven't read a single Lactnet post in all that time and I miss all your wisdom and experience and humor, etc, etc), I will briefly reintroduce myself before posing my question. My name is Alicia Dermer. I am a family physician and IBCLC. Now for my question, which I did try to research on the Lactnet archives with little success: I have a personal friend who gave birth to a 29 week gestation premie about 7-8 weeks ago. I have not been caring for this baby, just providing her with breastfeeding information whenever she requests it. He has been exclusively breastmilk-fed and she has a huge supply. Baby has no cardiac or other complications. However, he is not gaining well. Because she has two older kids, she can only get to the hospital to nurse him about twice a day (he nurses well per this experienced mom). The rest of the time he gets bottles of ebm. He had been getting MCT oil and polycose, but recently developed very watery yellow stools and the MCT oil was stopped, but he still isn't gaining (I don't know how his length is, but to the mom he does look bigger and he also seems to be getting chubbier with more filled in cheeks). As you can guess, the neonatologist is very anxious to start human milk fortifiers, but the baby's father has Type I diabetes, and the family would like to avoid cow's milk proteins if at all possible. I remember discussion of "bioengineering" of human milk by either centrifuging or other method to feed the "cream" to the baby. That would at least give extra calories, although it probably wouldn't give the added calcium that is supposedly needed. I tried to locate Paula Meier because I thought they are doing this type of technique at her hospital, but I couldn't find an e-mail or other address for her. At the recent Academy of Breastfeeding Medicine conference, I asked Dr. Richard Schanler directly and he really had no solution to offer for this situation. Does anyone on Lactnet know of someone actually helping mothers to "enrich" their own milk in a way that avoids using cow's-milk-based fortifiers? I need "nitty gritty" advice about how to accomplish, and if possible some research to back up the practice.Any other types of suggestions for this mom would also be greatly appreciated. TIA, Alicia. *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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