I have a 6 month old baby I started on iron for anemia. Baby was a 37 week IUGR. BW 4lbs 4 ounces, 1.93kg. He has nursed well and had doubled birth weight by 4 months. Baby has a PDA and VSD. Recently it started getting symptomatic and he was started on Larix and digoxin. I saw him one week after he started the meds. His weight was down a little but maybe from diuresis? However he has the same weight as at 4 months. Mom says the last week or so he ha been a poor breastfeeder when he had been very good. We talked about breast compression and low stimulation environments to feed as this seemed to be what he needed. I suggested starting some solids by expressing milk letting the fat separate, spooning that off and mixing with cereal as he doesn't have much interest in solids. I got a CBC which showed microcytic, hypochromic anemia with hgb of 7.5. He is on iron now at 6mg/kg/day. Does anyone know of evidence for giving iron supplement with or with out breast milk? I'm thinking with to use the lactoferrin to increase absorption. -Rob Rob Cordes, DO, FAAP, FACOP general pediatrician Wilkes Barre PA mailto:[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