I have tried to keep current on postings and do not recall these article
being shared, so I will apologize now if I'm repeating someone else.

I read an abstract from LLLI, Feb.1997; vol 16, number 3.  The article is:
 Gastric empting in pre-term infants: the effect of breast milk fortifier
  by A.K. Ewer and V.Y.H. Yu.  Acta Pediatr  1996; 85:112-15.

The article compared breast milk alone and with fortifier in emptying time
for two groups of premies.  Their conclusion was: " Half-empting time for
breast milk alone was 21_+ 3.6 minutes; half-emptying time for fortified
breast milk was 48_+4.0 minutes.  Breast milk emptied faster than fortified
breast milk in 10 of 11 patients.  This longer empting time could be of
concern in infants with feed intolerance.  The authors suggest avoidiing
fortifier until a baby is able to tolerate expressed breast milk well and
discontinuing its use temporarily for babies demonstrating feed intolerance."

This might be an article the NICU people would like to read and show their
coworkers.

Ann Perry RN IBCLC