Would only make sense if the mothers was severely underweight, ie, had
no fats stores at all. (Dangerously underweight)   Even then, there will
be fat made from harvesting carbohydrates in the diet.  Karleen Gribble
may comment on this.

Also, what exactly is meant by 'fat free'?  An actual fat free diet
would be almost impossible to manage: hence it being an issue around
anorexia, and not usually otherwise, in terms of lactation.

There are 'fats' in just about everything.  Is she forbidden bananas and
apricots, for instance?  She's eating no processed foods at all, no
bread, for instance?  Or is simply that she's not adding extra fats to a
normal food consumption?

Humans need fats for optimum health.  IIRC Women require about 30%
_minimum_ of their calorie intake to be from fats.  Again, what is her
'fat free' diet exactly?

(Who can't find the WHO link on minimum fat recommendations, as the
'new' WHO site is a nightmare to find anything on!)

Morgan Gallagher

Susie McCulloch wrote:
> I am puzzled by a recommendation given by another IBCLC to a mother with an exclusively breastfed  7 week old baby that is gaining weight well. She told me that she instructed the mother to feed her baby formula 1 time per day, because the mother is on a fat-free diet due to reflux. She said that the mother will not have enough fat in her milk because she is on this fat-free diet. This doesn't make  sense to me, from my understanding of how lactation works. I would really appreciate feedback on this recommendation!
>
>

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