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Subject:
From:
"Sara D. Roos" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 21 Nov 2006 12:18:28 -0800
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Hi all -- Please forgive me for popping in unannounced, it's been 
awhile since I've been set to mail here.

Has anyone any experience supporting a mom whose 7 mo. old cannot 
tolerate long chain fatty acids  (injured thoracid duct)?  She 
evidently read about success centrifuging off the fat and feeding 
just skim milk to the child.  As a LLL she has contacted me simply 
for advice keeping up her milk supply.  It does not sound as if she's 
working with a LC.  She has ordered a centrifuge for arrival later 
today.  The child is hospitalized.

Has anyone any thoughts to offer?  How, for example, will the child 
receive sufficient fat for growth if fed only skim milk?  Is this a 
concern?  I will encourage her to discuss this plan with her 
pediatrician if she hasn't already.  But I am curious myself about 
this plan and whether anyone has any practical experience with this 
condition.

My immediate, albeit ignorant, reaction, for example, is to wonder 
whether this might not be precisely a situation in which we would be 
grateful for the existence of abm (which, however, is likely 
similarly constituted with long-chain FAs, but I'm guessing there's 
some formula out there specifically concocted for this purpose)!  But 
I will be thrilled to hear that this might even just still be a case 
where bm manages to be sufficient, even superior.  If not, would 
supplementing abm with skim bm be worthwhile or just inhibit 
sufficient caloric intake from abm?

I will gratefully accept any advice (on or offlist) from words to 
offer for emotional support to any biomedical insight into why 
long-chain FA are even fingered as the culprit?!

Many, many thanks.
-- 
	-Sara ([log in to unmask]).

Sara Roos
LLL Leader, Los Angeles
310.390.2529

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