Does anyone have any information on the use of human milk fortifier in =
older babies?  I searched the archives and did a google search and can =
only find reference to its use in preterm infants.

I have to say that we must be very careful about our scope of practice on this kind of thing.   This situation is dangerous for someone to guess about unless you are specifically trained in pediatric nutrition.  First of all, NO, Human Milk Fortifier is generally not recommended or appropriate for an older baby.  I will not get into any recommendations here as I would have to have much more information on this particular patient.  This is something that I do routinely as a hospital pediatric dietitian.  I suggest that we all have a resource in a pediatric dietitian for assistance with these types of situations.  The pediatrician taking care of this baby should refer to a ped R.D.

Ginger Carney, RD, LDN, IBCLC
Clinical Nutriiton Mgr./Lactation Consultant
Le Bonheur Children's Medical Center
Memphis, TN  
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