So here's a question I am asking for both professional and personal interest.  
Does anyone have suggestions on boosting the caloric/fat content of 
expressed breastmilk?  Particularly for an older baby.  I know about polycose, 
which I understand is used for premature or otherwise low weight neonates.
  
My 13 month old, who still gets a lot of her calories from nursing and isn't very 
interested in cow's milk, recently stalled in weight gain after several weeks of 
ear infections and colds.  She fell off her already tiny 3%ile growth curve (she 
weighs about 16 lb 12 oz), and the pediatrician recommended (basically 
instructed) Pediasure in lieu of pumped milk in her day care bottles.  I wasn't 
comfortable with Pediasure (how could it be superior to breastmilk??  the 
second ingredient is sugar), and after talking with a pediatrician friend, am 
putting about 5 mL of olive oil in a 6 oz bottle of breastmilk.  We're also of 
course encouraging lots of calorie dense but hopefully nutritious foods like high 
fat yogurt, etc.

Please forgive me for posting a question about my own baby (I know this isn't 
that kind of forum), but I was also wondering about this from a professional 
standpoint, and wonder if others have run into this kind of query and how you 
have solved it.  Is olive oil in the bottles totally bizarre?  :-)  

Diana Graham, MD
Psychiatrist; LC in training
NYC, USA (Go Mayor Mike!)

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