Dear Alice,
If this mother does have enough breastmilk, she is making more than he 
takes in a day, what about lacto-engineering her milk rather than using 
formula?
If the baby is taking all the milk that the mother makes, she needs more 
breastmilk, up focus on increasing her supply, and perhaps does need to 
add some more artificial calories to her milk.
If the baby is having problems getting volume in because feeding is 
stressful, then she could scoop some of her cream off of another bottle 
of breastmilk and give the baby some double cream milk.
So, I guess the question is, is it a matter of she doesn't have enough 
milk for him OR is he having issues with taking the milk.
Keep us posted!
Thank you,

-- 

Barbara Robertson, MA, IBCLC, RLC
Professional Development Director
The United States Lactation Consultant Association

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