Are there any problems with combining breastmilk and formula in same  
bottle for preemies in the NICU? I have had a question posed to me that  
combining the two "denatures" something in the breastmilk. Anything in the  
literature? Thanks! Monda Fleming


 
Great link by Linda Smith, BSE, FACCE, IBCLC "Don't Shake the Milk" 
_http://www.bflrc.com/ljs/breastfeeding/shakenot.htm_ 
(http://www.bflrc.com/ljs/breastfeeding/shakenot.htm)  answers  this question:
 
Why not?
 
Because shaking expressed mothers' milk (or boiling or freezing  it) 
denatures the shaped molecules of the protective proteins, leaving only the  pieces - 
the amino acids - the parts. Lactoferrin, lysozyme, and other  protective 
components work their protection magic when they are in their  original shaped 
molecular structure. Some components remain intact, even during  freezing, 
shaking or heating. They not only protect the gut from many kinds of  infection, but 
also prevent inflammation of the gut lining. Even broken up, the  separate 
amino acids are still really good stuff and are digested by the baby as  
nutrients.

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