Why is this mother being encouraged to stop breastfeeding? Children with 
Alagille syndrome often fail to thrive due to reduced fat soluble 
vitamin and reduced fat absorption.  The baby could get extra medium 
chain triglycerides and vitamins through a nasogastric or gastrostomy 
tube to help improve growth if breastfeeding is not sufficient. If the 
baby can suck well, then the supplements can be given through a tube at 
the breast.
Catherine Watson Genna, IBCLC  NYC

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