When I was actively working as a LC I had a number of clients whose 
milk had scant to no fat even after being refrigerated.  My 
recommendations were two-fold.  I did have the mothers increase the 
fat in their diets. They were not intentionally restricting fat in 
their diets but when they kept a food intake diary for a day or two, 
there was room for improvement.  I recommended adding olive oil 
similar to what Terri describes.  I also recommended Neruomins 
supplement.  It is DHA from algae in a base of sunflower oil.  There 
was marked improvement in fat content in all of them in a couple of days.

Today I would probably recommend a high quality fish oil which would 
cover DHA along with EPA. I hold that the fat content in a mother's 
diet does, in fact, affect the fat content in her milk. The effect 
most likely varies from person to person as does all nutrient 
assimilation, but diet matters.

Pat Gima, LC Retired


Date:    Tue, 24 May 2011 14:55:04 -0400
From:    Terri Klein <[log in to unmask]>
Subject: little fat in breastmilk
MIME-Version: 1.0
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Dear Collegues,
Once again I could use your expertise. Please feel free to email me 
privately. I received a call from a mom today that her baby wants to 
eat constantly. Her last baby she didn't produce enough fat in her 
milk. She pumped some milk and refrigerated it. When she took it out 
the next day there was no separation. The last baby she did some 
block feeding which helped some. She is not on a restricted fat diet. 
I thought I read somewhere that the content of fat in the mom's diet 
has no bearing on her fat in the milk.
I also suggested marshmallow root. I don't have any evidence to back 
it up other than mom's saying there milk was creamier and the baby's 
had settled tummies.
I suggested she include olive oil on her salads, bread dipping sauce 
with olive oil. She has a good milk supply. She just doesn't get much 
sleep or anything done during the day. Baby falls asleep after 10 min 
and wants to eat again in 1/2 hour. Baby is one month old next week. 
His weight is good.
Thank you in advance,
Terri Klein RN, IBCLC, RLC
[log in to unmask]



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