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Subject:	Increasing Nutrition for Compromized Infants
From:	"Nancy E. Wight MD, IBCLC, FABM, FAAP" <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Mon, 26 Aug 2013 00:33:05 -0400
Content-Type:	text/plain
Parts/Attachments:	text/plain (23 lines)

I would trust the NICU or Peds RD and their calculations as to nutrient  
needs.  The usual limiting nutrient is protein, not calories, so hindmilk  
usually doesn't work alone.  If the infant appears unsettled, perhaps an  
elemental formula or protein-only supplement would be tolerated better.  Of  
course, human milk should always be the foundation of any nutrition.
 
Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, San  Diego Neonatology, Inc.
Medical Director, Sharp HealthCare Lactation  Services
Sharp Mary Birch Hospital for Women and  Newborns

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