On 20/11/2003, at 3:39, Penny Lane wrote:

> They mention being aware of moms "complying" with their recommended
> multivitamin, iron, and B12 (intrinsic factor is not generated after
> gastric bypass) needs.  They also suggested a creamatocrit to help
> determine if fat content is sufficient, due to the malabsorption issues
> following gastric-bypass surgery.

But creamatocrit varies so dramatically through a feeding - of what
earthly use is a "spot" creamatocrit?

> This particular infant did suffer failure to thrive.  Her breastmilk
> contained on 39% fat content

(Typo? 3.9%, maybe?)

> with translates to an energy level of 475
> kcal/L (670 cal/L is typical).  So although her supply volume was
> adequate,
> it was considerably less rich in energy than normal breast milk.

Colour me sceptical about the "low-fat" milk, without any more
information being provided about how full the breast was when the
creamatocrit was taken, and what precautions were taken to get a
representative sample. A full breast of a completely normal mum will
give lower fat results than that.

Lara Hopkins
family doc in Perth, Western Australia

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