Ginger is right, why wouldn't the 7.5 mo old be referred to a peds RD (registered dietician)? My understanding is that HMF is used because it provides added protein and minerals which are needed in higher quantities in the preterm infant (more than even preterm milk provides). Although this can and has been debated, this is the current rationale, as far as I understand it. So, HMF is not appropriate for the term or older infant. One statement that struck me was that the infant in question was in daycare for 8-9 hrs (hope this is accurate). In addition to other suggestions, I was wondering: Possibly could the breastmilk be diluted for some reason, or the baby actually taking less than what is being reported? I hope not, but sometimes daycare is of very poor quality. Did the poor growth start after daycare started? Would it be possible for mom to take a vacation or leave and see if baby's growth improves? Possibly could the baby be depressed due to the extended separations from his mother? Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ MSN 8 with e-mail virus protection service: 2 months FREE* http://join.msn.com/?page=features/virus *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html