With the child being hospitalized, I am sure there is a pediatric dietitian that would certainly be of some help to this mother. Medium chain triglycerides need to be added to the "skim breastmilk" to allow the baby to grow properly. Tell your friend to find the dietitian to work with her. Ginger Carney, RD, LDN, IBCLC, RLC Clinical Nutriiton Mgr./Lactation Consultant Le Bonheur Children's Medical Center Memphis, TN [log in to unmask] *********************************************** 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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html