An interesting case.....this baby fits the criteria of borderline failure-to-thrive. If maternal causes were ruled out (she has good let-down, and test weights reveal good intake volumes), one has to look at the baby for causes. These can include a number of problems including malabsorption conditions, metabolic disorders such as thyroid dysfunction, or a condition that causes increased metabolic requirements. This kid was small-was he term, SGA? If so, he has legitimate increased caloric needs. These are just some of the possibilities. He requires very close monitoring. If he does not continue to gain consistantly, and show normal appearance/attitude, he needs an MDs attentions and further assessment. I also would like information on a good, inexpensive scale, if the two are not mutually exclusive! I know Medela's is nice, but..... :) Denise Mollenkopf, RNC,IBCLC [log in to unmask]