I'm sorry I don't have a citation, as I believe it was personal experience by the Jelliffes reported by them during one of my courses with them at UCLA. But, anecdotally and second-handed, I'll share what I recall, as I think it may be helpful for this Romanian teen mom (and for any mom who needs to boost her nutrition in a cost-effective non-refrigerated manner, especially important for homeless moms). During the first famine in Somalia (early 70s?) when WHO/UNICEF were trying to help prevent the high numbers of infant deaths resulting from the famine, they initially tried to provide ABM supplement. This, of course lead to weaning and death in this situation. The famine, you see, was so severe, that breastfeeding mothers were unable to make sufficient milk, because they themselves were in a severe starvation state. Then the agencies changed tactics, and supplemented *THE MOTHER* with a single 2-ounce high-protein granola bar every day. The positive difference in milk production was astonishing apparently. The extra nutrition was not enough to get mom out of starvation-mode but evidently allowed her to begin providing milk again. The advantages of the granola bar were far superior to ABM, as refrigeration, clean water, bottles/teats etc. were major difficulties in the equatorial, refugee camp conditions. Coincidentally, the Jelliffes reported to us that the milk from these starving mothers was significantly altered in composition (i.e., greater immunities, altered nutritional balance) in a manner that was especially protective of that specific environment that the baby was in - mom's body adapted in its protectiveness toward her baby. Not a surprise to us savvy people now, but a major, remarkable observation then. There is much to learn from the third world. My heart goes out to this 15 year old street girl and her baby, and to the many more moms like her worldwide. Katharine West, BSN, MPH Sherman Oaks, CA