Sounds like this baby needs to be fed. R/O inadequate calories would be easier than R/O metabolic causes. This could be done with a hospital stay. Close calorie counts for a day or so even if it meant giving expressed milk instead of direct feeding if accurate test weights can not be done. This really sounds from Carroll's description that this baby is not being fed. -Rob Rob Cordes, DO, FAAP, FACOP Wilkes Barre, PA mailto:[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