Dear Katie,
If this is an older baby ( 7 to 12 months) struggling to gain weight
inspite of good milk production on the mother's behalf, zinc
supplementation ( or feeding foods rich in zinc: liver, red meat etc) might
help. I have just come back from the ABM conference where Dr Nancy Krebs
presented her excellent paper on Zn deficiency in some breastfed infants.
About the powder + EBM, it can be done safely upto a concentration of upto
28 cal/oz. Don't have any EBM ( evidence based medicine) to back that up
but have seen in done in children with problems. Breastmlk has a low solute
load so it is bettre to do it with breast milk than with AIM powder alone.
It may not be necessary for this baby though.
Hope this helps
VAishali Kute, MD FAAP IBCLC
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