I really don't understand why the milk is the suspect dietary item and needs to 
be examined by creamatocrit. He actually gains weight on milk, so why does 
the pediatrician think it is not fatty enough? He was gaining well enough until 
6 months, which I assume is when some solids started displacing his milk, so 
why would the assumption be that the problem is with the milk not with the 
solids.... What about examining the other components of his diet? If he eats 
low calorie peaches and  peas all day. fills up on them and then takes smaller 
amounts of breastmilk, perhaps he just doesn't have enough calories in his 
diet. Has anyone really closely examined the foods he tolerates, the amounts 
he takes and the calories he consumes.I know you say that the mother is well 
informed about diet, but it can be hard to find foods to fatten up a baby with 
all the foods that have been removed from his diet. Also, he could be taking 
12 feedings a day, but getting only 1.5 oz per feeding, which would only total 
18 ounces - not enough to put weight on an active toddler, if his other 
calories are restricted in some way.

What if they find that the breast milk isn't rich enough by their calculation - it 
is the one food he gains weight on, so what are they going to do with that 
info???Take away his breastmilk? I guess if she has tons of extra milk they 
could fraction off the fatty component as it sits and give that to him, but 
couldn't they do that anyway without a creamotocrit? Does the mother have 
a lot of residual breastmilk when he is finished eating? Can she express 
anything or does he consume essentially all that she makes?  

Kathy Lilleskov - still mystified in Brooklyn....

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