I will tell you my reason for giving breastmilk an arbitrary calorie count of 20 cal/ounce.  I previously worked with 2 excellent
neonatal dieticians.  They recommended that since we would never know the exact calorie count of breastmilk, it made sense to just
give it an average of 20 cal/ounce since that would be easy to remember.  
 
Even after performing many creamatocrits on many different mother's milk,  this still makes sense to
me.  Most women that I tested had higher than 20 cal/oz.  Some had about 20 cal/oz and a few had lower than 20 cal/oz.
 
Sincerely, Rachel Wahl RN IBCLC
 
 
My question is how are you coming up with the caloric content of
breastmilk as my understanding is that it is not a set number...
 
together in health,
 
Patricia, RLC, IBCLC, CST
 		 	   		  
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