Thank you!  I did get a pretty intensive history and the mother is also working with her pediatrician and an IBCLC.  I didn't share full details because I did not have her permission; she said I could share the outline of the situation for the purpose of getting the protocol for increasing volume.  There is a complicated history but pedi and IBCLC seem to feel that increasing calories is the first thing to try.  She called me for emotional support and to discuss potential ways to supplement without formula.  
Emily

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