Jennifer:  Would it be appropriate to use human milk fortifier?  This would 
increase caloric content of EBM a little without significantly changing the 
texture.  I know HMF is horrendously expensive, but maybe with your 
hospital contacts something could be worked out to get this baby what he 
needs.  Maybe someone with more expertise than me could address this issue 
further.

Pam Hirsch, RN,BSN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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