Susie,

The doc may have already suggested the following things:   Are they using digestive enzymes to aid with digestion and absorption of nutrients?  (As breastmilk is easily digested and the nutrients it provides are readily absorbed, I would imagine it should be the preferred source of nutrition over formula.)  Supplementing with MCT oil may help with weight gain and it is easily digested.  I wonder if it could be added to the expressed breastmilk or just fed to the baby as-is, since it has no taste.  Also, a daily liquid multivitamin is probably in order.

Margaret Shirkey, RD, CLE
Fallbrook, CA

> On Aug 23, 2019, at 6:10 AM, Patricia Young <[log in to unmask]> wrote:
> 
> Pump  4 oz, let it sit in refrig a while, then using a large syringe pull off the top 2 oz and feed it to baby.  It will have more calories in it. Worth a try. Pat in SNJ
> 
> 
> 
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