Emily, before treating (feeding protocol, supplementation, etc) we need to make a diagnosis. 
How and how often the baby is baby fed right now? What is on the physical exam?
Past history - born on time? Any problems during pregnancy, labor/delivery, the first days of life?
What was happening in the past 3 months?
When did the baby started to lose weight?
Any other issues (health, development, sensory?)
What were the results of the newborn screening? Was more metabolic testing done recently? 
Any problems on the cardiac exam? 
Alla

On September 3, 2016 8:22:31 AM EDT, Emily Samansky <[log in to unmask]> wrote:
>I have searched the archives but cannot find the information I'm
>looking for.  Someone (Pamela Morrison?) has posted in the past a
>weight gain protocol for a baby who needs calories -- now.  Baby is 3
>months old and has been losing weight, now down to 8 pounds 8 oz.  Mom
>reports that baby is taking approximately 20 ounces per day, but when
>she tries to feed more, baby spits up.  Pedi advised Elecare powder
>added directly to breastmilk.  Mom understands that baby needs more
>calories but does not want to add the formula powder.  I recall there
>being a formula for how much expressed milk/formula baby needs based on
>the weight baby should be, and how to give it so baby's stomach
>stretches and can handle larger volumes.  
>Emily Samansky
>LLLL, Andover, MA
>
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