Malka writes:

To  complicate matters, baby has gained only a few ounces in the past 
month. Could  eczema be related to low weight gain? Pediatrician recommends 
strict  elimination diet or to stop breastfeeding and feed EleCare formula. I 
would  appreciate any comments
~~~ Hello Malka, and all,
 
I have seen in several babies with bad eczema that they  do not gain, yes. 
Often they are very uncomfortable, and are  rarely "still" so I wonder if 
their energy requirements might be higher.  I also wonder about the function 
of their gut to actually use nutrients  perhaps being part of the issue as 
well. One baby did better when mom only  breastfed a few times a day and 
supplemented/replaced with something like  EleCare, or the Nutramigen AA one. She 
eventually found a "tipping point" with  the highest level of breastfeeding 
and lowest level of AIM that would help the  baby be comfortable, and gain 
a little better. He did grow up to be a very  skinny teen and young adult. 
In another situation the pediatric  gastroenterologist assumed that I would 
be against this, but actually I had  brought it up with the mom before our 
visit. The baby was miserable, the mom  could not ever really "clear" her milk 
of whatever the baby couldn't tolerate (  family sabotage was an issue, 
among other things), and it seemed like something  to explore. He was very 
nice, and listened to mom's desire to exclusively  breastfeed ( even though her 
milk supply wasn't really full either, another  issue why supplementation 
was on the table from my end). He noted that if the  baby was at least 
partially or mostly breastfeeding, maybe they could try the  Vanilla EleCare or AA 
( memory....ugh) for toddlers because the regular  ones are so awful 
smelling and tasting. 
 
Just some thoughts,
Peace,
Judy... another Brooklynite...:)  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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