Yes, of course it does. It's work. So is breathing, keeping your heart 
beating, keeping your brain running! The important thing is for the 
baby's milk intake to be sufficient to run the body, fuel normal 
activity AND allow growth and development.

So when we are working with babies who are not growing well, we want to 
minimize calorie wastage,  increase calorie intake, and consider the 
possibility of failure to metabolize the calories they are taking in 
(illness such as UTI, malabsorption secondary to allergy, metabolic 
disorders).

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com

On 4/14/2014 9:47 AM, Jeni Leaird wrote:
> Thinking logically here but would that mean that comfort sucking, ie pacifier use would cause a caloric loss?
> Jeni Leaird
> Lafayette IN, USA
>
>               **********************************************

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