>>I consulted recently with a 2.5 week old who had gained 4oz in 2 weeks. 
Pediatricin was not overly concerned (did not start supps), just referred to me.  
I fought back a gasp when I saw this baby-VERY cachectic looking, literally 
inhaling his fists.  In this case, Mom had good supply but baby was very 
inefficent feeder.<<

I just spoke to this Mom again this am.   It turns out that her *own* pedi 
recommended formula supps, the pedi that actually saw her-referred her to me. 
Fortunately I convinced Mom (god I hate doing this!) that there is nothing magic 
about formula vs. breastmilk...... etc, etc and she agreed to use my 
recommended regime of improving feeding technique, pumping and bottle feeding 
EBM......baby gained 20oz in 8 days!!!   He is now (2 wks post consult) back to 
exclusive nursing.
 I may take a ride over there just to get a look at him! :)

Lynn Shea Rn,Bsn,Ibclc
Franklin,Massachusetts

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