> I have to say that we must be very careful about our scope of practice on
this kind of thing.   This situation is dangerous for someone to guess about
unless you are specifically trained in pediatric nutrition.  First of all,
NO, Human Milk Fortifier is generally not recommended or appropriate for an
older baby.  I will not get into any recommendations here as I would have to
have much more information on this particular patient.  This is something
that I do routinely as a hospital pediatric dietitian.  I suggest that we
all have a resource in a pediatric dietitian for assistance with these types
of situations.  The pediatrician taking care of this baby should refer to a
ped R.D.
>
> Ginger Carney, RD, LDN, IBCLC
> Clinical Nutriiton Mgr./Lactation Consultant
> Le Bonheur Children's Medical Center
> Memphis, TN =20

Thank you Ginger.  I have suggested that she a local pediatric RD for
guidance in this situation.

Mellanie Sheppard IBCLC hopeful
Lactation Connection
www.lactationconnection.com
Arlington, TX

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