WHY does someone always blame the breastmilk FIRST!!!! SGA babies often need extra calories, although I have never had one be hypoglycemic on unfortified breastmilk (unless they were also IDMs) given in adequate quantities. Polycose is rarely used anymore - we call it "neonatal junk food". Add fortifier when you reach 75-100 cc/kg/day enteral feeds. Push volumes up to 180 cc/kg/day if the respiratory status allows. SGA babies especially need the extra protein, calcium and phosphorus. No-one is analyzing breastmilk for it's components clinically that I am aware of - only for research purposes (other than creamatocrits, that is). It is not necessary - you measure the result with weight gain, length and head growth. As 50% of the calories come from the fat, you may be losing the fat in your syringe or tubing if the pump is horizontal, the tubing long, and the feeds given continuously or very slowly. Nancy Nancy E. Wight MD, FAAP, IBCLC Attending Neonatologist, Children's Hospital and Sharp Mary Birch Hospital for Women Medical Director, Sharp HealthCare Lactation Service San Diego, CA, USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html