Babies with chronic health conditions, including cardiac conditions, are 
at higher risk from childhood diseases. Mom should have a good 
discussion with baby's docs about the baby's individual risk, and 
strongly consider immunizing the baby. Babies with cardiac issues 
generally do thrive better at breast than bottle, partially because of 
the ability to self-pace the feeding to avoid overtaxing the baby's 
aerobic capacity.

The mom with the allergic baby should probably not give her baby the 
things she thinks the baby is reacting with gut irritation to in her 
diet directly until well over a year of age, perhaps even 2-3 years. I 
often advise moms of allergic babies to use a rotation scheme when 
starting solids, avoiding giving the same food again for 2-4 days at 
least. It makes detective work a tiny bit harder if baby does react, but 
it can reduce the risk of sensitization to new foods.

Catherine Watson Genna, IBCLC  NYC

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