I know Dr Wight has answered this question more than once. There is a very thorough protocol at the Academy of Breastfeeding Medicine website ( www.bfmed.org) entitled: NICU Graduate Going Home.<http://www.bfmed.org/ace-files/protocol/nicugradprotocol.pdf> that details how a decision should be made regarding supplementation. But this baby does need an extra source of iron because of being born 10 weeks early, that is not optional. Whether or not formula fortification is needed, you need labwork to know. (Phosphorus, alk phos and BUN) I would print out the protocol and share it with the aprents, and have the parents share it with the baby's Dr. They should then be willing to do the labs to find out. Kathy Leeper, MD, IBCLC Medical Director, MilkWorks *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome