I must say that doctors often think that human milk may not have enough calories, or that it is lacking in `something'...I often just respond to my colleagues that woman in developing countries who are often undernourished have very similar milk makeup in comparison to U.S. moms, and then they usually don't say anything more. I usually find that doctors are suprised when I suggest that mom could pump in between nursings to try to supplement with EBM. Anne Eglash MD