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I use 22 cal per ounce when subsituting breastmilk for food.
Fluid requirements is based on weight. You said you were part of the blenderized yahoo group, go to the files section and there's a guide there to help you figure it. Fluid requirements don't need be exact either.... my dd has a cardiac defect and so I keep her on the dry side because of that. You'll find that the blenderized diet is much more VOLUME than just breastmilk when you hit the fluid and calorie requirements. You replace one ounce of milk, you need to make up the calories AND the fluid. Do you bolus during the day and continuous at night? |

She's at 35 mls an hour now and she can go as high as 40-42 or so without puking. So we'll be ok upping the volume a bit if we have to. Or only taking her off for 4 hours. Or both.

My plan was to mix her food with 3 oz of water (which should be plenty for now since we'll only be doing 22 cal of some higher cal food). A week later, we'll decrease by another oz of milk and increase her food and another oz of water, and so on.
Since she'll be getting so little food at first, I'm considering doing a few small boluses when she's off during the day. I don't know...we'll see how much volume it ends up being first.
Since she gets so few calories, should we supplement with vitamins?











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). It stayed that way with peaks(around 45) and valleys(around 25) for well past her first birthday. She was not a huge solid fan. I always fed on cue and never on a schedule so some days she was really really hungry and others not so much it really depended upon how distracted she was
by the fun things in life, especially as she got older. Just let your babe tell you how much they need, you sound like you are doing fine!
I know it sucks that bfing hasn't worked out the way you wanted. We all struggle with that.
Take peace in knowing that you are doing everything you can. EPers go above and beyond, especially when trying to deal with supply issues.
It's been such an emotional roller coaster for me, like I say I'm still not sure if it's going to be a go for me after so long but my body is aching TO pump to I've started pumping, I hope that relieving the pressure when it happens that maybe I'll have the success I'm hoping for. It can only mean good nourishment
: for my baby girls!
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