I had to stop breastfeeding and am switching to formula....please help... - Mothering Forums

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Old 10-27-2003, 05:09 PM - Thread Starter
 
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I have been doing some price comparison and research into the different types of formula. I have chosen to go with Carnation Good Start this time around. I have purchased some RTF but it is so god awful expensive. I am thinking of switching to powdered formula but have no clue how to prepare. I definately want to boil the water (some of my friends just use bottled water, but with a 5 week old I don't want to take any chances and their babies are older too) but what is the easiest way to boil the water and get it into the bottles? I've got a few tea kettles...those seem like they'd do the trick, however when they "whistle" has the water in the kettle boiled long enough? Then you're suppose to "cool" it...how long do you wait? Can I throw the kettles in the fridge to speed up the cooling process? Any help and suggestions are much appreciated. (this route seems like a big pain in the a*%&%)
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Old 10-27-2003, 05:22 PM
 
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if you don't mind me asking, why did you have to stop BF??
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Old 10-27-2003, 05:57 PM
 
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oh this route is a big pain in the a@#$.....i had to switch as well and what i did was i boiled water in my kettle but i let it boil for at least 5 minutes.....i cooled the water in kettle for about an hour or two and then poured it into a plastic 4L container (milk jug) that was sterilized and put it in the fridge if needed right away or i just left it out on the counter and mixed bottles with it. I also use Good Start and i use the powder mixture....instructions are on the can. Good luck with this......it is a pain in the butt....i nursed my first child until she was 18 months and my second child was nursed until 7 months old.....i am wondering why you had to switch if you don't mind me asking??? Once again Good luck!!!!
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Old 10-27-2003, 08:01 PM - Thread Starter
 
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I figured y'all would ask....Well, at the 6 month pregnancy mark, my feet began to hurt to the point of my not being able to walk too well. Most days the pain brought me to tears. I assumed it was due to weight gain and water retention, which was the case with my DS#1. Within two weeks postpartum with him, my feet went back to normal. Well, with this pregnancy, I am now 5 weeks postpartum and couldn't take the pain anymore. It has progressively gotten worse. I have been seeing a podiatrist for three weeks now and as a last resort (prior to surgery, or cortisone shots) he prescribed me some anti-inflammatories. I waited as long as I could trying rehab, and a host of other remedies before I HAD to break down and take the anti-inflam. so I could walk. I think my 3 year old and my infant son would rather have a mother who can walk than breastfeed. It is a s*^&^& tradeoff, but I feel it was necessary. In addition, I decided to pump and dump to at least keep up my supply, but as all of you know, a mechanical pump is no match for a nursing infant. My supply is dwindling and I need to plan, hence this formula question.
Thanks motheroftwo for your help!
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Old 10-27-2003, 08:11 PM
 
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that sounds like a complete PITA. Could you use bottled or filtered water instead of boiling it?

I'm so sorry you're needing to switch to formula. I hope you can get your feet better and get your babe back to the breast soon.

Might I also suggest you locate a copy of Hale's Medicines and Mother's Milk (LLL leader or IBCLC should have it) and see if the med really is incompatible with BF? Not all drs are well informed as to what' safe (esp. specialists, it seems).

Best wishes!
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Old 10-27-2003, 08:19 PM
 
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What anti-inflammatories are you taking? Post the names and we'll look them up to see if they are compatible with breastfeeding. Like jessikate said, most doctors don't actually know that many, many drugs are safe during breastfeeding (and that breastfeeding is much safer for baby's health than formula feeding). Most doctors only look things up in the Physician's Desk Reference, which doesn't have accurate information about the safety of drugs for breastfeeding.

Here are some links for you and your doctor to look these meds up:

http://www.kellymom.com/meds/aap-approved-meds.html

http://www.kellymom.com/meds/med-risks.html

http://www.kellymom.com/meds/medref.html

This third link has two phone numbers you can call to find out whether your drugs are safe for breastfeeding.

Let's find out what you're on - that way we can help you figure out whether you actually need to pump and dump!

Also, kellymom has a lot of great information on keeping your supply up and dealing with low supply issues.

http://www.kellymom.com/bf/supply/index.html

What kind of pump are you using, and how often are you pumping to keep up your supply? Here's a great page on pumping:

http://www.kellymom.com/bf/pumping/index.html

We're here to help you save your breastfeeding relationship and get some relief for your poor feet at the same time! Hang in there!

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Old 10-28-2003, 02:50 AM
 
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Yeah, everything they said and . . .

Put the water in the bottle first and add one scoop of powder for every two ounces of water. or 4 scoops of powder for every cup of water. Water and p[owder need to be measured precicesly so either use a calibrated pitcher or measure the water as you put it in. Water should be measured first and then formula added. Many people add the formula and then fill in the water up to two ounces. This is dangerous because it makes the formula too stron and can over load them on something I forget what.

Unless there is some problem with your water I would think a Brita filter (or something similar) would be fine. I wouldn't worry about boiling it unless your water is of questiionable quality and if that is the case I would use bottled. Personally if it was me I would use distilled.

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Old 10-28-2003, 03:00 AM
 
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Do your drug research but if you decide you need to use formula, I suggest Baby's Only organic formula. I used it from day 10 to supplement because my supply could not keep up with Dd's needs; it was a chronic problem.

I think many problems attributed to formula arise from all the stuff given to the poor cows.

You can buy it online for cheaper than at places like wholefoods. I don't remember the site name, but if you do a search it should come up. It might be naturesone.com

It's called toddler formula but you can call the company yourself and reassure yourself that it's OK for small babies. I used bottled water, no problems. Mixing formula is hard enough without boiling the water.
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Old 10-28-2003, 12:42 PM - Thread Starter
 
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Thanks for all of the encouragement and advice everyone. My med is Bextra and my pump is the Medela Lactina (hospital grade). I checked on the meds list for Bextra but did not see it. Maybe I am not looking correctly. Is the list of meds provided ones that are safe, or are not safe when breastfeeding? (lack of sleep is making me a ditz....)
Oh yeah...I got a Depo shot and my OB said it was perfectly fine with BF....is that true?
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Old 10-28-2003, 12:48 PM
 
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the depo shot can cause your supply to drop drastically. some women can tolerate it with only a slight dip, and some can't. at only 5 weeks postpartum, i'd be really concerned about your supply, because you are still in the stage of your baby setting up production levels.
i'm so so sorry you are having to deal with all this medical stuff. <hugs>
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Old 10-28-2003, 01:16 PM
 
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I'm so sorry to hear about your medical stuff, hope you feel better soon.

I also give my dd Carnation Good Start, that was the non-milk based, easiest digestable formula in the Market. I use some times the liquid one and sometimes the powder one, doesn't really matter. The powder is not complicated to prepare at all, just follow the directions on the box. I't very easy.

To speed up the process I pour the hot water (the water that boiled for 1 minute and then I left a couple of minutes to cool down) in the blender machine, for 8 bottles of 6 ounces quantity, and then add the powder or liquid for the amount of bottles that you are preparing. This helps me doing it very fast. Blend it for 5 mins. Then I wait until the bubbles are almost gone and pour them into the bottles. I use to wait 10 minutes to cool down before puting them in the refrigerator. Voila, 8 bottles done and you can forget about it for the rest of the day. Don't forget that after heating it, you must throw away any formula left on the bottle after one hour.

Leave the whistle of your tea kettles for 30 seconds and your water will be perfect then... it already reached the adecuate temperature to kill all bacteria.

I would recommend you Dr. Brown's bottles, they have a special design to keep air out of them. Worked very good for my dd.

Good luck!
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Old 10-28-2003, 02:51 PM
 
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Here is some information on Bextra and breastfeeding from Dr. Tom Hale, one of the leading authorities on breastfeeding and drugs:

http://neonatal.ama.ttuhsc.edu/discu...ges/39/39.html (fifth post down says although he has little data, from analyzing the milk of one mother on Bextra it is undetectable in breastmilk)

http://neonatal.ama.ttuhsc.edu/discu...es/48/724.html (says here he has a research project getting started, that was in April 03).

http://neonatal.ama.ttuhsc.edu/discu...es/48/529.html (this link is on his study of two other Cox-2 inhibitors, which he says transfer in very low levels and are safe for nursing babies).

These links are to a forum he moderates. Medical professionals, lactation consultants, pharmacists, LLL leaders, etc. can post to it. You should have your prescribing physician post to Hale's forum and see what Hale's latest information is on Bextra. He may have the results of the study he was starting earlier this year.

I'm not you and I can't make your decision for you, but if it were me based on this information I would keep nursing my baby and not pump and dump.

If you do need to continue supplementing, I definitely second the suggestion to use organic formula.

I am sorry your OB suggested Depo-Provera; if you're going to continue nursing I would say skip the Depo and try to work on boosting your supply through the suggestions on Kellymom's site (most importantly, by nursing as much as your baby wants and trying not to give too much formula).

Good luck!

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Old 10-28-2003, 06:29 PM
 
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NAK

i too take Bextra.. i have auto immune issuss, and it REALLY helps my pain.

What i have read about the studies in lab animals, problems only occured at someething like 100x's the human equivalent in regards to dosage..

You can take it up until the 2nd trimester when pg.. My thinking is that if you can take it while pg, your are probably ok to take it while nursing since drugs more readily pass to the baby while in utero..

Keep breastfeeding if you want to.. The Bextra isn't going to harm your babe..

Warm Squishy Feelings..

Dyan

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Old 10-28-2003, 06:52 PM
 
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When I used formula, I never bothered to boil the water. I ran it through the brita filter, then poured it into the Avent bottles for later use. I left them at room temp (to warm faster when ds got hungry). When he needed to be fed, I'd just add the appropriate amt of powder to that individual bottle. Before too long he was content to drink formula at room temp and the bottles were prepared really quickly.

At night we kept a bottle or 2 of premeasured water nearby with a can of powder right beside it so we wouldn't have to go downstairs at night to make the bottle. It was a real timesaver for sleep-deprived us.
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Old 10-28-2003, 07:09 PM
 
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Quote:
Originally posted by Jane


I'm not you and I can't make your decision for you, but if it were me based on this information I would keep nursing my baby and not pump and dump.

If you do need to continue supplementing, I definitely second the suggestion to use organic formula.

I am sorry your OB suggested Depo-Provera; if you're going to continue nursing I would say skip the Depo and try to work on boosting your supply through the suggestions on Kellymom's site (most importantly, by nursing as much as your baby wants and trying not to give too much formula).

Good luck!
I agree with this--I would keep nursing the baby if I was in this situation. Also I would not take the depo shot. The only thing I would add is if dwindling supply was a problem, I would use a nursing supplementer and feed only organic formula directly at the breast--not use bottles at all.

Let us know how things go.
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Old 10-28-2003, 10:37 PM
 
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I used to work with medications if I were you I'd try other NSAIDs (Non steroidial anti inflammatory) before using Bextra. Bextra, Vioxx, celebrex all brand names are also the most expensive. There have been studies to show that they work any better than the generic NSAIDs.

Mom of a 7 yr old, 4 yr old, and 1 yr old. Wow. How did that happen?
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Old 10-28-2003, 10:38 PM
 
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Also
"Bextra should never be used during the third trimester of pregnancy because it may cause problems in the developing baby. If you are pregnant or plan to become pregnant, consult your doctor. "

Mom of a 7 yr old, 4 yr old, and 1 yr old. Wow. How did that happen?
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Old 10-29-2003, 04:39 AM
 
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Dallaschildren,
Have you considered an alternative treatment for your condition, such as massage therapy or chiropractic?



I'm not really a new member, just haven't been able to post for a while...
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Old 10-29-2003, 05:22 AM
 
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Quote:
Originally posted by amarasmom
Also
"Bextra should never be used during the third trimester of pregnancy because it may cause problems in the developing baby. If you are pregnant or plan to become pregnant, consult your doctor. "
That is because NSAID's can cause premature closing of the ductus arteriosus, not b/c it causes developmental problems or genetic problems! The ductus arteriosus is part of fetal circulation (which differs from circulation once breathing is established) and therefore it isn't an issue once the baby is born.
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Old 10-29-2003, 02:44 PM - Thread Starter
 
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Hi everyone....well my supply is back up today (added two more pumping sessions and drank a beer last night). Unfortunately I have already gotten the shot.....your suggestions are all good and I appreciate your concern. It is wonderful to be able to get so much help here.
I have an appointment to start physical therapy starting this week and I am also going to go to a hypnotist. I am going to try almost anything....
I am conflicted as to if Bextra is safe...I know what you all have read and are doing, but it does not allay all of my fears that I am going to harm my son in some way.....studies show all kinds of things.....at times you have to take all of the information with a grain of salt. Medications affect all of us in different ways.
I am lucky in that I froze a stash of EBM before starting these meds. I've got some phone calls to make and some serious decisions to make. Unfortunately my pain is so severe sometimes, I know it must be coloring my judgement somewhat. I'll keep y'all posted. Thanks again!
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Old 10-29-2003, 04:25 PM
 
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Another foot pain sufferer here. i had bursitis and spurs. So did my mom and sister.

I even had cortisone shots at one point, but they did not help my heel pain. They did make a crick in my knee feel beter for a couple weeks, but they made me nauseous.

I tried a lot of alt therapy.

Made sure to only wear high quality, well padded sneakers.

Acupuncture and moxibustion and magnets.

Several different remedies prescribed by a licensed homeopath.

Black cherry juice and tons of watermelon. (For calcium absorption)

Daily walks. (I only would have severe pain when I first put weight on the feet after sitting for a while).

Some of these things helped for a while but no final healing.

Until--

After a few yrs of this, one day both feet , ankles and one leg started to swell up. The pain traveled up my left leg. A bruise developed on left foot. I got scared. Had x-rays, ultrasounds, visit to osteopath. No help, no problem detected. Finally after doing even more research, I figured out what it was all about. I was sensitive to acidic foods, which were probably building up in the joints and causing the inflammation and spurs.

In my case, I exped 100% improvement when I quit tomatoes, citrus, potatoes, peppers, eggplant and zucchini, carrots, and asparagus.

The first few veggies are nightshades. They don't call it deadly nightshade for nuthin. Tobacco is also a nightshade. My mom used to smoke.

After about a yr of avoiding these foods I was able to introduce potatoes and carrots again. I can have a small portion of citrus or tomatoes about once a week. Zucchini and peppers cause me terrible gas but no pain.

Some people find improvement by quitting coffee. I didn't have to.

It is so much better to treat the cause of the problem rather than mask the symptoms with a drug. Esp as in my case, the ailment can escalate, then what do you do? have to use a painkiller for life? I would rather avoid the foods I am sensitive to, even tho I love them!

HTH! Too bad about the Depo Provera. Try Mothers Milk tea or fenugreek to improve milk supply. Your tiny baby needs your milk!
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Old 10-29-2003, 04:26 PM
 
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double post
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Old 10-29-2003, 05:26 PM
 
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Quote:
Originally posted by dallaschildren
I am conflicted as to if Bextra is safe...I know what you all have read and are doing, but it does not allay all of my fears that I am going to harm my son in some way.....studies show all kinds of things.....at times you have to take all of the information with a grain of salt. Medications affect all of us in different ways.
I am lucky in that I froze a stash of EBM before starting these meds. I've got some phone calls to make and some serious decisions to make. Unfortunately my pain is so severe sometimes, I know it must be coloring my judgement somewhat. I'll keep y'all posted. Thanks again!
I'm glad to hear your supply is back up! I hope your feet are feeling better, too.

I understand your concern about the effects of Bextra on your baby if passed through your breastmilk. I hope you will get your doctor to post to Hale's forum, and call the other hotline numbers I posted to get as much information as possible.

One thing to keep in mind is what Dr. Jack Newman says about the risks of a drug in breastmilk vs the risks of formula feeding. To paraphrase: the risks of *not* breastfeeding are huge, and are well-documented by literally thousands of scientific studies. See e.g.

http://www.kellymom.com/newman/risks...ula_08-02.html

http://www.kellymom.com/newman/drugs_and_bf_01-03.html

Quote:
Over the years, far too many women have been wrongly told they had to stop breastfeeding. The decision about continuing breastfeeding when the mother takes a drug, for example, is far more involved than whether the baby will get any in the milk. It also involves taking into consideration the risks of not breastfeeding, for the mother, the baby and the family, as well as society. And there are plenty of risks in not breastfeeding, so the question essentially boils down to: Does the addition of a small amount of medication to the mother's milk make breastfeeding more hazardous than formula feeding? The answer is almost never. Breastfeeding with a little drug in the milk is almost always safer. In other words, being careful means continuing breastfeeding, not stopping.
You have to do your own cost-benefit analysis, and I hope you will get as much info from people like Hale as possible. But don't forget the known risks of formula feeding when making your decision!

Good luck, mama. Please let us know what you find out.

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Old 10-29-2003, 07:06 PM
 
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you dont need to boil the water.

i never did and my boys didn't get sick until they were about two years old and off of formula, so it is ok.


***EDITED***I did use ready to feed for the first 3 months `or so
so, i guess id boil it too.....or buy bottled....for a baby that small....nursery water is good, as it has the floride in it.

i recommend disposable bottles though, easy to clean and less germs.


as for depo. you can nurse with depo. they said to me. the paperwork from depo also says is safe. not sure from personal experience, but just telling you what company said and dr
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Old 10-29-2003, 08:14 PM
 
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While some women do experience a drop in supply with Depo, many don't, unlike combination hormonal birth conrtol methods in which almost all women will notice a drop in supply. Usual methods to boost supply should help.
Other anti-inflammatory meds that are better studied in breastfeeding moms include ibuprofen and naproxen. There is no evidence that Bextra or similar meds work better, although some people do notice that one med works better than another, even if there is no scientific reason for it. It might be worth trying one of the older meds first to see if you get any relief. Often docs recommend weaning for a certain med, or even weaning to solve a medical problem, then the problem continues or the med doesn't work as well as hoped. It's reasonable to try whatever you can that's compatible with breastfeeding, first.
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Old 10-30-2003, 03:30 PM
 
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Hi! Just wanted to chyme in as a fellow formula feeder. My foster DD eats ProSobee, since that is the brand covered by WIC. Otherwise we would spend over $100 a month on formula! And I know without the state's help we wouldn't be able to afford it! But, I nurse my DS and I am tethered to him enough as it is, so I did elect to formula feed my foster DD. Although, she did get some EBM from me in the very beginning while her extra-sensitive digestive system was still maturing. I think she got some antibodies, at least. I really feel horrible mixing up that awful powder for her when DS is getting "the good stuff", but it's not completely disgusting. After all, Julianna is bigger than Zachary and she's 3 months younger! So, the formula must be doing something good to her little body...
We have never boiled our water, and we have a well. We mix up our bottles in advance: 3 scoops of powder, then fill the water to the very top of the bottle so she gets 8 oz. total volume, but the formula is a little dilluted. We use disposable bottle liners (I know, I know...), but we have been known to scrub them out and re-use them a time or two. It kind of defeats the purpose of using disposables, but I feel guilty throwing them away every time, so we usually use them twice. The RTF formula is a lot easier than the powdered, but you definitely get more for your money buying the stuff you mix yourself.
If you are definitely switching over to formula exclusively, I'd suggest joining all the "formula clubs" out there to get the coupons, checks, and free samples. That should help a little with the financial aspect.
I wish you luck with your foot ailment. I imagine it can be awful feeling drained and in pain while your babies need you. Please don't get down on yourself, you're right to think that they need a happy mama! Keep doing what you need to in order to get your foot healed. OTOH, don't give up on nursing if there is the cslightest possible chance that you can do it!!! Ah- nak, gotta go!

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Old 10-30-2003, 03:53 PM
 
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I'm gonna say ditto on the 'no need to boil'. We had to supplement DD for a week w/ formula because she was losing weight. I never actually prepared the bottles, DH got that duty because he's an old hand at it (younger sibs, girlfriends' kids, etc.), but he used Brita filtered water, made up a batch of enough formula to last 24 hours or so, and stuck it in the fridge (it's good in the fridge for 48 hrs). Then we just heated the bottle by sticking it in a cup with very hot tap water, the same as we do with EBM. We were using Enfamil soy formula, Prosobee is the one the ped recommended because it's not as sweet, but he was out of samples of it.

breastfeeding, babywearing, homeschooling Heathen parent to my little Wanderer, 7 1/2 , and baby Elf-stone, 3/11!

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Old 10-30-2003, 04:10 PM
 
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I just want to jump in and commend everyone for being so supportive and helpful of the original poster. I know that formula feeding can stir up a heated discussion at MDC and I'm glad to see everyone being so understanding and thoughtful.

You ladies ROCK!!!
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