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This
child was not getting enough maternal breast milk.
He received some supplemental formula while
attempting to increase the mother's breast milk supply.
By three months of age he was weaned to
formula and had improvement in his growth curve.
When a breast-fed infant falls off the growth curve
in the first 2 months of life
one should suspect that the child is
not getting enough calories and
needs further evaluation.
This should include evaluation for medical
problems in the child and evaluation of breast milk supply.
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