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newlywedT
LIF Adolescent
Member since 9/11 793 total posts
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Adding Powder Formula to Breast Milk/Food/Formula
DS has been dropping on the weight percentile every month. In May at his 5 month checkup he was 60 percentile, last week he is at 9th percentile.
One of the many doctors we saw suggested putting a scoop of powder formula when we feed him.
What are your thoughts about:
Adding powder formula to breast milk
Adding powder formula to baby food
Adding powder formula to ready to drink formula
I was fine with it (I was even adding 2 scoops) - but my wife did some reading on the internet and said its dangerous.
She said that a lot of people say NOT to put the powder directly in breast milk.
She also said that too much powder is tough on DS' kidneys.
So we are stopping this practice now.
Opinions on adding a scoop or two of powder to baby food/ready to drink formula/breast milk
Thank you
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Posted 12/20/16 12:12 PM  |
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AngnShaun
Sisters
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Ang
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Adding Powder Formula to Breast Milk/Food/Formula
How old is he now? How many solids is he eating? i would up the solids before adding more formula.
What did the other doctors say?
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| Posted 12/20/16 12:29 PM |
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VickiC
Rocking the party
Member since 5/05 4937 total posts
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Vicki
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Adding Powder Formula to Breast Milk/Food/Formula
you should NEVER add formula to breastmilk. Formula should only be added to water unless you have ready to feed formula. Give your son the breast milk and then a bottle of formula to supplement - 2 separate bottles.
Solids are not really there for nutrition, it's to practice eating and he won't really "gain" anything by upping the solids. The breastmilk and formula are where the calories count.
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| Posted 12/20/16 12:35 PM |
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MrsT809
LIF Adult
Member since 9/09 12167 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
No way to a scoop of formula! Dd was a preemie and iugr and we did have to fortify breastmilk in the first few weeks. There are specific directions on how much of specific formulas to add to get the milk to a certain number of calories. We used a 22 calorie formula and we're told to add a half teaspoon for every 3 ounces of formula if I remember correctly. It was a very small amount to bring the calories from the typical 20 to 22 per ounce. Most I've seen is 26 calorie.
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| Posted 12/20/16 12:52 PM |
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Summergrl14
LIF Adolescent
Member since 4/16 625 total posts
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Posted by VickiC
you should NEVER add formula to breastmilk. Formula should only be added to water unless you have ready to feed formula. Give your son the breast milk and then a bottle of formula to supplement - 2 separate bottles.
Solids are not really there for nutrition, it's to practice eating and he won't really "gain" anything by upping the solids. The breastmilk and formula are where the calories count.
You can absolutely mix formula and breastmilk. The only reason why it's not "recommended" is if the baby doesn't finish the bottle then you have to dump it because of the formula, therefore wasting "precious" breastmilk, but it's frequently done when transitioning from breastmilk to formula.
We frequently mixed formula with breastmilk when I didnt' have enough breastmilk to give to daycare.
To the OP, that is a drastic change in percentages and you have posted about this before. Perhaps it's time to see a new ped or see a pediatric gastro.
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| Posted 12/20/16 1:50 PM |
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MrsT809
LIF Adult
Member since 9/09 12167 total posts
Name:
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Posted by Summergrl14
Posted by VickiC
you should NEVER add formula to breastmilk. Formula should only be added to water unless you have ready to feed formula. Give your son the breast milk and then a bottle of formula to supplement - 2 separate bottles.
Solids are not really there for nutrition, it's to practice eating and he won't really "gain" anything by upping the solids. The breastmilk and formula are where the calories count.
You can absolutely mix formula and breastmilk. The only reason why it's not "recommended" is if the baby doesn't finish the bottle then you have to dump it because of the formula, therefore wasting "precious" breastmilk, but it's frequently done when transitioning from breastmilk to formula.
We frequently mixed formula with breastmilk when I didnt' have enough breastmilk to give to daycare.
To the OP, that is a drastic change in percentages and you have posted about this before. Perhaps it's time to see a new ped or see a pediatric gastro.
But the op seems to be talking about adding the powder to straight breastmilk without any water. Totally different and should only be done with strict directions under doctors orders imo. Being told to just "add a scoop or two" would have me looking for a new doctor.
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| Posted 12/20/16 2:18 PM |
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newlywedT
LIF Adolescent
Member since 9/11 793 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
All in all we've seen:
3 different pediatricians
2 different GI doctors
2 feeding specialist
early intervention feeding specialist
The end result is:
Yes he is low in terms of weight. He is trending downwards.
You cannot force a baby to eat
Looks healthy - so don't stress about it. Try to increase the calories he takes in (which lead me to adding the powder to all his food and so on)
That's the basic message from all the doctors.
Message edited 12/20/2016 2:55:24 PM.
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| Posted 12/20/16 2:50 PM |
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newlywedT
LIF Adolescent
Member since 9/11 793 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
What exactly is the harm in adding the powder to:
baby food
ready to drink formula
breast milk
ignoring the "formula shorter shelf life is used" thing.
========================
VickiC,
Part of the problem - He refuses the bottle (tried 4 different bottles/sippy cups/etc).
So we feed him formula and breast milk via spoon. but he stops after about 4 oz.
So its pretty impossible to do 2 different bottles, so thats why I added the powder to the breast milk, to get him the most calories in the smallest amount of liquid.
MrsT809,
Why is it bad to add the powder to the breast milk? (and also to ready to drink formula).
Is it because it raises the calories too much?
Whats wrong with having higher amounts of calories?
If the person is underweight isn't that a good thing?
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| Posted 12/20/16 2:55 PM |
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MrsT809
LIF Adult
Member since 9/09 12167 total posts
Name:
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Posted by newlywedT
What exactly is the harm in adding the powder to:
baby food
ready to drink formula
breast milk
ignoring the "formula shorter shelf life is used" thing.
========================
VickiC,
Part of the problem - He refuses the bottle (tried 4 different bottles/sippy cups/etc).
So we feed him formula and breast milk via spoon. but he stops after about 4 oz.
So its pretty impossible to do 2 different bottles, so thats why I added the powder to the breast milk, to get him the most calories in the smallest amount of liquid.
MrsT809,
Why is it bad to add the powder to the breast milk? (and also to ready to drink formula).
Is it because it raises the calories too much?
Whats wrong with having higher amounts of calories?
If the person is underweight isn't that a good thing?
I've read different info about it creating kidney problems, nervous system issues, higher rates of infection in preemies vs straight breastmilk. I'm not saying it's necessarily bad but my biggest concern was it didn't sound as if you were given proper instructions on how to do it. Obviously being that I fed my own preemie this way, I see the benefits but it was for a very short period so I wasn't too concerned. We weaned down from half her feedings to none being fortified over the course of a month.
I'm very sorry that you're dealing with this, it must be very concerning. It also must be frustrating and confusing to hear different ideas from so many different doctors. How old is he now? Is he meeting his milestones appropriately? Hopefully add he grows this is something he will quickly outgrow. 
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| Posted 12/20/16 3:32 PM |
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gina409
TWINS!
Member since 12/09 27635 total posts
Name:
g
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Instead of adding why not just supplement with one feeding and see how it goes
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| Posted 12/21/16 1:20 AM |
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hidingin1516
LIF Adult
Member since 9/15 1009 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
What about getting a special high calorie formula prescription from the doctors
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| Posted 12/21/16 8:18 AM |
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NervousNell
Just another chapter in life..
Member since 11/09 54921 total posts
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..being a mommy and being a wife!
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Re: Adding Powder Formula to Breast Milk/Food/Formula
How old is your son?
I would assume he is over 1 year old if he had a 5 mont visit in May right?
So he's eating solids?
I have heard of kids who were having weight gain issues being directed by the doctor to add olive oil to their food, avocado, coconut oil- all the healthy, high calorie fats.
They make toddler formulas that are high in calories for kids who aren't gaining enough on their own, etc
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| Posted 12/21/16 10:03 AM |
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newlywedT
LIF Adolescent
Member since 9/11 793 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
hidingin1516
>What about getting a special high calorie formula prescription from the doctors
I was unaware that there were such things...
I did ask about those shakes that I see advertised for young kids, and the doctor said that its pretty much the same as formula.
NervousNell
>I would assume he is over 1 year old if he had a 5 mont visit in May right?
He is 11 months now. Will be 1 year next month.
We are giving him vegetables (carrots, yams, avocado, etc) that we blend up or baby food if we don't have time to make the puree.
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| Posted 12/21/16 3:46 PM |
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NervousNell
Just another chapter in life..
Member since 11/09 54921 total posts
Name:
..being a mommy and being a wife!
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Posted by newlywedT
hidingin1516
>What about getting a special high calorie formula prescription from the doctors
I was unaware that there were such things...
I did ask about those shakes that I see advertised for young kids, and the doctor said that its pretty much the same as formula.
NervousNell
>I would assume he is over 1 year old if he had a 5 mont visit in May right?
He is 11 months now. Will be 1 year next month.
We are giving him vegetables (carrots, yams, avocado, etc) that we blend up or baby food if we don't have time to make the puree.
Does he have an appetite and is just not gaining or is he a picky eater/refuses to eat?
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| Posted 12/21/16 4:03 PM |
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PitterPatter11
Baby Boy is Here!
Member since 5/11 7632 total posts
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Momma <3
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Adding Powder Formula to Breast Milk/Food/Formula
Will he eat table foods? By 11 months, my DS was not into purees at all. He'd turn his nose up at them.
If he'll eat solids, I would try to make sure they're calorie dense. As a PP said, use butter and oil. Try to add peanut butter and avocado. My DS really enjoyed yogurt, cheese, beans, olives, and buttered pasta at that age.
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| Posted 12/21/16 4:14 PM |
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queensgal
Smile
Member since 4/09 3287 total posts
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Some things we were told by doctors:
Do not give puffs or baby snacks. They are low calorie and they fill up on them too much.
Butter/oil everything.
Ensure carb at every meal. Butter the rice, etc
Add high calorie foods like sausage to breakfast, avocado, cheese, etc
Limit water so baby drinks higher calorie milk/formula
If baby does better at one meal typically, load that one up. Nothing wrong with dinner food at breakfast if that's when you can get the most calories in.
If the baby is eating and not gaining, it could be an issue with absorption like celiac or something. I'm assuming the docs checked for this.
One note is that people will eventually move into the size they are supposed to be. My son was born 93rd percentile but he was a giant baby. He's no where near that now. This drop does sound drastic but try to remember kids grow at their own rate.
Different issue but my neice is tiny. Always has been and hitting all milestones. good luck
Edited - is he teething? My guy is a slow and painful tether and he lost weight during some. Months
Message edited 12/21/2016 10:54:41 PM.
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| Posted 12/21/16 10:52 PM |
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newlywedT
LIF Adolescent
Member since 9/11 793 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
NervousNell
>>Does he have an appetite and is just not gaining or is he a picky eater/refuses to eat?
The main issue is he has been refusing a bottle since May.
We've tried 4 different bottles, sippy cups, and other type of cups...he refuses all of them.
He has been willing to eat baby food though, but not bottles or cups.
So during the day he takes in no liquids and he nurses at night - but my wife is running out of milk. she no longer pumps at all and still runs out of milk halfway into the night.
BUT - last week we tried putting 2 scoops of formula (instead of 1) in the baby food and so on, then that night he threw up a lot. Since then he has not eaten much. Im thinking his stomach is still recovering.
PitterPatter11
>>If he'll eat solids, I would try to make sure they're calorie dense. As a PP said, use butter and oil. Try to add peanut butter and avocado. My DS really enjoyed yogurt, cheese, beans, olives, and buttered pasta at that age.
>>
We've been a bit slow with solids, I've been worried he would choke.
We will look into it.
queensgal
>> is he teething?
Thanks for all the info you posted.
He has 2 bottom teeth and two top ones, I dont see any others.
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| Posted 12/27/16 10:29 PM |
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PitterPatter11
Baby Boy is Here!
Member since 5/11 7632 total posts
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Momma <3
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Adding Powder Formula to Breast Milk/Food/Formula
At 11 months, he should be ok with solids even if he doesnt have any teeth. Just make sure you cut it up small. I know people say before 1 is just for fun, but my DS ate a lot of solids before one, especially by the time he was 11 months.
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| Posted 12/28/16 7:52 AM |
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MrsT809
LIF Adult
Member since 9/09 12167 total posts
Name:
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Posted by PitterPatter11
At 11 months, he should be ok with solids even if he doesnt have any teeth. Just make sure you cut it up small. I know people say before 1 is just for fun, but my DS ate a lot of solids before one, especially by the time he was 11 months.
Agreed. Have you given yogurt? Give whole milk yogurt to get plenty of calcium,protein, and fat into him. At 11 months I would be giving a big variety of nutrient dense foods. He may not eat big quantities but that's okay. Give a variety of textures and tastes and see what he likes. Meats, beans, eggs, fruits, veggies, cheese, and grains which ate often a favorite for young one. By that age we were given the okay for anything but honey and full cups of milk.
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| Posted 12/28/16 8:02 AM |
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soontobemommyof2
My boys...my everything <3
Member since 4/15 3635 total posts
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Posted by MrsT809
Posted by PitterPatter11
At 11 months, he should be ok with solids even if he doesnt have any teeth. Just make sure you cut it up small. I know people say before 1 is just for fun, but my DS ate a lot of solids before one, especially by the time he was 11 months.
Agreed. Have you given yogurt? Give whole milk yogurt to get plenty of calcium,protein, and fat into him. At 11 months I would be giving a big variety of nutrient dense foods. He may not eat big quantities but that's okay. Give a variety of textures and tastes and see what he likes. Meats, beans, eggs, fruits, veggies, cheese, and grains which ate often a favorite for young one. By that age we were given the okay for anything but honey and full cups of milk.
My DSs were the same way but I think it's because by that age, they're already starting to make the transition from bm/formula to solids, (the ration of solids slowly starts increasing and the ratio of bm/formula decreasing). Babies slowly start preferring solids over bm/formula -on their own.
I agree with the above suggestions for solids, def whole milk yogurt, they have great organic whole milk yogurts that have 6-8 grams of fat in each serving. Cheese is a great way for fat intake, luckily DS 1 loved cheese so I was able to give him a whole bunch of varieties, from asiago to manchego! Don't use nothing low fat, or non fat, and use fatty food like avocados, coconut oil, etc in different ways, in smoothies, muffins, spreads, etc.
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| Posted 12/28/16 1:59 PM |
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newlywedT
LIF Adolescent
Member since 9/11 793 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
MrsT809
>>Have you given yogurt?
No. I thought milk/dairy before age 1 is a no no.
>>big variety of nutrient dense foods
What are some nutrient dense foods that you like?
Thats what started this whole thread...formula is nutrient dense, so why not add some powder to it to make it even more nutrient dense...
=/
soontobemommyof2
Thanks for your post.
Message edited 12/29/2016 1:24:41 AM.
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| Posted 12/29/16 1:24 AM |
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olive98
LIF Adolescent
Member since 11/12 791 total posts
Name:
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Posted by newlywedT
MrsT809
>>Have you given yogurt?
No. I thought milk/dairy before age 1 is a no no.
>>big variety of nutrient dense foods
What are some nutrient dense foods that you like?
Thats what started this whole thread...formula is nutrient dense, so why not add some powder to it to make it even more nutrient dense...
=/
soontobemommyof2
Thanks for your post.
Please find a new pediatrician. We have been giving yogurt everyday since 6 months old. Cheese since 8 months. My ped basically said all food except honey after 9 months old. Adding formula without adding additional water is not a good idea. Can cause major stomach issues. At 11 months old your child should be getting ready to be off of formula. Eating 3 meals a day and 2 snacks. Add whole milk yogurt like yobaby and a serving of mashed avacado every day. Dairy is great unless they have an intolerance, so start slow.
Other then the fact that your baby has lost weight. How is everything else? How is is mood? Does he play? Is he reaching milestones?
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| Posted 12/29/16 7:04 AM |
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MrsT809
LIF Adult
Member since 9/09 12167 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
You posted above that adding the formula made him sick when you gave too much. I would take that as a sign that it's not a good idea. What if it's bothering his belly and making him eat less?
I would focus on solids at this age. Like pp, we were told anything but honey or a cup of milk by 9 months. Yogurt, eggs, meat, dark greens, beans, fruit, avocado, fortified cereals, whole milk cheese are all good. Aim for 3 meals and 2 snacks. If he doesn't drink milk or formula that's okay, just make sure he's getting calcium from food sources.
Message edited 12/29/2016 10:41:21 AM.
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| Posted 12/29/16 8:14 AM |
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M514
Hi
Member since 8/10 6011 total posts
Name:
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Adding Powder Formula to Breast Milk/Food/Formula
Please give your child food. At 11 months with 4 teeth, he should be able to eat. Stop trying to focus just on breastmilk and formula. At 11 months, my DD was on full table food and only taking one bottle of formula a day and water the rest of the day from a straw cup. Give him yogurt, cheese, pancakes, mashed potatoes, meats, fruit, veggies... anything!
Message edited 12/29/2016 10:40:09 AM.
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| Posted 12/29/16 10:37 AM |
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Momma2015
Mommax2
Member since 12/12 6656 total posts
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Re: Adding Powder Formula to Breast Milk/Food/Formula
Posted by newlywedT
MrsT809
>>Have you given yogurt?
No. I thought milk/dairy before age 1 is a no no.
>>big variety of nutrient dense foods
What are some nutrient dense foods that you like?
Thats what started this whole thread...formula is nutrient dense, so why not add some powder to it to make it even more nutrient dense...
=/
soontobemommyof2
Thanks for your post.
No milk before 1 but yogurt is okay because of the way it is cultured. And 11 months is generally when most people start transitioning to whole milk. It's just that it's harder for baby to digest and it shouldn't be replacing BM/formula at a young age. Those are the only reasons they say wait until 1.
ETA: That's why most start at 11 months and increase the amount of cow's milk gradually to make it easier on baby's tummy.
Message edited 12/29/2016 10:45:45 AM.
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| Posted 12/29/16 10:44 AM |
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