Ok so my LO is 4 months and is slightly underweight according to where the doctors want to see him. Not enough to cause them any real concern and he is otherwise healthy and well fed, EBF from me. He's got a bit of the baby chub on his arms and legs, but he's not a fat baby. And he goes thru the normal 6-8 or more wet/poop diapers a day. (Side note, neither his father nor I are large people, nor were we large babies).
The doctor advised me to 'fortify' my pumped breastmilk with a scoop of powdered formula, (kind of like adding a scoop of protein powder to a smoothie) to try to get his weight up.
Well, I looked up to see how to do this and everything I have found says explicitly NOT to do this. You can't shake breastmilk, and adding powdered formula to it changes the composition of the BM as well as being very hard on an infant's immature kidneys b/c of the high concentration. Even making up a batch of formula into liquid form and then adding it to BM was not advised. I talked to an LC and she said basically try to feed him more and do breast compressions/massage to try to get more of the hind-milk into him during a feeding.
Anyway, I've decided not to mix my BM with formula, and if I truly need to supplement, then the LC said to offer 1/2oz to 1oz of formula AFTER a full feeding. I'm going to do what the LC advised first and see where he is after 2 weeks. He goes back to the pediatrician in a month for a weight check.
Anyone else go thru something similar and get strange advice from their pediatrician? Or, has anyone found a way to get to more hind-milk into their baby so LO gets more of the fatty good stuff during a feeding?