Martin D. Fried, MD, talks about infant formulas for premature babies.
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Male Speaker: There are few premature formulas now, of course the ultimate will be breast feeding because something about breast feeding. The breast milk and a mother who produces a premature actually is enriched over regular because mother nature knew they had to have an enrichment. But if we couldn't go that route what makes those formulas special over the regular formulas? Martin D. Fried: A lot of the premature formulas are higher in calories. They are --instead of being 20 calories an ounce they are 22 or 24 calories an ounce. Some of them also have the fat, is that more absorbable fat a medium-chained triglyceride, it's the higher and medium-chain triglycerides so that they get absorbed more easily than these standard formulas, which has more longer chain fat. Male Speaker: Is there any guideline on how long you will use a premature formula, would be for a month, two months, a certain weight gain or certain size, what will be the guideline, how long you would use it? To what weight would you want it, say it was a 3 pound premature, when would you say you can switch into a regular formula? Martin D. Fried: I would say, I would say one year of age. Male Speaker: So you would actually try to keep it longer Martin D. Fried: Yes. Male Speaker: And a lot of people don't want to get to pay for it, these things are not cheap? Martin D. Fried: But you have the advantage of higher calories. Male Speaker: So it's a decision you make in weight gain or the kid is thriving, that the kid is really thriving well you might change your mind, you might return to a standard formula at certain point. But you are looking at the weight gain and whether the kid is catching up or not catching up.