In many cases, a baby can benefit from some supplementation. Though with adults I always recommend consulting with a natural health care practitioner before beginning a supplement regime, I stress this even more with babies. **Do not give your baby supplements without first consulting with your natural health care practitioner who has experience in infant nutrition.
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Hypophosphatemic hypercalcemia is rare and may occur more frequently in preterm compared to infants at term [8], especially if IUGR/SGA [3, 11, 12], due to a complex combination of factors peculiar to this category of patients. During the third trimester of pregnancy babies exhibit the fastest bone mineralization with great requirements of Ca and PO4 and thus preterm infants have depleted stores of these electrolytes [13]. Moreover, hypophosphatemia in ELBW may be worsen by a sort of re-feeding syndrome [13], also known as Placental Incompletely Restored Feeding syndrome, occurring after introduction of early high-energy PN in babies experiencing intrauterine nutritional deprivation and characterized by intracellular redistribution and increased reprocessing of electrolytes stimulated by insulin [2, 3, 14, 15]. Finally, hypophosphatemia in neonates can be exacerbated by renal losses, sepsis [4] and use of breast milk (which contains relatively large content of Ca compared to PO4) [16]. Although as mentioned above sepsis may also cause hypercalcemia, likely via production of 1,25(OH)2D by extrarenal macrophages [17] or interleukine-induced bone resorption [18], our case suggests poor relevance of this mechanism, as Ca concentrations continued to rise despite the resolution of early-onset sepsis. 2ff7e9595c
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