First of all I'd like to say that although I don't write a lot I enjoy very much the discutions that are held here and now I felt that I should add my 2 cents on Kim's questions. Question 2. A pregnant woman with silicone breast implants asks if it's OK to breast feed her baby. I remember reading something about scleroderma type esophageal problems in these breast fed infants. Would you recommend breast feeding? I live in a tropical country where women are always looking for a way to get more beautiful and so. We have a lot of breast implants here even in single and childless women and even so we have a good experience in breastfeeding in these individuals. Nowadays the implants are done outside the breast tissue and became quite safe for breastfeeding. So my answer is that we can encourage a woman with breast implants to breastfeed. And we all know the benefits of breastfeeding versus formula..... Question 3. The mom of a 4 week old who presented with a severe cow/soy formula intolerance characterized by bloody stools and vomiting says that her baby refuses the hypoallergenic formulas but will take goats milk. It is canned with added folic acid. She refuses to retry or even wean back to the hypoallergenic formulas. What do you think? This is a difficult question because a 4 week old baby should definately be brestfeed! Its his right not his mom choice. But if for any reason at all he can't be breastfed and is having all this (expectable trouble with cow/soy milk) we can use goats milk in a dilution 1/2. Here in Rio de Janeiro we consider to have a premature weaning around 2 1/2 to 3 months and if the child refuses or has allergenic problems with cow or soy milk we use goat milk with very good acceptation. Regina Ungerer MD/MsC