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In the modern era of human milk–based feeding, is the greater risk to extremely preterm infants feeding too early or feeding too little?
This commentary examines emerging evidence challenging long-standing assumptions about early enteral feeding and necrotizing enterocolitis (NEC) in preterm infants. While earlier observational data led to conservative feeding practices, recent randomized trials and large registry analyses suggest that earlier, more advanced human milk-based feeding improves growth without increasing NEC risk.
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