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Hi Ciara – if I have been regularly seeing a pregnant patient – I’ll prepare a custom formula for them to have on hand before the baby is born for the initial formula. Then, I’ll modify if needed after – I have found that faster and helps with timing. If it’s someone I don’t know well, I’ll have them come in or do a telehealth consult. I have found that core formula to do what is needed most of the time. I have patients begin it about 3 days after giving birth (or as soon as they are home from the hospital).