This is a good question. Your twin does appear to have significant symptoms of reflux including hoarseness and a cough from breathing in micro amounts of her feed. It is difficult to advise you as to the best fromula for her but you could try Novalac AR.This formula only thickens when in the stomach and should be easir for her to drink.Both of your bbaies will definitely need developmental assessments as they were significantly premature with low birth weights. They appear to be dong well at present and there is no hurry for them to be assessed, possibly when they reach the age of a significant milestone such as sitting unaided. This usually occurs at around 6 months in full term infants.
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