I don't think we'll know if the diet is working for several weeks, but right now we're most concerned about how he'll tolerate the high proportion of fat in his diet. Physiologically, fat slows digestion and River already has impaired motility for which he takes several *magic* medications. It's been our biggest battle so we're very cautious about how he will tolerate this diet. Fortunately we've been working hard at packing on the pounds (River, not us) so if he loses a few pounds in the process it won't be such a big deal. We, the mommas, wouldn't mind losing a few pounds as well!
Here's a couple pictures of their first day at the hospital.
settling in...

morning nap, looking handsome as ever...

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