I was told when I had my daughter with Salt-Wasting CAH that most of the CAH infants were formula fed. Formula has a higher salt content. I wanted to breastfeed Caroline as I did my first child. So, I did breastfed for just over three months. I did not have time to pump and bottle feed and since she has salt-wasting CAH she had to have 3/8 teaspoon of salt in her diet each day. I would bottle feed three times a day and any other feedings were breastfeedings. They say nipple confusion does not existing but I believe that it does. Caroline had a difficult beginning since the doctors delayed starting her on Cortef and then again on Florinef so we had one near crisis and one crisis in the first few weeks after birth. She had other complications in the hospital needing an NG (tube into stomach) tube and the need to know fluid intake and output, etc. necessitated formula feeding. I quit breastfeeding because I became ill and my breastmilk virtually dried up. I tried to relatate but again lacking the time to take the necessary life altering steps to do so. Feeling like a failure I switched to formula. Now, I do not regret switching to 100% formula; feeding her was instant much easier for all involved. She has not been sick except for CAH complications. What I have learned so far in my six months with this disease is there are a variety of different forms with widely varied dependence on medicine. Denny, I sounds like you are doing a great job; I agree that if possible not to medicate needlessly. Take Care.