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The purpose of this investigation is to determine whether early fortification of human milk feeds improve growth outcomes for very low birth weight infants (VLBW) (birth weight 1000-1500 grams). We hypothesize that introducing higher caloric feeds at the onset of enteral feeds will improve early growth metrics in VLBW infants as compared to infants who begin human milk fortification after the first week of life, which represents our present standard of care. The primary outcome for this study is growth velocity (g/kg/day) at 28 days of life.