Breastmilk in fridge

Rule of 4s is what I've always been told. 4 hours at room temp. 4 days in the fridge. Or 4 months in the freezer. However. I think this is very strict for high risk little ones like very young or sick or immune issues etc. So if its been 5 hours, I'll give it to my 1 year old, but I dont push the limits too much just to be on the safe side.

Those are the guidelines from LaLecheLeague. Here's the link.

https://llli.org/breastfeeding-info/storingmilk/

so if it’s been refrigerated it can be taken out and left out at room temp for 4 hours?

So. Again conservative timeline, I think this is what they refer to as "left over from a feeding". And that would be 2 hours. But I think this is saying that you heated the milk up rather than leaving it out and letting it come to room temperature.

https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm

I would personally use it up to 4 hours, I've done it before and my daughter has never gotten sick. But I like to provide the actual guidelines to you rather than just saying what I do. Yano? If your baby is healthy and no longer a newborn. I wouldn't stress it too much at the 4 hour mark