The present study was undertaken to study different methodological aspects of quantifying CO 2 production and milk intake of suckling piglets using the doubly labelled water (DLW) technique. In total, 37 piglets were enriched intraperitoneally with DLW to study equilibration time of 18 O (n 5 3), to validate the estimation of milk intake and CO 2 production (n 5 10) of piglets fed milk replacer and to quantify milk intake and CO 2 production of piglets nursed ordinarily by sows (n 5 24). Enrichment of 18 O in expired air was analysed without any sample preparation, whereas enrichment of 18 O in serum was analysed after a minimum step of sample preparation, which included pipetting of the sample, blowing gaseous CO 2 into the vial for 3 s and equilibrating for 24 h. The 18 O enrichment of CO 2 in expired air was constant within 30-40 min of intraperitoneal injection, suggesting that DLW was equilibrated within the body water by that time. For piglets fed milk replacer, the estimation of the daily CO 2 production by the DLW method (64.0 6 2.7 l CO 2 /day) was in agreement with that obtained by respiration trials (64.7 6 1.8 l CO 2 /day). Furthermore, the intake of milk replacer (891 6 63 g/day) determined by deuterium oxide (D 2 O) dilution was similar in magnitude to that found by weighing the milk disappearance (910 6 58 g/day). The milk intake of piglets fed milk replacer was comparable with that of sucking piglets, but sucking piglets had a remarkably higher CO 2 production than artificially reared piglets, which likely was caused by a higher intake of milk solids and a higher activity level. For sucking piglets, the daily CO 2 production increased curvilinearly with increasing live weight (LW) in kg: piglet CO 2 production (l/day) 5 25.75 3 LW 2 1.01 3 LW 2 . In conclusion, 18 O equilibrates fast within the body water pool when administered intraperitoneally, and the accuracy of assessing milk intake and rate of CO 2 production using the DLW technique is promising. Assessment of excess enrichment of 18 O in serum proved to be robust. Finally, the CO 2 production of piglets fed milk replacer differs considerably from that of sucking piglets.