In a message dated 5/10/0 2:38:16 AM, [log in to unmask] writes: << Hi Jennifer, I may be missing/ repeating something here as I missed your initial post(s) on this. If we were to view this from the perspective of our recent journal club (JHL) article on systemic antibiotic treatment for sore nipples, then we would obviously be treating this Mom with systemic antibiotics. Has this been tried? If not I would definitely try them at this point along with APNO. As a nutritional aside I would consider this Mom's protein status. >> Lynn, Thank you for your response. Mom has only recently recovered from systemic yeast (stool sample shows no candida at all anymore), but she does not want to risk it again (for her or her son, who had quite serious thrush at one point). She has been to a very good nutritionist--diet is quite good. Under these circumstances, would you make a different recommendation? Jennifer Tow, IBCLC, CT, USA *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html