Hi Tricia, I have been out of town for my daughter's wedding! When things are going along w/o problems, I don't recommend anything specific. But I have recommended that advice for a baby gaining poorly and shouldn't need a formula supplement but just needs more breast time. --discontinue pacifier --wake baby up if he sleeps long stretches --do "switch" nursing if baby is "fizzling out" at the 1st breast and sleeps the last 10 minutes --try to burp and arouse and offer 2nd breast So I recommend this only in the context of needing to help baby's weight gain and/or mom's supply, which often go hand in hand. I also have seen many mothers who offer the first breast and then if baby cues more, they offer the bottle. So they don't know it's better to offer the second breast and go back to the 1st and 2nd again if needed (and educating mom effective vs ineffective intake signs). Laurie Wheeler RN MN IBCLC with a new son-in-law! *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome