I wanted to share a case with you, though I was only the scale  provider.  
Mom worked with a fabulous pediatrician who was open to helping  to find a 
solution and giving time for it to work.  Mom had done her own  research, found her 
own answers, and just needed to borrow a scale to be sure it  was not volume 
related.  Below is her story in her own words.  She  wanted to share it with 
Lactnet because Lactnet is where she searched for  answers.  She wanted to have 
it in the archives for someone else in the  future.
 
The Mom's Story:
I had a full open Gastric Bypass in November of 1997 and have had no  
complications.  Prior to becoming pregnant, I did not take supplements and  luckily 
for me, my numbers were ok.  During my pregnancy, I had about 3-4  months where 
I was severly anemic and was treated with iron infusions.   After receiving 
several treatments, my levels returned to normal and the rest of  my pregnancy 
was uneventful.  My baby's weight gaining history has been  slow right from 
the start and was getting even slower.  At birth she  weighed 6lbs 8ozs, two 
weeks 7lbs 1oz, 2 months 8lbs 3ozs and 4 months  9lbs.  Her growth lengthwise was 
never an issue as well as her head  circumference, both were normal.  I found 
some info on Lactnet #151413 and  began a regiment of daily multi vitamins 
for the baby (Poly Vi Sol 1mL) and  2,500 units of SUBLINGUAL B-12, a Rx iron 
supplement and my Rx prenatal vitamin  (both of which I took during my 
pregnancy).  Currently, my  baby is gaining appropriately and I have seen a physical 
change in my  milk's consistency when I pump.  It has changed from looking like 
extremely  watered down skim milk with a small layer of seperation on the top 
to looking  like skim milk on the very bottom, whole milk in the middle and a 
layer of  seperation at the top.
 
End of story.
 
Her baby is doing great.  Saw the pediatrician and all is fine and mom  
reports she is also feeling much better herself.
 
Take care,
Pam MazzellaDiBosco, IBCLC, RLC
Florida, USA

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