Hi, Sonya. I have found, MANY times, that mothers who suffer from delayed L II (milk slow to come in) often have undersupply in the first 4 - 6 weeks. Many of those mothers then seem to 'switch gears' and between 4 - 12 weeks will often suffer from oversupply. I am not expert enough to explain what is happening physiologically... but... It can very confusing for us LC's, never mind other health care professionals who do not understand lactation, to uncover the truth of what is plagueing our clients, especially when the symptoms appear similar. Couple that with the fact that once a woman suffers from low milk production, it is extremely difficult for her to accept that she may well have TOO much milk a few weeks later. When I think I might be dealing with one of these very complex situations, I find myself doing a lot of math! I look carefully at baby's weight gain pattern, mom's reported history of milk production (they often are still pumping), and any amounts that baby may be ingesting via supplement. Often times, I find that baby is ingesting Way. Too. Much. And, you can bet that these parents complain of baby being fussy or gassy or colicky, or 'always wanting to breastfeed'. In my mind, though some here may disagree with me, true low supply should only be considered if baby is not growing satisfactorily with feeding at the breast alone, if feeding at breast is being managed appropriately (i.e. every three hours at minimum). The question is, how can we know for sure when we have a mom who is breastfeeding, pumping, offering EBM, and perhaps also offering formula supplemetation? In situations like this, I suggest weaning mom off of pumping and supplementation while watching baby's weight gain pattern AND baby's behaviour accordingly. This can, and should, take a number of weeks. It's important that the PATTERN of weight gain/maintain/loss be looked at closely, and that isolated weights are not used to determine growth or milk production. If all goes well, and mom is on galactagogues, she can be weaned off those slowly as well. Not sure if I answered your questions or not, but I hope I have a helped a little! Karyn-grace Clarke, IBCLC, RLC Registered Lactation Consultant HAPPY TRIBE CONSULTING <http://www.happytribe.ca/> www.happytribe.ca Nanaimo, BC, 250-739-3146 *********************************************** 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