I am assisting a 36 yo primip who had breast reduction surgery 8 years ago.
She is producing milk, but each breast has several small lumpy areas behind
the areolae.  The breast is generally soft.  She is able to express 1 to 1/2
ounces when pumping.

Her baby is 12 days old and not gaining well.  She nurses every 2 hours, and
feedings last 30-40 minutes.  She has no nipple soreness and the baby's latch
is ok.  The baby often seems unsatisfied after the feed.  Mother understands
the need to supplement but wants to do everything possible to maximize her
milk supply and minimize ABM feeds.

What would the consequences be of 'traditional' techniques to increase milk
production?  If she pumps more frequently, would that lead to more lumps and
discomfort?   Would fenugreek be worth trying?  Thanks.