Excellent, exactly what I was looking for. Thank you Catherine.

On Tue, Jul 31, 2018 at 10:38 AM Catherine Watson Genna BS, IBCLC <
[log in to unmask]> wrote:

> A larger flange decreases the pressures at the breast proportional to
> the increased area in the nipple tunnel. She may need to double pump
> until the breast using the smaller pump is comfortable, and then turn up
> the pump and single pump the breast requiring the larger flange. It's
> just physics.
>
> Sometimes using a Pumpin Pals flange can help find a better balance
> between nipple tunnel diameter and pressure, they have a larger variety
> of sizes.
>
> Catherine Watson Genna BS, IBCLC  NYC  www.cwgenna.com
>
> On 7/31/2018 8:56 AM, Theresa Moutafis wrote:
> > Yep, she is using different flanges - the problem is that she can't get
> the
> > suction to work with the flange size needed for the left breast. She
> > understands the difference in output, it's the fact that if she uses a
> > different flange, she either gets too much or too little suction in the
> > "lagging" breast, if that makes sense.
> >
> > On Tue, Jul 31, 2018 at 8:44 AM Patricia Young <[log in to unmask]>
> > wrote:
> >
> >>   Not unusual for breasts to be different sizes and have different
> >> outputs.  Use best flange for each breast.  They do not need to be
> matching
> >> flanges!  Pat in SNJ
> >>
> >>
> >>
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-- 
Theresa M. Moutafis, MA, RD, LDN, CDE, IBCLC
Nutrition and Wellness Consultant
Lactation Consultant
(315) 730-1858
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