Touche.  Actual-in-fact insufficient glandular tissue (IGT) is a "subset"
of true insufficient milk supply.  My thoughts about how to talk to
families about potential "IGT" problems assumed we were in the immediate
post-partum period, and the significant marker at play was breasts with
apparent (as in: apparent to the IBCLC's eyeballs) hypoplasia.  So much is
as-yet unknown in those first few days, and so much can contribute to BFg
that is suboptimal.

I full-on appreciate that not all hypoplasia-looking-breasts are IGT ...
and not all all IGT involves  hypoplasia.  Of course, an honest-to-goodness
"diagnosis" of IGT is beyond the scope of practice of an IBCLC...and the
diagnosis is not all that easy in the making by a skilled clinician who
does diagnose.

I am now gonna duck behind my shield: Diana Cassar-Uhl's excellent
reference "Finding Sufficiency," which I was remiss in not earlier
mentioning, in case I've again chosen my words poorly.

--
Liz Brooks, JD, IBCLC, FILCA

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