I saw a 30 year old P1L1 on Sept. 1.  Atypical let down from what i've ever 
seen.  There is and was no engorgement, nor fullness between feeds yet the 
let down is so forceful that baby is in acute distress at every feed.  Hungry all 
the time-can't fill her up.  Baby is 2 weeks old and transferred .7 oz from 
breast in 1 minute!!!  Tried some different positioning.  Tried to do one sided 
nursing for between 4-6 hour stretches and Mom never felt any fullness or 
need to pump to comfort on other side.  Talked to mom by phone. No 
improvement.  Feeding almost every hour.  Pumped yesterday 3 oz. after 
feeding.  No hx of galactorhea. No leaking prenatally or now except when 
feeding on one side.  FORCEFUL let down almost immediately post latch.
Does anyone have suggestions on how to proceed?  Need help asap!!

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