Mandi, This sounds like a very frustrating case for all concerned. I hope someone can figure out what is going on. The weight gain was very very good for first 9 wks, looks like 350-500gms each week (12 - 16 oz per week for the metrically challenged!). At 5 wks started to refuse feeds. This made me think of oversupply or overactive letdown or both. Then baby seemed to have plateau-ed out and didn't gain much weeks 9-12, but heck he was already ahead of schedule! Is he now 21wks old? or is he 21 wks plus 12 wks in which the 12 wks he only gained 580 gms? I can't tell from reading the post. If he is 21 wks then it seems he has gained about 7 lbs in 5 mos and is now about 17 lbs. His pattern has not been very steady but he is gaining. Anyway the unsettledness is what is so worrisome. Here are some things that might need to be investigated: 1. reflux or some other swallowing issue. Does the baby have any respiratory symptoms or posturing? A swallow study could show something. 2. Low supply because the supply has down-regulated too much due to baby's feeding behaviors. Also has the mom started any meds or birth control meds? 3. Sometimes a chiropractor or craniosacral practitioner can help w/ therapy. 4. Has any before/after weights been done to evaluate milk intake? 5. Has mother expressed to see what her supply is like? 6. Has the baby been ill at all during his life, and if so with what signs and symptoms? 7. Is the baby on any foods now (this could explain the new things in his diaper)? Hope some of this is helpful. Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA _________________________________________________________________ Never get a busy signal because you are always connected with high-speed Internet access. Click here to comparison-shop providers. https://broadband.msn.com *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html