This must be very stressful for everyone, Ilene. I am not a tongue tie expert at all, so I can't really comment on the tongue tie thing....I have seen many babies with apparent tongue tie who do just fine, though. I don't think we should ever assume that even frank TT leads to milk transfer issues, and I think the research backs me up on this. You do need more definite info on his eliminations, I agree. But I still don't see a massive issue with the weight. He's maintained his weight since discharge, and yes, normal progress would see him gaining, but he is still only a week old....and the baby appears well and to be behaving normally (ie no long sleeps). There is every reason to believe that with support and continued frequent effective feeding things will just become normal in every way. I don't recognise that way of diagnosing insufficient glandular tissue, but that is possibly a lack of training in me. I have seen breasts of every shape and angle (!) and most of them produce just fine if everything else is done right - I have seen some which fit the classic conical, widely-spaced picture and which I have thought could impact on supply, too, so I do see it could be a factor. I share with you concern that discussing this at such an early stage is likely to have an impact on confidence and emotional well-being, so it obv needs careful handling. I dunno....you are there and you can see a lot. But I don't see it as a serious, knife-edge situation. I would not even think it necessary to offer supplements at this stage, of whatever kind, though if the baby started to become uninterested in bf, and very sleepy, I'd certainly discuss frequent expressing to preserve the milk supply and to offer as a supplement, and it would be useful to have a decent pump already there. My main focus would be to ensure frequent feeds, lots of skin to skin, very rapid response to all feeding cues, day and night, and to essentially support the normal. At this stage. This baby and mother have you there - this means you can respond and change tactics straight away if necessary. The risk with over-intervention is that confidence is affected and bf becomes a mechanistic process, afflicted with stress and worry. And in my experience, this is a major factor in early switch to formula feeding. We know the risks of not intervening when it's needed, of course. Heather Welford Neil NCT bfc, tutor, UK -- http://www.heatherwelford.co.uk http://heatherwelford.posterous.com *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome