Alison, Welcome online. Thanks for the input. I will continue to watch this mom. She came in yesterday for a follow-up, baby up 7 ounces! On full supplementation (20 ounces per day). She was better, less stressed, more able to focus on baby. She walked in wanting know about switch nursing. When I asked her where she learned about it she had been reading the Womanly Art of Breastfeeding. I too am questioning her apparant low IQ. Something else is going on here I think. Denise Parker