I have a strange case, I'd like to bounce off my learned friends. 23 y/o g2 p2. Nursed her first baby for 10 months without any problems. No noticable breast changes this pregnancy. States she never felt post-partum fullness or engorgement with this baby but the baby *nursed all the time* from day one. No post partum hemmorrhage or unusual labor findings. By 2 mo. baby loosing weight--still nursing all the time, mom started supplementing after feedings w/ soy ABM (baby vomits milk based) about 2 weeks ago. Baby up to 6 oz per feeding. Baby spaced out feedings to every 4 hours. Now has cronic nasal congestion and has been diagnosed with *asthma.* Baby collapses standard bottle nipple but mom's nipple is round after nursing. Breasts are small (A-B cup), milk expresses in small drops. Only history of cronic disease is according to her: borderline anemia--mom did not know values. Baby looks OK at breast, suck swallow ratio about 3 to 1. No decernable let-down. (mom remembers stinging *like crazy* with last baby.) One last confounder--this mom has never used birth control, married 5 years. She has not had a period since age 17. Here's what I did: Started brewer's yearst and fenugreek tablets. Put baby on scheduled feedings every 2-3 hours Switched ABM to Nutramigen Started her reducing the amount of supplement by 1/2 ounce per feeding per day (I call this technique reverse weaning) She declined a supplementer. Ordered the following lab tests: Prolactin Thyroid panel Hgb and Hct Did I miss anything? Any ideas? Marie Davis RN, CLC Moreno Valley, CA