Dear support group-thanks so for your answers. What relief - The baby gained 250 grams this week!!!! but is still crying and vomiting. Remember this is after almost 4 days of first side first and one side for a number of feeds + elimination diet (milk) I must say I was on edge today. The parents say they are willing to go on this way as long as she is gaining. I hope we will be able to help them to a more effective and rewarding expirience. The baby self adjusted her lips, and fed several times while they were here. Some feeds were comfortable - and some were squirmy and she was taken off to be burped. I did not see any signs of an overactive let down - but she fed very frequently...so these weren't the feeds I would see it in. The mother was too wiped out and frightened (they were just released from hospital) to to think of what might be the problem. But I will go into this the next time I see her. Any more thoughts from you great people. Interesting that increasing hindmilk increased weight gain (seems to be the reason) but did not address her symptoms. Thanking you all - Toby ------------------------------------ Name: Toby Gish R.N.LLLL.IBCLC e-mail<[log in to unmask]> "What is essential is invisible to the eye..." Antoine De Saint-Exupery -------------------------------------