Let me introduce myself. I am new on LACTNET but have just celebrated 10th year anniversary of hospital-based lactation service in Nashville, TN that I pioneered. In my experience I have seen situations where supply has been irreversibley (sp) compromised where dysfunctional suckling or anatomical problems have been dealt with in a manner that does not signal the breasts to calibrate appropriately. Common threads: Use of an SNS early on with no correction to the baby's suck, mom nursing non-stop 24 hours a day with minimal weight gain, early mother-baby separation, early use of bottles, etc., etc. I have encountered most of these at 6-8 weeks postpartum. The majority are experienced nursing mothers "proven products" who can't believe this third, fourth, etc. baby is having such trouble and probably hang in there much longer than first-timers before going for help or giving up. In moms where low weight gain, low supply cycle is caught early enough, I have used the C-c double pump and H-man feeder similarly to K West's description. There are a few tricks I have used with the H feeder that are important to know, because nothing is absolute. Baby's are a lot smarter than any manufacturer gives them credit for! My favorite thing to say to moms (at least this week) is: baby is in control of the feedings. Once the mechanics are right (ala Chloe Fisher) and is allowed to feed without time constraints, most mothers can make whatever amount baby needs. When mechanics are not right, mom can either overcompensate or undercompensate. Latch-on skills and baby led feedings are essential to success!