Dr. Mira, I agree, feed the baby, but could the supplement be delivered at the breast with some kind of nursing supplementer, also called a supply line? That is, if the baby nurses fairly well, and he seems to be continuing to latch and nurse to some extent. Don't know if any of the supplementers are available commercially there, or could the LC rig one herself? Dr. Jack describes how to do so in one of his famous handouts, I believe. I would think it useful to try herbal or domperidone. If the pumping hurts, maybe try hand expression post breastfeeds/supplementer. Hope some of this is helpful. Laurie Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, USA mailto:[log in to unmask] ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com