Pam Have had a client like this complicated by use of hormonal birth control which she did stop taking. Never did get a full supply, used nursing supplementer (SNS) to suppl at breast. Is your client on metoclopramide (reglan)? Could she be prescribed that by her doctor? I have seen much better results with this than the herbs although I usually go for the herbs first as this is less risky as far as side effects. Also you said she didn't care for the SNS. Could she rig her own simple supplementer? I have used a #5 or #8 FR infant gavage (feeding) tube at the breast and with the end of it dipped in the bottle of formula supplement (you can thread it thru the nipple - with a hole cut in the nipple - to secure it). I think Dr. Jack has a handout on this. (Jack, don't hold back on your handouts either, I use them like crazy). This is pretty simple. The baby is fussy coming off the breast probably due to low milk there. Having the supplementer at breast should help with this. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, USA mailto:[log in to unmask] Get Your Private, Free Email at http://www.hotmail.com