Well, it sounds like this mom's supply has never been good, and it may be 
impossible to get it much higher at this point. (2 months later)  Continued 
nipple compression shows that the baby is not getting the nipple far enough 
back into the mouth, OR has abnormal mechanics.  Have you tried a nipple 
shield?  I find many tongue-tied babies benefit from using a shield for a 
while even after frenotomy if there is any  nipple compression.

To be complete you could check testosterone, prolactin and thyroid hormone 
levels, to see if they are way out of whack.  These cases are extrememly 
frustrating.  Have you watched her pump?  Sure the flanges fit well?  She 
could try some herbs...fenugreek or blessed thistle or goat's rue....

Also, with the history of anorexia, is she eating adequate calories?

Good luck-

Kathy Leeper,  MD, IBCLC
Lincoln, NE 

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html