Hi All,
I am working with a mom 22, primipara, who I saw first when her baby was 4 
weeks old.  He was just under birth weight, and she thought all was fine, 
except that he was BF all the time.  We started a FF at breast with pumped 
milk when she had, and formula the other times.  Basically after 3 weeks of 
pumping after every feed, she is still not up to full supply.  What is 
interesting is that she is logging everything, and she said there is no 
rhyme or reason- she feels that her supply is "all over the place".  One day 
she gives no supplements and feels very full, and another she may need to 
give 4 "bottles".  This is unrelated to anything, stress, eating, drinking, 
etc.  She is feeling frustrated that it is so unpredictable, and even with 
domperidone she cannot get to full supply.   We checked for placental 
fragments because she was having cramping.  We did a thyroid test that came 
out normal.  Why the drastic difference  in supply?  What am I missing?
Thanks,
Jessica Billowitz, IBCLC
Israel
Please reply privately also, as I am very behind on reading posts. 

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