LOL I know you appreciate this Liz but I also know that very many do not....drives me nuts!
Karleen Gribble
Australia
On 26/05/2015, at 5:29 AM, Elizabeth Brooks wrote:

> Touche.  Actual-in-fact insufficient glandular tissue (IGT) is a "subset"
> of true insufficient milk supply.  My thoughts about how to talk to
> families about potential "IGT" problems assumed we were in the immediate
> post-partum period, and the significant marker at play was breasts with
> apparent (as in: apparent to the IBCLC's eyeballs) hypoplasia.  So much is
> as-yet unknown in those first few days, and so much can contribute to BFg
> that is suboptimal.
> 
> I full-on appreciate that not all hypoplasia-looking-breasts are IGT ...
> and not all all IGT involves  hypoplasia.  Of course, an honest-to-goodness
> "diagnosis" of IGT is beyond the scope of practice of an IBCLC...and the
> diagnosis is not all that easy in the making by a skilled clinician who
> does diagnose.
> 
> I am now gonna duck behind my shield: Diana Cassar-Uhl's excellent
> reference "Finding Sufficiency," which I was remiss in not earlier
> mentioning, in case I've again chosen my words poorly.
> 
> -- 
> Liz Brooks, JD, IBCLC, FILCA
> 
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