The autoimmune issues are probably a red herring.  To be sure the diagnosis 
is insufficient glandular tissue a TSH, testosterone, prolactin and Hcg levels 
should be ordered.  HAve mom try a 24 mm nipple shield with the SNS tube 
placed about 3-4 mm through one of the openings on the tip of the shield.  

Mom should be applauded for all her efforts. 9 ounces is definately worth 
it--its more than 30% of her infants food--if you could only provide your child 
with one well rounded home cooked meal per day, isn't that better than fast 
food all day long?   

Also, she might want to focus on acknowledging herself for doing everything 
she could (and doing the best she can) to provide her baby with the healthiest 
start that SHE could given with the barriers she has had to overcome. Put 
another way although she may not be able to provide a 100%, she is giving it a 
150%.  Knowing and acknowledging this should give her some peace of mind as well. 
 

Christine Betzold NP IBCLC MSN

www.theBFclinic.com

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