I am also not a medical professional, but still have opinions! :) It sounds to me like a baby with poor muscle tone. Babies with poor muscle tone will nurse, but it tires them out. So -- she nurses often, doesn't get a ton of milk (because of ineffective milk removal), but enough to keep her happy and growing slowly. She doesn't nurse for a long time because it makes her too tired. She is willing to suck down pumped milk or formula from a bottle because it is easy. She isn't willing to work harder at the breast to satifsy her needs, because she does take the edge off her hunger by nursing often. Solutions? Find out why she has poor muscle tone and treat it, if it is treatable. Continue to nurse. Pump and give pumped milk too in another form -- cup, bottle, on cereal, etc. There are literally thousands of different syndromes that can result in a baby with poor muscle tone and poor growth. The cause of this is not "using the breast as a pacifier." The breast is a pacifier. The plastic ones are the imitations. Kathy Dettwyler _________________________________________________________________ Send and receive Hotmail on your mobile device: http://mobile.msn.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html