how is the oral anatomy? even a mild degree of tongue tie in a baby like this could cause the fatigue feedings, wt loss, soreness etc. cathy genna seems the expert on this. there are many degrees and variations of which i am certainly not that good at evaluating. perhaps a referral to ST, OT, ENT>? Laurie Wheeler, IBCLC, MN, RN New Orleans Louisiana, s.e. USA *********************************************** 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