Kirsten, I take a careful history of weights (and if these are taken with clothing or naked in a fresh diaper), behavior, and of feeding methods, meaning formula and breast or just breast. I ask mom if she is pumping, and with what kind of pump and how much she gets out. Moms who can pump out several ounces after nursing with a manual pump, or 4-6 ounces with a manual pump if skipping a nursing, are candidates for over supply. If baby is gaining weight well, we might try single sided nursing first. If there are other problems, like sore nipples, or a fussy fussy baby, I want to do a consultation with test weights. These test weights are very indicative of what is going on. I weigh before nursing, and then at the first sign of fussiness at the breast or when baby first pulls off. I have seen babies slide down to the nipple tip or squirm their little bodies in contortions and the weights show great intake in a short amount of time. I have seen babies take in 4-5 ounces in about 5-10 minutes and then come off crying and fussing. I can show mom that baby is not still hungry after a 4-5 ounces intake! I did have one mother on antibiotics and her baby had bright green stools until she finished her treatment. Most of the time, it takes several days to a week to see results when going to one sided nursing at each session. Sometimes it is quick, but sometimes it takes a while. The opposite is also true, I have seen when a mom is convinced baby has food allergies, colic, or she has too much milk, and the real problem is baby is not removing milk well and is starving! Rather than over eating. Once we increase baby's caloric intake, the problems cease, including green stools. (These babies have not gained weight appropriately and test weights show very little intake and not enough to grow on.) Kathy Eng, BSW, IBCLC *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html Mail all commands to [log in to unmask] To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or [log in to unmask]) To unsubscribe: unsubscribe lactnet or ([log in to unmask]) To reach list owners: [log in to unmask]