Hi Dr. Jen, Can you tell us what would be the major signs and symptoms for the diagnosis oversupply? Particularly if we would receive a phone call from a mom that would clue us in to this. I feel pretty good about picking this up, but seem to have a preponderance of premie moms with lower supplies. It does not always present with big wt gains, right? And would you say pump use is a big red flag? Laurie Wheeler RN MN IBCLC Mississippi USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome