While I appreciate the feeling of either being famous or infamous. I will pause to note that for the most part my request for suggestions in this case where additional information was asked for I tried to answer either on the list or directly to the person requesting the information. To respond directly to Susan, the baby is being supplemented and gaining 1-1.25 ounces a day through a combination of formula and breastmilk. I did a full assessment and had birth weight, discharge weight and 3 different weights and was and am confident about the health of the baby. Therefore, I did not feel it necessary to be that explicit as my question was directed to the issue of submucosal frenulum and whether there was anything else I might do as a lactation consultant to support breastfeeding. It is possible my question itself wasn't clear enough? I too have seen many babies struggle because of atypical frenula and equally frustrated by parents who see a tree and forget the forest. Yes, paying out of pocket is expensive, but so is formula in the big picture. Of all the responses, suggestions and inquiries I have received I am truly grateful and appreciative. I would caution though and maybe this is just my sensitivity that a tongue tie is a diagnosis. As a lactation consultant I can't do that. I can, I believe, identify a potential tongue tie and describe the frenulum and tongue movement. However, the diagnosis and revision have to be made by an ENT and while I try my best to encourage families to use doctors who are familiar with tongue and breastfeeding I can not tell them to. Thank you again for my new...um notoriety, but at this time I must disengage from this conversation. Lea Rivera Todaro Brooklyn, NY *********************************************** 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