I have been working with a mom who has a two week old slow gainer. The infant has had a difficult time nursing because of an extremely short tongue and was tongue tied as well. Mom has large soft breasts and short nipples. The baby attaches and nurses but gets small amounts of milk. Mom has been pumping after feeding and gets a couple of ounces of breast milk. At two weeks, the baby is not back to birth weight. The mom and I were talking about our plan for the baby when she threw in her BY THE WAY..... I do hate those late in the game BY THE WAYS, but she said, do you know anything about Kallman's Syndrome, because she has it as do her sister and brother. Apparently her pituitary secretes no GNBH (?) and so she had to wear a pump for 3 months which secreted this into her bloodstream every 90 minutes, in order to get pregnant, (with donor sperm). She says her midwife tells her that it will not affect breastfeeding at all. Since I don't know anything about it and cannot find it in my books, I am hoping that someone out there can shed some light on this condition. Right now it seems her problems are related to poor latch, but I am wondering if her condition could have anything to do with a decreasing milk supply as well. Thanks for any help with her problem. She is very interested to know if anyone has had experience with this. Ann Calandro, RNC,IBCLC