I would like to know if any of you have seen a relationship between anorexia as adolescent (severe enough to result in hospitalizations, amenorrhea over several years) and poor lactation many years later. Is there anything published on this area? I am seeing late (day 5) milk onset coupled with very slow increase in milk quantity. Despite aggressive breastfeeding management adequate lactation is not achieved. In each of three cases anorexia is the only suspicious factor. My apologies if this has recently been covered. I have been Nomail for many months. Joanna Koch, IBCLC [log in to unmask]