Dear Barbara, Anything would be worth a try - how about an SNS? Maybe there will be more lumps, maybe not. Are they resolving at all with heat/massage/nursing? You say this mom realizes that she needs to supplement, but that the baby is gaining poorly. Does this mean that she has not started to supplement yet? She needs to supplement NOW and continue to work on her supply. I am all in favor of avoiding formula if possible, but 12 days is way too long, IMO, to deprive a baby of needed calories. Have you done any test weighs to see about how much this baby is actually getting at the breast? Sharon Knorr, BSMT, LLLL, IBCLC Lactation Consultant Services Rochester, New York mailto:[log in to unmask] _____________________________________________________________________ You don't need to buy Internet access to use free Internet e-mail. Get completely free e-mail from Juno at http://www.juno.com Or call Juno at (800) 654-JUNO [654-5866]