Jack asked: "Gee Rob, how does she double pump at the same time the baby breastfeeds?" To clarify, as if you don't already know, the baby is in day care and mom at work. Mom pumps at the same time of day as the baby gets fed at day care. I also have the suspicion the day care over feeds this baby. I did suggest feenugreek and blessed thistle to mom along with more solids while at day care. I'll pass along the other suggestions. -Rob Rob Cordes, DO, FAAP, FACOP Wilkes Barre PA mail to:[log in to unmask]