Cindy Sad to say that I do not hold out alot of hope for increasing the milk supply of your client. I hope I don't sound too judgemental, but.....the quick fix pill probably won't cut it. This mom sounds like she wants it to work, but the most effective interventions (expressing very frequently, around the clock, baby on breast w/ supplementer, lots of kangarooing - do they cosleep?) are the ones she declines. Now I realize that she may not get any more milk even w/ these interventions but this would be where I would steer her. Also I do not know her home situation r/t other children etc. However, I would reiterate the optimal interventions and then support her in her decision and affirm any amt of bf and breastmilk she can give. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, s.e. USA ______________________________________________________ Get Your Private, Free Email at http://www.hotmail.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html