Hi, hoping someone can give me some advice! My baby is almost 5mnths, and from the start i have had oversupply and over active letdown. I am constantly engorged and when my baby tries to feed, she can't cope with the flow, leave alone the letdown. She coughs and chokes and is now screaming and refusing to feed. As soon as she latches, milk sprays down her throat. I have taken advice from numerous LC's and none of them have been able to help. I want to continue to BF and don't want to use a bottle or nipple shield. I am hoping for some advice on how to reduce milk supply and slow the flow. I am currently taking half teaspoon of sage 3 times a day and block feeding. I feed her (although times vary as she refuses to nurse so a feed can take 2hrs) 9am and 1200 same side, then swap for 3pm and 6pm same side, then swap 8pm, swap 10.30pm, 1st feed in morning on fullest (both are bursting by now) usually she feeds within a couple of hours so I use same side again and then swap at 9am and start all over again. I hand express the1st letdown when I swap sides after a long block of time as the flow is just so fast, but she can't even cope afterwards. I'm scared to express more as I don't want to increase supply even more but she chokes on every suck and must go on and off well over 50 times, if I can actually get her to feed. I have tried nursing lying back and lying flat, but it doesn't help. Also I try doing a scissor hold, but she finds it difficult to feed with my fingers there and it doesn't really seem to slow the flow. She really wants to fall asleep at the breast but just gets a face full of milk. Can anyone tell me, when you block feed, what happens at the beginning of a block, when you change sides, how is the baby supposed to feed off a breast that is bursting as it just sprays constantly? Am I meant to express off more and will that increase my supply? Am I better doing 1 feed on 1 side and the next on the other. I have tried all combinations. Has anyone had experience of what worked for them to reduce supply? My baby is putting on weight but feeding is taking up ALL of my time and taking over my life, I have no time to give my toddler and that can't be right! I would be so grateful for any advice as I am really not sure of the best course of action to resolve these problems. I have breast implants, but my surgeon assures me that they would not be causing these types of problems. Has anyone experienced what we are going through, and if so, what did you do?