You say it may be a fast or heavy let down and flow, but she will eat really good in the beginning and then pull off and fuss. I can hand express into her mouth and she will keep eating for a few sucks if I am pushing and massaging my breast so it flows faster for her. If I stop she cries and turns red until I pull away from her, then she calms down. Sometimes she might not calm down and takes a pacifier or bottle. I tried to give her a bottle and she took it and had no problem. Then I slowly pulled it out and tried to give her my nipple and she would latch but kept squirming and fussing and eventually would pull off and cry. Is that meaning she's not getting it fast enough? I don't want her to take a bottle and not my breast because she doesn't want to work for it.... What can I do?