My son is two weeks old. I have been providing pumped breast milk and supplementing with formula since he was 5 days old (following a doctor's appointment which was discovered that he was losing weight; he had lost 1# since coming home for a total weight loss of >15% since birth). After seeing several lactation consultants, we were referred to an ENT for an upper lip tie and possible posterior tongue tie (although his pediatrician didn't mention any of this). I have rented a Medela Symphony and I'm pumping every 2-3 hours, but I'm not able to keep up with my son, so I'm continuing to supplement with formula. I'm an RD, so I'm certain my nutrition and hydration are adequate. I'm taking fenugreek (4 capsules 3x/day), drinking mother's tea (3-4 cups/day), and asked my ob-gyn to prescribe Reglan (which I've been taking for 6 days). I allowed my son to latch on this evening, and he continues to latch, but there is just no milk transfer (I don't feel the let down and can't hear him swallow). Will snipping the ties help him latch? The appointment with the ENT isn't until next week which means he'll have been getting bottles only for two weeks by the time the appointment rolls around. Will he be able to relearn to latch? Will I produce more milk by nursing instead of just pumping? I can't keep up with him pumping despite everything I've done, but I don't want to put my son through the pain of snipping those ties and the recovery of that if it's not going to help him nurse in the end anyways... I want to exclusively breastfeed, but don't think I'll be able to with just pumping.