My son is 11 months old, and I struggled with breastfeeding issues as well - knowing it's the best thing, but with him not gaining weight having to supplement with formula. One thing that seems to help us is having him on a consistant feeding schedule (he eats breakfast, lunch, dinner, and a bedtime breast/bottle feeding, and an occaisional snack in between). Our typical feeding starts with breast - probably 3-4oz from that, then solids - oatmeal/avocado/fruit for breakfast, veggies and meat for lunch and dinner (dairy still doesn't sit well with him), then finally a bottle with 3-4oz of formula mixed at a higher calorie ratio. At bedtime he breastfeeds and then drinks another 6-7oz of high cal formula. It takes awhile to do a meal, but he has gained weight well and we don't worry about overdoing the enzymes. It looks like you spend a lot of time feeding, and spreading out may help your milk supply by making Josephine a little more eager to breastfeed. We joke that Kaden gets a four course meal every time with all he eats in one sitting <img src="i/expressions/face-icon-small-smile.gif" border="0"> Hope your appt. went well!