BF Myth of the Week: Myths about Supply

*Fluffy Bunnies - posted on 09/04/2010 ( 48 moms have responded )

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Our first myth of the week is a big one: supply issues. I think many moms worry at one point or another if they're making enough milk for their babies. I've heard many LC's and lactavists say one thing that helped me relax which was: your body made and grew that perfect little baby. Why would your body quit when it came time to feed him/her?



There are women who truly cannot breastfeed or have supply issues due to breast surgeries, medications, etc. ****Edited to add**** Low supply is not a myth, but the following reasons for thinking you have low supply are myths. Please read the information at the bottom and the links provided to determine if you do have low supply and what you can do to fix it.



Breastfeeding Myth: I have low supply because...

-I can't pump any milk or more than a few oz

Pumping takes practice. It's important to remember that your baby is much better at getting the milk out than a pump. So baby will always get more milk out than you're able to pump. The average pumping output is 1/2-1 oz. for *both* breasts. Moms who are able to pump more may have oversupply (or too much milk), may respond better to pumps or have mastered pumping. See http://www.kellymom.com/bf/pumping/pumpi... for more information and tips on pumping.

-My breasts no longer feel full

Many moms worry when they no longer have full, engorged breasts. This is actually a good thing. It means your body is adjusting and starting to make just what your baby needs and you don't have all that extra milk that you had when your milk first came in. See link at the bottom**.

-My baby is fussy at the breast or after nursing

Many babies go through fussy periods especially in the evening. Most of the time their fussiness has nothing to do with hunger. See http://www.kellymom.com/babyconcerns/fus...

Another reason baby could be fussy at the breast is impatience. Crying is the last sign of hunger and sometimes baby is so frustrated the he/she may become impatient and fussy while waiting for the letdown. Early hunger cues are opening and closing mouth, sucking/chewing on fists or objects, squirming and rooting.

**Edited to add** Thanks to Daniella for bringing up a great point! Baby could be fussy due to oversupply. If you have oversupply you may have a forceful letdown. The fast flow of milk can be hard for baby to handle (especially young babies). Baby may gag and choke while nursing, refuse to nurse sometimes or pull off the breast frequently. To help baby you can take him/her off the breast during letdown and catch the milk to save or let it run into a towel. Here's some more tips for forceful letdown: http://www.kellymom.com/bf/supply/fast-l...

Baby may be fussy after nursing due to foremilk/hindmilk imbalance. This explains foremilk/hindmilk better. http://www.kellymom.com/bf/supply/foremi... It's important to let baby thoroughly empty the first breast before switching sides. Don't set a time limit on each breast. More info: http://www.llli.org/llleaderweb/LV/LVSep...

-My baby will take a bottle after nursing

Even when a baby has just filled up on breast milk he/she will drink a bottle of formula (or breast milk) leaving mom to think she has supply issues. The reason baby will take the bottle is because compared to the breasts the bottle "dumps" milk in their mouth. See http://www.mother-2-mother.com/cc-baby-B...

-My baby wants to eat frequently

It's normal for baby to want to eat frequently especially very young babies. According to the AAP's "Breastfeeding and the Use of Human Milk"

"During the early weeks of breastfeeding, mothers should be encouraged to have 8 to 12 feedings at the breast every 24 hours, offering the breast whenever the infant shows early signs of hunger such as increased alertness, physical activity, mouthing, or rooting"

See http://www.aap.org/healthtopics/breastfe...

The World Health Organization also recommends breastfeeding on demand. See http://www.who.int/child_adolescent_heal...

Breast milk is digested quickly so it makes sense that baby wants to nurse often. If baby suddenly wants to nurse more often then it's probably a growth spurt and your baby is telling your body to make more. By nursing on demand your supply will meet your baby's needs.

For more information on low supply and how to increase supply see

**http://www.kellymom.com/bf/supply/low-su...

The best way to increase low supply is to nurse, nurse, nurse!



The best way to know if baby is getting enough milk is by diaper count. For a baby 6+ wet/dirty diapers means baby is getting plenty. More info on diaper count: http://www.kellymom.com/bf/supply/enough...



If you do have low supply contact your local hospital. They should have a certified lactation consultant who can help you. Another great place to go for help is La Leche League. They have leaders who are very knowledgeable and eager to help you. Find a local group: http://www.llli.org/



If you can think of other supply myths feel free to discuss them here.



Please remember that this thread is for discussion and information. We don't want to judge or bash anyone for their views our choices.

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48 Comments

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DandieLion - posted on 10/25/2010

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Thank you for posting this article! I wish my fellow Mommy friend had read this before she decided to stop nursing. I only met her a few weeks ago and she told me she stopped nursing her baby a month ago because she felt like she wasn't making enough milk. She felt her baby was always fussy and gulped down formula after she nursed like she hadn't eat'n in days. Thus as you stated in one of your myths she felt she had "low supply issues". Her baby is only 6 months old. I wish I would have known her before she stopped to encourage her! She is a Navy mom and moves alot. I don't think she has had or has a nursing support group in her life. Also I wanted to point out the formula she uses has CORN SYRUP as the second ingredient! WHAT IS UP WITH THAT!?

Kathy - posted on 10/20/2010

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I've sometimes heard a mum say "my milk didn't come in." Milk usually doesn't come in till 3-5 days after the birth, but let's not forget the colostrum while you're waiting. Colostrum (sometimes called "liquid gold") is the thick, yellowish substance that is produced by the breasts before mature breast milk. It's full of nutrients and good bacteria to get your baby off to a great start in this new life. It's so easy to digest that your baby doesn't need much. Your milk will come in, but your baby needs that colostrum too.

Sarah - posted on 10/19/2010

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Thank you so much for posting this! It definately made me feel less alone in my hard time of pumping and not getting enough to supply. I am definately Thankful to know I'm not the only one, but sad to know I'm not the only one. Thank you for all the information!!

Danielle - posted on 10/18/2010

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I wanna thank all of you for you info you gave on this page. I was worried that when I go back to work in a week that my daughter would have to go on formula. But now after readingeverything from all of you I think I'll be able to do this.. Thanks again!

Kelsey - posted on 10/12/2010

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Tanya- Thank you so much for your comment. My son is so fussy when he is eating and I've tried cutting out so many things. I haven't given up dairy altogether however. I had only heard about lactose intolerant, not them being allergic to dairy. We have a doctors appointment in two days and I will make sure to ask my doctor about this.

Thank you so much. I hate to say that it is nice knowing that other people are having these problems, but I'm glad that it's not just me and something I can't control.

Alaina - posted on 10/10/2010

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i thought i had low milk supply when i was going to school because i was having trouble pumping, i would get aggravated, and i hated doing it with a passion. sometimes pumping can be a hassle for new mommy's, me being 17 was extra hassle. i had no patience with my pump considering i had to take care of my daughter and she really kept my hands full. the only way i would feel like me and the pump got along was when i would wait til it was just abt time to feed (my daughter) Lena, in other words- at the bursting point. in conclusion i started virtual classes and put the pump away. i like being a stay at home mom who doesnt have to stress abt rather i left enough pumped milk for my baby. Lena is 11 months old now and hasn't seen a bottle since school let out in june 2010. i'm happy, she's happy and i hope i never have to pump again. but everyone is different and i praise any women that have conquered the pump, congrats girls!

Carrie - posted on 10/09/2010

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That makes me feel so much better!!!

Charlie - posted on 10/03/2010

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April i also find it better to Pump leaning over !

April - posted on 09/23/2010

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Dear Sunel,

I sometimes found it helpful to express on all 4's...yes, like a dog. It looks silly and i felt silly doing it, but i got a lot of milk out that way!!

Adrian - posted on 09/23/2010

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I was told that if you are a successful breastfeeding mother, then you you are constantly making breastmilk, and the only thing you should really worry about is changes in hormones or feeding habits. Also, don't be too active and drink plenty of water and you'll be fine. My mom told me that if you run around all day and don't drink enough water, milk, etc. then it is possible for your supply to dry up, but only after months of doing so. If you take care of yourself and don't push yourself, you should be fine. I trust my mother, she had me and my three sibling, all breastfed, all until we were 2, and we are all 2 years apart

Cassandra - posted on 09/22/2010

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love the information ; ) so helpful to mothers out ther that think they arent going to be able to provide enough

Sarah - posted on 09/21/2010

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it's all sooo true!! unfortunately i was one of those mums who thought my supply was low so reluctantly introduced formula to top up my 5 mth old son. in doing so i did then reduce my supply and found out he was intolerant both dairy based formula and soy formula...so then i had a rather large challenge on my hands to increase my supply (which was never low on the first side) and get him to take the breast because he had decided he liked the bottle better! it's now been a month and with loads of support from my husband and a lactation consultant we are getting there. i only wish now i has read a bit more on the myths of low milk supply to begin with and trusted my body a bit more.

Rohani - posted on 09/20/2010

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Yes Lyndal, it's really amazing what the body can do. I really enjoy watching my milk come out while I'm expressing milk (please don't mind my English). BUt I have a few questions: my daughter is drinking more than I can supply right now. I'm a working mom and I can go and express milk once a day for half an hour. I usually get between 4 oz. When I'm at work my daughter drinks about 10 oz. After work I express another 4 oz. So that leaves me with 2 oz that I can't produce, because I have other things to do when I'm home and I can't express milk the whole day. Also, one of my breast isn't producing as much and most of the time the milk just won't come out. Do you have any advice for me on that ?! Thank you !!

Lyndal - posted on 09/17/2010

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Its amazing what the body can do. Like many first time mums I doubted my supply but fed till my daughter was 16mths.

I am now mum to 5 girls and tandem feeding the youngest 2, 3yo and 8mth old. I surprise myself every day how my body is able to produce each to their desired amount of breast milk for that day, as their needs vary day to day. There always seems to be enough.

Nicole - posted on 09/16/2010

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Love the edits!

Amy - posted on 09/12/2010

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that was very helpful:)

Johnny - posted on 09/11/2010

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Thanks for updating the thread Sara!!!!!!!! I really appreciate it. And I hope that it helps lots of moms, and gets all this information out there. If only so many LC's and doctors weren't helping to spread these myths....

Jennifer - posted on 09/11/2010

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Hey Sara, this is a great thread. Very informative.

Just wanted to let everyone know about another resourse, a wonderful book called The Breastfeeding Mohters Guide to Making More Milk. (http://www.amazon.ca/Breastfeeding-Mothe...)

It's a wonderful inexpesive book packed with info to help moms deterimine if their low-suppy is real or only percieved, what the cause is for them, individually, and targeted solutions depending on the specific cause.

I use it in my volunteer work and soon to be private IBCLC practise. All evidence-based info in this book, it really is very good, worth a gander for those who are struggling.

Alison - posted on 09/10/2010

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My lactation consultant told me to pump for 15-20 min after each feeding session, beginning from when my first baby was born in the hospital through that next week to stimulate supply. This is a myth and led me to getting so engorged and mastitis.

Dora - posted on 09/10/2010

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Thank you all the information you have supplied is a great help :)

Zulma - posted on 09/09/2010

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I'm still nursing my 11 month old and my breast don't engorge or get full, but never the less he still gets plenty to satisfied him. I'm glad someone post this because i had problems with my first and i wish someone should have been there to help me out!!!

Amanda - posted on 09/09/2010

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I found this very informative, another reason babies may be fussy is something the mother is eating, for the first 3 months I had to be so careful of what I ate. no tomatoes, no onions or spices, no broccoli, no milk...there are a lot of foods that the mother may be eating that can upset baby. but after 3 months I could eat anything! what upsets me is that I was told by both my family doc and my daughters ped. to only bf for 5-10 total, and only feed every 3-4 hours, when normally she would feed for 1 hr every 2-3 hrs. she was tongue tied which caused her to eat really slow and also because of this she got alot of air in her belly (another reason for fussiness). she is 8 months and still nursing 5 times a day. I am so thankful that I trusted my instinct and fed her when she was hungry and for how ever long she wanted. I realize now that if I would have listened to those docs I probably wouldn't have had enough milk to feed her and she would probably be on formula now. It makes me sick to think that doctors are giving such horrible advice to mothers!!

Johnny - posted on 09/08/2010

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Thank you Sara. That was my point exactly. I am not disputing that the above listed 'problems' are myths as a result of there being so much misinformation out there. I'm not even in anyway opposed to listing them as individual myths. Such as the 'I don't have enough milk because I can not pump enough' myth, for example. That would be a great topic. I just really take offense to being told low supply itself is a myth, since it is not.

Donna - posted on 09/08/2010

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i tried to breast feed my twins. it wasnt happening, i had relied too much on formula, tried to pump when it was convienent. they didnt get it,so needless to say i just let them stick with formula

*Fluffy Bunnies - posted on 09/08/2010

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Oh, I see what you're saying, Carol. Low supply is not the myth. Thinking that you have low supply because of the listed reasons are myths. The REASONS are myths. Low supply is not a myth. There are countless times where I've read or heard a woman doubt that she can satisfy her baby's needs because baby is fussy at the breast, she can't pump much, her breasts suddenly don't feel as full, etc. Sorry that we misunderstood each other.

Celeste - posted on 09/08/2010

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Carol, I think you're misunderstanding. No one is saying that low supply is a myth, because it certainly is not. We're saying that the reasons that Sara has listed are myths. A mother saying that she has low supply because she can't pump is a myth. A mother saying that she has low supply because of decrease in diapers and that she has tubular breasts is not a myth.

Johnny - posted on 09/08/2010

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It may be true that women think they have low supply when they really are uninformed about what successful nursing really looks like. But that still doesn't make low supply a "myth". There are plenty of myths about breastfeeding that apply to all breastfeeding cases. For women who have had this struggle, calling it a "myth" is a nasty slap in the face and is NOT encouraging at all. The low supply tips thread is encouraging, as are other such posts. But this is just plain unhelpful.

Miranda - posted on 09/08/2010

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Thank you!!!!!!!!

*Fluffy Bunnies - posted on 09/08/2010

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I'm glad I didn't know that beforehand. It probably would've stressed me out more than I already was!

Celeste - posted on 09/08/2010

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Sara, yeah, it *can* be a factor but of course, that doesn't mean it's a done deal, kwim? If you go on kellymom, it's got quite a bit of info on PCOS and low supply (I have a friend that has PCOS, and is struggling with supply, though I'm not sure if it is true low supply).

*Fluffy Bunnies - posted on 09/08/2010

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Yes, that was` my point, Celeste. Many women go into breastfeeding feeling like they won't be able to do it. Or even worse, are told by medical professionals that there is a problem when there isn't. Carol, I've heard your breastfeeding story and it is inspirational. I understand that there are women in your situation which I stated at the beginning of the thread. I also understand that some women do have low supply, but some do not. There are tips for increasing low supply: "For more information on low supply and how to increase supply see

**http://www.kellymom.com/bf/supply/low-su...

The best way to increase low supply is to nurse, nurse, nurse! " The link includes herbal remedies as well as other ideas. The thread was getting really long and it took me over an hour to do so I was just trying to get key points in there and provide links for those who wanted to learn more. There is also info for how to tell if baby is getting enough: "The best way to know if baby is getting enough milk is by diaper count. For a baby 6+ wet/dirty diapers means baby is getting plenty. More info on diaper count: http://www.kellymom.com/bf/supply/enough... " If baby wasn't meeting the diaper count then you could look at the tips or contact your local La Leche League or LC.



Celeste, I didn't know PCOS caused low supply. I have PCOS and I also know a few other women that have it as well and we all had over supply issues .

Celeste - posted on 09/08/2010

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You're right, there ARE women that do have low supply-tubular breasts, PCOS, etc. No one is disputing this.



However, many many many women think that they have low supply when they truly do not because of the reasons that Sara listed. This thread is to help dispel those myths and give women the confidence in their bodies.



Also, there is a thread for low supply tips.

Johnny - posted on 09/07/2010

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I would say that it is a myth that these are simply myths. For a variety of reasons, hormonal imbalances, surgery, trauma, they are actually true for some breastfeeding mothers. I nursed my daughter for 2 years while struggling with chronic low supply that required taking medication and extensive pumping and other techniques.

Nurse, nurse, nurse, is always the best way to start. But it does NOT work for every woman. Perhaps some other tips on techniques, herbs, and medications for women who really do have supply issues might be helpful here.

Heather - posted on 09/07/2010

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Daniela- I had that problem, too! For about 6 months I had to sit on my bedroom floor at 3am and pump. For most of that time, I'd get 9-10 ounces each night. It was nuts! I was able to gradually wean myself off those midnight pumpings, but it was a slow process! (On the up side, it allowed me to donate 190 ounces to my local Human Mother's Milk Bank for premie babies... so at least something good came of it! Lol.)

Daniela - posted on 09/07/2010

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I'm working and expressing, too and found expressing at work more effective than after coming home. Also, you might have two or three let-downs, so it's worth it to keep pumping even when you think you are already finished. I also seem to get more milk when I express from both breasts at the same time.
By the way, another reason for fussiness can be an over-production. I had that problem and it took me ages to get rid of it. Of course now that I am working and expressing it would be nice to have a little more...

Ashleigh - posted on 09/07/2010

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Great info Sara!Thank you!

Laura Zoey - posted on 09/07/2010

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Sunel, it might not work for you, but for me I would pump one breast while Eric drank from the other one. I know you have twins so this might not work, but I had such a big let down when he ate, and nothing much when he wasn't nursing, if you could make it work, maybe you could get more milk that way.

Sunel - posted on 09/07/2010

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@ sara i will def try that its a good idea

*Fluffy Bunnies - posted on 09/07/2010

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Sunel, some women don't respond well to pumps. Try placing a warm compress on your breasts before pumping. Gently massage your breasts while pumping. Also bring a picture of your babies. Many moms find that this helps them relax and pump more.

Sunel - posted on 09/06/2010

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i am breastfeeding my 9 month old twins, starded working a month ago. i pumted the first 2 weeks getting 350mls milk out each time i pumped, the suddently i had no milk, but, that afternoon when i picked up my children from the day mother and got home, my breasts started cramping and feeling like its going to explode, i the put my twins on the empty my breasts, they each drank 15 mins long and after that i pumped out another 100 mls from each breast, now i dont ave milk during the day and have milk when i get home, my twins need this milk during the day but i cant send it with coz i dont have any to pump. what can i do to get this right, and why does this happen. or is this all in my mind????

please help

Donna - posted on 09/06/2010

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i remember when i seemed like my supply was low I'd massage my breast while my baby was feeding. Now that I think about it it probably didnt make a difference b/c my body eventually does make enough milk to accomidate my baby

Donna - posted on 09/06/2010

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well that makes me feel better. I'm a working mom and normally try to pump atleast 5 oz when I make a bottle. Its tough sometimes and becomes very frusterating when I only get 2 1/2 or 3 oz out after comming home from work and having full breasts and knowing that theres still plenty more in there. I find myself wondering maybe its the pump, or maybe its just my boobs. Regardless I just keep on chugging lol

Danielle - posted on 09/06/2010

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A myrth i heard the other day was the bigger breast you have the more milk you make. this isnt true. I breastfeed twins and make alot of milk. And I not hugh. lol.

Alisha - posted on 09/06/2010

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Another myth is that breastfeeding for long periods of time causes attachment issues and your child will have trouble being independent the truth is exactly the opposite it is proven that breastfed babies have healthier all around social personalities

Laura Zoey - posted on 09/06/2010

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AWESOME!!!! very good facts, love the links to prove its true, great job! I too worried at one point because he asked to nurse every hour around 5 months and my breasts felt utterly empty, but as i had no formula in the house I just said Id give it 2 days and lo and bhold by the end of the 1st day i was making enough again. then he grew an inch and gained 2 lbs. and started crawling all in the next month. wonderful bodies we have and we do best to trust them!!!! it managed to make the baby its not going to crap out on it now!!

Tanya - posted on 09/06/2010

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Another reason a baby could be fussy at the breast (more so after s/he has eaten some) is because of a either allergy or intolerance.
My son is Allergic to dairy (not just lactose intolerant) and anything dairy that I would eat would pass through to him and cause him severe pain. Doctors first thought it was because he was just colic, or I was an inexperienced first time mom. But finally after 18 months of basic hell we found out our son's problem.
I was not willing to put him on formula so I took all dairy out of both our diets and all his issues went away and he even started to sleep more than 2 hours at a time

Kathryn - posted on 09/05/2010

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very informative :) ty