A 14-day-old, term, male infant presented to the pediatricianâs office and was found to have significant weight loss. His weight was down by 7% and 15% during his first visit at day of life (DOL) 5 and during the second visit at DOL 14, respectively. He was sent to the emergency department to receive intravenous fluid for rehydration and to be admitted for failure to thrive. Birth history was uneventful; birth weight was 3,500 g. He was discharged home at 48 hours of life. He is the first child to his parents. He is exclusively breastfed. He feeds on demand about every 3â4 hours during the day and every 5â6 hours at night. He stays on the breast 5â10 minutes on each side. His mother felt milk came in on DOL 3, but breasts do not always feel full. Mom feels breastfeeding is going well, but she feels baby seems very sleepy. He stools 2â4 times daily and
has 3â5 wet diapers, but they are not always heavy. Stool is seedy, yellowish green.

Required:
Is milk transfer effective?