The aim of study is to determine the maternal perception of inadequate breast feed and compare possible augmentation of breast milk with lactogouges (metclopromide) and structured counseling of mothers, using the new technology of isotope labeling in a community in Rawalpindi, Pakistan.A random sample of 200 lactating mothers having complaints of reduced breast milk production is being recruited from well baby clinic of participating hospitals. All should be practicing exclusive breastfeeding with infants from 2-3 months of age. Their perceptions regarding their breast milk production is assessed. They are randomized into four groups. Group one will be given oral metclopromide, groups 2 will be given structured counseling by trained health workers and group 3 will receive placebo whereas group 4 will receive CBT. Breast-milk production will be measured at completion of 4 weeks of intervention by using the dose-to-the-mother deuterium oxide method also validated in Pakistan by the investigators to a limited sample. Differences in the groups of mothers will be estimated using appropriate statistical techniques, while controlling for possible confounders. Outcome of the study would be able to demonstrate that lactogouges, or simple counselling may have an effect on increasing the breast milk quantity of mothers and also effect of interventions on their perceptions. The results of the study could have a major impact on the breastfeeding teachings and practices in our society which in turn has a potential to improve and have a significant impact on one of the main Millennium Development Goals i.e. child mortality and morbidity.