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I have been playing this game for a while but I am confused about how to get double expansion for Alex I know the first part is to give her the milk but I don't know how to get the second part which I know I have triggered on accident before but I can't figure out what I did to cause it

You can either feed Alex more milk, or you can talk about how breast massaging can cause breast growth.

How do you give her more milk outside the first scene

You can give her the milk when talking in the forest
She can drink milk straight from Haily if she is at C4+
You can also re-get the milk if you send Haily off for headlight fluid