Reglan takes 2-5 days to work.  I am not surprise she has had no response as
of yet. I am hoping that she is taking at least 10 mg 3 times a day. A lower
dose will not work.  This mother should also have a testosterone level drawn to
rule out gestational ovarian theca lutein cysts which inhibit lactogenesis.
Does she have diabetes, PCOS or any other condition?  Hashimotos can cause
hyper or hypothyroidism--neither should be a factor if her TSH is normal.

The supposed black and white statement by the physicians that reglan won't
work angers me.  How do they know there is so little research?  I mean the
audacity of such a statement. I wouldn't pay much attention to it--there is always
hope.

Good luck,  Chris

She is on day two of Reglan (and
has done all the other typical supply increasing suggestions - tea,
fenugreek tabs, etc) with little noticeable change in supply, so far.
Baby is being fed with formula, exclusively after a failure to thrive
diagnosis was made on day 6 (25% !! Weight loss in baby).

Blood tests came in today showing her thyroid levels normal and her
prolactin levels at 19. Her doctors are saying that it would be a
compromise to her other bodily systems to mess with her pituitary levels
enough to affect prolactin. They are also suggesting the Reglan will
likely not work because her pituitary will "squash" any minor increase
in prolactin the drug might create? I hope this makes some sense - I
have not spoken with the doctor myself but apparently the endo, OB/Gyn
and her Fertility specialist all agree that she will be unable to
produce milk and should consider it a lost cause.

Christine Betzold NP IBCLC MSN
www.starfireinternational.net/breastfed

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