Dear Friends: Good grief, so prolactin levels can be normal and yet there be no lactogenesis II? I have a mom dealing with that now. First look is to see if all the placenta is out, then check thyroid. If those indicators (sodium, citrate, lactose and total protein) show failure in lactogenesis, is there any clue why? Which comes first? What keeps the switch from being turned on? Any ideas, Cathy? Warmly, Nikki Lee RN, MSN, Mother of 2, IBCLC, CIMI, CCE craniosacral therapy practitioner Elkins Park (a suburb of Philadelphia, Pennsylvania; northeastern USA) supporting the WHO Code and the Mother Friendly Childbirth Initiative *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html