Hello wise ones. I have permission from the mom to post for some further insight. Mom was diagnosed with hypothyroid at age 11. Treatment with Synthroid. Next, when she was older mom was diagnosed with hyperprolactemia and treated with Parlodel for two years and then conceived. Has been off parlodel since before conception and not used at all during pregnancy. Had gestational diabetes (borderline) during pregnancy, induction at 39 weeks. Had healthy full term complication free birth. Baby breast feeding well, but seemed to be always hungry, lost too much weight, went to supplementing and then baby would not take the breast. Mom reports not ever feeling like her milk 'came in' but reports a cup size change during pregnancy. Mom was pumping and only getting one ounce or less each time (pumping 8+ times per day. I saw mother on day 22. Over the phone we had discussed ways to get the baby to latch, and mom was successful, but baby would not stay and was easily frustrated. Her original goal was 'the milk' but after the first few nursings, her goal became the breastfeeding itself and using the bottles was very upsetting to her. She decided to use the SNS so that her baby could be at breast for supplements, and since he would get milk he would stay latched. Perfect. Now he is nursing and gazing up at momma and very happy. Mom goes to endocrinologist with the hope that her thyroid levels have changed due to the birth (the dosage were changed during pregnancy) and hopefully that would give her an explanation and solution. Her prolactin levels were also checked. Below are the levels back from the lab and according to the endocrinologist, they are within normal ranges and should not be a barrier to milk production. She was quite upset, and as she said, never so sad to be told she was 'normal'. All the usual protocols to increase milk production are being followed, including pumping after feedings. He is definitely latched well, and every few feedings mom will nurse him without the SNS and he will be happy and fall asleep content, but it is not often. When she pumps after feedings sometimes she gets absolutely nothing, sometimes a few cc's -- sometimes as much as half an ounce. She has already tried fenugreek with absolutely no change at all. She is willing to try the domperidone next. Can those of you who understand the levels necessary in general for adequate milk production let her know if these are within normal for a lactating mother? Also, those with helpful hints to add or more information I am missing please pass that on to. I would like to be able to share this information with her, so with your post to list, can you post privately also with permission to share? Lab levels: prolactin 61.9 thyroid TSH 1.052 T4 11.5 T3 uptake 28 3.2 free thyroxin index She sat in her endocrinologists office in tears, and for the first time he was kind to her and told her what he sees tells him there should be no problem, but she thinks he would be willing to adjust as necessary to help her as long as he had some reliable information to support it. Thank you very much. Pam MazzellaDiBosco, IBCLC FL, USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html