Dear Toni, It looks to me like the drop in milk supply is due to a lack of frequency in breastfeeding, which is not going to be made up for by taking a galactagoue. If mom is nursing/pumping every 3-4 hours during day and only once at night, that adds up to only about 4-6 sessions in a 24 hour period, way too low for most 3-month olds, IMO. This mom should try to double the amount of nursing - how about the old LLL standard of taking the baby to bed with her for a weekend or some variation on that theme? This is not an uncommon problem for working moms. She might also want to add some manual expression to her pumping routine - this seems to help stimulate milk production in some women more than just pumping alone. Although the progestin only pill seems to be ok for most bf women, we are getting more and more anectodal reports of milk supply problems. Would she be willing to try another method for a while, maybe a diaphragm or IUD? Galactagogues may also help, but check on dosage. There is a lot in the archives on the use of various herbal galactagogues and recommended dosages (e-mail me if you are unable to access). Hope this helps. Catching up on my mail before another busy weekend with 4H and horses (wishing I was in Boca - the few ILCA conferences I was able to attend were absolutely fantastic - looking forward to going again when my nest is empty.) Sharon Knorr, BSMT, LLLL, IBCLC Lactation Consultant Services Rochester, New York mailto:[log in to unmask] _____________________________________________________________________ You don't need to buy Internet access to use free Internet e-mail. Get completely free e-mail from Juno at http://www.juno.com Or call Juno at (800) 654-JUNO [654-5866]