"5) how superior is domperidone for this situation? 6) could this mom call jack newman for a consult? do you do phone or email consults?" Domperidone is quite superior to metoclopramide because it doesn't produce the side effects that metoclopramide does. If it does, it hardly ever does, and I have treated hundreds of women with domperidone without any significant side effects except headache, which is uncommon, and responds to a decrease in dose. Some of these women were treated for months with domperidone. I do try to respond to whomever contacts me. I prefer email because: 1. No phone tag 2. I have a written record of what the mother wrote and what I write back 3. Given the number of long distance calls I do a month, (and the number of phones in the US that say "this number does not accept collect calls", I would have to mortgage the homestead. Jack Newman MD, FRCPC *********************************************** 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