I need assistance finding resources for advising a breastfeeding mother. She has an unusual condition. The diagnosis is Cryptogenic Chronic Active Hepatitis with recent leanings towards Fatty Liver (Non-Alcoholic Steatohepatitis). A brief (as possible) history is: She was diagnosed with this condition a few years ago. She had an liver biopsy with inconclusive results. All forms of viral causes were ruled out. She had one elevated cortisol level. (normal range is 1-6.5 hers was 7.5) She had subsequent normal liver function tests and decided to have a baby. The baby is about 20 weeks old now. She has been exclusively breastfeeding and does not want to stop. Baby has been gaining and shows no outward signs of abnormal development. Recent liver funtion tests returned elevated to the range of 289AST and 289 ALT. This was a dramatic increase since her last lab work when the baby was 7 weeks old (13 weeks ago) My Questions are: 1. Is her breastmilk comprimised due to the fact that good liver function filters out contaminants? 2. Could this condition be aggravated by pregnancy and/or lactation? 3. Where can she have her milk evaluated for contaminants? 4. Should (and where) could the baby be evaluated for any contaminants? She knows much more about her disease than I do, so please any explanation of how to go forward in counseling her would be appreciated. Thanks, Diane *********************************************** 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