Dear Fellow Lactnetters, I just had a call from a women that has me stumped and I thought maybe you could offer suggestions. The woman is 27yo, been on Synthroid for 3 1/2 years .15 daily. The hypothyroidism was diagnosed during her first pregnancy. She was unable to breastfeed, said "My milk never came in." She used as SNS for 3 weeks with no milk production of her own. At the current time she has a week old baby, born at 8lbs 9oz, at 4 day weight check 8lbs 4 oz. She nursed exclusively and on demand for 3 days, she thought there was a bit of wetness on the nipple tip but could express no colostrum and heard no swallowing. The baby went for 24 hrs without urination and 3 days without a stool after mec at birth. At 4 days mom started bottle feeding with formula after nursing for as long as the baby would stay attached, approx 15-30 min. Mother has a normal menstrual history and no history of infertility and no other medical problems, is negative for breast surgery or implants. She felt her breasts enlarge during the 1st trimester of pregnancies but then decrease a cup size during the third trimester. She thinks she "has no milk ducts." She described her breasts as soft with out any lumps. She has a visit with her OB scheduled for Thursday so if I could get some suggestions before then I would be grateful. I will do a search on past posts on thyroid problems and no milk production. TYIA Betsy Ayers, RN, BSN, IBCLC, LLLL in Caldwell, ID Ayers Family at home See our website with more than 2,000 pictures: http://www.acofi.edu/~bio/academics/singapore/singapore.html Our e-mail address is still: [log in to unmask] Our snail mail address : Art and Betsy Ayers 1515 Everett St. Caldwell, ID 83605