Nicki,
A prolactin level of 19 is in the non-pregnant, non-lactating range and
nowhere near where it should be; see Lawrence's book. Consider having
this re-tested, maybe after a few days of Reglan, which should boost her
prolactin levels significantly; note also when in the cycle of
breastfeeding the levels are drawn. If they remain the same, then there
may be a problem with the pituitary gland. I do not understand the idea
that the pituitary might "squash" the effect of the reglan; am I missing
something here?  If they have written this mom off, have they decided
what is not working properly?  Prolactin is produced by the anterior
pituitary, and if the levels have not budged from normal during a
pregnancy, I'd sure want to ask why!  One thing is for sure; if the
tested level is correct, you *do* have at least one very good
explanation for why there is no milk.

~Lisa Marasco

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