Dear wise ones, I had a distressed mother come to see me today, and I have 
her permission to post. She is currently 34 weeks pregnant with her second 
child. Was diagnosed with Graves Disease last November when her first 
child was 8 months old, breastfeeding was going well until at this time 
and then it all 'fell apart'. Baby become extremely unsettled, feeding 1-2 
hourly ( for about three weeks ) and self weaned. Mum feels that a lot of 
it was to do with the stress she was experiencing about the diagnosis. 
She is currently taking Proprylthioracil 50mg bd. I have not had any 
experience with this condition, and have done a search of the archives 
with no recent information/discussion found.

I would really appreciate it if anyone could assist me with information to 
address her concerns. Specifically, her endocrinologist has warned her 
about the baby having transitional hypothyroidism, which usually leads to 
extremely unsettled behavours. She is wondering about a plan to manage 
this. Her other major question was is there any impact from her illness 
and/or treatment on her breast milk volumes or composition. This lady is a 
delight and I thank you all in advance for assisting me to give her the 
best/most appropriate information and advice.

Margaret Wendt CN RM IBCLC Queensland Australia

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