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Subject:
From:
"Jenny Thomas, MD, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 9 Aug 2006 18:58:50 -0400
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Hey there,

I have not found any association, mostly because I don't use the medication 
when trying to help  moms with PCOS improve their milk supply.  I have not 
used reglan in ages because of those severe depression and fatigue symptoms.

Reglan works by increasing prolactin levels, prolactin isn't really the 
issue in PCOS-- it's mostly an insulin issue.  With insulin resistance 
present, and because insulin and prolactin work closely with milk 
production, increasing prolactin without fixing the insulin resistance will 
do very little.  Even with Domperiodne, I have had little success until we 
have helped mom regulate her insulin levels with something like Metformin.

Sounds as if mom and baby are doing poorly on the medication and may be 
better off without it.

Jenny Thomas
www.drjen4kids.com

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