I am working with a woman who is pumping long term for her 3 month old
     cleft lip and palate baby.   She is a dedicated pumper who has been
     taking Fenugreek, 9 pills a day, and drinking blessed thistle tea.
     She is experiencing a reduction in her milk supply.

     I would like to recommend that she switch to Reglan as her
     galactagogue. My questions are this:

     1. Is typical that herbal remedies lose their effectiveness after
     several months?

     2.  If she begins taking Reglan, does she need to stop taking the
     Fenugreek?

     3.  How long can she stay on Reglan.  Will this typically lose
     effectiveness after a period of time?

     Thank you very much,

     Gail Davis, PHN, IBCLC in San Francisco

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