Diane, you wrote:

<I would like to hear from anyone who has had experience with
breastfeeding
mothers who are on Synthroid and have low milk supply.  How have you
overcome
this?>

If they are on the correct dose of synthroid, this is supposed to make
their thyroid hormonal status euthyroid (in the normal range), not still
hypothyroid. This is the basis of using the TSH (thyroid stimulating
hormone) as a test.

If the synthroid is satisfying the pituitary that the thyroid is
functioning in an adequate manner, I don't see why it would not also give
the same feedback message to the breasts.

< Does Reglan work for these women?>

I suspect that it would show the same variability in these women as in
others. As I understand it, it works for some, and not for others,
depending on the stage of lactation, etc. etc.

The same principle of more thorough milk removal and more frequent milk
removal that often work for other mothers is probably what I would try,
if I knew for sure that the mother had had a normal TSH drawn since
delivery.

Jean (no endocrinologist, but my hypothyroidism corrected with synthroid
and fooling my pituitary quite adequately, though LONG time, no lactate!)
**************************************
K. Jean Cotterman RNC, IBCLC
Dayton, Ohio USA

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