I am VERY cautious about diagnosising lack of glandular tissue for a couple 
of reasons.  First,  lab tests need to be run to evaluate hormonal problems  
(gestational thecal lutein ovarian cysts, thyroid dysfunction, pituitary 
problems, retained placenta, PCOS are just a few).  Secondly, there is no 
standardized "test" available to confirm or deny the diagnosis.  Thirdly,  even if this 
is the diagnosis; by correcting underlying problems, using Reglan, possibly 
metformin, synthroid (if indicated) and herbs some are able to make 25, 50% even 
75% of their infants diet. Alternatively if I diagnosis this too early, its 
demoralizing and mom may quit before we have even begun to challenge or test her 
body.  So generally,  I only make this diagnosis once I have worked with this 
mom intensely, run lab tests to rule out other problems, corrected other 
underlying pathology if possible and her supply either doesn't respond or it 
responds poorly.  I believe that only  then is it acceptable to offer this 
explanation.  I also then tell them that generally they will make more with a 
subsequent pregnancy although it still may not be a full milk supply and that they 
should work closely with a consultant to ensure the infant doesn't lose too much 
weight.  

Christine Betzold NP IBCLC MSN

www.theBFclinic.com

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