Linda, I sincerely apologize if I misquoted you.  This is a perfect 
example of something was said but something else was heard.  I re-read my 
notes from the presentation to trace back my pattern of thinking, because 
this was honestly an "aha" moment that day, and it turns out to be wrong.

The presentation explained how the prolactin is at the highest after birth 
but then rapidly decreases within a few months.  It says, "Surges diminish 
to nil by 3 months."  At that time milk-making is under autocrine 
control.  As I remember that day, Linda reiterated the theory about the 
prolactin receptors and emphasized that no amount of prolactin in the 
blood will improve milk output if the prolactin receptors aren't engaged.  
Did I misunderstand that part?  The last thing I want to do is perpetuate 
misinformation.

Thanks for clarifying this.

Debbie Gillespie, IBCLC, LLLL
Always learning :)

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