I would have thought the metoclopramide would have done something by
now, but it occasionally takes longer to have an effect.  The problem is
that it doesn't always work.  I would also consider domperidone as an
alternative, seeing as you are just a short drive away from Canada.

I should say that I have become more and more impressed with the herbs
fenugreek and blessed thistle, which I suggest mothers use together.
Two capsules of each 3 or 4 times a day.  Sometimes the result is
astonishing, but like to metoclopramide and domperidone, doesn't always
work or work dramatically.  Maybe just fooling myself, but...

Jack Newman, MD, FRCPC