I'm a LLL Leader working with an LC helping a woman to induce lactation.

She is 46 and is nursing an adopted baby who arrived at four months of age.
It took five weeks to teach the baby to nurse properly. Baby has been nursing
well for five weeks and is now six months old. Using an SNS system, the baby
receives all of her nourishment from the breast. There are no pacifiers or
artificial nipples used. The baby nurses from 6 A.M. to 10 P.M. every two
hours for forty minutes. The baby sleeps through the night. The mother used
10 mgs of metoclopramide for twenty days with no results. She has birthed and
breastfed a biological child for four years. The lactation gap is nine years
from birth. She has very little of her own breast milk. She has used a
tincture of goat's rue, milk thistle, and fennel seed. She takes 1000 mgs of
borage seed oil twice a day. She has taken infusions of red clover, nettle
and red raspberry leaf and she follows a vegetarian diet from organic whole
foods. Her hormone levels are normal.

Does anyone know if she can try an increased dosage of metoclopramide?

Are there any current studies in progress in which she can participate using
other hormones or medication?

Does anyone know anything about a hormone patch which we've heard about?

Julie Horwitz