You handle the question of fenugreek by telling mothers it's perfectly fine
to take it.  I thought originally that Dr. Lawrence was saying there might
be a risk to the mother.  I suppose that even with herbs, given the large
amounts that they are sometimes taking, that this should be a consideration.

But that the mother's taking fenugreek might be a problem for the baby is
not rational.  I cannot understand it.  An herb that has a pharmacologic
effect is a drug. But a drug is a drug, and most drugs come out in the milk
in such tiny quantities that the baby is not at any risk.  This seems like a
misunderstanding too many people have.  They figure the baby gets the same
on a kg for kg basis as the mother, but he doesn't.  He gets, if anything, a
much smaller amount.

Jack Newman, MD, FRCPC

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