Lyla,
I am in private practice and I carry a few herbs in my office because I know
that they're not available in my community.  What good is it for me to
recommend an herb that's not available?  I see it as a service and I feel I practice
ethically because I educate my moms of their options.  I prefer to recommend
galactogogues such as Reglan or Domperidone because there's more evidence to
support their effects.  I hesitate to offer herbs since the evidence is not as
consistently there.  But, when a mom makes an informed decision to not use
prescription galactogogues, I like to offer her the herbal remedies if that is her
choice.  The herbs I carry are More Milk, More Milk Plus, Sage, Fenugreek,
and Calendula.
Carol Chamblin, RN, MS, IBCLC
Breast 'N Baby Lactation Services, Inc.
St. Charles, IL

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