Pam, First, I am wondering what day postpartum the prolactin was drawn, and when in relation to breastfeeding (near a feed/pump, or with no stimulation for a couple of hours?). Also, has anyone checked mom's testosterone levels? Any signs of adrogenization? I am also wondering if this mom might possibly have PCOS. Many women with PCOS have hypothyroid problems, and hyperprolactinemia may occur within PCOS as well (the experts don't all agree). On top of this is the gestational diabetes, which indicates insulin resistance at least during the pregnancy, if not before. With or without a PCOS dx, I am wondering if it might be worth trying metformin. Mona Gabbay MD has used metformin, sometimes in conjunction with domperidone, in women with supply problems who also are insulin resistant; her case studies were reported at the ABM conference a few months ago. This might be worth pursuing. On the herbal end, if goat's rue is an acceptable option, it is considered a galactogogue plus it may have properties that reduce insulin resistance (not to be confused with directly affecting insulin), given that it is the precursor to phenformin, which was the precursor to metformin. ~Lisa Marasco *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html