Ann, You mention that the mom is obese and has PCOS. Was metformin used to help her conceive, and is she currently on it? She would be an excellent candidate for metformin to help her milk supply if she tolerates it well. Now would be an excellent time to lay the groundwork for this use if she and/or her physicians are not aware of the possibility. I would also consider a low-carb diet (not no carb, not completely calorie deprived), because this seems to help PCOS moms with weight loss, and when they lose weight, their symptoms and endocrinopathy often improve. Don't rule out domperidone automatically. I think it's worth pitching to her physicians with a thorough explanation of the politics and some background info on wide international use. I would definitely avoid using metoclopramide. I personally would consider using goat's rue as well, but realize that this herb can also be controversial. ~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