Lisa, Your mother's major issue is that she is not producing prolactin, which is part of the substrate for lactose synthesis, which drives milk production/volume. Oxytocin for milk ejection is a moot point if there is no milk. Because her pituitary is severely damaged, hormonal deficiencies usually must be replaced; the usual stimulatory medications don't have much effect. In Russia and eastern Europe they actually have animal recombinant prolactin that is available commercially, but here we are experimenting with human versions. Your client might be a good candidate for a study being done with human recombinant prolactin. Corrine Welt, MD, is working out of Massachusetts General Hospital in Boston. Her contact info as posted online: 617-726-8437 [log in to unmask] You might contact her first to see if your client qualifies before raising any hopes. The onset of Sheehan's can be quick or gradual. Sometimes improvement occurs, but other times the mother's condition deteriorates. As always, each case is different. ~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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html