Hi All, Client #1: Has history of IBS, low thyroid (great endo who monitors and adjusts meds regularly) and an autoimmune disorder that caused issue with her platelets and had to have her spleen removed a few years ago. Milk supply LOW - did a prolactin level test - came back 108 for day 8. Clearly an issue. She took the test early am just after pumping (baby has issues and is not yet breastfeeding). We are discussing Domperidone and herbs. Question: Will domperidone cause an issue for a woman with above history? How about herbs such as Fenugreek, Blessed Thistle, Nettles, Fennel and Goat's Rue (Motherlove More Milk Special Blend). Client #2: Breast cancer 2 yrs ago - right breast removed - radiation and tomoxifan. ( months ago discovered she was pregnant - stopped Tomoxifan immed. Issues now: Difficulty with latch on led to terribly damaged nipples - went to pumping with Classic - no one checked sizing - flange too small and caused regular pain with pumping. Mom got engorged on day 5/6 but did best she could with pump. Milk supply is very poor - she is 3 weeks out now. I believe that milk supply issue is most likely due to poor removal due to baby and flange. We are looking at starting with More Milk Special Blend and possibly domperidone to boost milk supply. Question 1: Can radiation affect the healthy breast and lead to inability to produce milk? Question 2: Info in drug book mom owns (she is an RN) states that Domperidone is not safe to use in women who have had breast cancer. Is this accurate? Thank you! Please e-mail privately and to the list. Jaye Simpson, IBCLC, CIIM Breastfeeding Network Sacramento, CA www.breastfeedingnetwork.net *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome