Hi Jaye, For Client #1, with history of Irritable Bowel Syndrome (IBS), I believe the galatogagues could be an issue. I am not well versed in all the effects that the herbs you mention could have, but any agent which can cause increased bowel motility could be a problem. If her IBS is not active, and is just a past history issue, she could start at the lowest dose, maybe just taking one galactagogue and not several at once, and monitor closely for the side effects. For Client #2 with history of R breast cancer and mastectomy, there is an issue with possibly the domperidone causing breast density changes and I assume making it harder to monitor and diagnose the other breast. The article below may not be in press yet, but the lead author (I think first name Jennifer) has many published articles in her area of interest, which is hormone changes and mammography. Also, radiation can affect the healthy breast if it was irradiated. Was it? I do not think (not sure though) that it would affect the left side if just the right side was irradiated. *Harvey JA, **Cowan J, LoRusso AP*. Increase in mammographic breast density associated with use of domperidone. The Breast Journal (accepted). Could either of these ladies use nursing supplementer at breast with as much as possible skin to skin, akin to relactation efforts? Perhaps the baby with the latch issue would still be a problem (#2) because using a supplementer, as you know, is not so effective if baby is not latching/suckling well. Or maybe baby has improved since then. Laurie Wheeler, RN, MN, IBCLC -- Mississippi USA *********************************************** 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