One of our docs sees a large number of infertility patients, many with polycystic ovaries,with insulin resistance, and uses metformin for a time to help the patient get pregnant and I believe continues it for a time during the pregnancy. Virtually all of them, though, have the med discontinued after the birth. We were talking today about possibly continuing that med during lactation. I have Making More Milk by West and Marasco, and it's on my desk to re-read. We did a quick pub med search but we didn't get much. What we are wondering: are there any practices that see benefit of keeping mother on metformin during lactation? Any thing you can tell me about this would be appreciated. For example, what pts would be candidates, dose and frequency, length of time pt is on this, are you seeing results, anecdotal or have any studies been done? We see a fair number of these moms with very poor milk production, despite our best efforts to help them. 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