Beth,
I don't have the answer of what causes this, but I have seen it in a
couple of women before. A prescriptive galactogogue was the only thing
that maintained lactation; domperidone would be the ideal choice. I sure
wish we could monitor hormone levels in women with such a history and
see what is changing. My guess is that they have an unusually low
hormonal threshold that drops too far too soon.
~Lisa Marasco MA IBCLC
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