Oops I started an uproar - sorry.  First of all I am partially parsing what was 
taught in the CLC course.  I lent my course packet to someone, otherwise I 
could find the studies they were citing regarding both the efficacy and the 
potential complications of Fenugreek.  The other poster reported correctly 
that the instructors mentioned medical complications of fenugreek (among 
those were anticoagulation/blood thinning), and that there haven't been 
studies that showed it actually did increase supply.  I am among those who 
know many women who would disagree and seemed to have great results from 
it.

In terms of recommending/prescribing - I'm saying everyone should consider 
how they discuss these things with moms.  If you make a suggestion to the 
*physician* and leave it up to the MD or midwife to do the actual prescribing, 
that is very different than instructing a woman to go to her pharmacy and buy 
something, even if it is over the counter.  I still maintain that it's possible that 
the latter situation could be construed as prescribing, and therefore have all 
the liabilities that potentially come along with that.  Another scenario is as 
someone else described - to help a mom gather information about a drug or 
herbal, and then leave the decision up to her.  That too, in my opinion, is very 
different than telling/suggesting/recommending that she try something.

Even if everyone were inarguably within their scope of practice to recommend, 
prescribe or provide domperidone, we would be remiss and irresponsible, I 
think, if we didn't inform moms of the potential side effects, just as any 
prescriber should get informed consent for any type of prescription.

Someone brought up the cytotec example - that is a really intersting 
comparison, and of course we all know how much the FDA is influenced by 
political pressures, so that's worth bringing into the discussion here.  The 
recent morning after pill fiasco is another example.

When I get my CLC course packet back, I'll post some of the studies they 
were citing.  Really, in my view it was an excellent course that was highly 
evidence based and research supported overall.

Carry on.

Diana Graham, MD, CLC (although perhaps that's not a good thing?)
NYC soon to be Tar Heel

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