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I have contacted Dr Neman, Infant Risk Center, and Dr Nice re the
following. Any thoughts from anyone? Interestingly I suggested first to mom she
confer with her endocrinologist and that what Risk Center said. Also, it
seems Dr Hale is suggesting EKG prior to domperidone use and then repeat in
about 3 weeks once on; this one is new to me but I understand why. As far
as domperidone I realize if her levels are high domperidone won't
necessarily be helpful. Wondering too if she should be on metformin but has no usual
androgen like signs and symptoms of PCOS, endocrinologist again, I know.
Could the thyroid be the main factor in supply? She was told that could
take a couple of weeks to adjust so could she take any iodine rich foods in
the meantime?
~Mom with pre pregnancy diagnosed small pituitary adenoma and high
prolactin levels interfering with conception so dostinex given and she became
pregnant. PCOS and hypothyroid also dx prior to pregnancy. Has ulcerative
colitis, on no meds for this now.
Is she ok for domperidone as slow lactogenesis II and low supply. 8 days
PP now. Would domp cause issues with pit adenoma? Has had prolactin level
drawn and no results yet. Thyroid meds adjusted for hypo state a couple
of days ago.
Thanks! Poor mommy is a hormonal mess. Seeing her this afternoon for
third time.~
Input appreciated.
Barbara Latterner, BSN, RN, IBCLC
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