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Subject:
From:
Rick Gagne & Elise Morse-Gagne <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 18 Jun 2002 22:17:48 -0400
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I've looked in the archives and seen quite a few posts on the topic but saw
nothing addressing my specific question.

Mom whose milk has not come in at 1 week postpartum--zilch--no breast
changes.  Being seen by LC.  Does not appear to be retained placenta, no
other obvious reasons.  Some years ago there was some question about her
thyroid function.  So, the question: supposing it is hypothyroidism, can
her milk be brought in, and if so, how?

I saw several posts in the archives saying "low milk, but thyroid function
normal/low normal".  I have talked with three mothers whose thyroid
function was either being treated and was considered "under control" or was
"within normal range" (but they were being tested for some reason, other
than milk supply, in the first place) whose milk was definitely low.  I see
that Dr Hale in _Clinical Therapy_ says that "the nuances in discerning
hypothyroid states are enormous and careful ... study...by accomplished
clinicians or endocrinologists is important."  I have certainly gotten the
impression from my vast experience :-) that milk supply may be a more
sensitive indicator for thyroid problems than the tests, or perhaps the
people interpreting the tests.  Or could the thyroid levels fluctuate
rapidly enough (especially in and after pregnancy) that test results from
August might not be applicable in October?
Comments from more medically knowledgeable types solicited!

Elise
LLLL
Bath, NH

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