I would so appreciate some input on this situation as I'm trying to look at 
it professionally, though finding my frustration and exasperation levels high.  
A pediatrician who frequently refers to me (he has some faith in my judgment) 
has told a mom with whom I'm working that she shouldn't take herbal 
supplements (MM+, goat's rue) to increase her low milk supply because they are not 
approved by the FDA.  Interestingly, he is ok with her domperidone use.  (Of 
course mom has unfortunately stopped her herb use; baby gets some breastmilk, about 
2/3 AIM).

Now my reasoning is, that if this mom can further increase her milk supply 
with use of herbal galactagogues, is this not safer than giving her baby 
formula?  And likely, unbeknownst to him, formula is not approved by the FDA.  I have 
numerous references on herbal galactagogues including, Hale, Humphrey's book, 
conferences, etc, but where do I begin and how long do I spend looking for 
research-based info?  This pedi has challenged me before with the comment that 
he practices on research-based information (frenotomy being one of them, years 
ago co-sleeping, until he did same with his own children).  So before I begin 
to write him a letter and include resources, what might your suggestions be?  
And how can I word things? (I do have some past posts by Barbara Wilson-Clay 
that address these problems).  

Barbara Latterner, BSN, RN, IBCLC

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