Hi Jen Thanks for the update on the case. I would be inclined to recommend continued use of reglan because it may take some time to get the thyroid situation under control. Repeat lab testing will likely be necessary until the situation stabilizes. More importantly, though, seems to be the fact that the baby is transferring very littlle milk. So mother should continue expressing with a hospital grade pump. I would also refer this mother to a primary hcp or endocrine doc for continued follow-up. This mother is at risk for continued low milk production due to early factors, confusing weights, etc, as early milk volumes seem to predict later volumes. I would clue her in to avoid as many factors as possible that tend to decrease supply such as birth control hormones, certain medications, scheduled feeds, long interfeed intervals, baby sleeping all nite etc. <<<The most milk she has measured at one time was 68 grams but there are still nursings where just 6-8 grams of milk are transferred...>>> <<< should the mom continue on the usually course of Reglan?>>> <<<went to urgent care.....should she find a specialist or GP to for follow up? >>> Laurie Wheeler, IBCLC, MN, RN Mississippi, s.e. USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html