I have looked through the archives and did not find much on galactagoges and bypass surgery. I understand that Reglan is not appropriate because it increases the gastric motility. Mom did give me permission to post this question. This is her second baby and she has a history of insufficient supply , and visually appears to have decreased glandular tissue, can she use goat's rue? She is on B-12 injections once a month, and does admit that she is about 1 week late on her dose because of delivery. Baby is now 9 days old. Had lost -12% by day 5 of life. Is unable to pump anything, does not have noticable breast growth, and did not have sucessful milk supply with previous child. Tried Fenugreek with last baby - unhelpful- she does produce some small volume, and nursed with a SNS for 6 weeks with the last child. When the baby lost so much weight at day 5, we started on the SNS, with 1 to 2 oz of formula each feed, and she gained 9 oz. in 4 days. THis mom would really love to increase her supply, baby is an assertive nurser, and will feed for 30 to 40 min. each feed, so I have not encouraged "extra" pumping. I felt it would wear out the mom. Any insite into the goat's rue, or other suggestions? THanks, Paula Hiett Good Shepherd Medical Center Longview, TExas *********************************************** 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 email list is powered by LISTSERV (R). There is only one LISTSERV. To learn more, visit: http://www.lsoft.com/LISTSERV-powered.html