Dear Janet: What a horror story. How about rx for Reglan (metoclopramide). Works by increasing prolactin levels and I'll bet this poor mother's levels are in the pits. Typical regimen is 10mg q8h for 10 days. Starts to work day 3+. Am seeing excellent results (50-100% increase). Sorry -- have not organized myself to keep stats but do follow each mom to see what the effect has been. I suggest Reglan only after pumping (and all the usual stuff) has been tried. I suggest herbs when mother has a minor shortfall in supply or has a dislike of drugs. BTW, I read several postings recently re alfalfa being a good galactagogue so bought some and took two capsules myself. (Not lactating -- thought I should my mouth where my advice might be...) Easy to take if you can ignore the smell of hay but very, very gassy. All that fiber?? For all of you who use herbs regularly, can you tell me how the moms deal with this problem. Beeno? Joanna Koch, IBCLC