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Evidence. Experience.
Support for Your Journey.
Practical, evidence-informed education for parents and healthcare professionals. Explore topics on breastfeeding, lactation medicine, postpartum recovery, and the

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Nipple Pain While Breastfeeding: Causes, Treatment, and When to Get Help
Nipple pain is one of the most common reasons parents stop breastfeeding — yet it’s often dismissed as “normal.” While mild tenderness can occur early on, ongoing or severe nipple pain is a sign that something needs attention. This article explains the most common medical and mechanical causes of nipple pain during breastfeeding, how they’re evaluated, and what treatments actually help.
Jennifer Gerard, MSN, APRN, FNP, IBCLC
Feb 7


Prenatal Lactation Consultations: When Medical Guidance Before Birth Can Help
Prenatal lactation consultations can play an important role in identifying potential breastfeeding challenges before birth. This article outlines medical situations in which prenatal lactation guidance may support informed planning and early postpartum care.
Jennifer Gerard, MSN, APRN, FNP, IBCLC
Feb 1


Insulin Resistance and Low Milk Supply: What Breastfeeding Parents Need to Know
Insulin plays an important role in lactation physiology. Learn how insulin resistance may contribute to delayed or reduced milk production, which signs deserve further evaluation, and when to seek specialized support.
Jennifer Gerard, MSN, APRN, FNP, IBCLC
Jan 27


Domperidone vs Reglan (Metoclopramide) for Induced Lactation — Evidence-Based Comparison
Domperidone and metoclopramide (Reglan) are sometimes discussed for induced lactation, but neither is FDA-approved for this use. This evidence-based review compares safety risks, regulatory guidance, and clinical considerations to help families make informed decisions with qualified healthcare providers.
Jennifer Gerard, MSN, APRN, FNP, IBCLC
Jan 24


Popular Galactagogues: Critical Considerations
Galactagogues are widely used by breastfeeding parents, but scientific evidence supporting their effectiveness is limited and safety considerations vary. This article reviews what is known about popular galactagogues, potential risks, and why clinical evaluation should come before supplement use.
Jennifer Gerard, MSN, APRN, FNP, IBCLC
Jan 24


How to Save Money on Lab Testing for Low Milk Supply
Low milk supply lab testing can be expensive and confusing. Learn how to reduce costs by focusing on medically necessary tests, using insurance wisely, and exploring self-pay lab options.
Jennifer Gerard, MSN, APRN, FNP, IBCLC
Jan 19


10 Medical Causes of Low Milk Supply: When It May Be More Than Latch or Pumping
Low milk supply is often linked to hormonal, physiological, or medical factors—not diet alone. This evidence-based article explains 10 non-diet-related causes of low milk supply and when a medical or lactation evaluation may be helpful.
Jennifer Gerard, MSN, APRN, FNP, IBCLC
Jan 16


Functional Laboratory Evaluation in Low Breast Milk Supply
Low milk supply can have multiple contributing factors beyond breastfeeding technique alone. This article explores how functional laboratory testing may help clinicians identify underlying hormonal, nutritional, or metabolic influences on milk production as part of a comprehensive medical evaluation.
Jennifer Gerard, MSN, APRN, FNP, IBCLC
Jul 23, 2025

ABOUT THE AUTHOR
I'm Jennifer Gerard, APRN, FNP, IBCLC
I help families and healthcare professionals understand the why behind lactation and postpartum recovery so they can create meaningful, lasting change.
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