Frequently Asked Questions

Low milk supply is complex and often multi-factorial. The most common reason for low supply is suboptimal lactation management. This includes things like: missed feeds, sleep training, early introduction of bottles, wrong flange size, latch difficulties and time limitation at the breast. It is critical to assess overall lactation management because often when these factors are corrected, supply improves. If lactation practices are optimal and you're still having low supply, then we think about medical causes. This includes things like: anemia, hypothyroidism, postpartum thyroiditis, insulin resistance and low prolactin. We can do lab testing for these and, once the underlying root cause is identified and managed, supply often improves. ​ 👉 Check out the blog to learn more: "10 Surprising Reasons for Low Milk Supply(https://www.advancedlactationcare.com/post/10-surprising-reasons-for-low-milk-supply-that-have-nothing-to-do-with-your-diet)" and "Understanding Low Milk Supply(https://www.advancedlactationcare.com/post/understanding-low-milk-supply-tips-for-breastfeeding-or-pumping)"

As a Nurse Practitioner, medical recommendations and medication counseling may be provided when appropriate during Breastfeeding Medicine Consultations.(https://www.advancedlactationcare.com/breastfeeding-medicine-visit) Prescription treatment is available for select conditions in select states.

Domperidone has been used off-label to increase prolactin levels and is not available in the United States. It is not a medication we prescribe but we can discuss! It is available from international sources and we are happy to provide medication counseling to assure it is a safe choice for you. We offer evidence-based information about use, dosage, safety, weaning, etc. It is highly recommended to seek professional guidance if you are considering Domperidone.

Our role is to provide evidence-based information and support — not pressure. We help families make informed feeding decisions that align with their values, health, and circumstances. If you are expecting and exploring infant feeding options, we would love to partner with you to help you navigate the process and make choices that are right for your family. A Prenatal Feeding Consultation i(https://www.advancedlactationcare.com/prenatal-feeding-consult)s a great way to explore all your options and get a plan for success!

Yes. We offer professional, compassionate support independent of infant feeding preference and your goals are our goals!

Breastfeeding Medicine is a medical specialty that focuses on the clinical management of complex breastfeeding and lactation issues. It addresses both feeding challenges and underlying medical, hormonal, or physiological contributors. About Breastfeeding Medicine Services (https://www.advancedlactationcare.com/breastfeeding-medicine-visit)

No. Low milk supply is often influenced by physiological, hormonal, or medical factors and is not caused by lack of effort or commitment.