Fenugreek (Trigonella foenum-graecum L.) appears to be the herb that is most often used to increase milk supply. It has been reported to be an excellent galactagogue for some mothers, and has been used as such for centuries. The few studies that have been done have had mixed results [Swafford 2000, Reeder 2011, Turkyılmaz 2011] . Keep in mind that in almost all cases, non-pharmaceutical methods of increasing milk supply should be tried first, as there can be significant side effects from both herbal remedies and prescription medications used to increase milk supply. See the Academy of Breastfeeding Medicine’s protocol #9 on the use of galactogogues.
Mothers generally notice an increase in production 24-72 hours after starting the herb, but it can take two weeks for others to see a change. Some mothers do not see a change in milk production when taking fenugreek.
Dosages of less than 3500 mg per DAY have been reported to produce no effect in many women. One way reported to determine if you’re taking the correct dosage is to slowly increase the amount of fenugreek until your sweat and urine begin to smell like maple syrup. If you’re having problems with any side effects, discontinue use and consider alternative methods of increasing milk supply.
Fenugreek has been used either short-term to boost milk supply or long-term to augment supply and/or pumping yields. There are no studies indicating problems with long-term usage. Per Kathleen Huggins “Most mothers have found that the herb can be discontinued once milk production is stimulated to an appropriate level. Adequate production is usually maintained as long as sufficient breast stimulation and emptying continues” [Huggins].
(check with your lactation consultant and medical care provider for information specific to your individual circumstances)
Fenugreek is used to flavor artificial maple syrup, and is used as a common food ingredient (curries, chutneys, etc.) and traditional medicine in many parts of the world, including India, Greece, China, north Africa and the Middle East. It is a basic ingredient of curry powder (often used in Indian cooking) and the Five Spice mixtures (used in Asian cooking). It is also eaten as a salad and sprouted.
Fenugreek is considered safe for nursing moms when used in moderation and is on the U.S. Food and Drug Administration’s GRAS list(Generally Recognized As Safe). As with most medications and herbs, various side effects have been noted; see the side effects and safety information below.
Per Hale [Hale 2012], “The transfer of fenugreek into milk is unknown, untoward effects have only rarely been reported.” Hale classifies it in Lactation Risk Category L3 (moderately safe).
Use with caution or avoid if you have a history of:
Drug Interaction References: [Wichtl 1994]Fenugreek drug interactions from HealthnotesFenugreek drug interactions from Memorial Sloan-Kettering Cancer Center
Most of the time, baby is unaffected by mom’s use of fenugreek (except that more milk may be available for baby). Sometimes baby will smell like maple syrup, too (just like mom). However, some moms have noticed that baby is fussy and/or has green, watery stools when mom is taking fenugreek and the symptoms go away when mom discontinues the fenugreek.
Fenugreek can cause GI symptoms in mom (upset stomach, diarrhea), so it’s possible for it to cause GI symptoms in baby too. Also anyone can have an allergic reaction to any herb, and fenugreek allergy, though rare, has been documented.
Another reason for these types of symptoms –and perhaps more likely than a reaction to the herb– may be that mom’s supply has increased due to the fenugreek and the symptoms are those of oversupply, where baby is getting too much foremilk. Fussiness, gas and green watery stools are classic symptoms of an overabundant milk supply.
Some things to try:
The main question in this instance, however, is whether the fenugreek is needed at all. Many moms feel that their supply is low when it really isn’t. See Increasing Low Milk Supply for more information.
Also make sure she has this info:
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