Effect on milk production
Fenugreek (Trigonella foenum-graecum L.) appears to be the herb that is most often used to increase milk supply. It is an excellent galactagogue, and has been used as such for centuries. In one study of ten women, "the use of fenugreek significantly increased volume of breastmilk" [Swafford 2000].
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.
Dosages of less than 6 capsules/day (approx 3500 mg/day) produce no effect in many women. One way 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 can be 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].
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