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    I am going to see my GP next week about recommencing treatment for PCOS - last time I was on metformin (prescribed by my Ob/Gynae). I will likely get a referral to see the Ob/Gynae again but want to arm myself with info on metformin and breastfeeding... I know that in all likelihood stopping BFing will result in ovulation return but I didn't ovualate until on metformin last time so want to gather info... Lactation There are three published studies of metformin in breast milk. The milk:serum or milklasma ratio varied between 0.18 and 1.00, while the estimated mean infant dose as a percentage of the mother's weight-adjusted dose varied between 0.18% and 1.08%. This dose is much less than the usual 10% level of concern.11 Women can be reassured that it is unlikely that there will be any significant effect on their babies. In particular, there is no risk of neonatal hypoglycaemia, in contrast to the use of drugs stimulating insulin release, such as the sulfonylureas. Maintenance of maternal euglycaemia during lactation remains an important principle to reduce the risk of subsequent obesity in the child.12 Conclusion Evidence is emerging that metformin may improve insulin sensitivity during pregnancy. Excretion of metformin into breast milk and the effect on nursing. Metformin and lactation - helping low milk supply - May 2014. Metformin and Breastfeeding - BabyCenter
     
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