Dirty Milk

FFF Sarah, who is currently trying to induce lactation for her upcoming adoption, emailed me this afternoon with an interesting question:

So, I’m pumping all of this crap into my body in an attempt to see if I’m able to lactate.

Today, I was telling my husband why I buy x-type of dairy milk (b/c it doesn’t have rBGH)…I read him this tidbit from the dairy’s page:

rBGH is “recombinant bovine growth hormone” and also known as recombinant bovine somatotropin (rBST). Developed by Monsanto Corporation, rBGH is an artificial hormone that causes cows to artificially increase milk production.

We love our cows and believe that pure, natural milk tastes best and is healthiest for you. Here at Brown’s, our cows are not treated with artificial growth hormones like rBGH.

He said…”um…isn’t that what you’re doing? Taking stuff to artificially increase milk production? How is that good for a kid then?” I said I thought the ingredients were better, but honestly…I don’t know. Is it better? Do we know the danger of Reglan or Domperidone or Fenugreek or Blessed Thistle or any of the other crap we take in order to make milk or more milk for our babies?

Honestly, I had no idea how to answer this; however, I thought it was one of the most interesting questions I’d ever been asked. Even the mere concept of rBGH-free milk is worth talking about, and I can’t believe I’ve never thought about it before. Of course, we’ve discussed the fact that breastmilk can be a veritable smorgasboard of chemicals; in fact, scientists use this particular bodily substance for bio-monitoring (a way of measuring how many toxins are being stored in the human body). Typically, this concern is squashed by folks telling us not to worry, breastmilk is so amazing that it counteracts or cancels out all the bad stuff, or yelling at us not to peek at the man behind the curtain, like the titular dude in Wizard of Oz. (Read this article from Mothering.com to gain a frustrating, bang-your-head-against-the-wall understanding of why some breastfeeding advocates are fighting the trend of using breastmilk in bio-monitoring.)

So, isn’t it kind of funny that everyone is so concerned with the mercury in fish; the hormones in beef and milk… and not the food our own bodies produce?

There is ample proof that what we eat, breathe and absorb goes through our breastmilk. In fact, the NRDC has an entire website dedicated to the chemicals present in breastmilk, and they admit that “infant formula contains far lower quantities of dioxins, PCBs and organochlorine pesticides than breastmilk”. Of course, they go on to assure mothers that “formula has serious drawbacks that tip the scale against it”, and then list all the “risks” we have discussed on this blog, time and time again. The chemical contamination dangers they cite pertaining to formula are “contamination with substances such as broken glass, fragments of metal and salmonella and other bacteria. The fungal toxin aflatoxin has also been detected in some commercial formulas. Although detected levels were very low, this toxin is known to cause cancer and is not present in breast milk. Infant formulas also may contain excessive levels of metals, including aluminum, manganese, cadmium and lead.” However, many of these contaminants are avoidable if we could improve manufacturing processes; the first few listed, when discovered, led to recalls.

The important message here should not be choose formula over breastmilk, or vice versa. It should be, let’s all become more aware of the chemicals our babies are exposed to. Formula is a product; if we want to discuss the chemical contaminants in formula, we can address manufacturing processes, corporate responsibility, quality assurances, ingredient sources, etc. If we want to discuss the chemical contaminants in breastmilk… well, chances are we won’t be discussing that, because its tantamount to yelling fire in a crowded movie theater. Us girls are, like, panicky and hysterical, dontcha know?

Back to the original question which spawned this post, though. It’s one thing to worry about chemicals we have no real control over; quite another to discuss intentionally ingesting something potentially harmful to increase milk supply or induce lactation in the name of Liquid Gold. But could Reglan, Domperidone, Fenugreek, or Blessed Thistle really be harmful? Doctors prescribe them for nursing women all the time, and these folks would never prescribe something that they don’t know 100% for certain won’t harm a baby, right?

(Pause for diabolical laughter…)

Fenugreek and Blessed Thistle are probably the least concerning of these substances, as they are herbal remedies. However, while NIH’s Medline Plus cites “increasing breastmilk quantities” as one of Blessed Thistle’s uses, they also warn, “Don’t take blessed thistle by mouth if you are pregnant. There is some evidence that it might not be safe during pregnancy. It’s also best to avoid blessed thistle if you are breast-feeding. Not enough is known about the safety of this product” and list “irritat(ion of) the stomach and intestines” as a possible side effect. As for Fenugreek, Kellymom warns that while “(m)ost of the time, baby is unaffected by mom’s use of fenugreek (except that more milk is usually available)”, sometimes “baby will smell like maple syrup…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.” A search on WebMD’s database found that “(s)ome reports have linked fenugreek tea to loss of consciousness in children”.

(I feel I should interject here to remind everybody that just like everything else we discuss on here, we should look at these warnings in terms of relative risk. If you read the possible side effects on a bottle of Children’s Advil, it’s a hell of a lot scarier. I’m merely trying to illustrate a point, so bear with me, please, and don’t panic if you’ve been binge-drinking Fenugreek tea.)

Reglan and Domperidone carry more severe warnings. Reglan is one of those drugs that repeatedly come up on litigator’s websites (never a comforting sign), and it has been suggested that it can cause a condition called Tardive Dyskinesia. As one of the litigators explains, “Before Reglan was released, the FDA only approved its use for 12 weeks at a time, which means that women who are breastfeeding are at an even higher risk for developing TD because of the timeframe spent breastfeeding.” (Ironically, I found a really great opinion piece about the relative risks of Reglan on another of these lawyer sites. Go figure.) Perhaps a more real-world concern – and definitely one that worries me a great deal, what with PPD being such a real threat to new moms – Reglan is also linked with depression.

Domperidone, a drug typically used for cancer patients or those with gastrointestinal issues, does seem to be a safer bet, although on a UK site detailing the prescription use of Domperidone, it clearly states that “this medicine passes into breast milk in very small amounts that are not expected to be harmful to a nursing infant. However, the medicine is not recommended for use in women who are breastfeeding unless the potential benefit to the mother outweighs any risks to the nursing infant. Seek medical advice from your doctor.” If that doctor happens to be breastfeeding guru Jack Newman, you’ll be reassured that it is indeed safe (“Worldwide experience with domperidone over at least two decades suggests that long-term side effects also are rare. Some of the mothers in our clinic, breastfeeding adopted babies, have been on the medication for 18 months without any apparent side effects…patients using domperidone for stomach disorders may be on it for many years. I hope you won’t need domperidone for very long, but if it’s necessary and helpful, stay on it,” he breezily suggests, adding links to back him up (nearly all of which are dead links, btw, save for one study which simply proves that Domperidone increases milk supply. Sort of a moot point, don’t you think?)

If a mom needed to take either of these drugs for a medical condition, I would think the benefits absolutely outweigh the risks. Aside from the depression risk, neither seems to be that scary, especially when you consider Reglan was discussed as a potential therapy when my infant daughter was suspected to have delayed gastric emptying (so one would hope it isn’t all that toxic to babies).

But we’re talking about selectively consuming these drugs in order to do something which is often marketed to women as the “natural” choice, the “biological norm”. If a woman wants to breastfeed, I would totally understand her desire to try these drugs, and more power to her. If a woman feels like she has to breastfeed, and has to take these medications in order to fulfill her biological and maternal responsibilities, that’s another story. And regardless, let’s stop the hypocrisy and ignorance so prevalent in the way we view and discuss breastmilk. If it is full of chemicals, the answer is obviously not to discourage breastfeeding, but shouldn’t it also be obvious that we can’t ignore the problem? Likewise, if someone has to take medication in order to breastfeed, we need to support her in her goals in whatever way we can, but we also need to ensure that she has adequate research on her side that proves she is not putting herself or her baby at risk.

Breastmilk, left to its own devices, is one of the most amazing and purest foods in the universe. Unfortunately, we live in a time when pretty much nothing has been left to its own devices. Nobody is saying that breastfeeding isn’t worth it, but in the world we currently inhabit, I don’t think we should view breastmilk as unadulterated, absolute perfection. It can be corrupted, like any biological substance.

So, FFF Sarah’s husband… I’m not sure what the answer to your question is, exactly. But I can tell you that while writing this, this image kept running through my head of one of those “Not treated with rBST!” messages stamped on a nursing bra. Thanks for that, buddy.

Suzanne Barston is a blogger and author of BOTTLED UP. Fearless Formula Feeder is a blog – and community – dedicated to infant feeding choice, and committed to providing non-judgmental support for all new parents. It exists to protect women from misleading or misrepresented “facts”; essentialist ideals about what mothers should think, feel, or do; government and health authorities who form policy statements based on ambivalent research; and the insidious beast known as Internetus Trolliamus, Mommy Blog Varietal.

Suzanne Barston – who has written posts on Fearless Formula Feeder.

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34 thoughts on “Dirty Milk

  1. Wow, a lot of my pitiful short-lived breastfeeding experience was tainted by the idea that I needed to take all those possibly awful things to keep up my supply. I wasn't willing to chance it, and thus, I am a failure.

  2. I took Dom for many months when I was pumping for Robbie. I was *VERY* hesitant to take it because of it's lack of FDA approval (not that being FDA approved means it necessarily is safe, but you know what I mean.)
    I had a pharmacist friend send me all the literature on it and pored through it and ultimately came out that the benefits outweighed the risks.
    for me, I did feel like I *HAD* to do it because I couldn't find any formula Robbie could tolerate (and I tried 7 or 8 different kinds including several different supposedly hypoallergenic formulas). I was scared to death of running out of milk and having nothing to feed him. So it was definitely something I needed to do. I hated that I had to order it online instead of being able to get something monitored here.

    Oh.. and FWIW, the “evil substance” in formula that was wreaking havoc on his stomach was good old all natural corn. Go figure.

  3. Tricia, I feel like I need to do some sort of post on corn sensitivity/allergy. I think this is probably more common than we think.
    Also, IMO, merely wanting badly to breastfeed is enough of a benefit to outweigh the risk (barring you don't have some awful reaction to any of these substances). I just wanted to highlight the fact that these are not no-brainer decisions, as you illustrated beautifully.

  4. I'd love to see you do it because I do think it's very common. In my preemie circles, a LOT of us tried a lot of formulas before ending up on Good Start because it doesn't use corn syrup solids as a carb source.
    We tried so, so, so many things for Robbie. I literally had doctors tell me it was “impossible” for him to be allergic to Elecare, for example, but it's 55% corn!

    It wasn't until he was in the hospital for failure to thrive and they were giving him RTF soy formula and his puking slowed down (but didn't stop) that I got it. We'd previously tried powdered soy with no luck. I couldn't figure out why it would be different until some message board friends said it was the corn. RTF= 7% corn. Powder = 52% corn. He was 10 months old and I *FINALLY* had an answer. And of course, it didn't remotely come from a medical professional. It was frustrating.

    And no, I definitely do not think they are no brainer decisions at all. I have a lot of people ask me about Dom because I commonly referred to them as “magic pills” for a while there. ANYONE who asked me about it, I sent them the medical information from my pharmacist friend because I wanted them to make that decision on their own. Just because I had made the choice to risk it, I coudln't live with myself if I told someone “eh, it's no big thing” and then they (or their child) got sick.

    Truthfully, if I could have found a formula that worked for him at the point that I started taking the Dom (around 4 months age), I would have gone with formula. Studied & monitored formula certainly seemed a safer bet than prescription meds w/o a prescription from a foreign country. I just couldn't find anything he could take. Once we figured out the corn thing (at 10 months) and tried Good Start, I was already doing well with the Dom, so I just continued, and used the Good Start for calorie boosting.

    I am EBFing Charlotte successfully (so far) but I also don't leave home w/o a bottle of RTF Good Start. I'm always afraid something weird will happen and she'll need food when I'm not available (I'm in a car accident or something) and want her to have food. And I'm scared to even try anything corn based!

    It really does make sense. I mean, even we adults have trouble digesting corn and then we feed it to our babies whose digestive tracts aren't really great at digesting food to start with. It's no wonder they would have some intolerance issues.

  5. So interesting… If you want to do a guest post about the corn issue, let me know. I'll do my best to write about it from a research perspective but I always think those who have lived it are far better qualified to tackle these issues. Not that you're busy with two kids or anything. 😉

  6. sure. I keep meaning to write up a post about my 'tween worlds, but as I got started writing it, I got stuck in the hospital and then Charlotte was born and the rest is history.
    I will endeavor to write something up in the coming weeks, though.

  7. I would *love* to see the corn issue addressed.

    One of my little guys was severely FTT (still .. is .. techinically), ended up going through formula after formula, finally onto Neocate, and *still* vomiting and not able to stay hydrated. G-tube, then a g-j tube, and still miserable and not gaining weight. Doctors saying it's “hypoallergenic” so it's “just the way he is”.

    Two and a half years of vomit and misery, a kid who *can't* eat still at age 4. It's not totally due to the corn syrup solids, but as soon as we got rid of that (by pushing pureed food through his tube), the pain went away, he caught up developmentally. Over time the vomiting and oral aversions have faded.

    And no one knows about it! It's everywhere in infant formulas, and doctors only look at milk and soy as culprits. It makes me sick to think of how different things could have been if we had been aware. (He still probably would have gotten a tube eventually, but not like that – complete with neglect charges because a doctor thought I was just not feeding him.)

  8. I strongly disagree with your statement that fenugreek and blessed thistle are automatically less concerning since they're herbs. The idea that something is better or safer simply because it is natural and not manmade is a dangerous fallacy. There are plenty of highly dangerous natural substances, too. Each treatment needs to be judged on the scientific evidence for and against its efficacy and safety without prejudice as to whether it is natural or not.

  9. I took the maximum dose of Dom in order to maintain a 50% supply for my second son. I did this for 11 months.

    As a result, I never once felt satisfied and was constantly starving. Dom is a motility drug that moves food quickly through the digestive system.

    I gained 45 lbs.

    I treasured the nursing relationship I had with my son. So for me, it was worth it. But on balance, whatever positive health benefits nursing and breast milk had for me and my son were not worth the weight gain. It has been a struggle to lose that weight. It has taken a huge toll on my health and self-worth.

  10. Interesting. That's not something I've thought about before, since Canadian milk in hormone-free and antibiotics-free by law. I did refuse to take Domperidone, though, even if the canadian equivalent of the FDA has approved it.

  11. Corn is a major issue in allergy circles…it's not required to be declared, and it's a component of so many foods. Sesame is the other major issue–it's not as common but many folks are anaphylactic. Personally, I'd love to see ALL ingredients labeled in our food, especially since I'm one of the many unlucky ones with a severe allergy to foods that are more uncommon allergens.

  12. Also: fenugreek is a legume, related to the peanut. It may have stronger cross-reactivity to those who are allergic to peanuts than other legumes. http://www.fhi.no/eway/default.aspx?pid=238&trg=Area_5954&MainLeft_5812=5954:0:&Area_5954=5825:94461::0:5955:1:::0:0 has more information. Given how common peanut anaphylaxis is among both adults and children (even tiny babies), I find it unconscionable that I really haven't seen this information plastered all over breastfeeding resources. In this case, one-size-fits-all medicine, and the “natural is best” attitude of that crowd, can quite literally kill.

  13. Thank you for this article. I wanted to badly to start my wellbutrin for my ADD, but as I'm still pregnant decided not to because of the whole transfer issue. Then I started thinking about breastfeeding after while taking it and if I won't even take it while pregnant, what would change after? It will still pass to the baby, just not as much. I was a therapist and saw the affect of drugs. Sure this is a drug I'd be taking by the rules and all, but it will still pass and who knows how much it could affect her brain. So I decided to formula feed instead because in my opinion (strictly mine, I know lots of mothers feed while on anti depressants) it would be safer.

    That's interesting to know about the corn syrup issue. My son seemed fine on it, we tried so many other formulas but he only tolerated Similac Sensitive. Maybe I'll look into good start for the next one.

  14. Cathy, I'm sorry you went through that. My son had a G tube as well. We just had it pulled a week before his 3rd birthday (last May.)

    I'm so sorry the doctor did that to you. One of my best friends had a doctor sort of threaten her with the same and I was shocked.

  15. I appreciate this article and feel like it REALLY needed to be said! Everyone is so worried about avoiding nasty chemicals but then when it comes to increasing breastmilk they bombard themselves with them and don't even bat an eye. For my situation I've decided that “evil” formula is better for me and my children than trying to drug myself and possibly my baby up in order to nurse. I agree with the other commenter that we can't just assume it's safe because it's natural and an herb. Concentration, dose, etc. matter!

  16. In my attempts to stimulate lactation to feed my adopted daughter, after four or five days of taking Fenugreek I was hospitalized with an extreme case of diarrhea that the doctor could not explain from my lab tests. I was too embarrassed to admit to him or my partner (who really put her foot down about using hormones to stimulate lactation and was only semi-supportive of using fenugreek), that I was quite sure about what was causing this. I was released a day and $500 later (no drop in the bucket when preparing for a baby!), and immediately stopped using fenugreek. The problem persisted for two more weeks. I did nurse with formula and an SNS for 2.5 months, but I gave up on the idea that I could force my body into producing milk and decided to just enjoy the bond that I could create with my baby using the resources at hand, without threatening my own health or hers.

  17. Sorry for my liberal use of “crap” in my original email to you! I'm just so frustrated with the dom headaches…ugh!

    And thanks for answering my question! I guess I've got some hard thinking to do about whether I want to continue down this path or not. 🙁

  18. Becky05 I have to agree with you as well. Just because it is “natural” doesn't mean it is safe. My own Dr. told me that when I asked her about something (I can't remember what). She said you have to really careful about herbal “remedies” because somethings in nature are awfully dangerous to humans.

  19. Me too. There is no evidence that my children have any food allergies, but I was diagnosed as allergic to corn when I was a child. The doctor believed that eating corn products led to asthma attacks. I have no idea if this is true, or possible. At the age of 9, when my mom accidentally gave me the wrong bread, nothing happened and suddenly I could eat whatever I wanted, even popcorn. It was always referred to as “outgrowing” the allergy.

    Meanwhile, my dad (62) just recently developed a corn allergy—he never had any issues before, but now a bowl of popcorn causes a reaction.

    I know science is working feverishly to figure out how allergies work, why they seem to be more prevalent now in developed countries, and if a vaccine or other therapeutic be made.

  20. And a problem with herbs is that they can contain wildly different amounts of active ingredients from plant to plant. I would trust a drug more because they are standardized and you know that when you are taking a pill you are getting x amount of drug.

  21. Exactly…if it's not FDA approved, then it hasn't gone through rigorous testing, and optimization. While the odds are that it's harmless, it's still taking a risk. I think it was just last year when the Hyland's tablets were found to contain possibly dangerous amounts of belladonna. (aka Deadly Nightshade)

  22. I tried to find studies on the safety of domperidone in milk, and could not. The only academic studies I fount RE: domperidone and BF were just about its efficacy in increasing milk supply. I don't have academic library access though, so there might be some things out there. I couldn't find. I was wary since it was not FDA approved, besides being expensive and causing dramatic weight gain, which could damage my health. My endocrinologist also recommended against it, although she does advise patients with severe GI problems to get dom from Canada because it's the only way they can keep food down, so she's familiar with it.

    I tried Fenugreek, oatmeal and brewer's yeast, but that's where I drew the line. Since my supply was almost nonexistant, I don't think I could have made a significant amount even if I spent the $200-$300 a month on all the recommended supplements. (I never spent more than $100 a month on formula, and most months I spent far less due to coupons). At any rate, I find it ironic that so many BF advocates seem to expect women to do grossly unnatural things in the name of doing what's “natural.”

  23. It seems like this issue (chemicals in breastmilk and the substances-whether pharmaceutical or natural-that women put into their bodies to make (more) milk) is very much swept under the carpet, be it by lactivists, La Leche or even major medical/government health associations who have to say breast is best. The first time I had heard of chemicals in breastmilk I didn't believe it. And I think the points raised from this post and resulting comments about the other side of using some of these substances to increase milk production raises another excellent point for consideration. I think the (lack of) information on this topic is just another unfortunate example of breast milk/feeding tunnel vision and the TRUE lack of balanced, factual information that ACTUALLY allows a mother to make an informed, uninfluenced choice about infant feeding.

    Does anyone know if there are any published studies examining the effect of breast milk (either short or long term) on infants/children? If there even are I'd be willing to bet there aren't many of them and are possibly inconslusive. That's something I'd really like to know given that I've seen obviously biased pro bf'ing websites say chemcicals in breastmilk are “not a concern.”

  24. First sentence of my 2nd paragraph-I meant to say “published studies examining the effect of CHEMICALS in breast mlk,” sorry! Long day at work.

  25. I hear you, Kristin. If I had a dime for every time my exhaustion had led me to make a typo, I could afford a copy editor. 😉

  26. I think this is a really interesting post. I am nursing my second child and nursed my first. I have been blessed with an ample supply, which was great when pumping for each of them at work, although I did have some low pumping days. Oatmeal always seemed to help me boost back up to what my girls needed, but I know not everyone is that fortunate.

    There are two separate issues, as you stated… the chemicals that are already present and the chemicals that are purposefully ingested as medication.

    For me, I don't know if nursing would have been important enough to take dom. I would not take Reglan because of the potential risk for depression and the scary lawyer commercials I've seen. I didn't have to have that risk/benefit analysis discussion with my husband about that, thankfully.

    There is one researcher in the US, Dr. Thomas Hale, who is researching the effects of toxins in breastmilk on infants. They have started the infant risk center and you can get information on if there is a study that exists regarding your particular medication. For a lot of the medications there is little data. I wish that there were more information out there about the impacts of the medication on the nursing infant. It would be quite reassuring for a lot of mothers to have real information about the potential harm a needed medication would have on their child.

    The chemicals that are there, inherent in our bodies are another thing. I think that the government should be looking into what could reduce that. The water we drink, the air we breathe, and the food we eat all contain chemicals that are not good for us. I wonder how concentrated this is in my milk and have decided that I can't worry that I am poisoning my child with the milk I provide her. However, something should be done to make it so that when my daughters are potentially nursing their own children, that they can be confident that they are not passing along environmental toxins.

  27. Sarah, what does your doctor say about this? I am just curious, not trying to be judgemental or discouraging. Just seems like it can be trying on the body is all. I have no breasts so this would not be an option for me now so I have no choice but to FF. I dont think i would do this personally, but it is your decision. I just cannot imagine any doctors advising this is all. Your going to be a great mom no matter what.

  28. Great question, Bree…I hope you get this response, since I'm responding to you so late.

    My docs (OB, pedi and psychologist) are supportive in various ways. They're all supportive of the IDEA of adoptive BF. They all have concerns about the various drugs. Reglan was an absolute no go, as I suffered from PPA (post partum/adoptive anxiety) with my first, and have had boughts of anxiety/depression through our infertility/adoption journey. They're concerned about the dom, but not enough to tell me that I shouldn't take it…they recognize it's approved in Canada, but mostly said I should see how my body responds. It's actually NOT going well, I have raging headaches from it that no med touches. I've been taking it for a month now and I agreed to go a month before I made any decision on whether to continue or not. My OB is pro-herbal supplements (I was planning on using Motherlove More Milk Special Blend, which includes: goat’s rue herb, fenugreek seed, blessed thistle herb, nettle herb, and fennel seed)…he recs them all the time, is a big supporter of BF moms, etc etc. When I emailed him about concerns about putting these things into my body, the possible fenugreek/legume/peanut thing, his response was that he just hadn't considered it and to let him think about it.

    My pedi, who is also pro-BF, is anti-any type of supplementation once baby arrives. He believes that everything crosses into the milk and none of it is good for baby. He advises that if you take aspirin or sinus medicine that you pump and dump. He thinks beyond oatmeal, extra stimulation, and water water water, that you should supplement with formula before you put drugs/herbs into your body that baby will ingest. While being pro-BF, he thinks formula is pretty awesome and that it is much safer than what most moms in our area BF to their babies (Mt Dew, nicotine, fast food, etc etc etc – I live in the deep south in a LCOL area, where we're not known for our healthy eating or lifestyles, plenty of moms BF though), and he tries to get moms to clean up their acts when it comes to what they eat and what they put in their bodies in general.

    My psychologist is a fan of whatever makes me happy and makes me feel accomplished. One of the things I struggle with as an infertile is the fact my body has failed me. I want to experience pregnancy and birth, and I can't…it's hard to get past that when all women seem to want to talk about are their body functions and how amazing they are. I don't care about the genetic relationship my child has with me, but I would love to carry a baby someday. The first time we adopted, I decided fairly easily not to induce lactation, because I was so afraid of failure again. This time, I thought I have more confidence and am much happier, so even if it doesn't work out, I would be okay. She is concerned about my headaches and is encouraging me to look into other alternatives than dom at this point.

    I will say, it's a lot of work. And it's way more expensive than FF. I'm not doing it for the baby, I'm totally doing it for me…but I know I will be okay if it doesn't work. 🙂

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