Galactagogues

Galactagogues are simply foods, herbs or pharmaceutical drugs that promote the flow of a mother’s milk.

Ten steps to successful Breastfeeding (WHO)The day after my son was born, the hospital lactation consultant dropped by to tell me that I needed to top up with formula because I wouldn’t be able to make enough milk for him. It sounds brutal and blunt because it was. At the time I didn’t know that all the reasons her “diagnosis” was misguided and unhelpful so I delved into the world of galactagogues to help with low supply. Five months on, and Baba continues to be exclusively breastfed with comfortable weight gain. As an aside, I think it’s wrong to encourage pregnant women to breastfeed and tell them all the benefits but then provide no helpful support when we hit a roadbump (as most people would with any new skill).

Galactagogues are only part of the solution for boosting supply and should always be used alongside the support of a good, experienced lactation professional who can help with latch, technique etc. There’s also great information available from Breastfeeding Inc that can help with a range of breastfeeding issues.

Here is my experience with some of the common galactagogues:

  • Fenugreek (Trigonella foenum-graecum) seed is probably the most common and oldest documented medicinal herbs and is used for humans and cows throughout the world. Kellymom has summarised the dosage recommendations here. It is usually taken with blessed thistle and the two work well together. My own experience is that it worked well at 7g per day to improve supply but the gastric upset was so severe for both baby and me that we did not continue.
  • Fennel (Foeniculum vulgare) is often quoted as a galactagogue but in face it will not boost supply but will improve the milk ejection (let down). It’s a sweet tasting tea that helps with gas and digestion and tummy upsets so I’ve continued using it for these purposes rather than to boost supply
  • Similar to fennel, caraway is another anti-colic and anti-flatulent herb. It is often combined with other herbs when used as a galactagogue. I’ve enjoyed it with fennel as a tea.
  • Moringa (Moringa oleifera)– when I stopped fenugreek, I started taking moringa powder. It’s a good source of vitamins and minerals but more importantly it is well proven to boost milk supply. In my experience, it has been very effective.
  • Milk Thistle (Silybum Marianum) is usually associated with liver cleansing and gall bladder but it can also be used as a galactagogue. I’ve took this in the initial three weeks as a tincture in combination with Shatavari (Asparagus Racemosus), another popular galagtagogue
  • Nettle (Urtica dioica) – I’ve been taking dried nettle throughout pregnancy for its high iron content (and helps improve the body’s ability to use iron) and continued after birth. It is often used in combination with other herbs as a galactagogue. I’m a big fan of nettles and find that there are very few problems that can’t be helped with some nettles. It really is a wonder herb.
  • Red raspberry leaf (Rubus idaeus) is another favourite of mine and was something I was taking when there was new growth on our raspberry stems but as they’ve aged, I haven’t continued. It in itself is not a galactagogue but makes a nutritious and tasty tea and helps with let down.
  • Oats can be used as a food for lactating mothers. I’m not convinced of its galactagogue properties but porridge, breads, cookies etc are all good sources of healthy energy. I use oat groats soaked overnight rather than oat flakes to get the nutrition of the whole grain
  • And finally I tried taking Brewers Yeast as a powder and in cookies but again, the gastric upset was severe and not worth it.

So to summarise, I initially took milk thistle and shatavari as a tincture for three weeks to get things started. I tried both fenugreek and brewers yeast but found them difficult to digest. Now am taking dried nettle leaf, dried nettle seeds, oats, moringa powder and fennel/caraway as my milk boosting programme. I also take an Omega3 to help with the fat content of the milk and for general health.

On the anti-galactagogues, I’ve avoided ingesting mint and sage as well as using cabbage leaves topically (which is recommended by an astounding number of people).

There can be many reasons for low supply. A good latch and proper drainage are the basis for improving supply. There’s no substitute for proper support from knowledgeable and caring lactation professionals  but the herbs can definitely help.

 

 

Stinging nettles (Urtica dioica)

Family: Urticacaeae

Stinging nettle is a plant that is often avoided and steered clear of.  And yet this is a treasure of a plant that grows abundantly around here. It can be found in woods, roadsides, field edges, gardens. Well practically everywhere. Something that grows abundantly here is a rarity in other places and that tells us something about how it suits this climate and this people. An 11th century manuscript called the Lacnunga refers to the healing properties of nine powerful herbs (nine sacred herbs) and nettle is one of those. But somewhere along the way it fell out of favour. In these parts it was said that nettles were used in the 1840s when the potato crops failed and afterwards were associated with poverty and starvation. That may be so but it’s time for a revival now.

The parts used mostly depends on the time of year: leaves in spring, flowers in early summer and seeds and roots in autumn.

Just focussing on the leaves for now, the top growth of the plant is collected in early spring.  Once it flowers, the leaves are probably too tough for cooking and older leaves further down contain calcium atoms (cystoliths) that can irritate the kidneys. However if you are not foraging from the wild you can cut back the plants to get several crops of young tender leaves throughout the year.

 

It is more appropriate that nature has given this plant the protection of stinging exterior. Without it, we should probably never have the opportunity to benefit from its healing power. Animals, with their instinctive knowledge of what is good for them, would not leave us even one leaf (Dr Vogel)

There are hairs on the underside of the leaves and when brushed, those hairs break and inject the chemicals that make the burning sensation. Even though there is formic acid (same as a bee sting) in the leaves, the amount contained in the leaves is not enough to cause the stinging effect but a combination of acetylcholine and formic acid, histamine, serotonin causes the sting. Some people don’t mind the sting at all but use rubber gloves to protect hands if that is not your thing.

Nettle Nutritional Profile (per 100g of dried plant): Calcium: 2900 mg, Chromium: 0.39 mg, Dietary Fibre: 43.0%, Iron: 4.2 mg, Magnesium: 860 mg, Manganese: 0.78 mg, Niacin: 5.20 mg, Phosphorous: 447 mg, Potassium: 1750 mg, Protein: 25.2%, Riboflavin: 0.43 mg, Selenium: 0.22 mg, Vitamin A: 15,700 IU, Vitamin C: 83.0 mg, Zinc: 0.47 mg  (Source: Nutritional Herbology: A Reference Guide to Herbs by Mark Pedersen)

The list of uses of nettle is so long, it runs the risk of sounding like a miracle cure infomercial but there’s no point in shortening the list just to make it seem more credible. This really is a tremendous plant with a huge array of benefits.

  • The early spring leaves are used as a blood tonic, liver detoxification and spring nourishment – ideal after a winter of heavy foods. It rivals spirulina, wheatgrass etc as a superfood and its abundance in our hedgerows and ditches shouldn’t be seen as an indicator of its potency. It just means that this superfood is readily available to everyone without a high price tag.
  • With its high iron content it treats anaemia and cleverly it improves the body’s ability to use iron.
  • Nettle leaf combines well with raspberry leaf during pregnancy and throughout a woman’s life (especially for excessive menstruation). Post-pregnancy, it regulates the flow of breast milk production (amphoteric effect).
  • Nettle leaf is used to treat skin disorders like psoriasis and eczema and rashes in general that result of poor metabolic function)
  • Liquid fertiliser – some say not to do this while in seed or they’ll germinate everywhere. I’m not sure that’s such a bad thing!
  • Antihistamine effect on hayfever and asthma
  • Reduces blood sugar levels and stimulates circulation.
  • Dialates peripheral blood vessels and promotes elimination of urine which helps lower blood pressure
  • When rubbed or beaten onto the skin (urtification), intense irritation occurs which brings more blood to the area and removes the rheumatic toxins. This has also been proposed for sprains, sciatica, repetitive strain injuries.

Heat will deactivate the acid so poor boiling water over the fresh leaves to make a drink that is not sweet but tastes smooth and nourishing and is strangely addictive. The leaves are traditionally used to make a soup but wherever you would normally use spinach in a recipe, it can be replaced with nettle leaves. For me, nettle tea is a drink I enjoy so much that I don’t like to mix it with other ingredients in cooking. If you’re hesitant about nettles or don’t like the taste of tea then nettle pesto or nettle soup might be a good starting point.

Because the spring new growth is best for teas, it’s a good idea to pick some extra leaves in spring and dry them for later. Pick early in the morning when the leaves are naturally dry. I use a dehydrator but you could just lay them out on brown paper in an airy room.

As an aside, the nettle seeds at this time of year are a remarkable source of vitality and particularly good for the kidneys and adrenals. For people who feel worn out and tired and are stressed by long to-do lists, nettle seeds will work wonders. I’ll write a separate post on nettle seeds, because collecting and drying need a description in itself.

Getting sorted

I was setting up the categories for this tea blog and it got me thinking about the neatness of the tea classes. There are six classes or categories of tea (green, white, yellow, oolong, black and pu-erh) and I still find it fascinating (and handy now) that each of the thousands of different teas that are out there can fit into one of those six categories. Better again, all tea comes from the leaves of a single species of plant: Camellia sinensis.

Camellia sinensis

Camellia sinensis

Here are the categories that I have for the blog so far:

  • Tea:
    1. Black – almost fully-oxidised and mostly produced in India (Assam and Darjeeling), Kenya, Sri Lanka and China. E.g. Keemun, Zhenshan Xiaochung (lapsang souchong).
    2. Green – teas such as sencha, Matcha, Gunpowder, Longjing, Taiping Houkui that have had minimal oxidation and kept the green color of the leaves. Predominantly from China, Japan and Korea.
    3. Oolong – partially oxidised and complicated in production, this type includes Da Hong Pao (red robe) and Tieguanyin. Produced in China and Taiwan.
    4. Pu-erh – post-fermented tea from China and called ‘black tea’ in China. Comes as sheng (raw) or shou (cooked). My favourite!
    5. White – made from the buds of the Camellia sinensis and very lightly processed it includes bai mudan (white peony) and Baiho Yinzhen (silver needles).
    6. Yellow – these teas are not easy to find here so this category won’t be used too much to start with but it didn’t seem right to leave it out.
  • Buying tea & storage: looking at where to get good tea and how to store it or age it.
  • Tisanes: This will cover all the herbal drinks that are sometimes referred to as tea but are herbal infusions or herbal teas. This covers peppermint, chamomile, ginger, fennel etc.
  • Rooibos & Honeybush: Technically these are tisanes but they get their own category because I love them so much!
  • Out and About: This is where I post about going for afternoon tea or lunch to see what the tea is like out there.

I’m sure there are plenty more categories that I’ll need to add as I go along but theses will do for a starting point.