How do I increase my milk supply?
The most effective, best-supported way to increase milk supply is frequent, effective removal of milk (breastfeeding or pumping often), skin-to-skin contact, and good nutrition and hydration. Herbal or drug 'milk boosters' have weak evidence and are not a first step.
Before trying any supplement, it helps to rule out treatable causes like poor latch, infrequent feeds, or a medical issue, ideally with support from a lactation professional.
Good
Frequent milk removal and skin-to-skin contact are backed by national guidelines; galactagogue drugs and herbs have only low- or very-low-certainty evidence from a Cochrane systematic review of randomized trials.
What the evidence says
The biggest lever you have is how often and how well milk is removed from your breasts. Canadian guidance explains that breast stimulation and milk removal are the key drivers of milk production, and that most feeding worries improve with time, support and patience rather than special products. Aiming for 8 to 12 feeds or pumps in 24 hours, including one overnight session when prolactin is naturally higher, offering both breasts, and holding your baby skin-to-skin are all recommended steps.
Before assuming supply is truly low, it's worth checking your baby's growth and diaper output with your doctor or a lactation consultant, since many worries turn out to be a normal feeding pattern rather than an actual low supply. Real risk factors for low supply include a difficult or cesarean delivery, a preterm baby, twins, thyroid problems, or previous breast surgery, so mentioning these helps your care team target the right fix, whether that's a latch adjustment, more frequent feeding, or addressing a medical cause.
On nutrition, staying hydrated and eating well supports supply, but there is no need for special foods or expensive lactation products just to make milk. If you and your provider decide a galactagogue (herbal remedy or medication like domperidone) is worth trying after other steps haven't helped, know that a Cochrane review of 41 trials found only low or very-low certainty evidence that these actually boost milk volume meaningfully, so they are considered a second-line option, not a replacement for frequent, effective milk removal.
If supply concerns continue despite frequent feeding/pumping and skin-to-skin care, ask your doctor, midwife, or a lactation consultant for a hands-on assessment, since latch problems, tongue-tie, or hormonal issues sometimes need specific treatment.
Sources
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Guideline
Chapter 6: Breastfeeding
Canada.ca (Public Health Agency of Canada), 2024
Explains milk removal and stimulation as key principles; most issues resolve with time and support.
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Guideline
Breastfeeding Challenges
ACOG, 2021
Feeding 8-12 times/day and more frequent removal supports adequate supply.
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Guideline
Low Breast Milk Supply: 5 Steps That Can Help
HealthyChildren.org (AAP), 2024
No special foods/products needed; focus on hydration, nutrition, effective pumping.
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Guideline
How to increase milk supply
Raising Children Network (Australia), 2026
Extra feeds, night feeds, and frequent removal signal the body to make more milk.
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Systematic review
Oral galactagogues for increasing breast milk production in mothers of non-hospitalised term infants
Cochrane Library, 2020
Low to very-low certainty evidence that herbal or drug galactagogues increase milk volume.
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Guideline
Adjusting your milk supply
NHS Best Start in Life, 2026
Skin-to-skin contact and regular expressing help build and maintain supply.
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked July 29, 2026