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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.

Strength of evidence

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

✓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

Educational information only. Not medical advice, not a diagnosis, and no doctor-patient relationship is created by using this. Founded Parent has not examined your child and does not know their history, so this may not apply to you. In an emergency, call your local emergency number. What Founded Parent cannot do

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