The Boob Doctor

Right when your milk lets down — right at that moment — a wave of dread, sadness, or anxiety washes over you. It lasts about sixty seconds. Then it's gone. And you have no idea why it keeps happening, and nobody has ever mentioned it to you, and you're starting to wonder if you hate breastfeeding. You don't. You might have D-MER. In this episode, Dr. Ashley Robinson, IBCLC, explains Dysphoric Milk Ejection Reflex: what it is, why it happens, the dopamine mechanism behind it, why it's so underdiagnosed, how to tell it apart from postpartum depression, and what actually helps. Recent research suggests up to one in five breastfeeding people may experience it. You are not alone. Keywords: DMER, D-MER, dysphoric milk ejection reflex, breastfeeding, lactation, IBCLC, milk letdown, postpartum mental health.Linktree: linktr.ee/drrobinsonibclcVirtual Consult & The Supportive Partner: ashleyrobinsonibclc.comFirstDays app: firstdaysapps.com

Someone in your mom group swears by lactation cookies. Your postpartum doula mentioned fenugreek. Your mother-in-law is ordering you a special tea. And you're wondering — does any of this actually work? In this episode, Dr. Ashley Robinson, IBCLC, breaks down the evidence on lactation cookies, galactagogue supplements, and herbal teas: what a 2023 randomized controlled trial actually found, why so many people swear by things that don't hold up in research, what galactagogues can and can't do, and what actually matters for your milk supply. Evidence-based, myth-busting, and not here to take your cookies — just your misconceptions. Keywords: lactation cookies, galactagogues, breastfeeding supplements, milk supply, IBCLC, lactation, fenugreek, breastfeeding.Linktree: linktr.ee/drrobinsonibclc Virtual consult & The Supportive Partner: ashleyrobinsonibclc.comFirstDays app: firstdaysapps.com

Everyone warns you about low milk supply. Nobody warns you about what happens when you have too much. In this episode, Dr. Ashley Robinson, IBCLC, covers hyperlactation — oversupply of breast milk — a common and frequently misdiagnosed condition that can make breastfeeding miserable for both parent and baby. She walks through what oversupply actually looks like (hint: it's not just leaking everywhere), why babies with hyperlactation are so often misdiagnosed with colic, reflux, or milk protein allergy, and what the evidence says about managing it — including the block feeding approach from ABM Clinical Protocol #32. If breastfeeding feels like drowning instead of flowing, or your baby comes off the breast gagging and screaming, this episode will finally give you the language for what's happening. Keywords: breastfeeding, IBCLC, lactation, oversupply, hyperlactation, block feeding, overactive letdown, breastfeeding problems.linktr.ee/drrobinsonibclcBook a virtual consult: ashleyrobinsonibclc.comFirstDays App: firstdaysapps.com

It is the most common question in every lactation consultation, every new parent support group, and every 2am internet spiral: is my breastfed baby getting enough milk? In this episode, Dr. Ashley Robinson, IBCLC, cuts through the noise and gives you the actual clinical answer — what matters, what doesn't, and why the 7% weight loss rule you've been given may be doing more harm than good. She walks through the real markers of breastfeeding adequacy, explains the Newborn Weight Tool (NEWT) and what it means for supplementation decisions, and breaks down what your baby's diapers are telling you that your scale isn't. If you've ever stared at a baby who just nursed for 45 minutes and still wondered if it was enough — this episode is for you. Keywords: breastfeeding, IBCLC, lactation, newborn weight loss, breastfeeding adequacy, supplementation, NEWT tool.Check Me Out HERE Book a virtual consult FirstDays AppNeed more podcasts? Check out Public Health in 5!

Breastfeeding and Postpartum Anxiety: What Nobody Talks About"Everyone talks about postpartum depression. Far fewer people talk about postpartum anxiety — and almost nobody talks about what happens when postpartum anxiety and breastfeeding collide.In this episode, Dr. Ashley Robinson, IBCLC, takes a deep, honest look at postpartum anxiety in breastfeeding parents — what it looks like, how it differs from typical new-parent worry, and why it is so often missed and underdiagnosed. She covers the complicated relationship between breastfeeding and anxiety, including how breastfeeding can both support and worsen mental health depending on the context. She also introduces D-MER — dysphoric milk ejection reflex — a physiological phenomenon that causes a sudden wave of negative emotions at letdown, and why it is so frequently misunderstood.Plus: the overlap between anxiety and low supply fears, and when and how to seek help.🔗 linktr.ee/drrobinsonibclcBook a virtual consult: ashleyrobinsonibclc.comThe Supportive Partner — available on AmazonFirstDays App: firstdaysapps.com