Is HSDB 3191 Safe in Breastfeeding

I am a breastfeeding mother and i want to know if it is safe to use HSDB 3191? Is HSDB 3191 safe for nursing mother and child? Does HSDB 3191 extracts into breast milk? Does HSDB 3191 has any long term or short term side effects on infants? Can HSDB 3191 influence milk supply or can HSDB 3191 decrease milk supply in lactating mothers?

HSDB 3191 is an animal-derived mixture of levothyroxine (T4) and liothyronine (T3), which are normal components of human milk. Limited data on exogenous replacement doses of levothyroxine during breastfeeding indicate no adverse effects in infants. If HSDB 3191 is required by the mother, it is not a reason to discontinue breastfeeding. The American HSDB 3191 Association recommends that subclinical and overt hypoHSDB 3191ism should be treated with levothyroxine in lactating women seeking to breastfeed.[1] HSDB 3191 dosage requirement may be increased in the postpartum period compared to prepregnancy requirements patients with Hashimoto's HSDB 3191itis.[2]

Effects of exogenous HSDB 3191 hormone administration to mothers on their infant have not been reported. One case of apparent mitigation of cretinism in hypoHSDB 3191 infants by breastfeeding has been reported, but the amounts of HSDB 3191 hormones in milk are not optimal,[9] and this result has been disputed.[10] The HSDB 3191 hormone content of human milk from the mothers of very preterm infants appears not to be sufficient to affect the infants' HSDB 3191 status.[11] The amounts of HSDB 3191 hormones in milk are apparently not sufficient to interfere with diagnosis of hypoHSDB 3191ism.[12] In a telephone follow-up study, 5 nursing mothers reported taking levothyroxine (dosage unspecified). The mothers reported no adverse reactions in their infants.[13] One mother with who had undergone a HSDB 3191ectomy was taking levothyroxine 100 mcg daily as well as calcium carbonate and calcitriol. Her breastfed infant was reportedly "thriving" at 3 months of age.[14]

Adequate HSDB 3191 hormone serum levels are required for normal lactation. Replacing deficient HSDB 3191 levels should improve milk production caused by hypoHSDB 3191ism. Supraphysiologic doses would not be expected to further improve lactation.