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Subject:
From:
"digest Jan Barger, RN, MA, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 15 Sep 1997 16:46:06 -0400
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In a message dated 97-09-15 12:55:42 EDT, you write:

<< If the calcium overload seems not to be the answer, before blaming
 breastmilk for having Too Much Lactose, I'd rather look into baby having
 Not Enough Lactase, especially if galactosemia, etc, etc has been ruled
 out. (Can we supplement babies with lactase enzymes in such cases?)
  >>

According to Woolridge, the issue is that the milk is digested too quickly,
thus in a sense, not giving the lactase enzyme a chance to "kick in" before
it (the lactose) makes its way down the intestinal tract.  As Katherine said,
there isn't too much lactose (there isn't a difference in the amount of
lactose in foremilk or hind milk); however there is an imbalance and quicker
digestion which causes fussiness or gassiness in the baby.  I've not heard
the theory calcium overload; my take on it would be an imbalance in how fast
the baby is digesting the milk in the beginning of the feed vs the end of the
feed, and how quickly he is able to respond.  Which is why, in the face of
heavy let-down, some babies do exceptionally well with "lact-aid" drops or
some such.

Jan

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