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Subject:
From:
"Mary Jozwiak BS, IBCLC, RLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 18 Apr 2008 10:40:37 -0400
Content-Type:
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Samantha, have you seen this mother face to face and/or spoken to her on 
the phone? SO much can be missed by "Consulting" via E Mail, that I refuse to 
do it at all. The mother's tone of voice, her demeanor, the difficulty of asking 
questions and having them immediately answered ect. 

I would speak to her, make sure she has been definitively diagnosed with 
Celiac, that the baby has, also, and that it is absolute that the baby is really 
reacting to the seeds, chickpeas ect. 

Perhaps talking to her about seeing a Board Certified GI Physician, and 
Allergist  and a Board Certified Lactation Consultant, is really in order. (Then, 
of course a good Dietitian and/or Nutritionist, who is familiar with whatever 
disorder she is experiencing.) Lots of conditions can present with Celiac like 
symptoms, including very severe allergies. If she has not had a *definitive* dx 
of Celiac nor has the baby, she may be taking foods from her diet which really 
could be reintroduced, but without information, and not being a Doctor or a 
Nutritionist or a Dietitian, I don't know. 

On a personal note, when it became blatantly obvious that I could not 
consume ANY Dairy Products whatsoever (with the exception of small amounts 
of butter, after a year of gut recovery) it was necessary for me to re-
introduce meat, boney fish ect into my diet, again. I had reintroduced it during 
my first pregnancy, due to intense cravings and fatigue, and obviously, my 
body at that time, needed that concentrated protein. A few years later, after 
my second baby was born,  the Dairy Allergy and severe Lactose Intolerance 
became so severe, and my gut so damaged, that I assumed I had either Celiac 
or Inflammatory Bowel or Ulcerative Colitis (bloody stools, extreme weight loss 
ect) 

After seeing a GI specialist and and allergist, we realized that it was indeed 
the dairy (as well as shellfish, and peanuts which I was eating on occasion, 
and developed Anaphylactic Shock from.) I realized that my "commitment" to a 
diet which had suited my belief system in my teens, was not going to allow me 
to stay healthy as an adult mother. With the allergies I have, I have to watch 
my Soy, Seed and Tree Nut Intake, as to not induce allergy to that, as well, 
and, fingers crossed, so far so good. But, with Egg White Allergy, Peanut 
Allergy, Dairy Intolerance, and looming Soy and Tree Nut Allergy, if my intake 
increased, my choices for Protein were limited. (At one point, I was living on 
Spring Water and Brown Rice. Not the most healthy diet, and I was depleted 
of nearly all energy.) I am not saying this mother HAS to do as I did, or even if 
it is really necessary, but she needs to investigate her options for Nutrition 
and also, realize that when a diet becomes SO limited, we often have to 
accept foods we may not have accepted otherwise.  Also, the proper 
diagnosis is ESSENSIAL before eliminating huge numbers of foods. Too many of 
us have fallen into the trap of extremely limited diets, with no actual Evidence 
Based Information that this is what is best for us. 

If this were MY client, I would certainly speak to her, preferably in person. And 
make sure her diagnoses are correct, and strongly suggest she see the proper 
HCPs to make sure her body gets what it need to function properly. 

All respect intended. 

Mary Jozwiak IBCLC, RLC, LLLL
Private Practice

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