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Subject:
From:
Lisa Marasco IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 1 May 2006 07:28:26 -0700
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Melissa,
I just heard Barbara Wilson-Clay speak on oversupply at a conference in
Houston. She has definitely been thinking a lot about this and has some
ideas, including missed twin pregnancies as one possibility. I know that
among PCOS women, a portion of them also complain of problematic oversupply,
the opposite of what I've mostly focused on. Diane Powers has been looking
at progesterone-related possibilities, while Christina Smillie has written
on hyperlactation with an eye to the role of poor initial management in
driving up supply, among other things.  No doubt there are other possible
etiologies; my thought among them is an oversensitivity of the prolactin
receptor to prolactin. 

Regarding treatments, Diane Wiessinger has developed the "stay on one side
for a while" method of down-regulation as she has played with this a lot.
Barbara has had some mothers for whom she says that did not work and who
used sudafed and/or estrogen-containing BCPs. You can email either of them
for more ideas. 

Lisa Marasco

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