Dear Friends,
A patient gave me permission to share info and inquire re safe levels of
calcium, magnesium and vitamin D supplement during lactation.

35 year old exclusively BF 2 month old daughter
Dx. osteopinea several years ago.
Hx. anorexia, entered recovery @ age 18; delayed menses (onset @ age 16);
hormonal imbalance---decreased or no estrogen therefore no ovulation (Pt
relates it to stress and stated that it resolved when she quit her job.); had
thorough physical before becoming pregnant.

Dr. who is treating her osteopinea wants her to supplement her high calcium
diet. She is still taking her prenatal supplement which includes 400 mg
calcium citrate and 400IU of vitamin D. The dr. has also prescribed
supplement of 1000 mg of chelated calcium carbonate, 400 IU vitamin D and
500mg magnesium oxide. She also occasionally takes Tums for heartburn.

She loves to breastfeed and is concerned about the possible effects on the
baby. She consulted her pediatrician who referred her to me. I have already
reviewed Dr. Hale's book with her. Now, I am asking for any suggestions or
input that you may have. TIA. Kathy Bowers, RN, IBCLC

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