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Lactation Information and Discussion

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Subject:
From:
Katharine West <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 13 Jan 1997 09:09:44 -0800
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> About measuring bilirubin in breastmilk-the usual lab methods used for
> bilirubin would not be able to do it

Although it is interesting to know what levels of anything are present
in the mom's milk, I thought the clinical importance was what amount
actually gets absorbed by the baby. So what (as in mag sulfate) if it is
in the milk but can't cross the gut? Measuring the baby's levels are far
easier, standard, accessible, cost-effective and is actually where the
clinical significance lies.

It *does* require a specialty lab if one is interested in BM levels of
anything. When I worked peds-GI at Childrens Hospital Los Angeles and we
saw a 2 yo with a diagnosis of kwashiorkor (BFer and true vegan baby of
a true vegan mom - ie, non-lacto-ovo vegans), the question came up about
measuring B12 levels and some other things in mom's milk. We tracked
down an industrial specialty lab that could do it, but for exhorbitant
3-digit prices.

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