I think it's reasonable to ask questions about the safety, quality and long-term effects of the milk in this situation, *but*....while Karleen you are sort-of right that if the milk-maker was born female, there might be fewer questions, I don't think there'd be no one questioning it. 

The issue should have been at least discussed in the case study. 

With born-female breastfeeders (aka 'mothers' :) ) I get a bit twitchy when I see drugs and hormones and even herbs being suggested if someone is worried about supply - not on Lactnet but on Facebook and forums - because in so many of these instances, it's better to start off with simply changing techniques, changing frequency, plus using more 'physiological'  interventions like switch nursing or breast compressions, together with counselling around expectations, support and feelings.  It's just generally better, IMO, to avoid the pharmacological stuff unless you need it. 

We *should* have concerns about milk quality for any baby. 

But at the risk of repeating myself, my own frustration was with the poor quality narrative of the whole thing. Not even mentioning the (presumed) safety of the regime goes along with my other beefs. 

Heather Welford Neil
UK

> On 28 Feb 2018, at 6:15 am, Karleen Gribble <[log in to unmask]> wrote:
> 
> Research would be good to have of course Nikki but I’ve not seen anyone question the impact of these (mostly) quite commonly used medications that are ranked as safe by those whose expertise is pharmacology before. I think it is being questioned because people feel that it is a really abnormal situation when it actually isn’t and that makes me cross because it’s just unnecessary. Take away the fact that this person was born male and no one here would be questioning the quality of the milk made by the woman.
> Karleen Gribble
> Australia
> 
>> 
>> Tricia  raises some interesting points about hormones in milk.
>> 
>> The WHO mentioned the impact of hormones in milk on the baby in their
>> questioning of the safety of Depo-Provera given in lactation.
>> 
>> One of the reasons that children develop early puberty is that meat is
>> raised using antibiotics and hormones to speed the growth of the baby
>> animal.
>> 
>> Some research raises concerns about the impact of hormones used in
>> conception technology on the woman and on her baby.  Here's a few of them:
>> 
>> https://academic.oup.com/humrep/article/30/8/1952/950369
>> 
>> ​"​
>> WIDER IMPLICATIONS OF THE FINDINGS
>> 
>> In light of the findings in the present study, further studies should be
>> made on risk of CNS and ovarian cancer, and continued monitoring of all
>> those treated with ART is encouraged. Our findings may only be
>> generalizable to women who give birth after ART, and the risk for women who
>> remain nulliparous after ART remains to be assessed.
>> ​"
>> 
>> 
>> Here is another: ​
>> 
>> https://www.theguardian.com/science/2010/feb/22/ivf-risk-diabetes-hypertension-cancer
>> -"They
>> ​ (NL:
>> 
>> babies born via IVF) ​
>> have a much higher frequency of being low birthweight and this results in a
>> higher tendency to be obese, a higher risk of type 2 diabetes and
>> hypertension when you reach 50 years old," Sapienza told the annual meeting
>> of the American Association for the Advancement of Science in San Diego
>> <http://news.aaas.org/> yesterday.
>> ​"​
>> 
>> ​Tricia Shamblin's questions are important ones; we don't know the impact
>> of the hormones taken to make one's outside appearance match one's inside
>> sense of self. We don't know the impact of hormones taken to induce
>> lactation on babies receiving that milk.
>> 
>> 
>> warmly,​
>> 
>> Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
>> Reviews Editor,* Clinical Lactation*
>> www.nikkileehealth.com
>> https://www.facebook.com/nikkileehealth
>> *Communications are confidential and meant only for whom they are
>> addressed.*
>> 
>> 
> 
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