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Subject:	Re: D-MER - from the surge or from the dip?
From:	gonneke van veldhuizen <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Sun, 18 May 2008 06:27:00 -0700
Content-Type:	text/plain
Parts/Attachments:	text/plain (54 lines)

Interesting thoughts, but wouldn't that mean that letdown only occurs after oxytocin wears off?
Just inquiring mode jumping up here ...

Warmly,

Gonneke,IBCLC, LLLL in southern Netherlands

~~~~~~~~

Diane Wiessinger <[log in to unmask]> wrote: "I was pretty convinced by the explanation posted that it was the loss of
the oxytocin that likely causes it, not the arrival of it. I've
certainly burst into tears like this after... the other method of
getting a good oxytocin release.... so I vote for it being the
withdrawal/dip from the oxytocin hit. As the oxytocin leaves, it
leaves a vacuum of negative feeling in its wake.:

How perceptive of you! This is something we've pondered.

"Wonder what would happen if the women used an oxytocin spray as it hit?
Would it get worse, or better....?"

That's one we *hadn't* pondered! She just got a prescription for nasal spray pitocin. Our thinking was that, if it doesn't penetrate the blood-brain barrier (and there's some question as to whether or not it does), she should get a spontaneous let-down without the D-MER feelings. We hadn't thought to give her a second hit! Excellent!

So the pitocin experiment needs to be two-fold - first to find out from her reactions whether it crosses the blood-brain barrier, and second, if it does, to see if we can head off the emotional dip with another hormonal surge. Interesting!

Diane Wiessinger, MS, IBCLC, LLLL Ithaca, NY USA
www.normalfed.com

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