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Sun, 10 Sep 2006 19:03:42 -0400 |
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I don't think we need to be looking for PCOS just because a mother
presents with inability to produce a full supply. Insulin resistance in
all of its forms (including Syndrome X--Metabolic Syndrome) are so
common today that they alone account for many of the cases of
insufficient supply that I see.
This is even more complex when you consider leptin resistance, thyroid
function (especially as it relates to iodine deficiency) and the
relationship between the hypothalamus and the immune system and state
control in the body--which then affects cortisol and in turn and in
reciprocity, insulin.
Much as I think we are seeing survival and reproduction among women
who would not have been able to do so in the past, I think the issues
above are more significant. Now that we are making such a strong case
for exclusive bf'ing, we have so many women who cannot do so. What I
think is worse is that we would have to acknowledge that this is in
large part a reality of the choices we make in our lives (diet,
exercise, stress, etc), not only environmental issues genetics or
choices our parents made. Our DNA is in constant relationship with our
environment and is in no way fixed. We in the US at least do not like
to be responsible for our own outcomes nor do we as a culture like to
make health choices that are not easy. In the bigger scheme of things,
many of these syndromes are about our ecology as human beings--how we
live with the world around us.
I am currently having conversations with several other practitioners
on this topic and I am always working with my clients with these issues
in mind.
Jennifer Tow, IBCLC, CT, USA
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