Margaret asked:
"The research showing higher prolactin levels in slender women was 
discussed some time ago on Lactnet.  I do believe that I see a 
preponderance of oversupply in slender women.  Perhaps it represents 
a natural 'safety net' for slim women, to ensure that they'll make 
enough milk despite minimal fat storage?"


I would take a step further back and ask--if it is the physiologic norm to be slender (which 
I believe it is), then slender women do not have higher prolactin levels--they have normal levels.
If that is true, then what is the mechanism by which these women would have an oversupply?
Is it only an oversupply because it causes symptoms? Are there moms who have this same
level of supply and whose babies have no symptoms? If that were the case, then is the mechanism
of oversupply present in the mother or the baby? Or both, as Susan Burger has suggested? I have 
many, many questions and thoughts about this topic and coming back to the question of the
physiologic norm always reorients my thinking. 

Jennifer Tow, IBCLC, CT, USA
Intuitive Parenting Network LLC


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