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Date: | Mon, 2 Jan 2012 12:20:25 -0600 |
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I find that some women with a history of a prolactinoma make a normal
amount of milk, and some make very little milk. Theoretically, it is
possible that the high prolactin level in some of these women causes
down-regulation of their prolactin receptors, such that the breasts no
longer 'listen' to changes in prolactin levels that occur with nipple stim.
The breasts and other parts of the body become 'numb' to the prolactin.
This happens with medications, and a good example is caffeine. If a
person drinks a lot of caffeine for a long time, he/she may not notice
much of an effect from it. People who normally don't drink caffeine tend
to react strongly to just one cup.
We certainly need to learn more about this.
Anne
Anne Eglash MD, FABM, IBCLC
Clinical Professor
Dept of Family Medicine
University of Wisconsin School of Medicine and Public Health
600 N. 8th St.
Mount Horeb, WI, 53572
608-437-3064 (O)
608-437-4542 (fax)
608-550-3054 (pager)
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