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Subject:
From:
"Margaret G. Bickmore" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 3 Jun 2007 09:24:43 -0600
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Yes, Lara has said what I was trying to say when 
I wrote, "many, many do not believe universal vit 
D supplementation is necessaryŠ"  *Universal* is 
the key word there.

I live in a high-altitude, very sunny region 
(300+ days of sunshine a year) that consistently 
has UV Index numbers toward the top of the scale. 
Most women in the area I serve are medium- to 
light-skinned.  I believe that it is very do-able 
for mothers and babies here to achieve optimal 
vit D levels without the use of supplements. 
(And by 'optimal' I mean truly optimal, not the 
probably-too-low levels that have been considered 
normal for a long time.)

I would much rather see mothers and babies 
evalulated individually and educated on the 
benefits of sunlight exposure if necessary rather 
than the AAP's blanket recommendation for vit D 
supplementation.  Fortunately most of the doctors 
around here seem to be aware of this issue and I 
rarely hear of a mother told to give vit D drops 
to her exclusively breastfed baby.

Margaret
Longmont, CO

>
>The people I see who are arguing against 
>universal population hormone treatment aren't 
>saying "no one needs it, ever, under any 
>circumstances"; they're advocating for risk 
>assessment and appropriate management - which 
>may include maternal supplementation, infant 
>supplementation, and/or increased sunlight 
>exposure.
>
>Lara Hopkins

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