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Tag: Breastfeeding

  • Pregnancy, breastfeeding may offer some protection against cognitive decline

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    Many moms feel scatterbrained, so it might seem counterintuitive that new research has found a link between pregnancy and breastfeeding and higher cognitive function later in life.

    The findings, published by the Alzheimer’s Association, take on a special significance considering that women are disproportionately affected by dementia. Nearly two-thirds of Americans with Alzheimer’s are women, the reasons for which are not fully understood.


    MORE: Cooper Health’s new mobile unit brings primary care to people with autism and other developmental disabilities


    To explore the link between female reproduction and dementia, researchers analyzed data from more than 7,000 women who each were around age 70. The women gave information about their reproductive histories and underwent annual cognitive assessments for 13 years.

    More cumulative time spent breastfeeding and pregnant was associated with greater cognition, verbal memory and visual memory, the researchers found.

    More specifically, women who had been pregnant scored higher on cognitive ability tests than those who had never been pregnant. Women who had breastfed had higher cognitive ability scores and verbal memory scores than those who had never breastfed. These benefits were similar in scale to the impact that being physically active and avoiding smoking have on improved cognition, the researchers said.

    The researchers said they now are delving further into the way certain reproductive histories may offer protection against cognitive decline.

    “If we can figure out, as a next step, why those reproductive patterns lead to better cognitive outcomes in old age, then we can work toward figuring out how to craft therapies — for example, new drugs, repurposed drugs or social programs — that mimic the naturally-occurring effect we observed,” said the study’s lead author, Molly Fox, an anthropology professor at the University of California Los Angeles.

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    Courtenay Harris Bond

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  • 3-MCPD in Refined Cooking Oils | NutritionFacts.org

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    There is another reason to avoid palm oil and question the authenticity of extra-virgin olive oil.

    The most commonly used vegetable oil in the world today is palm oil. Pick up any package of processed food in a box, bag, bottle, or jar, and the odds are it will have palm oil. Palm oil not only contains the primary cholesterol-raising saturated fat found mostly in meat and dairy, but concerns have been raised about its safety, given the finding that it may contain a potentially toxic chemical contaminant known as 3-monochloropropane-1,2-diol, otherwise known as 3-MCPD, which is formed during the heat treatment involved in the refining of vegetable oils. So, these contaminants end up being “widespread in refined vegetable oils and fats and have been detected in vegetable fat-containing products, including infant formulas.”

    Although 3-MCPD has been found in all refined vegetable oils, some are worse than others. The lowest levels of the toxic contaminants were found in canola oil, and the highest levels were in palm oil. Based on the available data, this may result in “a significant amount of human exposure,” especially when used to deep-fry salty foods, like french fries. In fact, just five fries could blow through the tolerable daily intake set by the European Food Safety Authority. If you only eat such foods once in a while, it shouldn’t be a problem, but if you’re eating fries every day or so, this could definitely be a health concern.

    Because the daily upper limit is based on body weight, particularly high exposure values were calculated for infants who were on formula rather than breast milk, since formula is made from refined oils, which—according to the European Food Safety Authority—may present a health risk. Estimated U.S. infant exposures may be three to four times worse.

    If infants don’t get breast milk, “there is basically no alternative to industrially produced infant formula.” As such, the vegetable oil industry needs to find a way to reduce the levels of these contaminants. This is yet another reason that breastfeeding is best whenever possible.

    What can adults do to avoid exposure? Since these chemicals are created in the refining process of oils, what about sticking to unrefined oils? Refined oils have up to 32 times the 3-MCPD compared to their unrefined counterparts, but there is an exception: toasted sesame oil. Sesame oil is unrefined; manufacturers just squeeze the sesame seeds. But, because they are squeezing toasted sesame seeds, the 3-MCPD may have come pre-formed.

    Virgin oils are, by definition, unrefined. They haven’t been deodorized, the process by which most of the 3-MCPD is formed. In fact, that’s how you can discriminate between the various processing grades of olive oil. If your so-called extra virgin olive oil contains MCPD, then it must have been diluted with some refined olive oil. The ease of adulterating extra virgin olive oil, the difficulty of detection, the economic drivers, and the lack of control measures all contribute to extra virgin olive oil’s susceptibility to fraud. How widespread a problem is it?

    Researchers tested 88 bottles labeled as extra virgin olive oil and found that only 33 were found to be authentic. Does it help to stick to the top-selling imported brands of extra virgin olive oil? In that case, 73% of those samples failed. Only about one in four appeared to be genuine, and not a single brand had even half its samples pass the test, as you can see here and at 3:32 in my video 3-MCPD in Refined Cooking Oils.

    Doctor’s Note

    If you missed the previous post where I introduced 3-MCPD, see The Side Effects of 3-MCPD in Bragg’s Liquid Aminos.

    There is no substitute for human breast milk. We understand this may not be possible for adoptive families or those who use surrogates, though. In those cases, look for a nearby milk bank.

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    Michael Greger M.D. FACLM

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  • Why I Don’t Recommend Moringa Leaf Powder  | NutritionFacts.org

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    “Clearly, in spite of the widely held ‘belief’ in the health benefits of M. oleifera [moringa], the interest of the international biomedical community in the medicinal potential of this plant has been rather tepid.” In fact, it has been “spectacularly hesitant in exploring its nutritional and medicinal potential. This lukewarm attitude is curious, as other ‘superfoods’ such as garlic and green tea have enjoyed better reception,” but those have more scientific support. There are thousands of human studies on garlic and more than ten thousand on green tea, but only a few hundred on moringa.

    The most promising appears to be moringa’s effects on blood sugar control. Below and at 0:55 in my video The Efficacy and Side Effects of Moringa Leaf Powder, you can see the blood sugar spikes after study participants ate about five control cookies each (top line labeled “a”), compared with cookies containing about two teaspoons of moringa leaf powder into the batter (bottom line labeled “b”). Even with the same amount of sugar and carbohydrates as the control cookies, the moringa-containing cookies resulted in a dampening of the surge in blood sugar.

    Researchers found that drinking just one or two cups of moringa leaf tea before a sugar challenge “suppressed the elevation in blood glucose [sugar] in all cases compared to controls that did not receive the tea initially” and instead drank plain water. As you can see here and at 1:16 in my video, drinking moringa tea with sugar dampened blood sugar spikes after 30 minutes of consumption of the same amount of sugar without moringa tea. It’s no wonder that moringa is used in traditional medicine practice for diabetes, but we don’t really know if it can help until we put it to the test. 
    People with diabetes were given about three-quarters of a teaspoon of moringa leaf powder every day for 12 weeks and had significant improvements in measures of inflammation and long-term blood sugar control. The researchers called it a “quasi-experimental study” because there was no control group. They just took measurements before and after the study participants took moringa powder, and we know that simply being in a dietary study can lead some to eat more healthfully, whether consciously or unconsciously, so we don’t know what effect the moringa itself had. However, even in a moringa study with a control group, it’s not clear if the participants were randomly allocated. The researchers didn’t even specify how much moringa people were given—just that they took “two tablets daily with one tablet each after breakfast and dinner,” but what does “one tablet” mean? There was no significant improvement in this study, but perhaps the participants weren’t given enough moringa. Another study used a tablespoon a day and not only saw a significant drop in fasting blood sugars, but a significant drop in LDL cholesterol as well, as seen below and at 2:27 in my video

    Two teaspoons of moringa a day didn’t seem to help, but what about a third, making it a whole tablespoon? Apparently not, since, finally, a randomized, placebo-controlled study using one tablespoon of moringa a day failed to show any benefit on blood sugar control in people with type 2 diabetes.

    So, we’re left with a couple of studies showing potential, but most failing to show benefit. Why not just give moringa a try to see for yourself? That’s a legitimate course of action in the face of conflicting data when we’re talking about safe, simple, side–effect–free solutions, but is moringa safe? Probably not during pregnancy, as “about 80% of women folk” in some areas of the world use it to abort pregnancies, and its effectiveness for that purpose has been confirmed (at least in rats), though breastfeeding women may get a boost of about half a cup in milk production based on six randomized, blinded, placebo-controlled clinical trials.

    Just because moringa has “long been used in traditional medicine” does not in any way prove that the plant is safe to consume. A lot of horribly toxic substances, like mercury and lead, have been used in traditional medical systems the world over, but at least “no major harmful effects of M. oleifera [moringa]…have been reported by the scientific community.” More accurately, “no adverse effects were reported in any of the human studies that have been conducted to date.” In other words, no harmful effects had been reported until now. 

    Stevens-Johnson syndrome (SJS) is probably the most dreaded drug side effect, “a rare but potentially fatal condition characterized by…epidermal detachment and mucous membrane erosions.” In other words, your skin may fall off. Fourteen hours after consuming moringa, a man broke out in a rash. The same thing had happened three months earlier, the last time he had eaten moringa, causing him to suffer “extensive mucocutaneous lesions with blister formation over face, mouth, chest, abdomen, and genitalia.” “This case report suggests that consumption of Moringa leaf is better avoided by individuals who are at risk of developing SJS.” Although it can happen to anyone, HIV is a risk factor.

    My take on moringa is that the evidence of benefit isn’t compelling enough to justify shopping online for something special when you can get healthy vegetables in your local market, like broccoli, which has yet to be implicated in any genital blistering. 

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    Michael Greger M.D. FACLM

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  • Vegans and Iodine Deficiency Risk  | NutritionFacts.org

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    Most plant-based milks are not fortified with iodine.

    “Adequate dietary iodine is required for normal thyroid function.” In fact, the two thyroid hormones are named after how many iodine atoms they contain: T3 and T4. “Given that iodine is extensively stored in the thyroid gland itself, it can safely be consumed intermittently,” so we don’t need to consume it every day. However, our overall diet does need a good source of it. Unfortunately, the common sources aren’t particularly health-promoting: iodized salt and dairy foods. (Iodine-based cleansers like betadine are used on cows “to sanitize the udders, resulting in leaching of iodine in the milk.”) Iodine may also be added to cattle feed, and some commercially produced breads contain food additives with iodine.

    If you put people on a paleo-type diet and cut out their dairy and table salt, they can develop an iodine deficiency, even though they double their intake of seafood, which can also be a source of iodine. What about those switching to diets centered around whole plant foods? They also cut down on ice cream and Wonder Bread, and if they aren’t eating anything from the sea, like seaweed or other sea vegetables, they can run into the same problem.

    A three-year-old’s parents reported striving to feed her only the healthiest foods, and her diet included only plant-based, unsalted, and unseasoned foods. She got no unprocessed foods, but she also got no vitamin supplementation, which could be deadly. Without vitamin B12, those on strictly plant-based diets can develop irreversible nerve damage, but in this case, a goiter arose first, due to inadequate iodine intake.

    In another case of “veganism as a cause of iodine-deficient hypothyroidism,” a toddler became ill after weaning. Before weaning, he was fine because his mother kept taking her prenatal vitamins, which fortunately contained iodine.

    Most vegetarians and vegans are apparently unaware of the importance of iodine intake during pregnancy, “for the neurodevelopment of the unborn child, similar to their omnivorous counterparts.” The American Thyroid Association and the American Academy of Pediatrics have recommended that women, even just planning on getting pregnant, should take a daily supplement containing 150 micrograms (mcg) of iodine, yet only 60 percent of prenatal vitamins marketed in the United States contain this essential mineral. So, despite the recommendations, about 40 percent of prenatal vitamins don’t contain it. “Therefore, it is extremely important that women, especially when pregnant, breastfeeding, or planning a pregnancy, read the labels of their multivitamin supplements to ensure that they are receiving an adequate amount of iodine.”

    Women of reproductive age have an average iodine level of 110 mcg/liter, which is fine for nonpregnant individuals, but we’d really like women to get at least 150 mcg/liter during pregnancy. (It’s basically a 24-hour urine test, in which iodine sufficiency is defined as 100 mcg/liter of urine in nonpregnant adults; the average vegan failed to reach this in the largest study done to date, one out of Boston.)

    The recommended average daily intake is 150 mcg per day for most people, which we can get in about a cup and a half of cow’s milk. Regrettably, plant-based milks aren’t typically fortified with iodine and average only about 3 mcg per cup. Although many plant-based milks are fortified with calcium, researchers found in the largest systematic study to date that only 3 out of 47 were fortified with iodine. Those that were fortified had as much as cow’s milk, but those that weren’t fell short, as you can see at 3:30 in my video Are Vegans at Risk for Iodine Deficiency?

    Plant-based milk companies brag about enriching their milks with calcium and often vitamins B12, D, and A, but only rarely are attempts made to match iodine content. The only reason cow’s milk has so much is that producers enrich the animals’ feed or it comes dripping off their udders. So, why don’t plant-milk companies add iodine, too? I was told by a food scientist at Silk that my carrageenan video played a role in the company switching to another thickener. Hopefully, Silk will see this video, too, and consider adding iodine, or maybe another company will snatch the opportunity for a market advantage.  

    The researchers conclude that individuals who consume plant-based milks not fortified with iodine may be at risk for iodine deficiency, unless they consume alternative dietary iodine sources, the healthiest of which are sea vegetables, which we’ll cover next.

    Doctor’s Note:

    This is the first in a four-video series on thyroid function. The next three are: 

    For more on iodine, see the related posts below.

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    Michael Greger M.D. FACLM

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  • Epigenetics and Obesity  | NutritionFacts.org

    Epigenetics and Obesity  | NutritionFacts.org

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    Identical twins don’t just share DNA; they also share a uterus. Might that help account for some of their metabolic similarities? “Fetal overnutrition, evidenced by large infant birth weight for gestational age, is a strong predictor of obesity in childhood and later life.” Could it be that you are what your mom ate?

    A dramatic illustration from the animal world is the crossbreeding of Shetland ponies with massive draft horses. Either way, the offspring are half pony/half horse, but when carried in the pony uterus, they come out much smaller, as you can see below and at 0:47 in my video The Role of Epigenetics in the Obesity Epidemic. (Thank heavens for the pony mother!) This is presumably the same reason why the mule (horse mom and donkey dad) is larger than the hinny (donkey mom and horse dad). The way you test this in people is to study the size of babies from surrogates after in vitro fertilization. 

    Who do you think most determines the birth weight of a test-tube baby? Is it the donor mom who provided all the DNA or the surrogate who provided the intrauterine environment? When it was put to the test, the womb won. Incredibly, a baby who had a thin biological mother but was born to a surrogate with obesity may harbor a greater risk of becoming obese than a baby with a heavier biological mother but born to a slim surrogate. The researchers “concluded that the environment provided by the human mother is more important than her genetic contribution to birth weight.”

    The most compelling data come from comparing obesity rates in siblings born to the same mother, before and after her bariatric surgery. Compared to their brothers and sisters born before the surgery, those born when mom weighed about 100 pounds less had lower rates of inflammation, metabolic derangements, and, most critically, three times less risk of developing severe obesity—35 percent of those born before the weight loss were affected, compared to 11 percent born after. The researchers concluded that “these data emphasize how critical it is to prevent obesity and treat it effectively to prevent further transmission to future generations.”

    Hold on. Mom had the same DNA before and after surgery. She passed down the same genes. How could her weight during pregnancy affect the weight destiny of her children any differently? Darwin himself admitted, “In my opinion, the greatest error which I have committed, has been not allowing sufficient weight to the direct action of the environment, i.e. food…independently of natural selection.” We finally figured out the mechanism by which this can happen—epigenetics.

    Epigenetics, which means “above genetics,” layers an extra level of information on top of the DNA sequence that can be affected by our surroundings, as well as potentially passed on to our children. This is thought to explain the “developmental programming” that can occur in the womb, depending on the weight of the mother—or even the grandmother. Since all the eggs in your infant daughter’s ovaries are already preformed before birth, a mother’s weight status during pregnancy could potentially affect the obesity risk of her grandchildren, too. Either way, you can imagine how this could result in an intergenerational vicious cycle where obesity begets obesity.

    Is there anything we can do about it? Well, breastfed infants may be at lower risk for later obesity, though the benefits may be confined to those who are exclusively breastfed, as the effect may be due to growth factors triggered by exposure to the excess protein in baby formula, as you can see below and at 3:51 in my video. The breastfeeding data are controversial, though, with charges leveled of a “white hat bias.” That’s the concern that public health researchers might disproportionally shelve research results that don’t fit some goal for the greater good. (In this case, preferably publishing breastfeeding studies showing more positive results.) But, of course, that criticism came from someone who works for an infant formula company. Breast is best, regardless. However, its role in the childhood obesity epidemic remains arguably uncertain.

    Prevention may be the key. Given the epigenetic influence of maternal weight during pregnancy, a symposium of experts on pediatric nutrition concluded that “planning of pregnancy, including prior optimization of maternal weight and metabolic condition, offers a safe means to initiate the prevention rather than treatment of pediatric obesity.” Easier said than done, but overweight moms-to-be may take comfort in the fact that after the weight loss in the surgery study, even the moms who gave birth to kids with three times lower risk were still, on average, obese themselves, suggesting weight loss before pregnancy is not an all-or-nothing proposition.

    What triggered the whole obesity epidemic to begin with? There are a multitude of factors, and I covered many of them in my 11-video series on the epidemic in the related posts below.

    We are what our moms ate in other ways, too. Check out: 

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    Michael Greger M.D. FACLM

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  • The Safety of Fasting to Lose Weight  | NutritionFacts.org

    The Safety of Fasting to Lose Weight  | NutritionFacts.org

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    Why should fasts lasting longer than 24 hours and particularly for three or more days only be done under the supervision of a health professional and preferably in a live-in clinic? 
     
    Fasting for a week or two can actually interfere with the loss of body fat, as shown at the start of my video Is Fasting for Weight Loss Safe?. But, eventually, after the third week of fasting, fat loss starts to overtake the loss of lean body mass in obese individuals, as seen in the graph below and at 0:14 in my video. Is it safe to go that long without food? 

    Proponents speak of fasting as a cleansing process, but some of what is being purged from our bodies are essential vitamins and minerals. People who are heavy enough can fast up to 382 days without calories, but no one can go even a fraction of that long without vitamins. Scurvy, for example, can be diagnosed within as few as four weeks without any vitamin C. Beriberi, deficiency of thiamine (vitamin B1), may start even earlier in fasting patients. And, once it manifests, it can result in brain damage within days, which can eventually become irreversible.  
     
    Even though fasting patients report problems such as nausea and indigestion after taking supplements, all of the months-long fasting cases I’ve discussed previously were given daily multivitamins and mineral supplementation as necessary. Without supplementation, hunger strikers and those undergoing prolonged fasts for therapeutic or religious purposes (like the Baptist pastor hoping “to enhance his spiritual powers for exorcism”) have ended up paralyzed, become comatose, or worse. 
     
    Nutrient deficiencies aren’t the only risk. After reading about all of the successful reports of massive weight loss from prolonged fasting in the medical literature, one doctor decided to give it a try with his patients. Of the first dozen he tried it on, two died. In retrospect, the two patients who died had started out with heart failure and had been on diuretics. Fasting itself produces pronounced diuresis, meaning loss of water and electrolytes through the urine, so it was the combination of fasting on top of the water pills that likely depleted their potassium and triggered their fatal heart rhythms. The doctor went out of his way to point out that both of the people who died started out “in severe heart failure, complicated by gross obesity; but both had improved greatly whilst undergoing starvation therapy.” That seems like a small consolation since they were both dead within a matter of weeks. 
     
    Not all therapeutic fasting fatalities were complicated by concurrent medication use, though. One researcher writes: “At first he did very well and experienced the usual euphoria…His pulse, blood pressure, and electrolytes remained satisfactory, but in the middle of the third week of treatment, he suddenly collapsed and died. This line of treatment is certainly tempting because it does produce weight loss and the patient feels so much better, but the report of case-fatalities”—the whole part about killing people—“must make it a very suspect line of management.” 
     
    Contrary to the popular notion that the heart muscle is specially spared during fasting, the heart appears to experience similar muscle wasting. This was “described in the victims of the Warsaw ghetto” during World War II in a remarkable series of detailed studies carried out by the ghetto physicians before they themselves succumbed. In a case entitled “Gross Fragmentation of Cardiac Fiber After Therapeutic Starvation for Obesity,” a 20-year-old woman successfully “achieved her ideal weight” after losing 128 pounds by fasting for 30 weeks. “After a breakfast of one egg,” she had a heart attack and died. On autopsy, as you can see below and at 3:44 in my video, the muscle fibers in her heart showed evidence of widespread disintegration. The pathologists suggested that fasting regimens “should no longer be recommended as a safe means of weight reduction.” 
    Breaking the fast appears to be the most dangerous part. After World War II, as many as one out of five starved Japanese prisoners of war tragically died following liberation. Now known as “refeeding syndrome,” multiorgan system failure can result from resuming a regular diet too quickly. This is because there are critical nutrients such as thiamine and phosphorus that are used to metabolize food. Therefore, in the critical refeeding window, if too much food is taken before these nutrients can be replenished, demand may exceed supply. Whatever residual stores you still carry can be driven down even further, with potentially fatal consequences. This is why rescue workers are taught to always give thiamine before food to victims who have been trapped or otherwise unable to eat. Thiamine is responsible for the yellow color of “banana bags,” a term you might have heard used in medical dramas to describe an IV fluid concoction often given to malnourished alcoholics to prevent a similar reaction. (You can see a photo of them below and at 4:53 in my video.) Anyone “with negligible food intake for more than five days” may be at risk of developing refeeding problems. 
    Medically-supervised fasting has gotten much safer now that there are proper refeeding protocols. We now know what warning signs to look for and who shouldn’t be fasting in the first place, such as those who have advanced liver or kidney failure, porphyria, uncontrolled hyperthyroidism, and pregnant and breastfeeding women. The most comprehensive safety analysis of medically supervised, water-only fasting was recently published by the TrueNorth Health Center in California. Out of 768 visits to its facility for fasts up to 41 days, were there any adverse events? There were 5,961 of them! Most of these were mild, known reactions to fasting, such as fatigue, nausea, insomnia, headache, dizziness, upset stomach, and back pain. Only two serious events were reported, and no fatalities. You can see the chart below and at 5:58 in my video
    Fasting periods lasting longer than 24 hr, and particularly those lasting 3 or more days, should be done under the supervision of a physician and preferably in a [live-in] clinic.” In other words, don’t try this at home! This is not just legalistic mumbo-jumbo. For example, normally, your kidneys dive into sodium conservation mode during fasting, but should that response break down, you could rapidly develop an electrolyte abnormality that may only manifest with non-specific symptoms, like fatigue or dizziness, which could easily be dismissed until it’s too late. 
     
    The risks of any therapy must be premised on the severity of the disease. The consequences of obesity are considered so serious that effective therapies could have “considerable acceptable toxicity.” For example, many consider major surgery for obesity to be a justifiable risk, but the keyword is effective. 
     
    Therapeutic fasting for obesity has largely been abandoned by the medical community not only because of its uncertain safety profile but its questionable short- and long-term efficacy. Remember, for a fast that only lasts a week or two, you might be able to lose as much body fat or even more on a low-calorie diet than a no-calorie diet. 
     
    Fasting for a week or two can actually interfere with the loss of body fat. For more background on this, see Is Fasting Beneficial for Weight Loss? and Benefits of Fasting for Weight Loss Put to the Test.
     
    If you’re wondering what the best way to lose weight is, I wrote a whole book about it! Check out How Not to Diet
     
    Interested in learning more about fasting? See related videos below. 

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    Michael Greger M.D. FACLM

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  • Frontier Airlines settles lawsuit filed by pilots who claimed bias over pregnancy, breastfeeding

    Frontier Airlines settles lawsuit filed by pilots who claimed bias over pregnancy, breastfeeding

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    Frontier Airlines has settled a lawsuit filed by female pilots who said the airline discriminated against pregnant and breastfeeding employees

    ByThe Associated Press

    December 5, 2023, 4:34 PM

    FILE – A Frontier Airlines jetliner waits on a runway for departure from Denver International Airport, Sept. 1, 2023, in Denver. Frontier Airlines has settled a lawsuit filed on behalf of pilots who said the airline discriminated against pregnant and breastfeeding employees. In the settlement announced Tuesday, Dec. 5, 2023 Frontier will let pilots pump breast milk in the cockpit during “noncritical phases” of flights. (AP Photo/David Zalubowski, file)

    The Associated Press

    DENVER — Frontier Airlines has settled a lawsuit filed by female pilots who accused the airline of discriminating against pregnant or breastfeeding employees.

    In the agreement announced Tuesday, Frontier will let pilots pump breast milk in the cockpit during “noncritical phases” of flights.

    The Denver-based airline also agreed to let pilots who are breastfeeding reduce their flying time and treat pregnancy and breastfeeding the same as other medical conditions if they make pilots unable to fly.

    The settlement was announced by the U.S. Equal Employment Opportunity Commission. The agency lodged charges against Frontier in 2018, after several pilots sued the airline.

    Aditi Fruitwala, a lawyer for the American Civil Liberties Union, one of the groups that filed the lawsuit, said the settlement should send a message to airlines and other employers about making reasonable accommodations to pregnant and breastfeeding employees.

    “We’re hopeful this will inspire more change and stronger protections for workers across the airline industry,” Fruitwala said.

    Frontier’s vice president for labor relations, Jacalyn Peter, said the airline is “at the forefront of accommodating the needs of pregnant and breastfeeding mothers in the airline industry.” She said advances in wearable lactation technology made it possible to reach a settlement that maintains safety.

    Last year, Frontier settled a similar lawsuit by flight attendants. The employees said Frontier forced them to take unpaid leave for pregnancy-related absences and didn’t let them pump breast milk while working.

    Frontier did not admit liability in settling the lawsuits. In the case involving Denver-based pilots, the airline also agreed to comply with a current union agreement letting pregnant pilots fly if they have medical approval.

    The airline also agreed to continue to let breastfeeding pilots reduce their schedules to 50 hours of flying per month, and to update and make available a list of lactation facilities at airports.

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  • Rosalynn Carter, outspoken former first lady, dead at 96

    Rosalynn Carter, outspoken former first lady, dead at 96

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    ATLANTA — ATLANTA (AP) — Former first lady Rosalynn Carter, the closest adviser to Jimmy Carter during his one term as U.S. president and their four decades thereafter as global humanitarians, has died at the age of 96.

    The Carter Center said she died Sunday after living with dementia and suffering many months of declining health. The statement announcing her death said she “died peacefully, with family by her side” at 2:10 p.m. at her rural Georgia home of Plains.

    “Rosalynn was my equal partner in everything I ever accomplished,” Carter said in the statement. “She gave me wise guidance and encouragement when I needed it. As long as Rosalynn was in the world, I always knew somebody loved and supported me.”

    President Joe Biden called the Carters “an incredible family because they brought so much grace to the office.”

    “He had this great integrity, still does. And she did too,” Biden told reporters as he was boarding Air Force One to leave Norfolk, Virginia, on Sunday night. “God bless them.” Biden said he spoke to the family and was told that Jimmy Carter was surrounded by his children and grandchildren.

    Later, the White House released a joint statement from the president and first lady Jill Biden saying that Carter inspired the nation. “She was a champion for equal rights and opportunities for women and girls; an advocate for mental health and wellness for every person; and a supporter of the often unseen and uncompensated caregivers of our children, aging loved ones, and people with disabilities,” the statement said.

    Reaction from world leaders poured in throughout the day.

    The Carters were married for more than 77 years, forging what they both described as a “full partnership.” Unlike many previous first ladies, Rosalynn sat in on Cabinet meetings, spoke out on controversial issues and represented her husband on foreign trips. Aides to President Carter sometimes referred to her — privately — as “co-president.”

    “Rosalynn is my best friend … the perfect extension of me, probably the most influential person in my life,” Jimmy Carter told aides during their White House years, which spanned from 1977-1981.

    The former president, now 99, remains at the couple’s home in Plains after entering hospice care himself in February.

    Fiercely loyal and compassionate as well as politically astute, Rosalynn Carter prided herself on being an activist first lady, and no one doubted her behind-the-scenes influence. When her role in a highly publicized Cabinet shakeup became known, she was forced to declare publicly, “I am not running the government.”

    Many presidential aides insisted that her political instincts were better than her husband’s — they often enlisted her support for a project before they discussed it with the president. Her iron will, contrasted with her outwardly shy demeanor and a soft Southern accent, inspired Washington reporters to call her “the Steel Magnolia.”

    Both Carters said in their later years that Rosalynn had always been the more political of the two. After Jimmy Carter’s landslide defeat in 1980, it was she, not the former president, who contemplated an implausible comeback, and years later she confessed to missing their life in Washington.

    Jimmy Carter trusted her so much that in 1977, only months into his term, he sent her on a mission to Latin America to tell dictators he meant what he said about denying military aid and other support to violators of human rights.

    She also had strong feelings about the style of the Carter White House. The Carters did not serve hard liquor at public functions, though Rosalynn did permit U.S. wine. There were fewer evenings of ballroom dancing and more square dancing and picnics.

    Throughout her husband’s political career, she chose mental health and problems of the elderly as her signature policy emphasis. When the news media didn’t cover those efforts as much as she believed was warranted, she criticized reporters for writing only about “sexy subjects.”

    As honorary chairwoman of the President’s Commission on Mental Health, she once testified before a Senate subcommittee, becoming the first first lady since Eleanor Roosevelt to address a congressional panel. She was back in Washington in 2007 to push Congress for improved mental health coverage, saying, “We’ve been working on this for so long, it finally seems to be in reach.”

    She said she developed her interest in mental health during her husband’s campaigns for Georgia governor.

    “I used to come home and say to Jimmy, ‘Why are people telling me their problems?’ And he said, ‘Because you may be the only person they’ll ever see who may be close to someone who can help them,’” she explained.

    After Ronald Reagan won the 1980 election, Rosalynn Carter seemed more visibly devastated than her husband. She initially had little interest in returning to the small town of Plains, Georgia, where they both were born, married and spent most of their lives.

    “I was hesitant, not at all sure that I could be happy here after the dazzle of the White House and the years of stimulating political battles,” she wrote in her 1984 autobiography, “First Lady from Plains.” But “we slowly rediscovered the satisfaction of a life we had left long before.”

    After leaving Washington, Jimmy and Rosalynn co-founded The Carter Center in Atlanta to continue their work. She chaired the center’s annual symposium on mental health issues and raised funds for efforts to aid the mentally ill and homeless. She also wrote “Helping Yourself Help Others,” about the challenges of caring for elderly or ailing relatives, and a sequel, “Helping Someone With Mental Illness.”

    Frequently, the Carters left home on humanitarian missions, building houses with Habitat for Humanity and promoting public health and democracy across the developing world.

    “I get tired,” she said of her travels. “But something so wonderful always happens. To go to a village where they have Guinea worm and go back a year or two later and there’s no Guinea worm, I mean the people dance and sing — it’s so wonderful.”

    In 2015, Jimmy Carter’s doctors discovered four small tumors on his brain. The Carters feared he had weeks to live. He was treated with a drug to boost his immune system, and later announced that doctors found no remaining signs of cancer. But when they first received the news, she said she didn’t know what she was going to do.

    “I depend on him when I have questions, when I’m writing speeches, anything, I consult with him,” she said.

    She helped Carter recover several years later when he had hip replacement surgery at age 94 and had to learn to walk again. And she was with him earlier this year when he decided after a series of hospital stays that he would forgo further medical interventions and begin end-of-life care.

    Jimmy Carter is the longest-lived U.S. president. Rosalynn Carter was the second longest-lived of the nation’s first ladies, trailing only Bess Truman, who died at age 97.

    Eleanor Rosalynn Smith was born in Plains on Aug. 18, 1927, the eldest of four children. Her father died when she was young, so she took on much of the responsibility of caring for her siblings when her mother went to work part time.

    She also contributed to the family income by working after school in a beauty parlor. “We were very poor and worked hard,” she once said, but she kept up her studies, graduating from high school as class valedictorian.

    She soon fell in love with the brother of one of her best friends. Jimmy and Rosalynn had known each other all their lives — it was Jimmy’s mother, nurse Lillian Carter, who delivered baby Rosalynn — but he left for the Naval Academy in Annapolis, Maryland, when she was still in high school.

    After a blind date, Jimmy told his mother: “That’s the girl I want to marry.” They wed in 1946, shortly after his graduation from Annapolis and Rosalynn’s graduation from Georgia Southwestern College.

    Their sons were born where Jimmy Carter was stationed: John William (Jack) in Portsmouth, Virginia, in 1947; James Earl III (Chip) in Honolulu in 1950; and Donnel Jeffery (Jeff) in New London, Connecticut, in 1952. Amy was born in Plains in 1967. By then, Carter was a state senator.

    Navy life had provided Rosalynn her first chance to see the world. When Carter’s father, James Earl Sr., died in 1953, Jimmy Carter decided, without consulting his wife, to move the family back to Plains, where he took over the family farm. She joined him there in the day-to-day operations, keeping the books and weighing fertilizer trucks.

    “We developed a partnership when we were working in the farm supply business,” Rosalynn Carter recalled with pride in a 2021 interview with The Associated Press. “I knew more on paper about the business than he did. He would take my advice about things.”

    At the height of the Carters’ political power, Lillian Carter said of her daughter-in-law: “She can do anything in the world with Jimmy, and she’s the only one. He listens to her.”

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  • Say No to Fish for Five Years Before Pregnancy  | NutritionFacts.org

    Say No to Fish for Five Years Before Pregnancy  | NutritionFacts.org

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    Advisories telling pregnant women to cut down on fish consumption may be too late for certain persistent pollutants. 

    If you intentionally expose people to mercury by feeding them fish (like tuna) for 14 weeks, the level of mercury in their bloodstream goes up, as you can see in the graph below and at 0:14 in my video Avoiding Fish for Five Years Before Pregnancy. As soon as they stop eating fish, it drops back down such that they can detox by half in about 100 days. (So, the half-life of total mercury in our blood is approximately 100 days.) Even if you eat a lot of fish, within a few months of stopping, you can clear much of the mercury out of your blood. But what about your brain? 

    The results from modeling studies are all over the place, providing “some extreme estimates (69 days vs. 22 years).” When put to the test, though, autopsy findings suggest the half-life may be even longer still at 27.4 years. Once mercury gets in our brains, it can be decades before our body can get rid of even half of it. So, better than detoxing is not “toxing” in the first place. 

    That’s the problem with advisories that tell pregnant women to cut down on fish intake. For pollutants with long half-lives, such as PCBs and dioxins, “temporary fish advisory-related decreases in daily contaminant intake will not necessarily translate to appreciable decreases in maternal POP [persistent organic pollutant] body burdens,” which help determine the dose the baby gets. 

    Consider this: As you can see in the graph below and at 1:32 in my video, an infant may be exposed to a tumor-promoting pollutant called PCB 153 if their mom ate fish. But if mom ate only half the fish or no fish at all for one year, levels wouldn’t budge much. A substantial drop in infant exposure levels may only be seen if the mom had cut out all fish for five years before getting pregnant. That is the “fish consumption caveat.” “[T]he only scenarios that produced a significant impact on children’s exposures required mothers to eliminate fish from their diets for 5 years before their children were conceived. The model predicted that substituting produce for fish would reduce prenatal and breastfeeding exposures by 37% each and subsequent childhood exposures by 23%.” So, “a complete ban on fish consumption may be preferable to targeted, life stage–based fish consumption advisories…” 

    If you are going to eat fish, though, which is less polluted—wild-caught or farmed fish? In a recent study, researchers measured the levels of pesticides, such as DDT, PCBs, polycyclic aromatic hydrocarbons, and toxic elements, such as mercury and lead, in a large sample of farmed and wild-caught seafood. In general, they found that farmed fish were worse. Think of the suspect as farmed and dangerous. The measured levels of most organic and many inorganic pollutants were higher in the farmed seafood products and, consequently, so were the intake levels for the consumer if such products were consumed. For example, as you can see in the graphs below and at 3:09 in my video, there was significantly more contamination by polycyclic hydrocarbons, persistent pesticides, and PCBs in all of the farmed fish samples, including the salmon and seabass (though it didn’t seem to matter for crayfish), and the wild-caught mussels were actually worse. If you split adult and child consumers into those only eating farmed seafood or only eating wild-caught seafood, the level of pollutant exposure was significantly worse with the farmed seafood.  

    Overall, the researchers, who were Spanish, investigated a total of 59 pollutants and toxic elements. They concluded: “Taking all these data as a whole, and based on the rates of consumption of fish and seafood of the Spanish population, our results indicate that a theoretical consumer who chose to consume only aquaculture [farmed] products would be exposed to levels of pollutants investigated about twice higher than if this theoretical consumer had chosen only products from extractive fisheries [wild-caught fish].” So, when it comes to pollutants, you could eat twice the amount of fish if you stuck to wild-caught. That’s easier said than done, though. Mislabeling rates for fish and other seafood in the United States are between 30 and 38 percent, so the average fraud rate is around one in three.  

    In my previous video on this topic, How Long to Detox from Fish Before Pregnancy, I mentioned a study that suggests detoxing from fish for one year to lower mercury levels, but other pollutants take longer to leave our system. 

    For optimum brain development, consider a pollutant-free source of omega-3 fatty acids. Check out Should Vegan Women Supplement with DHA during Pregnancy?. 

    Aside from pollutants, there are other reasons we may want to avoid excessive amounts of animal protein. See Flashback Friday: The Effect of Animal Protein on Stress Hormones, Testosterone, and Pregnancy.

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    Michael Greger M.D. FACLM

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  • Cannabis on Fertility and Pregnancy | NutritionFacts.org

    Cannabis on Fertility and Pregnancy | NutritionFacts.org

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    Pregnant and breastfeeding women should probably be advised to either decrease or, when possible, cease cannabis use entirely, and couples trying to conceive may also want to consider cutting down. 

    Approximately one in six couples “are unable to conceive after a year and are labeled infertile, with a male factor identified in up to half of all cases.” Several lifestyle factors have been associated with diminished sperm production, such as smoking cigarettes, but what about smoking cannabis? 

    “Regular marijuana smoking more than once per week was associated with a 28%…lower sperm concentration,” as well as a lower total sperm count based on a study of more than a thousand men, but “no adverse association was found for irregular use” of less than once a week.  

    As I discuss in my video The Effects of Marijuana on Fertility and Pregnancy, this wasn’t a randomized study, so other factors that go along with regular marijuana use may have been to blame. Researchers did take into account cigarettes, alcohol, other drugs, STDs, and things like that, but there’s always a possibility there was something else for which they didn’t control. 

    Findings were similar for women. Hundreds of infertile couples were studied in California, and, just as men had about a quarter fewer sperm, a quarter fewer eggs were retrieved from women who used cannabis more than 90 times in their lifetime or had been using the year before. Again, there could have been confounding factors, but until we know more, couples who are trying to conceive may want to make the joint decision to turn over a new leaf.  

    What about during pregnancy? As you can see below and at 1:39 in my video, medical authorities recommend that “women who are pregnant or contemplating pregnancy should be encouraged to discontinue marijuana use” and not use it during pregnancy or lactation, though the Academy of Breastfeeding Medicine suggests the known benefits of breastmilk currently outweigh any potential harms for women who continue to smoke it. Despite these warnings from authorities, marijuana use has increased among pregnant women in recent years, going up by more than 60 percent, but that’s only from about 2.5 percent up to less than 4 percent, which is less than half the frequency of nonpregnant women. 

    Why are OB/GYNs so down on getting high? Scary articles appear in the American Journal of Obstetrics and Gynecology, like one making claims that a “large study conducted by the US National Birth Defects Prevention Center documented a significantly increased risk for anencephaly [a serious birth defect] when the fetus is exposed to marijuana during the first month of gestation.” But, if you don’t just take their word for it and pull up the actual study, you’ll see that the association wasn’t statistically significant after all. As one letter to the editor was titled, “Marijuana and Pregnancy: Objective Education Is Good, but Biased Education Is Not.”  

    Some risks have been identified: Infants “were more likely to be anemic, and…have lower birth weight and to require placement in neonatal intensive care than infants of mothers who did not use marijuana.” However, it’s “difficult to determine the direct effects of maternal cannabis use on the developing fetus” because of a variety of confounding factors for which studies may not be able to completely control. 

    Studies also show links between prenatal marijuana exposure and learning problems later in life—manifesting years later in school—and that’s where the greater concern lies, on the potential long-term effects on brain development. So, even after “weeding out the myths,” there is enough concern that “pregnant and breastfeeding cannabis users should be identified early and advised to either decrease or where possible cease cannabis use entirely.” 

    When do I mean by cut down “when possible?” Check out my video Natural Treatments for Morning Sickness to see how marijuana use during pregnancy can sometimes be a lifesaver. 

    I originally released several videos on cannabis in a webinar and downloadable digital DVD. If you missed any of them, they are listed in the related videos below.  

    For more on fertility, check out Male Fertility and Diet and Dairy Estrogen and Male Fertility. 

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    Michael Greger M.D. FACLM

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  • Yes, You Can Donate Your Extra Breast Milk And You Should. Here’s Why.

    Yes, You Can Donate Your Extra Breast Milk And You Should. Here’s Why.

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    When Elisabeth Anderson-Sierra was pregnant with her first child, her breasts began leaking at around 12 to 14 weeks. Since it was her first pregnancy, she chalked it up to hormones, figuring this was just another weird thing a body does when growing a baby.

    The leaking not only persisted, but increased. Her midwives reassured her that leaking is normal. When she complained of discomfort, they recommended she use a hand pump to relieve the pressure.

    By the time she reached the halfway mark in her pregnancy (20 weeks), she was pumping and storing 20-30 ounces per day — enough to exclusively feed an infant. When she explained the situation to her medical providers, “they thought I meant milliliters,” Anderson-Sierra told HuffPost.

    It wasn’t until one of her midwives came to her home for a post-birth checkup that they realized how much milk she had been “leaking.” When the midwife asked how breastfeeding was going, Anderson-Sierra proudly showed her the full freezer. Then she showed her the extra freezer out in the garage, also filled with bags of her frozen milk.

    Anderson-Sierra was referred to specialists and checked for conditions that can influence milk production, such as a tumor in the pituitary gland. Her pituitary gland was enlarged, and her prolactin (a hormone necessary for milk production) was high, but no other causes of her condition or threats to her health were found. The diagnosis? Hyperlactation syndrome, which means exactly what the name suggests: She was simply producing an unbelievable amount of milk.

    Doctors told her that after a few months, her pituitary gland would likely shrink back down to its normal size and her milk production would regulate.

    Nine years later, Anderson-Sierra is a mother of three ― an 8-year-old, a 6-year-old and a 9-month-old ― and holds the world record for the largest donation of breast milk by an individual. She has been producing milk continuously this entire time, simply by pumping as often as she needs to to relieve her discomfort. In addition to nursing her baby, Anderson-Sierra pumps five times a day. She uses a portable, hands-free pump that allows her to express milk while going about her daily activities.

    “I haven’t gotten a day off since I was pregnant with my first,” she said.

    This unforeseeable turn of events has turned Anderson-Sierra into a bit of a celebrity. She is an advocate for milk donation, as well as a spokesperson for the pump she uses.

    A frequent blood donor before she became pregnant, Anderson-Sierra was happy to oblige when her midwifery clinic suggested she could donate some of her milk for new moms who needed to supplement. She is proud of the thousands of ounces she has donated to a milk bank serving primarily premature infants (whose birthing parents often have a difficult time producing milk, and who are particularly vulnerable to an intestinal infection that a breast milk diet can help prevent).

    But her condition is exceedingly rare, and is accompanied by significant downsides. In addition to the incessant discomfort and the need to pump, Anderson-Sierra believes her high prolactin levels may have led to the several miscarriages she’s experienced. (Some research shows there can be a link between the two.) She’s also had multiple bouts of mastitis, a painful infection of the breast tissue, and at one point was hospitalized for it.

    Where holistic remedies are concerned, Anderson-Sierra has done “every single thing under the sun that you can typically do to dry up supply.” She has tried taking medications that can be used off-label as prolactin blockers, but she stopped due to side effects like severe headaches, heart palpitations and tremors. More recently, she and her doctors have discussed performing a mastectomy to remove the breast where she has had recurring mastitis.

    While the experience has been a burden in many ways, Anderson-Sierra says it’s been “humbling” to be able to donate milk. She has found it especially meaningful to give her milk to local families and build relationships with them. “Some of our kids have grown up together,” she said.

    Parents help other parents in informal milk sharing arrangements.

    At the other end of the spectrum are parents who struggle to produce enough milk to feed their babies. Breastfeeding advocates are quick to note that while many people worry about having low milk supply, few of them actually have it. (There isn’t a lot of data, but some studies suggest 10% to 15% of lactating parents are affected.)

    There are a number of reasons a person might experience insufficient milk supply ― some more treatable than others. When an infant needs some extra nutrition for a few days or weeks while a parent builds up their supply, or on a more permanent basis, they are usually fed infant formula, which is clean, safe and (usually) readily available.

    But in recent years, social media has expanded the prevalence of informal milk sharing arrangements, like the ones Anderson-Sierra had with her midwifery clinic and local families. Facebook groups such as Human Milk 4 Human Babies facilitate these relationships. A person who’s looking for milk or has milk to donate can post in the group to find a donor or donee. (Selling milk is prohibited by these groups, but it does sometimes occur in other online forums.)

    A typical donor is someone who has accumulated a modest stash of breast milk in their home freezer that they don’t foresee their own baby using, and they’d prefer to give it to someone who needs it, rather than throwing away something they worked so hard to collect.

    Informal milk-sharing arrangements can take place online, but they also come into being organically when one parent reaches out to help another.

    This was the case for Amanda Freeman, who used donor milk to some extent to feed each of her three children. Her first baby was given donor milk in the hospital. Freeman told HuffPost she was “sent home with instructions to supplement with formula, but I didn’t want to do that. I was crying about this to a work associate and she offered me the milk in her freezer.”

    “Then she told me about human milk sharing,” Freeman said. “I found a donor on Facebook and she was local to me and donated milk to my baby and several others for the next nine months.”

    Joanna Gagne, a mom in Ohio, was led to donor milk by her midwife. When her son struggled to gain weight early on, Gagne tried pumping, taking supplements and eating foods known to boost milk supply, but nothing worked.

    She personally wanted another option aside from supplementing with formula.

    “My midwife knew my concerns and reached out to some ladies who had birthed around the same time I did,” Gagne told HuffPost.

    Just hours after first discussing the possibility of donor milk with her midwife, “I cried with relief while I gave my son his first bottle of donor milk,” Gagne said. ’I knew he would be OK, and that our breastfeeding efforts were not over.”

    Gagne’s baby received milk from four different moms over the next several months.

    “It gave me a whole new outlook on the phrase ‘It takes a village to raise a child,’” she said. “I’m so grateful to these women who spent hours pumping while caring for their own babies so that my son could benefit from their milk.”

    Parents who adopt or use surrogates also sometimes look for donor milk to feed their babies.

    There are some challenges to hunting down donor milk for your child when you’re doing so informally (not purchasing milk from a milk bank). Demand is generally much greater than supply, so finding a donor in the first place can be tricky. You also need to be comfortable with a certain level of risk, taking donors at their word when you discuss things like the age of the milk and any medications they take.

    Because breast milk can transmit viruses, and milk collection and storage introduce the possibility of bacterial contamination, the American Academy of Pediatrics does not recommend the use of milk procured via informal milk sharing.

    But for some families, the benefits of donor milk outweigh these challenges and risks.

    Rosalie Kmiec is a mother of three. Her youngest child, Goldie, was born with a heart condition and required surgery early on for a gastrointestinal issue.

    “The fancy German formula that I spent so much time researching caused her gas and discomfort. She cried and struggled to finish bottles. My husband encouraged me to seek out donors and now she is thriving,” Kmiec told HuffPost. “She is growing so quickly that her doctors think she is big enough to get her open heart surgery repair next month.”

    “Without donor milk I’m not sure that she would be thriving and gaining so well due to her GI condition,” she added. “Goldie just turned 3 months old, and I hope to keep her on donor milk for as long as possible.”

    Milk banks collect donor milk and prepare it for use by preterm infants.

    Donations to milk banks typically involve more restrictions. The milk is pasteurized and tends to be given via doctor’s prescription to premature infants residing in hospital NICUs, although it can also be purchased by individual families.

    There are 32 milk banks that are members of the Human Milk Banking Association of North America. Mother’s Milk Bank in California is one of them. The bank accepts donations that consist of at least 100 ounces of milk “up to 6 months from the day of expression,” according to their website. They have sent milk to 80% of the NICUs in California, as well as others out of state.

    Donors working with Mother’s Milk Bank complete a screening questionnaire, share information about their health history and lifestyle and submit to blood testing. All fees for bloodwork and shipping costs are covered by the milk bank.

    Mya Morenzoni and her daughter, Aria. Aria was born at 27 weeks and received a milk fortifier made with donated human milk during her NICU stay.

    Mya Morenzoni’s daughter, Aria, received a milk fortifier, a nutritional supplement providing extra calories, during her NICU stay after her birth at 27 weeks. Morenzoni felt lucky to be able to produce colostrum, or early breast milk, to give her daughter while she stayed in the NICU. She was also grateful for the availability of a milk fortifier made from donor milk. (Other fortifiers use a cow’s milk base, like infant formula is made from.)

    “As a nurse I knew a lot about breast milk and its benefits and so I was glad that I was able to get her that, but then I knew that with her coming so much earlier, of course, being an incubator and all of those factors, she needed additional calories, and so I was really glad that she was able to have the fortifier,” Morenzoni told HuffPost.

    She’s grateful to the women who donated the milk that was made into the fortifier her daughter received.

    “We especially appreciate the moms that have extra and are willing to share. It’s just a special superpower that they have,” she said, calling milk donation “one gift that literally keeps on giving and benefiting so many other lives.”

    How to find donor milk if you’re in need.

    If your baby was born preterm and is in the NICU, or has another medical condition, speak to your doctor about the possibility of receiving donor milk from a milk bank. They may be able to write a prescription for the milk.

    You can find a milk bank in the directory of the Human Milk Banking Association of North America.

    If you have a healthy, full-term baby for whom you wish to purchase donor milk from a milk bank, contact the bank directly. Some banks will limit the amount of milk you can purchase without a prescription, or not allow any purchase without one. At the Mother’s Milk Bank in California, the limit is 40 ounces. The Northwest Mothers Milk Bank does not allow anyone to purchase milk without a prescription. The New York Milk Bank sells donor milk to families for $4.90 an ounce, to offset the costs of processing and preparing the milk. Note that HMBANA milk banks are nonprofits, and donors are not paid for their milk.

    If you are looking for donor milk via an informal arrangement, you might start by asking local midwives or posting a request on local parent groups. You can find local milk sharing groups via Human Milk 4 Human Babies.

    In 2017, the Academy of Breastfeeding Medicine published a paper suggesting guidelines for screening potential milk donors for healthy, full-term infants via informal milk sharing. They suggest that donors:

    • be in good health
    • be only on medications compatible with breastfeeding
    • test negative for HIV, hepatitis B, and HTLV-1 (in high-prevalence areas)
    • not be at risk for HIV, or have had a partner at risk for HIV in the previous year
    • not smoke
    • not use marijuana or illegal drugs
    • drink no more than approximately one alcoholic beverage per day (they suggest the following as limits: 1.5 ounces of hard liquor/spirits, 12 ounces of beer, 5 ounces of wine, or 10 ounces of wine coolers)

    The paper discourages purchasing human milk or accepting anonymous donations.

    In addition, you will want to know when the milk was pumped and how it has been stored. The Centers for Disease Control and Prevention says that “within 6 months is best, up to 12 months is acceptable.”

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  • Obesity Might Lower Milk Production in Breastfeeding Moms

    Obesity Might Lower Milk Production in Breastfeeding Moms

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    By Cara Murez 

    HealthDay Reporter

    THURSDAY, Dec. 29, 2022 (HealthDay News) — While 8 of 10 mothers breastfeed their newborns for a short time, the number plummets despite recommendations from experts, in part because milk production falls off.

    Researchers investigating why that happens found that in women who are obese, inflammation may be the culprit.

    Prior research has shown that when a person is obese, chronic inflammation starts in the fat and spreads to organs and systems throughout the body. And that inflammation may disrupt absorption of fatty acids from the blood into body tissues.

    These fatty acids are the building blocks for the fats needed to feed a growing infant.

    “Science has shown repeatedly that there is a strong connection between the fatty acids that you eat and the fatty acids in your blood,” said lead author Rachel Walker, postdoctoral fellow in nutritional sciences at Penn State University. “If someone eats a lot of salmon, you will find more omega-3s in their blood. If someone else eats a lot of hamburgers, you will find more saturated fats in their blood.”

    The study is among the first to examine whether fatty acids in blood are also found in breast milk, Walker said.

    “For women who are exclusively breastfeeding, the correlation was very high; most of the fatty acids that appeared in blood were also present in the breast milk,” she said in a university news release.

    But for women with chronic inflammation who were struggling to make enough milk, that link was almost gone, Walker said.

    “This is strong evidence that fatty acids are not able to enter the mammary gland for women with chronic inflammation,” she added.

    For this study, researchers analyzed blood and milk from a study conducted at Cincinnati Children’s Hospital and the University of Cincinnati.

    In the original study, researchers recruited 23 mothers who had very little milk despite efforts to stimulate production through frequent breast emptying; 20 mothers with moderate milk production; and a control group of 18 who breastfed exclusively.

    Compared to the other mothers, those with very little milk had significantly higher rates of obesity and biological markers of systemic inflammation.

    While milk and blood fatty acids were strongly linked in the control group, that was not true in the groups with moderate or very low milk production.

    “Breastfeeding has innumerable benefits for both the mother and child, including lower risk of chronic disease for mom and lower risk of infections for baby,” said study co-author Alison Gernand, associate professor of nutritional sciences at Penn State.

    “This research helps us understand what might be happening in mothers with high weight status and inflammation, which down the road could lead to interventions or treatments that allow more moms that want to breastfeed to do so,” Gernand said in the release.

    The U.S. Centers for Disease Control and Prevention recommends breastfeeding exclusively for a baby’s first six months. Just 25% of mothers do so, citing job pressures and a lack of social support as obstacles.
     

    The findings were recently published in the Journal of Nutrition.

    More information

    The U.S. Centers for Disease Control and Prevention has more on the importance of breastfeeding.

     

    SOURCE: Penn State University, news release, Dec. 21, 2022

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  • LaVie™ Mom Lactation Massagers Go Viral During Breastfeeding Awareness Month

    LaVie™ Mom Lactation Massagers Go Viral During Breastfeeding Awareness Month

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    Company gives back to organizations supporting mothers.

    Press Release


    Aug 23, 2022

    In honor of Breastfeeding Awareness Month this August, LaVie™ Mom will donate 10% of its website sales to a variety of WIC organizations and lactation support groups helping mothers. This initiative is among the most significant donation made by the young brand to date. So far, they’ve raised thousands of dollars in the span of just a couple of weeks.

    On top of LaVie’s already exciting month, the brand’s much-loved Warming Massager went viral in a recent TikTok video, which has helped them reach millions of new moms across the country. The video by mom Lynn Peats (@MamaEvy3) shows the massagers used in real-time during a pump session and accumulated over 5.5 million views, 700k likes, and 3k comments within days due to her success with the product. The response has been off the charts and even sparked a new community of breastfeeding mothers on the platform, which now serves as a communal hub of conversation and support for nursing and pumping mothers around the globe.

    The NAPPA Award Winning and Amazon Best-Selling Lactation Massager helps breastfeeding and pumping mothers prevent clogged ducts, speed up milk letdown and milk flow, and reduce the discomfort associated with engorgement. The Warming Massager is an innovative hands-free version that can slip right into any pumping or nursing bra to support feeding sessions throughout the day.

    “We’re honored that our products are touching the lives of so many nursing and pumping mothers around the world right now,” says Liz Fleming, spokesperson (and mom) at LaVie™. “It’s tough out there for breastfeeding mothers, but, with the support of our amazing community, we’re doing what we can to help as many mamas as possible.”

    The LaVie™ Lactation Massagers, Warming Massagers, Pump Strap™, and other game-changing breastfeeding accessories can be found at laviemom.com, Amazon, Target.com, and other major retailers. 

    ###

    About LaVie™ Mom: LaVie™ Mom was inspired by the breastfeeding journey and challenges of nursing mothers who, for so long, could only lean on unreliable solutions like combs and electric toothbrushes to relieve the painful and frustrating symptoms associated with breastfeeding, such as clogged ducts and engorgement. We made it our mission to create solutions that help, starting with the NAPPA Award Winning and Amazon Best Selling LaVie™ Lactation Massager, which was originally released in 2017 as the first of its kind on the market. Since then, the company has received over 15,000 reviews from happy customers worldwide and has helped 400,000 mothers across the globe find success while breastfeeding. The products are recognized by Parents, Romper, Yahoo, SheKows, and The Bump as go-to tools for lactating mothers. LaVie™ Mom is also used in over 100 hospitals, lactation clinics, and WIC programs as it continues to be a guiding light for nursing mothers and medical professionals everywhere. For more information, please visit laviemom.com.

    PR Contact: Liz Fleming, liz.fleming@laviemom.com
     

    Source: LaVie Mom

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  • Spectra Baby USA to Launch New Line of Innovative Products

    Spectra Baby USA to Launch New Line of Innovative Products

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    Press Release



    updated: Nov 17, 2020

    ​​​​​Today, Spectra Baby USA, creators of Natural Nursing Technology, announce the launch of a NEW line of innovative products, including the Synergy Gold dual-powered electric breast pump, Simple Store feeding solution, and CaraCups wearable milk collection inserts. 

    Spectra Baby USA’s Synergy Gold provides breastfeeding moms with exclusive technology, allowing for individually tailored pumping sessions. This new design utilizes one separate motor for each side and is independently adjustable. Because of this, moms accustomed to single-pumping and alternating sides can now efficiently and effectively double-pump without compromising suction. Additionally, the Simple Store feeding solution and CaraCups wearable milk collection inserts are compatible with ALL Spectra breast pumps, providing moms with an enhanced pumping and feeding experience. 

    “Spectra is whole-heartedly committed to supporting every mom throughout their breastfeeding journey, and these products further enhance our mission to provide moms with the best and most up-to-date technology in the industry,” says CEO of Spectra Baby USA, Heidi Humphries. “We’re confident that this new line will simplify breastfeeding—essentially allowing moms to regain the precious time they rightfully deserve.” 

    Overview of Products:  

    • Synergy Gold dualpowered electric breast pumpThe SG is the first breast pump of its kind that permits dual settings, allowing moms to control each side independently. This new patent-pending technology promotes more productive pumping sessions that save time with comfort and ease. 

    • Simple StoreThe Simple Store feeding solution kit allows moms to pump, store, and feed from the same bag. Because the transfer of milk from one container to the next is no longer necessary, feeding sanitation is enhanced. The Simple Store Feeding Solution also includes a temperature sensor that indicates the ideal temperature for each feeding session. 

    • CaraCupsCaraCups are designed to make hands-free pumping safe, convenient, and easy. CaraCups are a true closed-system and compatible with all Spectra breast pumps. CaraCups are placed in the bra, allowing moms to express breast milk hands-free. 

    As of November 27, 2020, The Synergy Gold electric breast pump ($325.00), Simple Store feeding solution ($24.99), and CaraCups ($75.00) will be available for pre-order exclusively on Spectra Baby USA’s website. 

    The Synergy Gold electric breast pump, Simple Store feeding solution, and CaraCups will be available in select retailers in early 2021.

    About Spectra Baby USA

    Women-owned, privately held and located in South Florida, Spectra Baby USA is a team of passionate moms, dads, daughters, and sons dedicated to supporting every mother on the beautiful journey of breastfeeding. Founded by Heidi Humphries in 2011, Spectra Baby USA is distinguished for its unique Natural Nursing Technology. Spectra imports and distributes top quality, high performing breast pumps, and accessories that have built a community of active supporters. 

    For more information about Spectra Baby USA, visit spectrababyusa.com

    Media Contact: 

    Lexi Behr 

    954-372-4127 

    lexi@spectrababyusa.com

    Source: Spectra Baby USA

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  • Premama® Designates Today as National Moms Who Pump Day

    Premama® Designates Today as National Moms Who Pump Day

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    During breastfeeding awareness month, it’s important to recognize the moms who are dedicated to pumping breastmilk for their babies

    Press Release



    updated: Aug 15, 2017

    Premama®, a Rhode Island startup and the first nationwide line of pill-free, natural prenatal supplements is announcing today as “National Moms Who Pump Day” in celebration of moms around the world that pump breast milk for their baby or donation.  

    “At Premama, we celebrate all moms whether they breastfeed, pump or formula feed. During Breastfeeding Awareness Month, we noticed that there wasn’t a day to specially honor all the moms who continually go above and beyond to pump breastmilk for their babies, or even others’ babies through donation,” said Dan Aziz, CEO and Founder of Premama. “We decided to create National Moms Who Pump Day on Aug. 15, to shine a spotlight on this special group of dedicated moms who pump.”

    At Premama, we celebrate all moms whether they breastfeed, pump or formula feed. During Breastfeeding Awareness Month, we noticed that there wasn’t a day to specially honor all the moms who continually go above and beyond to pump breastmilk for their babies, or even other’s babies through donation. We decided to create National Moms Who Pump Day on Aug. 15, to shine a spotlight on this special group of dedicated moms who pump.

    Dan Aziz, CEO and Founder of Premama

    “We created Premama Lactation supplement to support moms on their breastfeeding journey, whether they are nursing or pumping. It is designed to boost breast milk supply and fortify mom’s milk with added nutrition,” said Aziz.

    Over the past three weeks, Premama has encouraged moms to share their hilarious, empowering and heartwarming pumping stories on the Premama Facebook page. Four winners will be chosen to each win one $500 SpaFinder gift card. The story categories were: “funniest pump story,” “pumpers who go above and beyond” and “the person who supported you most during their pumping journey.”

    The winning stories for each category are:

    Funniest Pump Story had one winner:

    Hannah: “I made my toddlers breastmilk popsicles and my husband came home and ate two, not knowing they were breastmilk. You should’ve seen his face when I came in and saw him and told him what he was eating!”

    Pumpers Who Go Above and Beyond had two winners:

    Bracha: “I’ve been pumping for almost nine years. I never thought I would end up here when we adopted our first child. He was premature and weighed a few ounces short of two pounds. I induced lactation and was able to feed him exclusively with my milk from six months on after supplementing with donner milk and the help of an SNS.

    “I have gone onto feed 22 children (including my four kids). I’ve donated pumped milk as I’ve also wet nursed as many of the 22 kiddos I’ve fed over the years.

    “My latest accomplishment was being able to pump for a surrogate baby I birthed in July 2016. I pumped and shipped 1000 ounces of milk to her bi-weekly in addition to nursing my own toddler at the time. I am now pregnant with that baby’s sibling (due this Fall), and I hope to pump for him/her as well. Breastmilk is an amazing gift and I am ever so thankful that my breasts have exceeded my expectations to nourish so many children. Nothing can compare.”

    Stephanie: “I was diagnosed with an aortic aneurysm on July 7. I had open heart surgery to repair it on July 31. Our third son was only three months old. Five hours post-op and immediately after removing the breathing tube, my sister hooked me up to my pump. I continued to pump three times a day during my hospitalization in an effort to preserve his food source.

    “A small miracle is that I had pumped and stored about 700 ounces in the previous two months that I had planned to donate. Because of our stash, we were able to keep him on breastmilk during my entire hospitalization. Hopefully, my supply will return well enough we can still donate in the future.”

    Person Who Supported You Most During Their Pumping Journey had one winner:

    Christine: “My sister Stephanie was by far my hugest supporter & cheerleader in my pumping journey. She not only bought me my (quite expensive) pump, but she also taught me all of the ins and outs when it came to pumping. She helped me find the right size parts, taught me just how to pump and encouraged me when I wanted to quit before my goal date (multiple times). I would never have made it 18 months without her!

    “I’ll never forget my early days in the NICU with my son. I was beyond exhausted (emotionally and physically) but she made sure I was pumping at the right times to ensure that my milk would come in for my little guy while he couldn’t quite nurse yet. Or the one time I got mastitis. She had a two-year-old and newborn at the time, but she spent the whole day at my house caring for my newborn and me as well so that I could pump all day and heal.

    “Or the time when my deep freezer broke, I lost my entire stash of pumped milk (sad face) and she gave me an overabundance of her frozen milk so that my little boy did not have to supplement with formula (amazing)! I am so thankful for my sister! She’s so selfless and absolutely deserves a spa day!”

    For more stories like these visit www.facebook.com/drinkpremama and for more information about Premama visit www.drinkpremama.com.

    About Premama®

    Founded in 2011, Premama strives to make all moms happier with its best-in-class line of natural powdered supplements, gummies and soft chews specifically formulated to support preconception through postnatal nutritional needs, concerns and conditions. Premama’s pill-free, drinkable and chewable solutions are formulated with high-quality, clinically-studied and physician-approved ingredients, and are designed to mix seamlessly with liquids and soft foods, or simply chewed. Premama is available online at drinkpremama.com and retailers across the US, including GNC, CVS, Walgreens, Target, The Vitamin Shoppe, Sprouts, Meijer, Buy Buy Baby, and Amazon. Purchasing Premama products supports Vitamin Angels®, a non-profit organization that helps pregnant women, new mothers, and children under five in at-risk populations from over 50 countries worldwide gain access to life-changing vitamins and minerals. Visit www.drinkpremama.com for more information.

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    Media Contact:

    Premama / Melissa Czerwein
    melissa.czerweincomms@gmail.com
    401-749-7221

    Source: Premama

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