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[DOI] [PubMed] [Google Scholar] 133.Ashtary-Larky D, Bagheri R, Bavi H, Baker JS, Moro T, Mancin L, et al

This process encompasses a detailed review of the patient's medical history, thorough screening for contraindications and potential drug interactions, consideration of combination therapies to enhance efficacy, comprehensive education for both patients and their families, rigorous monitoring of treatment response and side effects, and structured follow-up appointments to ensure long-term management and adherence

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Obesity itself is one of the most underrecognized causes of low milk supply, working through several mechanisms: excess fat tissue slows the hormonal shift that "turns on" full milk production after delivery, high leptin levels interfere with prolactin response, and insulin resistance (extremely common in obesity) disrupts the metabolic signaling your mammary gland needs to produce milk efficiently

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