Podcasts about Lactation

Lactation Station and What would you do for a million dollars on News Radio KKOBSee omnystudio.com/listener for privacy information.

Episode 35 - Jessica Carder - RD & IBCLC's Insights into Breastfeeding and Neonatal Nutrition In this episode of Nutrition Pearls: the Podcast, co-hosts Megan Murphy and Jen Smith speak with Jessica Carder about breastfeeding and the role of human milk in supporting the health and development of infants from the NICU through the first year of life. Jessica is a registered dietitian and lactation consultant with almost 10 years of experience in the pediatric nutrition field,  almost 5 years' experience working with the NICU population, with a specialized focus on lactation since 2019.Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:Academy of Breastfeeding Medicine La Leche League International - Breastfeeding SupportBreastfeeding USALactation Education ResourcesVideo Archive - Global Health Media ProjectGOLD Lactation Online Conference 2025 | Lactation & Breastfeeding ConferenceProduced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Lactation support should not be based on income bracket, however it frequently is.  In this episode Katie Oshita and Elizabeth Montez-Garcia discuss how non-profit programs, such as Open Arms in Washington, can support indigenous families with lactation support.  Podcast Guest: Elizabeth Montez (ILC, IBCLC) is an Anishinaabe and Latine lactation consultant, educator, and community organizer working at the intersection of Indigenous perinatal health, family wellness, and systems change. She is the founder of Flower Moon Families, offering direct lactation care, education, and culturally grounded support to families across Northern Michigan while also expanding access to education and care across Turtle Island. Elizabeth brings years of experience as Community Education Specialist and Clinical Lactation Lead at Open Arms Perinatal Services, where she has built upon the vision of Camie Goldhammer, MSW, IBCLC (Sisseton Wahpeton Oyate), who created the lactation program, by developing an IBLCE Pathway One educational and mentorship opportunity for rising lactation professionals of color.Elizabeth serves as the Indigenous Breastfeeding Community Liaison for Michigan WIC and as a board member at large for South East Michigan IBCLCs of Color. She is lactation faculty at Cedar Medicine School of Midwifery and has shared her teachings at various conferences including GOLD Lactation, with upcoming presentations for Lactivents, Alaska Native Birth Coalition, Best Starts For Kids King County, and National Indigenous and Native American WIC Coalition yet to come in 2025. A founding board member of Ogimaa and a planning team member for Indigenous Milk Medicine Week, Elizabeth weaves her clinical expertise with Indigenous knowledge systems, viewing lactation not just as infant feeding, but as a radical act of rematriation, community care, and generational sovereignty. Her work is dedicated to creating a world where Black and Indigenous families thrive, and where all babies are welcomed in communities that honor their sacredness and wisdom.Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

This episode was recorded at the 2025 Florida Ruminant Nutrition Symposium.  Dr. Baumgard begins with an overview of his presentation, “Importance of gut health to drive animal performance and health.” He notes the metabolic and inflammatory fingerprint of all stressors is essentially the same, indicating they likely all emanate from the gut. Overall, we're gaining a better understanding of how typical on-farm stressors negatively influence gut barrier function. He thinks the most likely mechanism of leaky gut is the immune cell known as a mast cell. When an animal or human is stressed, the enteric nervous system releases corticotropin-releasing factor, which binds to the mast cell, the mast cell degranulates, and the former contents of the mast cell (TNF-alpha, proteases, histamine, etc.) causes the gut to become leaky. (4:20)Once the GI tract barrier becomes compromised, antigens like lipopolysaccharide (LPS) can infiltrate, stimulating the immune system. Immune activation causes loss of appetite much like any other infection. The gut heals fairly quickly upon removal of the stressor(s), and the gut can also acclimate to stress such that the early stages of a stress event are more severe than later stages. Strategies to combat leaky gut remain scarce, and there is no silver bullet. There are a variety of dietary strategies to target the gut permeability issue itself. Another approach would be to bind pathogens or curb their proliferation at the membrane of the small intestine. (7:06)Dr. Neiehues asks if an antihistamine would work on gut mast cells the way it does in other body systems. Dr. Baumgard isn't sure that's ever been looked at, although there have been some studies in pigs using a product targeted to prevent mast cell degranulation. Dr. Nelson wonders if we should interfere in some of these processes because they're obviously there for a reason. Panelists discuss stress events related to parturition and transition, particularly for first-calf heifers. Dr. Baumgard notes that stacking stressors on top of one another compromises an animal's ability to tolerate stress. (9:28)We know stress can cause ulcers in humans and horses - what about ruminants? Dr. Baumgard thinks it is likely that it's happening, but we aren't looking for it. Few animals who die on-farm do receive a thorough postmortem exam. It could also be that these types of insults to the gut are not visible to the naked eye. (19:11)Dr. Nelson asks what makes some cows, despite all the challenges, able to be up and milking 150 pounds a day in no time after calving. What makes them unique? Dr. Baumgard lists some possibilities, including lower pathogenic inflammation than other cows, less tissue trauma damage to the uterus during calving, and lower sensitivity to immune activation. The panel disagrees with the notion that high-producing cows are stressed. (23:16)Dr. Niehues and Dr. Baumgard trade stories of experiments where cows maintained production even with high stress and inflammatory markers. The panel goes on to discuss subclinical infections and their impact on transition cows. Dr. Nelson notes there are retrospective datasets where cows who had metritis showed decreased feed intake even before calving. Dr. Baumgard feels that the decrease in intake has been incorrectly assumed to be the cause of the metritis. He says the decrease in intake is often around two weeks before calving and he doesn't think it's a coincidence that at the same time, the mammary gland is initiating lactogenesis. He hypothesizes the mammary gland is causing an immune response, resulting in a decrease in intake. Dr. Nelson wonders if measuring somatic cell counts of colostrum would show any differences in mammary gland inflammation during this prepartum period. (29:18)Panelists share their take-home thoughts. (42:02)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt. 

Trish sits down with the incredible Amber Ginn, an IBCLC and one of her beloved Catalyst Queen Mastermind clients. Amber shares her raw and powerful story of having her son at 15 and how this experience, and the support of one person, sparked her career in lactation. Amber's journey from becoming teen mom to breastfeeding expert is a testament to turning pain into purpose. She shares her pivotal birth experience, her work as a lactation consultant, and the invaluable support she provides to new moms. Join the Calm Mama Membership: labornursemama.com/cmsLeave a review and include your Instagram username for a chance to win our monthly raffle!They also discuss the importance of understanding your 'why' behind breastfeeding goals, the challenges new moms face, and the revolutionary care Amber offers through her private practice, The Latch Link. Tune in for a heartfelt conversation filled with empowerment, valuable insights, and a reminder that your story is your superpower!More from Amber Ginn: TheLatchLink.com Listen to The Latch LoungeFollow her on Instagram: @ambertheibclcPrenatal WorkshopHelpful Timestamps: 01:26 Amber's Early Motherhood Journey02:59 Turning Pain into Purpose06:56 Amber's Professional Journey08:39 Virtual Lactation Consulting14:12 Breastfeeding Tips and Advice19:57 Addressing Common Breastfeeding Challenges22:47 The Importance of Pumping and Supply23:28 Effective Pumping Strategies for Working Moms25:47 Handling Bottle Refusal and Seeking Help26:45 Comprehensive Lactation Support and Services32:26 Final Thoughts and Call to ActionResources:

This episode was recorded at the 2025 Florida Ruminant Nutrition Symposium. Dr. Bach gives an overview of his presentation, highlighting that buffers make the rumen resistant to a decrease in pH while alkalizers immediately increase rumen pH. He prefers magnesium oxide, an alkalizer, over sodium bicarbonate, a buffer. Both are effective, but sodium bicarbonate requires a larger amount, thus taking up more room in the diet. The magnesium oxide must be of high quality and soluble in the rumen. (3:40)Dr. Richards asks if we should use magnesium oxide more as a first line of defense against acidosis. Dr. Bach notes that the very best strategy is to avoid using either additive by making a proper ration balanced in terms of amount and rate of degradation of starch. But there are many constraints in the field, so he recommends using magnesium oxide before sodium bicarbonate. For the magnesium oxide to be effective, it must be solubilized in the rumen to magnesium hydroxide, and solubility can be tested in a variety of ways to determine quality. (7:35)The panel discusses the impact of magnesium oxide in place of sodium bicarbonate on DCAD and which DCAD equation(s) should be used for calculations. Dr. Bach recommends removing sodium bicarbonate from rations containing less than 1% of the ingredient. It will have little effect on the rumen, but make room in the ration. The panel explores how this can impact farm-level economics. (12:39)Dr. Bach also mentions probiotics and their impact on rumen function. In vitro studies have shown a wide variety of modes of action and positive results. Extrapolating in vitro doses to the cow often results in unsustainable amounts of the additive needing to be fed. Applied studies at the cow level have yielded inconsistent results. (23:29)Scott asks how long Dr. Bach has been making the case for pulling sodium bicarbonate out and putting magnesium oxide in, and what kind of pushback he has received. Dr. Bach gives some of the reasons farmers have given for not wanting to make this management change. He also notes that farmers who do make the switch do not tend to go back to sodium bicarbonate. (25:18)Dr. Bach and Maimie discuss grass silage diets and grazing diets with high amounts of moisture and how best to combat acidosis symptoms with those. In diets like this, where you're not trying to make room for energy, sodium bicarbonate can be a good choice. Dr. Richards chimes in with questions about the ratio of the two ingredients; Dr. Bach indicates the ratio doesn't mean much to him. (26:16)Panelists share their take-home thoughts. (33:27)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

Emily worked in a nudist swinger resort, recently cheated on her husband and has a lactation fetish and she called in to talk all about it. Tune in to hear all the details including the group sex experience she had when she was younger and what exactly went down, her job as a front desk receptionist at a regular hotel and all the visiting baseball players she slept with, how she got her job at the nudist swinger resort and what exactly went down at interview including her having to get naked, how she felt about being naked while working and what exactly went own there, how and why she was super turned on by everything she saw, how she met her current husband while cheating n her first husband, how and why she started a very naughty virtual affair behind his back, exactly what her and the other guy would do while video chatting with each other, why that affair stopped, how and why she had suppressed her wild side and fantasies when she got married, and how and why she decided to finally start revealing them to her husband, haw she copped to having a lactation fetish and how her husband reacted, how she is going about being able to locate and live out her fantasy and exactly what she needs to do to make that happen, all the other fantasies they have that they want to now play out plus hear a whole lot more. REPEAT THURSDAY, originally aired 12/23 **To see HOT pics of EMILY plus my other female guests + gain access to my PRIVATE Discord channel where people get super XX naughty + hear anonymous confessions + get all the episodes early and AD FREE, join my Patreon! It's only $7 a month and you can cancel at any time. You can sign up here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/StrictlyAnonymousPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ MY BOOK IS NOW OUT FOR PRE-ORDER!!!! Strictly Anonymous Confessions: Secret Sex Lives of Total Strangers. A bunch of short, super sexy, TRUE stories. GET YOUR COPY NOW: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/4i7hBCd⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠   To join SDC and get a FREE Trial! click here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.sdc.com/?ref=37712⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or go to SDC.com and use my code 37712   Want to be on the show? Email me at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠strictlyanonymouspodcast@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.strictlyanonymouspodcast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and click on "Be on the Show" Have something quick you want to confess while remaining anonymous? Call the CONFESSIONS hotline at 347-420-3579. You can call 24/7. All voices are changed.   Sponsors:  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://viia.co/STRICTLYANON⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Try VIIA and use code STRICTLYANON for great SEX and sleep ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://butterwellness.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Use the code “STRICTLY” at checkout for 20% off your entire order ⁠⁠⁠⁠http://promescent.com/kathy⁠⁠ ⁠⁠⁠⁠To get 15% off your WHOLE order ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bluechew.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Get your first month of the new Blewchew Max FREE! use code: STRICTLYANON ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.dipseastories.com/strictlyanon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Hear the hottest stories on Dipsea and get a 30-day FREE trial PLUS 25% off your subscription ⁠⁠https://beducate.me/pd2516-anonymous⁠⁠  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Use code anonymous to get 50% off your yearly pass plus get a 14 day money back guarantee  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://shamelesscare.sjv.io/xLQ3Jv⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Get $10 off Shameless Care's female viagra cream, just click on the link and use code: Strictly    Follow me! Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/strictanonymous/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Twitter ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/strictanonymous?lang=en⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.strictlyanonymouspodcast.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Everything else ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Strictlyanonymouspodcas⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Jacob and his spouse have been in some form of an open relationship since they got together over 18 years ago. In fact, their relationship actually began as a triad. Today, Jacob takes us along his relationship journey as he and his partner traveled the country living all over and exploring connections and partnerships in their own unique ways. Jacob is an infant care specialist and an International Board Certified Lactation Consultant (IBCLC) who helps families of all kinds with their lactation needs. He specializes in helping non-gestational parents who want to induce lactation as well as queer, trans, and non-binary parents who have given birth and need support with lactation. Jacob also recently released his first book "Lactation for the Rest of Us - A Guide for Queer and Trans Parents and Helpers." Please check out all of Jacob's work and grab a copy of his book over on his website. Check out the full show notes here. Join the most amazing community of open-minded humans on the planet!   Click here to order your very own NNM shirt! $10 Off - Online STI Testing

This episode was recorded in Reno, Nevada, during the 2025 Western Dairy Management Conference. Dr. Hemme begins with a demonstration of three different-sized glasses of milk representing the daily average dairy consumption in China, Europe, and the world as a whole. He explains that when you make predictions, it's good to identify the two main drivers of uncertainty in your industry. In the case of dairy, he cites whether or not people like dairy and whether or not they can afford it. He goes on to describe the four scenarios that can be created from those main drivers: people like dairy and can afford it, people don't like dairy but could afford it, people like dairy but can't afford it, and people don't like dairy and can't afford it.  (4:05)Walt asks Dr. Hemme to give some perspective on what makes a country a reliable exporter built for the global economy. He gives a unique example of how American football versus soccer compares to exporting dairy from the US to the global market. Matt chimes in with his perspective on how DFA is positioning the industry for exports. He notes that we live in the world of VUCA - volatility, uncertainty, complexity, and ambiguity - and that we have a lot of VUCA happening in the US right now. In general, he's very bullish on our natural resources, management skills, and technical capability in the US dairy industry.  (10:17)The panel discusses who in the world is going to be able to meet the building demand for dairy products, and what the US might need to do to be a major player - in essence, moving from playing football to playing soccer. Dr. Hemme gives culture, policy, and relationship building as potential challenges for the US. (16:37)Matt is encouraged by the new investments in processing plants in the US and looks for a “build it and we will grow into it” scenario as we move forward. Dr. Hemme agrees that the processors are on board. But he wonders about the dairy farm side - no growth in cow numbers, not much growth in production, and breeding so many cows with beef semen makes him think the US is not believing in a growing dairy industry. He also talks about changing interest rates over time and impact on capital management. (25:50)The panel discusses the US milk price compared to the world milk price, the cost of production, and exchange rates. (29:45)Matt gives some perspective on beef-on-dairy. As the beef cycle levels back out and more beef heifers are retained, he forecasts fewer dairy cows being bred to beef semen and an increase in the supply and retention of dairy heifers. (34:31)Dr. Hemme talks about dairy demand and global population growth trends and predictions. (39:38)Panelists share their take-home thoughts. (42:02)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

Sometimes a woman weans her baby from breastfeeding, maybe because of a surgery, a medication, or a stressful moment, & later wishes to breastfeed again. Or in the case of adoption, a woman wishes to breastfeed without ever being pregnant in the first place. In this episode, we talk about different options for achieving that re-lactation & Ammie shares her re-lactation journey after explanting her breast implants.Ammie's YouTube: www.youtube.com/@AmmieHarrisHaakaa SNS Feeding System: https://haakaausa.com/products/silicone-feeding-tube-setBreastfeeding Without Birthing: https://www.alyssaschnellibclc.com/bookNewman-Goldfar Protocol (NOT mentioned, but a wonderful resource): https://www.canadianbreastfeedingfoundation.org/induced/regular_protocol.shtmlCheck out Informed Pregnancy+https://www.informedpregnancy.tv/ NOW IT'S YOUR TURN! The NaturalBirth Site- TheNaturalBirthSite.com SIGN UP for the NaturalBirth Education course to best prepare your body & mind for natural birth (only $65) Read natural birth stories- and submit your own SHARE OUR PODCAST with anyone you know who is interested in natural birth!

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Experts discuss recent advances in how maternal health and immune function during pregnancy affect infant development and long-term outcomes. Research focuses on immune adaptations, complications like preterm birth, and neuroimmune pathways, using techniques such as mass cytometry, spatial proteomics, and chemogenetics to identify biomarkers and mechanisms that guide prevention and treatment strategies. Sandy Ramos, M.D. Clinical Landscape and OGRS Opportunities Louise Laurent, M.D.,Ph.D. Single-Cell and Spatial Multi-Omic Insights into the Human Placenta (HUBMAP) Marni Jacobs, Ph.D. The MOM-Health Study and the MOHD Consortium Lars Bode, Ph.D. Human Milk Institute (HMI) Gretchen Bandoli, Ph.D. MotherToBaby Ina Stelzer, Ph.D. Reproductive Immunology Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40666]

Experts discuss recent advances in how maternal health and immune function during pregnancy affect infant development and long-term outcomes. Research focuses on immune adaptations, complications like preterm birth, and neuroimmune pathways, using techniques such as mass cytometry, spatial proteomics, and chemogenetics to identify biomarkers and mechanisms that guide prevention and treatment strategies. Sandy Ramos, M.D. Clinical Landscape and OGRS Opportunities Louise Laurent, M.D.,Ph.D. Single-Cell and Spatial Multi-Omic Insights into the Human Placenta (HUBMAP) Marni Jacobs, Ph.D. The MOM-Health Study and the MOHD Consortium Lars Bode, Ph.D. Human Milk Institute (HMI) Gretchen Bandoli, Ph.D. MotherToBaby Ina Stelzer, Ph.D. Reproductive Immunology Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40666]

Experts discuss recent advances in how maternal health and immune function during pregnancy affect infant development and long-term outcomes. Research focuses on immune adaptations, complications like preterm birth, and neuroimmune pathways, using techniques such as mass cytometry, spatial proteomics, and chemogenetics to identify biomarkers and mechanisms that guide prevention and treatment strategies. Sandy Ramos, M.D. Clinical Landscape and OGRS Opportunities Louise Laurent, M.D.,Ph.D. Single-Cell and Spatial Multi-Omic Insights into the Human Placenta (HUBMAP) Marni Jacobs, Ph.D. The MOM-Health Study and the MOHD Consortium Lars Bode, Ph.D. Human Milk Institute (HMI) Gretchen Bandoli, Ph.D. MotherToBaby Ina Stelzer, Ph.D. Reproductive Immunology Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40666]

Experts discuss recent advances in how maternal health and immune function during pregnancy affect infant development and long-term outcomes. Research focuses on immune adaptations, complications like preterm birth, and neuroimmune pathways, using techniques such as mass cytometry, spatial proteomics, and chemogenetics to identify biomarkers and mechanisms that guide prevention and treatment strategies. Sandy Ramos, M.D. Clinical Landscape and OGRS Opportunities Louise Laurent, M.D.,Ph.D. Single-Cell and Spatial Multi-Omic Insights into the Human Placenta (HUBMAP) Marni Jacobs, Ph.D. The MOM-Health Study and the MOHD Consortium Lars Bode, Ph.D. Human Milk Institute (HMI) Gretchen Bandoli, Ph.D. MotherToBaby Ina Stelzer, Ph.D. Reproductive Immunology Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40666]

Experts discuss recent advances in how maternal health and immune function during pregnancy affect infant development and long-term outcomes. Research focuses on immune adaptations, complications like preterm birth, and neuroimmune pathways, using techniques such as mass cytometry, spatial proteomics, and chemogenetics to identify biomarkers and mechanisms that guide prevention and treatment strategies. Sandy Ramos, M.D. Clinical Landscape and OGRS Opportunities Louise Laurent, M.D.,Ph.D. Single-Cell and Spatial Multi-Omic Insights into the Human Placenta (HUBMAP) Marni Jacobs, Ph.D. The MOM-Health Study and the MOHD Consortium Lars Bode, Ph.D. Human Milk Institute (HMI) Gretchen Bandoli, Ph.D. MotherToBaby Ina Stelzer, Ph.D. Reproductive Immunology Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40666]

Experts discuss recent advances in how maternal health and immune function during pregnancy affect infant development and long-term outcomes. Research focuses on immune adaptations, complications like preterm birth, and neuroimmune pathways, using techniques such as mass cytometry, spatial proteomics, and chemogenetics to identify biomarkers and mechanisms that guide prevention and treatment strategies. Sandy Ramos, M.D. Clinical Landscape and OGRS Opportunities Louise Laurent, M.D.,Ph.D. Single-Cell and Spatial Multi-Omic Insights into the Human Placenta (HUBMAP) Marni Jacobs, Ph.D. The MOM-Health Study and the MOHD Consortium Lars Bode, Ph.D. Human Milk Institute (HMI) Gretchen Bandoli, Ph.D. MotherToBaby Ina Stelzer, Ph.D. Reproductive Immunology Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40666]

Experts discuss recent advances in how maternal health and immune function during pregnancy affect infant development and long-term outcomes. Research focuses on immune adaptations, complications like preterm birth, and neuroimmune pathways, using techniques such as mass cytometry, spatial proteomics, and chemogenetics to identify biomarkers and mechanisms that guide prevention and treatment strategies. Sandy Ramos, M.D. Clinical Landscape and OGRS Opportunities Louise Laurent, M.D.,Ph.D. Single-Cell and Spatial Multi-Omic Insights into the Human Placenta (HUBMAP) Marni Jacobs, Ph.D. The MOM-Health Study and the MOHD Consortium Lars Bode, Ph.D. Human Milk Institute (HMI) Gretchen Bandoli, Ph.D. MotherToBaby Ina Stelzer, Ph.D. Reproductive Immunology Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40666]

Welcome to a special edition of We get work®, recorded live from Workplace Horizons 2025 in New York City, Jackson Lewis's annual Labor and Employment Law Conference. Over 500 representatives from 260 companies gathered together to share valuable insights and best practices on workplace law issues impacting their business today. Here's your personal invitation to get the insights from the conference, delivered directly to you. 

This episode was recorded in Reno, Nevada, during the 2025 Western Dairy Management Conference. The panel discusses their individual experiences with outbreaks in different states. Beth talks about her group's microbial surveillance technology they used to compare rectal swabs from positive and non-positive herds. They noted elevations in specific virulent E. coli, Salmonella spp., and Clostridium perfringens in the HPAI-positive herds. Enrique noted that in California, the outbreak began in the South Valley during periods of heat stress, which exacerbated symptoms. He also felt that some dairies panicked a little and moved cows too much, which did not help. In the North Valley, the outbreak happened in cooler weather, and dairies purposefully did not move cows out of their pens and provided supportive therapy within the pen. (5:25)Dr. Schcolnik emphasized making sure i's are dotted and t's are crossed in your nutrition program to help manage through an outbreak. The immune system is an obligate glucose utilizer, so energy is key, as are protein and trace minerals. He noted they also added binders to diets, and either probiotics or double doses of yeast to keep the rumen healthy. Decreasing intake is a big symptom, so he recommends vitamin B supplementation to stimulate appetite. (12:30)The panel discusses how the Texas and California outbreaks differed from one another, including heat stress, recovery in milk production after infection, bird migration and cattle movement. Enrique notes that in California, it seemed like transmission was going downwind. Animal movement, wild birds and milk trucks were also implicated. (14:31)Several companies are investing in vaccine development, but the virus mutation is a challenge. Dr. Spencer wonders if the vaccine will end up resembling the human flu vaccine where you hope to target the general structure of the virus to reduce impact. The panel talks about natural immunity and how cows will be impacted in the lactation after they were ill. Dr. Schcolnik has observed that a percentage of cows who were dry during the outbreak aren't performing as well after freshening. He hypothesizes this could be due to mammary cell death during infection, as the virus lyses the cell as it exits the cell. (24:41)The panel discusses practical recommendations for dairy producers to prepare for or help mitigate during an outbreak. Biosecurity is key. Vaccines are hopefully on the way, but until then, minimizing cattle movements within the herd, post-dipping cows as soon as possible after the machine falls off and minimizing splashing of milk are all good practices. The panel looks forward to more research about all the different ways the virus transmits. They're also eager to learn more about treatment plans and what has worked for different dairies regarding giving fluids, altering rations, boosting the immune system, managing co-infections and impacts on calves and heifers. (29:18)Lastly, panelists share their take-home thoughts. (37:33)Scott invites the audience to Bourbon and Brainiacs at ADSA in Louisville - a bourbon tasting with all your favorite professors! Sign up here: https://balchem.com/anh/bourbon/Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

In this episode, Lisa Paladino, CNM, IBCLC, speaks with Patricia Berg, IBCLC and craniosacral therapist, about the power of combining bodywork and lactation care. They explore how craniosacral therapy supports breastfeeding, the importance of addressing birth trauma, and how collaboration and evidence-based practice enhance infant outcomes.Key takeaways:Craniosacral therapy is gentle, holistic, and non-invasive.Addressing birth trauma can support breastfeeding success.Peer support and interdisciplinary teamwork matter.Evidence-informed care enhances confidence and results.Patricia Berg can be found here: 800lactate.comResources & Links:

This episode was recorded in Fort Wayne, Indiana, during the 2025 Tri-State Dairy Conference. Dr. Laporta gives an overview of her presentation, focusing on the impact of heat stress during the dry period on the cow, her daughters and her granddaughters. She covers heat stress impacts on mammary gland involution, as well as fetal programming effects on the daughter and granddaughter. (3:37)Daughters of heat-stressed cows have fewer sweat glands located deeper in the skin, thicker skin and more sebaceous glands. This was observed at birth, weaning and puberty. They sweat more than heifers who weren't heat stressed in utero, but have higher rectal temperatures during the preweaning phase. Dr. Laporta hypothesizes that if those calves were exposed to additional stress, they would be more susceptible to illness because of the higher core temperature.  (6:34)The panel discusses heat stress impacts on male fetuses and the potential for epigenetic changes to be transmitted through semen. Dr. Gerloff asks about differences in the impacts of heat stress on first-calf heifers compared to older cows. Dr. Laporta describes the survival rates of heifers who were heat-stressed in utero. Heifers are lost from the herd even before first calving, with more following in first and second lactation.  (11:00)Dr. Laporta outlines the differences between heat-stressed and cooled treatments in her experiments. They measure respiration rates and rectal temperatures to assess the physiological impacts of heat stress in the cows. Scott asks how long the heat stress period needs to be in order to observe negative effects. Dr. Gerloff asks about calf mortality rates between the two groups. Dr. Laporta estimates a 12% death loss in the heat stress groups, who seem to be more susceptible to the usual calf illnesses. It appears that gut closure might occur earlier in heat-stressed calves - maybe even before birth, which does not bode well for their immune systems. (16:49)Dr. Laporta details how heat stress impacts mammary gland involution. Early in the dry period, you want a spike in cell death to build new cells for the next lactation. In heat-stressed cows, the spike in cell death early in the dry period is diminished, not allowing those cells to die. This results in less proliferation of the mammary gland, and the cow starts her next lactation with older cells that weren't renewed in full. Thus, producing less milk. Dr. Gerloff shares some of his experiences with heat stress in his area of Illinois. (22:17)Heat stress has negative impacts on other organs as well. Heifers who experienced heat stress in utero are born with larger adrenal glands with altered microstructure. Dr. Laporta describes some of the DNA methylation that has been observed in these heifers. The panel discusses whether the response would be similar for other types of stressors, like cold stress or social stress. (26:19)What can we do to mitigate these impacts? Cooling dry cows so they can thermoregulate during gestation is critical. Altering diets to account for heat stress is also an important strategy. Unfortunately, there is no magic bullet to “fix” cows who were exposed to heat stress in utero, but these negative implications can be prevented. Dr. Laporta has also focused on what she calls perinatal programming - after the calf is born, what can we do? She has been working to develop cooling mechanisms for calves and is interested in further investigating early life mammary development. (33:41)When a dry cow experiences heat stress, she has fewer and smaller alveoli. Daughters of those cows have smaller udders with altered tissue growth. Granddaughters of those cows have fewer estrogen receptors in their udders and negative impacts on mammary proliferation. (44:30)Panelists share their take-home thoughts. (47:52)Scott invites the audience to Bourbon and Brainiacs at ADSA in Louisville - a bourbon tasting with all your favorite professors! Sign up here: https://balchem.com/anh/bourbon/ (54:31)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

In 2014, the International Society for the Study of Women's Sexual Health together with the North American Menopause Society introduced the term “Genitourinary syndrome of menopause” to replace the prior term vulvovaginal atrophy. Ten years after that, in 2024, a related term “Genitourinary Syndrome of LACTATION, was introduced to better capture the genitourinary issues lactating women may experience. A new systematic review, soon to be released in the journal obstetrics and gynecology, provides new data on GSL prevalence and characteristics. This is a good reminder for any clinician who evaluates postpartum/lactating women to ask about GSL. How does sexual dysfunction fit into this question? Listen in to the next episode of Dr. Chapa's Clinical Pearls Podcast for more details.

This episode was recorded in Fort Wayne, Indiana, during the 2025 Tri-State Dairy Conference. Dr. Grant gives an overview of his presentation at the conference, highlighting cow time budgets and the importance of natural cow behavior to health, welfare and productivity. The impacts of overcrowding, including rumen pH and de novo fatty acid synthesis, are a key component of his message. (7:07)Eating, resting and ruminating are the big three behaviors we've studied for decades. In addition to their obvious importance to cow welfare, they have a real health and performance effect. Dr. Grant suggests the recumbent rumination - just lying down and chewing her cud - is really the cow's superpower. Cows with the same rumination time who accomplish more while lying down have less subacute ruminal acidosis, greater dry matter intake, and higher fat and protein content in their milk. It all boils down to the balance between eating time and recumbent rumination time. (12:15)The panel discusses the definition of overcrowding. Spoiler alert: it depends. (15:50)Clay asks Rick if overcrowding of beds or feed bunks is more important. The easy answer is both, but Rick acknowledges he'd say beds if he were pushed for an answer. Resting is a yes or no; she's either lying down or she's not. From the feed bunk perspective, a cow can alter her behavior to a point for adjusting to overcrowding - eat faster, change her meal patterns, etc. A hungry cow will walk by the feed to recoup lost rest time. Cows should be comfortable enough to spend at least 90% of their rumination time lying down. (17:50)Dr. Grant thinks of overcrowding as a subclinical stressor. A cow has different “accounts” for different activities: lactation, health, reproduction, etc., as well as a reserve account. To combat the subclinical stress of overcrowding, a cow uses her reserve account, but that's hard to measure. If the reserve account gets depleted and another stressor comes along, the overcrowded pens are going to show greater impacts. The panel brainstormed ideas for how to better measure a cow's reserve account. (19:39)Clays asks if overcrowding is affecting culling rates. The panel assumes it has to be, though no one can point to a study. Dr. Grant notes there is data from France that shows decreased longevity in cows who don't get enough rest, which is a hallmark of overcrowding. Given the low heifer inventory, the panel muses if the industry ought to pay more attention to the culling impacts of overcrowding and have a more dynamic approach to evaluating stocking density as market and farm conditions shift. (25:10)Bill asks about nutritional and management strategies to reduce the stress of overcrowding. Rick notes that overcrowding tends to make the rumen a bit more touchy, so he talks about formulating diets with appropriate amounts of physically effective fiber, undigested NDF, rumen-fermentable starch, and particle size. (29:21)Dr. Grant talks about the differences in rumination when a cow is lying down versus standing. The panel discusses cow comfort, preferred stalls, and first-calf heifer behavior in mixed-age groups with and without overcrowding. Bill and Rick agree that having a separate pen for first-calf heifers on overcrowded farms would benefit those heifers. Dr. Michael comments on evaluating air flow and venting on-farm. (33:49)The panel wraps up the episode with their take-home thoughts. (47:55)Scott invites the audience to Bourbon and Brainiacs at ADSA in Louisville - a bourbon tasting with all your favorite professors! Sign up here: https://balchem.com/anh/bourbon/ (52:02)The paper referenced in this conversation from Dr. Bach can be found here: https://www.sciencedirect.com/science/article/pii/S0022030208711226Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

What does intentional care really look like in the NICU—and how does it shape outcomes for both infants and families?In this episode, we explore the importance of safe feeding practices, trauma-informed communication, and consistent caregiver support with Casey Lewis, MS, CCC-SLP, BCS-S, CNT, CLC, NTMTC, and Lisa Klein, MS, CCC-SLP, Director of Education at Dr. Brown's Medical.Together, we unpack the clinical and cultural challenges NICUs face—from inconsistent feeding plans and overlooked breastfeeding support to the emotional toll of desensitization at the bedside. Casey shares how her dual perspective as a neonatal therapist and NICU parent reshaped her approach to advocacy, while Lisa offers insight into how tools like the Infant-Driven Feeding® Program and the Dr. Brown's Zero-Resistance™ Bottle System are driving safer, more consistent outcomes. Whether you're a NICU provider, a nurse, hospital leader, or a parent, this episode offers powerful takeaways to help you reimagine what intentional, family-centered care can truly look like.Dr. Brown's Medical: https://www.drbrownsmedical.com Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/ NICU Mama Hats: https://empoweringnicuparents.com/hats/ NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/ Newborn Holiday Cards: https://empoweringnicuparents.com/shop/ Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/shownotes/ Episode 69 Show Notes: https://empoweringnicuparents.com/episode69 Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/ Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparents Pinterest Page: https://pin.it/36MJjmH

In this episode the Ski Moms sit down with Sascha Mayer, co-founder of Mamava to discuss how their innovative lactation pods are making ski resorts more accessible for breastfeeding mothers. Sascha shares her journey from snowboarding enthusiast to entrepreneur, explaining how her experience with Burton Snowboards inspired Mamava's distinctive pod design. The conversation covers the practical features of Mamava pods, their presence at ski resorts like Stowe and Bridger Bowl, and the broader implications for family support in the ski industry. Sascha emphasizes the importance of customer advocacy in driving positive change and envisions a future where ski resorts comprehensively support families, from convenient parking to childcare to lactation spaces. The episode provides valuable insights for both ski resorts aiming to become more inclusive and families seeking better accommodations.Keep up with the latest from Mamava:Website: MamavaInstagram: @mamava_vtFacebook: www.facebook.com/MamavaApp: mamava-breastfeed-on-the-go/id901989849Shop Skida's spring collection here and save 25% with code SkiMomsDay25 at Skida.com Loam Pass is the premier North American mountain biking pass. Loam Pass, gives you over 100 days of access to some of the best mountain biking destinations across the country. Get your pass at https://www.loampass.com/ use code SKIMOMS2515 to save 15% The Ski Moms Mother's Day Gift Guide is live! Check out the full guide at skimom.substack.com or head to theskimoms.co/gift-guides. The Patio Place and Ski Haus helps you make the most of outdoor living. Stop by Salem, Woburn, or Framingham, and head to skihaus.com Support the showKeep up with the Latest from the Ski Moms!Website: www.theskimoms.coSki Moms Discount Page: https://www.theskimoms.co/discountsSki Moms Ski Rental HomesJoin the 13,000+ Ski Moms Facebook GroupInstagram: https://www.instagram.com/theskimoms/ Send us an email and let us know what guests and topics you'd like to hear next! Sarah@skimomsfun.comNicole@skimomsfun.com

This episode was recorded at the 2025 Western Dairy Management Conference in Reno, Nevada. Dr. Sabine Mann, Cornell University; Dr. Will Mustas, Progressive Dairy Solutions; Dr. Don Niles, Dairy Dreams LLC; and Joey Airosa, Airosa Dairy Farms, introduce themselves. (0:48)Dr. Mann outlines the high points of her presentation. Giving an adequate amount of high-quality colostrum quickly after birth is essential to equip the calf with the best chances to stay healthy. Colostrum is more than a solution of water and immunoglobulins, and we are continuing to learn more about other nutrients and growth factors that colostrum contains. (12:03)Dr. Niles and Mr. Airosa talk about colostrum and maternity protocols on their dairies. Each has dedicated maternity staff in charge of postnatal calf care. Don mentions they often have public tours of their dairy and shares some anecdotes. Joey's maternity staff try to get colostrum in calves within 30 minutes of birth and have worked out a good communication system to ensure seamless calf care when shift changes occur. (13:57)Dr. Mann emphasizes the timing of colostrum delivery is critical. But what about the amount? Should every calf get four liters? Joey notes they bottle feed and have settled on three quarts for Holstein calves and two quarts for Jersey calves. Sabine says research backs that up - calves will not voluntarily drink much more than 3-3.5 liters. Using esophageal feeders to give four liters could be overfeeding in some cases, which could cause slower emptying of the stomach and thus slower arrival and uptake of immunoglobulins at the small intestine. The four liter recommendation came from the idea that good quality colostrum probably had about 50 grams per liter of IgG, and at that time, we wanted to get 200 grams into the calf. Perhaps making a sheet with recommended amounts based on calf weights could be helpful for maternity staff.  Dr. Mann also clarifies that the 50 grams per liter of IgG is not really good quality colostrum. Most herds average about 90-100 grams per liter of IgG in colostrum. She recommends every farm find out how good their colostrum is and optimize feeding amounts from there. (22:45)Dr. Mann notes the importance of making sure dry cows are not deficient in protein supply and ensuring the dry period is long enough to create high-quality colostrum. While it's commonly thought older cows have better colostrum than young cows, she underlines again the importance of measuring colostrum quality to know for sure. She also highly recommends measuring colostrum quality from individual cows before pooling so that poor colostrum does not dilute good colostrum. (31:04)Dr. Mustas shares some of the challenges he's seeing on dairies where he consults. What can we do to control the bacteriological quality of colostrum? He notes there's no reason we can't get very low bacteria counts pre-pasteurization. Making sure maternity areas are clean and sanitary, udders are prepped very well, and harvesting equipment is not neglected are all great strategies. (35:53)Dr. Mann talks about individual cow variation in colostrum production and some factors that might influence including placental interactions, hormones, and genetics. (38:04)Scott and Sabine discuss some of the research around supplementing with choline during the dry period and subsequent colostrum production. (41:28)Dr. Niles comments that pasteurization of colostrum has been one of the most exciting technologies to come along. On his farm, the pasteurizer has given them much more control over colostrum quality and delivery time. Dr. Mann agrees storage of colostrum has given dairies the ability to be strategic about how they use colostrum, what colostrum they use, and to also plan for seasonal colostrum shortages. She agrees with Dr. Mustas that clean colostrum harvesting equipment is key to low bacterial counts. (44:13)Dr. Mustas talks about how the beef-on-dairy phenomenon has altered colostrum protocols. Calf ranches are giving deductions for poor colostrum scores when calves are received. Some operations even offer premiums or discounts on daily yardage depending on individual calf colostrum scores. (50:21)Joey, Don, and Sabine comment on the importance of finding the right people to work in maternity and instilling the idea that taking care of cows and calves is both a great responsibility and a great honor. (52:56)The panel wraps up with their take-home thoughts. (58:31)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

Send us a textWhat if the thing that turns you on the most… is also the thing you've been too afraid to admit?This episode pulls back the curtain on one of the fastest-growing—and most misunderstood—kinks: pregnancy and lactation play. And no, it's not just a guy thing.Some women say it's the sexiest they've ever felt. Others say it helped them reclaim their bodies after birth. And for many, it's about erotic power, healing shame, and exploring deeper levels of intimacy.My guest, Chelsea Newton, is a queer sex therapist and founder of Phases of the Mind Therapy. With dual master's degrees in Social Work and Human Sexuality, she's a kink-affirming expert who helps people explore the desires they've been taught to hide—and find surprising healing along the way.Together, we unpack: What pregnancy and lactation kinks really mean Why they're more common than you think The psychology—and nervous system magic—behind these turn-ons How this kink ties into early attachment, power, and care How to explore it consensually (even if no one's actually pregnant)This isn't just a conversation about kink—it's about freedom, pleasure, and the power of naming what turns you on.You can find my spicy site here. https://talksexwithannette.com/talk-sex-with-me/My spicy OF handle is @talksexwithannetteMy free spicy handle is @annettetalkssexSubscribe to my e-newsletter: https://she-explores-lifeUse code EXPLORES15 for 15% off all Womanizer Products at Womanizer.com. Get 30% Off Sex Toys & Lube with code EXPLORES30 at thethruster.com: https://bit.ly/3Xsj5wY Get 15% Off The Life Saving, Erection Enhancing Tech Cockring By Firmtech with my code ANNETTE15 at: https://myfirmtech.com/annettebenedetti Get 15% Off The Life Saving, Erection Enhancing Tech Cockring By Firmtech with my code ANNETTE15 at: https://myfirmtech.com/annettebenedetti Get your intimacy questions answered, enjoy erotic audio readings and more.https://talksexwithannette.com/talk-sex-with-me/Support the show Watch on YouTube: https://www.youtube.com/@annettebenedetti Connect with usWe are on all the socials: TikTok: @ LockerRoomTalkPodcast LRT's Insta: @Lockerroomtalkandshots Annette's Insta: @BeingBenedetti SEL Inst: @SheExplores_Life LRT's FB: @LockerRoomTalkandShots SEL FB: @ SheExploresLife Annette's YouTube: Annette Benedetti Check Out More Sexy Content:She Explores Life Website: sheexploreslife.comCheers!

Throughout human history new parents had support with their newborns around the clock from their friends and family. Now, most parents don't have friends and family who are able to help overnight, and postpartum doulas are an option for nighttime support to help you get more rest. However, if you are a parent looking for someone who is knowledgeable and comfortable with nurturing biologically normal sleep and lactation then it's important you hire the right professional. In this episode, I'm joined by Alex King, a postpartum doula who exclusively does overnight support. We talk about what a postpartum doula is and how they are different from night nurses and newborn care specialists. We share some questions parents can ask to get a good sense of the doulas lactation knowledge and comfort with supporting normal sleep and an attachment-based approach to sleep. We discussed what some red flags and green flags might be to show where a doula is on the same page as them and where they may not be aligned. It's all about finding the right fit and as a parent, being clear about what you are looking for. Alex shares some of the ways her support helps parents create more of a set nighttime, helping circadian rhythm develop. And she reminds us that you are inviting a person into a very personal time and space so it's important that you are really comfortable with them. I hope this episode will give you some ideas if you want to hire a postpartum doula for nighttime support whether you are pregnant with your first baby or looking ahead to a second baby or more.  About Alex Alex King is a certified postpartum doula in Los Angeles California who specializes in working with families overnight. She is passionate about setting up babies, mamas, and families for success in the delicate postpartum period so they can enjoy the magic a new little one brings. Connect with Alex Instagram: @doula.alex.kingConnect with KimInstagram: instagram.com/intuitive_parenting_dcFacebook:  facebook.com/intuitiveparentingdcLearn more about working with Kim: https://intuitiveparentingdc.com/

Dr. Drackley begins with an overview of his presentation at the 2025 Florida Ruminant Nutrition Symposium, focusing on the NASEM requirements for pre-weaned calves. He mentions some differences in energy and protein requirement calculations compared to the NRC system, as well as increased vitamin E recommendations and a more biologically based factorial approach to calculating mineral requirements. (5:59)Dr. Overton notes that milk replacements can be formulated differently to account for changes in mineral or vitamin requirements. In herds that feed whole milk, is there any reason to think about supplementing those calves? Dr. Drackley suggests that Mother Nature may have been smarter than us all along, as the composition of whole milk matches very well with the nutrient requirements of calves. (9:43)Dr. Lundquist asked what the impetus was for the increase in vitamin E requirements. Dr. Drackley refers to a series of studies examining the role of vitamin E in immune function that have shown the previous requirements were too low to achieve optimum health outcomes. Many dairies give a vitamin injection after birth to help boost young calves. (11:45)The panel discusses improved colostrum feeding efforts and the variation in successful passive immunity that still exists in the industry. (13:51)Scott asks Dr. Overton what gaps he sees in calf nutrition from his Extension specialist perspective, and he suggests that best management for weaning is still a big topic. Dr. Drackley agrees this is an area that needs some attention. He feels the industry is doing better on the baby calf side by feeding more milk, but then that almost makes weaning more difficult because people are not changing their mindset about how to step calves down from milk or what age to wean calves. (16:39)For people feeding more milk than the traditional 1.25 lbs of solids, Dr. Drackley recommends extending weaning time to eight instead of six weeks. He also recommends at least one step down in the amount of milk, which could be a week of feeding just once a day. Calf starter formulation and quality are also critical. Research shows that providing a small amount of forage, preferably grass hay or straw, before weaning is beneficial for buffering and rumination. (18:47)Dr. Overton asks about the research gap in our understanding of transition cow management and how that impacts the calf in utero and after birth. The panel discusses heat stress and season of birth impacts on calf growth and first lactation performance. (26:08)The panel wraps up with their take-home messages. Discussion includes pelleted versus texturized starters, sugars in a starter to promote rumen development, the value of increasing the quality and quantity of calf nutrition, the thermoneutral zone in baby calves, and outsourcing calf raising.  (33:10)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

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Thank you for joining us today. Many of our followers have turned to us to help them while trying to conceive. By lowering your toxic burdens, you can help balance your hormones, which can help with fertility. It's important to us that we create content to help lessen postpartum stress.That is why we have invited on Jadah Parks Chatterjee, a maternal child health Registered Nurse & International Board-Certified Lactation Consultant. Jadah is also an advisor for Bobbie infant formula. We're going to discuss lactation techniques, as well as how to find organic infant formula.Learn more about Jadah's services: https://www.nursechatterjee.com/Get tested for BPA, phthalates, parabens, and other hormone-disrupting chemicals with Million Marker's Detect & Detox Test Kit: https://www.millionmarker.com/

Frida's breast milk-flavored ice cream is due in 9 months… It's not April Fool's, it's a “product-tizement.”Robinhood launched big bank products this week… but we think it's the Airbnb of Finance.American cars are now so big it's affecting traffic… So we'll explain “Car Bloat” and “The Panamax Effect."Plus, Jeff Bezos just sent out invites to his wedding (we got the financial deets)...Want more business storytelling from us? Check out the latest episode of our new weekly deepdive show: The untold origin story of… Goldfish Crackers

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In this episode, I discuss with medical student, Sara Perelmuter: What is genitourinary syndrome of lactation (GSL)?Reasons why the postpartum vulvovaginal tissues resemble those of a menopausal womanSigns and symptoms of GSLPostpartum hormone changes How to talk to your provider about this What we need to know as providersDoes using topical estrogen harm the baby?Dose, frequency and length of time one may expect to use estrogenSara Perelmuter is a medical student at Weill Cornell in New York city and is already innovating the field of sexual medicine. She has over 7 scientifically peer reviewed publications and is currently the president of the Sexual Medicine Research Team. She is a passionate advocate for women's reproductive and sexual health and is on track to become an OB/GYN. Her prior research experience exposed her to the profound gap in research on women's sexual health and her clinical work exposed her to the prevalence of medical gaslighting and the dismissal of women's pain. Paired with her feminist values, this has motivated her to pursue a career dedicated to improving women's sexual health. Sara believes education, accessibility, and awareness are vital to break the barriers and help empower women to take control over their own bodies. Links mentioned in this episode: Genitourinary syndrome of lactation: a new perspective on postpartum and lactation-related genitourinary symptomsWebsite link of my Sexual Medicine Research Team with GSL infoSurvey Information SheetSurvey linkTHANK YOU TO THE EPISODE SPONSORSSRC Health: discount code and website: https://srchealth.com/?ref=Sto_l3PawmnH4. Discount Code: THEPELVICFLOORPROJECTThanks for joining me! Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/Support the show

Submit your question and we'll answer it in a future episode!Join our Patreon Community!https://www.patreon.com/badassbreastfeedingpodcast What is your favorite baby item?  What do you think was a waste of money?  Abby asked the internet and got hundreds of responses.  We won't talk about all of them on the podcast, but we will talk about a lot of them.  Tune in today to hear all about what is the most useful baby product! If you are a new listener, we would love to hear from you.  Please consider leaving us a review on iTunes or sending us an email with your suggestions and comments to badassbreastfeedingpodcast@gmail.com.  You can also add your email to our list and have episodes sent right to your inbox! Things we talked about:Message about life insurance [4:58]Abby asked Patreon – what's useful and what's wasteful? [12:00]Abby's favorite item [17:20]Dianne's favorite item [17:20]Having a diaper change set up [26:10]Lactation consultation [27:47]Abby asked the internet [30:24]Postpartum hotel [31:56]  Links to information we discussed or episodes you should check out!https://badassbreastfeedingpodcast.com/episode/life-insurance-its-not-boring-you-need-to-hear-this/ https://badassbreastfeedingpodcast.com/episode/baby-stuff-you-need-and-dont-need-in-the-first-year/ Set up your consultation with Diannehttps://badassbreastfeedingpodcast.com/consultations/     Check out Dianne's blog here:https://diannecassidyconsulting.com/milklytheblog/Follow our Podcast:https://badassbreastfeedingpodcast.comHere is how you can connect with Dianne and Abby:AbbyTheuring ,https://www.thebadassbreastfeeder.comDianne Cassidy @diannecassidyibclc,  http://www.diannecassidyconsulting.com Music we use:Music: "Levels of Greatness" from "We Used to Paint Stars in the Sky (2012)" courtesy of Scott Holmes at freemusicarchive.org/music/Scott Holmes

  Encouraged to support women after the birth of her own daughters, Catrice Harris has been helping families with labor & birth, childbirth education, postpartum, and lactation support since 1992. Her initial Lactation training was through the University of Texas … Continue reading →

This Real Science Exchange podcast episode was recorded during a webinar from Balchem's Real Science Lecture Series. You can find it at balchem.com/realscience. Dr. Santos begins with a timeline of events that occur during the cow's transition from the dry period to her exit from the fresh pen. He suggests that cows should be dried off at around 230 days of gestation, then moved to a closeup group at 250-255 days gestation which is around three to three-and-a-half weeks before calving. Dr. Santos recommends keeping multiparous cows separate from primiparous cows and feeding to minimize metabolic disorders in early lactation. After calving, cow health needs to be monitored for early detection and treatment of disease. In addition, diets that do not limit voluntary dry matter intake should be fed. During the early postpartum period, controlling excessive weight loss and lipid mobilization is the goal.  (00:27) What is the association between time spent in the closeup pen and disease? Research shows that around three to four weeks in the prepartum group is associated with the lowest risk of morbidity, maximum milk yield and highest pregnancy rates. How does a change in body condition during the first 65 days in milk impact cyclicity? How does 90-day milk yield impact cyclicity? Cows that lose one or more units of condition are less likely to be cyclic at the end of the voluntary waiting period. There is a small statically positive association between milk yield and cyclicity. Dr. Santos' first take-home message is to avoid excessive body condition loss after calving. Cows should lose no more than 0.5 body condition units from the week before calving to the first AI. This can be accomplished by minimizing over-conditioned cows at dry-off and reducing the risk of disease in early lactation.  (6:13) What about feed efficiency? Dr. Santos describes experiments comparing the 25% most efficient to the 25% least efficient cows. All cows produced the same amount of energy-corrected milk, but the most efficient cows ate four kilograms less feed each day. The risk of morbidity and the culling rate was the same for both groups, as was reproductive performance. Dr. Santos suggests we should not be afraid of selecting for feed efficiency while still optimizing intake in early lactation.  (18:23) Morbidity negatively impacts intake in early lactation. Around one-third of cows are affected by disease in the first three weeks of lactation and almost 80% of the first disease diagnoses occur during the first three weeks postpartum. The earlier in lactation disease occurs, the longer the legacy effects from that disease can impact cow health and performance. Dr. Santos describes an experiment in beef cattle evaluating how an inflammatory response impacts nutrient partitioning away from performance. Early lactation morbidity not only makes a cow not want to eat, it also may shift nutrients away from production toward survival, resulting in fewer nutrients available for milk production and reproduction. Dr. Santos describes a series of experiments evaluating the impact of early lactation disease diagnosis on reproductive performance. Dr. Santos' second take-home message is to stimulate dry matter intake and minimize disease in the early lactation period. (22:21) How can we formulate diets that will improve reproduction? First, we should formulate diets that reduce the risk of disease. Then we should incorporate nutrients that are known to improve reproduction in cows. Dr. Santos describes how supplementation with rumen-protected choline decreases triglyceride accumulation in the liver and improves milk yield. He also details the mechanisms of using acidogenic diets to reduce hypocalcemia. He recommends not using these diets for heifers and feeding them for around 21 days to cows rather than the entire dry period. Dr. Santos feels that forage quality has been neglected in the transition period and details how improved fiber digestibility during the transition period can have longer-term impacts. Lastly, he recommends feeding 1-1.5% supplemental fat in early lactation diets for improved reproduction and milk yield without negative impacts on body condition. In closing, Dr. Santos presents a summary of diet formulation recommendations for transition cows.  (34:13) Dr. Santos leads an engaged question-and-answer session with the webinar audience. (51:11) Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.   If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt. 

In this episode, we're diving deep into baby's gut microbiome—what it is, why it matters, and how it's influenced by mama's gut health during pregnancy and breastfeeding. We break down how your baby's microbiome develops at birth, signs that might indicate gut health issues, and practical ways to support a thriving gut through common challenges like C-sections, antibiotics, and food allergies. Tune in to learn how simple, intentional choices during pregnancy and the first year of life can set the stage for lifelong digestive and immune health. Click HERE to access today's shownotes.

⭐️⭐️⭐️ Sign up on our WAITLIST! Be the first to learn about our upcoming 8 week series: Menopause Masterclass Fitness & Wellness.Join us as we sit down with Casey Schmidt, a registered nurse and board-certified lactation consultant, to explore the depth of her role in supporting new families. Casey sheds light on the many dimensions of lactation consulting, which extend beyond latching to include nursing, dietetics, pediatrics, dermatology, psychology, and holistic family care. She discusses the significance of the "golden hour" after birth, the mechanics of hand expression and milk production, and the emotional challenges parents may face, such as breastfeeding grief and trauma. Casey also highlights the value of prenatal consultations, peer support groups, and the vital connections between breastfeeding, hormonal shifts, and pelvic health. This episode emphasizes the need for comprehensive postpartum care and the power of community in supporting new parents.Bio: Casey Schmidt is a registered nurse and board-certified lactation consultant in private practice and at Providence St Joseph in Eureka, California. She is passionate about supporting families as they transition into the role of parenthood. She strives to approach every family with kindness and works to facilitate an environment that enhances feelings of safety, joy, connection, and love. Early bonding, uninterrupted skin-to-skin contact, and human milk feeding can have long-lasting health benefits across an individual and family's lifetime. Casey continues to study and advocate for breast/chestfeeding as the biological norm and a way to increase food sovereignty.Episode Resources:Breastfeed Humboldt Facebook Casey Schmidt RN IBCLCSkin to skin/Nils Bergman MDBreast care & kindnessBreastfeeding videosFind a PT near you through the APTA Pelvic Health Locator➡️  Follow us on IG @thev.movement➡️  Subscribe on YouTube @TheVMovement➡️ Join our newsletter

In this episode ofEpiPod, Sarah and Danielle sit down with Meghan McMillin, a certified lactation consultant, dietitian, and allergy mom, to get into the nitty gritty about breastfeeding & allergies. Meghan, who runs the Instagram page @the.lactation.dietitian, shares her expert knowledge on the latest research, how moms can support babies struggling with allergy symptoms, and whether there are ways to prevent allergies in newborns. If you're a parent or soon-to-be parent navigating breastfeeding & food allergies... or went through hell like Sarah and want to commiserate, this episode is a must-listen! For more, visit Meghan's website atwww.thelactationdietitian.com or reach out atmeghan@thelactationdietitian.com.CONNECT WITH US:Follow EpiPod on⁠⁠ Instagram⁠⁠ and⁠⁠ TikTok⁠⁠To connect with Danielle - click⁠⁠ HERE⁠⁠To connect with Sarah - click⁠⁠ HERE⁠⁠Thank youZEGO Foods for sponsoring this EpiSode!CODES + LINKS:ZEGO Foods– ShopHERE with code: EPIPOD for 10% offLorissa's Kitchen – Shop⁠⁠ ⁠HERE⁠⁠⁠ with code: EPIPOD for 15% offInchBug – Shop⁠ ⁠HERE⁠⁠ with code: EPIPOD25TelyRx – Order ⁠⁠HERE⁠⁠ with code: EPIPOD for 20% off****A box of 2 epipens is $299.99 – $240 with the code!Well Too Wipes – Shop⁠ ⁠HERE⁠⁠ with code: EPIPOD20Music byBryce Cain Band& other various artists

This week, we've some discussion of aggressive bidets, the science of clitoral measurements, and why Sydney Sweeney may or may not be fluent in Russian. Mike shares his experience installing a high-end toilet seat that may or may not be waging psychological warfare on his anus. Keith explores the concept of malicious compliance, specifically how a government employee might secretly be helping birth control access by following bad orders too well. Meanwhile, Ally regrets mentioning that airport breastfeeding pods exist because now Mike is brainstorming ways to misuse them. We also break down the latest entry in the "songs that make Ben Shapiro furious" genre, dissecting the lyrics to Fat, Juicy, and Wet with the kind of forensic rigor normally reserved for congressional hearings. What exactly is "coochie water," and why is it being autographed? Did the songwriter fully grasp the anatomical implications of their rhymes? These are the questions that matter, and we bravely attempt to answer them, only to become more confused in the process. Later, we examine a listener's personal crisis, which starts as a question about losing her sex drive and ends in an existential conversation about whether orgasms are like hunger (or, in Ally's case, an optional theme park trip). Mike is irritated by the fact that women don't always want sex, Keith makes a sweeping generalization about men, and Ally tries to explain why sometimes the effort of getting naked is just too much. This leads, naturally, to a discussion of the OKCupid age-attraction graph and a thorough analysis of whether men are hopelessly deluded about their chances with 21-year-olds. The answer: yes, but hope springs eternal. Twitter: @ymmvpod Facebook: ymmvpod Email: ymmvpod@gmail.com

Porsche Holland-Otunba, CEO of Reclaim Black Motherhood, joins Dr. Dekker to share her personal journey from trauma to advocacy in the birthing world. Porsche opens up about her own traumatic birth experience, which ignited her passion for fighting for better care for Black families. She discusses how a lack of informed choice, systemic biases, and inadequate lactation support affected her pregnancy and birth, leading her to become a passionate birth worker, doula, and lactation consultant. Porsche emphasizes the need for trauma-informed, culturally competent care, particularly for Black families, and offers invaluable advice for healthcare workers and birth professionals on how to center the needs of families through active listening and compassionate support.   Register for the EBB Conference here!    (02:29) Porsche's Birth Story and the Impact on Her Approach to Trauma-Informed Care (05:34) A Call to Action: Rising Up After a Traumatic Birth (07:19) The Systemic Failures and Lack of Representation in Healthcare (10:20) Advocating for Change and Getting Involved in Maternal Health Initiatives (13:13) Generational Trauma and Preeclampsia in Black Families (15:33) The Future of Preeclampsia Care and Prevention (17:56) The Intersection of Preeclampsia and Mental Health (22:06) Lactation Challenges: Generational Trauma and Cultural Barriers (25:40) The Role of Lactation Support in Hospitals (29:43) Trauma-Informed Lactation Support: Practical Tips for Birth Workers (35:29) Prioritizing Basic Needs in Trauma-Informed Care (38:04) Supporting Families Beyond the Birth: A Holistic Approach to Care (46:04) The Importance of Perinatal Mental Health Awareness Learn more about Reclaim Black Motherhood Visit the Preeclampsia Foundation Get mental health resources and support from Postpartum Support International (PSI) Read Black birth people's stories of preeclampsia with the Take 10 Campaign EBB Podcast #342: Lifelong Lessons in Lactation with Dr. Kimarie Bugg, the First African American IBCLC and President of Reaching Our Sisters Everywhere EBB Podcast #344: Crash Course in Perinatal Mood Disorders and Treatment with Dr. Kat Kaeni, Perinatal Psychologist and Past Board Chair of Postpartum Support International For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.

This Real Science Exchange podcast episode was recorded during a webinar from Balchem's Real Science Lecture Series. You can find it at balchem.com/realscience.How can we increase milk protein and capture that income opportunity? Dr. Van Amburgh describes the seasonal drop in milk protein observed in the summer months. Heat stress may play a role in altering insulin sensitivity and how the cow partitions nutrients. What can we do to avoid that seasonal decline in milk protein?  (0:01)Simple things like cooling, fans, and sprinklers can reduce heat stress and increase cow comfort. Dr. Van Amburgh recommends promoting dry matter intake and lying time, with feed available 21-22 hours per day and more than 12 hours of lying time per day. (5:27)Dr. Van Amburgh discusses basic formulation considerations for amino acid balancing including current feed chemical analyses that include NDF digestibility, characterizing the cows appropriately by using accurate body weights, understanding DMI and making sure actual milk lines up with ME and MP allowable milk, assessing body condition changes, and understanding the first limiting nutrient of milk production. Areas where mistakes are often made include using much lighter body weights than actual to formulate rations, not using actual DMI, and using feed library values instead of actual feed chemistry. (8:00)Milk protein percentage and dietary energy are closely aligned. This is often attributed to ruminal fermentation and microbial yield. Sugars, starches, and digestible fiber sources drive microbial yield. While protein and energy metabolism are considered to be separate, that is an artificial divide and they should be considered together. Once adequate energy for protein synthesis is available, providing more dietary protein or amino acids can increase protein synthesis further. Dr. Van Amburgh provides some ranges of target fermentable non-structural carbohydrates, starch, sugar and soluble fiber appropriate for early peak and mid-lactation cows. He speaks about the benefits of adding sugars to the diet instead of trying to continue to increase starch. (11:15)Dr. Van Amburgh details an experiment using more byproduct feeds in a lactation diet to successfully increase intake and subsequently, milk protein content. (24:04)Milk protein increases with higher DCAD in diets, independent of protein level. Increasing DCAD can also lead to increased DMI, probably through better fiber digestion. The mechanism is not completely understood, but perhaps some rumen microbes have a higher requirement for potassium. In another study, feeding higher DCAD resulted in an 11% increase in milk protein yield and a 26% increase in milk fat yield. (32:39)Feeding fatty acids may also improve milk protein via insulin signaling pathways. A 5.6% increase in milk protein was observed when the ratio of palmitic acid to oleic acid was around 1.5:1. (36:21)Dr. Van Amburgh encourages the audience to pay close attention to digestibility of dietary ingredients and shares an analysis of ten different sources of feather meal that varied in digestibility from around 50% up to 75%. (40:10)Dr. Van Amburgh details an experiment targeting optimum methionine and lysine levels for improved milk protein. In an example with 60 Mcals of ME in the diet, the targets were 71 grams of methionine and 193 grams of lysine. (42:00)Questions from the webinar audience were addressed. They included information about the best type of sugars to add to diets, if protozoa are preferentially retained in the rumen, BMR vs conventional corn silage, amino acid supply when dietary crude protein is around 14-15%, using metabolizable energy instead of net energy, variability of animal protein blends, and methionine to lysine ratios. (48:23)To end this podcast, Dr. Jose Santos steps in to invite everyone to the Florida Ruminant Nutrition Symposium in Gainesville held February 24-26.Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

We dive into the curious phenomenon of "soaking" and its implications on sexual conditioning and religious practices. Keith, Mike, and Ally debate whether this unconventional sexual activity could lead to premature ejaculation and explore how societal norms shape young adults' experiences with sex. The conversation takes a humorous yet analytical turn as they dissect the mechanics of soaking, its representation on social media, and the physiological realities for both men and women. The team transitions into a deep dive on modern dating challenges, focusing on the struggles of navigating first dates and deciphering post-date rejection messages. They analyze the psychology of ghosting, the dynamics of chemistry, and why some interactions result in brutally polite rejection rather than silence. Mike offers his theory on the purpose of "negging" as a dating strategy, while Ally reflects on how women decide whether a man belongs in the relationship, friend, or booty call category. Polyamory and its impact on relationship dynamics take center stage as Mike recounts his encounter with a polyamorous woman at a bar. The hosts discuss the challenges of jealousy, the excitement of new relationships, and how these factors affect long-term stability in polyamorous setups. Ally raises thought-provoking questions about whether polyamory has a "maximum capacity" for partners, leading to a broader conversation about the emotional and logistical toll of such lifestyles. Sexual routines and mismatched expectations in long-term relationships provide another avenue for discussion. A listener's dilemma about feeling undervalued in their sexual dynamic sparks a lively debate about patterns, spontaneity, and communication. Ally shares her experiences with breaking out of sexual monotony, and the group offers actionable insights into how couples can approach these issues without straining their connection. Finally, the hosts explore the controversial topic of parenting, child-rearing, and how divorced fathers relate to their children compared to mothers. The discussion takes a philosophical turn as they debate whether prioritizing personal happiness over parental devotion is "enlightened" or selfish. Wrapping up the episode with humor, they tackle surprising listener questions about lactation, foreskin restoration, and pubic grooming standards in relationships. It's an episode packed with candid insights, hard-hitting debates, and plenty of laughs along the way. Twitter: @ymmvpod Facebook: ymmvpod Email: ymmvpod@gmail.com

This Real Science Exchange podcast episode was recorded during a webinar from Balchem's Real Science Lecture Series. You can find it at balchem.com/realscience.Feeding rumen-protected choline in early lactation has consistently increased milk yield and energy-corrected milk yield, which is more pronounced when cows are fed diets low in metabolizable methionine. Choline feeding also increases milk fat and protein yield, minimizes body condition loss in early lactation, and reduces postpartum disease incidence. Dr. McFadden presents three topics about choline biology in the dairy cow. (01:45)Why should we consider fatty acid feeding when feeding methyl donors like choline and methionine?Choline degradation in the rumen and small intestine, focusing on the role of triethylamine oxide Why should we consider lysophosphatidylcholine as an immunomodulator in fresh cows and preweaning calves?Fatty acid nutrition to optimize methyl donor efficiency. (4:02)Fatty liver is a concern for fresh cows because of its relationship with ketosis, poor fertility and compromised milk production. Cows with fatty liver exhibit low circulating concentrations of phosphatidylcholine, which is a component of very low-density lipoproteins (VLDL) that transport triglycerides out of the liver. Feeding rumen-protected choline lowers liver triglyceride deposition by supporting the synthesis of phosphatidylcholine and thus, VLDL. Dr. McFadden goes on to explain the two different pathways for phosphatidylcholine in the liver and how those interact with fatty acid metabolism. He describes several experiments that have investigated how rumen-protected choline and supplemental fatty acids interact in lactating cows. Low phosphatidylcholine supply is a key feature of fatty liver in dairy cows, likely due to low polyunsaturated fatty acid (PUFA) and low choline supplies. Delivery of post-ruminal PUFA may support phosphatidylcholine synthesis with accompanying improvements in insulin sensitivity, body condition maintenance, and inflammation, but interactions with dietary fatty acid digestibility should be considered. Dr. McFadden gives a list of considerations for fresh cow diets incorporating fat and choline supplementation. Gastrointestinal choline degradation and trimethylamine N-oxide (TMAO)  (16:58)Unprotected choline is almost totally degraded in the rumen. Microbes convert choline into trimethylamine (TMA) which is then converted to TMAO in the liver. Rumen-protected choline allows for a large proportion of choline to reach the small intestine intact. However, research shows that choline can also be degraded by microbes in the small intestine in the same pathway, limiting choline bioavailability. Plasma TMAO accumulation is associated with non-alcoholic fatty liver disease, inflammation, insulin resistance, obesity, oxidative stress, and cardiovascular disease in rodent and human models. Little research was available regarding if the relationship between TMAO and poor health was causative or just associative. Dr. McFadden's lab infused cows intravenously with TMAO and found that TMAO did not modify milk production or glucose tolerance in early lactation cows.  TMAO does not appear to influence energy metabolism or health in early lactation cows. Choline is subject to both ruminal and lower-gut degradation to TMA, and that influence on choline bioavailability needs to be defined. Data in non-ruminants suggests that unsaturated fatty acid feeding can shift the gut microbes to slow TMA formation. Lysophosphatidylcholine and immunomodulation (28:45)Dr. McFadden gives an overview of neutrophil activation and the oxidative burst that contributes to pathogen killing. The ability to elicit the oxidative burst is diminished in pre-weaned calves and transition cows. When cows were given endotoxin to cause an immune response, circulating lysophosphatidylcholine was decreased. In rodent models, lysophosphatidylcholine promotes the oxidative burst and suppresses long-term inflammation in response to bacterial infection. Dr. McFadden cultured neutrophils from pre-weaned calves with lysophosphatidylcholine and observed an enhanced oxidative burst.Immunosuppression is characterized by low circulating lysophosphatidylcholine concentrations in dairy cows. In  vitro data suggests lysophosphatidylcholine can activate neutrophils, and rumen-protected choline increases circulating lysophosphatidylcholine. Future research is likely to define an immunomodulatory role for choline. Dr. McFadden takes questions from the webinar audience. (38:07)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

In this episode, learn how Dr. Kimarie Bugg's lifelong dedication to lactation and health equity is transforming lives nationwide. Dr. Bugg is President of Reaching Our Sisters Everywhere (ROSE) and the first African American International Board Certified Lactation Consultant (IBCLC). Dr. Bugg shares her journey into the field of lactation, sparked by personal challenges breastfeeding her first set of twins in the late 1970s. She recounts the evolution of breastfeeding support, her groundbreaking work at Grady Hospital in Atlanta, and the founding of ROSE, a nonprofit addressing breastfeeding inequities in the African American community. Dr. Bugg discusses the systemic barriers to breastfeeding, including workplace challenges, access to lactation support, and the lack of consistent education for healthcare providers. She emphasizes the importance of policy change, workforce development, and healing generational trauma through initiatives like ROSE's "Breast Friend" and the Reaching Our Brothers Everywhere (ROBE) programs. Tune in for a conversation about the critical role of breastfeeding equity, the unique challenges faced by African American families, and the power of community-driven solutions.   (09:34) Empowering Black Nurses in Breastfeeding Support (8:08) Supporting Breastfeeding in African American Community (27:08) "Breast Friend Program: Reducing Breastfeeding Disparities" (28:22) Empowering Communities for Inclusive Breastfeeding Support (32:46) Reframing Breastfeeding Narratives in African American Community (34:54) Enhancing Breastfeeding Equity Beyond Hospital Stay (41:39) Community Transformers: Empowering Maternal Health Support   Explore ROSE's programs, including Breast Friends, Community Transformers, and more here. Learn about Boston Medical Center's Community and Hospitals Advancing Maternity Practices (CHAMPS), a Baby-Friendly hospital initiative, here. Learn more about the Academy of Breastfeeding Medicine here. For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram, YouTube, and TikTok! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.