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Lactation

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340: 31: 20: 348: 488: 3563: 637:, which lie between the extracellular matrix and luminal epithelial cells that also make up the alveoli in breast tissue. When oxytocin binds to the myoepithelial cells, the cells contract. The increased intra-alveolar pressure forces milk into the lactiferous sinuses, into the lactiferous ducts (a study found that lactiferous sinuses may not exist. If this is true then milk simply enters the lactiferous ducts), and then out the nipple. 356: 169: 3151: 663:. It appears plausible that the possibility of lactation in women (or females of other species) who are not biological mothers does confer an evolutionary advantage, especially in groups with high maternal mortality and tight social bonds. The phenomenon has been also observed in most primates, in some lemurs, and in dwarf mongooses. 547:. Oxytocin stimulates the muscles surrounding the breast to squeeze out the milk. Breastfeeding mothers describe the sensation differently. Some feel a slight tingling, others feel immense amounts of pressure or slight pain/discomfort, and still others do not feel anything different. A minority of mothers experience a 748:
which then allowed a decline in egg size by reducing the dependence on a large yolk in the egg. The evolution of lactation is also believed to have resulted in the more complex dentition seen in mammals, as lactation would have allowed the prolonged development of the jaw before the eruption of teeth.
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Milk ejection is initiated in the mother's breast by the act of suckling by the baby. The milk ejection reflex (also called let-down reflex) is not always consistent, especially at first. Once a woman is conditioned to nursing, let-down can be triggered by a variety of stimuli, including the sound of
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When the breast is stimulated, prolactin levels in the blood rise, peak in about 45 minutes, and return to the pre-breastfeeding state about three hours later. The release of prolactin triggers the cells in the alveoli to make milk. Prolactin also transfers to the breast milk. Some research indicates
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stimulates the milk duct system to grow and differentiate. Like progesterone, high levels of estrogen also inhibit lactation. Estrogen levels also drop at delivery and remain low for the first several months of breastfeeding. Breastfeeding mothers should avoid estrogen-based birth control methods, as
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During this stage, the more that milk is removed from the breasts, the more the breast will produce milk. Research also suggests that draining the breasts more fully also increases the rate of milk production. Thus the milk supply is strongly influenced by how often the baby feeds and how well it is
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evolved a proto-lacteal fluid in order to keep eggs moist, an adaptation necessitated due to synapsids’ parchment shelled eggs which are more vulnerable to evaporation and dehydration than the mineralized eggs produced by some sauropsids. This protolacteal fluid became a complex, nutrient-rich milk
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Other hormones—notably insulin, thyroxine, and cortisol—are also involved, but their roles are not yet well understood. Although biochemical markers indicate that Secretory Activation begins about 30–40 hours after birth, mothers do not typically begin feeling increased breast fullness
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and immune protection to the young after birth. Due to lactation, the mother-young pair can survive even if food is scarce or too hard for the young to attain, expanding the environmental conditions the species can withstand. The costly investment of energy and resources into milk is outweighed by
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species of Southeast Asia, also lactates. It nurses its offspring for about 38 days, although they are able to forage on their own after 21 days. Blocking nursing immediately after birth resulted in complete mortality of the offspring, whereas blocking it 20 days after birth resulted in increased
414:(IgA), which coats the lining of the baby's immature intestines, and helps to prevent pathogens from invading the baby's system. Secretory IgA also helps prevent food allergies. Over the first two weeks after the birth, colostrum production slowly gives way to mature breast milk. 675:
to stimulate milk production, followed by discontinuing the birth control and the introducing use of a double electric breast pump to induce milk production. Additional protocols exist to support an accelerated timeline and to support induced lactation in menopausal parents.
803:) is known for (biparentally) feeding their offspring by epidermal mucus secretion. A closer examination reveals that, as in mammals and birds, the secretion of this nourishing fluid may be controlled by prolactin. Similar behavior is seen in at least 30 species of 376:(see below), a thick, sometimes yellowish fluid. At this stage, high levels of progesterone inhibit most milk production. It is not a medical concern if a pregnant woman leaks any colostrum before her baby's birth, nor is it an indication of future milk production. 388:, prolactin levels remain high, while the delivery of the placenta results in a sudden drop in progesterone, estrogen, and HPL levels. This abrupt withdrawal of progesterone in the presence of high prolactin levels stimulates the copious milk production of 531:
any baby. Even thinking about breastfeeding can stimulate this reflex, causing unwanted leakage, or both breasts may give out milk when an infant is feeding from one breast. However, this and other problems often settle after two weeks of feeding.
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Oftedal also proposed that the protolacteal fluid was initially secreted through pilosebaceous glands on mammary patches, analogous to the areola, and that hairs on this patch transported the fluid to the hatchlings as is seen in
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As all mammals lactate, lactation must have evolved before the last common ancestor of all mammals, which places it at a minimum in the Middle or Late Triassic when monotremes diverged from therians. O. T. Oftedal has argued that
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contributes to the increased growth and differentiation of the alveoli, and also influences differentiation of ductal structures. High levels of prolactin during pregnancy and breastfeeding also increase
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Lactation can be induced in humans by a combination of physical and psychological stimulation, by drugs, or by a combination of those methods. Several protocols for inducing lactation were developed by
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In most species, lactation is a sign that the female has been pregnant at some point in her life, although in humans and goats, it can happen without pregnancy. Nearly every species of mammal has
316:(s). After birth, oxytocin contracts the smooth muscle layer of band-like cells surrounding the alveoli to squeeze the newly produced milk into the duct system. Oxytocin is necessary for the 764:. In this scenario, some genes and signaling pathways involved in lactation evolved from ancient precursors which facilitated secretions from spiny structures, which themselves evolved from 735:
of fish, where they would provide nourishment for eggs. The latter aspect of his hypothesis has not been confirmed; however, more recently the same mechanism has been postulated for early
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successfully inducing lactation. Research has indicated that such breast milk is nutritionally comparable to both the milk of naturally lactating and induced lactating cisgender women.
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Chong K, Joshi S, Jin LT, Shu-Chien AC (April 2006). "Proteomics profiling of epidermal mucus secretion of a cichlid (Symphysodon aequifasciata) demonstrating parental care behavior".
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and Lenore Goldfarb and are commonly called the Newman-Goldfarb protocols. The "regular protocol" involves the use of birth control pills to mimic the hormone levels of pregnancy with
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have an important lactation inducing function in several animal species, including humans. Glucocorticoids play a complex regulating role in the maintenance of tight junctions.
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surrounding the alveoli, which already hold milk. The increased pressure causes milk to flow through the duct system and be released through the nipple. This response can be
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that prolactin in milk is greater at times of higher milk production, and lower when breasts are fuller, and that the highest levels tend to occur between 2 a.m. and 6 a.m.
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Khong HK, Kuah MK, Jaya-Ram A, Shu-Chien AC (May 2009). "Prolactin receptor mRNA is upregulated in discus fish (Symphysodon aequifasciata) skin during parental phase".
618:, respectively. The oxytocin is produced in the neuron's soma in the supraoptic and paraventricular nuclei, and is then transported down the infundibulum via the 254:
releases large amounts of HPL. This hormone is closely associated with prolactin and appears to be instrumental in breast, nipple, and areola growth before birth.
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for one or two vertebral levels and synapses with second-order neurons, called tract cells, in the posterior dorsal horn. The tract cells then decussate via the
240:, increase growth factor levels (IGF-1) and modify lipid metabolism in preparation for breastfeeding. During lactation, prolactin is the main factor maintaining 222:
and lobes; high levels of progesterone inhibit lactation before birth. Progesterone levels drop after birth; this triggers the onset of copious milk production.
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deCarvalho M, Anderson DM, Giangreco A, Pittard WB (May 1985). "Frequency of milk expression and milk production by mothers of nonnursing premature neonates".
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This is the mechanism by which milk is transported from the breast alveoli to the nipple. Suckling by the baby innervates slowly adapting and rapidly-adapting
987: 818:. The single egg of the tsetse develops into a larva inside the uterus where it is fed by a milky substance secreted by a milk gland inside the uterus. The 732: 659:
In humans, induced lactation and relactation have been observed frequently in some cultures, and demonstrated with varying success in adoptive mothers and
559: 268:(hCG), through control of estrogen and progesterone production, and also, by extension, prolactin and growth hormone production, are essential. 2415:
Williford A, Stay B, Bhattacharya D (2004). "Evolution of a novel function: nutritive milk in the viviparous cockroach, Diploptera punctata".
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recognized that mammary glands seemed to have developed specifically from cutaneous glands, and hypothesized that they evolved from glands in
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is milk production unrelated to nursing. It can occur in males and females of many mammal species as result of hormonal imbalances such as
2910: 2537: 2900: 649:. These may range from period-like cramps to strong labour-like contractions and can be more severe with second and subsequent babies. 3617: 551:
immediately before let-down, causing anxiety, anger or nausea, amongst other negative sensations, for up to a few minutes per feed.
2368:"Analysis of milk gland structure and function in Glossina morsitans: milk protein production, symbiont populations and fecundity" 633:
Following the electrical impulse, oxytocin is released into the bloodstream. Through the bloodstream, oxytocin makes its way to
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Bose CL, D'Ercole AJ, Lester AG, Hunter RS, Barrett JR (April 1981). "Relactation by mothers of sick and premature infants".
1484: 1459: 1434: 1187: 1113: 1040: 1131:"Milk prolactin, feed volume and duration between feeds in women breastfeeding their full-term infants over a 24 h period" 1661:
Creel SR, Monfort SL, Wildt DE, Waser PM (June 1991). "Spontaneous lactation is an adaptive result of pseudopregnancy".
2512:"How mammals lost their egg yolks]—Did mammals develop nutritional milk before or after they abandoned yolky eggs?" 884: 619: 2511: 1937: 3543: 3287: 2056:"The platypus is in its place: nuclear genes and indels confirm the sister group relation of monotremes and Therians" 645:
A surge of oxytocin also causes the uterus to contract. During breastfeeding, mothers may feel these contractions as
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A poor milk ejection reflex can be due to sore or cracked nipples, separation from the infant, a history of breast
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Sobrinho LG (2003). "Prolactin, psychological stress and environment in humans: adaptation and maladaptation".
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Horseman ND, Buntin JD (1995). "Regulation of pigeon cropmilk secretion and parental behaviors by prolactin".
295: 2774: 265: 257: 2216: 291: 277: 3587: 2981: 298:(TRH) are very important galactopoietic hormones whose levels are naturally increased during pregnancy. 3053: 2968: 2759: 1171: 717: 591: 3597: 2976: 1238:
Hopkinson JM, Schanler RJ, Garza C (June 1988). "Milk production by mothers of premature infants".
274:(GH) is structurally very similar to prolactin and independently contributes to its galactopoiesis. 247: 811: 695: 599: 406:
is the first milk a breastfed baby receives. It contains higher amounts of white blood cells and
196: 64:, although it may predate mammals. The process of feeding milk in all female creatures is called 2095:
Oftedal OT (July 2002). "The origin of lactation as a water source for parchment-shelled eggs".
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Chen Z, Corlett RT, Jiao X, Liu SJ, Charles-Dominique T, Zhang S, et al. (November 2018).
524: 500: 153: 74:. Newborn infants often produce some milk from their own breast tissue, known colloquially as 3022: 3017: 2858: 2687: 1891:"Lactation Induction in a Transgender Woman: Macronutrient Analysis and Patient Perspectives" 889: 482: 3622: 3407: 3046: 3012: 2471: 1670: 1619: 668: 587: 181: 89:, egg-laying mammals, which instead release milk through ducts in the abdomen. In only one 2522: 841:
foraging and reduced survival. This form of lactation may have evolved from production of
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birds. As in mammals, this also appears to be directed by prolactin. Other birds such as
694:) exist in historical medical and anthropological literature. Most recently a subject of 634: 615: 579: 520: 400:(the sensation of milk "coming in the breast") until 50–73 hours (2–3 days) after birth. 261: 132: 2475: 2194: 1674: 1623: 148:
the benefit to offspring survival. In almost all mammals, lactation induces a period of
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Oftedal OT (July 2002). "The mammary gland and its origin during synapsid evolution".
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drowsiness in the baby, due to illness, medication or recovery from medical procedures
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Comparative Biochemistry and Physiology. Part B, Biochemistry & Molecular Biology
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inability of the infant to transfer milk effectively caused by, among other things:
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van Rheede T, Bastiaans T, Boone DN, Hedges SB, de Jong WW, Madsen O (March 2006).
2020: 1978: 1970: 1902: 1853: 1812: 1804: 1725: 1698: 1678: 1627: 1576: 1550: 1530: 1507: 1397: 1389: 1294: 1247: 1212: 1142: 1065: 959: 949: 894: 680: 630:, where they are stored until the synapse between second- and third-order neurons. 411: 1283:"The short-term synthesis and infant-regulated removal of milk in lactating women" 756:. This would have occurred in the mammal lineages that diverged after monotremes, 495:
This is the mechanism by which milk is transported from the breast alveoli to the
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lactates to feed her young. The process naturally occurs with all sexually mature
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or anxiety can cause difficulties with breastfeeding. The release of the hormone
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Another well known example of nourishing young with secretions of glands is the
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of the ductal epithelium and regulating milk production through osmotic balance.
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control system drives milk production during pregnancy and the first few days
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Buckley J, Maunder RJ, Foey A, Pearce J, Val AL, Sloman KA (November 2010).
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able to transfer milk from the breast. Low supply can often be traced to:
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Attardo GM, Lohs C, Heddi A, Alam UH, Yildirim S, Aksoy S (August 2008).
2265: 1378:"Anatomy of the lactating human breast redefined with ultrasound imaging" 1335: 842: 796: 705: 699: 672: 443: 149: 3365: 368:
During the latter part of pregnancy, the woman's breasts enter into the
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Oftedal OT, Dhouailly D (June 2013). "Evo-devo of the mammary gland".
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without pregnancy through combinations of birth control pills,
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König B (March 1997). "Cooperative care of young in mammals".
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Breastfeeding Answers Made Simple: A Guide for Helping Mothers
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Some couples may stimulate lactation outside of pregnancy for
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a spike in estrogen levels may reduce a mother's milk supply.
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is also known to feed their offspring by milky secretions.
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is the maintenance of milk production. This stage requires
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Ramsay DT, Kent JC, Hartmann RA, Hartmann PE (June 2005).
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inadequate calorie intake or malnutrition of the mother
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Grachev II, Alekseev NP, Velling VA (March 1977). "".
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Oxytocin stimulates contraction of the 343:Breastfeeding (Correct Latch-On Position) 2451: 1791:Reisman T, Goldstein Z (December 2018). 1520: 1205:American Journal of Diseases of Children 1055: 582:, which begins by innervation of fourth 486: 354: 346: 338: 167: 29: 18: 2509: 2227: 2094: 2010: 1771: 938:"The origin and evolution of lactation" 698:, multiple case reports have described 476: 379: 156:), which serves to provide the optimal 16:Release of milk from the mammary glands 3580: 1935: 1888: 1474: 1010:"Goats with Precocious Udder Syndrome" 622:with the help of the carrier protein, 499:. Suckling by the baby stimulates the 186: 3042: 2916:Hypothalamic–pituitary–prolactin axis 2526: 1774:"Strange but True: Males Can Lactate" 1609: 900:Hypothalamic–pituitary–prolactin axis 718:Evolution of mammals § Lactation 708:is a drug that can induce lactation. 372:stage. This is when the breasts make 1449: 1217:10.1001/archpedi.1985.02140070057033 792:utilize similar feeding techniques. 483:Breastfeeding § Let-down reflex 324:, in response to suckling, to occur. 2911:Hypothalamic–pituitary–gonadal axis 2243:The Journal of Experimental Biology 2195:10.1146/annurev.nu.15.070195.001241 574:that are densely packed around the 312:during and after birth, and during 13: 2503: 885:Lactation failure (disambiguation) 810:Lactation is also the hallmark of 620:hypothalamo-neurohypophyseal tract 434:(or local) control system begins. 418:Autocrine control - Galactopoiesis 172:Milk secretion from a human breast 68:, and in humans it is also called 14: 3639: 3544:Milk quotas in the United Kingdom 511:, which signals to the posterior 466:rare maternal endocrine disorders 218:influences the growth in size of 203:that stimulate the growth of the 3618:Secondary sexual characteristics 3562: 3561: 3149: 2429:10.1111/j.1525-142x.2004.04012.x 1394:10.1111/j.1469-7580.2005.00417.x 1300:10.1113/expphysiol.1993.sp003681 2209: 2088: 2060:Molecular Biology and Evolution 2047: 1957:Reisman T, Goldstein Z (2018). 1950: 1929: 1882: 1833: 1784: 1765: 1746: 1493: 1468: 1418: 1369: 452:jaw or mouth structure deficits 359:Breastfeeding of an older child 160:for survival of the offspring. 2384:10.1016/j.jinsphys.2008.06.008 1718:Journal of Tropical Pediatrics 1104:Mohrbacher N, Stock J (2003). 1049: 1033:Milk: the biology of lactation 1024: 1002: 980: 724:Mammary gland § Evolution 566:Milk ejection reflex mechanism 558:, or tissue damage from prior 549:dysphoric milk ejection reflex 101:, is milk production a normal 56:and the period of time that a 1: 3628:Human female endocrine system 1936:Glenza J (14 February 2018). 1106:The Breastfeeding Answer Book 1031:Power ML, Schulkin J (2016). 988:"Lactating Without Pregnancy" 920: 640: 527:e.g. to the cry of the baby. 296:thyrotropin-releasing hormone 2372:Journal of Insect Physiology 936:Capuco AV, Akers RM (2009). 711: 351:Breastfeeding a newborn baby 266:human chorionic gonadotropin 258:Follicle stimulating hormone 191:From the eighteenth week of 7: 2510:CBarras C (18 March 2008). 2417:Evolution & Development 848: 772:Occurrence outside Mammalia 292:Thyroid-stimulating hormone 278:Adrenocorticotropic hormone 199:), a woman's body produces 48:describes the secretion of 10: 3644: 2901:Reproductive endocrinology 2345:10.1016/j.cbpb.2009.01.005 2183:Annual Review of Nutrition 1895:Journal of Human Lactation 721: 715: 480: 175: 138: 3557: 3487: 3421: 3301: 3158: 3147: 3076: 2990: 2969:Human reproductive system 2967: 2934: 2899: 2876: 2788: 2686: 2602: 2564: 2152:10.1007/s10911-013-9290-8 1907:10.1177/08903344231170559 1889:Weimer AK (August 2023). 592:anterior white commissure 469:hypoplastic breast tissue 370:Secretory Differentiation 364:Secretory differentiation 3068: 248:Human placental lactogen 163: 3608:Reproduction in mammals 2485:10.1126/science.aat3692 2109:10.1023/A:1022848632125 2025:10.1023/A:1022896515287 1731:10.1093/tropej/43.4.213 1612:Die Naturwissenschaften 1535:10.1023/A:1026229810876 1287:Experimental Physiology 1135:Experimental Physiology 1070:10.1023/A:1026340606252 812:adenotrophic viviparity 696:transgender health care 600:paraventricular nucleus 455:poor latching technique 328:It is also possible to 3505:Fidel Castro and dairy 3469:Plastic milk container 2991:Diseases and disorders 2800:Sexual differentiation 2302:10.1002/pmic.200500591 1975:10.1089/trgh.2017.0044 1859:10.1210/clinem/dgaa976 1809:10.1089/trgh.2017.0044 1753:Goldfarb L, Newman J. 1500:Wilson-Clay B (1996). 1178:The Breastfeeding Book 501:paraventricular nuclei 492: 360: 352: 344: 195:(the second and third 173: 154:lactational amenorrhea 42: 27: 3023:Premature ejaculation 3018:Hard flaccid syndrome 2688:Human sexual activity 2073:10.1093/molbev/msj064 1632:10.1007/s001140050356 1581:10.1542/peds.67.4.565 1425:Mohrbacher N (2010). 1252:10.1542/peds.81.6.815 890:Lactation suppression 722:Further information: 716:Further information: 490: 358: 350: 342: 171: 33: 22: 3013:Erectile dysfunction 2249:(Pt 22): 3787–3795. 1020:on January 14, 2021. 588:posterolateral tract 477:Milk ejection reflex 390:Secretory Activation 380:Secretory activation 318:milk ejection reflex 182:Lactation consultant 121:milk let-down reflex 119:is critical for the 2792:reproductive system 2780:Vaginal lubrication 2558:sexual reproduction 2476:2018Sci...362.1052C 2470:(6418): 1052–1055. 1778:Scientific American 1675:1991Natur.351..660C 1624:1997NW.....84...95K 1510:on 9 February 2010. 1454:. Random House NZ. 1429:. Hale Publishing. 998:on 14 January 2021. 836:, an ant-mimicking 825:Diploptera punctata 635:myoepithelial cells 616:posterior pituitary 580:spinothalamic tract 521:myoepithelial cells 262:luteinizing hormone 187:Hormonal influences 133:hyperprolactinaemia 2790:Development of the 2701:Sexual intercourse 2256:10.1242/jeb.042929 1963:Transgender Health 1852:(5): e2047–e2052. 1797:Transgender Health 1759:www.asklenore.info 1382:Journal of Anatomy 1148:10.1113/eph8702327 942:Journal of Biology 690:(as distinct from 596:supraoptic nucleus 584:intercostal nerves 505:supraoptic nucleus 493: 361: 353: 345: 238:insulin resistance 174: 43: 28: 3588:Animal physiology 3575: 3574: 3434:Glass milk bottle 3036: 3035: 2805:Sexual dimorphism 2770:Postpartum period 1669:(6328): 660–662. 1503:Induced Lactation 1486:978-0-323-04414-1 1475:Goljan E (2007). 1461:978-1-86941-713-0 1436:978-0-9845039-0-2 1189:978-0-316-77924-1 1182:. Little, Brown. 1115:978-0-912500-92-8 1042:978-1-4214-2042-4 1014:berryemporium.com 700:transgender women 686:Rare accounts of 34:Lactating female 3635: 3565: 3564: 3153: 3063: 3056: 3049: 3040: 3039: 2775:Mechanics of sex 2584:Follicular phase 2554:Human physiology 2547: 2540: 2533: 2524: 2523: 2519: 2498: 2497: 2487: 2455: 2449: 2448: 2412: 2406: 2405: 2395: 2378:(8): 1236–1242. 2363: 2357: 2356: 2328: 2322: 2321: 2296:(7): 2251–2258. 2285: 2279: 2278: 2268: 2258: 2234: 2225: 2224: 2221:web.stanford.edu 2213: 2207: 2206: 2178: 2172: 2171: 2135: 2129: 2128: 2092: 2086: 2085: 2075: 2051: 2045: 2044: 2008: 1997: 1996: 1986: 1954: 1948: 1947: 1933: 1927: 1926: 1886: 1880: 1879: 1861: 1837: 1831: 1830: 1820: 1788: 1782: 1781: 1769: 1763: 1762: 1750: 1744: 1743: 1733: 1709: 1703: 1702: 1683:10.1038/351660a0 1658: 1652: 1651: 1607: 1601: 1600: 1564: 1555: 1554: 1518: 1512: 1511: 1497: 1491: 1490: 1472: 1466: 1465: 1447: 1441: 1440: 1422: 1416: 1415: 1405: 1373: 1367: 1366: 1346: 1340: 1339: 1319: 1313: 1312: 1302: 1278: 1272: 1271: 1235: 1229: 1228: 1200: 1194: 1193: 1181: 1167: 1161: 1160: 1150: 1126: 1120: 1119: 1101: 1090: 1089: 1053: 1047: 1046: 1028: 1022: 1021: 1016:. Archived from 1006: 1000: 999: 994:. Archived from 992:sites.google.com 984: 978: 977: 967: 957: 955:10.1186/jbiol139 933: 895:Erotic lactation 572:mechanoreceptors 412:immunoglobulin A 330:induce lactation 3643: 3642: 3638: 3637: 3636: 3634: 3633: 3632: 3598:Exocrine system 3578: 3577: 3576: 3571: 3553: 3483: 3474:Square milk jug 3417: 3297: 3154: 3145: 3072: 3067: 3037: 3032: 2986: 2963: 2930: 2903:and infertility 2902: 2895: 2872: 2791: 2784: 2682: 2612:Spermatogenesis 2598: 2566:Menstrual cycle 2560: 2551: 2506: 2504:Further reading 2501: 2456: 2452: 2413: 2409: 2364: 2360: 2329: 2325: 2286: 2282: 2235: 2228: 2215: 2214: 2210: 2179: 2175: 2136: 2132: 2093: 2089: 2052: 2048: 2009: 2000: 1955: 1951: 1943:TheGuardian.com 1934: 1930: 1887: 1883: 1838: 1834: 1789: 1785: 1772:Swaminathan N. 1770: 1766: 1751: 1747: 1710: 1706: 1659: 1655: 1608: 1604: 1565: 1558: 1519: 1515: 1498: 1494: 1487: 1473: 1469: 1462: 1450:Fray K (2005). 1448: 1444: 1437: 1423: 1419: 1374: 1370: 1347: 1343: 1320: 1316: 1279: 1275: 1236: 1232: 1201: 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3255: 3250: 3245: 3240: 3235: 3234: 3233: 3228: 3223: 3218: 3213: 3208: 3203: 3193: 3188: 3183: 3178: 3173: 3168: 3162: 3160: 3156: 3155: 3148: 3146: 3144: 3143: 3138: 3133: 3128: 3127: 3126: 3121: 3111: 3106: 3101: 3096: 3091: 3086: 3080: 3078: 3074: 3073: 3066: 3065: 3058: 3051: 3043: 3034: 3033: 3031: 3030: 3025: 3020: 3015: 3010: 3005: 3000: 2994: 2992: 2988: 2987: 2985: 2984: 2979: 2973: 2971: 2965: 2964: 2962: 2961: 2956: 2951: 2946: 2940: 2938: 2932: 2931: 2929: 2928: 2923: 2918: 2913: 2907: 2905: 2897: 2896: 2894: 2893: 2888: 2882: 2880: 2874: 2873: 2871: 2870: 2865: 2856: 2855: 2854: 2849: 2844: 2839: 2834: 2829: 2819: 2818: 2817: 2812: 2807: 2796: 2794: 2786: 2785: 2783: 2782: 2777: 2772: 2767: 2762: 2757: 2748: 2743: 2742: 2741: 2736: 2728: 2723: 2722: 2721: 2716: 2708: 2703: 2698: 2696:Sexual arousal 2692: 2690: 2684: 2683: 2681: 2680: 2679: 2678: 2673: 2663: 2662: 2661: 2656: 2651: 2646: 2636: 2635: 2634: 2629: 2624: 2619: 2617:spermatogonium 2608: 2606: 2600: 2599: 2597: 2596: 2591: 2586: 2581: 2576: 2570: 2568: 2562: 2561: 2550: 2549: 2542: 2535: 2527: 2521: 2520: 2505: 2502: 2500: 2499: 2450: 2407: 2358: 2323: 2280: 2226: 2208: 2173: 2146:(2): 105–120. 2130: 2103:(3): 253–266. 2087: 2066:(3): 587–597. 2046: 2019:(3): 225–252. 1998: 1949: 1928: 1901:(3): 488–494. 1881: 1832: 1783: 1764: 1745: 1724:(4): 213–216. 1704: 1653: 1602: 1575:(4): 565–569. 1556: 1513: 1492: 1485: 1467: 1460: 1442: 1435: 1417: 1388:(6): 525–534. 1368: 1357:(6): 885–892. 1341: 1330:(3): 391–400. 1314: 1293:(2): 209–220. 1273: 1246:(6): 815–820. 1230: 1211:(5): 483–485. 1195: 1188: 1162: 1141:(2): 207–214. 1121: 1114: 1091: 1064:(3): 291–298. 1048: 1041: 1023: 1001: 979: 924: 922: 919: 918: 917: 912: 907: 902: 897: 892: 887: 882: 877: 872: 870:Male lactation 867: 862: 857: 855:Lactation room 850: 847: 838:jumping spider 773: 770: 729:Charles Darwin 713: 710: 688:male lactation 656: 653: 642: 639: 628:Herring bodies 567: 564: 478: 475: 474: 473: 470: 467: 464: 463: 462: 459: 456: 453: 447: 419: 416: 381: 378: 365: 362: 326: 325: 304:contracts the 299: 289: 275: 272:Growth hormone 269: 255: 245: 230: 223: 207:system in the 188: 185: 165: 162: 140: 137: 109:Galactopoiesis 99:Southeast Asia 62:female mammals 54:mammary glands 15: 9: 6: 4: 3: 2: 3640: 3629: 3626: 3624: 3621: 3619: 3616: 3614: 3611: 3609: 3606: 3604: 3601: 3599: 3596: 3594: 3593:Breastfeeding 3591: 3589: 3586: 3585: 3583: 3568: 3560: 3559: 3556: 3550: 3547: 3545: 3542: 3540: 3537: 3535: 3532: 3528: 3525: 3524: 3523: 3520: 3516: 3515:Breastfeeding 3513: 3512: 3511: 3508: 3506: 3503: 3501: 3498: 3496: 3493: 3492: 3490: 3486: 3480: 3477: 3475: 3472: 3470: 3467: 3465: 3464:Milk delivery 3462: 3460: 3457: 3455: 3452: 3450: 3447: 3445: 3442: 3440: 3437: 3435: 3432: 3430: 3427: 3426: 3424: 3420: 3414: 3411: 3409: 3406: 3404: 3401: 3397: 3396:Crème fraĂ®che 3394: 3393: 3392: 3389: 3387: 3384: 3382: 3379: 3377: 3374: 3372: 3369: 3367: 3364: 3362: 3359: 3355: 3352: 3351: 3350: 3347: 3345: 3342: 3340: 3337: 3335: 3332: 3330: 3327: 3325: 3322: 3320: 3317: 3315: 3312: 3310: 3307: 3306: 3304: 3300: 3294: 3293:Ultrafiltered 3291: 3289: 3286: 3284: 3281: 3279: 3276: 3274: 3271: 3269: 3266: 3264: 3261: 3259: 3256: 3254: 3251: 3249: 3246: 3244: 3241: 3239: 3236: 3232: 3229: 3227: 3224: 3222: 3219: 3217: 3214: 3212: 3209: 3207: 3204: 3202: 3199: 3198: 3197: 3194: 3192: 3189: 3187: 3184: 3182: 3179: 3177: 3174: 3172: 3169: 3167: 3164: 3163: 3161: 3157: 3152: 3142: 3139: 3137: 3134: 3132: 3129: 3125: 3122: 3120: 3117: 3116: 3115: 3112: 3110: 3107: 3105: 3102: 3100: 3097: 3095: 3092: 3090: 3087: 3085: 3082: 3081: 3079: 3075: 3071: 3064: 3059: 3057: 3052: 3050: 3045: 3044: 3041: 3029: 3026: 3024: 3021: 3019: 3016: 3014: 3011: 3009: 3006: 3004: 3001: 2999: 2996: 2995: 2993: 2989: 2983: 2980: 2978: 2975: 2974: 2972: 2970: 2966: 2960: 2959:Breastfeeding 2957: 2955: 2952: 2950: 2947: 2945: 2942: 2941: 2939: 2937: 2933: 2927: 2924: 2922: 2919: 2917: 2914: 2912: 2909: 2908: 2906: 2904: 2898: 2892: 2889: 2887: 2884: 2883: 2881: 2879: 2875: 2869: 2866: 2864: 2860: 2857: 2853: 2850: 2848: 2845: 2843: 2840: 2838: 2835: 2833: 2830: 2828: 2825: 2824: 2823: 2820: 2816: 2813: 2811: 2808: 2806: 2803: 2802: 2801: 2798: 2797: 2795: 2793: 2787: 2781: 2778: 2776: 2773: 2771: 2768: 2766: 2763: 2761: 2758: 2756: 2752: 2751:Fertilization 2749: 2747: 2744: 2740: 2737: 2735: 2732: 2731: 2729: 2727: 2724: 2720: 2717: 2715: 2712: 2711: 2709: 2707: 2704: 2702: 2699: 2697: 2694: 2693: 2691: 2689: 2685: 2677: 2674: 2672: 2669: 2668: 2667: 2664: 2660: 2657: 2655: 2652: 2650: 2647: 2645: 2642: 2641: 2640: 2637: 2633: 2630: 2628: 2625: 2623: 2620: 2618: 2615: 2614: 2613: 2610: 2609: 2607: 2605: 2604:Gametogenesis 2601: 2595: 2592: 2590: 2587: 2585: 2582: 2580: 2577: 2575: 2572: 2571: 2569: 2567: 2563: 2559: 2555: 2548: 2543: 2541: 2536: 2534: 2529: 2528: 2525: 2517: 2516:New Scientist 2513: 2508: 2507: 2495: 2491: 2486: 2481: 2477: 2473: 2469: 2465: 2461: 2454: 2446: 2442: 2438: 2434: 2430: 2426: 2422: 2418: 2411: 2403: 2399: 2394: 2389: 2385: 2381: 2377: 2373: 2369: 2362: 2354: 2350: 2346: 2342: 2338: 2334: 2327: 2319: 2315: 2311: 2307: 2303: 2299: 2295: 2291: 2284: 2276: 2272: 2267: 2266:10026.1/12620 2262: 2257: 2252: 2248: 2244: 2240: 2233: 2231: 2222: 2218: 2212: 2204: 2200: 2196: 2192: 2188: 2184: 2177: 2169: 2165: 2161: 2157: 2153: 2149: 2145: 2141: 2134: 2126: 2122: 2118: 2114: 2110: 2106: 2102: 2098: 2091: 2083: 2079: 2074: 2069: 2065: 2061: 2057: 2050: 2042: 2038: 2034: 2030: 2026: 2022: 2018: 2014: 2007: 2005: 2003: 1994: 1990: 1985: 1980: 1976: 1972: 1968: 1964: 1960: 1953: 1945: 1944: 1939: 1932: 1924: 1920: 1916: 1912: 1908: 1904: 1900: 1896: 1892: 1885: 1877: 1873: 1869: 1865: 1860: 1855: 1851: 1847: 1843: 1836: 1828: 1824: 1819: 1814: 1810: 1806: 1802: 1798: 1794: 1787: 1779: 1775: 1768: 1760: 1756: 1749: 1741: 1737: 1732: 1727: 1723: 1719: 1715: 1708: 1700: 1696: 1692: 1688: 1684: 1680: 1676: 1672: 1668: 1664: 1657: 1649: 1645: 1641: 1637: 1633: 1629: 1625: 1621: 1618:(3): 95–104. 1617: 1613: 1606: 1598: 1594: 1590: 1586: 1582: 1578: 1574: 1570: 1563: 1561: 1552: 1548: 1544: 1540: 1536: 1532: 1528: 1524: 1517: 1509: 1505: 1504: 1496: 1488: 1482: 1478: 1471: 1463: 1457: 1453: 1446: 1438: 1432: 1428: 1421: 1413: 1409: 1404: 1399: 1395: 1391: 1387: 1383: 1379: 1372: 1364: 1360: 1356: 1352: 1345: 1337: 1333: 1329: 1325: 1318: 1310: 1306: 1301: 1296: 1292: 1288: 1284: 1277: 1269: 1265: 1261: 1257: 1253: 1249: 1245: 1241: 1234: 1226: 1222: 1218: 1214: 1210: 1206: 1199: 1191: 1185: 1180: 1179: 1173: 1166: 1158: 1154: 1149: 1144: 1140: 1136: 1132: 1125: 1117: 1111: 1107: 1100: 1098: 1096: 1087: 1083: 1079: 1075: 1071: 1067: 1063: 1059: 1052: 1044: 1038: 1034: 1027: 1019: 1015: 1011: 1005: 997: 993: 989: 983: 975: 971: 966: 961: 956: 951: 947: 943: 939: 932: 930: 925: 916: 913: 911: 908: 906: 905:Roman charity 903: 901: 898: 896: 893: 891: 888: 886: 883: 881: 880:Breastfeeding 878: 876: 873: 871: 868: 866: 863: 861: 858: 856: 853: 852: 846: 844: 839: 835: 834: 833:Toxeus magnus 829: 827: 826: 821: 817: 813: 808: 806: 802: 798: 793: 791: 787: 783: 779: 769: 767: 763: 759: 755: 749: 746: 740: 738: 734: 733:brood pouches 730: 725: 719: 709: 707: 703: 701: 697: 693: 689: 684: 682: 677: 674: 670: 664: 662: 652: 650: 648: 638: 636: 631: 629: 625: 624:neurophysin I 621: 617: 613: 609: 605: 601: 597: 593: 589: 585: 581: 577: 573: 563: 561: 560:breast trauma 557: 552: 550: 546: 542: 541:milk ejection 539:leads to the 538: 534: 528: 526: 522: 518: 514: 510: 506: 502: 498: 489: 484: 471: 468: 465: 460: 457: 454: 451: 450: 448: 445: 441: 440: 439: 435: 433: 429: 425: 422:The hormonal 415: 413: 409: 405: 401: 397: 393: 391: 387: 377: 375: 371: 357: 349: 341: 337: 335: 334:galactagogues 331: 323: 319: 315: 311: 307: 306:smooth muscle 303: 300: 297: 293: 290: 287: 283: 279: 276: 273: 270: 267: 263: 259: 256: 253: 249: 246: 243: 239: 234: 231: 227: 224: 221: 217: 214: 213: 212: 210: 206: 202: 198: 194: 183: 179: 178:Breastfeeding 170: 161: 159: 158:birth spacing 155: 151: 146: 136: 134: 130: 126: 122: 118: 114: 110: 106: 104: 103:male function 100: 96: 92: 88: 85:; except for 84: 79: 77: 73: 72: 71:breastfeeding 67: 63: 59: 55: 51: 47: 41: 38:with visible 37: 32: 25: 21: 3509: 2953: 2863:Paternal age 2859:Maternal age 2832:Tanner scale 2815:Virilization 2810:Feminization 2760:Implantation 2746:Insemination 2730:Ejaculation 2706:Masturbation 2622:spermatocyte 2594:Luteal phase 2579:Menstruation 2515: 2467: 2463: 2453: 2423:(2): 67–77. 2420: 2416: 2410: 2375: 2371: 2361: 2339:(1): 18–28. 2336: 2332: 2326: 2293: 2289: 2283: 2246: 2242: 2220: 2211: 2186: 2182: 2176: 2143: 2139: 2133: 2100: 2096: 2090: 2063: 2059: 2049: 2016: 2012: 1969:(1): 24–26. 1966: 1962: 1952: 1941: 1931: 1898: 1894: 1884: 1849: 1845: 1835: 1803:(1): 24–26. 1800: 1796: 1786: 1777: 1767: 1758: 1748: 1721: 1717: 1707: 1666: 1662: 1656: 1615: 1611: 1605: 1572: 1568: 1529:(1): 35–39. 1526: 1522: 1516: 1508:the original 1502: 1495: 1476: 1470: 1451: 1445: 1426: 1420: 1385: 1381: 1371: 1354: 1350: 1344: 1327: 1323: 1317: 1290: 1286: 1276: 1243: 1239: 1233: 1208: 1204: 1198: 1177: 1165: 1138: 1134: 1124: 1105: 1061: 1057: 1051: 1032: 1026: 1018:the original 1013: 1004: 996:the original 991: 982: 945: 941: 860:Galactogogue 843:trophic eggs 831: 830: 823: 816:tsetse flies 809: 800: 794: 775: 750: 741: 727: 704: 692:galactorrhea 685: 678: 665: 658: 651: 646: 644: 632: 612:pars nervosa 608:infundibulum 604:hypothalamus 569: 553: 544: 540: 529: 509:hypothalamus 494: 446:often enough 436: 421: 402: 398: 394: 389: 383: 369: 367: 327: 321: 317: 216:Progesterone 190: 152:(in humans, 142: 129:Galactorrhea 120: 108: 107: 80: 76:witch's milk 69: 65: 45: 44: 3623:Breast milk 3449:Milk carton 3253:Pasteurized 3008:Dyspareunia 3003:Dysorgasmia 2949:Development 2217:"Bird Milk" 2189:: 213–238. 801:Symphysodon 797:discus fish 782:columbiform 706:Domperidone 673:domperidone 669:Jack Newman 525:conditioned 515:to produce 280:(ACTH) and 150:infertility 3582:Categories 3479:Tetra Brik 3459:Milk crate 3454:Milk churn 3429:Bag-in-box 3422:Containers 3391:Sour cream 3319:Buttermilk 3231:Watermelon 3221:Strawberry 3186:Evaporated 3176:Carbonated 3028:Vaginismus 2998:Anorgasmia 2852:Adrenarche 2847:Spermarche 2827:Gonadarche 2290:Proteomics 1569:Pediatrics 1240:Pediatrics 921:References 758:metatheria 754:monotremes 745:therapsids 661:wet nurses 647:afterpains 641:Afterpains 481:See also: 408:antibodies 294:(TSH) and 264:(LH), and 197:trimesters 176:See also: 87:monotremes 3510:Lactation 3381:Milkshake 3349:Ice cream 3206:Chocolate 3181:Condensed 3119:Colostrum 2954:Lactation 2944:Thelarche 2921:Andrology 2868:Menopause 2765:Pregnancy 2755:Fertility 2710:Erection 2666:Germ cell 2639:Oogenesis 2627:spermatid 2589:Ovulation 1923:258485541 1876:231755160 1523:Pituitary 1477:Pathology 1170:Sears M, 948:(4): 37. 915:Crop milk 910:Pregnancy 865:Milk line 820:cockroach 786:flamingos 778:crop milk 766:odontodes 737:synapsids 712:Evolution 432:autocrine 424:endocrine 404:Colostrum 374:colostrum 233:Prolactin 205:milk duct 193:pregnancy 145:nutrition 113:prolactin 52:from the 46:Lactation 3567:Category 3534:Milkmaid 3527:Pipeline 3444:Milk bag 3366:Filmjölk 3354:Ice milk 3302:Products 3258:Powdered 3196:Flavored 2891:Vivipary 2861: / 2842:Menarche 2837:Pubarche 2719:Clitoral 2671:gonocyte 2644:oogonium 2574:Menarche 2494:30498127 2445:31048064 2437:15009119 2402:18647605 2353:19272315 2318:37973363 2310:16385477 2275:21037057 2160:23681303 2117:12751890 2082:16291999 2041:25806501 2033:12751889 1993:29372185 1915:37138506 1868:33513241 1827:29372185 1648:23240724 1597:12991397 1543:14674722 1412:15960763 1268:36906244 1174:(2000). 1157:11856965 1086:30817565 1078:10882312 974:19439024 849:See also 822:species 805:cichlids 790:penguins 762:eutheria 537:oxytocin 517:oxytocin 322:let-down 302:Oxytocin 286:cortisol 284:such as 252:placenta 226:Estrogen 201:hormones 125:suckling 117:Oxytocin 3539:Milkman 3522:Milking 3495:Allergy 3361:Jewelry 3339:Custard 3273:Skimmed 3268:Scalded 3248:Organic 3238:Haymilk 3226:Vanilla 3124:Newborn 3084:Buffalo 2926:Hormone 2822:Puberty 2472:Bibcode 2464:Science 2393:2613686 2203:8527218 2168:6608975 2125:8319185 1984:5779241 1818:5779241 1740:9283123 1699:4336672 1691:2052092 1671:Bibcode 1640:9112240 1620:Bibcode 1589:6789296 1551:1335211 1403:1571528 1363:1010088 1309:8471241 1260:3368280 1225:3984973 1172:Sears W 965:2688910 614:of the 602:in the 576:areolar 556:surgery 507:in the 444:pumping 308:of the 260:(FSH), 220:alveoli 209:breasts 139:Purpose 91:species 66:nursing 26:nursing 24:Kittens 3603:Glands 3488:Topics 3413:Yogurt 3324:Cheese 3314:Butter 3278:Soured 3243:Malted 3216:Papaya 3211:Coffee 3191:Filled 3099:Donkey 3077:Source 2982:Female 2936:Breast 2739:Female 2726:Orgasm 2714:Penile 2676:gamete 2649:oocyte 2492:  2443:  2435:  2400:  2390:  2351:  2316:  2308:  2273:  2201:  2166:  2158:  2123:  2115:  2080:  2039:  2031:  1991:  1981:  1921:  1913:  1874:  1866:  1825:  1815:  1738:  1697:  1689:  1663:Nature 1646:  1638:  1595:  1587:  1549:  1541:  1483:  1458:  1433:  1410:  1400:  1361:  1336:863036 1334:  1307:  1266:  1258:  1223:  1186:  1155:  1112:  1084:  1076:  1039:  972:  962:  533:Stress 497:nipple 314:orgasm 310:uterus 58:mother 36:coyote 3500:Dairy 3376:Kumis 3371:Kefir 3329:Cream 3309:Ayran 3283:Toned 3201:Anise 3171:Baked 3159:Types 3141:Sheep 3131:Moose 3114:Human 3109:Horse 3089:Camel 2654:ootid 2632:sperm 2441:S2CID 2314:S2CID 2164:S2CID 2121:S2CID 2037:S2CID 1919:S2CID 1872:S2CID 1695:S2CID 1644:S2CID 1593:S2CID 1547:S2CID 1264:S2CID 1082:S2CID 875:Udder 386:birth 320:, or 164:Human 97:from 83:teats 40:teats 3613:Milk 3408:Ymer 3403:Whey 3386:Skyr 3344:Ghee 3334:Curd 3104:Goat 3070:Milk 2977:Male 2886:Ovum 2734:Male 2659:ovum 2490:PMID 2433:PMID 2398:PMID 2349:PMID 2306:PMID 2271:PMID 2199:PMID 2156:PMID 2113:PMID 2078:PMID 2029:PMID 1989:PMID 1911:PMID 1864:PMID 1823:PMID 1736:PMID 1687:PMID 1636:PMID 1585:PMID 1539:PMID 1481:ISBN 1456:ISBN 1431:ISBN 1408:PMID 1359:PMID 1332:PMID 1305:PMID 1256:PMID 1221:PMID 1184:ISBN 1153:PMID 1110:ISBN 1074:PMID 1037:ISBN 970:PMID 795:The 788:and 760:and 610:and 598:and 503:and 180:and 50:milk 3439:Jug 3288:UHT 3263:Raw 3136:Pig 3094:Cow 2878:Egg 2556:of 2480:doi 2468:362 2425:doi 2388:PMC 2380:doi 2341:doi 2337:153 2298:doi 2261:hdl 2251:doi 2247:213 2191:doi 2148:doi 2105:doi 2068:doi 2021:doi 1979:PMC 1971:doi 1903:doi 1854:doi 1850:106 1813:PMC 1805:doi 1726:doi 1679:doi 1667:351 1628:doi 1577:doi 1531:doi 1398:PMC 1390:doi 1386:206 1295:doi 1248:doi 1213:doi 1209:139 1143:doi 1066:doi 960:PMC 950:doi 780:of 543:or 384:At 3584:: 3166:A2 2753:/ 2514:. 2488:. 2478:. 2466:. 2462:. 2439:. 2431:. 2419:. 2396:. 2386:. 2376:54 2374:. 2370:. 2347:. 2335:. 2312:. 2304:. 2292:. 2269:. 2259:. 2245:. 2241:. 2229:^ 2219:. 2197:. 2187:15 2185:. 2162:. 2154:. 2144:18 2142:. 2119:. 2111:. 2099:. 2076:. 2064:23 2062:. 2058:. 2035:. 2027:. 2015:. 2001:^ 1987:. 1977:. 1965:. 1961:. 1940:. 1917:. 1909:. 1899:39 1897:. 1893:. 1870:. 1862:. 1848:. 1844:. 1821:. 1811:. 1799:. 1795:. 1776:. 1757:. 1734:. 1722:43 1720:. 1716:. 1693:. 1685:. 1677:. 1665:. 1642:. 1634:. 1626:. 1616:84 1614:. 1591:. 1583:. 1573:67 1571:. 1559:^ 1545:. 1537:. 1525:. 1406:. 1396:. 1384:. 1380:. 1355:62 1353:. 1328:63 1326:. 1303:. 1291:78 1289:. 1285:. 1262:. 1254:. 1244:81 1242:. 1219:. 1207:. 1151:. 1139:87 1137:. 1133:. 1094:^ 1080:. 1072:. 1060:. 1012:. 990:. 968:. 958:. 944:. 940:. 928:^ 845:. 807:. 768:. 739:. 683:. 392:. 211:: 135:. 127:. 115:. 105:. 78:. 3062:e 3055:t 3048:v 2546:e 2539:t 2532:v 2518:. 2496:. 2482:: 2474:: 2447:. 2427:: 2421:6 2404:. 2382:: 2355:. 2343:: 2320:. 2300:: 2294:6 2277:. 2263:: 2253:: 2223:. 2205:. 2193:: 2170:. 2150:: 2127:. 2107:: 2101:7 2084:. 2070:: 2043:. 2023:: 2017:7 1995:. 1973:: 1967:3 1946:. 1925:. 1905:: 1878:. 1856:: 1829:. 1807:: 1801:3 1780:. 1761:. 1742:. 1728:: 1701:. 1681:: 1673:: 1650:. 1630:: 1622:: 1599:. 1579:: 1553:. 1533:: 1527:6 1489:. 1464:. 1439:. 1414:. 1392:: 1365:. 1338:. 1311:. 1297:: 1270:. 1250:: 1227:. 1215:: 1192:. 1159:. 1145:: 1118:. 1088:. 1068:: 1062:2 1045:. 976:. 952:: 946:8 799:(

Index


Kittens

coyote
teats
milk
mammary glands
mother
female mammals
breastfeeding
witch's milk
teats
monotremes
species
Dayak fruit bat
Southeast Asia
male function
prolactin
Oxytocin
suckling
Galactorrhea
hyperprolactinaemia
nutrition
infertility
lactational amenorrhea
birth spacing

Breastfeeding
Lactation consultant
pregnancy

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