Hello,

I found this paper:

Iacovou, M., Mulcahy, E. C., Truby, H., Barrett, J. S., Gibson, P. R., & Muir, J. G. (2018). Reducing the maternal dietary intake of indigestible and slowly absorbed short‐chain carbohydrates is associated with improved infantile colic: a proof‐of‐concept study. Journal of Human Nutrition and Dietetics, 31(2), 256-265.

Article Reducing the maternal dietary intake of indigestible and slo...

But I have only seen the abstract to the above, so am unsure whether it helps with your question; you could always contact the authors on ResearchGate, or email the corresponding author:

[email protected] (from Wiley online library).

Very best wishes,

Mary

yes It can change breast milk composition, partially, because variation of gut eubiosys and absorbition and other PNEI relater qand possible actions or interference. [email protected] [email protected]

Thank you. I saw the paper on colic which is very intriguing. The leaky membrane theory may only be part of the colic story. But with the reduction in calorie intake experienced when switching to a FODMAPs diet, it theoretically may impact breast milk volume in a normal weight individual. This was the experience in diabetic women.

Dear Patricia, it's true, You have centered and better precised that I wrote; but , with permission I complete and I suggest sometimes to consider SIBO also due to bad colonic fermentation and ileal translocations of patobacteria and overall of colonic eubacteria that can be pathogen in Small Intestine if Overgrown, with the related Syndrome (SIBO, in fact), MOreover, we dont'forget the PNEI, for example the role of alteration of serotonin, or of SCFA C5-valerianic and iC5isovalerianic Acid produced in gut, or the gut influences on prolactin, HPA and HPGonadal axis, in lipids cycle in GLUT 1-23 activation, and so on, in a scomplex systems of relationship recentely called ?CONNECTOSOMA' gut centered. c. Rinzivillo- [email protected]

Yes, we cannot disconnect the influence of the maternal HPA axis from breastfeeding. I tried to find an article on prevalence of SIBO during pregnancy or post-partum, but GI problems in pregnancy are lumped together with IBD and IBS C& D. Does anyone have a reference? Is SIBO merely IBD in remission? Could this be the reason women quit breastfeeding before the recommended 6 months?

I tried to find a reference to prevalence of SIBO during pregnancy or post-partum, but without success.

The original question is about milk composition. A mother's intake may affect milk composition slightly. Is the milk composition affected to a degree that makes any difference to the baby's health - research has indicated this is unlikely. Much of the lab research on milk composition primarily designed to support claims that processed milk formula is as good or better than mothers milk.

The replies then move to a focus on the mother. If the mother is losing weight to such an extent that her milk volume is affected then the mother's nutritional intake needs to be assessed. And also the overall breastfeeding management - is the baby feed to a schedule determined by the mother? Is the mother's low food intake affecting her ability to care for her baby and feed effectively, e.g. is she too overwhelmed by trying to prepare foods that suit the mother's diet and also to find the time to feed the baby, to rest and to do other activities.

I am a dietitian who has specialised in lactation (IBCLC for nearly 30 years) and worked in both high and low income settings around the world. Mother's intake of specific foods is rarely the main cause of low milk supply in my experience.

Genevieve, I am a dietitian who was a grad assistant with Ann Ferris during the 1980's. Ferris,and colleagues looked at milk composition and breastfeeding success and failure in normal and diabetic women. Before there was much understanding of the microbiome, we sent our milk samples to the veterinary lab for microbiol analysis. Diabetic women with mastitis had lower breast milk volume due to infection or a diet prescription that did not meet matenal needs. A more recent paper with modern analytic techniques confirms the role of mastitis in producing lower milk fat, carbohydrate and energy levels. In light of recent research on the gut and breast microbiome, it sees reasonable to investigate whether IBS/SIO/IBD might also affect breast milk.

Say B, Dizdar EA, Degirmencioglu H, et al. The effect of lactational mastitis on the macronutrient content of breast milk. Early Hum Dev. 2016;98:7-9. PMID:10.1016/j.earlhumdev.2016.03.009.

While an effect found in lab research may be of academic interest is it of practical relevance to the baby or mother in the overall breastfeeding?

• Dear Collegues, it isn't true that FODMAP diet and breastfeeding relationshi have not reported (this is 'almost *' true only for conventional and most used bioclinical site e.g.). But for example the same (and I think one of the most known) site of FODMAP CREATORS AND FOLLOWERS1
• 1)Monash University & The Low FODMAP Diet-Registered Dietitian Directory----report this statement about the question:

Getting the Additional Calories You Need During Breastfeeding

During breastfeeding, just like during the second two trimesters of pregnancy, you need additional calories in your diet to ensure adequate energy for making milk. The suggested calorie increase ranges from 33 0 to 500 a day. While counting calories isn’t usually necessary, opt for nutritious foods that will help keep up your energy and provide the vitamins and minerals baby needs from your milk.=====

https://www.fodmapeveryday.com/breastfeeding-low-fodmap-diet/

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2)* in fact, Pubmed also report some recent papers about. For example:

Nutrients 2017, 9(3), 292; doi:10.3390/nu9030292

Review The Low FODMAP Diet: Many Question Marks for a Catchy Acronym Giulia Catassi, Elena Lionetti, Simona Gatti and Carlo Catassi * Department of Pediatrics, Università Politecnica delle Marche, Via F. Corridoni 11, 60123 Ancona, Italy-

16 March 2017

Abstract

: FODMAP, “Fermentable Oligo-, Di- and Mono-saccharides And Polyols”, is a heterogeneous group of highly fermentable but poorly absorbed short-chain carbohydrates and polyols. Dietary FODMAPs might exacerbate intestinal symptoms by increasing small intestinal water volume, colonic gas production, and intestinal motility. In recent years the low-FODMAP diet for treatment of irritable bowel syndrome (IBS) has gained increasing popularity. In the present review we aim to summarize the physiological, clinical, and nutritional issues, suggesting caution in the prolonged use of this dietary treatment on the basis of the existing literature. The criteria for inclusion in the FODMAPs list are not fully defined. Although the low-FODMAP diet can have a positive impact on the symptoms of IBS, particularly bloating and diarrhea, the quality of the evidence is lower than optimal, due to frequent methodological flaws, particularly lack of a proper control group and/or lack of blinding. In particular, it remains to be proven whether this regimen is superior to conventional IBS diets. The drastic reduction of FODMAP intake has physiological consequences, e.g., on the intestinal microbiome and colonocyte metabolism, which are still poorly understood. A low-FODMAP diet imposes an important restriction of dietary choices due to the elimination of some staple foods, such as wheat derivatives, lactose-containing dairy products, many vegetables and pulses, and several types of fruits. For this reason, patients may be at risk of reduced intake of fiber, calcium, iron, zinc, folate, B and D vitamins, and natural antioxidants. The nutritional risk of the low-FODMAP diet may be higher in persons with limited access to the expensive, alternative dietary items included in the low-FODMAP diet. ====Note: WE CAN OBIOUSLY UPLOAD THE ENTIRE PDF of this paper by means of this search-string ' doi:10.3390/nu9030292 ' onto any web-engine like Google and so on. Or we can obtain the entire paper at the site of Jopurnal 'Nutrients',

URL: HTPPS:// www.mdpi.com/2072-6643/9/3/292 on browser,

or You click dircetly on these direct-access-string:

Article The low FODMAP diet: Many question marks for a catchy acronym

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With my best regards.

Calogero RINZIVILLO

Gastroenterologist-Head of Clinica Nutrition & Supportive (and traslational)Integrated Therapies-Faculty of Medicine-Dept.of Med.-Surg.Sc.and Adv.Tech.-

Medscape Editorial board (coopted) and Medscape-Consult Member.

Buiding 4-Policlinic of University-95100 Catania-

[email protected] or [email protected].