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LALactation, Los Angeles, CA (2026)

04/04/2026

Let’s just say it bluntly: sometimes it’s not the Oreos or the Dr Pepper… it’s the calories.

Milk production requires energy. A lot of it. And too many postpartum moms are running on empty. Skipping meals, under-eating, or trying to “bounce back” while the body is literally producing food for another human all take a silent toll on the postpartum body (and milk supply)

So what happens? You finally sit down, crush a sleeve of Oreos and a couple Dr Peppers, and suddenly your supply looks better. It’s not magic. It’s not a “lactation hack.”
It’s a calorie correction!!

Your body was in a deficit. You gave it a quick surge of energy. And for some, that can boost milk production. Some times dramatically

But let’s be clear:
That same boost could happen with actual meals. Real food and consistent daily intake will do the same thing without the chemicals and sugar found in processed foods.

Convenience foods can absolutely have a place because postpartum life is exhausting and survival matters. But relying on sugar + soda as your main fuel source isn’t a long-term strategy for your health, recovery, or sustained milk production

If your supply jumps after junk food, don’t credit the food, look at your overall calories intake. Eat more and eat consistently. Easy snacks like nuts and seeds, nut butters on crackers, trail mix, fresh fruit, cheese sticks and beef/turkey/chick sticks/jerky, overnight oats, etc. can provide on the go fuel. Keeping them where you spend time breastfeeding can be super helpful. Throw it in the diaper bag. Keep it on the bedside table. Aim for nutrient-dense options when you can.

Your milk supply isn’t asking for Oreos. It’s asking for caloric support

What foods do you find helpful to help your body make milk?

04/04/2026

“My milk supply dropped…”
…or your body regulated

Around 11-14 weeks postpartum, milk production shifts from hormone-driven to supply-and-demand

It can feel like everything changed overnight
What regulation often looks like:

• Breasts feel softer
• Leaking slows or stops
• You’re not feeling full between feedings
• Less of that sweaty, engorged, sticky feeling
• Pump output may look different
• Baby may cluster feed again or seem unsettled

These are hormonal shifts into efficiency, not signs your milk is going away

What’s happening physiologically:
In the early weeks, hormones drive higher volume production and storage
That’s why breasts feel full, heavy, and leaky

As your body learns your baby’s needs, it adjusts:

• Extra blood and fluid are in the breast for the first few weeks to help push milk to the baby while they are learning to feed. This goes away and breasts feel soft
• Production responds more to milk removal
• Supply becomes tightly matched to your baby

This timing throws people off because this phase often overlaps with:
• A final early growth spurt
• Periods of cluster feeding
• Changes in sleep that can look like a regression

So you see more feeding + less fullness + more night waking
It’s easy to assume supply is dropping

What’s important to understand:
• Babies don’t keep increasing daily milk volumes for long. Once they reach 10-12 pounds, they need 25-30oz a day. And that’s what they need daily through the first birthday. Not gallons a day
• As a newborn, babies usually take 65-80% of the milk in the breast at any given feeding. There’s more milk always available for cluster feeds and growth spurts
• Growth continues, just at a slower, steadier rate
• Your body is matching that shift

What to watch instead:
• Diaper output
• Swallowing during feeds
• Growth patterns over time
• Overall feeding behavior

Soft breasts can still contain plenty of milk
Less leaking doesn’t mean less milk. It means more efficient milk production

This is milk supply regulation into the next stage of lactation and is expected

04/04/2026

Breastfeeding a baby with a cleft palate versus a cleft lip presents different challenges due to the distinct nature of these conditions. A cleft lip involves a separation in the upper lip that can range from a small notch to a significant gap that extends up to the nostril. Babies with a cleft lip typically do not have major issues with breastfeeding since the breast can mold to fill the gap, allowing for effective suction and milk transfer. However, achieving a good latch may still require some adjustment, positioning, and possibly assistance from a lactation consultant.

In contrast, a cleft palate, which is a gap in the roof of the mouth, poses more significant challenges for breastfeeding. This condition affects the baby’s ability to create the necessary suction to draw milk effectively because the cleft prevents the formation of a complete seal in the mouth. Babies with a cleft palate often have difficulty coordinating sucking, swallowing, and breathing, which can lead to inadequate milk intake and frustration during feeding. While breastfeeding directly might be more challenging with a cleft palate, many mothers can still provide breast milk through alternative methods like pumping and using specialized bottles designed for babies with oral clefts. These bottles help regulate the flow of milk, allowing babies to feed more effectively despite their condition. In both cases, support from healthcare professionals, such as lactation consultants and pediatricians, is essential for developing a successful feeding plan tailored to the baby’s needs.

Breast milk offers numerous benefits for babies, especially those preparing for cleft lip surgery. It acts as a natural pain reliever due to its comforting properties and the release of endorphins during breastfeeding. Additionally, breast milk contains antibodies that help reduce the risk of ear infections, which is crucial for babies with cleft conditions who are more prone to such infections. By providing essential nutrients and immune support, breast milk helps keep babies healthy, promoting growth and development to ensure they are strong and well-prepared for surgery.

04/04/2026

The dairy ladder is a structured way of reintroducing cow’s milk protein step by step after a mother has done an elimination diet while breastfeeding her baby. It’s designed to start with forms of milk protein that are least likely to trigger a reaction (because of the way proteins are broken down during cooking/baking), and then slowly work toward the most allergenic forms (fresh milk/cheese/yogurt).

If a mother has removed dairy from her diet because her baby reacted to it through her milk, the ladder is often used later to test if the baby has outgrown the allergy. Instead of going straight back to milk or cheese, the ladder helps gently and safely test tolerance

•Start at the bottom (baked milk) → move up gradually
•Offer one new food at a time and wait 2–3 days before progressing
•Stop if symptoms return, and retry again later under medical guidance

🪜 Example of the Dairy Ladder

👉 Note: ladders can differ slightly depending on the country or guideline (UK, USA, etc.), but this is a common structure

Rung 1: Baked milk in a wheat-based matrix
Milk proteins are denatured and bound up in flour/fat, so they’re least allergenic
•Cookie/biscuit or muffin made with milk

Rung 2: Baked milk in more concentrated form
Milk proteins are still baked but in higher proportion.
•Pancake or waffle made with milk in the batter

Rung 3: Cooked dairy products (less baked time/temperature) The protein structure is less altered
•Cheese melted on toast
•Mac & cheese or lasagna

Rung 4: Processed dairy (fermented or spreadable)
Proteins less broken down than baked but still somewhat altered
•Yogurt

Rung 5: Fresh milk products
Closest to the original protein, highest allergenic potential.
•Custard/pudding made with fresh milk
•Soft cheeses (cream cheese, mozzarella, brie)
•Butter

Rung 6: Whole cow’s milk
Final stage: plain, unaltered milk protein.
•Small glass of milk
•Milk in cereal or coffee

Always start small and increase slowly if no reaction. Watch for both immediate symptoms (hives, vomiting, wheeze) and delayed symptoms (eczema, mucus in stool, sleep disruption, reflux, congestion).

04/04/2026

That hidden neck crease 👀

One of those sneaky little things we check on babies… the neck folds

If you gently lift baby’s chin and notice deep, red, irritated creases in the neck, it can sometimes be more than just a “milk dribble + chunky baby” situation

What it might mean:
‼️Baby is spending a lot of time with their head tucked down
‼️There may be some neck tension or tightness
‼️Baby might be struggling a bit with head control (totally common, especially early on)

When the neck stays in that folded position, moisture + friction build up → redness

What helps:
💛 Tummy time, and then a little more tummy time
🪞 Get eye-level, talk, sing, make it engaging
🤱 Vary feeding positions so baby isn’t always in the same head position
💤 Switch up how baby lays/turns their head during the day
🧴 Keep the area clean + dry (this part still matters too)

Some babies just have delicious neck rolls and sensitive skin
Not every red crease = a problem. But if you’re seeing persistent redness + baby prefers one side, resists lifting their head, or always stays tucked, it’s worth paying attention

A little daily movement can make a big difference over time 💪

04/02/2026

Why did the 24mm fl**ge work ok in the beginning of my breastfeeding journey but not over the long term?

**ge

04/02/2026

“I can’t put my baby down more than 5 minutes without them waking up wanting the b**b. My milk supply must be low”. Nope. It’s because babies don’t like to be put down! Their survival mechanisms kick in to make sure they’re back in the arms of the people who can keep them safe from predators and ensure that they will be fed when the time comes. We are carry mammals, like monkeys, kangaroos and wallabies (I’ve always wanted to use wallabies in a post 😂)

Carry mammals birth the most immature babies in the animal kingdom. They are completely parent dependent for food, warmth and safety. Our milk has very low levels of fat and protein, so our babies need to latch and feed frequently.

Being on your body for the first 3 months helps regulate their heart rate, respiratory rate, and helps them transition between wake and sleep states. It also keeps them close to their foods source and the person who will clean them and monitor for first signs of infection or illness. Babies are most vulnerable to SIDS in the first 3 months, so staying on your body helps protect them. As long as you have a pain free latch, are hearing swallowing when baby is at the breast, baby is making lots of wet and routine poopy diapers and baby is steadily gaining weight across time, it’s not your milk supply that’s making them cry when you put them down. It’s the being put down.
breastfeedingmoms

04/02/2026

After birth there is an enormous range of normal for when periods return. Exclusive breastfeeding carries the perk in that it may delay periods returning. Frequent nursing inhibits the release of hormones that cause your body to begin your monthly cycles. Some moms will have spotting around 6-8 weeks. Others have a non-ovulatory period before 6 months postpartum, but do not menstruate again for many months. Some start their periods as soon as baby starts sleeping through the night or eating solid foods. Others never get a period at all until they wean, even if they’re only occasionally breastfeeding a toddler! You are more likely to ovulate and resume regular periods if your baby is going for more than a few hours without breastfeeding (for instance, at night) and baby is more than 6 months old.

It is common to have a drop in supply around the time of your period. Breastfeeding can also be uncomfortable during this time from increase breast tenderness. This is from the hormonal changes and is only temporary. It is safe to continue breastfeeding while on your period. Your milk is just as nutritious. You may find baby wants to nurse more frequently while you’re on your period. That’s normal! They are helping regulate your milk supply during the hormonal shift. Some babies are fussier at the breast because milk during your period can be saltier and flow slower. Research from La Leche League shows “a daily dose of 500 to 1,000 mg of a calcium and magnesium supplement from the middle of your cycle through the first three days of your period may help minimize any drop in supply.”

04/02/2026

Most lip blisters in newborns are caused by all the sucking they’re doing to get their milk. They’re often caused by friction on their sensitive lips. The skin of the lip had 3-5 cellular layers, very thin compared to typical face skin, which has up to 16 layers. The lip skin doesn’t have sweat glands, so it lacks the protective layer of sweat and body oils which keep the skin smooth and moist. This makes the lips dry out faster and become easily chapped.

Lip blisters, AKA:
* Friction blisters
* Suck blisters
* Suck callouses

The sucking reflex starts around week 32 in the womb and is fully developed around 36 weeks. Occasionally a baby may be born with these blisters if they were super active at sucking in the womb.

Very small blisters that go away in a few weeks are normal for newborns as they’re learning to latch and suck. Blisters that don’t disappear in a few weeks or that are extensive across the lips are a sign something is going on. Babies should latch by cupping their tongue around the breast and creating a vacuum seal in their mouth. The lips actually play a passive role in feeding and should stay soft without the muscles engaged. They are only meant to prevent milk from leaking out of the mouth.
👄 Babies in a shallow latch (to breast or bottle) use their lips to hold on to prevent losing the latch. Deepen the latch and the blisters go away.
👄 They can also happen when mom has a very last let down or an oversupply. The lips need to round to help seal around a faster than usual flow to prevent leaking milk
👄 They’re common in premature babies who still lack fat pads in their cheeks.
👄 Lip blisters are also a classic sign of tongue/lip tie where the lips are compensating for the lack of range of motion/strength/coordination of the tongue because it’s being tethered to the floor of the mouth.

04/02/2026

Hey you. With the emotional support water bottle. Got wash it.

04/02/2026

There is nothing more exhausting than caring for young children. So many sleepless night and interrupted sleep. It is safe to drink coffee while breastfeeding
☕️Research says it’s probably considered safe to drink up to 300mg of caffeine a day as only about 1.5% of caffeine reaches your breast milk
♨️Not all coffee is created equally. Several factors affect the caffeine content of a cup of coffee. One of the main factors is the type of coffee bean. That 12oz Folgers your grandparents used to make at home has about 80-120mg of caffeine. But a Starbucks short Blonde Roast has 180 mg and Pike Place has 155 mg!
👼🏼Younger babies (under six months), preterm and medically challenged babies process caffeine slower in their bloodstream and they may be much more sensitive to it. If you consistently drank coffee during pregnancy you baby is already used to caffeine
🔬The peak level of caffeine in breastmilk occurs 60 to 120 minutes (1 to 2 hours) after consumption. The half-life of caffeine in an adult is 4.9 hours (Hale, Medications and Mother’s Milk 2021). So if you’re concerned or having it for the first time after birth, have your cup of coffee while breastfeeding, and make sure to drink it first thing in the morning and not in the afternoon or evening. Be mindful if your drink coffee before pumping in the morning that you don’t give that caffeinated milk at bedtime ;)
😡Watch for signs of irritability and extra fussiness in baby when drinking coffee and consider cutting back as needed. Do what feels right for your body and your baby. What is right for you may not be the same as someone else

04/01/2026

The best mastitis protocols with subtitles for when watching with the volume off at 2am

LALactation

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Tuesday	8am - 6pm
Wednesday	8am - 6pm
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Friday	8am - 6pm
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