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Tony Murray, director of business development operations at Selkirk, captured this paradigm shift

In addition, all included studies were randomized controlled trials

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

2n), suppression of endogenous glucose production (Fig