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[(tions)-276.3(for)-273.9(frequency)-284(and)-275.2(duration)-275.1(of)-278.6(direct)-274.1(breastfeeding)]TJ
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[(and)-332.8(expressing)-341.4(milk.)]TJ
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7.9702 0 0 7.9702 323.0361 239.6975 Tm
()Tj
/F7 1 Tf
9.843 0 0 9.843 331.9369 238.4503 Tm
[(Avoiding)-424.6(unnecessary)-431.1(consumption)-429.3(of)-422.6(galactogogues,)]TJ
0 -1.1174 TD
[(including)-299.5(traditional)-303(foods)-299(that)-299.6(may)-299.4(contain)-304(galactogo-)]TJ
0 -1.1116 TD
[(gues)-379.8(\(e.g.,)-371.8(herbal)-377.7(teas,)-378.7(curry)-375.2(sauces)-378.3(spiced)-377.5(with)-379.9(fenu-)]TJ
T*
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(6,14,15)Tj
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T*
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()Tj
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T*
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T*
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[(Misinterpretation)-334.7(of)-319(infant)-330.5(feeding)-326.9(cues)-323.3(and)-327(fussing)-324.2(as)]TJ
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[(a)-336.3(sign)-332.6(of)-336.2(insufcient)-337(milk)-334.2(production.)]TJ
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ET
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f
62.022 512.334 239.131 .28345 re
f
62.022 680.542 239.131 .28345 re
f
BT
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[(Associated)-332.5(with)-334.7(Hyperlactation)]TJ
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(>)Tj
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[(2)-335(cup)]TJ
-8.0101 -1.0135 TD
(sizes)Tj
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[(Excessive)-335.9(weight)-336.5(gain)]TJ
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(fullness)Tj
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[(Difculty)-339.5(achieving)-335.2(a)]TJ
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[(sustained,)-337.1(deep)-334.5(latch)]TJ
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[(Breast)-337.5(and/or)-335.5(nipple)-335.7(pain)-2890.3(Fussiness)-337.6(at)-331.6(the)-338.3(breast)]TJ
T*
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[(unlatching)-335.2(during)-334.3(feeds)]TJ
-14.2466 -1.0135 TD
[(Recurrent)-336.1(plugged)-336.5(ducts)-3288.5(Breast)-337.5(refusal)]TJ
T*
[(Recurrent)-336.1(mastitis)-5844(Clamping)-334.1(down)-338.8(on)-330.2(the)]TJ
14.2466 -1.0135 TD
(nipple/areola)Tj
-14.2466 -1.0077 TD
[(Nipple)-336.5(blebs)-8079.6(Short)-333.2(feedings)]TJ
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[(Vasospasm)-8708.1(Gastrointestinal)-337.6(symptoms)]TJ
14.2466 -1.0135 TD
[(\(e.g.,)-336.7(spitting)-336.7(up,)-333.6(gas,)]TJ
T*
[(reux,)-337.6(or)-330.2(explosive)]TJ
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[(green)-335.5(stools\))]TJ
/F3 1 Tf
8.9663 0 0 8.9663 62.022 749.6502 Tm
(2)Tj
46.3849 0 TD
[(ABM)-336(PROTOCOL)]TJ
ET
endstream
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/GS1 gs
BT
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1.0137 -1.1116 TD
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[(Block)-186.4(feedingbreastfeeding)-198.4(or)-180.7(expressing)-191.6(milk)-184.4(from)-184.1(one)]TJ
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[(breast)-348.7(for)-337.3(a)-342.1(specic)-345(period)-341.9(of)-342(timecan)-343.2(decre)-9(ase)-339.5(overpro-)]TJ
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[(duction)-216.5(of)-215.3(milk)-213.2(by)-215.3(engaging)-212.9(local)-215.4(breast)-216.2(autocrine)-221(regulatory)]TJ
T*
[(mechanisms.)-423.3(The)-426.1(literature)-423.9(describes)-422.1(several)-425.8(variations)-422.4(of)]TJ
T*
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(16,17)Tj
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[(We)-345.4(recommend)-344.1(direct)-343.2(breast-)]TJ
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[(feeding)-280.8(or)-284.4(expressing)-278(milk)-276.6(from)-282(a)-284.5(single)-278.5(breast)-285.3(during)-277.4(a)-284.5(pe-)]TJ
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T*
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[(If)-180.7(the)-183.1(con)18.6(tra)12.7(lat)12.6(era)11.7(l)]TJ
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T*
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(19)Tj
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T*
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T*
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/F10 1 Tf
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0 Tc
[(Herbal)-331.3(therapies)]TJ
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[(Peppermint,)-323.3(sage,)-321(jasmine)-322.4(owers,)-322.7(and)-321.2(chasteberry)-327.7(com-)]TJ
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()Tj
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