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How to get rid of lipase in breastmilk?

Understanding High Lipase in Breast Milk
For many breastfeeding mothers, the journey of providing milk for their babies can sometimes take unexpected turns. One such challenge is the presence of high lipase in breast milk, which can alter the milk’s taste and smell, leading to rejection by the baby. Lipase is an enzyme that helps break down fats in milk, but when present in excess, it can cause the milk to develop a soapy or metallic odor, making it unpalatable for infants.
Identifying the Problem
Mothers may first notice an issue when their pumped milk is rejected by their baby, often accompanied by a distinct soapy smell. This can be particularly disheartening, especially after the effort put into pumping and storing milk. While the exact prevalence of high lipase in breast milk is not well-documented, it is a recognized phenomenon that many mothers encounter.
Strategies to Manage High Lipase
If you suspect that high lipase is affecting your breast milk, there are several strategies you can employ to mitigate the issue:
1. Scalding the Milk: One of the most effective methods to reduce lipase activity is to scald the milk before storing it. This involves heating the milk to about 180°F (82°C) until it just begins to bubble, then cooling it quickly before refrigerating or freezing. This process denatures the lipase enzyme, preventing it from altering the milk’s flavor.
2. Immediate Refrigeration: If you plan to use the milk soon, refrigerating it immediately after pumping can help preserve its taste. However, this method may not be as effective for long-term storage.
3. Using Fresh Milk: If possible, try to use freshly pumped milk rather than stored milk. This can help avoid the issue altogether, especially if your baby prefers the taste of fresh milk.
4. Experiment with Storage Techniques: Some mothers have found success with different storage methods, such as using smaller containers to minimize the time milk is exposed to air, which can also affect its taste.
5. Consulting with Professionals: If the problem persists, seeking advice from a lactation consultant can provide personalized strategies and support tailored to your situation.
Conclusion
Dealing with high lipase in breast milk can be a frustrating experience for new mothers. However, understanding the causes and implementing effective management strategies can help ensure that your baby receives the nourishment they need without the added stress of rejected milk. By taking proactive steps, such as scalding the milk or using it fresh, mothers can navigate this challenge and continue their breastfeeding journey with confidence.

Does freezing milk immediately reduce lipase?

“First, you can deep freeze your milk immediately after it is expressed/pumped, which helps decrease the lipase activity,”1 she says.

Does freezing breast milk right away stop lipase?

There is no scientific evidence to support the concept of high lipase breastmilk from the freezer. Milk may smell bad after thawing, but it is from general breakdown of fatty acids rather than an abnormally high content of lipase.

How long does lipase stay in breastmilk?

If you do have excess lipase activity in your breast milk, you might notice a difference in its smell and taste about 12 to 14 hours after pumping and storing, although others might not notice changes until days later. Some possible changes include: Milk that has a soapy smell or taste.

How do you remove lipase from breast milk?

***Per Lawrence & Lawrence, bile salt-stimulated lipase can also be destroyed by heating the milk at 144.5 F (62.5 C) for one minute (p. 205), or at 163 F (72 C) for up to 15 seconds (p. 771).

How to lower lipase levels?

How to lower lipase levels

  1. intravenous fluids.
  2. medications to manage pain.
  3. not eating for a recommended period and then starting a bland diet.

What deactivates lipase?

Immobilized lipase is frequently deactivated by lower alcohols with deactivation being caused by the immiscibility between triglycerides and methanol or ethanol. When the lower alcohol is adsorbed to the immobilized enzyme, the entry of triglycerides is blocked, which causes the reaction to stop.

Is it OK for baby to drink high lipase milk?

Having high lipase is not dangerous and the breastmilk is still perfectly fine for baby to drink, but many babies will reject this milk because they don’t like the taste.

How long does it take for lipase to break down milk?

The flavor of high lipase milk can change as quickly as 24 hours or over a few days. One option is to test through trial and error exactly how long it takes before the flavor changes.

How to reduce lipase levels?

The best way to lower lipase levels is to treat the underlying condition that is causing it. If you have pancreatitis, your doctor will likely prescribe medication to help reduce inflammation and pain. They may also recommend lifestyle changes, such as eating a low-fat diet and avoiding alcohol.

How to tell if breastmilk has high lipase?

The longer milk is kept at room temperature or even in the refrigerator before being frozen, the more lipase activity it will have. Milk that has a high level of lipase can develop a soapy smell and taste, but is not harmful to the baby.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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