Responses to metabolic challenges in dairy cows with high or low milk yield during an extended lactation

Responses of dairy cows with high or low milk yield (MY) beyond 450 d in milk (DIM) to 3 metabolic challenges were investigated. Twelve multiparous Holstein-Friesian cows that calved in late winter in a pasture-based system were managed for a 670-d lactation by delaying re-breeding. Cows were selected for either high MY (18.9 ± 1.69 L/cow per d; n = 6) or low MY (12.3 ± 3.85 L/cow per d; n = 6) at 450 DIM. Cows were housed indoors for 2 periods of 12 d at approximately 460 and 580 DIM. Each cow was fed freshly cut pasture (460 DIM) or pasture silage (580 DIM) plus 6.0 kg of DM barley grain daily (approximately 200 MJ of total metabolizable energy/cow per day). At all other times, cows were managed as a single herd and grazed pasture supplemented with cereal grain to an estimated intake of 180 MJ of metabolizable energy/cow per d. Cows were fitted with a jugular catheter during the final week of each experimental period. Over a period of 3 d, each cow underwent an intravenous glucose tolerance test (0.3 g/kg of body weight), an insulin tolerance test (0.12 IU of insulin/kg of body weight), and a 2-dose epinephrine challenge (0.1 and 1.6 µg/kg of body weight). Cows selected for high MY had greater milk and milk solids yields between 450 and 580 DIM than low MY cows (17.3 vs. 10.8 ± 1.49 kg of milk/d and 2.4 vs. 1.5 ± 0.23 kg of milk solids/d). The results indicated that whole body and peripheral tissue responsiveness to insulin may vary between cows of high and low MY. Following the glucose tolerance test, high MY cows had a lower plasma insulin response with a greater glucose area under the curve than low MY cows. Further, high MY cows had slower plasma glucose clearance compared with low MY cows during an insulin tolerance test. The plasma nonesterified fatty acid (NEFA) responses to the IVGTT and the ITT were similar between cows of high and low MY, but the clearance of NEFA from the plasma following both the IVGTT and ITT were slower at 580 compared with 460 DIM. The sensitivity to epinephrine was greater in high MY cows compared with low MY cows as the glucose and NEFA area under the curve and the percentage change in NEFA were greater in high MY after the low dose epinephrine challenge. However, the lipolytic but not the glucose appearance in response to epinephrine was greater in high MY cows than low MY cows. Following the high dose of epinephrine, the glucose response was lower, but the NEFA response was greater in high MY compared with low MY cows. Cows able to sustain greater MY to 580 DIM had a greater propensity for lipid mobilization, possibly enhancing nutrient partitioning to the mammary gland during the late stages of an extended lactation.     

Production of hydrogen peroxide by a small molecular mass compound in milk from Holstein cows with high and low milk somatic cell count

Mastitis is the most frequent and prevalent production disease in dairy herds in developed countries. Based on a milk somatic cell count (SCC) of either >300,000 or <200,000 cells/ml in this study, we defined the quarter as either inflamed or uninflamed, respectively. The electrical conductivity (EC) of milk was used as an indicator of udder epithelial cell damage. We determined the amount of H2O2 produced by utilizing a small molecular weight compound in milk, and examined the characteristics of H2O2 production and EC in milk from inflamed and uninflamed quarters. In cows with milk of delivery grade (control population), H2O2 production and EC were 3.6+/-1.3 nmol/ml and 5.4+/-0.4 mS/cm (mean+/-sd), respectively. In 37 inflamed quarter milk samples, the production of H2O2 was 1.9+/-1.0 nmol/ml and was significantly smaller than that in the control population (P<0.01). Production of H2O2 was moderately but significantly correlated with EC (r<-0.71). In 20 cows with inflamed quarters, the production of H2O2 in milk from inflamed quarters was significantly smaller than that in milk from uninflamed quarters (P<0.01). In 18 out of 20 cows, milk from inflamed quarters showed the smallest H2O2 production among all tested quarters in each cow. We conclude that inflammation caused a decrease in H2O2 production in milk. In this study, we present parameters for evaluating the lactoperoxidase/H2O2/thiocyanate antibacterial defence system in bovine milk.     

Influence of body condition score on relationships between metabolic status and oxidative stress in periparturient dairy cows

Twenty-four dairy cows were monitored during the transition period. We observed changes of oxidative status and relationships between oxidative and metabolic status. Body condition score (BCS) of the 24 animals at the beginning of the trial (30.4 ± 2 d before expected calving) was between 2.0 and 3.6. The BCS was recorded and blood samples were collected weekly during the last 30 d of pregnancy and the first 30 DIM. Plasma samples were analyzed to determine indices of oxidative status: reactive oxygen metabolites (ROM); thiobarbituric acid-reactive substances (TBARS); thiol groups (SH); glutathione peroxidase (GSH-Px), and indices of energy metabolism: glucose, β-hydroxybutyrate, and nonesterified fatty acids. In erythrocytes we determined indices of oxidative status: GSH-Px, superoxide dismutase (SOD), and intracellular SH. Before calving, cows showed an increase of plasma SH, SOD, and GSH-Px, a decrease of erythrocyte GSH-Px and plasma ROM, and no changes in erythrocyte SH. After calving, cows showed a decrease of plasma and erythrocyte SH and SOD, and an increase of ROM, TBARS, and plasma GSH-Px. Cows with higher BCS at the beginning of the trial and greater loss of BCS after calving, had higher plasma ROM, TBARS, and SH, and lower SOD and erythrocyte SH in the postpartum period. Oxidative status of dairy cows was related to energy status. Cows with higher BHBA and NEFA showed higher ROM and TBARS and lower levels of antioxidants. Results of the present study demonstrated that cows can experience oxidative stress during the peripartum period, and cows with higher BCS and greater BCS losses are more sensitive to oxidative stress.     

Model to describe and alleviate milk protein depression in early lactation dairy cows fed a high fat diet

The depression of milk protein percentages for cows fed high fat diets in early lactation is a major problem facing the dairy industry. In order to describe more fully the mechanism involved, data involved 97 cows observations were summarized. Cows were fed diets containing corn-soybean meal or additional fat in the form of whole oilseeds as the main ingredients in the concentrate mix. Blood samples from the tail artery and subcutaneous abdominal vein were taken approximately 6- to 8-wk postpartum for amino acid analyses. Production of milk during the week of blood sampling was increased (36.9 and 39.6 kg/d) approximately 7.3% but milk protein percentages (2.91 and 2.79) were reduced for cows fed added fat. Intake of DM (21.1 and 21.4 kg/d) and BW (605 and 608 kg) were similar. Uptake of amino acids by the mammary gland, as measured by arteriovenous differences, was numerically lower for all essential amino acids and significantly reduced for histidine, isoleucine, leucine, phenylalanine, threonine, valine, and total essential amino acids for cows fed added fat. It is proposed that added fat inhibits somatotropin release from the anterior pituitary, thereby reducing mammary gland uptake of amino acids because of the role of somatotropin in aiding amino acid uptake. Administration of exogenous somatotropin with added fat diets may alleviate milk protein depression associated with such diets.     

Hydroxy-selenomethionine: A novel organic selenium source that improves antioxidant status and selenium concentrations in milk and plasma of mid-lactation dairy cows

This study aimed to evaluate the effect of hydroxy-selenomethionine (HMSeBA), a novel organic selenium (Se) source, on milk performance, antioxidative status, and Se concentrations in the milk and plasma of mid-lactation dairy cows compared with that of sodium selenite (SS). Fifty mid-lactation dairy cows with similar days in milk, milk yield, and parity received the same basal diet containing 0.06 mg of Se/kg of DM. They were assigned to 1 of 5 treatments according to a randomized complete block design: negative control (without Se supplementation), SS supplementation (0.3 mg of Se/kg of DM; SS-0.3) or HMSeBA supplementation (0.1, 0.3, or 0.5 mg of Se/kg of DM: SO-0.1, SO-0.3, and SO-0.5, respectively). The experiment lasted for 10 wk, including a pretrial period of 2 wk. The results indicated that neither Se supplementation nor Se source affected dry matter intake, milk yield, milk composition, or blood biochemical parameters, except for milk fat percentage. Simultaneously, milk fat percentage and milk fat yield increased linearly as the quantity of HMSeBA supplementation was increased. Production of 4% FCM and ECM was elevated linearly as dietary HMSeBA increased. The SO-0.3 group showed higher serum activity of glutathione peroxidase, total antioxidant capacity, and superoxide dismutase than the SS-0.3 group, but malondialdehyde content was not affected by Se source. Furthermore, HMSeBA supplementation linearly increased the activities of serum glutathione peroxidase and superoxide dismutase, but decreased malondialdehyde content. Compared with the SS-0.3 group, the SO-0.3 group showed augmented concentrations of total Se in milk and plasma, and total Se milk-to-plasma concentration ratio. In addition, increasing doses of HMSeBA linearly increased the concentrations of total Se in the milk and plasma. This study demonstrates that HMSeBA improves antioxidant status and increases milk and plasma Se concentrations more effectively than SS, indicating that HMSeBA could replace SS as an effective organic Se source for lactating dairy cows.     

Supplementation of RRR-alpha-tocopheryl acetate to periparturient dairy cows in commercial herds with high mastitis incidence

Dietary vitamin E supplementation of dairy cows around calving has been associated with improved udder health. However, few studies have been performed in Europe and in commercial dairy herds. Therefore, the main aim of the study was to evaluate whether extra daily dietary supplementation of 1,610 mg of α-tocopherol, in the form of RRR-α-tocopheryl acetate, to dairy cows around calving could improve the udder health in commercial herds with a high incidence of veterinary-treated clinical mastitis. In addition, the effects of supplementation on other cow diseases, fertility, milk production, culling, and stillbirth were also studied. Cows in 21 herds in southeast Sweden were assigned to 1 of 2 groups, 1) daily supplementation with 1,610 mg of RRR-α-tocopherol from 4 wk before to 2 wk after calving (n = 196), or 2) no extra supplementation (n = 203), on top of the normal diet containing average vitamin E supplementation (on average, 386, 664, and 957 mg/d to cows at 1 mo prior to calving, at calving, and at 15 d after calving, respectively). Multivariable generalized linear mixed models were used for statistical analyses of the effects of supplementation on the cumulative incidence risk of veterinary-treated clinical mastitis and of veterinary-treated diseases other than mastitis within 1 and 2 mo after calving, culling (due to udder health or other reasons) within 2 and 9 mo after calving, the risk of stillbirth or calf death within 24 h after calving, time from calving to first insemination, number of inseminations per service period, and cow composite natural logarithm of somatic cell count and daily milk production at the first monthly testing after calving. A significant effect of supplementation was observed only for stillbirth or calf death within 24 h after birth, which was significantly lower in the supplemented group. The reasons for this finding require further study.     

Markers of oxidative status in plasma and erythrocytes of transition dairy cows during hot season

The study was carried out to assess whether hot seasons affect the oxidative status of transition dairy cows. Twenty Holstein cows were utilized. Eleven of those cows gave birth in spring; the remaining nine cows gave birth in summer. Oxidative status was evaluated from 21 d before to 35 d after calving, determining oxidative markers in plasma [glutathione peroxidase activity, thiol groups, reactive oxygen metabolites, and thiobarbituric acid reactive substances (TBARS)] and in erythrocytes [glutathione peroxidase activity (GSH-Px-E), intracellular thiols (SH), superoxide dismutase activity (SOD) and TBARS]. The season did not modify plasma oxidative markers. In contrast, cows exposed to moderate heat stress (39.5 +/- 0.2 degrees C rectal temperatures) due to summer temperature-humidity index (73.2 +/- 2.5 mean daily THI), showed higher erythrocyte SOD, GSH-PxE, SH, and TBARS compared with spring cows, indicating a condition of oxidative stress in summer transition dairy cows. Some changes (the increase of SOD, for example), represent compensatory changes the cow is undergoing in response to increased oxidative stress. Under the conditions compared, the effect of heat stress on oxidative status in transition dairy cows by use of plasma markers does not give enough information to reach definitive conclusions. Erythrocytes are an appropriate and sensitive model to study the oxidative status of transition dairy cows exposed to hot environments.     

Effect of naked oats in the dairy cow's diet on the oxidative stability of the milk fat

Oxidative stability of milk fats from cows offered naked oats- and barley-based diets were compared in shelf-life tests using the Schaal Oven Test at 63°C, and determination of peroxide and thiobarbituric acid values. Milk fat from cows offered the diet containing naked oats, although containing a higher proportion of monounsaturated fatty acids, had a significantly longer oxidation induction period (13 days) than milk fat from cows offered the control (barley-based) diet (9 days). However, sensory testing of the milk fats indicated that a perceptible odour difference was apparent between stored (63°C) and unstored milk fats after 3 days of storage irrespective of the diet fed. It is possible that the odours perceived may have originated from the cows' diets or from hydrolytic rancidity reactions. The difficulties of relating chemical and sensory testing of the oxidative deterioration of milk fat or butter are underlined. © 1998 SCI.     

Supplementation effects of pomegranate by-products on oxidative status,metabolic profile,and performance in transition dairy cows

Recent studies demonstrated a high antioxidant capacity for pomegranate components due to their rich bioactive compounds, such as conjugated fatty acids and phenolics. The objective of the present study was, therefore, to assess whether pomegranate seed or pomegranate seed pulp (peel + seed) supplementation could be effective to improve antioxidant status, and hence metabolic profile and performance in periparturient dairy cows. After a 1-wk pretreatment period, Holstein cows (primiparous n = 12, multiparous n = 18) were assigned to 3 dietary treatments from 25 d before expected calving through 25 d postcalving. The dietary treatments included (1) control (CON); (2) diet supplemented with pomegranate seeds (PS; 400 g/cow per day); and (3) diet supplemented with pomegranate seed pulp (PSP; 400 g of seeds/cow per day + 1200 g of peels/cow per day). Compared with CON, supplementation with either PS or PSP had no effects on dry matter intake, rumen fermentation, and plasma concentrations of cholesterol, total protein, globulin, and aspartate amino transferase, but enhanced plasma total antioxidant activity, and lowered triacylglycerol, free fatty acids (FFA), and β-hydroxybutyrate at both pre- and postpartum periods. Plasma concentration of glucose, albumin, malondialdehyde (MDA) and blood superoxide dismutase (SOD) activity were not affected by dietary treatments at prepartum, whereas SOD activity increased and glucose, albumin, MDA, and FFA-to-albumin ratio decreased by feeding both by-products at postpartum period. In contrast to PS, supplementing PSP resulted in a greater decrease in plasma glucose and triacylglycerol concentration and higher increase in SOD activity. Energy- and fat-corrected milk yields were higher in cows fed PSP diet compared with those fed CON or PS diets, but content of milk fat, protein, and lactose were similar across the dietary treatments. These findings indicated that dietary pomegranate by-products supplementation, in particular PSP, could improve antioxidant status, which was associated with a decline in lipid oxidation (FFA and β-hydroxybutyrate) and peroxidation (MDA) and an enhancement in glucose utilization as well as fat-corrected milk yield.     

Changes in biomarkers of metabolic stress during late gestation of dairy cows associated with colostrum volume and immunoglobulin content

The objective of this observational study was to compare the metabolic status of dairy cows during the last 6 wk of gestation based on colostrum volume and immunoglobulin content. For this, healthy Holstein cows were randomly selected from 3 commercial herds in Michigan. In each farm, 4 cohorts of 21 cows (1 per season), stratified by parity, were enrolled (n = 228). Cows were blood sampled weekly during the last 6 wk of gestation, and biomarkers related to nutrient utilization, oxidant status, and inflammation were quantified in serum. Cows were milked within 6 h of calving, and the volume of colostrum produced was recorded and an aliquot collected. Concentration of IgG, IgA, and IgM were measured by radial immunodiffusion. Cows were grouped into high or low colostrum producer, high or low IgG, high or low IgA, and high or low IgM. For volume category, we arbitrarily defined 6 L of colostrum (4 L for first and 2 L for second feeding of calves) as the cutoff point, whereas for IgG we used the industry standard of ≥50 g/L. To create groups of low and high IgM or IgA, we used the median of these immunoglobulin as the cutoff point. Colostrum volume was lowest in winter, but no differences were observed among parity groups. Conversely, colostrum IgG concentration was highest in fall and winter, but colostrum IgM was lowest at these seasons. However, colostrum immunoglobulin content only showed a negative weak correlation with volume (Spearman's correlation coefficient < ?0.28). Compared with low colostrum producer, high colostrum producer cows had higher concentrations of antioxidant potential and β-hydroxybutyrate, and lower cholesterol and oxidant status index. Cows with high IgG showed higher concentrations of glucose compared with low IgG. Cows with high IgA had higher concentrations of cholesterol, reactive oxygen and nitrogen species, oxidant status index, and total protein, whereas β-hydroxybutyrate and glucose were lower compared with low IgA. Biomarkers of metabolic stress were not significantly different between high IgM and low IgM. Nevertheless, the differences observed did not result in differences in inflammatory status between animals in any of the colostrum variable categories analyzed, suggesting that physiological homeostasis was not disrupted during late gestation in association with the colostrum variables studied. Overall, the great variability observed in colostrum variables suggests that colostrogenesis is a complex and multifactorial process. However, our results suggest that greater availability of antioxidants during late gestation could support the production of higher volumes of colostrum, which needs to be explored in future trials.     

Cholesterol content and lipid composition of low fat dairy products

The lipid composition of different products obtained from the same raw milk was investigated. The cholesterol content of skim milk (0.05% total fat) and butter milk (0.57% total fat) lipids was 4.20% and 1.31%, respectively, while raw milk lipids and butter fat contained 0.34% or 0.30%, respectively. As the cholesterol content of these low fat milk products increases with decreasing fat content, equations were derived to estimate the fat-related cholesterol content from the value analysed in butter fat. In contrast to the fat-related cholesterol content, the product-related content is still relatively small in skim and butter milk. Their fat-related cholesterol content was found to be influenced by drying. The high content of phospholipids in skim and butter milk led to considerable changes in the fatty acid composition and affected the detection of foreign fat by butyric acid as well as by triglycerides. Skim and butter milk lipids contained only 2.41% or 2.33% butyric acid, respectively, instead of 3.36% found in raw milk lipids. Further, the overlap of phospholipids as well as cholesterol with the gas chromatographic triglyceride pattern resulted in calculated foreign fat contents of more than 20%.     

HPLC法测定酵母中海藻糖

采用高效液相法在ShodexSUGAR系列KS-801(钠型)色谱柱(8mmID×300mmL)、流动相为纯水条件下测定酵母中海藻糖,流速为0 8ml/min,柱温70℃,试验结果表明,回收率达到99%以上,变异系数在0 011~0 019之间,测得酵母中海藻糖浓度为7. 16% (折干),该法快速、准确。     

Biochemical markers of bone formation and resorption around parturition and during lactation in dairy cows with high and low standard milk yields

Substantial changes occur in skeletal metabolism during lactation. These dynamic changes are monitored with biochemical bone markers. The goal of the present study was to follow these changes in lactating cows and to investigate whether cows with a higher milk yield have a higher mobilization rate of calcium from bone. Hydroxyproline, deoxypyridinoline, pyridinoline, and the carboxyterminal telopeptide of type I collagen (ICTP) were chosen as markers for bone resorption, whereas osteocalcin was used as a bone formation marker. Urine and blood samples were collected from cows with a mean standard milk yield of 4900 and 6500 kg, respectively, 14 d before, and 14 d, 1 mo, 1.5 mo, and monthly after parturition. Urinary hydroxyproline, deoxypyridinoline, and pyridinoline concentrations increased with time, but no differences between the two groups were evident. Concentrations of 1,25-dihydroxy vitamin D and ICTP of the two groups showed an increase 14 d after parturition. Furthermore, using multivariate regression models with age and milk yield as covariates, ICTP concentrations were higher in the group with a higher milk yield. In contrast, osteocalcin concentrations decreased 14 d after parturition and returned to prepartum values 1 mo after parturition. The increase of ICTP concentrations in both groups indicates that bone was substantially resorbed. At the same time, probably less Ca was embedded in bone, as indicated by the decrease of the osteocalcin concentrations. In conclusion, cows showed increased bone resorption around parturition, and cows with higher milk yield mobilize calcium more actively from bone than cows with lower milk yield.     

面包酵母海藻糖含量与酵母耐性之间的关系

以存活率为指标,探讨了不同时期不同面包酵母的耐盐性能、耐酒精性能、耐高温性能以及耐冷冻性能,并且测定了不同时期菌体胞内海藻糖含量,研究结果表明胞内海藻糖含量与酵母的耐受性之间存在一定的相关性,海藻糖含量越高,酵母的耐性越好。     

Plasma concentrations of metabolic hormones in high and low producing dairy cows

Concentrations of insulin, glucagon, growth hormone, adrenocorticotropin, and cortisol were determined in plasma samples obtained at 20-min intervals for 6 h from low and high producing dairy cows at d 30 and 90 postpartum. Four nonpregnant, nonlactating cows also were sampled. Insulin concentrations were reduced at d 30 in both groups of lactating cows compared with concentrations in nonlactating cows; glucagon concentrations were unchanged. The molar insulin: glucagon was reduced at d 30 in both groups and at d 90 for low, but not high producers. Growth hormone concentrations were higher at d 30 in high producers than at d 90, in low producers at d 30, and higher than in nonlactating cows. Cortisol concentrations were lower in high producing cows at d 30 than at d 90 or in nonlactating cows due to a reduced pulse amplitude. No differences were observed for adrenocorticotropin. Reduced molar insulin: glucagon may be an integral response of the cow to lactation, while the difference in the insulin: glucagon for high and low producers at d 90 postpartum may indicate a continued need for a gluconeogenic stimulus in low producers. The elevated growth hormone and low cortisol concentrations likely participate in the enhanced production observed in high producing dairy cows.     

Lipopolysaccharide derived from the digestive tract provokes oxidative stress in the liver of dairy cows fed a high-grain diet

The aims of this study were to measure oxidative stress parameters and to investigate the molecular mechanism triggered by grain-induced subacute ruminal acidosis in mid-lactation cows. Twelve Holstein-Friesian cows with an average weight of 455 ± 28 kg were divided into 2 groups and subjected to 2 diets over 18 wk: either a low-grain (forage-to-concentrate ratio = 6:4) or a high-grain (forage-to-concentrate ratio = 4:6) diet based on dry matter. Being fed a long-term high-grain diet resulted in a significant decrease in rumen pH and a significant increase in ruminal lipopolysaccharide (LPS) at 4 h postfeeding in the morning. The increase was also observed in LPS concentrations in the portal vein, hepatic vein, and jugular vein blood plasma as well as reduced milk yield in a high-grain diet. Cows fed a high-grain diet had lower levels of catalase and glutathione peroxidase (GPx) activity and total antioxidant capacity than cows fed a low-grain diet; however, super oxide dismutase (SOD) activity and malondialdehyde (MDA) levels were higher in both the liver and the plasma of high-grain than in low-grain cows. Positive correlations were observed between plasma LPS versus hepatic MDA, plasma MDA, and hepatic SOD activity, whereas hepatic GPx and plasma GPx were negatively correlated with plasma LPS. The relative mRNA abundances of GPX1 and CAT were significantly lower in the liver of cows fed a high-grain diet than those fed a low-grain diet, whereas SOD1 was significantly higher in cows fed a high-grain diet than cows fed a low-grain diet. The expression levels of Nrf2, NQO1, MT1E, UGT1A1, MGST3, and MT1A were downregulated, whereas NF-kB was upregulated, in cows fed a high-grain diet. Furthermore, nuclear factor E2-related factor 2 (Nrf2) total protein and mRNA levels were significantly lower than in low-grains. Our results demonstrate the relationship between the translocated LPS and the suppression of cellular antioxidant defense capacity, which lead to increased oxidative stress and suggests that the Nrf2-dependent antioxidant response may be affected by higher levels of LPS translocated to the bloodstream.     

Energy and nitrogen utilization of high versus low producing dairy cows

Six high and 6 low producing cows were fed corn silage, alfalfa hay, corn, and soybean meal diets to evaluate the cow's ability to metabolize energy and N. High producers consumed more feed and gave more milk than low producers. Energy digestibility (.70), conversion of digestible to metabolizable energy (.90), and absorption of N (.70) were not different between groups. For low producers, heat production (249 kcal/kg BW.75) and loss of metabolizable energy as heat (.62) were greater than for high producers (238 kcal/kg BW.75 and .53), suggesting a less efficient intermediary metabolism of the former. Body composition was unaffected by treatment. Body fat mobilized during periods 1, 2, and 3 was replaced during period 4. Change in body energy (fat) and change in energy balance (calorimetric) data were in the same direction, but absolute values did not agree; change in energy as body fat lagged behind change in energy balance determined by calorimetry. Body protein was used in early lactation and was replaced immediately in spite of negative energy balance; this suggests that protein (amino acids) may play a significant role in meeting short-term energy needs during the first few weeks of lactation.