Relapses in eating disorders often occur in the postpartum period [46-50, 55]. Moreover, the rate of PPD in women with eating disorders is high (see Chap. 19, "Postpar-tum Depression and the Role of Nutritional Factors"). Changes in estrogen status and estrogen-beta-receptor function or other gene-nutrient interactions may be responsible for observed relapses. The registered dietitian should work closely with the patient toward the end of pregnancy to set realistic goals for dietary intake, weight loss, eating behaviors, and expectations during lactation.
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Many women who have recently given birth are always interested in attempting to lose some of that extra weight that traditionally accompanies having a baby. What many of these women do not entirely realize is the fact that breast-feeding can not only help provide the baby with essential vitamins and nutrients, but can also help in the weight-loss process.