Dysphoric milk ejection reflex sense of depression and this feeling can range from mild homesickness or wistfulness to more intense feelings of hopelessness and self-loathing. Similarly, anxiety may range from restlessness to more intense panic and dread. Anger, the least likely of the three, may range from tension and agitation to more intense feelings of hostility and aggression. The mechanism is not clear. In a mother with D-MER, dopamine may fall inappropriately with milk release, causing the negative feelings. Among the hormones involved in milk production and release are oxytocin, prolactin, and dopamine. Oxytocin, released in pulsatile "spikes" from the posterior pituitary in response
Human milk microbiome genomes are uniquely equipped to metabolize HMOs, which are otherwise indigestible by enzymes of the infant gut, some have suggested a coevolutionary dynamic between HMOs and certain bacteria common in both the milk and infant gastrointestinal microbiomes. Furthermore, relative to other mammalian milks, primate milk, particularly human milk, appears to be unique with respect to the complexity and diversity of its oligosaccharide repertoire. Human milk is typified by greater overall HMO diversity and predominance of oligosaccharides known to promote growth of "Bifidobacterium" in the infant gut. Milk microbiota are thought to play an essential role in programming the infant immune