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From studies in women with calcium intakes close to recommended intakes, these changes appear to be independent of dietary intake and can be regarded as physiologic (1, 2, 5, 6).
Indeed, the quality of care achieved by all patients in the study was moderately high, with overall glycemic, blood pressure, and LDL cholesterol control exceeding or close to recommended targets.
Studies of reproductive women with dietary calcium close to recommended intakes have shown that the changes in BMC and BMD during pregnancy and lactation are independent of current calcium intake and that maternal bone mineral is replenished in late lactation or after breastfeeding stops (3, 4, 6).
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The changes in bone mineral status by 13 wk lactation that we observed in these Gambian mothers were similar to those reported in breastfeeding women with calcium intakes closer to recommended intakes (2– 5, 17– 24).
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Specific applications involving high energy or high speed centrifugal pumps often require even closer adherence to recommended tolerances.
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