More research, and perhaps general monitoring of the outcomes, for both trans and cis women who breastfeed kids using the Newman-Goldfarb protocol seems desirable. (Trans women are demonized for choosing to mother in ways that include potential risks; cis women are often expected to perform certain actions and roles, any potential risks that they may personally be uncomfortable taking on be damned.) But it would be a stretch to imagine that induced lactation presents any significant public health concern, or even wild deviation from the inventive ways human beings have thought about milk over the years. The current meltdown over trans women breastfeeding is based not on science but a fear that science is being implemented to help and benefit the wrong people
Lactation in Trans Women https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5779241/ https://academic.oup.com/jcem/article/106/5/e2047/6123860?login=false Two Peer-Reviewed case studies of induced lactation in trans women. Each case involved moderate quantities of milk production, and the childrens’ health was observed to be developmentally appropriate.
https://doi.org/10.1186/s13006-020-00308-6 Peer-Reviewed survey of healthcare professionals’ experiences in inducing lactation in transgender women. Provider reports cover more than 13 direct cases and 17 providers with additional knowledge of programs for inducing lactation in trans women.
https://pubmed.ncbi.nlm.nih.gov/10632490/ https://www.thebreastonline.com/article/S0960-9776(21)00346-5/fulltext https://www.endocrinepractice.org/article/S1530-891X(20)35121-1/fulltext Peer-Reviewed studies demonstrating that through HRT, trans women’s breasts become anatomically and functionally identical to cis women’s breasts.
https://journals.sagepub.com/doi/10.1177/08903344231170559 Peer-Reviewed analysis of the nutritional content in a transgender woman’s breast milk. The nutrients in her breast milk were found to be better than reference levels in every category. This is consistent with the literature on the nutritional contents of breast milk from inducing lactation in cis women (https://pubmed.ncbi.nlm.nih.gov/25288606/). Lactation has even been observed in cisgender men, and the nutritional contents of male milk is within reference levels for normal lactating cis women (https://pubmed.ncbi.nlm.nih.gov/7462406/)
https://www.breastfeedingnetwork.org.uk/domperidone/ https://www.ncbi.nlm.nih.gov/books/NBK501371/ Domperidone, the galactagogue commonly prescribed for inducing lactation, is safe and effective for young, healthy women breastfeeding. “NO adverse events were noted in mothers or children”
https://www.ncbi.nlm.nih.gov/books/NBK501101/ https://www.ncbi.nlm.nih.gov/books/NBK501296/ https://www.ncbi.nlm.nih.gov/books/NBK501345/ Spironolactone, Estradiol, and Progesterone, the three medications commonly prescribed for transfeminine HRT, are safe to use while breastfeeding.