Podcasts about Fertility

The menstrual cycle is a vital sign. So why isn't it treated like one? 10 years after ACOG said we should be assessing every teen girl's cycle… most clinicians still aren't doing it. We need to change that. Follow this link to view the full show notes page! This episode is sponsored by Lisa's new book Real Food for Fertility, co-authored with Lily Nichols! Grab your copy here!  Would you prefer to listen to the audiobook version of Real Food for Fertility instead?

Most people battling chronic illness are stuck in a loop—symptoms, meds, side effects, more meds—and they still don't get better. Today's guest, Dr. Paul Savage, is a pioneer in plasma exchange therapy, and his work is honestly game-changing. Plasma exchange isn't new. It's been used in hospitals for over 50 years. But Dr. Savage is using it in a whole new way, and his results are nothing short of groundbreaking. We're talking about a 70–95% improvement in biomarkers. Up to 90% toxin reduction in just 3 months. Real reversal (yes, reversal) of cognitive decline, autoimmune flares, long COVID, and even pre-cancer markers.  So, what is plasma exchange? Think of it like an oil change for your blood. This therapy removes virtually all toxins by filtering them out of your plasma and replacing it with clean albumin. No other therapy can do this. And here's what blew me away: This isn't just for people who are already sick. It's for anyone who wants to stay healthy, especially if chronic illness runs in your family. Toxin accumulation breaks your DNA, suppresses your immune system, and speeds up aging before you feel anything at all. We also dive into how toxins fuel obesity, heart disease, infertility, autism, and neurological issues, and why detoxing needs to happen before symptoms hit. If you've tried “everything” and you're still not getting better, or you want to protect yourself and your family for the long haul, this is the episode you don't skip.   “ Toxicity is not something coming in the future. It's here today. Look at the evidence, it's around you. And if you don't think you've been impacted by this yet, your number just hasn't come up." ~ Dr. Paul Savage   In This Episode: - Dr. Savage's dramatic health transformation story - What is plasma exchange, and how does it work? - Why we're all toxic now: the 250 billion ton problem - MD Lifespan clinics — dispelling the myth of single toxin problems - Why chelation therapy isn't enough anymore - The complete MD Lifespan protocol explained - Cost of plasma exchange and locations - Real patient success stories - Diabetes, obesity, and the toxic connection - Fertility issues and protecting future generations - The top-most dangerous toxins (and hardest to remove) - Plasma donation misconceptions   For More: Visit https://mdlifespan.com/myersdetox    Products Mentioned: MD Lifespan Plasma Exchange Program – https://mdlifespan.com/myersdetox  Toxin Testing Kit – Available at: https://mdlifespan.com/myersdetox MDL CLEAN Guidebook – Available at: https://mdlifespan.com/myersdetox Puori PW1 Protein Powder: Get 20% off at https://puori.com/wendy  with code WENDY. Organifi Collagen: Save 20% at https://organifi.com/myersdetox with code MYERSDETOX.   P600 Cookware by Chef's Foundry: Special deal at bit.ly/myersdetox    About Dr. Paul Savage: Dr. Paul Savage is the founder and Chief Medical Officer of MDLifespan and the creator of the PlasmaXchange™ protocol, a revolutionary therapeutic approach tackling the root of modern chronic illness: toxins. Blending science, compassion, and real-world practicality, Dr. Savage is leading the charge to make the therapy accessible, effective, and results-driven for people battling inflammation, cognitive decline, autoimmune disease, and more. From launching BodyLogicMD to spearheading MDLifespan's expansion to 25 cities, he is redefining what is possible in preventive and precision medicine. Learn more at: https://mdlifespan.com/myersdetox    Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for statements made by guests. This podcast does not make any representations or warranties about guests' qualifications or credibility. Individuals on this podcast may have a direct or indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

Hey sweet sister, this episode is full of hope. If you're in a season of waiting—whether that's waiting to conceive, healing from a loss, or just needing God to show up—this is for you. We're diving deep into Joshua 3 and 4, where God parted the Jordan River again—but this time, it was Joshua leading, not Moses. There's so much here for us when it comes to trusting the Lord even when it feels like nothing is happening, or worse, everything is going wrong. I share three practical steps straight from this passage to help you grow your faith right now—yes, today—while you're in the middle of your own waiting season. You'll want to grab a journal or your notes app because we go step-by-step on how to actually walk this out in your quiet time. ✨ Oh—and one last thing: I'm taking applications for interns right now! If this mission is lighting a fire in you and you want to serve alongside me while earning Fertility Framework, go apply at bekahyawn.com/intern. Applications close tomorrow! In Him,  Bekah Resources & Links: ✨ I've put together a free faith-filled booklet to help guide you through this journey. It's called Faith-Driven Fertility, and it's full of practical steps and encouragement for trusting God while supporting your body for conception.

In this episode, the hosts introduce their guest Nicola Salmon, a fertility coach with a medical science background who advocates for fat-positive fertility. Nicola shares strategies for navigating the biases in fertility healthcare systems, especially for those in bigger bodies. She discusses her journey, the myths around fertility in fat bodies, and the challenges posed by current medical practices, including BMI restrictions and the implications of GLP-1 medications. Nicola also offers insights on advocating for oneself in medical settings and emphasizes the importance of creating a supportive and safe environment. The conversation covers practical advice, highlights the emotional aspects of the journey, and aims to provide both hope and actionable steps for those struggling with fertility and fat bias. MEET Nicola Salmon Fat Positive Fertility Membership on KOFI Join our support community. This community is for you if you want a safe space to work through your daily struggles with food and body image. Community membership includes livestream episode recordings (online), monthly Zoom support meetings, a private Facebook group and member-only Q&A episodes. For more information go to: https://www.patreon.com/lifeafterdiets Instagram – https://www.instagram.com/lifeafterdietspodcast Email – hello@lifeafterdietspod.com Connect with Stefanie Michele, Binge Eating Coach & Somatic Therapist IT Website – www.iamstefaniemichele.com Instagram – www.instagram.com/iamstefaniemichele Connect with Sarah Dosanjh, Author & Psychotherapist Website – www.thebingeeatingtherapist.com Instagram – www.instagram.com/the_binge_eating_therapist YouTube – https://www.youtube.com/c/TheBingeEatingTherapist Sarah's book I Can't Stop Eating is available on Amazon

In this episode we are exploring the controversial connection between asthma and fertility. I'm going to share some of the research we have so far showing how asthma can impact pregnancy outcomes, particularly in relation to recurrent miscarriage. How the immune system plays a role in infertility and miscarriage is not talked about - but this is impacting so many couples worldwide! I cover we we need to care, what the testing looks like and how you can support your body if you come back with positive markers.   Want more support? Join me in my free 5-day Fertility Confidence Bootcamp starting June 2nd and get started on the next step of your fertility care plan with me. Register at ttc.kelseyduncan.com/bootcamp   Thank you to our amazing podcast sponsor, Needed. You can save 20% off your first order with code DRKELSEY at thisisneeded.com.   Want a step by step plan backed by science and based on your own unique fertility identifiers? Let's get to the root cause together and make a baby. Learn more about how Fertility Confidence Method can support you at downloads.kelseyduncan.com/results  

Should pregnant women stay away from beauty products? A new saliva test that can help cancer patients. A promising step in understanding menopause. Here's one more reason to have an abundance of fruits and vegetables in your diet. Learn More: https://radiohealthjournal.org/medical-notes-how-the-beauty-industry-is-threatening-your-pregnancy-the-best-test-for-fertility-planning-and-how-eating-veggies-helps-your-cells Learn more about your ad choices. Visit megaphone.fm/adchoices

How can couples reclaim their power on the path to pregnancy and parenthood? Ronit Menashe and Vida Delrahim, best friends and co-founders of WeNatal, both suffered the heartbreak of miscarriages at the same time, which led them to dig deeper into the fertility space. What they discovered led them to create WeNatal to revolutionize the prenatal space. They share why women shouldn't bear the burden of fertility alone, how to step outside the narrative that's been told around pregnancy and fertility, what actionable changes to make to your lifestyle and environment to improve your whole being, and how to be the guide on your own journey to wellness. - Doors are open to This Abundant Life until May 29th! cathyheller.com/join- Start your free trial of the Confetti Collective for bonus episodes, curated collections, and more cathyheller.com/confetti - Get a free magnesium with your order https://wenatal.com/abundant- Take the free WeNatal Fertility Masterclass http://wenatal.com/masterclass- Follow WeNatal on Instagram @we_natal - Thanks Miracle Made! TryMiracle.com/DREAMJOB and use code DREAMJOB to claim your free 3-piece towel set and save over 40% off Some of the links in the show notes above are affiliate links. This means that if you click on the link and make a purchase, we may earn a small commission at no additional cost to you. These commissions help support our podcast and allow us to continue creating content. We only recommend products and services we genuinely believe in. Thank you for your support! Learn more about your ad choices. Visit podcastchoices.com/adchoices

251: Today I'm joined by Dr. Gregory Kelly, VP of Product Development at Qualia Life. We dive into NAD+—why it's crucial for energy, aging, and overall vitality—and how to know if your levels are low. We also talk about detox, fertility, B vitamins, and what sets Qualia's NAD+ apart from the rest. If you're curious about longevity or navigating the supplement world, you won't want to miss this one. I've been using their products for years and trust them more than most on the market.  Qualia | Go to qualialife.com/REALFOODOLOGY for up to 50% off your purchase and use code REALFOODOLOGY for an additional 15%.  Topics Discussed:  What is NAD+ and why is it important for energy and aging? How can I tell if my NAD+ levels are low? What makes Qualia's NAD+ supplement different from others on the market? Can NAD+ supplements support longevity and mitochondrial health? Are supplements from Amazon safe or effective? Timestamps:  00:00:00 – Introduction  00:02:14 – What is NAD+ 00:06:12 – NAD+ and mitochondrial health 00:07:59 – NAD+ for lifespan and vitality 00:13:06 – NAD+ and longevity 00:16:56 – NAD+ for detox and stress 00:20:01 – How to naturally boost NAD+ 00:22:15 – NAD+ and fertility 00:24:23 – NAD+ and whole-body health 00:26:35 – How NAD+ is made in the body 00:27:49 – What makes Qualia NAD+ different 00:31:45 – MTHFR gene and B vitamins 00:35:11 – B vitamins' role in NAD+ 00:36:11 – Why Niagen® is used 00:37:18 – Signs of low NAD+ 00:40:04 – NAD+ research and studies 00:46:15 – Caffeine and NAD+ 00:48:15 – NAD+ dosage and usage tips 00:53:21 – Balancing NAD+ safely 00:55:06 – Fake supplements on Amazon Further Listening:  Stop Aging + Enhance Focus  | Greg Kelly of Qualia  Sponsored By: Qualia | Go to qualialife.com/REALFOODOLOGY for up to 50% off your purchase and use code REALFOODOLOGY for an additional 15%.  Check Out Qualia:  Qualia | Go to qualialife.com/REALFOODOLOGY for up to 50% off your purchase and use code REALFOODOLOGY for an additional 15%.  Instagram Podcast Check Out Courtney:  LEAVE US A VOICE MESSAGE Check Out My new FREE Grocery Guide! @realfoodology www.realfoodology.com My Immune Supplement by 2x4 Air Dr Air Purifier AquaTru Water Filter EWG Tap Water Database Produced By: Drake Peterson

On this episode of The Wholesome Fertility Podcast, I am joined by Dr. Nirali Jain (eggspert_md), a board-certified OB/GYN and reproductive endocrinologist at Reproductive Medical Associates (RMA). Dr. Jain shares her expert insights on fertility preservation for individuals undergoing cancer treatment, a crucial yet often overlooked aspect of reproductive care. We explore what options are available for fertility preservation, including egg and sperm freezing, and why it's so important to initiate these discussions before starting chemotherapy or radiation. Dr. Jain also explains the difference between Letrozole and Clomid, the impact of estrogen-sensitive cancers on IVF treatments, and innovative approaches like random-start cycles and DuoStim protocols. Whether you're facing a cancer diagnosis or simply thinking proactively about your reproductive future, this conversation is filled with knowledge and reassurance. Key Takeaways: Why it's essential to discuss fertility before starting cancer treatment. The role of Letrozole in estrogen-sensitive cancers and fertility preservation. Differences between Letrozole and Clomid, and why Letrozole is often preferred. How new protocols like DuoStim and random-start cycles are improving outcomes. Why fertility preservation is important even for those without a cancer diagnosis. Guest Bio: Dr. Nirali Jain (@eggspert_md) is a board-certified OB/GYN and fertility specialist at Reproductive Medicine Associates (RMA) in Basking Ridge, New Jersey. She earned both her undergraduate degree in neurobiology (with a minor in dance!) and her medical degree from Northwestern University, before completing her residency at Weill Cornell/NYP, where she served as co-Chief Resident, and her fellowship in reproductive endocrinology and infertility at NYU Langone. Deeply passionate about women's health and fertility preservation, Dr. Jain blends the latest research and cutting-edge treatments with compassionate, patient-centered care. Her interests include third-party reproduction and oncofertility, and she is especially passionate about supporting patients navigating fertility preservation through a cancer diagnosis. Outside of the clinic, Dr. Jain is a trained dancer, a dedicated global traveler, and an adventurer working toward hiking all seven continents with her husband. Her diverse experiences, from international medical rotations to personal connections with friends and family navigating infertility, have shaped her into a warm, resourceful, and determined advocate for her patients. Links and Resources: Visit RMA websiteFollow Dr. Nirali Jain on Instagram For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. --  Transcript:   # TWF-Jain-Nirali (Video) ​[00:00:00]  **Michelle Oravitz:** Welcome to the podcast Jain.  **Dr. Nirali Jain:** Thanks so much for having me **Michelle Oravitz:** Yeah, so. **Michelle Oravitz:** I'm very excited to talk about this topic, which, um, actually you don't really hear a lot of people talking about, which is how to preserve your fertility if you're going through a cancer diagnosis and if you have to go through treatments. 'cause obviously that can impact a lot on fertility. **Michelle Oravitz:** I have, um, seen actually like a colleague of mine go through. And she also preserved her fertility and, and now she has a baby boy. so it's really nice. **Michelle Oravitz:** to **riverside_nirali_jain_raw-video-cfr_michelle_oravitz's _0181:** so nice. **Michelle Oravitz:** So I'd love for you first to introduce yourself and kind Of give us a background on how you got into this work. **Dr. Nirali Jain:** Of course. Um, so I am Dr. Narly Jane. I am, um, an OB GYN by training, and then I did an additional, after completing four years of residency in OB GYN and getting board certified in that, I did an additional training in reproductive endocrinology and [00:01:00] infertility or otherwise known as REI. So now I'm a fertility specialist. **Dr. Nirali Jain:** Um, I trained at Northwestern in Chicago, so I went to undergrad and medical school there. And then, um, home has always been New Jersey for me, so I moved back out east to New Jersey. Um, I did all my training actually in New York City at Cornell for residency and NYU for fellowship. Um, and then moved to the suburbs. **Dr. Nirali Jain:** Um, and now I'm a fertility specialist in, in Basking Ridge at Reproductive Medical Associates.  **Michelle Oravitz:** Very impressive background. That's awesome.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** I'd love to hear just really. About what your process is. If a person has been diagnosed with cancer, like what is the process? What are some of the things that you address if they are trying to preserve fertility, and what are some of the concerns going  **Dr. Nirali Jain:** yeah, yeah. All great questions. So, you know, there's a lot of us, uh, the Reis. Are a very small, [00:02:00] there's a very small number of us. So in terms of specializing in fertility preservation, technically we all are certified to treat patients with cancer and kind of move them through fertility preservation before starting chemotherapy. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, luckily we've been working closely with oncologists in the past several years just to establish some type of streamlined system because having a diagnosis of cancer and hearing all that information. Especially when you're young is so hard. So I think that's, that's where my interest started in terms of being able to speak to and counsel cancer patients. **Dr. Nirali Jain:** I think it is a very specific niche that you really have to be comfortable with in our field. Um, I. So I'll kind of walk you through, you know, what it, what does it look like, right? Um, you go into your oncologist's office suspecting that you have this, this lump. I'll take breast cancer, for example. It could really be any kind of cancer. **Dr. Nirali Jain:** Um, but breast cancer in a reproductive age patient or someone that's in those years where you're starting [00:03:00] to think about building a family, planning a family, um, or if you have kids at home, that's usually the type of patient that we see come in with a breast cancer diagnosis. So. Kinda just taking that, for example, um, the minute that you're diagnosed, it's really your oncologist's responsibility to counsel you on what treatment options are going to be offered to you. **Dr. Nirali Jain:** And then based off of the treatment options, it's important to know how that affects your reproduction. So how does it affect your ovaries in the short term, in the long term, um, in any way possible. So. Once a patient is initially referred from their oncologist to myself or any other fertility specialist, they come into my office and we just have a 30 minute conversation really talking about family planning goals. **Dr. Nirali Jain:** Any kids that they've had in the past either naturally conceived or through um, IVF, and then we talk about where they're at in their relationship. Are they married, are they not? Are they with a partner, [00:04:00] a male partner, a female partner, whatever it might be. It's important to know the social standpoint, um, especially in this sensitive phase of life. **Dr. Nirali Jain:** So patient patients usually spend anywhere from 30 minutes to an hour. Um, just kind of talking through where they're at, how they're feeling, what their ultimate childbearing goals are. And then from there we do an ultrasound and that's when I'm really able to see, you know, the, the reproductive status. **Dr. Nirali Jain:** So what do the ovaries look like? What does the uterus look like? Is there something that I need to be concerned about from a baseline GYN standpoint? Um, and all of those conversations are happening in real time. So. I think one of the things is patients come in and they're like, I'm already so overwhelmed with all this information from my oncologist, and now my fertility specialist is throwing all this information at me. **Dr. Nirali Jain:** Luckily, the way I like to frame it is you come in and you just let go. Like you let us do the work because in the background we're the ones talking to your oncologist. We're the [00:05:00] ones giving that feedback and creating a timeline with your oncologist. Um, and really I think just getting in the door is the hardest part. **Dr. Nirali Jain:** So once patients are here to see us, we go through the whole workup. We do anything that we would do for a normal patient that came in for fertility preservation. And then based off of where they're at in their journey, we talk about what makes sense for them, whether that means freezing embryos, freezing eggs, they're very similar in terms of the, the few weeks leading up to the egg retrievals. **Dr. Nirali Jain:** So I have that whole conversation just at the initial visit. And then from there we talk about the timeline behind the scenes and make sure that it works with their lives before moving forward. **Michelle Oravitz:** So for people listening to this, why, and this might be an obvious question, but to some it might not be,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** why would somebody want to preserve. eggs or sperm. 'cause I've had actually some couples  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** come to me where the husband preserved the sperm and they had to go through IVF just because he was going [00:06:00] through cancer treatments. So he had to preserve the sperm ahead of time.  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** people need to consider doing that before doing cancer treatments?  **Dr. Nirali Jain:** So there are certain cancer treatments that do affect the ovaries and the sperm health, and you know, for men and women, it affects your reproductive organs. In a similar way, um, depending on the type of chemotherapeutic agent, there are some that are more dangerous in terms of, um, being toxic to your ovaries or toxic to your sperm. **Dr. Nirali Jain:** And those are the instances where we are really thinking about what's the long-term impact because there's medications that oncologists do give patients, and our oncologists are amazing, the ones that we work with, Memorial Sloan Kettering from Reproductive Medical Associates through RMA, um, and. **Dr. Nirali Jain:** They're just so good at what they do and are so well-trained, so they know in the back of their mind, is this going to impact your ovaries or your sperm health or not? Um, and I [00:07:00] think that any chemotherapy, you know, your ovaries are these, these small organs that are constantly turning over follicles every month. **Dr. Nirali Jain:** So every month we're losing those eggs, and if they don't become. If an egg isn't ovulated, it doesn't become a baby, it's just gonna die off. So I counsel even patients that don't have cancer, I counsel them on fertility preservation as young as possible. You know, between the ages of 28 and 35, that's like the best time to preserve your fertility. **Dr. Nirali Jain:** So in cancer patients, there's an extra level added to that where even if they are a little bit younger, a little bit older. Your eggs are not gonna be the same quality. There's gonna be higher level of chromosomal errors, more DNA breakage, um, and, and bigger issues that lead to issues with conceiving naturally afterwards. **Dr. Nirali Jain:** So I think that it's important to consider how that chemotherapy is going to affect them or how surgery would affect them if it was, for example, a GYN cancer where [00:08:00] we're removing a whole ovary, you know, what, what do we have to do to preserve your fertility in that case? And those are important conversations to have. **Michelle Oravitz:** Yeah. for sure. I know that a lot of people are also concerned, you know, with going through the IVF process, you're taking in a lot of estrogen, a lot of hormones, and many cancers are actually estrogen sensitive. So I wanted to talk to you about that. 'cause I know that the data shows that it's. It's been fine, which some people might find surprising, but I wanted you to address that and just kind of **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** from your perspective.  **Dr. Nirali Jain:** That's so interesting that you asked that question because I actually, my whole I I graduated fellowship last year and my entire, like passion project in fellowship was looking at one of the drugs that we use to suppress the estrogen levels specifically in cancer patients. Um, and I had presented this at a few of our reproductive meetings. **Dr. Nirali Jain:** Um, A SRM is one of our annual meetings where all of the reiss get together. A lot of male fertility [00:09:00] specialists come and we kinda just talk about. Specific things and fertility preservation for cancer patients is, has been an ongoing topic of interest for all of us. Um, and it's important to know that there are different medications that we can offer. **Dr. Nirali Jain:** Letrozole is the one that I, um, have a particular love for and I, uh, you know, I use all the time for my patients, um, for different reasons, but it suppresses the exposure that your body has to estrogen. And there's mixed data, um, out there in terms of, you know, does Letrozole suppression actually impact, you know, does it help or. **Dr. Nirali Jain:** Or does it have no impact on your future risk of cancer after treatment? Um, and that honestly is still up for debate. But what we do know is that there's no increased risk of cancer recurrence in patients that have undergone fertility preservation with or without Letrozole. Um, Letrozole is one of those things that we can give, and the way it works is basically. **Dr. Nirali Jain:** It masks that [00:10:00] conversion. It, it doesn't allow for conversion from those androgens in the male hormones over to estrogen. Um, and so your body doesn't really see that estrogen exposure. It stays nice and low throughout your cycle, and it does help with actually ovarian maturation and getting mature eggs harvested and, um, helps a little bit with, with quality too. **Dr. Nirali Jain:** So I think that it's really nice in terms of having that available to us, but know that. It's not, it's not essential that you have it, really, the data showing plus minus. Um, but there are certain things that we can do to protect the ovaries, protect your exposure to estrogen. Um, and so that shouldn't be top of mind of concern when we're going through fertility preservation, even with an estrogen sensitive cancer. **Michelle Oravitz:** Actually, so, uh, on a different topic, kind of going back to that, so Letrozole versus Clomid, I, it's like a, the questions I personally feel just based on what I've heard and like my own research that Letrozole would be kind of like the more. [00:11:00] Um, the, it's, it's a little better, but I know that it really depends on the person as well.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** they might do better with Clom, but I'd love to hear your perspective and kind of pick your brain on this.  **Dr. Nirali Jain:** totally. You're choosing all the, all the right questions because these are all of my, my specific interests and niches. So  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** Letrozole is basically, you know, we use Letrozole and Clomid in. Patients that don't have cancer and patients that come in for an intrauterine insemination, that's kind of the most common scenario where we're thinking about, you know, which medication is better? **Dr. Nirali Jain:** Letrozole or Clomid and Clomid used to be the, the most common medication that we use, we dose patients, you know, have 50 milligrams of Clomid, give them five days of the medication. It's an oral pill. Feels really easy and. The way it works is really, it recruits more than one follicle, so it really helps with the release of, um, more than one follicle growing more than one follicle in the ovary. **Dr. Nirali Jain:** Um, but it has a little bit [00:12:00] higher of a risk of twins because that's exactly what it's good at. Um, Clomid, not so much in the cancer. In the cancer front, it's not really used there because it's considered, from a scientific perspective, it's considered like a selective estrogen receptor modulator. So it doesn't necessarily suppress your estrogen levels in the same way that Letrozole does versus. **Dr. Nirali Jain:** Letrozole is an aromatase inhibitor, so it really blocks the chemical conversion of one drug or one hormone to the other hormone. Um, the reason we love Letrozole so much, and I don't mean to like gush over Letrozole, but um, it's a mono follicular agent, so it works really well at recruiting one follicle  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** you know, every OB-GYN's nightmare in a way is having multiples when you didn't intend on having multiples at all. **Michelle Oravitz:** so  **Dr. Nirali Jain:** Um. **Michelle Oravitz:** were saying that, um, there's more of a chance of twins, it's Clomid, not letrozole.  **Dr. Nirali Jain:** Yes, there's a higher chance with Clomid versus Letrozole. And I mean, don't get me wrong, there's a chance of twins with [00:13:00] any type of assisted reproductive technology. Even when we're doing single embryo transfers, there's a chance that it's gonna split. So, um, the chance is always there just like it is in the natural world. **Dr. Nirali Jain:** But we know for a fact that. CLO is really good at recruiting many follicles. It's good for certain patients that don't respond well to Letrozole. Um, but Letrozole is kind of our, our go-to drug these days just because of all the benefits that we've seen.  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** These are all fun things to ask because I, I love talking to our eis 'cause there's so much information that I'm always  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** learn a lot from my patients in my own research, but it's really cool. Picking your guys' brains. So another question I have, and I have actually talked to Dr. Andrea Elli, he's been on,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** and he does a lot of endometriosis and, and immune related work as well,  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** so. I'd love to know just from your perspective. One thing that I do know from, based on what I've heard is that the, [00:14:00] guess like you were just saying, that breast cancer or estrogen sensitive breast cancer doesn't seem to be affected by IVF cycles, however, and endometriosis lesions do get affected.  **Dr. Nirali Jain:** Yeah. **Dr. Nirali Jain:** that's a great question. So, you know, every, there are so many complex G mind diagnoses that the, that our patients come in with. Um, and endometriosis is a big one because there is clear data that endometriosis is linked to infertility. So we think about, you know, when a patient comes in with endometriosis, we really do think about the different treatment options and what are the short-term and long-term impacts of the hormones that we're giving 'em. **Dr. Nirali Jain:** Um, these days, again, kind of going back to Letrozole, we, letrozole is something that I give all of my endometriosis patients because it helps suppress their estrogen because we know.  **Michelle Oravitz:** interesting.  **Dr. Nirali Jain:** is very responsive to estrogen and leads to this dysfunctional regulation of all the endometrial tissue that can really flare in a, [00:15:00] in a cycle, or shortly after a cycle. **Dr. Nirali Jain:** I. So we really, for endometriosis patients, the, the best treatment is being on birth control because we don't see that hormonal fluctuation. The up and down of the estrogen and the progesterone, that's what leads to those flares. Um, so I really, I watch patients closely after their cycles too, because you definitely can have an endometriosis flare and we say the best treatment for endometriosis is pregnancy, right? **Dr. Nirali Jain:** That's when you're suppressed, that's when you're at your lowest. Um, and patients, my endo patients feel so good in pregnancy because they have. Hormones that are nice in that baseline, they're not getting periods of course. Um, and that's truly, truly the best treatment.  **Michelle Oravitz:** That's interesting.  **Dr. Nirali Jain:** But it is important to consider when you're going through infertility treatments. **Dr. Nirali Jain:** How does my endometriosis affect the short and long-term effects of the fertility medications? And really not to, not to say that they're bad in any way. I think a lot of endometriosis patients go through IVF and have success and do really, really well, and that's kind of the push that they need. [00:16:00] Um, but it's important to be mindful of the bigger picture here. **Dr. Nirali Jain:** It's not just, you're not just a number of. A patient with endo coming in, getting the same protocol. It's really individualized to the extent of your lesions, what symptoms you're having, what grade of endometriosis, where your lesions are. So we're the RAs are thinking about everything before we actually start your protocol. **Michelle Oravitz:** It's crazy how in depth it is, and it's, it, there's just so, it's so multifaceted,  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** when it's females  **Dr. Nirali Jain:** totally. **Michelle Oravitz:** are a little, I mean, they can, you know, there, there's definitely a number of things, but it's not as complicated and interconnected  **Dr. Nirali Jain:** Exactly. Exactly. That's so true. **Michelle Oravitz:** And so one question I actually have, this is kind of really off topic, but something that I was curious about. **Michelle Oravitz:** 'cause I heard about a while  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** a, a type of cancer treatment that was used. I'm not sure exactly what it was, but for some reason it actually caused follicles to grow, [00:17:00] or to multiply. And they were **Dr. Nirali Jain:** Interesting. **Michelle Oravitz:** this definitely. Puts, um, the whole idea of like a woman being born with all the follicles she'll ever have on its head, I thought that was really Interesting. **Michelle Oravitz:** Now I learned a little bit about it. I don't think it really went further than that,  **Dr. Nirali Jain:** Mm-hmm. **Michelle Oravitz:** one of those things that they're like, Hmm, this is interesting. I don't know, it was kind of a random side effect of this chemo drug. I dunno if it was a chemo drug or a cancer drug.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** ever heard of that. **Michelle Oravitz:** So I was just **Dr. Nirali Jain:** I haven't, I mean, that's interesting. I feel like I'd have to look into that because that would be definitely a point of interest for a lot of Reis. But it kind of does go back to the point of, you know, women are really born with all the eggs we're ever gonna have. So it's about a million, and then it just goes down from there. **Dr. Nirali Jain:** And the, by the time you start having periods, I like to kind of show my patients a chart, but you have a couple hundred thousand eggs and you ovulate one egg a month. That's, you know. Able to [00:18:00] progress into a fertilized egg and then into a, an embryo into a baby, um, if that's your goal. But otherwise, patients that are having periods and not trying to actually get pregnant, we're losing hundreds of eggs a month. **Dr. Nirali Jain:** So.  **Michelle Oravitz:** Mm.  **Dr. Nirali Jain:** It's important to kind of think about that decline, and it's important to know that that rate can be faster in patients with cancer, patients with low ovarian reserve. And sometimes when you have the two compounded, that's when a fertility specialist is definitely, you know, in the queue to, to have a discussion with you in terms of what that means and how you can reach your family building goals despite being faced with that, with that challenge. **Michelle Oravitz:** Yeah. **Michelle Oravitz:** I mean, 'cause we know oxidative stress is one of the things that can cause, uh,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** quality eggs, but it's also can cause cancer. **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** um, similar, you know, like things that really deplete the body could definitely impact. Um, and then what are your thoughts? I know I'm asking you all kinds of random questions, **Dr. Nirali Jain:** I love it. **Michelle Oravitz:** are your thoughts about doing low simulation in certain [00:19:00] circumstances versus high stem? **Michelle Oravitz:** Sometimes people don't respond as well to higher stems.  **Dr. Nirali Jain:** Yeah, that's a great point. I think that it kind of all goes back to creating an individualized protocol. If. A patient's going to a practice and basically just getting a protocol saying, this is our standard. We start with our standard of, you know, I, I think about the standard, which is 300 of the FSH or that pen that you dial up, and then 150 units of that powder vial. **Dr. Nirali Jain:** And we have patients mixing powders all the time, and that's kind of our blanket protocol that we give patients. But that's not really what's happening behind the scenes. And if you're given a protocol that's, and being told, you know, this is kind of what we give to everyone, it's probably not the right fit for you. **Michelle Oravitz:** Yeah, I  **Dr. Nirali Jain:** Um, there are certain patients that respond to a much lower dose and do really, really well, and then some patients that need a much higher dose. Um, and I think it's, that's kind of like the fun part of being an REI of being able to individualize the [00:20:00] protocol to the patient. Um, and I know for a fact there are so many, luckily, you know, we have so many leaders in REI that have been. **Dr. Nirali Jain:** Have dedicated their entire careers to researching these different protocols and how they can help different patients. Um, patients with lower a MH, you know, might benefit from a duo stim protocol, for example. That's kind of the first one that comes to mind, but a protocol where we're using those follicles from the second half of a cycle. **Dr. Nirali Jain:** I would've never thought that those were the follicles that  **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** would be better than the first half of the cycle,  **Michelle Oravitz:** Wait,  **Dr. Nirali Jain:** but, **Michelle Oravitz:** that. Explain that. Um, because I think that that's kind of a unique  **Dr. Nirali Jain:** mm-hmm.  **Michelle Oravitz:** that I haven't heard of.  **Dr. Nirali Jain:** Yeah, so there's this new day. It's still kind of developing, but um, kind of going back to, you know, what's an individualized protocol? Duo STEM is one of the newer protocols that we've started using. I, I've used it once or twice in patients. Um, but it goes back to the research that shows that you might actually have two different periods of time in a menstrual cycle where you could potentially recruit [00:21:00] follicles. **Dr. Nirali Jain:** You could have a follicular phase where there's a certain cohort of follicles recruited, and then you have a follicle that forms creates a corpus glut.  **Michelle Oravitz:** um, protocols  **Dr. Nirali Jain:** Yep. And then you basically go through the follicular protocol and then a few days after a retrieval, instead of waiting for a new follicular cohort or follicular recruitment from the first half of your menstrual cycle, you actually use the luteal phase and you recruit those follicles that would've actually died off or have been prematurely recruited in a prior cycle. **Dr. Nirali Jain:** So **Michelle Oravitz:** that's So  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** you just do a similar, I guess, um, medicine,  **Dr. Nirali Jain:** go right back into it.  **Michelle Oravitz:** do the same exact thing, but right after ovulation.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** Fascinating. That's really interesting.  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** has been your experience with that?  **Dr. Nirali Jain:** I think it's, honestly, it's mixed. Um, so far, you know, our data from fertility and sterility and A SRM, it, it shows support for these DUO STEM [00:22:00] protocols, saying that if patients don't have that great quality of eggs or if they have a very low number, maybe they'd benefit from starting the meds earlier and recruiting follicles. **Dr. Nirali Jain:** A little bit earlier. Um, so we've seen positive results so far. A lot of work to be done in terms of really understanding it. Um, and of course, as a new attending, I have a lot more experience to kind of build on. Um, but I, I have seen success from it. **Michelle Oravitz:** That's fascinating. Are there any other new technologies, like new add-ons, um, that you've seen, that you've found to be really cool or interesting?  **Dr. Nirali Jain:** I think the biggest thing, actually, kind of going back to our whole topic for today is fertility preservation cancer patients. One of the biggest things that I've learned recently is that we used to start fertility, um, patients. You know, only in the beginning of the cycle days, two or three is technically like when most. **Dr. Nirali Jain:** Most clinics, um, start patients, but for our cancer patients, sometimes you don't have that time. You don't wanna wait a full month to [00:23:00] restart, um, your, you know, your menstrual cycle and then do the fertility preservation and then delay chemotherapy a full month. So we started doing what we call random starts. **Dr. Nirali Jain:** So you basically start a patient whenever they come in. You know, it could be the day after your consultation, the day of your consultation. I've kind of seen all of the above. Um, and we've seen really good success with random starts, per se. Um, and we've been doing a lot more of that, where it's not as dependent on where you're at in your cycle. **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** Um, obviously there's a difference in outcomes. You might not be a great candidate for it, so definitely it's worth talking to your doctor about it. But it kind of gives relief to our cancer patients where if you have a new cancer diagnosis and you're like, oh, I just finished my period, like, I can't even start a cycle until next month. **Dr. Nirali Jain:** That's not always true. Um, so it's always worth it to go into see a fertility specialist and just get, you know, get the data that you need right away, and then you can make a decision later on. **Michelle Oravitz:** For sure. Um, Yeah. **Michelle Oravitz:** and I wanted to kind of cover a lot of different topics 'cause I know that [00:24:00] some people are gonna wanna hear what you have to say that don't necessarily, or, uh, have cancer. But it is important. I, I think that, you know, if you get to thirties and you haven't gotten married or you don't have a partner, I think it's really important to preserve your fertility in general.  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** important thing. And then if you were going through a cancer diagnosis and you decided to preserve your fertility, um, guess more for women because they're eventually going to be thinking about transfers after they go through treatment. So what are some of the things that they would need to consider as far as that goes? **Michelle Oravitz:** Like after the  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** then they go through the cancer treatments. Um, and then what, how long should they  **Dr. Nirali Jain:** yeah. Like what does it look like? So I've had patients that come back, you know, in my fellowship training I did a, a couple research projects on patients that came back to pursue an embryo transfer, um, after chemotherapy agent. And basically compared them to how they did, um, [00:25:00] compared to patients that didn't have cancer and just froze their embryos or froze their eggs and then came back to pursue a transfer and. **Dr. Nirali Jain:** I think the, the most reassuring thing from the preliminary data that we have is saying that there's no difference in pregnancy rates and no difference in life birth,  **Michelle Oravitz:** Awesome.  **Dr. Nirali Jain:** of whether they had chemotherapy or not. After freezing those eggs and going through fertility preservation.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Um, in terms of where your body needs to be, I think the oncologist, we, we wait for their green light. **Dr. Nirali Jain:** We wait for their signal to say, you know, she's safe to carry a pregnancy.  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** And then once we do that, we basically treat you like any other patient. So if you're coming in for a cycle, if you're having periods, then it's reasonable to try a natural cycle protocol, wait for your body to naturally ovulate an egg. **Dr. Nirali Jain:** And instead of obviously hoping that egg will fertilize, we, um, use a corpus luteum. We use the progesterone from the corpus luteum to really support this embryo being implanted into the uterus. Um. Yeah. [00:26:00] And then there's also another side. I mean, some patients don't get their periods back and they always ask like, what if I never get my period back? **Dr. Nirali Jain:** What if I'm just like in menopause because of the chemotherapy agents? And for that, we can start you on a synthetic protocol or basically an estrogen dependent protocol where you take an estrogen pill for a certain number of days. We monitor your lining, then we start progesterone, um, to support your hormones from that perspective instead of relying on your ovaries to release the progesterone that they need, um, and then doing the embryo transfer a few, few days after progesterone starts. **Dr. Nirali Jain:** So there's definitely different protocols depending on where your menstrual health is at after the chemotherapy or after the cancer treatment. Um, but it's important to kind of just know that. That there's options. It doesn't mean that it's the end of the road if you all of a sudden stop getting your period. **Michelle Oravitz:** Yeah, for sure. I mean, 'cause you, technically speaking, you can really control a lot of that. More so for transfers  **Dr. Nirali Jain:** Yep. **Michelle Oravitz:** Retrievals really is kind of like what [00:27:00] eggs you have, what the quality is. But people can be in complete menopause and you guys can still control their cycles for transfer, which is kind of. A huge difference  **Dr. Nirali Jain:** Yeah,  **Michelle Oravitz:** in the  **Dr. Nirali Jain:** exactly. That's exactly right. Yeah. **Michelle Oravitz:** interesting. Any other, um, new, new things that you're, you guys are excited about? I always like to hear about like the new and upcoming things  **Dr. Nirali Jain:** Of course.  **Michelle Oravitz:** actually before, which I thought was fascinating. Yeah.  **Dr. Nirali Jain:** I feel like there's always like updates and, and new data and things like that coming out, but just know, I think it's important for patients to know, like we're constantly, we're, the reason I chose to even pursue this field was because it's new. Right. There's something that we are discovering every day, every year, and that's what makes our, our conferences so important to attend, um, to really just stay up to date. **Dr. Nirali Jain:** Um, but we are, uh, constantly updating our embryology standards, the way we thaw our eggs, and the success rate associated with a thaw and [00:28:00] how we treat our embryos and the media that we use, right? Like, so we're really thinking about the basic science perspective every single day, and that's what makes this field so unique. **Michelle Oravitz:** It is really awesome. And so do you guys specialize specifically on, um. Egg freezing and, and I mean specific fertility preservation in patients that do that have cancer that are going through treatments, do you guys specialize specifically in that? I mean, I know you do range  **Dr. Nirali Jain:** Yeah. Yeah, because it's such a small community, we all have our own niches and we all kind of have our own interests and  **Michelle Oravitz:** Yeah.  **Dr. Nirali Jain:** no like specific training. There are a couple courses that you take that I took in in training as well, just to kind of understand what it sounds like to, I. Council of fertility preservation, patient with and without cancer. **Dr. Nirali Jain:** Um, and then, you know, you kind of just learn by experience and you form a niche for something that you're passionate about. 'cause that's what makes you, you know, really thorough in, in your treatment. [00:29:00] So that's one of my interests. Um, and, but I would say,  **Michelle Oravitz:** training for that. It's just like  **Dr. Nirali Jain:** yeah, **Michelle Oravitz:** just know how to treat that in  **Dr. Nirali Jain:** exactly.  **Michelle Oravitz:** especially if you're interested in doing that.  **Dr. Nirali Jain:** Exactly. That's exactly right. It's kind of, it just comes with the experience comes with your mentors and who you're surrounded by, and everyone kind of helps each other get to that point. But there are several specialists in our practice at RMA that specialize specifically in fertility preservation in cancer patients. **Dr. Nirali Jain:** So we have a close communication with our oncologist and they know who to refer to within the practice because everyone has their own little interests.  **Michelle Oravitz:** Amazing.  **Dr. Nirali Jain:** Yeah. **Michelle Oravitz:** Um, definitely. I, like I said, I really enjoy picking your brain because it's a lot of fun for me. I, I do  **Dr. Nirali Jain:** Totally.  **Michelle Oravitz:** acupuncture, so  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** and I, I think that it's just so crazy that our fields don't work together. I mean, we kind of do, but I think, I just feel like it would be so great  **Dr. Nirali Jain:** exactly.[00:30:00]  **Michelle Oravitz:** the expertise because you guys have immense. Benefits like in, in, uh, technology and incredible innovations and, and then the natural aspect of really understanding the, the body. And I, I just think that it would work so amazing together if it was more of like a thing. 'cause it, I know in China they actually combine the two  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** eastern.  **Dr. Nirali Jain:** Yeah, I mean I think that that's so important and there is data that shows, you know, there's actually a recent study that came out just a few weeks ago on the benefits of acupuncture for fertility patients. And we know that, I mean, I recommend it to all of my patients, specifically the day of the embryo transfer. **Dr. Nirali Jain:** We, luckily, we offer it on site at RMA and we have acupuncturists that come in and, and do a session before and after the embryo transfer, and I think. A lot of that is targeted towards stress relief. But I also think that holistically it's important to feel at your best when we're doing something that's so crucial to your, to your health. **Dr. Nirali Jain:** So to really focus on the diet, focus on stress relief, [00:31:00] focus on meditation, yoga, whatever it takes to get to your best wellbeing when you're going through fertility treatments, um, is so important. So I appreciate  **Michelle Oravitz:** Mm-hmm.  **Dr. Nirali Jain:** like you that really specialize in the other side of. Of this, because I do consider it still part of the holistic medicine that we need to really maximize success for our patients. **Michelle Oravitz:** Awesome. Well,  **Dr. Nirali Jain:** Yeah, **Michelle Oravitz:** Jane, this is such a pleasure Of talking to you. You've given us some, so much great information and we've definitely dived into a, do a topic that I don't typically, I haven't yet spoken about. But, um, that being said, it's such an important topic to talk about. And thank you so much for coming on today. **Michelle Oravitz:** Oh,  **Dr. Nirali Jain:** course. **Michelle Oravitz:** I get off, how can people find you?  **Dr. Nirali Jain:** That's a great question. So I have, um, a social media page. I, it's called Expert nc. So like EGG,  **Michelle Oravitz:** I  **Dr. Nirali Jain:** um, expert nc. Try, tried to make it a little bit humorous. Um, but I'm all over social [00:32:00] media and would love to hear from anyone that is listening. I, you know, every, every day I get different, um, dms and I'm happy to respond. **Dr. Nirali Jain:** I love hearing about everyone else's. Stories and things like that. Um, so that is kind of my main, main social media platform. Um, and then through like RMA and Reproductive Medical Associates, we also have a YouTube channel. We have an Instagram page, um, of our office available, um, as well that is public. **Dr. Nirali Jain:** So you can find us pretty easily if you just kind of hit Google. But um, yeah, I'm kind of developing my social media platform as the expert and I hope it grows.  **Michelle Oravitz:** Love it. Great.  **Dr. Nirali Jain:** Yeah.  **Michelle Oravitz:** was such a pleasure talking to you. Thank you. so much **Dr. Nirali Jain:** Thank you. **Michelle Oravitz:** today.  **Dr. Nirali Jain:** Of course. Thank you so much for having me.  [00:33:00]   

Are you trying to conceive and feeling unsure about where to start? Wondering if you're making mistakes that could be delaying your journey to parenthood? Curious about what really impacts fertility—and what steps you can take today to improve your chances? In this episode of Brave & Curious, Dr. Lora Shahine shares the five most common mistakes couples make when trying to get pregnant—and how to avoid them. Dr. Shahine also offers practical, evidence-based tips to support your fertility journey from the very beginning. Listeners will walk away feeling empowered with three key tips for optimizing fertility and a better understanding of why past or family fertility success doesn't guarantee the same for everyone. This episode offers clarity, encouragement, and actionable advice, no matter where you are in your TTC (trying to conceive) journey In this episode, you'll learn: [0:36] Mistake #1: Understanding your cycle [2:46] Mistake #2: Timing intercourse correctly [5:06] Mistake #3: Semen analysis matters [8:23] Mistake #4: Waiting too long to visit a fertility specialist [10:24] Mistake #5: Making assumptions [13:55] Top tips for getting pregnant fast   Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

In episode #374 of The Hormone Puzzle Podcast, our host Dr. Kela Smith, talks about Building Emotional Resilience While TTC – Inside the Fertility Puzzle. At the end of every month on The Hormone Puzzle Podcast, Dr. Kela takes you Inside the Fertility Puzzle with a special solo episode dedicated to key fertility topics. From optimizing hormones and decoding lab results to fostering emotional resilience, these episodes deliver actionable advice and expert insights to support your journey to conception. Designed to equip you with the tools and knowledge needed to navigate your unique fertility challenges, this series is your guide to empowerment and clarity. Tune in and let's work together to solve your fertility puzzle with confidence! More about Dr. Kela: Dr. Kela Smith is a leading Holistic Integrative Fertility & Hormone Doctor, dedicated to supporting women and couples facing fertility challenges. After overcoming her own fertility struggles using the Hormone P.U.Z.Z.L.E Method, it has been her mission to help others solve their infertility puzzles so they can get and stay pregnant, have a healthy happy pregnancy, and easy postpartum. An accomplished author, she also hosts the Solving-Infertility Summit, and Healthy Happy Pregnancy Summit. Dr. Kela's expertise also extends to guiding and inspiring future fertility experts as the lead educator at the Hormone Puzzle Society Educational Institute. Thank you for listening! This episode is made possible by Puzzle Brew's Fertility Tea: https://hormonepuzzlesociety.com/fertility-tea Follow Dr. Kela on Instagram: @‌kela_healthcoach Get your FREE Fertility Meal Plan: https://hormonepuzzlesociety.com/ FTC Affiliate Disclaimer: The disclosure that follows is intended to fully comply with the Federal Trade Commission's policy of the United States that requires to be transparent about any and all affiliate relations the Company may have on this show. You should assume that some of the product mentions and discount codes given are "affiliate links", a link with a special tracking code This means that if you use one of these codes and purchase the item, the Company may receive an affiliate commission. This is a legitimate way to monetize and pay for the operation of the Website, podcast, and operations and the Company gladly reveals its affiliate relationships to you. The price of the item is the same whether it is an affiliate link or not. Regardless, the Company only recommends products or services the Company believes will add value to its users. The Hormone Puzzle Society and Dr. Kela will receive up to 30% affiliate commission depending on the product that is sponsored on the show. For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com

Episode #375 of The Hormone Puzzle Podcast is a special episode where our host, Dr. Kela Smith talks about Secrets to Successful Fertility Coaching Business. Each month, the final episode of The Hormone Puzzle Podcast is dedicated to coaches and those who aspire to become coaches, providing skills and insights you can apply directly to your own coaching practice. Whether you're brand new to this path or already working in the health and wellness space, you'll walk away from this episode feeling inspired, equipped, and ready to take the next step. More about Dr. Kela: Dr. Kela Smith is a Holistic-Integrative Fertility and Hormone Doctor and the Lead Educator - Hormone Puzzle Society Educational Institute. After personally battling infertility, she was finally able to conceive by implementing her Hormone P.U.Z.Z.L.E method (plus cycle optimizing), which takes a holistic approach to preparing the body for pregnancy from the inside out. Since then, she has made it her mission to help other women who are struggling with infertility to optimize their bodies and hormones so they can get pregnant, stay pregnant, have a healthy super baby, and easy postpartum, as well as eliminate symptoms of hormone imbalance. With over 25 years of experience as a professional fitness trainer and wellness educator, Dr. Kela has created 7 courses and published multiple books on fertility, hormones, pregnancy and total body wellness. Her recent book, The Hormone Puzzle Method: Optimizing Pregnancy has all her tips for a healthy, happy pregnancy. She mentors future fertility experts at the Hormone Puzzle Society Educational Institute, which is an accredited and certified institute of higher learning for anyone interested in becoming a fertility coach. She also hosts Solving-Infertility Summit, Healthy Happy Pregnancy Summit and Fertility Coaching Mastery Summit. Thank you for listening! This episode is made possible by the Hormone Puzzle Society Educational Institute - your gateway to a fulfilling and rewarding career in fertility coaching. Download a copy of the course catalog - https://hormonepuzzlesociety.com/course-catalog Follow Dr. Kela on Instagram - @‌kela_healthcoach Get your FREE Fertility Coach Roadmap: 3 Steps to Launch a Fertility Coaching Busines: https://hormonepuzzlesociety.com/education For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com

Individual incentives :: Fertility decline :: Americans seeking UK citizenship :: Skeeter can't stand his father :: Patrick Wood - Technocracy news :: Caller has doubt about opt-out :: Sarah calls about "the will of God" :: Russian crypto arrest :: The WHO can't be saved :: Activist Post :: Paying with crypto :: Weird Mormon murders :: Paying with crypto :: J.R. calls about Mormonism and crypto :: Mountain meadows massacre :: 2025-05-24 Hosts: Stu, Riley

Welcome back to the podcast! In today's must-listen episode, Chantel sits down with Dr. Afrouz Demeri to dive into the world of fasting, fertility, and female hormones. Dr. Afrouz, Your Women's Health Specialist, shares how her personal health journey led to a groundbreaking approach to preconception care. Together, she and Chantel explore the role of intermittent fasting in hormone health, egg quality, and infertility—especially for women in their 30s and 40s. They unpack the differences between intermittent, time-restricted, and prolonged fasting, and how each affects the female cycle, sleep, metabolism, and fertility. Dr. Afrouz also breaks down how fasting impacts progesterone production, PCOS, and pregnancy prep—and why many women might be unknowingly sabotaging their fertility with trendy diets. This is a must-watch for anyone looking to optimize their health naturally before pregnancy—or simply learn how to fast smarter as a woman.

Read the full show notes: https://www.draimee.org/optimizing-your-fertility-through-weight-loss-with-guest-dr-stephanie-fein In this episode of The Egg Whisperer Show, I'm joined by Dr. Stephanie Fein, MD a board-certified weight loss physician who specializes in helping women improve their fertility through sustainable weight management. Dr. Fein shares her personal and professional journey, highlighting how achieving a healthy weight can positively impact reproductive health. We discuss the science behind weight and fertility, including how even modest weight loss can enhance ovulation and increase the chances of conception. Dr. Fein offers practical strategies for weight loss that focus on long-term success rather than quick fixes. She emphasizes the importance of self-compassion and understanding one's relationship with food. Dr. Fein also addresses common misconceptions about weight and fertility, providing clarity on how individualized approaches can make a significant difference. Whether you're preparing for pregnancy or undergoing fertility treatments, this episode offers valuable insights into how weight management can play a crucial role in your fertility journey. In this episode, we cover: The connection between weight and fertility How modest weight loss can improve ovulation and conception rates Sustainable weight loss strategies tailored for women trying to conceive The role of self-compassion in weight management Debunking myths about weight and fertility Read the article on Dr. Aimee's Website.   You can find Stephanie Fein's website here. Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Checkout the podcast Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

Let's talk about something that gets tossed around a lot in the world of women's health — MTHFR. You might have heard it mentioned in conversations about fatigue, fertility struggles, anxiety, or detox issues… but what is it really? And how do you know if it's affecting you? Let's break it down together.

Olympian, 6x IFBB Pro Champion, & best of all Chris Bumstead's brother in lawThe Bodybuilding-friendly HRT Clinic - Get professional medical guidance on peptides AND optimizing your health as a man or bodybuilder:[ Pharma Test, IGF1, Tesamorelin, Glutathione, BPC, Semaglutide, Var troche, etc]https://transcendcompany.com/patient-intake-form/?ls=Nyle+NaygaWatch it: https://www.youtube.com/watch?v=6Ihq4tIzyS8&t=5618sRP Hypertrophy Training App: rpstrength.com/nylePlease share this episode if you liked it. To support the podcast, the best cost-free way is to subscribe and please rate the podcast 5* wherever you find your podcasts. Thanks for watching.To be part of any Q&A, follow trensparentpodcast or nylenayga on instagram and watch for Q&A prompts on the story  https://www.instagram.com/trensparentpodcast/Huge Supplements (Protein, Pre, Defend Cycle Support, Utilize GDA, Vital, Astragalus, Citrus Bergamot): https://www.hugesupplements.com/discount/NYLESupport code 'NYLE' 10% off - proceeds go towards upgrading content productionYoungLA Clothes: https://www.youngla.com/discount/nyleCode ‘NYLE' to support the podcastLet's chat about the Podcast:Instagram: https://www.instagram.com/trensparentpodcast/TikTok: https://www.tiktok.com/@transparentpodcastPersonalized Bodybuilding Program:  https://www.nylenaygafitness.comTimestamps:00:00 - Intro  03:02 - Switching to Patrick & European Secrets  11:03 - Back-to-Back Competing  20:18 - Minimal Water Manipulation & Sweating on Stage  22:35 - Nick and Derick  39:57 - Iain on Rebounds  49:51 - Iain Almost Quitting Bodybuilding and Meeting Melissa  1:05:04 - TREN  1:12:51 - Iain's Relationship with Compounds Throughout His Career  1:16:49 - Different Training Methods & Iain's Opinion  1:34:58 - GLP-1s  1:48:51 - How People Look vs. Their Personalities  2:00:27 - Coaching Chris Bumstead  2:14:53 - Iain's Best Body Part  2:26:46 - Breakup Advice for Bodybuilders  2:27:56 - Bodybuilders' Fertility  2:31:57 - HCG for Fertility  2:34:21 - Growth Hormone  2:39:45 - Iain's Best Offseason  2:44:31 - Offseason Gear Discussion  2:52:13 - Most Bodybuilders Having Girls & Iain's Preference&

Shop Rise + Source (Memorial Day through the rest of the week, you can get yours for 20% off)   Your hormones can't fully thrive if your body is overwhelmed — whether that's from hidden stress, sluggish detox, or nervous system imbalance. The good news is we have an easy solution if that's the case. In this episode, I'm joined by Nurse Practitioner Jena Tomer to dive into the Rise and Source drops by Frequense: two powerful remedies designed to help your body regulate, restore, and get back into balance — naturally. We break down how these drops support detox, hormone harmony, and fertility by working with your body's energy and biology ( and how there's no other products like these anywhere)   In this episode, you'll learn: What Rise + Source are and how they work energetically and physically How they helped Jena and her husband heal from Lyme/mold  How they support hormone balance, detox, and fertility at the root level Why nervous system regulation is key for conception   Monday night call with Jena at 7pm est  (this call is typically every Monday but will likely be moved to Wednesday at 7pm est this week due to Memorial Day)   Join The Conception Connection  The Conception Connection    Grab the FREE Unexplained Infertility Masterclass Masterclass   Grab the Free Checklist: Fertility Checklist and Guide   Let's connect on Instagram: @fruitfulfertilityco   Let's do HTMA together! The HTMA Bundle

Did you know that the diversity of foods on your plate directly impacts the diversity of bacteria in your gut—and that this diversity could be the missing piece in your fertility journey? In this eye-opening episode, we dive deep into the fascinating connection between your microbiome and your reproductive health.Our guest reveals how inflammation, gut bacteria, and hormones work together in ways that can either support or sabotage your fertility goals. You'll discover specific foods that feed your fertility-supporting microbes and learn why what you eat today could determine your conception success tomorrow.What You'll Learn✅ The Microbiome's Role in Fertility - How the trillions of bacteria in your gut directly influence your reproductive hormones and fertility outcomes✅ Inflammation and Its Impact on Fertility - The hidden inflammatory pathways that can block conception and how gut health controls them✅ The Gut-Hormone Connection - Why your digestive health might be more important than your age when it comes to getting pregnant✅ Fertility-Boosting Foods - Specific prebiotic and polyphenol-rich foods that support microbial diversity and optimize your reproductive system✅ The Pregnancy Prep Protocol - How resistant starches, fermented foods, and plant-based diversity prepare your body for conception and a healthy pregnancyAbout Our GuestAnu Simh is a BC functional health coach, chef, and soon-to-be published author of "Flourish from Within." With a deep belief that optimal health is our birthright, she helps people break free from medications for lifestyle diseases, balance their gut health, and live at their ideal weight—because true wellness starts from within.Specializing in microbiome optimization, [Guest Name] focuses on helping busy individuals struggling with weight gain, hormone imbalances, and other health challenges by addressing the root cause: gut health. Her unique approach combines functional nutrition, culinary expertise, and evidence-based protocols to help clients achieve lasting transformation.Key Takeaways

Are you at the point on your fertility journey where you feel things should have worked - but they still haven't?When you're left wondering - what more is there and what more can I do?I was in this exact position after so many years of TTC - and this is what led me down a spiritual path of looking for answers, going inwards and connecting to my body (and future baby) on a much deeper level.This episode is SUPER woo! We get into all things spirit babies, moon cycles, alters, crystals, women's circles and SO much more with my wonderful friend - Nancy Weiss. Nancy is an intuitive, spirit baby psychic medium and energy healer. By the time you finish listening, you'll find out: Why the moon is such a powerful guide on your fertility journeyHow to connect with your spirit babyUsing crystals, alters and ceremonies to create your own rituals as you're TTCIf you'd like to grab a copy of my free New Moon Manifestation for Fertility Ritual Guide - you can do so here!You can connect with Nancy via her website, podcast or IG - and if you'd like to learn more about Spirit Baby Playground, reach out to Nancy via nancy@nancyweissintuitive.comIf you would like to submit a question to the podcast, you can do so here! I love hearing your questions and feedback so please let me know how I can support your on your fertility journey.https://www.speakpipe.com/YourJourneytoFertilityPodcastWhen you finish listening, I'd love to hear your biggest takeaway from today's episode. Take a screenshot of you listening on your device, share it to your Instagram stories and tag me @jen.elementpilatesyoga To grab a copy of my Free Fertility Yoga Guide, click here: To learn more about the Element Fertility Yoga Course, click here. This course is a self-paced & guided way to: Regulate your nervous system Support your fertility Sync with your cycle & synchronise your hormones

Individual incentives :: Fertility decline :: Americans seeking UK citizenship :: Skeeter can't stand his father :: Patrick Wood - Technocracy news :: Caller has doubt about opt-out :: Sarah calls about "the will of God" :: Russian crypto arrest :: The WHO can't be saved :: Activist Post :: Paying with crypto :: Weird Mormon murders :: Paying with crypto :: J.R. calls about Mormonism and crypto :: Mountain meadows massacre :: 2025-05-24 Hosts: Stu, Riley

In this episode of The Worst Girl Gang Ever, hosts Bex Gunn and Laura Buckingham sit down with Kerry Etheridge, who bravely opens up about her devastating experiences with baby loss, trauma during medical termination, and recurrent miscarriage. Kerry shares the raw details of her first-trimester scan that turned into heartbreak, being forced to give birth to her baby on a labour ward, and the lifelong trauma of being handed her baby in a bedpan. She discusses the lack of support, nervous system dysregulation, and the emotional aftermath of being expected to return to her client-facing job as if nothing had happened. But Kerry's story doesn't stop at suffering. She takes us through her journey of recurrent miscarriages, battling the system, exploring immunology, and eventually retraining to become a fertility nutritionist, supporting other women through their own paths to conception.

In today's episode, I interview my beautiful client Damaris, who shares her fertility journey from experiencing two miscarriages to becoming naturally pregnant at 37 through a holistic approach to her health. Her story involves underlying issues with chronic bacterial vaginosis, compromised gut health which led to hormonal imbalances. Her story emphasizes the importance of personalized care, self-advocacy, and a comprehensive approach to fertility that goes beyond traditional medical treatments. Through patience, targeted interventions, and trusting the process, Damaris was able to overcome her fertility challenges and finally achieve a healthy natural pregnancy at 37.  Episode Highlights: Damaris, an ICU nurse, opens up about her journey through two miscarriages and now being 20 weeks pregnant. She reveals how chronic bacterial vaginosis was dismissed by doctors but deeply affected her fertility. A surprising gut health discovery changes everything; learn how she uncovered hidden issues and what helped her heal. From being clueless about cycle tracking to mastering her fertile window, Damaris shares the eye-opening lessons that transformed her understanding of her body. Facing low AMH and considering IVF, she found unexpected encouragement to explore natural fertility methods. Tune in for a heartfelt reflection on trusting intuition, personalized coaching, and the path that led to her pregnancy. If you're LOVING this podcast, please follow and leave a rating and review below. PLUS FOLLOW MY INSTAGRAM PAGE HERE FOR BITE SIZED TTC TIPS! Related Links: CLICK HERE FOR JUNE BRONZE PACKAGE WAITLIST (limited spots available) For full show notes and related links: https://www.naturallynora.ca/blog/148 Grab Your FREE Resources: Just starting your TTC journey? Download my Eat To Get Pregnant Guide  Having trouble getting and staying pregnant? Download my Top 3 Things To Do When You're Not Getting Pregnant Wondering what supplements to take to help you conceive? Download my Fertility Foundations Supplement Guide   Please Note: The contents of this podcast are for educational and informational purposes only. The information is not to be interpreted as, or mistaken for, clinical advice. Please consult a medical professional or healthcare provider for medical advice, diagnoses, or treatment.  

In this episode of Mark and Pete, we delve into the latest headlines with our signature blend of wit, insight, and poetic flair. Boris Johnson's Fertility: The former Prime Minister welcomes his ninth child, sparking discussions about personal choices and public perceptions. We explore the implications of his expanding family in the context of the UK's declining birth rates. Lenny Henry's Hilarity: Sir Lenny Henry returns to stand-up comedy after a 16-year hiatus, emphasizing the healing power of laughter. We reflect on his comedic legacy, including his iconic Trevor McDoughnut character, and discuss the role of humor in society. Gary Lineker's Gaffes: The former footballer and BBC presenter faces controversy over a social media post, leading to his departure from the BBC. We examine the balance between personal expression and professional responsibilities in the age of social media. Each segment is accompanied by a specially written poem, adding a unique lyrical perspective to our discussions. Join us for an engaging episode filled with thoughtful analysis and light-hearted banter.Become a supporter of this podcast: https://www.spreaker.com/podcast/mark-and-pete--1245374/support.

Every two years, the UN release their predictions for the future population of humanity – currently expected to peak in the 2080s at around 10.3 billion people.One of the things they use to work this out is the fertility rate, the number of children the average woman is expected to have in her lifetime. When this number falls below 2, the overall population eventually falls. In this episode of More or Less, we look at the fertility estimates for one country – Argentina. The graph of the real and predicted fertility rate for that country looks quite strange.The collected data – that covers up to the present day – shows a fertility rate that's falling fast. But the predicted rate for the future immediately levels out. The strangeness has led some people to think that the UN might be underestimating the current fall in global fertility. To explain what's going on we speak to Patrick Gerland, who runs the population estimates team in the United Nations Population Division.Presenter / producer: Tom Colls Production co-ordinator: Brenda Brown Sound mix: Sue Maillot Editor: Richard Vadon

Wellness expert and author Heather Grzych speaks with health innovator James Maskell about one of today's most pressing health concerns: cognitive decline. James shares his personal story of helping his father recover from severe memory loss due to mold exposure and explains why the current medical model is failing to address conditions like Alzheimer's effectively. The conversation explores the early warning signs of cognitive issues, the importance of community-based care, and how lifestyle factors like sleep, nutrition, and social connection play a critical role in brain health. James also discusses his work at the intersection of functional medicine, technology, and community, including new tools like AI-powered decision support and virtual care groups aimed at reversing cognitive decline and transforming how we deliver healthcare.   James Maskell is on a mission to flatten the curve of healthcare costs and has spent the past decade innovating at the cross section of functional medicine and community. To that end, he first created the Functional Forum, the world's largest integrative medicine conference with record-setting participation online and growing physician communities around the world. His first organization, podcast and best selling book of the same name, Evolution of Medicine, prepares health professionals for this new era of personalized, participatory medicine. Since then he has created a number of organizations to scale access to health focused care. His projects include Knew Health (affordable alternative to health insurance acq. 2019) HealCommunity (virtual groups as a service acq 2023, and TruNeura (AI powered decision support for reversing cognitive decline). He also consults startups, healthcare systems and sovereign nations in their efforts to adapt to Non Communicable Disease. He is an in demand speaker, thought leader and impresario, being featured by the World Health Organization, TEDMED, HuffPostLive and TEDx, as well as lecturing to healthcare audiences internationally. He lives in Northern California with his wife and two daughters. www.jamesmaskell.com  Heather Grzych, ADLC is an American author and expert in Ayurvedic medicine who was formerly the head of product development for a multi-billion-dollar health insurance company. She currently serves as the president of the National Ayurvedic Medical Association and is part of the faculty at Mount Madonna Institute College of Ayurveda. Heather's first book, The Ayurvedic Guide to Fertility, has sold thousands of copies worldwide, and her writing has been featured in Sports Illustrated, Yoga Journal, and the Sunday Independent. Her podcast, Wisdom of the Body, holds an average rating of 5 stars on Apple Podcasts and is in the top 3% of podcasts globally.  Connect with Heather: Learn more at www.heathergrzych.com   Instagram.com/heathergrzych Facebook.com/grzychheather   Read the first six pages of The Ayurvedic Guide to Fertility for FREE: https://www.heathergrzych.com   Connect with Heather to balance your health with Ayurveda: https://www.heathergrzych.com/book-online

Wait…you're telling me withdrawal might actually work? That's what the data is starting to suggest—and it's time we stopped pretending this method doesn't exist. Your clients are using it. Are you ready to talk about it with clarity instead of stigma? Follow this link to view the full show notes page! This episode is sponsored by Lisa's new book Real Food for Fertility, co-authored with Lily Nichols! Grab your copy here!  Would you prefer to listen to the audiobook version of Real Food for Fertility instead?

Read the full show notes: https://www.draimee.org/how-to-make-sure-your-fertility-journey-is-your-doctors-priority-with-dr-rahi-victory Today on The Egg Whisperer Show, I'm joined by Dr. Rahi Victory. Dr. Victory is an OBGYN in Canada, where he has two clinics. I'm excited to have him on the show today to talk about how to become an advocate for yourself, and how to make sure that your care is your doctor's priority.⁠ ⁠ Dr. Victory and I are both very like-minded in the way that we approach patient care: we want you to be an active part of your care and we want you to be a part of our decision making when it comes to deciding on a treatment plan. It's a joy to talk to Dr. Victory about transparency and honesty and how patients can become their own advocates and make sure they get the kind of care they deserve on their journey.⁠ Read the full show notes on Dr. Aimee's website Visit Dr. Rahi Victory's website.   Do you have questions about IVF? Join Dr. Aimee for The IVF Class at The Egg Whisperer School. The next live class call is on Monday, June 16th, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School  Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.

How can you reclaim your power? What does it take to shift your mindset? Are you ready to be free from your own obstacles? What do you need next to create with your baby?  Special Guest Episode: Mel's successful career in real estate led her to a fundamental discovery: she is an Empath. Now, as a Medical Reiki Master, Certified 200- Hr Yoga Teacher, Registered Pre and Postnatal Yoga Teacher, and Mindfulness Educator, Mel's warm and welcoming presence has been the shining light to so many, offering empathetic and intuitive support to illuminate the paths of others on their journeys. Her relentless dedication to educating individuals about their energy and emotional bodies to help them heal from within is not only her passion but her life's mission. Mel infuses her love and enthusiasm for Reiki and Mindfulness into the hearts of everyone she encounters. Upon becoming pregnant, Mel applied the knowledge she accumulated over a decade throughout her pregnancy, childbirth, and now as a mother. Mel's unwavering belief that a higher guiding force is the orchestrator of our lives encourages others to relinquish the need to control every outcome, allowing them to embrace the magic both around and within them―and you can, too. My book, Magic Mama, An Energetic and Mindful Approach to Pregnancy and Motherhood, is an Amazon #1 New Release. Contacts-@themelbraun / www.melbraun.com / free downloads available to support mamas in the monthly newsletter, which is educational, inspiring, motivational, and just feel-good content!

The Fertile Faith Podcast is a Christian fertility podcast for women of God in their 30s who are trying to get pregnant naturally — but feel overwhelmed by hormone issues, confusion around their cycle, and the emotional rollercoaster of TTC.Hosted by a fertility coach and faith-filled nurse, this podcast empowers you to prepare your body and your heart for pregnancy — while keeping Christ at the center.Next Steps:Fertility Checklist: https://mothermindset.com/prayerFertile Faith Course: https://mothermindset.com/fertilefaithFertile Faith community: https://mothermindset.com/community

#845: Join us as Lauryn sits down with Shannon Ford Middleton – a college dropout turned influencer, host of Probably A Podcast, & unapologetic comedian. Known for her unfiltered humor & zero-filter approach to any topic, Shannon gets real with Lauryn about everything she's currently navigating. From her first pregnancy to performing on the road during her standup tour Pray For Me, she doesn't hold back. In this episode, Shannon & Lauryn dive into all things pregnancy – from spreading positivity around fertility & trusting your intuition, to embracing the emotional & physical journey of motherhood. Plus, they get real, raw, & honest about intimacy, wild pregnancy cravings, & the importance of showing up as your most authentic self!    To Watch the Show click HERE   For Detailed Show Notes visit TSCPODCAST.COM   To connect with Shannon Ford click HERE   To connect with Lauryn Bosstick click HERE   To connect with Michael Bosstick click HERE   Read More on The Skinny Confidential HERE   Head to our ShopMy page HERE and LTK page HERE to find all of the products mentioned in each episode.   Get your burning questions featured on the show! Leave the Him & Her Show a voicemail at +1 (512) 537-7194.   This episode is sponsored by The Skinny Confidential Shop the Memorial Day Sale at ShopSkinnyConfidential.com and take 20% off your favorite TSC Products – for a limited time only.   This episode is sponsored by LMNT Get yours at DrinkLMNT.com/SKINNY.   This episode is sponsored by Spritz Society  Spritz Society is now available everywhere! Head to spritzsociety.com to find a store near you, and make sure to follow @spritz on Instagram for all their latest announcements and upcoming events. Spritz Society, Summer Starts Here!   This episode is sponsored by Jenni Kayne  Go to jennikayne.com and use the code SKINNY15 to get 15% off.   This episode is sponsored by Nowadays Visit trynowadays.com and use code SKINNY at checkout for 20% off your first purchase.    This episode is sponsored by Notion Get Notion Mail for free right now at notion.com/skinny, and try the inbox that thinks like you!   This episode is sponsored by Momentous Head to livemomentous.com and use code SKINNY for 35% off your first subscription.    Produced by Dear Media

Read the full show notes: https://www.draimee.org/when-it-comes-to-your-fertility-what-is-fact-vs-fiction I know there are a lot of fertility myths out there, and some can be downright perplexing if you're trying to do everything you can to have a successful pregnancy. And, when you've been a fertility doctor for a while, let me tell you, you will hear it all.⁠ ⁠ So in this episode, I'm tackling TWENTY of the most common fertility myths in a little thing I like to call “Fertility: Fact or Fiction.”⁠ ⁠ I love talking about these types of things because once you know the truth, you also have a better idea of what may be happening in your own body. I think most people now realize that sperm does in fact matter when you're TTC.⁠ ⁠ But, do you need both of your fallopian tubes?⁠ ⁠ Is marijuana safe when you're TTC?⁠ ⁠ Can someone born without a uterus have a uterine transplant?⁠ ⁠ Is an ovarian cyst something to be concerned about?⁠ ⁠ Of course, these questions matter, and I want everyone to feel comfortable asking their doctor about them (and for answers to the above: no, no, yes, no).⁠ Do you have questions about IVF, and what to expect? Click here to join Dr. Aimee for The IVF Class. The next live class call is on Monday, June 16, 2025 at 4pm PST, where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org  where you can schedule a consultation.   More ways to connect with Dr. Aimee: Subscribe to my YouTube channel for more fertility tips! Subscribe to the newsletter to get updatesFollow on Instagram

Polycystic ovarian syndrome or PCOS is a condition that affects 1 in 9 women. The symptoms include things like pimples, increased body hair, thinning of the hair on our head, missed periods (and the flow on effects that affect fertility and build up of the endometrium which is a risk factor for endometrial cancer), increased risk of developing metabolic syndrome (insulin resistance, diabetes and cardiovascular syndrome) and increased risk of mental health conditions. PCOS sucks! (You can probably tell who from the team is writing these episode notes). Keeshia was diagnosed with PCOS about 4 years ago so today Keeshia and Britt are joined by the wonderful Dr Izzy Smith! Dr Izzy Smith is an endocrinologist who has special training in women’s health (PCOS, amenorrhea, menopause transition) thyroid dysfunction, eating disorders and athlete health. In today’s chat we speak about: The large variety of symptoms & why it’s often misdiagnosed What’s going on with our hormones PCOS and fertility Lean PCOS v Overweight PCOS How insulin resistance develops Weight management Cortisol and stress Treatment options for PCOS What helps and what is marketing BS Endocrine disruptors Are weight loss medications an appropriate treatment for PCOS? Find more from Dr Isobel Smith at her website And her instagram We referenced an episode about weight loss medications with Johann Hari that you can watch here. Izzy also mentioned The Eco Well and the endocrine society website You can watch us on Youtube Find us on Instagram Join us on tiktok Or join the Facebook Discussion Group Tell your mum, tell your dad, tell your dog, tell your friend and share the love because WE LOVE LOVE! XxSee omnystudio.com/listener for privacy information.

In this heartfelt episode, Natalie is speaking with Stacy, a listener who reached out to share a series of powerful, deeply personal poems written throughout her fertility experience. What began as a simple message turned into a beautiful collaboration and the start of a special three-part poetry mini-series as Natalie asked Stacy if she could record her poems and the pair talk them through - which is what you're going to hear across two episodes.Stacy opens up about the emotional weight of infertility, the isolation she felt while navigating treatment, and how writing helped her process what words often couldn't express. We explore the tension between staying silent and speaking out, and how she found her own balance between vulnerability and protection.We also discuss:How her first poem, The Waiting Room, was born out of shared silence and communal pain and how seemingly simple questions like “How are you?” can become painfully complexThe emotional symptoms of fertility trauma, and why it's okay to be both open and guardedThe healing value of putting pen to paper and the power of being seen and heardWhy poetry can provide a safe space for reflection, release, and connectionThe overwhelming pressure to "do things right" in the beginning from switching soaps to trying acupuncture and tea and the illusion of control many experience before receiving a diagnosis.The complexity of receiving a male factor infertility diagnosis, the emotional balancing act it requires in a relationship, and the importance of staying united as a couple. The lack of adequate support for male partners and the growing awareness around this gap.The realization: This is now my story.Moments of empowerment and collapse from filming herself doing shots, to sobbing on the floor after work, to injecting herself at a wedding or even in a clinic exam chair.The most absurd injection stories from toilets at awards shows to wedding receptions. It's a reminder of the humor, resilience, and community in this often isolating process.Stacy's poems are now available in a self-published collection on Amazon here Let's Stay Connected

Your body is wise—long before fertility issues show up on standard bloodwork, it's whispering to you. The problem is… traditional medicine isn't trained to hear it. In this powerful and deeply educational podcast episode, I'm sharing the 7 hidden signs your fertility is declining—and exactly how to reverse them using natural, evidence-based strategies.As a fertility specialist with nearly two decades of experience, I've helped hundreds of women uncover the real reasons they weren't conceiving—issues missed by conventional tests. From hormonal imbalance to metabolic dysfunction, chronic inflammation, gut dysbiosis, and environmental toxicity, your body is often in survival mode, not baby mode.

Herby Lutz, jersey development manager, and Marc Bolen, dairy sire marketing coordinator, discuss some of the top ranking young sires of the Jersey breed from the April 2025 sire summaries. Listen as they highlight high-interest (GForce™)  sires and give a preview of new and exciting sires that will be added to the lineup in coming months.

In this episode of IVF Uncovered, we explore the often overlooked and lesser-known factors that can impact IVF success. While age, egg quality, and sperm quality are commonly cited reasons for failure, this discussion opens up a conversation about aspects within your control. Listen in as we discuss specific details about medication protocols, timing, lab handling, and questions to ask your doctor for a more informed IVF journey. Learn how to navigate these complexities and advocate for yourself effectively to improve your chances of successful implantation and pregnancy.   Get Personalized IVF Support: ►Sign up for a strategy session WITH TASHA HERSELF! NEED SUPPLEMENTS?  Click here for education and discounts on medical grade supplements (don't take supplements unless they are medical grade- it could hurt more than help!) Connect with Tasha + Access IVF Success Resources: ► YouTube ► Instagram ► Facebook  For more information, email us at support@tashablasi.com About the Host: Tasha Blasi is an IVF consultant and Founder of IVF Uncovered (formerly the FU Project). Using her background in the sciences, and personally going through ten rounds of IVF for her two children, she has created a life mission to help patients doing IVF know as much as their doctor so they can ask better questions and get better treatment...all while bringing an unfiltered, humorous tone to this often heartbreaking subject. Topics: Fertility Consultant, IVF Consultant, Fertility Coach, IVF Coach, IVF Success, Getting Pregnant, Staying Pregnant, Egg Retrievals, Egg Quality, Embryo Transfers, Holistic Health, Women's Health  

Kalea Wattles, ND, IFMCP, is a naturopathic physician and functional medicine practitioner specializing in fertility optimization. Currently serving as the Clinical Special Projects Manager at The Institute for Functional Medicine, where she has been on staff since 2017, she is committed to the advancement of the field through research and education. She is the host of IFM's podcast Pathways to Well-Being. Dr. Wattles earned her doctorate in naturopathic medicine from Bastyr University, where she developed a keen interest in functional medicine. She went on to receive additional training from The Institute for Functional Medicine, where she further honed her skills in a root-cause, science-based, body-systems approach to healthcare.   In this episode of Conversations For Health, we explore how Dr. Kalea applies a functional medicine lens to fertility, highlighting the clinical relevance of mitochondrial health, oxidative stress, inflammaging, and more when it comes to female and male fertility. We discuss the narrative of the fertility cliff, how to assess diminished ovarian reserve even in patients in their 20s, and how to interpret AMH values in context. Our conversation is filled with actionable insights into preconception care protocols, fertility focus, lab interpretation, and how to personalize support for patients preparing for IVF or egg freezing.   I'm your host, Evelyne Lambrecht, thank you for designing a well world with us.   Episode Resources: Dr. Kalea Wattles - https://drkaleawattles.com/ Design for Health Resources: Designs for Health - https://www.designsforhealth.com/ Designs for Health Practitioner Exclusive Drug Nutrient Depletion and Interaction Checker - https://www.designsforhealth.com/drug-nutrient-interaction/ Visit the Designs for Health Research and Education Library which houses medical journals, protocols, webinars, and our blog. https://www.designsforhealth.com/research-and-education/education The Designs for Health Podcast is produced in partnership with Podfly Productions. Chapters: 00:00 Intro. 02:02 Dr. Kalea is delighted about the current headlines about fertility into the 40s. 03:40 Dr. Kalea's journey into motherhood aligned with her professional focus. 06:50 AMH is the top trending biomarker in ovarian reserve. 11:41 Markers to consider in relation to oxidative stress and inflammation. 16:02 Top tier oxidative stress markers, including 8-OHdG and F2-IsoP. 18:54 The importance of mitochondrial health in ovarian health, egg quality and sperm. 23:50 DNA fragmentation and other potential findings from a semen analysis. 27:00 Shifts in the fertility conversation in recent years. 31:01 CoQ10 and melatonin recommendations that Dr. Kalea implements with her patients. 37:09 The role of glutathione in protecting against oxidative stress. 39:50 Dr. Kalea's personal experience with ovarian age testing. 43:05 Cycle Day 3 hormone measurements, including DHEA sulfate and prolactin. 49:32 Diet, environment, and other major factors in diminished ovarian reserve. 53:01 Redefining unexplained infertility. 55:06 Androgens and the impacts on eggs. 57:11 Ideal DHEA and testosterone levels. 1:00:05 The vaginal microbiome, gut health, and urea plasma. 1:03:10 Dr. Kalea's favorite personal supplements, favorite health practices, and the maternal fertility limits that she has changed her mind about.

In this episode, we normalize the conversations around understanding your fertility baseline and taking control of your fertility story through myStoria with Carly Malo. About Carly: With over 15 years of nursing experience, including 6 years specializing in fertility, Carly has witnessed firsthand the misinformation and lack of knowledge surrounding women's reproductive health. A master of her craft, Carly is poised to lead the myStoria Concierge Team, ensuring our users receive the support and guidance they need. Her dedication and expertise make her an invaluable asset in promoting informed and compassionate care.

Episode #380!Thank you for being here:).OK, I know a lot of things can seem pretty unfair.Life can throw a lot at you.It van be super draining when things feel, well.. not as they are supposed to.Today, I want to hit on fair/unfair... and, how you can flip it in your favor..Ready?Let's see what we can shake loose._____________________________**If you happen to see this before 10AM PST 5/21/25.. there's an amazing session you won't want to miss:).**If you love diving into your own story and what makes you tick and thrive, definitely jump into "OPENING INTO YOU" session that's happening at 10AM PST, today 5/21/25 with my dear friend Gavio! .. I'll be right there with you:)).It's all about you.. through Human Design, which has truly turned my world upside down:),Hope to see you:))http://www.openingintoyou.comSupport the showMENTIONED in the podcast: Need a lift up with a dash of clarity and grounding? $39 for 15 minutes of nourishing time.(click the link above) +If you love the mini session and want more.. You get to apply that $39 to a longer session:)..:) ********************** IMPERFECT Parenting Free parent de-stress tips:http://bit.ly/34TmARwInstagram: @Ip_parenting Tik tok @imperfectparentingariel Website:https://imperfectparenting.netWrite me: Ariel@agreenbalancedlife.com______ WORKING with FERTILITY? FREE Fertility Meditation: https://mailchi.mp/00ddad27abb2/freefertilitymeditation223Instagram / Tik tok: @arielgreenandersson*Want to be pregnant over 40? https://bit.ly/2ZbP *Pregnancy loss?https://bit.ly/2HB7uJH______________We're here to keep you on your purpose path while keeping joy and health.

Did you know your eggs contain 100,000 to 500,000 mitochondria? That's 100x more than muscle tissue! This biological powerhouse design isn't random — it's because creating life requires extraordinary cellular energy. In this episode, I've had an incredible conversation with Iman Hasan who has transformed women's fertility through a science-first approach that most fertility clinics are completely missing. Your fertility isn't just about timing or luck. It's about cellular optimization, mitochondrial function, and creating the optimal biological environment for conception.  Join the Ultimate Human VIP community and gain exclusive access to Gary Brecka's proven wellness protocols today!: https://bit.ly/4ai0Xwg Connect with Iman Hasan: Listen to "Biohack-It" on all your favorite platforms! YouTube:https://bit.ly/4dtg1sH Spotify: https://spoti.fi/3SHADUn Apple Podcasts: https://apple.co/3Zrerl7   Connect with Iman Hasan: Website: https://bit.ly/3Fhe5qs YouTube:https://bit.ly/4dtg1sH Instagram: https://bit.ly/4k08Ni5  LinkedIn: https://bit.ly/4jczpLN Thank you to our partners: H2TABS - USE CODE “ULTIMATE10” FOR 10% OFF: https://bit.ly/4hMNdgg BODYHEALTH - USE CODE “ULTIMATE20” FOR 20% OFF: http://bit.ly/4e5IjsV BAJA GOLD - USE CODE "ULTIMATE10" FOR 10% OFF: https://bit.ly/3WSBqUa EIGHT SLEEP - SAVE $350 ON THE POD 4 ULTRA WITH CODE “GARY”: https://bit.ly/3WkLd6E COLD LIFE - THE ULTIMATE HUMAN PLUNGE: https://bit.ly/4eULUKp WHOOP - GET 1 FREE MONTH WHEN YOU JOIN!: https://bit.ly/3VQ0nzW MASA CHIPS - GET 20% OFF YOUR FIRST ORDER: https://bit.ly/40LVY4y VANDY - USE CODE “ULTIMATE20” FOR 20% OFF: https://bit.ly/49Qr7WE AION - USE CODE “ULTIMATE10” FOR 10% OFF: https://bit.ly/4h6KHAD HAPBEE - FEEL BETTER & PERFORM AT YOUR BEST: https://bit.ly/4a6glfo CARAWAY - USE CODE “ULTIMATE” FOR 10% OFF: https://bit.ly/3Q1VmkC HEALF - GET 10% OFF YOUR ORDER: https://bit.ly/41HJg6S BIOPTIMIZERS - USE CODE “ULTIMATE” FOR 10% OFF: https://bit.ly/4inFfd7 RHO NUTRITION - USE CODE “ULTIMATE15” FOR 15% OFF: https://bit.ly/44fFza0 GENETIC TEST: ⁠https://bit.ly/3Yg1Uk9 Connect with Gary Brecka: Instagram: https://bit.ly/3RPpnFs TikTok: https://bit.ly/4coJ8fo YouTube: ⁠https://bit.ly/3RPQYX8⁠ X.com: https://bit.ly/3Opc8tf Facebook: https://bit.ly/464VA1H LinkedIn: https://bit.ly/4hH7Ri2 Website: https://bit.ly/4eLDbdU Merch: https://bit.ly/4aBpOM1 Newsletter: https://bit.ly/47ejrws Ask Gary: https://bit.ly/3PEAJuG Timestamps: 00:00 Intro 02:32 Iman Hasan's Journey 08:37 Becoming a Voice in Women's Fertility 13:02 100,000 to 500,000 Mitochondrial Cells in Women's Eggs 15:10 The IVF Cycle 16:50 How to Improve One's Fertility Levels 21:35 Preparing Women's Bodies for a Year for Fertility 25:03 Testing and Starting the Fertility Journey 28:29 Bioidentical Hormone Replacement Therapy 33:09 Male Preparation for Fertility 36:13 How to Improve Mitochondrial Health 38:55 Eating Enough Healthy Fats 39:27 The PK Protocol 41:43 Nutrition for Mold and Parasite Detoxification 43:15 Couples Working Together for Fertility Journey 47:22 Causes of Early Menstruation and Menopause 49:00 Taking Menopausal Women Out of Menopause 53:36 Lipid Replacement Therapy for Longevity 55:18 PK Protocol Journey 59:40 What does it mean to you to be an “Ultimate Human?” 01:10:10 Connect with Iman The Ultimate Human with Gary Brecka Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The Content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices

On this solo episode of The Wholesome Fertility Podcast, I dive into a powerful and often overlooked connection in reproductive health, the link between endometriosis and vagal tone. While many approaches to managing endometriosis focus on supplements, surgery, or hormonal therapies, few consider the role of the vagus nerve in regulating inflammation, digestion, and nervous system balance. In this episode, I break down how vagal tone directly influences endo symptoms, and why it could be the missing piece in your healing journey. I also share practical and accessible tools to stimulate vagal tone, from breathwork and cold exposure to acupuncture and mindfulness techniques. Whether you have endometriosis or are simply looking to support your fertility naturally, this episode offers actionable insights to help you regulate your body's stress response and boost overall well-being. Key Takeaways:  Endometriosis is not just a hormonal issue—it's also tied to inflammation, gut health, and nervous system function. Research shows women with endometriosis often have lower vagal tone, which can worsen symptoms. Improving vagal tone can reduce inflammation and support digestion, egg quality, and hormonal balance. Simple practices like belly breathing, humming, and ear massage can stimulate the vagus nerve. Heart rate variability (HRV) is a useful tool for tracking nervous system health and vagal tone.   For more information about Michelle, visit www.michelleoravitz.com To learn more about ancient wisdom and fertility, you can get Michelle's book at: https://www.michelleoravitz.com/thewayoffertility The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/ Disclaimer: The information shared on this podcast is for educational and informational purposes only and is not intended as medical advice. Please consult with your healthcare provider before making any changes to your health or fertility care. --- Transcript: Michelle Oravitz: [00:00:00] Episode number 337 of the Wholesome Fertility Podcast. Welcome back to the Wholesome Fertility Podcast. I'm your host, Michelle Orbitz, and today we're diving into a powerful and often overlooked connection when it comes to reproductive health and specifically with endometriosis. And this is the link between endometriosis and vagal tone. So that is definitely something that I haven't heard of originally when I first got into this work, and it's definitely something that you don't really see much out there. So endometriosis is a chronic inflammatory condition where tissues similar to the lining of the uterus called the endometrium grow outside of the uterus. The tissue can be found on ovaries, fallopian tubes, and outer surfaces of the uterus, and even at times. On the bladder or the intestines, if it's really, really severe each month, just like normal, you shed the [00:01:00] uterine lining and misplaced tissue responds to those hormonal changes. So this can cause a lot of pain and it can also lead to inflammation scarring and the formation of adhesions, which are bands of scar tissues that can cause organs to stick together. So some of the common symptoms include chronic pelvic pain, painful periods, so you can really feel severe pain where it's to the point where you can't really function when you're getting your period. It can also happen to increase pain during sex, and many times it is linked to a lot of digestive imbalances and microbiome imbalances as well. This can often cause issues. Also trying to conceive, in many cases people might need surgery. There are many different things that people can do. Of course there are supplements that people can take. And today I'm gonna talk more about the connection between the [00:02:00] vagal tone and endometriosis. So it's really fascinating. It's not something that you'll find often, but I'm very excited to share this. And if you wanna find out more, stay tuned. Welcome to the Wholesome Fertility Podcast. I'm Michelle, a fertility acupuncturist here to provide you with resources on how to create a wholesome approach to your fertility journey. / Michelle Oravitz: Episode number 337 of the Wholesome Fertility Podcast. Welcome back to the Wholesome Fertility Podcast. I'm your host, Michelle Orbitz, and today we're diving into a powerful and often overlooked connection when it comes to reproductive health and specifically with endometriosis. And this is the link between endometriosis and vagal tone. So that is definitely something that I haven't heard of originally when I first got into this work, and it's definitely something that you don't really see much out there. So endometriosis is a chronic inflammatory condition where tissues similar to the lining of the uterus. Called the endometrium grow outside of the uterus. The tissue can be found on ovaries, fallopian tubes, and outer surfaces of the uterus, and even at times on the bladder or the intestines if it's really, really severe. Each month, just like normal, you shed the [00:01:00] uterine lining and misplaced tissue responds to those hormonal changes. So this can cause a lot of pain and it can also lead to inflammation scarring and the formation of adhesions, which are bands of scar tissues that can cause organs to stick together. So some of the common symptoms include chronic pelvic pain, painful periods, so you can really feel severe pain where it's to the point where you can't really function when you're getting your period. It can also happen to increase pain during sex, and many times it is linked to a lot of digestive imbalances and microbiome imbalances as well. This can often cause issues. Also trying to conceive, in many cases people might need surgery. There are many different things that people can do. Of course there are supplements that people can take. And today I'm gonna talk more about the connection between the [00:02:00] vagal tone and endometriosis. So. It's really fascinating. It's not something that you'll find often, but I'm very excited to share this and if you wanna find out more, stay tuned.  So now that I mentioned what endometriosis is and really the condition and how it can impact your fertility health, I'm gonna also talk about vagal tone and really what the connection is between the vagal tone and endometriosis. If you heard some of my earlier episodes, you'll know that I talk a lot about the vagus nerve and about how the nervous system is so impactful when it comes to reproductive health. It's gotten to the point where that has become my [00:03:00] obsession as a fertility practitioner. It is so important and it really explains the yin and the yang process and really how the body's able to get into a homeostasis and regulate itself. And it's so pivotal when it comes to fertility health. So the vagus nerve is a cranial nerve, and it's the largest cranial nerve in the body, but it plays an incredibly important role. And I've mentioned this before, but I'm gonna mention it again in case you haven't seen it before. What it does is it actually communicates with the enteric nervous system which is your digestive nervous system, and it's , hundreds of millions of neurons that go throughout your whole digestive process. And it can be one of the causes for people having issues with digestion when there's a low vagal tone. Because it is so impactful when it comes to digestion, and one of the things that Vagus nerve does is that it impacts the parasympathetic or rest and digest [00:04:00] aspect of the body. So when your body is in parasympathetic, that is the optimal time to digest food, and it can also cause a more. Calm state of mind where your body is not in fight or flight, but it's more regenerative. So when it is in fight or flight, it's a little bit more of a sympathetic response. Now, there's nothing wrong with being in the sympathetic response. It's not like the bad state to be in. It's actually part of our nervous system and part of the autonomic nervous system, which composes of both the sympathetic and the parasympathetic. But when it becomes too chronic, then it can cause a lot of different problems, and the body gets into a more survival state. So vagal tone basically refers to the vagus nerve's ability to function. So the stronger it is, the stronger it functions, the stronger the vagal tone. One of the ways that you can actually measure vagal tone is through something called heart rate variability, HRV, [00:05:00] and you can see many different apps, many different devices that actually measure that. And HeartMath Institute also discusses a lot about that, and they talk about the heart brain coherence, and they look at. Heart rate variability and vagal tone. And there was actually certain types of exercises, , that you can do to actually increase vagal tone and increase heart rate variability and also increase. Just by doing so, heart, brain coherence. So the higher the heart brain coherence and the higher the heart rate variability, the more calm we feel, the better state that we have. And apparently in conditions of endometriosis, the vagal tone. Is actually lower. So one of the things that I would definitely suggest if you do have endometriosis is to improve that vagal tone. And I'm gonna be discussing many, many different ways to do that. So as we know with endometriosis, one of the things that it's linked to is [00:06:00] digestive issues. And the higher the vagal tone and the better the biggest nerve is functioning, the better it can talk to and basically communicate with the enteric nervous system, which is really your. Digestive nervous system. And so we know that when we stimulate the vagus nerve, it can actually improve your digestive system. And when that happens, you're not only improving your ability to take in nutrients, but you're also decreasing the inflammation in the body, which is really pivotal when it comes to not just endometriosis, but egg quality and overall. Fertility health. So this is something that anybody who's going through the fertility journey, male or female, can benefit from regardless if you have endometriosis or not. So just to kind of go back on the endometriosis topic, one of the ways really the only true way that you can know if you have endometriosis is by getting [00:07:00] a laparoscopy. It is a surgery, so I'm not saying to go and do that. However, if you suspect that you might have endometriosis based on inflammation, gut imbalance, really strong menstrual pain, pain with periods and kind of lower back pain around that time, then you could still do this because you're gonna benefit from it anyway. So I would go and talk to your doctor if you do suspect that you have endometriosis to get your options. So besides looking at heart rate variability, you may kind of realize if your heart rate variability is high or your vagal tone is high based on how well you get back from really stressful situations. So if you are the type of person that. Gets anxious pretty easily. Startles really easily has like an off nervous system, gets really nervous around people. That's okay to a certain extent, if it's not [00:08:00]chronic, if it's not something that's really impacting your life. But if it is impacting your life and it's something that happens and when you get out of those environments that trigger that. You continue feeling like that, that may mean that you have a lower vagal tone, which means that you're not able to adapt from one state of stress to a more calm state of your nervous system. So while that doesn't confirm heart rate variability, and ultimately the best thing to do is really to measure it, and you can measure it with many devices like even, or ring, you know, there's many devices that actually track your body and your heart rate variability. And that would be the ultimate way to confirm it, but there are definitely symptoms that you can feel as well. So studies do confirm that women have a lower vagal tone if they have endometriosis, and that a lower vagal tone is also linked with higher inflammatory conditions. , some of the things in life that can impact [00:09:00] vagal tone really do have to do with high stress. So if you're constantly exposed to high stress in your life, that can impact your vagal tone. And also, I've mentioned this before, it's really important to know that if you do have high stress. It's not the end of the world if you have some stress, but high stress chronically can really impact your overall health and it can also throw off your nervous system balance. So even if you have IBS or any kind of gut conditions or inflammation or bloating, I'll be covering things that will also benefit you as well. So what's pretty amazing is that there have been studies, actually animal studies that have shown that increasing that vagus nerve stimulation, which will improve the vagus nerve function has been shown to decrease lesions in animals of endometriosis. This is thought to be because vagus [00:10:00] nerve stimulation can regulate and decrease inflammatory markers in the body. So I'm gonna cover a few ways that you can stimulate your vagus nerve overall. I. So breath work is amazing and it works with the diaphragm, especially belly breath. So as a child, you probably knew how to breathe. You'll see babies breathe from their bellies because that belly breath is actually the way we're supposed to breathe. But as we get older, we actually learn habits that are not really great for breathing. So belly breath is really good. So you could put your hand right underneath your. Ribs, which is where your diaphragm is, and start to use that, really the diaphragm as a muscle and breathe in and out and do this a couple of times a day to retrain yourself. To breathe from the belly. I remember not doing that. And then years ago, learning and retraining myself to the point where it became unconscious and I was just a [00:11:00] belly breather. And it really impacted how I felt in general because I used to have generalized social anxiety. And I remember going in for body work. A massage and the woman said, oh, you're a belly breather. So it, it is something that I was like, oh, I'm so happy. I'm so proud of myself that I actually trained myself. I wasn't even focusing on trying, and she noticed it. So it is something that you can train yourself. It's a habit that we have. It becomes unconscious. So just like a good habit can become unconscious, a bad habit can become unconscious, but you can also change that bad habit to a good unconscious habit. So I've talked about slow, deep breathing, but you can also do something called box breathing, which is inhale to four, hold to four, exhale to four, and then hold out to four. And then you can slowly increase that with time. I remember when I used to teach Kundalini yoga, we had something called, it was like the meditation [00:12:00] aspect of the yoga training, and it was something called the 16 seconds.  breath. We would breathe in so it's not quite the box. It would breathe in to 20, hold for 20, breathe out to 20 and that's 60 seconds. And doing so really calms the mind. And of course you'd have to work yourself up to doing that and not do that right off the bat. 'cause it is very hard and it is a practice you have to build up to. So another thing that can help stimulate the biggest nerve is cold exposure. Now with Chinese medicine, you may have heard me say that it's not really great to have chronic cold exposure. So I often tell people, keep your feet warm or put socks on and don't put your feet on cold tile. Now this is. A chronic thing, this is doing something day in and day out. And also we do have our first kidney point on the bottom of our feet. The kidneys are in charge of our reproductive health, so you don't want that coldness from the tile to come up from the feet [00:13:00] into the channels. So this is why I say that for a day in and day out. But once in a while, you can give yourself a little cold exposure. Doing so, like maybe doing a quick cold shower once in a while is okay. Now, if you are, of course this isn't for everybody. If you are somebody who tends to be cold all the time, this may not be for you. But what they do find is that that quick stress effect of the cold exposure, like even a cold plunge. Can actually stimulate the vagus nerve. So it's a quick stress response. And then the body goes from stress, which is the sympathetic to parasympathetic. It starts to stimulate that nervous system regulation. Another thing that can really be beneficial is gargling or humming. And I personally love to ohm. If I feel really stressed, even if I'm driving, I just om or hum what humming does. Is, it actually slows down your breath. And you may have heard me say this before in [00:14:00] previous episodes, is that when you breathe slow and deep, you actually calm your nervous system. So, and especially your exhale. So the longer your exhale, the calmer your nervous system, and the more it's gonna go into parasympathetic mode. So when you're inhaling and you're exhaling with a hum, it slows it down. It actually stops it from being cleared fast. Of course, meditation and mindfulness. Now, what meditation does is it really gets us to a state of receptivity and a state of listening. When we're in meditation, we're paying attention to ourselves, even ourselves, when we're anxious or we're feeling uncomfortable. When you're feeling that sensation, it's almost like a somatic acknowledgement of your body sensation, so you're aware, you become more aware. Of what happens when you are feeling uncomfortable, and then having those times during the day is really beneficial for that mindfulness to increase. Because the more [00:15:00] you give yourself opportunities to pay attention to yourself, your mind, your body, how it feels, the more mindful you become, the more you can get really tuned in with your nervous system. And that awareness has been shown to really improve your overall physiology, which in turn. Can help your nervous system regulation and your vagal tone. And of course, one of my favorites is acupuncture. Acupuncture can help tremendously, and we actually have a bunch of points that I use often to stimulate the vagus nerve, and part of it is an ears. So another thing that I would suggest if you can't get to acupuncture is just massage your ears or even massage your feet. Anything that really stimulates that calming effect. The ears are one of the ways that we can access the vagus nerve. So I hope you enjoyed this episode, and feel free to share this with anybody that you think can benefit from this information. [00:16:00] It is information that you may not often hear. I haven't heard about it before until I stumbled upon it and I was like, Hmm, that's very interesting. And then the more I learn about the nervous system, the more impacts I see that it has over reproductive health. So I hope this was beneficial for you and. If you ever have any questions, ideas, or thoughts for future episodes, you can always reach out to me and DM me on Instagram where I am very active and my handle is at the wholesome lotus fertility. So thank you so much for tuning in, and I hope you have a beautiful day. So that concludes today's episode. You can find all of the links mentioned on the episode notes. If you're enjoying these episodes, please take a moment to share and leave a review. Reviews mean everything to podcasters and I really enjoy hearing from my listeners.  

If you are childless after infertility and wondering how to move forward without the future you dreamed of, this powerful conversation with Jody Day will meet you right where you are. In this episode, we explore what it truly means to grieve childlessness and how embracing that grief can lead to deep healing, creativity, and purpose. Jody shares her personal story, her insights from years of working in the childless-not-by-choice space, and how grief can evolve from something you endure into something you grow through. Inside this episode: Why grief is not an event but a skill What it means to experience disenfranchised grief as a childless woman How to feel seen in a society that avoids your pain What it takes to build your own support network as you age Why asking for help is a form of strength and connection Unforgettable quotes from Jody Day: “Grief is not an event. It's a skill.” “You're not needy. You have needs. You're human.” “We grieve that which we have loved.” “Grief is the emotion that allows us to let go of what was in order to embrace what's next.” “I look back at the woman who tried so hard and say: You didn't know more was available to you.” Whether you are early in your grief or further down the path, this episode will remind you that you are not alone, and that you still have the power to build a life you love. You are not too late. You are not alone. You may be childless, but your story still matters. This episode will remind you that healing is possible, connection is available, and the life ahead of you still holds meaning. Helpful links and resources:

Are you asking your doctor the right questions? Equipped with a background in science, Tasha Blasi has been shaking up the infertility and IVF world for almost a decade. As a fertility and IVF success consultant who has been through it, she helps IVF mothers find the strategies that work with their bodies so they can get and stay pregnant more easily. Tasha opens up about her personal journey through IVF and why the work she does gives her the energy to get through the day. She's so excited to get out the projects she has in the works so she can help people personalize their fertility journey faster. In this episode, you will learn about: Tasha's personal IVF journey and where her doctors went wrong. The formula she's figured out for her clients and how she helps them. How her own hardships qualified her for the mission she's on today. How a woman's life changes during infertility and why it differs from men. The book Tasha is working on right now and what women need from it most. Why knowing what to ask the doctor is crucial when going through infertility. How your toughest times highlight your areas of improvement in life and business. How to get comfortable talking to your health professionals and why it matters. What it means to be a wild woman: Being authentic to what's in your core.   Today's episode is brought to you by LinkedVA. Transform your business growth with expert virtual team members who handle your essential tasks. Visit LinkedVA.com to discover how their virtual assistants can give you back valuable time in your day.   Check out The Pink Skirt Project, happening June 12, 2025 in Kelowna, BC, Canada.   Got a minute? I would love a review! ⭐⭐⭐⭐⭐ Click here, scroll to the bottom, tap, and give me five stars. Then select "Write a Review." Make sure to highlight your favorite bits. Subscribe here. Connect with Tasha: www.instagram.com/tashablasi tashablasi.com Connect with Renée: @renee_warren www.reneewarren.com

In episode #373 of The Hormone Puzzle Podcast, our guest Kirsty Smith, talks about How Endocrine Disrupting Chemicals (EDC's) Destroy Your Fertility . More about Kirsty: Kirsty is a Functional Medicine Health Coach specialising in hormone and gut health. She is also the founder of Natural Rays Wellbeing Consultancy. She works with individuals and employers to support them to better understand their hormones and how to work with them so that they can optimise their fertility for consistent energy, better mood, less brain fog, and the enthusiasm to live the life they have worked so hard to create. Thank you for listening! This episode is made possible by Puzzle Brew's Fertility Tea: https://hormonepuzzlesociety.com/fertility-tea Follow Kirsty on Instagram: @‌natural_rays_hormone_harmony Take the 2-min quiz to unlock your menstrual cycle saboteur and be on your way to a symptomless cycle HERE. Follow Dr. Kela on Instagram: @‌kela_healthcoach Get your FREE Fertility Meal Plan: https://hormonepuzzlesociety.com/ FTC Affiliate Disclaimer: The disclosure that follows is intended to fully comply with the Federal Trade Commission's policy of the United States that requires to be transparent about any and all affiliate relations the Company may have on this show. You should assume that some of the product mentions and discount codes given are "affiliate links", a link with a special tracking code This means that if you use one of these codes and purchase the item, the Company may receive an affiliate commission. This is a legitimate way to monetize and pay for the operation of the Website, podcast, and operations and the Company gladly reveals its affiliate relationships to you. The price of the item is the same whether it is an affiliate link or not. Regardless, the Company only recommends products or services the Company believes will add value to its users. The Hormone Puzzle Society and Dr. Kela will receive up to 30% affiliate commission depending on the product that is sponsored on the show. For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com

Episode Highlights With BetsyThe microbiome you might not have even known you have! How the gut and brain microbiome connection comes into playUnderstanding the vaginal microbiomeThe feedback loop to the vagus nerve. If vaginal microbiome is off this can affect fertility and libido as wellHow the vaginal microbiome is connected to birth and the baby's healthThe direct fertility connection and how understanding this can help women improve fertility A connection between microbiome and obesity and how this can help women reach a healthy weightThe microbiome/inflammation/obesity connectionBacteria have DNA for human genes and can impact human behaviors What to know about vaginal microbiome testing and the different tests available A healthy vagina has a pH of 3.5-4.5 and should be acidic How boric acid can be helpful Her take on vaginal laser therapies and red light therapiesWays vaginal bacteria is connected to STDs, inflammation, and even virusesThe majority of things we think are yeast infections actually aren't and why boric acid worksResources MentionedGet 10% off at the Pelvic Floor Store Boric acid suppositoriesHer Facebook, Instagram, X, Pinterest, YouTube, and TikTok

The McCullough Report with Dr. Peter McCullough – Claims of widespread reproductive harm from COVID-19 vaccines fuel serious global concern as experts report reduced sperm counts, disrupted menstrual cycles, pregnancy complications, and egg viability loss. Using Czech Republic data, researchers suggest mass vaccination may have cut fertility rates by a third, potentially ushering in dramatic lasting demographic shifts.

This week on the podcast, I sat down with gut health dietitian Megan from Grounded Nourishment to unpack this wildly overlooked connection between your nervous system, digestion, and hormones. Because if you're on the path to period recovery or trying to get pregnant naturally—healing your gut and regulating your stress response isn't optional. It's essential. Here's what we got into:

The McCullough Report with Dr. Peter McCullough – Claims of widespread reproductive harm from COVID-19 vaccines fuel serious global concern as experts report reduced sperm counts, disrupted menstrual cycles, pregnancy complications, and egg viability loss. Using Czech Republic data, researchers suggest mass vaccination may have cut fertility rates by a third, potentially ushering in dramatic lasting demographic shifts.

What if living to 180 isn't about Hacks, but about Healing? In this conversation, I sit down with my friend Dave Asprey, the godfather of biohacking, to uncover what might be the most important conversation we've ever had on this show. And I don't say that lightly. You know Dave for pushing the envelope on longevity, nutrition, and performance—but what we got into here, this is the stuff that actually sets you free. We talk about how every single one of us is born with the capacity for intuition—a gut knowing that transcends logic—and how most of us have let our ego, emotional baggage, and mental chatter completely drown it out. Dave breaks down the five F's that drive human behavior: Fear, Food, Fertility, Friendship, and Forgiveness—and how forgiveness, more than anything else, gives you energy, peace, and power. “Forgiveness is simply becoming non-reactive to something that was still causing you pain,” Dave says. That line hit me hard. We also dig into the practical side—because if there's no strategy, I'm not interested. Dave shares how to train your intuition like a muscle, what happens to your body when you forgive, and why practices like meditation, breathwork, and even brief, intentional exposure to pain (what he calls BICEP) can radically change how you show up in your life. This isn't woo-woo stuff—it's actionable and measurable, and he's got the brainwave data to back it up. Dave's new book, Heavily Meditated, might be his most important one yet. Not because it's flashy, but because it gives you the tools to clear the blocks—emotional, mental, even generational—that are stealing your energy and keeping you from your purpose. If you're biohacking your body but ignoring your spirit, you're leaving the most important gains on the table. Key Takeaways: Why forgiveness isn't a feeling—it's a performance enhancer How to recognize and build your intuitive muscle The biology behind “female intuition” (you'll want to hear this) How meditation actually rewires your nervous system Why exposing yourself to pain builds motivation and emotional resilience What to do when your heart rate variability just won't budge A surprising connection between altered states and intimacy Let me tell you something: it's not just about living longer—it's about living better. With more joy, more clarity, and more freedom. That's what we're after. Max out.