Podcasts about FSH

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]   

We're diving into why progesterone matters when it comes to your fertility especially if you're navigating low AMH, high FSH, poor egg quality, or miscarriage You'll learn how this key hormone supports implantation, calms the immune system, balances estrogen, and improves mood and sleep. We'll explore what causes low progesterone, how to test it (beyond the standard Day 21 blood draw), and practical steps you can take right now to start rebuilding your hormonal foundation. Whether you've had IVF cycles that didn't work or you're just beginning to ask why things aren't clicking, this episode will help you uncover the hidden hormonal imbalances that may be standing in the way and give you a clear path forward. This episode is for you: Have low AMH or high FSH and want to understand how progesterone fits into the picture. Navigating recurrent pregnancy loss and wondering if low progesterone could be a contributing factor Have been told you have poor egg quality and are looking for a more personalized, functional approach to support your hormones. In this episode you'll learn: The signs your body may require progesterone support Why inflammation, stress, gut health, and liver function matter How to naturally support progesterone through food, lifestyle, testing, and targeted supplements DUTCH Test 101: Why It's Important For Fertility: https://fabfertile.com/blogs/podcasts/dutch-test-101-why-its-important-for-fertility?_pos=1&_sid=b889f5c33&_ss=r Why Your Gut Microbiome Matters for Low AMH and High FSH: https://fabfertile.com/blogs/podcasts/why-your-gut-microbiome-matters-for-low-amh-and-high-fsh?_pos=1&_sid=062f03680&_ss=r Our favorite progesterone cream: Ona's Naturals: https://us.onasnatural.com/?rfsn=8376489.72e723 (Use code FABFERTILE to save 10%) The Link Between Sleep and Fertility: Why Getting Enough Rest Matters: https://fabfertile.com/blogs/podcasts/how-poor-sleep-could-be-sabotaging-your-egg-quality?_pos=6&_sid=838d9b670&_ss=r Oura Ring:  https://ouraring.com/why-oura Understanding and Managing Progesterone Levels To Improve Pregnancy Success: https://fabfertile.com/blogs/education/understanding-and-managing-progesterone-levels-to-improve-pregnancy-success?_pos=2&_sid=3380745f3&_ss=r Ovarian vascular aging: a hidden driver of mid-age female fertility decline (discusses Rhodiola): https://www.nature.com/articles/s41514-025-00216-1?utm_source=Newsletter+list&utm_campaign=430d9b8ac7-EMAIL_CAMPAIGN_2024_12_16_03_14_COPY_01&utm_medium=email&utm_term=0_-d2a8390d80-482938369 Our favorite fertility tracker (use code FABFERTILE15 to save 15): https://www.inito.com/en-us/?srsltid=AfmBOoo85sXu_esmFN5Kz6iysaTkBKgYl35Jubv-BaLkkxXVggdk6nes Fab Fertile Method https://www.fabfertile.com/what-we-do/ Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii Not sure where to start? Book a 15-minute call here and we'll give you options to help. ---

What are the must-have tests when trying to figure out infertility? In this episode of Fertility Docs Uncensored, we're joined by Anate Brauer, MD, a physician at RMA New York, to break it all down with our trio of fertility gurus—Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. Together, they dive into the top 4 tests you shouldn't skip when facing infertility. We're talking AMH (antimullerian hormone) to evaluate egg quantity. They discuss egg quantity vs. quality (yes, there's a difference!), why age really does matter (ugh, we know), and what tests like TSH, FSH, and estrogen levels can tell us. They get into the nitty-gritty of semen analysis—because guys, you're half the equation—and the dynamic duo of uterine evaluations: HSG and saline sonogram to check for polyps, fibroids, and make sure your fallopian tubes are open. And just when you thought we were done, we throw in a little genetic twist with carrier screening, explaining why matching mutations isn't as romantic as it sounds. Whether you're just starting your fertility journey or deep in the diagnostic weeds, this episode is packed with laughs, knowledge, and more than a few “aha!” moments. Don't miss it!

Dr. Natalie Crawford discusses IVF answering questions about fertility treatment preparation and potential challenges. She explains why starting early with suppression medications like birth control, progesterone, or Lupron can help align egg growth for a more effective cycle. She breaks down the benefits of using a low-dose gonadotropin protocol to reduce the risk of ovarian hyperstimulation syndrome (OHSS), and emphasizes the importance of checking hormone levels, particularly FSH and LH, before starting to ensure your body will respond well to the trigger shot. Dr. Crawford shares lifestyle recommendations that support fertility, including adopting an anti-inflammatory diet, reducing exposure to environmental toxins, and considering supplements tailored to individual needs. She also highlights the value of comprehensive fertility testing and understanding the financial aspects of treatment so you can make informed decisions every step of the way. Want to receive my weekly newsletter? Sign up at ⁠⁠nataliecrawfordmd.com/newsletter⁠⁠ to receive updates, Q&A, special content and my FREE TTC Starter Kit! Don't forget to ask your questions on Instagram for next week's For Fertility's Sake segment when you see the question box on Natalie's page ⁠⁠@nataliecrawfordmd.⁠⁠ You can also ask a question by calling in and leaving a voicemail. Call 657–229–3672 and ask your fertility question today!     Thanks to our amazing sponsors! Check out these deals just for you: Quince- Go to ⁠⁠Quince.com/aaw ⁠⁠for free shipping on your order and 365-day returns Ritual-Go to ⁠⁠ritual.com/aaw⁠⁠ to start Ritual or add Essential For Women 18+ to your subscription today. Calm - Go to ⁠⁠calm.com/aaw⁠⁠ for 40% off unlimited access to Calm's entire library. AquaTru - Go to ⁠⁠aquatru.com⁠⁠ and use code AAW for 20% off! Green Chef - Go to greenchef.com/50aaw and use code 50AAW to get 50% off your first month, then 20% off for two months with free shipping. If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Sunday. Plus, be sure to follow along on Instagram ⁠⁠@nataliecrawfordmd,⁠⁠ check out ⁠⁠Natalie's YouTube channel Natalie Crawford MD⁠⁠, and if you're interested in becoming a patient, check out ⁠⁠Fora Fertility. Learn more about your ad choices. Visit megaphone.fm/adchoices

Could you be in perimenopause? Are you experiencing mood swings, trouble sleeping, or irregular cycles and wondering if it's just stress—or something more? In this week's episode, we're unpacking the hormonal rollercoaster that is perimenopause, a transitional phase that can span up to 10 years before menopause officially sets in. We talk about what's happening with your hormones during this time, how to assess where you're at, and the most common symptoms women face as their bodies shift. We also share empowering, food-as-medicine strategies, targeted supplements, and key lifestyle interventions to help you feel balanced, supported, and vibrant through the transition. Aging doesn't have to mean losing yourself in the process—there's so much you can do to stay sharp, energized, and grounded. Tune in and learn how to navigate perimenopause with clarity and confidence. Also in this episode:  Defining perimenopause Symptoms of perimenopause Conventional treatment of perimenopause symptoms Functional medicine approach Phytoestrogens Kudzu Red Clover Flax Turmeric Resveretrol I3C Broccodetox  Labs for perimenopause Dutch Hormone Panel Labrix Neurohormone Complete Plus Episode 395 Testing Women's Hormones LH, FSH, Estradiol (Day 3) Progesterone (Day 19) Cholesterol changes in perimenopause Episode 139 The Pregnenolone Steal Episode 433 Markers that Matter for Heart Health Priorities of supplementation Relax and Regulate Bio-C Plus Vitamin D Balanced Blend Women's Flora Julva Food as medicine  Mediterranean Keto Protein Episode 412 The Power of Protein Whey Protect Pure Collagen Fiber Omega 3s Bone Broth Fasting Carnitine Detox Packs Creatine    Sponsors for this episode:  This episode is sponsored by Wild Foods, a company that puts quality, sustainability, and health first in all of their products. They have everything from coffee to turmeric to medicinal mushrooms, and every single product is painstakingly sourced from small farms around the globe. They take their mission seriously to fix the broken food system, and believe real food is medicine. They've partnered with us to give you guys an exclusive discount, so use the code ALIMILLERRD for 12% off your order at WildFoods.co!   

Send us a textAre all IVF cycles created equal? Not even close. In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols dives deep into the science of IVF priming—covering everything from birth control pills, estrogen, progesterone, and Lupron to the emerging role of androgen priming with DHEA and testosterone. Learn how synchronization, FSH receptor upregulation, and strategic suppression can make or break your cycle success. Whether you're a poor responder, have PCOS, elevated FSH, or premature ovarian failure, this episode will help you understand which IVF priming protocol may be right for your body. It's time to move beyond cookie-cutter fertility care and personalize your path to pregnancy.Thanks for tuning in to another episode of 'Taco Bout Fertility Tuesday' with Dr. Mark Amols. If you found this episode insightful, please share it with friends and family who might benefit from our discussion. Remember, your feedback is invaluable to us – leave us a review on Apple Podcasts, Spotify, or your preferred listening platform. Stay connected with us for updates and fertility tips – follow us on Facebook. For more resources and information, visit our website at www.NewDirectionFertility.com. Have a question or a topic you'd like us to cover? We'd love to hear from you! Reach out to us at TBFT@NewDirectionFertility.com. Join us next Tuesday for more discussions on fertility, where we blend medical expertise with a touch of humor to make complex topics accessible and engaging. Until then, keep the conversation going and remember: understanding your fertility is a journey we're on together.

We're diving into how to prepare for IVF when dealing with low AMH. If you're dealing with DOR, POI, low AMH, high FSH, or recurrent pregnancy loss and are contemplating IVF, this episode is a must-listen. You don't have to just “hope” for success—there's so much you can do beforehand to improve your chances of successful egg retrieval and implantation. I know you've already made a lot of changes, but are they personalized for you? In this episode, we'll walk you through how to create the right foundation, so you're not just preparing your body for IVF—you're setting yourself up for a successful pregnancy. This episode is for you if: Understand how low AMH impacts egg quality and IVF success, and how functional nutrition and medicine can improve your chances. Discover the critical connection between gut health and fertility, and learn strategies to balance hormones and reduce inflammation for better egg quality. Get actionable nutrition and lifestyle tips—from fertility-boosting foods and supplements to stress management and sleep strategies—to support your IVF preparation. In this episode you'll learn:

Dr. Natalie Crawford answers your fertility questions called into the voicemail. Questions Answered: -What happens if you lose your period after stopping birth control? -Is it normal to have low basal body temperatures during the luteal phase? -Should someone with regular cycles but a potentially short luteal phase consider taking Clomid? -How significant is a drop in AMH and increase in FSH between ages 29 and 31? -Can a past chlamydia infection cause long-term fertility difficulties? -Is it safe to have a colonoscopy while starting IVF or during breastfeeding? -Can women with PCOS donate their uterus or become surrogates? - What physical activities are recommended or restricted after an IUI? Want to receive my weekly newsletter? Sign up at ⁠nataliecrawfordmd.com/newsletter⁠ to receive updates, Q&A, special content and my FREE TTC Starter Kit! Don't forget to ask your questions on Instagram for next week's For Fertility's Sake segment when you see the question box on Natalie's page ⁠@nataliecrawfordmd.⁠ You can also ask a question by calling in and leaving a voicemail. Call 657–229–3672 and ask your fertility question today!     Thanks to our amazing sponsors! Check out these deals just for you: Quince- Go to ⁠Quince.com/aaw ⁠for free shipping on your order and 365-day returns Ritual-Go to ⁠ritual.com/aaw⁠ to start Ritual or add Essential For Women 18+ to your subscription today. Calm - Go to ⁠calm.com/aaw⁠ for 40% off unlimited access to Calm's entire library. AquaTru - Go to ⁠aquatru.com⁠ and use code AAW for 20% off! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Sunday. Plus, be sure to follow along on Instagram ⁠@nataliecrawfordmd,⁠ check out ⁠Natalie's YouTube channel Natalie Crawford MD⁠, and if you're interested in becoming a patient, check out ⁠Fora Fertility. Learn more about your ad choices. Visit megaphone.fm/adchoices

Story at-a-glance Research shows that glyphosate exposure, even at “safe” levels, causes hormone imbalance, oxidative stress, and permanent damage to reproductive organs like the ovaries and uterus Exposure reduces estrogen and follicle-stimulating hormone (FSH) while increasing testosterone and progesterone, creating conditions similar to PCOS. It also impairs egg quality and lowers the chance of successful fertilization and implantation Glyphosate alters gene expression in the uterus of offspring who were never directly exposed. These inherited disruptions impact fertility for your children and grandchildren The chemical shuts down mitochondria, blocks detox enzymes, and depletes essential minerals, setting off a chain reaction that affects everything from hormone production to brain function Avoiding glyphosate-contaminated food, filtering your water, eliminating seed oils, and healing your gut are key steps to reverse its impact and regain reproductive and metabolic health

In this episode, Dr. Carol Kowalczyk dives into the often emotional and deeply empowering path of using an egg donor on the journey to parenthood. Whether you're just beginning to explore fertility options or have been on this road for a while, this episode provides compassionate, clear insight into when egg donation becomes a recommended option—and how it might be the right fit for you. What You'll Learn in This Episode: -Who makes an ideal candidate for egg donation -Hormonal markers (FSH and AMH) and how they influence fertility -Why age matters—and how eggs change over time -The difference between known and anonymous egg donors -Genetic conditions that may lead to egg donor consideration -How egg donor IVF works—from stimulation to embryo creation -Emotional and psychological support throughout the process -What to consider when telling family, friends, or your future child -Why counseling is a required and essential part of this journey Key Takeaways: -Egg donation is a beautiful and increasingly common option for many women in their 40s and 50s. -Hormone levels and ovarian reserve often determine when this becomes a suggested route. -Known donors (like a sister or friend) and anonymous donors are both options—with different considerations. -Frozen egg donors offer immediate access, while fresh donors follow the full IVF timeline. -Counseling is a must—not only to process emotions, but to prepare for parenthood with intentionality and peace of mind. Dr. K's Words of Wisdom: “Being a mom is more than the egg—it's about the scraped knees, the 2 a.m. wakeups, the love you pour in every single day.” You're not alone on this journey. If this episode sparked questions or gave you hope, we're here to walk alongside you. Looking for Support or More Info? Visit Michigan Center for Fertility & Women's Health – where compassionate care meets expert guidance. Have more questions or just need someone to talk to? Reach out to us anytime at mifertility.com. And stay tuned! Our incredible fertility counselor, Claire, will be joining us in a future episode to talk about all things emotional well-being, support, and storytelling through the egg donor process.

On today's episode of The Wholesome Fertility Podcast, I am joined by fertility expert, acupuncturist, and conscious work practitioner, Lorne Brown @lorne_brown_official. Originally a CPA, Lorne's personal health journey led him to discover the transformative power of Chinese medicine, ultimately changing his career path. Now, as a leader in integrative fertility care and the host of The Conscious Fertility Podcast, Lorne bridges the gap between science and spirituality to help individuals optimize their fertility and overall well-being. In this episode, Lorne shares how conscious work plays a powerful role in fertility, explaining how subconscious beliefs and emotional resistance can impact reproductive health. He discusses the mind-body connection, the importance of inner healing, and how shifting from stress to flow can create profound changes. Whether you're on a fertility journey or simply looking to align with your highest self, this conversation is packed with insights on conscious transformation, holistic healing, and the power of perception.   Key Takeaways: Lorne's personal journey from accountant to acupuncturist and fertility expert. How Chinese medicine and holistic healing transformed his health and career. The mind-body connection and how stress impacts fertility. How subconscious beliefs shape our reality and can either block or support conception. The power of inner work and emotional healing in reproductive health. How shifting from resistance to receptivity can improve fertility outcomes. The role of consciousness in creating meaningful change in health and life. Insights from The Conscious Fertility Podcast and how Lorne helps patients find balance through a holistic and energetic approach. Guest Bio: Dr. Lorne Brown @lorne_brown_official is a leader in integrative fertility care, blending Chinese medicine, mind-body healing, and cutting-edge therapies. A former Chartered Professional Accountant (CPA), his personal health journey led him to acupuncture, herbal medicine, and holistic fertility support. As the founder of Acubalance Wellness Centre, he introduced low-level laser therapy (LLLT) for fertility and pioneered IVF acupuncture in Vancouver. He also created Healthy Seminars, an online education platform, and hosts The Conscious Fertility Podcast, where he explores the intersection of science, consciousness, and reproductive health. Websites/Social Media Links: Learn more about Lorne Brown, visit his website hereFollow Lorne Brown on InstagramListen to Conscious Fertility Podcast 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   -------- 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: [00:00:00]  Welcome to the Wholesome Fertility [00:01:00] 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:** Welcome to the podcast, Lauren. **Lorne Brown:** Hey, Michelle, glad to be together with you over whatever we call this technology. I think yours is the Riverside. Yeah, I had a good time interviewing you for my Conscious Fertility podcast, so I'm looking forward to having more conversations with you because that was a lot of fun for me. **Michelle Oravitz:** It was a lot of fun for me too. And I actually it was really, really nice. And to see that we have very similar views just on reality and health and fertility, **Lorne Brown:** Yeah. **Michelle Oravitz:** it was a lot of fun. And so last week actually for everybody's listening, that was the first time we actually officially met via zoom. **Lorne Brown:** Yeah. But we know each other. We're part of the, the ABORM, right? The Acupuncture TCM Reproductive Board of Medicine but yeah, [00:02:00] like the first time you and I had real conversation rather than chat conversation. **Michelle Oravitz:** Which is awesome. I **Lorne Brown:** Yeah. **Michelle Oravitz:** it. And I think that we're so aligned in so many ways. I think that we both love the whole bridging of science and spirituality. We're kind of nerds in that department. **Lorne Brown:** Yeah. **Michelle Oravitz:** for people listening, I would love if you can introduce yourself. I know we also have, we started out with very different backgrounds. And went into acupuncture, you have like kind of a similar cause you started in accounting, right? **Lorne Brown:** Yeah, so, I am a CPA, so a Certified Professional Accountant back in the day they were called Chartered Accountants in Canada and because of health issues and having such a a response to Chinese medicine in particular eventually I, I was the, one of the controllers and tax guys at this time with ocean spray growers here in B. C. and I left that position so I could go back to school and study Chinese medicine as my second career. So that's kind of a little bit about my background. And then eventually **Michelle Oravitz:** [00:03:00] Like what made you think about doing Chinese medicine? **Lorne Brown:** I was ill. I had um, you know, back in the day, this is in the eighties and early nineties. So this Chinese medicine wasn't as available. This was before websites, right? Where you could really see what other people were doing and learning. And so I had severe gut issues, you know, diagnosis IBS, chronic fatigue, candida and you know, I got scoped through all each end and eventually and I tried different Western approaches and eventually it was the herb, Chinese herbal medicine actually that dramatically changed it so much. So, I mean, I have some memories. I did a bachelor of science first in math. That was my first thing. Then I went and did accounting in McGill. And and then I went and became a CPA, back then CA. They changed the letters for the designation. And I remember when I was at McGill I was already seeing alternative medicine doctors, in particular Chinese medicine. And I remember [00:04:00] s for the first time, how much clarity, because I had, I didn't realize how much brain fog I had. And so the clarity I had, I was in the classroom, I just realized how easy things were going in, and I was just remembering things, and I just felt like things were almost in slow motion in a good way, like a professional athlete when they can see the court. And physically, I just felt I had so much endurance, so much energy. I was just I felt great. And you know, when you've been feeling poorly for so long, That I thought that was normal. And then I got, you know, the illness was so bad while I was early days in my accounting studies at McGill. it interfered with my, my studies. It interfered my life. I almost couldn't get outta bed sometimes with the fatigue and the brain fog. And so I had an I had an aunt who was into this stuff. , I was, wasn't right. Remember, it came from Bachelor's Science Math in Duke County. I was, I think I was always open-minded. Look what I'm doing, but it wasn't kind of on my radar. And she's the one that suggested I see her Chinese herbalist. And you know, I was desperate. I was living in Montreal, Canada. She was living in Calgary, Alberta, Canada. So [00:05:00] I, I got on a plane and flew to see her person because I wouldn't know who to go see right back then. And you know, through dietary changes and herbal medicine. It, it transformed my life and funny story because, you know, I do acupuncture like you do. I always had a fear of needles, right? I never was a big fan of needles. So the first time I was getting acupuncture, the acupuncturist who treated me, I have everybody lying down, but he had me sitting up on the table. Right on the treatment table. I was sitting and he's putting these needles in me and he's like, are you okay? I guess he could see I was going a little green and I'm trying to be, you know, tough guy. And I'm like, yeah, yeah, I'm fine. Next thing I know flop, I passed out on the table. **Michelle Oravitz:** do. **Lorne Brown:** So. Yeah. So now I receive it. I love it. Now I give it. But I did. It's a mind over matter, right? I did have that fear of needles, which is why I started with the herbal medicine. Most people like, Oh, I'll do acupuncture, but they maybe have an aversion to the herbs or the taste of the herbs. I was the other way [00:06:00] around. I got introduced to Chinese medicine through the herbal medicine. And then I was like, Oh, I'll try the acupuncture too. and, you know, I stuck with it, obviously. And, and eventually went back to school and now I can I receive it and I can give it and I have so much compassion for those who have a fear of needles, but usually if they come in and try it, they realize it doesn't feel like needles that you're getting. And now with technology, I have low level laser systems as well. So I can do laser acupuncture for those people that just cannot. Experience acupuncture because it's so stressful for them. **Michelle Oravitz:** Yeah, for sure. So that's that's one of the things or sometimes starting them out with baby needles because the baby needles are really, really, really super thin. You can barely feel it. **Lorne Brown:** Yeah, I mean, I, I mean, I just give them the acupuncture for the first time and, and they're nervous. But, you know, they let me put in one needle, then another, then a third. And that's all I'll do for the first visit for people who have a big phobia. But like you and I know, and those that have received it, it's not like getting a [00:07:00] needle at the doctor when you get a shot or blood drawn. And so you really, you know, once they're in, it takes like a minute to put them in. Then you go and tell a beautiful rest, la la land for 30 to 45 minutes on the table. So all worth it for most. **Michelle Oravitz:** totally worth it. For sure. So talk about why you got into fertility specifically. **Lorne Brown:** Yeah, and I'll keep it short, but it was, it was never my intention. My intention was to treat gut issues, digestive issues, because that's what brought me to the medicine. So I thought I'd be, and that's what I set out to do, IBS, irritable bowel syndrome, Crohn's, colitis, severe bloating, constipation, diarrhea, that kind of stuff is what I thought I would be seeing. and I did see a lot of that, and in our medicine, when we treat, we do a very Detailed history and we treat holistically so we can't just focus on the gut health just like for fertility We don't just focus on the women's ovaries, right? We focus holistically and so most people that come to health professionals back then And [00:08:00] I started in 2000 and now still are female And so I'd always do a menstrual history and the the menstrual history is such a great guide for health, right? We can get so much information. That's why I prefer treating women over men. I treat both women who are menstruating. Help me diagnose them from a Chinese medicine perspective because I get so much information from their cycle history. And so as I was treating their bloating in their IBS, or they're alternating between, you know, constipation and diarrhea, or even colitis and Crohn's symptoms. They noticed their PMS went away, they noticed their menstrual pain went away, their irregular bleeding, the spotting, all those things changed. So I became popular. with women's health in general. So I was just doing women's health. So I was seeing people with perimenopause and menopausal symptoms and with painful periods. That was what I was seeing. And back then, again, the web wasn't a popular thing. I was advertising a magazine with a focus in women's health. And this woman who found me was going through an IVF and she was [00:09:00] going to see one of our colleagues, Randine Lewis, in Houston. So I'm in Vancouver and she flew to Houston to see Randine because this was before Zoom. And she, Randine told her she needs regular acupuncture at least once a week so she's going to enter herbal medicine. So she has to find somebody local because it wasn't reasonable or cost effective for her to fly weekly to Houston from Vancouver, right? Nobody was focusing on fertility, but she found me women's health. So she came to my clinic and told me her story and asked if I'd be willing to follow Randine's acupuncture prescriptions and her herbal suggestions and do that for her in Vancouver. And I kind of said cheek cheekily, but in a funny way, in a cute way, as a non aggressive way. So basically you want me to be like a monkey. And put the points where Randine tells you, tells me, and prescribe the herbs where Randine how Randine tells me. She goes, yeah. And I'm like, I'm in. That sounds great. I get to learn from somebody. Because what our audience doesn't know, [00:10:00] Randine was already focusing with fertility. And she had already had this draft book, which came out shortly after, called The Infertility Cure. First of many of her books. So, I thought it was a great opportunity to be able to learn from somebody with more experience and, and not have responsibility to the outcome. And so, and then women who are going through IVF and struggling with fertility, they talk and By 2004, I only would take reproductive health issues. That was all I would take because I was too busy, and I started hiring associates and training them because I couldn't handle the load myself. Now, here we are recording this in 2025 I have multiple associates in our clinic. And that do focus on fertility and myself personally, I still see a lot of reproductive health. But I'm so into the conscious work now. Cause I have low level laser therapy that we use for fertility, but I use that for so many other things. Brain health pain, pain injury. And I do a lot with pure menopausal symptoms. So, I would say, and half my practice, when I look at my [00:11:00] schedule is conscious work. Right? Is that mind body work? Half my practice is that. They still get acupuncture and low level laser therapy as part of the treatment but they're coming in with, I'm wanting belief change work. and I do see a lot of reproductive health, but I see everything now. So it's, it's kind of gone full circle. Because of the conscious work, because conscious work is my passion. And so whoever comes in the door that's looking for change, they may want a relationship change or want a relationship, job changes, finances. They want a baby, they want a healing. Basically, they want to be happy and they realize they can't get it from the outside. So they're looking for help on the inside to have that transformation. And that's why we use it for fertility because it's such a powerful tool when you can heal the mind, the body follows really well. **Michelle Oravitz:** Yeah. No doubt. So talk about the conscious work, specifically. What does it entail? Mm-hmm **Lorne Brown:** Yeah, well, I'm trained also as a clinical hypnotherapist, and I've done a lot of what they call energy psychology modalities. So I'm trained in [00:12:00] Psyche, emotional freedom technique, Bankstein healing method, you know, energy type medicine. But from the clinical hypnotherapy perspective and what I would call conscious work, it's inner work. It's waking up to your true nature. It's waking up to what some people would call higher self, what they would call consciousness witness consciousness. You'd have to be open and appreciate that there's more to this world than meets the eyes. And so we have a Newtonian science world, what's considered a materialistic world, and those are things that we can kind of measure. And then there's the science, the new science called quantum physics. Which understands there's so much more to this reality than what we see and when you have these shifts inside it has your your perception to the world You see it differently and you can think of it as if you live in a building Let's say your your life is a building, you know On the first floor if that's where you live, you're going to have a certain perspective of what your neighborhood is And it's going to be very limited because you can only see from the first floor. And as you move up, if the 20 store [00:13:00] building, if you live above 10 and you start to live on the 15th floor, you have a different perspective of what is in your neighborhood than the person who lives on the first floor. And so conscious work is about kind of getting to a different perspective. I we know, you know, through so much more research now that we perceive the world. Through the lenses of our subconscious programming, you know, and so how we see the world is through the lens of our subconscious and that subconscious programming is is inherited and imprinted on us inherited like literally few generations before we know this through um, research on Holocaust survivors and their children and grandchildren. And we know this through the study, the cherry blossom study on mice were stressed and traumatized and it got passed down to their grand pups. I won't go into the study because it's **Michelle Oravitz:** and DNA. **Lorne Brown:** Yeah, it gets tagged. It's not a genetic mutation, it's a tag. So it can, one generation get tagged, and one generation you can heal it. So, you see the world through the lens of your subconscious, and that lens is based on your history. And [00:14:00] so, I heard a teacher of consciousness once say, Reality's white snow, let's pretend that. And then you have red glasses. I have orange glasses. Some of the listeners have blue, green, white, yellow. We're all seeing white snow, but we're all experiencing it, perceiving it differently because of our lens. And if we want to have a different experience to see that reality, we got to change our lens. **Michelle Oravitz:** Yes. **Lorne Brown:** You know, or we're both fans of Joe Dispenza, right? We both run retreats, and **Michelle Oravitz:** we're Joe Dispenza groupies. **Lorne Brown:** yeah, I like, I like his work. I like his retreats and his books. And in his book, Breaking the Habit of Being Yourself, I think it's where he said it. I've read all of his books and been to many retreats, but I really liked how he said your personal reality is based on your personality. And you can't have, how do you expect to have a different reality if you bring your current personality into your future? You're gonna get the same thing. Right. And so this is about having that shift because, you know, we're going kind of into a rabbit hole here, but if you're open for it, **Michelle Oravitz:** No, I'm totally open for it. And my, my listeners are used [00:15:00] to it, **Lorne Brown:** okay, you know, God, I see they're allowed to, or Gandhi, I've seen this quote attributed to both, but it kind of goes like your beliefs lead to your thoughts, which lead to your feelings, which lead to your actions and behaviors, which lead to your habits. which leads to your destiny. Basically they're saying is your behaviors are always congruent with your beliefs. And when they conflict the program, the belief is going to win. And if you do a behavior long enough, it becomes your habit. So it becomes a reality. So we often want to go and work on the outside world. We often want to go work on a behavior, but the behavior stems from a belief or a program often unconscious. And so we'll self sabotage ourselves, even though we really want to lose that weight. We go and we diet, we exercise, but that's a behavior. But if you have a program that, you know, I'm not beautiful, right, or I'm not thin enough, then the subconscious wants congruency, and it will find a way to sabotage that. [00:16:00] Consciously or unconsciously, it'll happen. And so rather than going to work on the behavior, we go to work on the program, and then it flows down, and the behavior changes naturally. **Michelle Oravitz:** It's so true. And it's almost that, you know, that saying whether you think whether you Think you can or can't  **Lorne Brown:** you're right. Yeah. **Michelle Oravitz:** it's just a matter of what we choose and I think the key with this is that people don't even realize It's almost like they're so asleep in the matrix **Lorne Brown:** Yeah. **Michelle Oravitz:** is such a great movie, by the way, because of that reason, it really shows us how, if we just knew that that was the case, **Lorne Brown:** Yeah. **Michelle Oravitz:** had those beliefs and it impacts our reality, then we would make a difference. But I think the problem is, is not even knowing that it's even there. **Lorne Brown:** Yeah. Well, of course, and I don't know if the age has changed, but it was my observation that around age 40, people start to realize that they need to do their inner work. the drug doesn't work anymore. The antidepressant isn't working, [00:17:00] or they're in a third relationship. It's not working. They change cities. Like it's not working. The changing the outside is only temporary. So somewhere around 40, maybe it's younger now cause things seem to be speeding up, but around age 40 people come in there and they don't know what they're looking for, but they know they're looking for it. And you and I have language for this, right? They're looking for inner work, conscious work, but they kind of know that I know by getting a new relationship, it's not going to help. I got it. Something's not right. about me. And I, you know, I'm going to give an example because the relationship one comes up a lot in my practice when people come and see me. and I share this as an example of self sabotaging programs and why I like the conscious work. And we can talk about how this plays with fertility as well and baby manifestation. This actually wasn't my patient, but it was somebody who shared it. And I loved this case so much because it, it really is a great explanation of of belief change. So She was around 45. She was a lawyer and she had become aware that she was somehow sabotaging relationships. No matter what [00:18:00] relationship she went in, like she would find some not such great guys in her opinion, but she actually realized she found some good guys too. But for some reason, even she knew there was a button and she, she knew she shouldn't push that button, but she would push the button even in her mind when she knew this isn't going to work out. And the, and the relationship would collapse. So at her clinical hypnotherapy session, She got regressed and in this regression, she's experiencing herself as a four year old and she's remembering her mom is making dinner for her and her older sister was around seven and she promises the girls that they get popsicles if they eat all their dinner. So her older sister. Eats her dinner fairly quickly and gets a popsicle. And she, she being for living in that theta brainwave living in the moment, it's not eating quickly. And all of a sudden she sees her sister with a popsicle and she goes, I want a popsicle and her mom's tired end of day. And she angrily says, no, you haven't eaten your dinner. You don't get your dinner to you. You don't get your popsicle till you finish your [00:19:00] dinner. And it probably wasn't said in a loving way. And this triggered the four year old. And like many four year olds, she got. You know, she had a little four year old temper tantrum, and that set off her mom, and then she got sent off. To her room without dinner and without popsicle. And in her story, she's thinking in her dialogue that mommy likes, mommy likes and loves my sister more than me. Mommy doesn't love me. I'm not lovable. And she has this aha moment when that program really started for her. I'm not lovable. Now, remember I said the subconscious and the conscious want congruency. The heart and mind want congruency. When it conflicts, the heart, the shen, the subconscious, wins. And so, she would have a relationship, and if this guy was doting and loving her, her subconscious goes, that's not who we are, we're unlovable. And she would Consciously or unconsciously sabotage the relationship. So in hypnotherapy work, we're able to bring her 45 year old self back and reparent doing her [00:20:00] child work and shift that. And I often say in my practice, I have a an approach. Notice, accept, choose again. Notice everything is neutral and we give it meaning. Neutral. She just did not get a popsicle. Neutral. The meaning she gave it was I'm not lovable, right? And children that are in theta, meaning they're in, they're sponges. They don't have that prefrontal development to discern things. They just take things in and we don't know why. But you know, if you're a product of divorce, which a lot of people are It's usually for the children. It does some form of scarring, subconscious scarring, right? Because the children feel like they're responsible. It's their fault. So guilt shows up or shame shows up. Not safe. So all these programs come up and when I distill them down, I see people that are worth hundreds of millions of dollars. I see people that can't afford my services, right? And based on what they get paid, right? And when you distill it down, the stories are, can be very different, but when you still it down, it's I'm not enough, right? I'm not lovable. [00:21:00] I'm not pretty enough. I'm not thin enough. I'm not smart enough. It's kind of, I'm not enough when you distill it down, whether you're worth a couple hundred million or whether you're scraping things together. So. Notice everything is neutral. We give it meaning. And when we believe in the story, we make it real. So this is not to believe in the story. And that's kind of that materialistic side, right? And we use these tools conscious work to go in and clean up the operating system. And here's an important point I want to share with our listeners is You know, you have this hardware, but the hardware functions depending on the software and I got multiple stories like this, but I'll give you a couple, you know, they have done research on those with multiple personality disorders and depending on the personality, right? One will need reading glasses. One will not. One's blood tests will be diabetic and the other one will not. Right? I mean.  **Michelle Oravitz:** to orange juice. **Lorne Brown:** Yeah, when we allergic not so same physical body. So from a journalistic point of view, this makes no sense, but from a quantum perspective, it does. Right. And and we've heard people [00:22:00] with near death experiences. I've, I've heard through a colleague of one before, and I just, I'd met one recently, actually, and she's written a book on it, Anita, where she, yeah, it's great, right? **Michelle Oravitz:** Yeah. Yeah. **Lorne Brown:** So, you know, her story is she. Developed cancer, funny thing, not so funny, but she always had a fear that she would die and get cancer. So, you know, you got to be careful where you're putting your focus, right? She did everything she could to not get cancer. She got cancer and she was ridden with tumors and she's in the hospital and her husband's by her side. And the story goes that she goes unconscious. So they tell her, say goodbye. She, this is it. She's, you know. She's going to die and she's got, they got on some medications too, I believe for pain relief. And I think it was a day or two later, she opens her eyes and she has an experience of a near death experience where we won't go into it today where she sees other. Family members are beings, but not the personalities like she just knew who they were, but she realizes she's coming back and she knew she was coming back [00:23:00] different. It wasn't like a full lobotomy, like 180 degree turn, but she had a personality change, right? And she knew her cancer is gone. And when she woke up, she tried to convince her husband her cancer was gone. And he's like, you know, no, you know, they got the doctors. She was able to re Share stories of conversations that they had outside when she was in the coma in another room. She forbade him. She could, you know, she knew what the doctor's shoes look like, right? Everything. So **Michelle Oravitz:** that's that bird's eye view. **Lorne Brown:** she was outside the body, but her cancer went away without any medication. After that, she woke up from a coma. And her cancer just resolved herself. So there's that personality. So her personality changed and her physical body changed, right? Because of this and going back to our friend Joe Dispenza, Dr. Joseph Dispenza and your listeners check out his book. They're supernatural the placebo and breaking the habit of being yourself. That's a really good one breaking the habit Right. It's a good one to start with. He talks about you can use matter to change matter, which can be slow. That's for our fertility patients taking supplements. [00:24:00] That's IVF, that's diet matter, change matter, or you can use energy to change matter, which can be spontaneous. Like what happened with Anita, which when her cancer went away, right? Is it went away pretty quickly, right? **Michelle Oravitz:** There's people with well, we see it all the time at Joe Dispenza's work stage four cancer. It just, it goes away. **Lorne Brown:** Yeah. So that's working with a different, dimension of yourself, right? If you want to speak. So the conscious work that I use is how to tap into that, how to tune into it. And it came from my experience, right? I, I've learned this and developed this from many people I've studied with. And I'm a kinesthetic learning. That's learner. That's why I've learned psych KFT, Marissa peers, rapid transformational therapy, Ericksonian The guy just. Love it, right? I think it started from insecurity. Not enough, not smart enough. So I kept on doing things which brought me my success outside, but inside it wasn't enough. So I kept on learning and learning and learning. And then eventually, you know, you're brought to your knees, which I was. debilitating anxiety. And I go in and do the [00:25:00] inner work and I have the transformation. And then I'm kind of at peace. Don't feel like I need to do too much. But now there's this new drive, this overflowing, wanted to share. It's a different feeling. It's comes from peace. It doesn't exhaust you. Right. And so I think on the outside, if I was looking at me, I looked. Similar as in go, go, go. Always learning, always doing right. But I was coming from fear and lack for many years, my doing and stuff. So my doing just got me more fear and lack because I could never feel that void. Now I'm going, going, going, but it's coming from feeling more whole and complete and I'm not attached whether I do it or not, right? I'm not attached to it so much. And but yet I'm still doing it. But now I feel Charged by it. **Michelle Oravitz:** That's so great. I mean, don't you see the yin and the yang too, in a lot of this **Lorne Brown:** Oh, yes. Yeah. Yeah. **Michelle Oravitz:** the harmony, the **Lorne Brown:** Yeah, and you got to keep going into the end So you then you have the young and it happens, right? So, you know, I go inside I become quiet and and then all of a sudden all this [00:26:00] activity and inspire thought comes through me And then I I want to go in and see if I can manifest it, right? **Michelle Oravitz:** Yeah. And everything kind of goes in pulses, you know, there's a, there's pulses, even with like experiences that we have in life, there's ebbs and flows. I think that we get impatient or we think that it's going to be forever, but nothing lasts forever. It's like the good news and the bad news, nothing lasts forever. **Lorne Brown:** Right? Yeah, it's the good news and the bad news. Yeah, in that sense, don't be attached. **Michelle Oravitz:** Yeah, true. **Lorne Brown:** Which is a practice. **Michelle Oravitz:** it is, and it's something that the ancients have been telling us this whole time. They've told us to go within, they've told us not to be too attached, to learn from nature, to learn from what's around us. to flow, flow with it. **Lorne Brown:** And a tip for our listeners, because again, I teach what I've experienced. Many people may be going, well, I've read these books and I know all this stuff and I haven't had a shift. I was that guy where I had read everything and took courses, but I didn't do the process work. I, I conceptually understood it. I could teach it. But I wasn't living it. And it wasn't until I actually did the process work that the [00:27:00] transformation started happening, the awakening started happening. And so that's kind of, you know, with my patients, when I work with them, they want to get in the head and understand, which I love. We got to understand when you understand the why behind it, they say that the how becomes easier. The why is, you know, how does it work? And then the how is, what are you going to do? But if it's just an intellectual discussion you'll have a mind shift. But you won't have a trait change. And what's the difference? A mind shift is that temporary, you feel excited, this makes sense. It feels excited, but it's a shift. It's like when you pull an elastic band apart, it's neuro elasticity, it stretches out, this feels good. But within an hour or two, or a day or two, it goes back to its normal shape. So you haven't made a neuroplastic change, you just made a mindset shift. And if you do that daily, multiple times, it eventually become neuroplastic. And what I mean neuroplastic is if you stretch out a piece of soft plastic and you let go, it stays stretched. So that's the trait change. So repetition or doing many things that create a mind shift regularly often will give you [00:28:00] neuroplasticity changes, right? That hold becomes a trait. That's that, you know, do certain actions over and over again. So that's one way. But then there's other. faster ways to do neuroplastic changes, which doesn't just require repetition. That is one of them, but there's other processes I use. Part of my hypnosis practices and other energy psychology tools is what they're often called now to help make that neuroplastic change, not just from repetition, but from doing these Process work and we call it process work because it's not it's not done. It's a it's a bottom up process versus a top down So i'm not a counselor a therapist. That would be somebody who's doing a top down Let's talk about this and there's some benefit to it. The clinical hypnotherapist perspective is a bottom up meaning Your tyra box said this once your issues are stuck in your tissues So when you have these emotions rarely does somebody say I feel it in my head It does happen once in a while. Most people feel it in their throat, in their chest, in their stomach. It's in your cells. And we got science to talk about [00:29:00] how the microbiome changes with stress and emotions. **Michelle Oravitz:** images of people, all people that were angry, all people that were sad. And they would notice that it would light up in certain spots consistently in the body, which is really fascinating. You can probably find it online. **Lorne Brown:** cool. Absolutely. And, you know, we know like we got serotonin receptors in the gut. Now the heart's being known as a, as a second brain may have more what the read off of it more than the brain and, and then dispensa and heart math talk about heart brain coherence. So we're. You know, I look at it this way is, you know, back in the day of Galileo and Newton, the days when we thought that the sun revolved around the earth and the earth was flat, it was hard for society to shift and science to shift, right? Cause everything we understood the way we could look, it was like, no, no, the world's flat. It look at it, you can tell, look, look outside, doesn't look round or look, look, you can tell that. the sun is going around the earth. Look in the sky. It's so obvious. And you [00:30:00] can't tell me the earth is spinning. We would feel it, right? And now today, most people realize that the earth is round, not flat. There are so few flatters out there. They realize the earth is spinning and that the earth goes around the sun. But there's your perception, you know, there's the first floor view. From my view, the sun is going around the earth. I see it rise and set, right? I can see it float around. I'm standing still. I'm pretty sure about it, but that's a illusion. It's not a complete correct perception on that first floor when you go to a higher floor. So in this case, when we go into space, We can see that it's actually the earth that goes around the sun and the earth is round. And then if we go to a higher floor, we're going to probably get a whole other understanding of what's going on in this human experience and purpose and what's your individual purpose. And people have spoken of it. I haven't tapped into that aspect. I've had those. Non medicated, so non psychedelic experiences where I've tapped into profound peace, where I've tapped into bliss.[00:31:00]  I've also, through psychedelics, I've only done it once, so I'll never do it again, where I tapped into my shadow, right? Accelerated my journey, but I wouldn't wish that upon anybody, going into my shadow work unprepared. **Michelle Oravitz:** 'cause if you, you have to be ready for it. That's **Lorne Brown:** I wasn't ready for it. I, I, I cheated. I cheated with psychedelics. And it put me into my shadow grateful now because and here's a litmus test for myself. So I share this with the listeners as well. If you. don't like your life now, then I'm pretty sure you're still living in kind of a victim mode. You don't like your past and you'll have all the evidence to say why you don't like it. And if you can love your past, no matter how bad it is, then I know you love your now. I know you love your life. Why? Because You realize that who you are today is based on everything that's happened to you and you and because you love where you are today, you would never want to change your past because you love your day. Doesn't mean you want to relive your past, but you're grateful for. You don't regret it because you love today. [00:32:00] But if you hate your past, then it's I'm pretty sure you really don't love it. your day. And there are some terrible things that have happened to people. And I've seen people who've had terrible acts done to them. They would never ask to go do it again, like, but they also say, I love my life now. And so I wouldn't change anything in my past. So that shows you that's healed, right? That vibration that's healed. And so, because there's only this moment. So I find conscious work powerful when you bring it to reproductive health. I want to quote our Randine Lewis friend who wrote the book, The Infertility Cure, many books, but I remember hearing her talk about when women get into a later stage of their reproductive years, especially into their forties she said, you know, at the beginning, you know, reproduction is, it's a, it's a youth game, Jing, we call it essence Jing, it's the physicality, right? You got to have good physicality and it, and that happens with the youth. We see it around us, right? Like, a 90 year old and a 20 year old, the same person or different [00:33:00] physically. But there's something about spiritual maturity and sometimes, and this is where it kind of ties into Dr. Jo Dispenza, matter change matter. So that's the physical, the Jing. And then there's energy that can change matter. And that's what we call the Shen, the spirit tapping into that consciousness. And she says, when you're younger, you can be spiritually mature because you have such good Jing, it overrides everything. And so you can be a drug addict. And you're 20s and getting pregnant all the time, right? Poorly eating, all that stuff. And then if you get into your 40s, the physicality you want, but it's not enough, you need to, as she said, have your shit together. So that's, I'm quoting her. And sometimes that's when we see what we call miracles. It overrides the physical. And you really need to do that spiritual, the spiritual maturity happens. And so, you know, have both. Add to that her excitement with donor egg back in the day when we were having this conversation was she couldn't wait to meet the Children that were born through donor egg cycles because she [00:34:00] says currently this was way back when in early 2000 people were born with either young mothers, so physically strong, spiritually immature. They're in their twenties, early thirties or they're born with women in the early forties. physically not as strong, but spiritually more mature. So they didn't have both. She goes, but with the donor egg cycle, they get the gene from the, the egg. So a physical, physically strong, younger woman, and they are gestated. And raised by spiritually mature women. It's going to be the first time where they get both strength from the physical and strength from the spiritual. So she was quite excited. It was a different perspective to look at the Dorae. She was like, I wonder what kind of children these are going to be, right? So,  **Michelle Oravitz:** amazing. And actually it's really interesting. I don't know if you've seen this yourself, but sometimes the donor egg and the child looks like the mother. **Lorne Brown:** yeah, well, not surprising. I, I, I can't quote you on this, but I remember that they've done this in animals where you put him in a different, like, I don't know, [00:35:00] a donkey into a horse or something like, and it comes out looking more like the the mother. Like the, the horse. So, because don't forget you start as, you know, You know, a bunch of cells, right, you know, when you go in and you're grown, so you are influenced because you're, you're taking in in Chinese medicine talks about this, the emotional well being of the mother during pregnancy will impact the nervous system and the emotional personality of that child. And so what you're eating and what you're doing is helping grow that child. So we have what we call prenatal Jing, you know, for our listeners. So you get that from the mother, the father, and then. throughout pregnancy. And then postnatal Jing is what you, what happens after you're born. So your diet lifestyle. And so everything is impacting you up until you're born. That's what we'd call your genes. And in Chinese medicine called pre pre pregenetic destination, right? Prenatal, prenatal essence. I don't know if I said, if I use the right word, prenatal essence or prenatal Jing is what happens. So, yeah, I love [00:36:00] that story that she looked a little bit like the mother, not surprising. **Michelle Oravitz:** Yeah. And I've actually seen it because I, one of them she's somebody that I'm friends with on Facebook and she's also been on the podcast, Nancy Weiss. She's a spirit baby medium, is a whole other **Lorne Brown:** Yeah. **Michelle Oravitz:** topic. Right. But she. donor embryos and one of her daughters, she put a side by side picture of herself when she was younger and the daughter, and it was crazy. How similar they looked and then I've heard another story of somebody with freckles that she's had freckles But the mother of the donor did not and her husband did not So she always wanted a child with freckles and sure enough one of them got freckles  **Lorne Brown:** Very cute. Yeah, And that, there's so much things we don't understand and the donor egg cycle, I don't know if you've seen this, but with my patients, they only have one regret and it's a great regret that I've always heard when I've heard any regrets, I don't hear it often, but I hear it [00:37:00] and they say that the only regret I have is that I didn't do this donor egg cycle sooner because I don't, I realized I could have been with this baby I, I waited, I, you know, cause they're doing other things and understand there's a process to come to this place where you're ready to do donor a. But that's a great regret. Meaning they love this baby like from day from day one implantation, right? They have this connection. They're their mother. And and. It's, it's, that's great news, right? Cause so many people understandably have to get their head around about not using their own genetic material, right? And when you get there, when you surrender, which is part of conscious work, right? And the resistance drops and you get into flow and receptivity, the experience can be beautiful. And then regardless, even if you don't, when that baby's born, you're like, what the heck? I've been waiting for this forever. **Michelle Oravitz:** Yes. And that's another thing. So looking at the same thing from different lenses and different perspectives, and then you can kind of think, [00:38:00] okay, I may have wanted it to go this way, but perhaps it can go another way. And I'll still get the end goal, which is really to become a mother. **Lorne Brown:** Yeah, that's the end goal. And that's what we want to focus on. And from the conscious work, you know, we, we hear so often in manifestation work and in teachers of consciousness, not to be attached to form an outcome. And I'm a practical guy. So the left brain, my math background, my accounting, I'm, what I would say my feet are on the ground and my header is in the clouds, not just, you know, some people either their head in their clouds. So some people in our industry just head in the clouds. So it's hard to bring it to this earth or my old profession as a accountant, the feet are on the ground, right? I feel like I'm, I'm doing both of that.  So. I want to share this because this worked for me. And again, I often share is, you know, it's easy to say don't attach to form an outcome. That's easy to say you're not the one that has, you want this form an outcome. So it's, you can't fool the universe. You can't pretend, right? Really pretend, but you can do [00:39:00] practices. And I have found this line and I didn't come up with this. I heard this from somebody else and I was like, brilliant. And it works for me and it's worked for hundreds of other people I've worked with this or something better. Yeah. I want this or something better that had such a different vibration to it because you didn't choose your desire So I will never say you can't have you can't want this You can't desire this because you didn't choose it. I I prefer chocolate ice cream over strawberry. I can't tell you why it's just it is I just like I want chocolate ice cream. I don't really want strawberry ice cream. It's just What is, and so, but when you have a desperate need for it, that if I can't have this, then you create resistance and that impacts the field and that cannot be healthy. But if you have a desire, you want it, but you also know you're going to be okay, whether you have it or not, that doesn't add resistance to the field. And so often we, cause if you get focused on has to be this way, then you're not leaving yourself open to other things that [00:40:00] can bring you that same experience. Right? Because what does the baby bring to you? Right? You know, why do you want the baby? What's it gonna bring? What's gonna be different? What are you gonna experience? You know this kind of work, right? Because then you could get little, I call them Drift logs or kisses on the cheek from the universe where you know what it feels like you're practicing what it feels like and it's This or this or something better and then all of a sudden it that same experience comes to you But it's a different manifestation physically. So you're like, oh You know getting that feeling and so you're you're starting to get it from other places as well You're experiencing it. And when I say get it from other places I want to use that loosely is you have learned to Elicit that experience inside of you and then you're starting to see it manifested on the outside so because you don't want to have to get it from the outside because again, then you're not whole and complete This whole work is about becoming whole and complete where it's cut. You are it's It's you're making it inside of it. You're tapped into a part of yourself higher than I guess the ego self to use that language. And then it becomes fun to [00:41:00] see if you can manifest it on the outside, but you're already experiencing the feeling. Hence it's easy not to be attached because you're already feeling the joy or the love or the nurturing of something else, right? And the being of service to something else, you're already bringing up that experience. So you don't need it on the outside, but then all of a sudden you see it on the outside and that just bumps it up a bit. It amplifies it. And so you get, but it's temporary, that amplification. And then when you come back to your set point, that set point is peace and joy anyhow. So you're good. **Michelle Oravitz:** So it's unconditional peace and joy. It doesn't have a condition on it. You choose to just have that. **Lorne Brown:** Yeah. **Michelle Oravitz:** you can, and I think that that's the big thing is that people don't realize that they can actually do that. They could bring it up through just meditation and different practices that they can bring it up in themselves. **Lorne Brown:** Yeah. You tap into that. And I mean, I've, I've had that. I have glimpses. I have experiences of it. And for now the language is I'm, I'm tapping into my true nature and everybody has this true nature, your witness consciousness, your higher self, you want to give it a word. [00:42:00] And. I think we might have talked about this when I interviewed you on the Conscious Fertility podcast, but it's not all positive. It feels good. You still get uncomfortable feelings. You're just not at the full effect of them. So you experience the sadness. You can experience fear. You can experience guilt or hopelessness, but it moves through you like a song on a radio, 90 seconds, and it passes through you. And then you're back to that peace. And So if you're able to not get into the story and you can experience it, you still feel these uncomfortable feelings, but there's a, there's could be an underlying peace or even beauty behind some of those feelings. You're just not at the full effect of them and they just don't last for, for weeks. **Michelle Oravitz:** Yeah. Well, the untethered soul, I think that was like a big game changer for me, that book **Lorne Brown:** Michael Singer's book. Yeah. **Michelle Oravitz:** Singer, he's amazing. And I think that it really was about like allowing discomfort to happen without judgment, without that kind of good or bad, that neutrality, just kind of allowing it to happen. And I have an [00:43:00] example because I burned myself. I remember it was a Friday night and I was exhausted. I was so tired. I couldn't wait to sleep. And I burned my thumb. was like, man, and it was a stupid thing. Cause I was so tired and I touched something and I knew I shouldn't have done, it was just like, without thinking. And I was like, how am I going to sleep with this burning sensation? It was like the worst feeling ever. You know, it's like when you first burn yourself. And I remember thinking to myself, maybe it was like my higher guidance, something resist the burn. So I was like, okay, let me try this. literally felt, I closed my eyes and like, I imagined myself just kind of going through the fire with my hand and almost. Accepting it, inviting it, allowing it. And literally within five minutes, the burn went away. **Lorne Brown:** Yeah, and that's the quantum. That's energy changing matter and you use the awesome word resistance Right resistance is futile to quote the Borg from Star Trek Resistance is futile for those Trekkies out there When you add resistance basically you amplify the burn you amplify the [00:44:00] suffering or take from the Buddhist quote pain is inevitable the burn hurts Suffering is optional. That's where you amplify and when you can lean into it versus it's counterintuitive because we should run away from it. We think, right? And I had that similar experience in the nineties. I I had read, I read dr joe dispenses book, but I didn't understand it. I kind of read it, but Didn't catch very much of it the first read and one day when I was studying to write the exams to become a chartered accountant, a CPA I had sadness come over me real, and it was a new thing. I wasn't something I really experienced this kind of sadness that I could recall. And I don't know why I did this, but there's again, another part of you leading the way here. I decided to, in the middle of the day, I had shared accommodations. I was living with a female and she had Yanni and the Ghetto Blaster. Back in the day, it was Ghetto Blasters. with cassettes, maybe CDs. She had some incense burners. So I lit that and there was like lavender rose in it. And I went in the [00:45:00] bath and just decided to experience the sadness. So as I'm listening to the sad music, there's some incense and candle lit in the middle of the day in the bath, hot bath. I'm so going into the sadness. Tears are rolling down my eyes. And in a moment I'm in full bliss. Like I'm like bliss. Like. But I I don't do drugs, but what except for that psychedelic experience, what, what a good high would be like, it was like, and honestly, if that's what it feels like, I understand why people would do drugs. It was just bliss. And I'm like, you know, try to be sad. Because I was like, this feels great. Can I be sad? I couldn't be sad. And it was only later I had that experience first. And then I read dispenses book. Sorry, not just Ben's, Eckhart Tolle's book, Eckhart Tolle, The Power of Now is what I meant. And the line where he says, you, when you're present, you can't suffer, because when you're regretting the past or fear in the future, you're not in the present. But if you're in the present, he says, even sadness can be turned into bliss. And when I read that line in the book, [00:46:00] I had my aha moment because I had that experience. And now the process that I do in my conscious work is about lowering the resistance. Somebody says, what are you doing? You're tuning into your, your wist witness consciousness. You mentioned Michael Singer, the untethered soul. He often says he doesn't use tools or do tools, but he kind of does. And and I have a process that I believe brings down the resistance. My experience, people, I've worked with and then you have that flow and receptivity and sometimes I just have peace. Maybe it's at, you know, if my, if I'm frustrated or fear, it's a seven out of 10, it'll come down to say a two or one. So peace in an unhappy situation still, right? But peace. So the resistance is low. Yeah, **Michelle Oravitz:** flow in that moment. And it's interesting because I, my litmus test is, are you present? Really? That's the question. I, a lot of people that I work with is, are you present? Like, cause many times when they share things that are uncomfortable for them, they're not really in the present moment. They're either [00:47:00] expecting a future or thinking about a past or something that happens. So the present moment's always the antidote. To everything. If we **Lorne Brown:** present. And that's what the mind does. It's the nature of the mind. You can't get mad at the mind for thinking because that's its nature to be like getting upset with water for being wet, right? It's its nature. So you're fighting with reality. However, there's tools to help you get present and these uncomfortable feelings can become portals to presence. Right. And you're not wallowing them and, and embellishing them, you know, you're not inflating them. You're leaning into them and observing them. So I think what's happening, my experience, my understanding to this point is when we really get practice at noticing and observing them and accepting them, I think we're tuning, we go into present moment, but we do this by tuning into our witness consciousness because the mere fact of witnessing them, not, it shouldn't be this way. It's not fair, like getting into the head. But. **Michelle Oravitz:** neutral watcher. **Lorne Brown:** get into the watching, just getting practice at watching, then you [00:48:00] tune into your witness consciousness and that nature of you is peace and joy. So you tune into it. So wherever you put your energy is what's going to grow. So if you believe in the story and you're at the effect of the story, then you're You're unconscious and you're experiencing it. You're suffering right now. You've amplified the negative situation if you're able to observe it I'm not saying you'll like it. We're not doing a spiritual bypass here, but getting practice at observing at it I believe you tune into the witness consciousness and It's nature's peace and joy and the metaphor I use for this Michelle is when we so Tell me how this lands for you and I'm curious for your audience because this for me was my another aha moment just like what's going on here because I'm having these experiences and I want to have language to share with the people I work with. So if you buy an apple, you have to consciously you Michelle ego Michelle has to pick up the apple and chew it. But after that, Michelle, you're not going release salivary enzymes in your mouth. Like I got to do that. Nobody talked to me. Nobody talked to me. I'm getting acid into [00:49:00] my stomach now. Okay, I cannot. Walk up the stairs because my intestines are now absorbing the all these B vitamins or same thing when you sleep when you go to sleep You're unconscious. You're not breathing yourself. You're not pumping your blood Or pumping your heart circulating your blood your autonomic nervous system is doing this another part your subconscious program is doing this, right? The autonomic nervous system. Well same thing. I don't believe for me that I let go of these programs or emotions anymore. Not Lauren Brown ego. Just like I don't release the salivary enzyme. All I have, I believe it's my witness consciousness does this. It's what's metabolizing these uncomfortable feelings and old programs. And how do we do this? Well, first you have to make the unconscious conscious. So that's my notice step. Everything is neutral and then we give it meaning. Don't believe in the story. When you do, you make it real. So don't take it personally. Then I have multiple tools during the accepting part to surrender to what is, not fight it. Doesn't mean you're resigned to it. Doesn't mean you like it. We're just accepting that this is how I feel right now. And you [00:50:00] accept it and you start to observe it and get really, this is a skill. You get practice at observing it. And by that observing, you tune into the witness consciousness and it is what lets go the feelings. It's what metabolizes it. So, so. It's the intelligence. And so give it a conscious divine. I don't know if it's a part of me or part. I don't know. All I know is Lauren Brown is not doing it. Just like Lauren Brown gets to choose to bite the apple. Lauren Brown gets to choose to notice, not take it personally and observe it. That's all I do. The digestion of the apple is outside of my ego, my conscious mind, the digestion and the alchemy of these emotions where I was sad, went from sad to bliss. Right or go from fear to just feeling at peace. I'm not doing that I don't believe I let go of it and this ties into Michael Singers He says that these I don't know what he calls them Sankara's or something these these these energy blocks. They're [00:51:00] there So you're not experiencing your true nature You're all blocked up with these old programs and beliefs and feelings, but when they get released they move up and out You have this space now where you get to experience yourself. So that's how he describes it. Does, I mean, the, the metaphors and the concepts, yeah, the bottom line is you got to do the work you get. That's my point. It's nice to understand. A lot of us cannot confirm or prove anything, but when you have the experience, you don't care because the experience is peace and peace. It was nice. **Michelle Oravitz:** It is. **Lorne Brown:** I'm not at the, I'm not at the state, I'm not at the stage where I can equally treat fear and, and peace or fear and love together. Like some people say you get to a place where you don't, you don't judge either. You're, they're just vibrations. You're okay. I definitely prefer peace and joy and bliss over fear, shame, guilt, just so you know. Yeah. **Michelle Oravitz:** really our true default **Lorne Brown:** Yeah, **Michelle Oravitz:** is in that nature and that's the Buddha [00:52:00] nature. That's kind of like **Lorne Brown:** yeah, **Michelle Oravitz:** like form and we learn the other things. **Lorne Brown:** yeah, **Michelle Oravitz:** habituated through habits. So bringing this into fertility, which I think is actually very relevant, even though, you know, it's kind of like this big grand concept, it could totally apply to going through IVF, going through the resistance. And also in the IVF, you get so focused on the numbers and the analytical, where sometimes you need to kind of. move back and allow yourself the space and the, and to really take care of your wellbeing. And that's kind of like a, my big thing about that, which always tends to kind of fall in the back burner burner. **Lorne Brown:** yeah, yeah, you're going through the journey and anyhow, so that's all thing pain is Inevitable suffering is optional. I don't think anybody would want to go through an IVF However, if you're going through it, you could go kicking and screaming and suffer through it, or you can go through it and, and not amplify the difficulties of it. And that, again, is a skill set, because [00:53:00] IVF is not easy. As you know, the research shows it's like getting a cancer diagnosis or terminal diagnosis, infertility. So I want to clarify that we're not dismissing it. The conscious work is about being authentic. It's actually about feeling your feelings. However, with a different lens and developing a skill set, a process, so you can metabolize it, right? But yeah, if you're going to go on this journey, if you're in this journey, you didn't choose it, but you're in it. And so how do you use it as, as they say in the conscious teachings, how do you make it as, how is this happening for you versus to you? What does that mean? How do I get out of victim mode? Because it doesn't serve you to being accountable, responsible. What does that mean? Accountable responsible does not mean you blame yourself or you blame other accountable. Responsible means that if you're having the experience, then that's all you need to know that you're responsible for healing it because you're the one having the experience. If you if you it wasn't your responsibility, then you wouldn't be having that experience. And there's so many experiences [00:54:00] happening around the world at one time, and each individual is only aware of so many the ones that they're aware of that are triggering them that they're experiencing. That's, that's all you need to know that that means you're accountable, responsible for that. The stuff that's happening around the world that doesn't trigger you, it's not your responsibility to do the inner work around it. **Michelle Oravitz:** Yeah. Well, I mean, I can keep talking to you forever and of course we just talked about one subject, so perhaps I'll bring you back for other ones as well. But this is this is definitely the kind of thing that I'm very interested in and I nerd out on this all the time. It really is something I think about every single day. I think that it is when you really are bringing up your consciousness and becoming more aware in your life and. Really being the creator of your life or owning that you are a creator in your life I just think it brings another element of purpose and meaning everything. **Lorne Brown:** Yeah. We all want to be happy. And we think different things outside of us will make us happy. This work brings that kind of [00:55:00] happiness. And if, to kind of wrap this part up on consciousness from the materialistic and then the quantum perspective, you know, when we, when we're unconscious, or when we're in that state of fear, we don't feel safe, right? Then our body goes into survival mode, right? The fight or flight. And so, our resources are not available for healing. creativity and reproduction because they're in survival mode, you know, blood gets drained from the, the thinking brain goes, the blood gets drained from the digestion reproduction. And so, but when you feel safe, which is what conscious work is, so here's on the material level, you free up resources for healing, creativity, reproduction. And we know this, that the unsafe hormones of cortisol. and adrenaline and epinephrine, all those things affect inflammation, the body, the effect, your immune system, your hormonal system, your gut microbiome. And when you feel safe, you're releasing the

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog Last time we reviewed why interpreting your lab may lead you to the wrong diagnosis and treatment.  Today we continue our review of each lab panel and why the reference ranges on your lab results may not be the “Healthy Normal Range” that you should compare your results to. Lab reference ranges are established with a one-size-fits-all mentality, ignoring the numerous variables that influence blood results. Have you ever tried on a “one-size-fits-all “ANYTHING? Those clothes may fit 20% of the population but for the rest of us, the garment doesn't fit our width, weight or height! All one-size-fits-all lab reference ranges are much the same.  For example, the standardized “reference ranges” in the US serve as a one-size-fits-all “ideal range” applied to everyone, despite genetic differences, varying latitudes, and the diverse diets that characterize the American multiethnic population. This presents the first problem with using a single range for all people: variations among individuals based on differing genetic needs.  The second issue is that the ranges on the lab report indicate the minimum levels necessary for survival, not necessarily the healthiest blood levels for most individuals. Another example of one size doesn't fit all is the reference range for women's hormones. A range is displayed for cycling women, but there is no healthy range for menopausal women.  Does the range displayed refer to menopausal women with HRT, or menopausal women without HRT to treat their menopausal symptoms? Is the range based on what is healthy, or what is average? We aren't sure. Labs don't ask patients questions that could help interpret lab values. Therefore, they cannot provide a truly diagnostic reference range for any illness. They only consider gender and age, as reference ranges are solely adjusted for these two factors.  A doctor must interpret individual lab results alongside a patient's medical and surgical history, including established diseases, medications, supplements, hormonal treatments, and past lab values. For instance, laboratory companies should offer reference ranges based on whether a patient is menopausal, a woman is undergoing ERT, a man is receiving testosterone, a patient is on thyroid medication, a person is being treated for diabetes, or the diabetic tests are performed to diagnose diabetes.   Some Reference Ranges are Based on comparing results to Misleading formulas The best example of this issue is the Lipid Panel. Doctors use this panel to determine a person's risk for heart attacks caused by atherosclerosis. Most doctors don't know the formula for determining Total Cholesterol. This test doesn't predict heart disease in most patients, as the formula used to arrive at that number is not indicative of the disease. However, doctors have been advised that when   total cholesterol levels are high, a patient should start taking a statin, a drug that reduces blood cholesterol and sometimes lowers the rate of heart attacks in certain individuals, though it is rarely predictive in 50% of the population. The problem with the lipid panel is twofold: the LDL level indicates future atherosclerosis in only about 50% of the population and is not a specific test for future heart disease risk. Total cholesterol is even less predictive of heart disease because it stems from a flawed formula. Doctors interpret a high Total Cholesterol level as an indication that a patient may be at increased risk for heart disease in the future. When I test patients with elevated Total Cholesterol or high levels of LDL using a Cardiac Calcium Scan to measure plaque, only half of them actually produce plaque, and consequently, are not at risk for atherosclerotic heart disease. I believe that the Total Cholesterol number is derived from an inaccurate formula for determining a person's risk of future heart disease. The Total Cholesterol number is calculated using a flawed equation. The equation is as follows:         LDL + 1/5 Triglycerides+ HDL = Total Cholesterol Total Cholesterol = LDL (bad cholesterol) + 1/5 Triglycerides (high risk factor) + HDL (good cholesterol) Let's examine this formula simply like this:   Bad + Bad + Good does not equal Bad. Due to this incorrect formula, thousands, if not millions, of patients have been prescribed statin drugs for a lifetime without justification!  Statins carry risks. The list of side effects is extensive and includes muscle deterioration and statin-associated dementia. Unfortunately, most people who experience statin side effects are women. Women tend to have higher HDL levels than men. Additionally, they typically do not have atherosclerotic plaque until menopause and usually do not develop it after menopause if they undergo estrogen replacement therapy! This gender issue is just one of the problems with laboratory reference ranges that are not adjusted for sex. The total cholesterol values were developed solely from the blood levels of men, who typically have lower HDL levels. Women were excluded from the tests conducted to create this blood panel. For women, I dispel the myth that high total cholesterol predicts heart disease by recommending a Cardiac Calcium Scan to check for plaque. If a woman has no plaque by the age of 50 and is taking estrogen, she is unlikely to develop plaque in the future.  I still test them every 2-3 years to ensure that no metabolic changes have altered their risk, but I don't put much faith in the unreliable cholesterol blood panel. There is another blood test that has deceptive reference ranges: IGF-1 How about the GH-IGF-1 test, the test for Growth Hormone?  IGF-1 is a metabolite of GH that we can measure to determine how much the patient produces.  This hormone aids in healing and replenishing aging cells in patients after their growth is complete.  The healthy normal range with which I was trained, (150-350 MIU), has been changed to an age-adjusted normal that compares a person to others in her age category who had their blood drawn the previous year.  What is wrong with this? Growth hormone (GH) decreases with age and contributes to the declining health people experience as they grow older. Similarly, IGF-1 diminishes with age and illness, which means that the “reference range” essentially reflects that you are “average for the sick individuals who visit Quest to have their IGF-1 levels checked. ” IGF-1 levels can be enhanced through weight loss, testosterone replacement, and an increase in muscle mass. The current reference range does not indicate health or illness; it merely shows whether you fall within the average for your age group. This non-scientific method of determining “health” is widespread in contemporary medicine. By comparing aging individuals to others within the same age group, for hormones that decline with age, based on samples from sick patients who visit a specific lab in the past year, these labs label patients as “healthy” even when they are as ill as other individuals their age who go to that lab! This practice constitutes age discrimination! Regarding hormones, the levels we maintained during our fertile and youthful years correspond to the blood levels indicative of health in all individuals ages. For example: People who check their IGF-1 (Growth Hormone) levels and see a low “52 ng/ml” might feel satisfied that they are within the standard range (50-280 ng/ml). However, they may not realize that this range applies to older, unhealthy individuals, not to healthy young ones (150-350 ng/ml).  This is just one example of the issues that arise when non-medical individuals, who do not monitor these tests regularly, draw conclusions from the numbers.   Some illnesses require more than one blood test for diagnosis If you consider only one of the three tests for diabetes or prediabetes (Fasting Blood Sugar, HbA1c, and Insulin), you cannot self-diagnose as diabetic, prediabetic, insulin resistance or healthy.  Diabetes is a disease that has coincided with the rising number of obese individuals.  Both conditions affect nearly 50% of the American population. Blood tests cannot be interpreted accurately unless a patient has fasted for 12 hours; all three tests should be evaluated. When diagnosing diabetes and insulin resistance, we perform three tests to assess whether a patient has insulin resistance, prediabetes, or diabetes. These tests guide our diagnosis and inform the treatment we provide based on their results. Fasting insulin is a highly misleading test. Over 15 years ago, a significant study was conducted that was believed to change the reference ranges for fasting insulin.  The new range set for normal fasting insulin was less than 10 mIU/ml. By publishing the reference range less than 18 mIU/ml, they miss diagnosing many patients with insulin resistance HBA1C is a test that gives a value of average blood sugar over three months. The results are often used alone to determine prediabetes and diabetes; however, considering all three aspects makes the diagnosis and treatment plan more specific for the patient. FBS (fasting blood sugar) is the third diabetes test. It is generally used as a screening test that prompts the ordering of the other two blood tests; however, some patients exhibit symptoms of diabetes and insulin resistance without having elevated fasting insulin levels. Many medications can raise diabetic test values, causing a patient to seem diabetic when they are actually experiencing a side effect of the drug.  One such medication is Atorvastatin.  The solution is not treating diabetes but rather adjusting the medication.  Hormone tests are especially challenging to interpret, Especially when testing free Testosterone in women Here are the problems with the free Testosterone test itself: Women have extremely low levels of free testosterone and testosterone compared to men. I have been informed by Quest that women's free testosterone levels are not reliable with current methods because they are not always reproducible when a test is conducted twice on the same day. This leads me to believe that hormone levels do not always reflect the actual blood levels of free testosterone and estradiol. The levels of testosterone in women are based on menopausal levels of T. Women have long been thought to not produce testosterone, so the “normal” levels are quite low, and 0 used to be considered normal- until one day I managed to persuade a medical director at Quest to increase it to 0.2! Women's testosterone is influenced by their production of E2 and E1, which inactivate free T. Women vary in how their cells respond to testosterone and estradiol. Receptor sites and their genetic acceptance of hormones can mean that the same blood level of testosterone in both sexes does not produce the same effects in all patients. Some women (and men) are resistant to E2 and T, or to one of the two. This indicates that the hormone-free T level may be optimal for one woman while being ineffective in alleviating any low T symptoms for another. The latter individual is T resistant, and we currently have no means outside of research labs to determine which women are sensitive and which are resistant. This requires that doctors and NPs look beyond typical reference ranges to effectively manage E2 and T replacement for women. Lastly some labs use the total testosterone level through a formula determine the free T. This carries inherent risks of reporting the wrong active level of testosterone. Total and free testosterone blood levels for men, are derived from results of older men, rather than from the blood levels that indicate health and the levels at which men experience no symptoms. This leads men to believe they are normal, even though they are symptomatic, and they can't get treatment. There is no time to discuss the reference ranges for LH, FSH, Estradiol, and Estrone; these topics will be addressed in a future blog. I hope I have encouraged you to review your blood work with your doctor or Nurse Practitioner, and not to act as your own doctor by interpreting your blood tests.

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog There is a new federal rule for lab companies that requires them to report your blood tests to you as soon as they are finished, often even before your doctor has seen them.  This rule, deemed unreasonable, was established by individuals without medical expertise (politicians), who know little about interpreting lab data or the workings of doctor's offices. Sending your lab results to you before doctors can assess them is not a decision rooted in sound medical practice but rather in the notion of individual freedom. While this is important, it does not compare to having an expert interpret your results with you. The law requiring that your lab results be sent to you as soon as they are completed does not consider the fact that these results are not designed for laymen to interpret. Additionally, lab results are meant to be analyzed alongside a patient's medical history, age, gender, and medications.  The results are not tailored to report information specific to your situation, which is how a doctor would interpret them. Lab results often lack layperson-friendly explanations. This new protocol can cause anxiety, as patients may panic over results that appear abnormal, even if they are normal for their specific medical condition and treatment. Furthermore, lab companies only request your age and gender. The factors that doctors evaluate when interpreting your results are diverse and numerous, each influencing the overall interpretation. What are the considerations that doctors add to their interpretation? Menopausal status Medical conditions Healthy normal for young and healthy adults The newest recommended ranges for health Body weight Other lab values seen on the same report The problem with you getting your own lab and interpreting it as written is multifactorial: The lab is sent to you digitally with very little explanation except for reference ranges. There is no information about who you are being compared to. Other women, both men and women? Old women? Young women? Women with symptoms or women who are well without symptoms.  The reporting of the lab results to a patient directly may hide problems that need action or create fears that are unnecessary. Anxiety over your results will continue until your doctor's appointment to discuss … so you may experience unnecessary worry in many circumstances. Reference ranges make many assumptions, but labs don't input vital information about you into their computer. your age of menopause, your weight your height (or BMI) previous illnesses and your medications. if you are on hormones or testosterone   Here is a good example. The test for pituitary hormones FSH and LH. When a woman aged 45 is menopausal, and has a very high FSH and LH, the lab says it is “normal” (in the reference range), yet the woman is having severe hot flashes, night sweats, anxiety, and insomnia.  That is not healthy or “normal”. The same two tests can be used to determine if a person is menopausal. Let's say a 42-year-old woman has elevated FSH and LH, but her estradiol is very high (200-300). To the layperson, this looks like menopause, but in reality, it is the picture of ovulation, not menopause. One has to look at another test, estradiol, to determine whether she is premenopausal and ovulating or menopausal (her estradiol would be very low, and FSH and LH would be high). See the problem? Reference Ranges don't tell you what the doctor is looking for. The same two tests, FSH and LH, are used to diagnose polycystic ovaries (PCO) too.  In women without PCO, the FSH is higher than the LH, but if the LH is greater than the FSH, the diagnosis of PCO should be considered! There is no information about this interpretation in the lab report. Falling within the reference range doesn't guarantee health or absence of symptoms. If patients are to interpret their own lab results, reference ranges should reflect health in every possible scenario. FSH and LH are influenced by BCPs and menopausal HRT. Lab results should be interpreted considering the information regarding BCPs or ERT that the patient is taking. When women are on BCPs and HRT or ERT, their FSH and LH levels are suppressed to an extremely low point. If you are unaware that the patient is taking these hormones, it may appear that the diagnosis is pituitary failure affecting estrogen levels and ovulation. Only doctors can interpret this test. There should truly be a “normal” range for those undergoing hormone replacement therapy, along with a reference range that reflects overall health, rather than merely the average for your geographical area in the US or your age group. Please make an appointment with your doctor to review your lab results so you can understand how they are interpreted. If you have questions about your lab results that are concerning you, schedule a time to discuss them with your doctor. Doctors don't have the time to explain results over the phone or through email—that is what appointments are meant for. Phone calls to doctors' offices are not intended for lab result interpretation. You or your insurance will not compensate the doctor or NP for this service over the phone.   The reference ranges for many tests and medical situations are actually wrong. If you aren't trained as a doctor or Nurse practitioner who interprets metabolic lab results every day, you could get the wrong diagnosis!!! For example, when evaluating a patient for insulin resistance, the reference range was officially changed almost two decades ago. Still, the lab companies have left the normal range very high (insulin> 18). In the revised range, fasting insulin diagnoses insulin resistance if the value is > 10. The resulting outcome is that many people are not diagnosed at a time when they can be easily treated without drugs and are told that they are “normal” when they are really experiencing insulin resistance. This is misleading and just wrong! Lab values are not adjusted to your individual situation.   Many tests are adjusted for gender; however, some are specifically adjusted for women who are menstruating regarding H/H. In other words, men and women have different “normal” H/H levels in the reference range. Women who do not menstruate or who are menopausal should be compared to the same reference range as men, but that does not happen. This leads to menopausal women, who are normal, often being told they have too many red blood cells when that is not the case. Conversely, menopausal women who are truly anemic are told they are normal, which means it takes longer to diagnose their anemia from colon cancer! The H/H should have a reference range that is considered “normal” for a woman's stage in life, depending on whether she is experiencing menstrual periods or not. Many reference ranges are averages for regions of the US and vary between lab companies; therefore, they are not reliable values for comparing patients.   For instance, the Homocysteine test has a normal range that is relatively high, and each lab has different reference ranges. This test serves as a screening tool for MTHFR genetic risk related to embolic stroke and heart disease.   The suggested treatment involves methylated B vitamins; however, the interpretation on the lab printout advises taking B12 and folic acid, which, in my experience, tends to increase the number rather than decrease it. Reference ranges for nutrients, vitamins, and minerals reflect the minimum levels needed for survival, not optimal health. For example, B12 reference range levels for B12 blood levels are listed as 200-1100 pg/ml, yet I was trained to try to achieve 400 -1500 pg/ml. The lower range of the written reference range (200-400) is not healthy. The desired blood levels for vitamins are often controversial, and various medical colleges issue new recommendations on Vitamin D levels each month. Consequently, doctors must determine which level of Vitamin D to recommend for their patients. These institutions not only provide changing reference ranges but also offer differing advice on how frequently to test Vitamin D. This inconsistency arises primarily from the ongoing debate about the minimum acceptable level of Vitamin D. I have more information about your lab results next week that your doctor may not share with you. There is a lot of controversy surrounding the reference ranges on the lab sheet, and you should know the truth in case your doctor doesn't.

| Os livros-textos deste episódio são: Mundo Espiritual e o Destino do Homem / Nossa Gratidão aos Antepassados; Para adquirir e estudar ainda mais, acesse: https://rebrand.ly/SNI_livraria;| Para encontrar a Associação Local mais próxima de você, acesse: https://rebrand.ly/onde_encontrar;| Acompanhe também as nossas redes sociais para mais conteúdos e novidades: https://rebrand.ly/FaceSNI (Facebook) e https://rebrand.ly/instaSNI (Instagram);| Para saber como oferecer Registros Espirituais, entre em contato via WhatsApp 11 5014-2246, por telefone 11 5014-2262 ou por e-mail: oficiosreligiosos@sni.org.br| Participe da Festividade do Santuário Hōzō 2025! Para saber mais, acesse: https://rebrand.ly/FSH_2025

Dr. Natalie Crawford explains how individualized protocols can lead to better outcomes in IVF and egg freezing. She breaks down key fertility concepts, including ovarian reserve, AMH levels, follicle counts, and the roles of FSH and LH in egg development. Dr. Crawford also discusses how age affects egg quality, the potential impact of sperm genetics, and why multiple cycles are sometimes needed to achieve a healthy embryo. She emphasizes the importance of patient advocacy and lifestyle changes to support reproductive success. Want to receive my weekly newsletter? Sign up at nataliecrawfordmd.com/newsletter to receive updates, Q&A, special content and my FREE TTC Starter Kit and Vegan Starter Guide! Don't forget to ask your questions on Instagram for next week's For Fertility's Sake segment when you see the question box on Natalie's page @nataliecrawfordmd. You can also ask a question by calling in and leaving a voicemail. Call 657–229–3672 and ask your fertility question today!      Thanks to our amazing sponsors! Check out these deals just for you: Quince- Go to Quince.com/aaw for free shipping on your order and 365-day returns Ritual-Go to ritual.com/aaw to start Ritual or add Essential For Women 18+ to your subscription today. Calm - Go to calm.com/aaw for 40% off unlimited access to Calm's entire library. AquaTru - Go to aquatru.com and use code AAW for 20% off! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Sunday. Plus, be sure to follow along on Instagram @nataliecrawfordmd, check out Natalie's YouTube channel Natalie Crawford MD, and if you're interested in becoming a patient, check out Fora Fertility. Learn more about your ad choices. Visit megaphone.fm/adchoices

Take a sneak peek at this month's Fertility & Sterility! Articles discussed this month are:   01:47 Puberty progression in girls with Turner syndrome after ovarian tissue cryopreservation 14:55 Optimal Restoration of Spermatogenesis following Testosterone Therapy using hCG and FSH 27:58 Human embryos with segmental aneuploidies display delayed early development: a multi-centre morphokinetic analysis 39:56 Neurodevelopmental or behavioural disorders in children conceived after assisted reproductive technologies: A nationwide cohort study 45:23 Efficacy and safety of estetrol (E4) 15 mg/drospirenone (DRSP) 3 mg combination in a cyclic regimen for the treatment of primary and secondary dysmenorrhea: A multicenter, placebo-controlled, double-blind, randomized study 51:13 Ovulation trigger versus spontaneous LH surge on live birth rate following frozen embryo transfer in a natural cycle: a randomized controlled trial 60:29 A Cost Analysis of Clomiphene Citrate, Letrozole and Gonadotropin with Intrauterine Insemination using Outcome Data from the AMIGOS Trial   View Fertility and Sterility at https://www.fertstert.org/

Send us a textWhen your brain feels like it's short-circuiting and your body seems to have a mind of its own, you're not losing your sanity—you might be experiencing perimenopause. In this raw, unfiltered follow-up episode, I dive deeper into the hormone changes that affect millions of women but remain widely misunderstood and poorly addressed by healthcare providers.Fresh from my own doctor's appointment, I share my personal hormone panel results and what they actually mean. Did you know that when your FSH level climbs above 30, it signals your body is desperately trying to stimulate estrogen production but struggling to do so? Or that during perimenopause, your hormone fluctuations are ten times more dramatic than what you experienced during puberty? These wild hormonal swings explain the brain fog, rage, depression, and physical changes that make you feel like you're losing yourself.I walk you through my decision to start Hormone Replacement Therapy, debunk outdated myths about HRT and cancer risk, and share practical strategies that have helped me manage symptoms—from collagen supplements to castor oil for skin (yes, really!). Whether you're in the thick of perimenopause yourself or supporting someone who is, this episode provides the knowledge to advocate effectively for proper care.Text me your questions for next month's interview with a hormone specialist! Together, we'll navigate this challenging transition with greater understanding, faith, and the determination to reclaim our wellbeing.Connect with Leslie: Follow on IG: @yourjoyfulorderstyle Website: https://www.yourjoyfulorder.com/Email: lmartinez@yourjoyfulorder.com to schedule- Speaking Events, Interviews or Life Coaching SessionsShop my SOAP the Gospels Journal on Shopify: https://shopjoyfulorder.com/Watch this Episode on You Tube: https://www.youtube.com/channel/UCsXoAYIM2mfclNtYiaOzIUw Shop my Journal (Gratitude, Goals & Prayer Journal) on Amazon:https://a.co/d/09Djvaw Book a FREE 30 Minute Discovery Coaching Call: https://tidycal.com/joyfulordermedia/30-minute-meeting

If you're trying to conceive or just want to get your hormones in balance—this episode could change everything.After supporting over 1,000 women on their natural conception journey, I've uncovered the subtle yet powerful clues the body gives us long before an infertility diagnosis ever happens. These 10 fertility red flags often get brushed off as "normal" or “just stress”—but they're actually your body's way of waving a big red flag saying: something's off.

Ballast Woods. Flin Flon. Minequakes. Average athleticism. Consensual Minotaurs. Max Martin. Pink. Fifth members of Queen. It's all going on in this week's episode along with some rather excellent original R&B from Kev! Humpt Bong indeed... what a ridiculous band name! It's a long one folks, but it's the longest song we've covered to date by a good couple of minutes, so y'know!If Kev were to title this episode, he'd probably call it "What do you call a Fish with no eyes?", or possibly, "Fsh...."The eleventh episode in this podcast-within-a-podcast covers a song submitted by our pal Tom Boje and is a song that Kev knows very well; the title track from Marillion's 1983 debut record, "Script for a Jester's Tear".If you want to get involved in the Kofi Klub, you can make a donation here: https://ko-fi.com/seasidepodreview and let us know which song you want us to add to the wheel! We also have a private channel in our Discord community for donors.Follow us onFacebook: @seasidepodreviewDiscord: https://discord.gg/nrzr2mQjBluesky: @seasidepodreview.bsky.socialAlso, check out Kev's other podcastsThe Tom Petty Project: https://tompettyproject.comThe Ultimate Catalogue Clash: https://shows.acast.com/uccAnd if you want to check out Randy's music, you can find it here:https://randywoodsband.com Hosted on Acast. See acast.com/privacy for more information.

We're digging into why gut health matters if you have poor egg quality, DOR or POI We're exploring the vital connection between gut health and fertility. If you're dealing with low AMH, high FSH, or poor egg quality, your gut could be the missing link! Gut imbalances can affect hormone balance, egg quality, and overall fertility, but the good news is that healing your gut can boost your chances of conception. We'll talk about how hidden gut infections like H. pylori, parasites, and bacterial imbalances might be blocking your fertility, and share actionable tips to support your gut health, rebuild your microbiome, and improve your fertility. This episode is for you: ✅ You have low AMH, high FSH, DOR, or POI and want to understand how gut health affects fertility. ✅ You've struggled with poor egg quality, failed IVF cycles, or unexplained infertility and suspect deeper issues. ✅ You experience bloating, constipation, or food sensitivities and wonder if they're impacting your hormones and egg health. In this episode you'll learn: How gut imbalances impact hormone balance, egg quality, and fertility. Why gut infections like H. Pylori, parasites, and fungal overgrowth can block your fertility. Key symptoms of gut imbalances often overlooked in fertility journeys. The functional lab tests that can reveal gut health issues affecting fertility. Effective strategies for healing your gut to improve egg quality and hormone balance. --- RESOURCES

Show Notes: Cara Natterson moved to New York City where she worked for a drug rehabilitation center, and later moved to Baltimore, where she studied at Johns Hopkins Medical School. She eventually returned to L.A. and practiced pediatrics there. Her writing career began at the age of 31 when a co-worker asked her to read his manuscript, which inspired her to write her own book about raising kids. The Body Book Series and Less Awkward Company In 2008, Cara decided to leave clinical medicine and become a full-time writer. In 2011, after speaking at Mattel, she was signed on to write for the Body Book series from American Girl, which has since sold millions of copies. Cara then started touring the country, focusing on puberty education. During this time, she discovered that there was nothing else available for kids whose bodies, brains, feelings, and friends were changing. She launched her own business, Less Awkward, a company that created direct-to-consumer products designed for comfort and health like bras and socks. Cara has since expanded the company to focus on content across social media, podcasting, newsletter, and school curriculum. Health and Sex Education Curriculum In the past year, she has rolled out two platforms: a health and sex education curriculum for schools, which is already implemented in three states, and a membership for parents and trusted adults. Cara talks about the importance of understanding and discussing puberty in young people. She highlights the slower pace of puberty, with girls entering puberty at an average age of 8-9, and boys at an average age of 9-10. She emphasizes the importance of discussing the first signs of puberty, such as breast budding or testicular growth. She also highlights the importance of discussing the issue of first porn exposure, which is a significant concern for parents, family members, coaches, mentors, healthcare providers, and educators. She emphasizes the need to educate children about free porn, which is generally violent and aggressive, and calls for a less awkward approach to discussing this topic. By engaging in conversations about this topic, adults can help their children navigate the challenges of puberty and promote healthier lifestyles. Launching a Direct-to-Consumer Product Cara talks about the shift from a pediatrician to writer to entrepreneur. She initially went to medical school but, although she found it interesting, she also realized that she was more of a creative type. However, her background combined with her creative mind led to the drive to develop comfortable and healthy products. After a chat with a friend about bras, she was convinced that there was a need for comfortable bras for young girls. The two women partnered with a sewer who made a comfortable and healthy bra for their daughters, and later pulled together a team that developed the product over many years. They patented the product and launched the company during the COVID-19 pandemic. It was initially launched as a mask company, focusing on distribution and production channels instead of bras to supply the then current demand. Six months later they launched their bra products. She talks about the journey from design and development to launching the product and what she learned along the way. Cara's business ethos has always been to do well and to do good at the same time, and she has found this to be a recipe for success. The This Is So Awkward Podcast The conversation turns to Cara's podcast which she started with her partner, Vanessa Kroll Bennett. The podcast addresses the confusion about the length of puberty. It features background episodes and guest appearances with experts from various fields. In October 2023, they published a book called This Is So Awkward: Modern Puberty Explained, which explores the changes in puberty and how to talk about them, and it includes essays by kids about their experiences with acne, first periods, and heartbreaks. The podcast has expanded along with content on Instagram and TikTok. All of this content is also available on the website LessAwkward.com. They also have a school-based health and sex education curriculum called That Health Class. Navigating Today's Cultural Complexities Cara emphasizes the importance of pediatricians in understanding and managing the changes in puberty. She explains that kids and their adults are overwhelmed by the complexity of the world and the increased access to a wide and diverse range of information. Pediatricians often lack the time or bandwidth to provide anticipatory guidance for children, an especially big issue given the mental health crisis among children. Cara mentions that pediatricians often turn to the LessAwkward website where they have trained an AI bot on their content. Pediatricians are starting to use it as a healthcare solution when they don't have the time to answer questions but their patients want to be able to anticipate what's coming. The bot is reliable, gated, and trained on good data, making it engaging and entertaining. The levity and warmth of the content make it a valuable tool for pediatricians to recommend. Factors that Contribute to Early Puberty The American Girl Body Book series launched just after a 1997 study showed that girls were entering puberty earlier. It stated that the average age has shifted from 11 to 10, and a follow-up study in 2010 found it to be between eight and nine. The reason for this change is under investigation, but it is believed to be due to a number of factors, including stress, adverse childhood experiences, and antibiotics. Stress causes cortisol surges, which can either trigger the release of hormones like LH and FSH, or cause sex hormones to surge. Adverse childhood experiences, such as witnessing trauma or drug abuse, can increase the risk of entering puberty early. Evolutionary theory suggests that the human body is meant to reproduce before life ends, and so it makes sense that the general stress response might drive earlier development. She mentions Louise Greenspan, a woman who has been researching puberty for decades, has written a book called The New Puberty which further explores this topic. The Male Side of the Story Cara's parenting podcast has a diverse audience, with nearly 20% male listenership. She shares her experiences with male listeners and the challenges they face in connecting with their children. She wrote Decoding Boys, and states, with a degree of jocularity, that there is no data on the connection between testosterone and silence, but it is common among males, especially in their tween years. She shares personal strategies to help connect with tween or teen boys, as they do want to talk and share their thoughts with trusted adults. In the book, Cara shares strategies she has used, and in this conversation, she shares a personal experience on how she encouraged her son to talk to her.  Influential Harvard Courses and Professors Cara's career highlights her interest in sociology and biological anthropology, which she combined at Harvard. She wrote a junior paper about female genital mutilation in Africa and a thesis about HIV prevention in teenagers in Boston suburbs. She had a vivid memory of her thesis advisor, Irven DeVore, who was an interesting thinker and helped her fit her thesis idea into the curriculum. Timestamps: 02:12: Transition to Entrepreneurship  05:46: Insights on Puberty and Parenting 09:20: Launching Less Awkward  15:42: Content Creation and Engagement  29:05: Raising Boys and Communication Strategies  35:15: Daily Routine and Collaboration  37:19: Impact of Social Media and Content Creation  39:14: Influence of Harvard Education  Links: Website: https://lessawkward.com/ Podcast: https://lessawkward.com/podcast-this-is-so-awkward-2/ Instagram: less.awkward TikTok: less.awkward Cara's Instagram: caranatterson Featured Non-profit: The featured non-profit of this episode of The 92 Report is recommended by Chris Hull who reports: “Hi. I'm Chris Hull from Harvard's fabulous class of 1992. The featured nonprofit of this episode of The 92 report is The Funds for American Studies. TFAs is an educational nonprofit that develops courageous leaders by providing students who otherwise wouldn't get a chance to come to DC to learn about how to make a difference. I've been honored to have worked with TFAs for more than three decades, since they've allowed me to study at Georgetown. At the same time, I did an internship in Washington, which helped transform my life as it has for so many others over the last half century that it's existed, who otherwise couldn't possibly afford to do such a thing. You can learn more about their work@tfas.org.” To learn more about their work, visit: work@tfas.org

Já está no ar o novo episódio do Podcast Vivências: “Caminhos para uma vida leve e próspera”.Neste episódio, a Preletora Regina Célia Feichas Vieira nos guia por reflexões práticas para uma vida equilibrada e próspera. Ao lado dela estão nossos anfitriões, os Preletores Iara Regina Colombo e Milton Hitoshi Suga, e juntos eles compartilham estratégias para cultivar uma mente serena e uma vida cheia de possibilidades, fundamentada na espiritualidade.CITAÇÕES:| Livro A Verdade da Vida v. 7: https://rebrand.ly/A_Verdade_da_Vida_7| Acesse nosso portal para encontrar conteúdos diversos da Seicho-No-Ie, e ficar por dentro de nossos eventos e outras novidades: https://sni.org.br;| Saiba mais sobre as Revistas da Seicho-No-Ie no site: https://rebrand.ly/Revistas_SNI;| Para encontrar a Associação Local mais próxima de você, acesse: https://rebrand.ly/onde_encontrar;| Para mais informações sobre o Ciclo de Estudos da Prosperidade acesse: https://rebrand.ly/newciclo;| Quer começar a praticar a Meditação Shinsokan, mas não sabe como? Conheça a Meditação Shinsokan guiada: https://rebrand.ly/shinsokan_7min;| Deixe seu comentário no Youtube, no Spotify, ou compartilhe suas vivências conosco pelo e-mail: snicast@sni.org.br;| Participe da Festividade do Santuário Hōzō 2025! Para saber mais, acesse: https://rebrand.ly/FSH_2025

In this episode,Abby Eblen MD from Nashville Fertility Center, Susan Hudson MD from Texas Fertility Center, and Carrie Bedient MD from the Fertility Center of Las Vegas talk with Lauren Roth, MD who is the Medical Director of the Shady Grove Rockville Fertility Center. During the podcast we discuss the benefits of egg freezing. We explore who might consider freezing their eggs, the ovarian stimulation process, and how frozen eggs can be used in the future. Our conversation covers ovarian reserve, the advantages of freezing eggs at a younger age versus after 35, and the monitoring process before egg retrieval, including AMH, antral follicle count, FSH, and estrogen levels. We also walk through what happens when a woman returns to use her frozen eggs to create embryos for conception. Tune in for an informative discussion on this important fertility option!This episode was brought to you from ReceptivaDx and Shady Grove Fertility.

Struggling with fertility is not easy. It's important to stay positive. For example, I like to think of you being IN-fertile. As in you're “in” the club vs. infertile meaning you're “not” fertile. Call me crazy, but I truly believe in the fertility of everyone who walks through my door. Nobody is a number or FSH or AMH level. What do those things even mean? That's what I want to talk to you today.

We're digging into thyroid dysfunction and the impact on DOR and POI. You've been told your TSH is normal—but is it truly optimal for fertility? Thyroid health is often overlooked in fertility treatment, yet even subtle imbalances can impact egg quality, implantation, and pregnancy success. If you've experienced failed IVF retrievals, transfers, or pregnancy loss, your thyroid could be playing a hidden role. In this episode of Get Pregnant Naturally, we uncover:

Have you ever felt like your hormones are running the show? One minute you're energized, the next you're dragging—or maybe those hot flashes and mood swings are making life way harder than it needs to be. The thing is, not all hormone therapies work the same, and that's where compounding comes in. Dr. Sahar Swidan, PHARM.D., ABAAHP, FAARFM, FACA, is back to break down what you need to know about custom-compounded hormones, different formulations, and how to figure out what's actually best for your body. Dr. Sahar is a powerhouse when it comes to compounding pharmacy and hormone health, and we're getting into the real talk about hormone therapy—what's backed by science, what's just hype, and what actually works. We're covering everything from the latest research on hormone replacement to the surprising ways your skincare could be messing with your balance. Plus, if you're curious about longevity, we're sharing simple, natural ways to keep your body thriving without going overboard. There's a lot to unpack, and trust me—you don't want to miss this conversation. If your energy's been low, your hormones feel off, or you just want to understand your body better, you'll love this episode. And speaking of feeling your best, I have to mention Mighty Maca Plus—my go-to superfood blend that's been a game changer for so many women. It's got over 30 powerhouse ingredients to support energy, mood, and hormone balance naturally. Check it out at https://dranna.com/drinkmaca and see how it can help you feel amazing every day.   Key Timestamps: [00:00:00] Introduction. [00:01:44] Hormones and health optimization. [00:05:07] Compounding pharmacies controversy explained. [00:12:04] Clean ingredients in compounding. [00:14:00] Hormone compounding options available. [00:18:31] Hormone pellet therapy considerations. [00:22:31] 10 million women study findings. [00:25:35] Hormone therapy and women's health. [00:29:42] Hormone therapy misconceptions and risks. [00:34:03] Hormone therapy benefits in aging. [00:35:44] Hormones as part of wellness. [00:40:47] FSH and menopause management. [00:45:31] Hormone disruptors in skincare. [00:49:24] Consumer educational programs for health.   Memorable Quotes: "Compounding has been around forever, right? I mean, really. That was the original arc of pharmacy." [00:04:57] – Dr. Sahar Swidan "People are healthier in general when they were younger with hormones than when they're older without hormones." [00:33:10] – Dr. Sahar Swidan   Links Mentioned: Mighty Maca Plus: https://dranna.com/drinkmaca Rejuvenating Skincare Line: https://dranna.com/sahar American Academy of Anti-Aging and Regenerative Medicine: https://www.a4m.com/   Connect with Dr. Sahar Swidan: Website: https://sahar.world/ & https://saharskincare.com/ Instagram: https://www.instagram.com/saharswidan_pharmd/ Facebook: https://www.facebook.com/SaharSwidanPharmD/   Connect with Dr. Anna Cabeca: Website: https://drannacabeca.com/pages/show Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca   Produced by Evolved Podcasting: https:// www.evolvedpodcasting.com

We're digging into a success story with diminished ovarian reserve, low AMH, high FSH and male factor fertility. When told IVF was the only option, it felt like the end of the road. With AMH of 0.15, FSH in the 30s, and gut, hormone, and immune imbalances—plus low sperm motility—the journey seemed impossible. But instead of accepting the odds, they discovered what was actually blocking their fertility—and took action.  

In this episode, Tara Thorne dives into the topic of irregular bleeding in perimenopause, explaining what's normal, what's cause for concern, and the key hormonal shifts driving these changes. She breaks down the role of estrogen, progesterone, and thyroid function in midlife bleeding patterns while also discussing when to seek further evaluation. Whether you're dealing with heavy periods, spotting, or unpredictable cycles, this episode will help you understand what's happening and what steps you can take to feel more in control.   In this epsiode:  Why perimenopause can last up to 10+ years and how that impacts your cycle. The role of estrogen and progesterone in irregular bleeding—why hormonal imbalance is a major driver. How low estrogen can also contribute to irregular bleeding, leading to fragile uterine lining and spotting. The importance of progesterone as a natural treatment for heavy bleeding and how it buffers estrogen's effects. Why fluctuating FSH and LH levels can cause unpredictable cycles and stop-start bleeding. The value of having a trusted medical provider and why building a health team is essential in midlife.     MARCH 2025 LIVE TRAINING! THE PERIMENOPAUSE RESET: From rollercoaster hormones to feeling better in midlife than you did in your 20s. Your Proven 3-Step Roadmap to Thrive in Perimenopause — Naturally and Confidently. PLUS! The myths & lies that might be the reason you are feeling like a stranger in your own body.   [ CLICK HERE TO SAVE YOUR SPOT ]   Mentioned in this episode: HRT Made Simple™ - Learn how to confidently speak to your doctor about the benefits of hormone replacement therapy so you can set yourself up for symptom-free, unmedicated years to come without feeling confused, dismissed, or leaving the medical office minus your HRT script. Hair Loss Solutions Made Simple™ – This course will teach you the best natural, highly effective, and safe solutions for your hair loss so you can stop it, reverse it, and regrow healthy hair without turning to medications. The Hormone Balance Solution™ – My signature 6-month comprehensive hormonal health program for women in midlife who want to get solid answers to their hormonal health issues once and for all so they can kick the weight gain, moodiness, gut problems, skin issues, period problems, fatigue, overwhelm, insomnia, hair/eyebrow loss, and other symptoms in order to get back to the woman they once were. [FREE] The Ultimate Midlife Perimenopause Handbook - Grab my free guide and RECLAIM your confidence, your mood, your waistline and energy without turning to medications or restrictive diets (or spending a fortune on testing you don't need!).   BOOK A 30-MINUTE SESSION WITH TARA HERE

On today's episode of The Wholesome Fertility Podcast, I am joined by world-renowned fertility specialist and Harvard-awarded scholar, Gabriela Rosa @dr.gabrielarosa, founder of The Rosa Institute. Gabriela has dedicated her career to helping couples overcome infertility, miscarriage, and failed treatments to create healthy families. With over 20 years of experience, her Fertility Breakthrough Program™ boasts a remarkable 78.8% success rate, even for couples who had previously faced long-standing fertility challenges. In this episode, Gabriela explains why infertility is a symptom of deeper health issues and shares how addressing these root causes not only improves fertility but also enhances overall health. She also delves into her innovative, evidence-based approach that combines modern science and natural medicine to deliver transformative results. Be sure to tune in for this enlightening conversation packed with practical advice and hope for anyone navigating the fertility journey! Key Takeaways: Infertility, miscarriage, and failed treatments are symptoms of deeper health imbalances. Gabriela's Fertility Breakthrough Program™ has helped thousands of couples worldwide overcome complex fertility challenges. Addressing the root causes of infertility leads to better reproductive outcomes and long-term health benefits. Low AMH does not mean no baby—natural conception is possible with the right interventions. Fertility challenges are clues pointing to underlying health issues that need attention. Thorough testing and a personalized approach are key to addressing unexplained infertility. Integrating natural and modern medicine optimizes fertility outcomes and overall health. Ignoring infertility as a symptom can increase the risk of chronic illnesses like diabetes and cardiovascular disease. Fertility is a whole-body process—issues with egg or sperm quality often stem from broader health concerns. Community and support are essential for navigating the emotional challenges of infertility. Guest Bio: Gabriela Rosa @dr.gabrielarosa is a world-renowned fertility specialist, author, and Harvard-awarded scholar. She is the founder of The Rosa Institute and creator of the Fertility Breakthrough Program™, which has transformed the lives of over 140,000 couples in 110+ countries. Gabriela's work focuses on addressing the root causes of infertility using an evidence-based approach that combines modern science with natural medicine. With extensive training in reproductive health, naturopathy, and public health, Gabriela is passionate about empowering couples to achieve their dream of parenthood while improving their long-term health and well-being. Websites/Social Media Links: Website: https://fertilitybreakthrough.com/ Facebook: https://www.facebook.com/FertilitySpecialistGabrielaRosa  Instagram: https://www.instagram.com/dr.gabrielarosa/  Fertility Breakthourgh Instagram: https://www.instagram.com/fertilitybreakthrough/  Fertility Breakthourgh Facebook: https://www.facebook.com/rosainstitutefertilitybreakthrough  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/  Transcript: [00:00:00]  [00:00:04] [00:01:00]  [00:01:47] ​ [00:01:47] **Michelle Oravitz:** Welcome to the podcast, Gabriela. [00:01:55] **Gabriela Rosa:** Thank you so much, Michelle. It's so lovely to be here. [00:01:58] **Michelle Oravitz:** So lovely meeting you. We just [00:02:00] had a really nice pre chat and I would love for you. I always like to hear an origin story. I would love to get your background and how you got into the work that you're doing right now. [00:02:11] **Gabriela Rosa:** And sure. Look, I think if for me, I've been doing this work since 2001. So it feels like a very long time, probably because it is. when I start seeing my patience, babies graduating from university. I'm [00:02:23] **Michelle Oravitz:** Oh my God. That is crazy. Cause you look so young. [00:02:27] **Gabriela Rosa:** Oh, thank you. It must be all those herbs and nutrients, you know, but, it's funny because like, that's exactly last two years ago, I had this experience of like seeing, literally seeing one of my babies graduating from university and thinking, Oh my God, where did the time go? [00:02:44] You know, like, that's just crazy, but, but it's, it's been wonderful. It's been a wonderful journey. don't know that I have. In a way, I think that, you know, we, as, Steve Jobs says, you can't, or said, you can't join the [00:03:00] dots in advance. You know, sometimes you can only join the dots in retrospect. And as I look back, I think, you know, I don't know that I planned to be where I am, but in a way I plan to be exactly where I am, if you know what I mean. [00:03:14] It's a very strange kind of [00:03:17] **Michelle Oravitz:** It found you. [00:03:19] **Gabriela Rosa:** certainly found me, that's for sure. and it was really through my experiences with patients that That it shaped the specific area that we focus on because we really only treat couples who typically have been experiencing infertility, miscarriage, failed treatments, and really have, you know, have tried everything and nothing has worked like that's who we treat. [00:03:41] And it certainly didn't start out that way. My, passion when I first started doing what I do was that I wanted to make sure We had a contribution to making the world a better place, one healthier baby at a time. And I really had in my young mind that I wanted to help as many people who wanted to have a baby to [00:04:00] prepare, to do preconception preparation, to be the healthiest version of themselves because we know epigenetics matters. [00:04:06] We know that the way in which, you know, prospective parents go into a conception attempt and certainly conception in general will. either increase or improve the health of a child or, decrease it, you know, there is no zero net some kind of effect. There's only ever always positive or negative effects. [00:04:26] Neutral effects are generally kind of weighed down to negative effects. So for me, and I'll talk more about that if you want to, but, you know, for me, it was that whole idea that I wanted to ensure That we were making that contribution. And it was interesting because although some people were really interested in being the healthiest that they could be, most people were not, most people are like, Oh, this is just too much work. [00:04:50] Let's just start trying. And if we have a problem, then we can do something about it. And that was never really my attitude towards it because the way that I see certainly the [00:05:00] work that we do. There is another layer to it, which is not so much about the physical and the functional. Although, of course, we address that our program has a 78. [00:05:09] 8 percent success rate for people who previously, you know, were infertile, lots of failed treatments and all of those things. And we validated those results through my masters in public health at Harvard. So we know that, you know, what we're doing certainly makes a difference. But. It really, for me, the undercurrent and the underlayer of why I wanted to do this work was actually for self actualization of the patients who came to us, you know, it was for really being able to reach one's full potential in terms of health and how that impacted other areas their life. [00:05:43] And that's how I wanted to work. And the people who were coming in for preparation really were not into that kind of work. And so I started to see that the people who are more in alignment with the work that I wanted to do and the legacy that I wanted to leave in the world were the people who [00:06:00] were having difficulty. [00:06:01] And so I started to kind of focus more and gravitate more towards, you know, those, challenging experiences and how to help people overcome them and, Transition and almost kind of transmute what they were going through. And about five or six years into it all, I had a patient who really changed the trajectory of my whole career. [00:06:25] And she had been referred to me by a friend who thought that she should have a conversation with me. She had been infertile for 10 years. She had done multiple failed IVF cycles at the time. And even though now I talk about that case and it's kind of like, Every day in the office for me at the time, it was the first time that I was seeing that. [00:06:44] And so I was like, Ooh, I don't know that we can help that kind of sit or that I can help that kind of situation. You know, I don't know that there's much that I can do, but she was really insistent and quite adamant. I actually talked to her the other day and told her this story because she didn't even know. [00:06:57] Yeah. And she was like, Oh my God, that's so [00:07:00] amazing to know. But you know, it's, what I ended up happening was that because she was so insistent at doing something, she said to me, she said, look, it's going to be my last try. I'm not going to do any more treatment after this. You know, I'm getting older. I don't want to continue this. [00:07:15] It's been long enough. So I said, look, that's fine. Let's do what we need to do and we'll see what kind of result we get. And Three months later, after years of nothing working, she was actually, it was about four months later, she was pregnant and I was like, Oh, okay. So there's, there's something here, you know, but then at the same time, I thought, Oh, that's, that's strange. [00:07:33] I actually doubted my own, my own results, you know, I was like, Ooh, I don't know, I don't really know if this is just one of those. Luke situations, you know, one of those kind of like random occurrences. But then there was another patient who came to me not long after her, who was infertile for 19 years and yeah, and then I was really like going, [00:07:54] **Michelle Oravitz:** Wow. [00:07:55] **Gabriela Rosa:** I really don't think that I can do anything for you. [00:07:57] She was 44 by the time she came to me. I [00:08:00] had a conversation with her. I said, look, it's not usually, obviously what walks through my door is not 19 years of infertility, but just recently I had a lady who had been trying for 10 years. We can give it a go and see what happens. And we did that. About five or six months later, she was pregnant. [00:08:15] And so I was like, okay, now to, you know, randomness can occur, but to is a bit like a lot. and so I started to, after we had that, success, so I had that kind of experience. I started to then really decide that, okay, you know what, I'm only going to treat people who have been. Trying for more than two years and nothing has worked. [00:08:37] And I did that for many, many years. And when I finally went to do our study for the for the fertility breakthrough program and its results when I was doing my masters at Harvard, we realized that Yes, we had a 78. 8 percent live birth rate for people who had been infertile for almost four years on average, plus or minus almost [00:09:00] three years. [00:09:00] So it really helped me to realize that, okay, this definitely makes it, you know, what we do and the methodology that we use, and that obviously I've developed over the years. really does make a difference to address these really difficult, complex cases of couples who, and individuals as well, you know, sometimes we do get solo reproduction patients who come to us who have been experiencing FALD, or egg cycle, or IVF cycle, but mostly couples who know that there is more that they kind of intrinsically know there's more they can do, but they don't know what. [00:09:34] And they also are very unclear typically about why it's not working. You know, they have these unexplained diagnosis of either infertility or failed treatment or miscarriage, and they keep being told, Oh, everything is normal. Just keep trying. And we know that clearly, What is normal is that you have sex, you get pregnant, you hold your baby, that's normal. [00:09:59] A [00:10:00] deviation from that tells me that, okay, there's more that we need to ask in terms of what's going on here and certainly more that we need to answer if we're going to get somewhere. So that's how it all started. And I guess that's how it's going, you know, [00:10:13] **Michelle Oravitz:** That's awesome. I mean, those stories are pretty amazing. I mean, really, really like shockingly amazing. And a couple of things came to mind as you were talking about it. And I love the fact that you were saying about really approaching a person that To make them more vital, like to really improve their overall wellbeing. [00:10:33] And rather than just focusing on disease, you're really focusing on their health and seeing them in almost a positive light. And it is actually, we don't really notice this, but it is actually a perspective. of many healthcare professionals or like older types of healthcare, like not older, I guess more like conventional. [00:10:53] Sometimes they'll focus more on the symptoms and we always say like root cause versus symptoms rather than just [00:11:00] focusing on treating disease. It's like treating health and really kind of a more positive way to approach the journey. [00:11:08] **Gabriela Rosa:** You know, what's interesting is that we see these days that fertility, and I say fertility rather than infertility. Fertility is highly medicalized, right? So it's, it's about finding the problem and treating a problem as if The ovaries and the testicles, i. e. the egg and the sperm, were the only parts that make this process happen. [00:11:36] And we know that it's not. And, you know, what's interesting about it, and I think that, you know, to speak to what you're talking about, the issues here are so much greater than where we find ourselves, because it's a, it's a healthcare system problem. The reality of it is that when it comes to prevention, typically public health is focused on [00:12:00] prevention and the healthcare system is focused on the treatment of disease. [00:12:03] And we see that when it comes to fertility a lot and what ends up happening as a result of it is that It really is just focusing on like, it's almost like, you know, you've got a sore finger. Okay, let's chop that off and fix that problem. Hopefully you don't get to chop it off, but you know, that's typically how it, how it's approached. [00:12:24] And so what ends up happening is that the entire context of the human being that is meant to produce the result of, which really fertility is a, is an outcome. But it's also a retrospective outcome. You know that it's you're holding a baby once you are, like whatever happens before that moment happens is essentially a part of what is going to lead to whatever outcome you have. [00:12:51] And so I always talk about it from this perspective. If you are experiencing Challenges in terms of getting pregnant, keeping a healthy pregnancy to term, [00:13:00] these are end results of many biochemical chain reactions that start all the way, you know, way before the result is meant to occur. What IVF tries to do is immediately work from like the immediate part that you can see, i. [00:13:15] e. egg and sperm. But the reality of it is that there's only so much leverage when it's not very much that you can get from only trying to address those cells, as opposed to all of the biochemical pathways that are leading to the creation of the cells in the way that they are. And that's part of why IVF its own, often fails, because one, it's not looking and addressing What are the reasons as to why we need IVF to begin with? [00:13:41] And what is it that we need to do to improve the chances of conception occurring, whether it's via natural conception or via IVF? I also want to really kind of underline and highlight the point that whether we're talking about any kind of reproductive challenge, whether we're talking about [00:14:00] infertility or miscarriage or failed IVF treatments, It's almost like those are clues. [00:14:05] They're not results. They're not the outcome because the outcome of reproduction is a baby. So if we're having failures in that process that are leading us to not hold our baby, it tells us that, okay, the clues that we have are the symptoms that we're experiencing. Infertility, miscarriage, failed treatments. [00:14:26] Those are symptoms. Right, really to a large extent. And what that means is that we need to treat them as such, because if we don't address the red flags that are infertility on its own, miscarriages on its own, and failed treatments on its own, because failed treatments is relevant here, because the that you have an egg and a sperm together, you have an embryo. You have a baby right in that moment. You have a baby when you transfer an embryo for treatment, [00:15:00] you are pregnant at the time of transfer. No matter what you are pregnant. So if you don't see a positive pregnancy test. That tells us that implantation has failed and that tells us that, okay, there's something there that we need to address. [00:15:14] Why is it failing? Most doctors, most providers don't care about it. They literally just say, oh, you know, it's a like, it's a numbers game. It's the luck of the draw. Just keep trying. Everything is normal. Just keep trying. When I hear that, literally, this is why I have so much gray hair. Because when [00:15:30] **Michelle Oravitz:** But you have beautiful skin. [00:15:34] **Gabriela Rosa:** when I hear that, I just go, Oh my God, like, how can we keep believing this lie that everything is normal, just keep trying whilst we're having very clear symptoms, infertility, miscarriage, failed treatment, that things aren't quite right. [00:15:49] What we also know about these symptoms, and I like to call them symptoms because really, That is what they are. They're telling us that there is some imbalance within the system that [00:16:00] often left unaddressed will lead. It's not may lead. It is will lead to other health conditions being developed in the long term. [00:16:09] And we know that being studies about this that show that. For people who have an infertility diagnosis and just bypass it with any other kind of treatment rather than addressing IVF etc, rather than addressing the issue, what happens is that the risk and the rate of all cause mortality in the future is higher. [00:16:35] So people who are diagnosed with infertility who don't treat it. actually die from all other causes, cancer, cardiovascular disease, diabetes, at a higher rate than people who actually address their problems. And this was demonstrated to happen and be true for females and for males. So literally, if you're not addressing infertility as a symptom, [00:17:00] you are digging yourself a hole sooner and at a younger age than you otherwise would want to. [00:17:07] Now, I know that this is unpopular and most people are going to feel very confronted by hearing something like this, but the reality is that, sure, you can go and bypass infertility and the symptoms of infertility and go into IVF and get a baby. But are you going to have the quality of life and the ability to be here to raise that child in the long term? [00:17:29] That's a very important question that people need to ask themselves before they simply just jump onto, you know, overcoming the issue with a band aid and just fixing it as opposed to actually truly addressing the root cause of the problem and finding what is the problem. You know, because there are things, for example, if you have antiphospholipid syndrome, which increases the risk of miscarriage, that's also a marker for cardiovascular disease in the long term. [00:17:59] So you're [00:18:00] literally like, if you are ignoring it for, and just take heparin, take whatever to be able to actually take home a baby and not really addressing the underlying concerns that your body is telling you than a present. Well, You are certainly increasing your risk of cardiovascular disease in the future. [00:18:18] And like that, there are many other examples. I'll give you an example of insulin resistance. You know, like I was diagnosed with PCOS when I was 18, I had to really understand how to take care of my body in the best possible way to have regular cycles, despite being told by a medical doctor that. I probably would never have Children. [00:18:37] I was able to conceive two babies twice, literally one and two kind of attempts later by understanding what it is that I needed to do in a holistic way for my body. Now, had I not done that and just jump bypassed the problem with taking metformin, not that I'm saying it can't be a part of the solution, but it can't be the whole solution, right? [00:18:57] I would have probably at this stage in my life right [00:19:00] now. Have pre-diabetes or have already have diabetes because we know that insulin resistance leads to pre-diabetes, which leads to the development of diabetes and that women with PCOS have and are at highest risk. Now by me ignoring my insulin resistance, yes, I'm increasing the risk of implantation failure. [00:19:21] infertility and diabetes in the long term. And like I said, if I don't address that at the, at the point in the time that it matters to overcome fertility concerns and fertility challenges, I am choosing diabetes in the long term. So, and we know that one of the biggest killers in the world these days is diabetes, cardiovascular disease, and cancer. [00:19:43] And there are many cancers that are associated with the insulin resistance condition, resistance conditions and pre diabetes. So again, you know, I already have a family history of cardiovascular disease, diabetes, and cancer. Do I want to add to that? No, thank you. [00:19:59] **Michelle Oravitz:** [00:20:00] Yeah. I mean, wow. You know, this is such an important topic that you're bringing up and it's something that I don't even think has really been brought up to this level on my podcast and I've been doing this since 2018. I mean, yes, I've talked about how, like I've had people on and say almost like going through the fertility journey saved my life. [00:20:19] I mean, so yes, people have acknowledged it, but to this detail that you're mentioning, I think it's just so important for people to hear. And I think it is important. It's one of those painful truths. And I think it's important for people to face it and acknowledge it because ultimately you can ignore it, but it's going to come back. [00:20:38] It's not like ignoring it makes it go away. [00:20:41] **Gabriela Rosa:** exactly. And I think that that is, you know, if, people take nothing else out of this conversation today, I think what's important is to understand that you cannot bypass infertility and still be healthy in the longterm. You have to work with your body to understand why is it giving you these symptoms? [00:20:58] What is it that you can do about it? [00:21:00] Not just hearing a doctor say, Oh, everything is normal. Just keep trying. And yet having completely either it. Out of range or out of optimal range test results and continue to think that, well, IVF must be the next solution because it is not. IVF can be part of a solution and it's a wonderful part of the solution for couples who really, truly need it. [00:21:23] And truly, it was developed for women. with tubal factor infertility. So people who had blocked fallopian tubes for some reason, it wasn't developed for the variety of fertility concerns or issues and, causes that we have today. So we can't just expect that we are going to bypass the problem and are going to have absolutely no negative effect in the long term. [00:21:48] And I think that that's a really important thing for people to understand is that. Yes, you might use it as a way to support a process, but not without [00:22:00] addressing, and certainly not by ignoring what's causing it to be needed to begin with. I think that one of the biggest things, and for me this is, you know, something that I'm exceptionally passionate about, is helping people get answers. [00:22:15] you know, we even have a full free program that we give to people. That is a four week program. It's called the fertility challenge. It's completely free. It's literally worth thousands of dollars. And what it does is it helps people to understand, okay, let's understand the diagnosis. For you. Let's understand what are the things that are not working in the way that it needs to and change that. [00:22:38] You know, the objective really is to get answers, get clarity, to be able to personalize the implementation of whatever it is that you need to do so you can conceive however it is that you're going to conceive and finally hold the baby. Not continuing to go out and around in circles until you run out of time completely, because that is sadly what [00:23:00] happens to so many women, so many couples, they try, and I talk to them all the time, and it's heartbreaking, you know, people who have been trying for 10 years to have a baby and feel like, gosh, I'm at the end of my rope, I need to figure out how else I can do this, or I'm really come to terms with never having a baby, you know, like this is the decision and the place that so many of the patients who come to Mirat and I so hope and wish that people can actually have this clarity, have these epiphanies way before they are at that stage. [00:23:32] stage where they literally have their back in a corner and there's nowhere else to move. So those are important things for me. I think that it's, you know, getting clarity and getting answers is the number one thing that's actually going to enable you to implement the right strategy in terms of treatment because you can line up. [00:23:54] 10 men with poor sperm morphology. And you can have 10 [00:24:00] reasons as to why that sperm morphology is problematic in all of those different men. Right? So it's not one size fits all. Exactly. I didn't know for somebody, let's say that they have heavy exposures to like, I've had farmers in my program, you know, heavy exposures to heavy metals and, and heat and, you know, all sorts of things. [00:24:20] And then I've got doctors, heavy exposure to radiation and so on. So, you know, it's, it's one of those things that you really have to understand the context specific need for the patient to be able to properly and effectively address it. Otherwise you're literally just trialing and erroring until. [00:24:38] Unfortunately, many people run out of time altogether.  [00:24:42] **Michelle Oravitz:** I think that the biggest problem is that people just don't even know what they don't know. So they go to doctors and then, I mean, I was one of them and people know this, you know, my listeners know this. I've been on the birth control pill and that was like my solution to irregular periods and it was just like, [00:25:00] take this. [00:25:00] And this is the only thing you can do. And apart from this, there's nothing you can do. And that's, um, you know, such a straight statement and such a definitive statement. Statement that I don't know better. So I just believe it. And then until years later, I find different modality and realize, Oh no, there is something I can do. [00:25:17] So like  [00:25:18] **Gabriela Rosa:** There's lots.  [00:25:19] **Michelle Oravitz:** I didn't know. I did not know what I didn't know until I knew. And so this is why I love having people like you on here, bringing light to this because people need to hear this. Cause I think it's going to start to like light up something in their minds. It's like, Oh, wow, this is something that I can really. [00:25:36] Look into that's number one is people don't know what they don't know. But also number two is that they don't even know they can do anything about it. Then there's a lot of things that you could do about it. And you know, there's so many people say like, Oh, there's nothing you can do. There's no cure. And a cure is kind of like a, you know, very definitive word, but treatment. [00:25:56] I mean, there's things that you can do that actually [00:26:00] can impact it. It's just that that is not something that is in the conventional world. [00:26:06] **Gabriela Rosa:** Yeah. And you know what else is interesting, and I think that this is important for people to understand as well, because it's, it's a bugmare of mine, which is when people go to their doctor and the doctor runs some tests and then they go back for results and they literally are told, Oh, we've done all the tests. [00:26:22] And everything is normal. Now, let's peel this back and let's explain what all the tests actually means because all the tests does not mean all of the tests, okay? And everything is normal definitely doesn't mean that if you're still not holding a baby. And let me explain what that, what I mean by that. [00:26:39] When it comes to the fertility guidelines around the world, which is what doctors will most of the time will be following guidelines because they don't want to be seen as being stupid amongst their peers. Okay, so what happens with this? doctor will typically refuse to prescribe or request a test result unless they [00:27:00] feel validated in doing so. [00:27:02] Okay. And the reason for that, and I've had this conversation with doctors, my own providers, as well as colleagues who tell me this, they say, I can't ask for this test because it's not going to be either approved by insurance, or I'm going to be criticized for requesting this test to which I reply. Well. [00:27:22] What is currently in the guidelines when it comes to fertility diagnosis is that you check for patency in the fallopian tubes, so are the fallopian tubes clear, and usually that's tested these days, it used to be an HSG, these days it's by Hycose, ultrasound with fluid in the tubes and, you know, dye spilling through if the tubes are clear. [00:27:45] The other test that is done is typically your kind of general FSH, LH, estrogen, progesterone. Progesterone typically recommended on day 21 of the cycle, which also is not necessarily the right thing because some women have irregular cycles and [00:28:00] lengthened cycles and irregular ovulation. So really progesterone should be occurring seven days post ovulation and not at day 21 of the cycle, particularly if a woman has lengthened cycles or shortened. [00:28:13] cycles. It doesn't mean that a woman is not ovulating in those two instances. It just means that pinpointing ovulation becomes more difficult. And that is pretty much, and then of course, sperm parameters. Most people that come to me, believe it or not, despite years of infertility, have not had a semen analysis done. [00:28:30] or don't have a recent semen analysis that really understands what's going on with sperm right now because sperm changes literally every four months. And so you can have the flu and end up with zero sperm. It actually can happen. And you know, that doesn't mean that that person is azoospermic forever and always, it just means that they've had a severe infection that has wiped out their for a sperm cycle or for a period of time. [00:28:57] So Understanding that the major [00:29:00] things, and some doctors are more thorough and some will prescribe or refer, recommend further tests, but as a bare minimum, they're looking for hormonal balance, looking for ovulation and looking for tubal patiency and sperm parameters. So those are four things. [00:29:15] Out of literally thousands of tests that could be done and that needs to be looked at. And of course, needs to be personalized because testing is also expensive and you don't want to be wasting time doing tests for no reason. So, you know, there is a balance to that. But it's not enough to have four tests and not really exactly know what it is that's being tested. [00:29:37] And your doctor tell you, Oh, you know, we've done all the tests and everything is normal because very little is going to be picked up unless there is some serious major issue. Very little is going to be picked up by those four, you know, four things being tested or four areas being tested. What's going to happen is that you may end up with some clues about what else needs to be tested, but [00:30:00] Typically, it's going to be insufficient to gain a proper diagnosis. [00:30:05] to which what happens from there is that people get diagnosed with unexplained infertility. And hence why unexplained infertility is the major, the biggest category of infertility diagnosis, because more tests have not been done. Now, typically, and this is when [00:30:23] we're  [00:30:23] **Michelle Oravitz:** I mean, that is such a good statement. Keep going. Sorry. [00:30:28] **Gabriela Rosa:** the thing about it is that that's what we're talking about conception and conception attempt failures, which IE infertility is what, how it's labeled. [00:30:38] But when we're talking about miscarriages or implantation failure, it's even worse. Because, guess what? The healthcare system expects that a woman has to have at least three miscarriages before testing is done. Now, really? I mean, I don't know, for anybody who has ever had one miscarriage, it's traumatizing enough. [00:30:58] Waiting to have three [00:31:00] before you actually do any further testing, to me, is pretty extreme. That's why, you know. It's unacceptable. It's, as a woman, I think it's just like, it's ridiculous, right? Now, the other thing then that happens is failed IVF You end up with an embryo. Most people who go into IVF, and it's not everyone, but most people will end up with at least one embryo, and there will be a decision to transfer said embryo. [00:31:23] If it doesn't work, and of course, if the cycle gets cancelled for any other reason before we get to that stage, or even then. after getting an embryo, i. e. embryo doesn't develop, doesn't, you know, there's no blastocysts to transfer, whatever it is. Every single one of those points of failure, so to speak, needs to be questioned and needs to be specifically tested and addressed because otherwise, again, you can end up with the same problem. [00:31:51] Now, In the case of IVF, it's more problematic because it's also extremely costly. In the United States, an average IVF [00:32:00] cycle costs about 17, 000 U. S. dollars. And around the world, you know, the price varies. But let's just go with the United States data. And we look at an average cost of 17, 000. That is whether you get to transfer or not. [00:32:13] you are paying that money. [00:32:15] **Michelle Oravitz:** Yeah. [00:32:16] **Gabriela Rosa:** you have an embryo or not, [00:32:18] you are paying that money. So the thing about it that I questioned is like, okay, and there are published studies that show that in order to have a close to 80 percent live birth rate, cumulative rate for IVF, i. e. having a baby, close to 80 percent cumulative rate of chance of having a baby, you have to have eight IVF cycles. [00:32:39] That's the average. Now imagine, imagine eight times seventeen thousand dollars, I mean for some people that's a house. [00:32:48] **Michelle Oravitz:** Yeah. [00:32:49] **Gabriela Rosa:** Right. So no wonder people can't afford to go and do IVF. No wonder there are so many challenges. But even if you can afford it, would you rather do something else first to [00:33:00] understand what is the cause and address that before going and doing another cycle? [00:33:04] You know, we have so many patients who come to us after failed cycles and go, look, I want to prepare to have another better cycle. Typically, those people end up conceiving naturally. They didn't even need IVF to begin with. And when they do, they end up having one or two maximum cycles afterwards, once you understand what the problem is. [00:33:23] So again, hence the critical importance of understanding what is the problem you are dealing with, rather than just expecting that you are going to be okay with some unexplained diagnosis. for your expertise. [00:33:37] **Michelle Oravitz:** So walk us through, like, if you have certain cases, like the ones that you were mentioning, that are really, really complex and many, many years of dealing with. really being on this journey, what are some of the steps you would take? You had mentioned doing testing and functional testing also just for people listening, if you don't know about it, is a lot more in depth and [00:34:00] detailed than what you'll typically get when you go to the doctor's office. [00:34:03] **Gabriela Rosa:** Yeah, no, I agree with that. And look, the testing piece, it's almost, it's a science and an art, right? Because it's almost like you need to balance. various things when requesting a test, you have to balance what is the return on the knowledge that you're going to gain? What's the time spent? What is the money spent? [00:34:22] What are the things that are actually going to give you a lot to be able to do about it versus not very much for a very expensive test? So there's, so for me personally, and certainly, you know, in the first time method, what we use in the pro in our programs, really, what we're looking at is we kind of go back to the drawing board, we collect all the data. [00:34:42] We really look at everything that the patient brings from their lived experience, whether it's test results, other things that they've done, whatever it is, we collect and analyze all of that information to really first understand, okay, what has been done? Where are the gaps? Where are the places of opportunity? [00:34:58] What are the things [00:35:00] that. we need action that is absolutely urgent. And one of the things that we don't actually need to address because there will be addressed as part of addressing the, you know, some of the basic major root issues, root causes. So it's understanding that nuance that actually ends up being able to direct a path, particularly in those cases that we treat that are very difficult and complex because you can do a thousand tests. [00:35:28] You know, there's thousands of tests that you can actually do. Will you do them? No, no. So then we have to really be able to identify, okay, what are the red flags that if we were to understand more about them? Or where the gaps that if we don't know is going to change the direction of our, say, of our choices, then we're starting to look at those things, you know, in cost effectiveness, cost effectiveness analysis, which is a big [00:36:00] field of science, really, the idea is this, if you are going to treat anyway, don't test. [00:36:07] Right. So for example, and there are pros and cons to this, but you know, there are certain things that you're going to treat anyway. So is there a need to test it? Sometimes there is. But sometimes there really isn't and that's the thing that we really need to kind of balance in the whole scheme of things is the things that are going to be absolutely essential and the things that are not really going to be that important. [00:36:34] **Michelle Oravitz:** And what were some of the protocols or what are the types of ways that you treat people or. What is included in the protocols? [00:36:44] **Gabriela Rosa:** It's depends because it's very personalized, you know, so we will use a blend of medical. treatments and even medical diagnostics, of course. And we then are going to utilize the best of all of the worlds that we have access to, whether it's [00:37:00] naturopathic medicine, integrative medicine, traditional Chinese medicine, lifestyle medicine. [00:37:04] So we then are putting together a very personalized process. That is going to help that individual that is part of that couple. Because like I said, you know, you have 10 different men, you have 10 different reasons. Therefore, we need to understand what is the reason here and what do we then make as recommendations. [00:37:24] My biggest focus always is minimum effective dose. I want to do the least possible to get the biggest resolved. Right. That is my focus. So I'm always assessing and addressing the case from that lens of like, okay, what do I need to touch? What do I have to leave alone? Because there are certain things that, you know, for example, I'll give you an example of heavy metal toxicity. [00:37:46] Heavy metal toxicity is a really tricky one. In some cases, it will increase the risk of miscarriage. Like, hugely. I had patient once who basically had 40 times the, elevated rate of what's kind of acceptable in a [00:38:00] human. And essentially had had 8 miscarriages a result, was coming to me to figure out, okay, why am I having miscarriage after miscarriage, even though I'm getting pregnant, she was only 30. [00:38:10] So we went on to identify that she had really high level of mercury toxicity, which was causing these miscarriages. And there were other factors too. So we addressed all of it and we had to make a decision in her situation to actually go for medical chelation therapy. Because what ended up happening for her with that high level is that she was going to continue miscarrying. [00:38:32] And we also knew that chelation therapy would take a long time because it doesn't work quickly. It took us 12 months of treating her, doing chelation, doing retesting, more chelation, more retesting to actually get to a point where she could start trying to conceive again. So it's not everybody has that kind of time, which means that we might find high heavy metals in a person and have to leave it alone because literally we have two years until this [00:39:00] is all over, right? [00:39:01] So it just depends on the situation and we have to make those critical clinical decisions that are going to really help the outcome that we are looking for. So it's highly personalized. So it's not. I don't have, we have a framework that we make sure that we don't leave things to chance, that we really are, you know, checking off every box, but we don't have a, this is the only way that we do this because we have to ask and answer questions and address and adapt accordingly. [00:39:29] **Michelle Oravitz:** So I guess, my question wasn't specifically like a protocol that's customized, like for all, cause I get it. We do the same thing, but do you use, what kind of tools do you use [00:39:39] **Gabriela Rosa:** Oh, we use all sorts of things from, yeah, from drug therapy to herbal medicines, to nutritional supplementation, to exercise, to sleep, to diet, like, All of the things, you know, so in terms of what it is that we're going to use, we're going to use whatever it is that we need to use. You know, sometimes we find infections that we're not going to waste time [00:40:00] trying to use. [00:40:00] I was just going to go straight to antibiotics. You know, because that's just the thing that's [00:40:04] going to give us the result the fastest. So, again, even the treatment part is going to be very, I guess, personalized to whatever it is that that person needs, because at the end of the day, I want speed.  [00:40:18] **Michelle Oravitz:** Yeah,  [00:40:19] **Gabriela Rosa:** speed and I want effectiveness. [00:40:21] So it's, it's balancing all of those worlds. [00:40:24] **Michelle Oravitz:** definitely have a unique perspective though, in a sense that you use tools that are conventional and, a little bit more alternative and holistic. So it is a really great combination because you can get amazing results with both. Yeah. [00:40:41] **Gabriela Rosa:** way that I see it is like, we really do want to blend the best of both worlds. We don't want to say, Oh no, this is not something that we use. I'm not. Look, honestly, I am not, I'm not a purist. I'm not a purist, you know, like, I don't think that there's only one way to do things. [00:40:57] I think I always am looking for what is the best [00:41:00] way to do something, you know, what's going to get us the outcome that we're looking for, balancing all of the constraints and challenges and situations that we have in front of us. So, but how? And I always say to my patients, I'm completely impartial as to how you get pregnant. [00:41:15] I don't care if we have to use IUI, IVF, you know, like I don't care donor egg. That's not the thing. The thing is, if my patient comes to me and says, look, I'm, I want a baby no matter what. we are going to explore every, every opportunity to be able to do that. Then I also have some patients who come to me and say, I will only try natural conception. [00:41:36] I'm like, okay, cool. Let's explore and make sure that we maximize that opportunity. You know, what are the things that we need to do? But it's, values and preferences of the patient that will determine where we go and what recommendations we will make. [00:41:52] **Michelle Oravitz:** Yeah. I love that. I mean, I think that that ultimately just shows that you're present with your patient because that is [00:42:00] ultimately what it is. It's not a one size fits all because then it's something that you pre craft and just give out. But when you're present with a patient, you're able to really assess what you have in front of you specifically. [00:42:11] One topic that I did want to actually ask you about, you know, to get your thoughts, A lot of times people will come in with like, What they say, quote unquote, low AMH, which as we know, sometimes fluctuates in itself, but people get really hung up on it in response to how their doctors get really hung up on it, and I've seen this my, in my own office is that it really doesn't make as much of. [00:42:38] I guess the challenge is people think it does. I've seen people with very low numbers that were told that they needed egg donor conceive naturally like multiple times after that. So I just wanted to get your thoughts on that. [00:42:50] **Gabriela Rosa:** Yeah, absolutely. It's a great question. And look, you know, what happens is that AMH levels, which measures the ovarian reserve, it's measuring the hormones that are excreted by [00:43:00] the eggs themselves, right? And so the more of AMH you have, the more eggs you're likely to have, the less AMH, the less eggs you're likely to have. [00:43:08] Yeah. Does it mean that if you have low AMH that you can't conceive naturally and what is the best way to conceive? Well, actually, all the science shows that if you have low AMH, typically the best option for conception is actually natural conception or IUI. As opposed to IVF. Most, and this is why most women with lower MH go to their doctors and they refuse to do IVF cycles if they are good doctors. [00:43:35] If they just want to take their money, they might not be that kind of doctor. Right? And so the reality of it is that Low MH in itself does not preclude a woman from conceiving with her own eggs naturally. I see the same thing in my clinic. In fact, our study, our Harvard study shows that even in the very low MH category, the less than one, the one to four is low, less than one is very low. [00:43:59] [00:44:00] We had the majority of patients conceive by natural conception in that category group. So very possible, very doable. However, it's not as easy as it used to be. Thank you. Right. When a woman had higher AMH, and this is also part of the reason why you need to make sure that you're addressing the full context of the patient, because a woman's ovarian reserve is just going to, it's going to decline at the time, no matter what. [00:44:26] And if you're treating the wrong problem, i. e. let's say, for example, we have very poor sperm quantity, quality, you know, all of those things. And you are continually treating the woman because she has low ovarian reserve. Well, you're actually leaving a lot on the table because she probably with a better sperm partner would actually have already conceived. [00:44:50] And so it's about understanding, again, this is where I always say fertility is a team sport. And I say that for a reason. You can't expect that a woman [00:45:00] with lower age is going to conceive with crappy sperm. If you have a lower age, what you need is superhero sperm, right? And so it's, and men's sperm quality decreases over time as women's fertility decreases over time. [00:45:14] So it's a, it's a matter of understanding. What it means, like, for example, if you have just low AMH and your FSH is normal on day two, then you have a much better chance of conceiving and taking home a healthy baby, whether it's naturally or any other way, than a woman who has low AMH and high FSH. [00:45:34] Because then, if you're having high FSH, it's telling you that already on day two, your ovaries are already struggling to release the eggs that are remaining. So that tells me that, again, IVF is definitely not the best option, and you need to figure out, okay, what else is there that you can, what are the levers that you can pull, because probably egg quality is [00:46:00] not going to be enough. [00:46:01] Right? And so then you have to address and adjust treatment accordingly. But just as a full answer to your question, just as a, as a very big summary, Lower MH does not mean that you can't conceive. It does signal the onset of perimenopause. Typically ovarian reserve lowers quite significantly five to ten years before menopause, and particularly for women who smoke, that happens even five years before women who don't smoke. [00:46:30] So it's certainly if you, if you are trying to get pregnant and you smoke, well, you better stop. Right now, because you are definitely almost kind of poisoning your chances of taking a healthy pregnancy to term at any point, like you're literally certainly decreasing your chances by at least five years compared to non smoking counterparts. [00:46:54] And if your partner smokes secondary, you know, kind of smoke is also going to be a problem. [00:47:00] So, and of course, that's going to be a problem for sperm. So there's all of those, those contexts as well that we have to take into account. But yeah, it's, it doesn't necessarily translate that low AMH means no baby or low AMH means that it must be donor egg situation. [00:47:15] We had patients, and again, this is in our analysis, the majority of patients who had low AMH were told that they needed to have donor egg. We, in the entire sample of 544 patients, we only had 5. 6%. actually need donor egg. So, and the majority were consuming naturally. So, you know, I take that with a very large grain of salt. [00:47:38] **Michelle Oravitz:** Yeah. And this is why you have to get many multiple opinions and really do your research and find the right practitioner. Maybe a couple of different practitioners. but I love your approach and I think that a lot of what you're saying, first of all, it makes a lot of sense, but it's also, is research based and empowering for people listening. [00:47:59] [00:48:00] And so for people listening who are interested or want to learn more about your work, what are the things that you offer online, like [00:48:08] **Gabriela Rosa:** Yeah. So [00:48:09] **Michelle Oravitz:** far away, [00:48:10] **Gabriela Rosa:** they can go to my website, which is fertilitybreakthrough. com and they can also search my name, which is Gabriella Rosa, G A B R I E L A R O S A. they will find, I have my book, Fertility Breakthrough, Overcoming Infertility and Recurrent Miscarriage When Other Treatments Have Failed free on YouTube and Spotify. [00:48:29] So they'll be able to get the audio version there. It's also available on Amazon and every other bookseller. And of course, as I mentioned earlier, you know, we have the free fertility challenge program that is designed for couples who want to overcome infertility and miscarriage, and most importantly, want to find answers, you know, and want to know what it is that they need to do and how to personalize their journey so that they can hold their baby sooner, [00:48:53] **Michelle Oravitz:** amazing, and you work one on one as well, right? [00:48:56] **Gabriela Rosa:** our team does absolutely. So, yes. [00:48:59] **Michelle Oravitz:** [00:49:00] amazing, Gabriella, this is an amazing conversation. I've seen you around before. I've looked at your information before we spoke and I was very impressed and this exceeded my expectations. So thank you so much for coming on. [00:49:14] **Gabriela Rosa:** Thank you. Thank you for having me. It's a real pleasure. [00:50:00]       

If you're struggling with fertility issues and wondering how to support egg quality and hormonal balance, you're not alone. Environmental toxins could be affecting your fertility in ways you might not even realize. Discover how functional medicine and nutrition can help you address these hidden factors with detox strategies, diet changes, and supplements. Learn how reducing toxic exposure and supporting your body's natural detox processes could make a significant difference in your fertility. It's time to look beyond conventional medicine and take a closer look at what's really impacting your chances of conception. This episode is for you: You're struggling with fertility issues such as low AMH, high FSH, diminished ovarian reserve or premature ovarian insufficiency and want to support egg quality and hormonal balance naturally. You've been exposed to environmental toxins and wonder how they may be impacting your fertility. You're looking for functional medicine/nutrition approaches, including diet, supplements, and detox strategies, to enhance your chances of conception. In this episode you'll learn: How environmental toxins negatively affect egg quality, especially in cases of low AMH, high FSH, DOR, and POI. The role of detox strategies in supporting hormonal balance and improving fertility outcomes. Practical dietary changes that promote better egg health and help manage low AMH and high FSH levels. Supplements that can support fertility and improve reproductive health, particularly for those with diminished ovarian reserve (DOR) or POI. Steps you can take to reduce toxic exposure and optimize your fertility naturally, no matter your diagnosis. --- RESOURCES Pesticide Exposure in Strawberries The Environmental Working Group's (EWG) 2024 "Dirty Dozen" report reveals that about 90% of strawberries tested positive for pesticide residues. This makes them one of the most pesticide-contaminated fruits. Source: EWG - Dirty Dozen Report Glyphosate and Female Fertility Glyphosate-based herbicides (GBHs) may disrupt the endocrine system, potentially affecting female fertility by altering hormone regulation, particularly estrogen. This disruption could impact ovarian function and reproductive health, though more research is needed to confirm the extent of these effects in humans. Source:  PubMed Glyphosate and Male Fertility This review examines how glyphosate-based herbicides (GBHs) may negatively affect male fertility, specifically sperm quality, by causing oxidative stress, DNA damage, and reduced sperm motility. It calls for more research on the long-term effects of glyphosate on male reproductive health.   Source: Pubmed Decline in Male Fertility Dr. Shanna Swan's research highlights a dramatic decline in male fertility, with sperm counts dropping by over 50% between 1973 and 2011. Projections suggest sperm counts could reach near zero by 2045 if the trend continues. Get Pregnant Naturally Podcast:  How To Improve Declining Sperm Counts and Egg Quality -Dr Shanna Swan Protect Your Fertility From EMF Exposure Learn how electromagnetic field (EMF) exposure could affect fertility and what steps to take to protect your reproductive health. Get Pregnant Naturally Podcast: How To Protect Your Fertility From EMF Exposure Why Working on Your Stress Matters for Pregnancy Success (HeartMath Technique) Explore the importance of stress management for improving pregnancy outcomes, including techniques like HeartMath to reduce stress and balance hormones. Get Pregnant Naturally Podcast:  Why Working On Your Stress Really Matters For Fertility

In this eye-opening episode, we dive deep into the secrets that most fertility doctors won't tell you about your AMH levels and low ovarian reserve. If you've ever been worried about your egg counts or been told your AMH is low, listening to this episode could change everything.What You'll Discover:• The Truth Behind AMH: Learn why the number of eggs isn't as crucial as their quality and how to interpret your lab results beyond just a number.• Three Critical Factors: Understand how oxidative stress, mitochondrial function, and blood flow to your ovaries play a pivotal role in your fertility success.• Daily Protocol Breakdown: Get a detailed, step-by-step guide that includes:  - A powerful morning routine with sunlight exposure and nutrient-packed supplements (like ubiquinol, vitamin C, and specialized vitamin E) taken with healthy fats for maximum absorption.  - Easy yet effective fertility yoga and a brisk walk after lunch to boost circulation and support hormonal balance.  - Evening strategies for optimal nutrition, winding down rituals, and a sleep regimen that harnesses the magic hours for egg cell repair.• Real Patient Success: Hear the inspiring story of a patient with an AMH of 0.1—once told she could never conceive naturally—who, after following this protocol, achieved a miracle pregnancy.• Holistic Fertility Insights: Discover why factors such as FSH and LH levels, age, and personalized nutritional needs are essential to truly understanding your fertility picture.Whether you're under 40 and battling low ovarian reserve or simply seeking holistic, science-backed fertility advice, Dr. Obama's groundbreaking approach provides actionable tips to empower you and your partner's journey to parenthood.Don't miss out on this in-depth episode filled with practical advice and inspiration to help you on your fertility journey.Let's chat! I want to hear from you! Send me a voice memo with:- what you loved- what you want to see improve- any guests you want me to bring on- AND any questions you want me to cover on the podcast!Did you know you can join my private community to support you in getting Fertile As F***? This is the place for live interactions, support, and learning on the fertility journey.Want more amazing content? Join me on IG.If you found this podcast episode useful, we'd love it if you could take 15 seconds to give us a positive review on whichever platform you're listening to this episode.

We're digging into low Vitamin D levels and the connection to low AMH. If you've been told you have low AMH, diminished ovarian reserve (DOR), or premature ovarian insufficiency (POI), you might feel like your options are limited—but there's more to the story. Research shows that vitamin D plays a crucial role in ovarian reserve, egg quality, and hormone balance. If your vitamin D levels are low, it could be impacting your ability to conceive naturally or through IVF. Many women with low AMH struggle to absorb vitamin D properly, even with supplements. We'll explore why this happens, how vitamin D affects ovarian health, and simple strategies to optimize your levels and support your fertility. In this episode you'll learn:

Dr. Natalie Crawford discusses PCOS treatment options, emphasizing the importance of understanding the normal ovulation process. Letrozole is a common treatment for PCOS, working by reducing estrogen levels to stimulate FSH production. She advises monitoring with ultrasounds and progesterone levels. For those not responding to Letrozole, Clomid may be considered. Dr. Crawford also highlights the role of lifestyle changes, including diet, exercise, and stress reduction, in managing PCOS. She mentions the potential benefits of GLP-1 agonists for weight loss and insulin resistance, though they should be discontinued before attempting pregnancy. Want to receive my weekly newsletter? Sign up at nataliecrawfordmd.com/newsletter to receive updates, Q&A, special content and my FREE TTC Starter Kit and Vegan Starter Guide! Don't forget to ask your questions on Instagram for next week's For Fertility's Sake segment when you see the question box on Natalie's page @nataliecrawfordmd. You can also ask a question by calling in and leaving a voicemail. Call 657–229–3672 and ask your fertility question today!      Thanks to our amazing sponsors! Check out these deals just for you: Quince- Go to Quince.com/aaw for free shipping on your order and 365-day returns Ritual-Go to ritual.com/aaw to start Ritual or add Essential For Women 18+ to your subscription today. Rula - Go to Rula.com/aaw and take the first step towards better mental health today. Aquatru - Go to aquatru.com and use the code AAW for 20% OFF any AquaTru purifier! If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Sunday. Plus, be sure to follow along on Instagram @nataliecrawfordmd, check out Natalie's YouTube channel Natalie Crawford MD, and if you're interested in becoming a patient, check out Fora Fertility. Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode goes deeper into the role of luteinizing hormone (LH) in regulating the menstrual cycle and its implications for those with PCOS. Discover the essential functions of LH, how it influences fertility, and why it's particularly significant for understanding and managing PCOS symptoms and health.Key Functions of Luteinizing HormoneLuteinizing hormone plays a critical role in both men and women by regulating important aspects of the reproductive system. For women, LH is crucial for managing estrogen and progesterone levels, which are essential to creating the rhythm of the menstrual cycle's phases. Learn how LH operates within a healthy cycle, including the sharp surge before ovulation, which is crucial for releasing the egg.Challenges of LH Imbalance in PCOSMany women with PCOS experience an imbalance in their LH-to-FSH (follicle-stimulating hormone) ratio, which can lead to disrupted menstrual cycles and challenges with ovulation. This section explains the typical LH imbalances seen in PCOS, how they affect the body, and the complications that may arise, such as the failure to trigger proper ovulation and the development of cystic ovaries.Limitations of Ovulation Predictor Kits for PCOSYou will learn the limitations of ovulation predictor kits (OPKs) for women with PCOS, who may experience misleading results due to chronically elevated LH levels. Explore why these tools often fail to provide accurate readings and how they can lead to confusion about ovulation and fertility windows.Addressing the Root Causes of LH Dysfunction in PCOSUnderstanding and managing the underlying causes of elevated LH and testosterone levels can help improve their effects on the menstrual cycle and overall health. We discuss strategies to discover and manage the common triggers of LH imbalances in PCOS.Your PCOS Period Repair ManualYou can take the quiz to discover your root cause hereLet's continue the conversation on Instagram! What did you find helpful in this episode and what follow-up questions do you have?The full list of Resources & References Mentioned can be found on the Episode webpage at:https://nourishedtohealthy.com/137

In this episode, we dive deep into women's health, hormones, and physiology—essential knowledge for any coach or health professional guiding female clients. This serves as a perfect primer for the upcoming Women's Health Workshop, where we'll break down these concepts even further. Topics discussed:  - Menstrual cycle as a key health indicator - Progesterone, estrogen, LH, and FSH in female physiology - How insulin resistance, PCOS, and thyroid issues impact progress - Tracking basal body temperature - The impact of birth control on hormonal signaling - Key factors driving dysfunction in female health - Common coaching mistakes  ----------    Women's Health Workshop  ----------  My Live Program for Coaches: The Functional Nutrition and Metabolism Specialization  www.metabolismschool.com ----------  Subscribe to My Youtube Channel:  https://youtube.com/@sammillerscience?si=s1jcR6Im4GDHbw_1 ----------   [Free] Metabolism School 101: The Video Series http://www.metabolismschool.com/metabolism-101 ----------   Grab a Copy of My New Book - Metabolism Made Simple ----------   Stay Connected:   Instagram: @sammillerscience   Youtube: SamMillerScience   Facebook: The Nutrition Coaching Collaborative Community   TikTok: @sammillerscience     ---------- “This 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 and the show notes or the reliance on the information provided is to be done 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 and is for educational purposes only. Always consult your physician before beginning any exercise program and 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. By accessing this Podcast, the listener acknowledges that the entire contents and design of this Podcast, are the property of Oracle Athletic Science LLC, or used by Oracle Athletic Science LLC with permission, and are protected under U.S. and international copyright and trademark laws. Except as otherwise provided herein, users of this Podcast may save and use information contained in the Podcast only for personal or other non-commercial, educational purposes. No other use, including, without limitation, reproduction, retransmission or editing, of this Podcast may be made without the prior written permission of Oracle Athletic Science LLC, which may be requested by contacting the Oracle Athletic Science LLC by email at operations@sammillerscience.com. By accessing this Podcast, the listener acknowledges that Oracle Athletic Science LLC makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this Podcast." Commercial Music: Royalty Free Music by Marcus P.

In this video, Dr. Doug Lucas discusses the critical role of hormones in bone health, emphasizing the importance of estradiol, testosterone, and FSH. He explains how these hormones interact and their impact on bone density, particularly in women. The discussion also covers the significance of various biomarkers for hormone optimization and practical guidelines for hormone levels. Dr. Doug highlights the challenges in accessing hormone replacement therapy and introduces PEMA BioIdentical, a telehealth platform, designed to help individuals seeking hormone optimization.*STUDIES*https://pubmed.ncbi.nlm.nih.gov/36692543/

Subscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsIn this episode, Dr. Taz discusses the underappreciated significance of ovarian health with Dr. Piraye Beim, a pioneering biologist and women's health advocate. Dr. Beim reveals startling insights into the ovary as a metabolic, immune, and endocrine organ, and she shares how ovarian function is misaligned with modern human lifespans. The conversation also covers Dr. Beim's revolutionary work in ovarian health and longevity. Dr. Beim also shares practical advice on lifestyle changes to optimize ovarian health and addresses the future of reproductive medicine. Join us in understanding why ovarian health deserves more attention and how it can shape the future of women's health.About Dr. Piraye BeimPiraye Yurttas Beim, PhD is the founder and CEO of Celmatix, a preclinical-stage biotech transforming women's lives through better ovarian health.  With its growing pipeline of innovative drug programs including an AMHR2 agonist program focused on ovarian aging and an oral FSH for infertility, Celmatix is addressing areas of high unmet need by developing the next generation of interventions and pioneering advancements in ovarian health. Dr. Beim has dedicated herself to innovating in women's health for more than 20 years. During her PhD work at Cornell University (Weill, NYC) and Memorial Sloan Kettering Cancer Center, she was on the front lines of the precision medicine revolution in oncology. She then completed her post-doc at the University of Cambridge (UK), focusing on the science of fertility.Thank you to our sponsorTimeline: timeline.com/DRTAZ06:09 The Role of Ovaries in Human Health12:59 The Impact of Inflammation and Metabolism31:56 Potential Benefits for Women with PCOS37:16 Optimizing Ovarian Health Today40:11 Lifestyle Practices to Support Ovarian Health43:24 The Role of Light and Sleep48:45 Endometriosis and Ovarian Health51:00 Inspiration and Future GoalsStay ConnectedSubscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsFollow Dr. Taz on Instagram: https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Join the conversation on X: https://x.com/@drtazmdTikTok: https://www.tiktok.com/@drtazmdFacebook: https://www.facebook.com/drtazmd/Connect with Dr. Piraye Beim:https://www.instagram.com/boss_ovary/https://bit.ly/m/Boss_OvaryHost & Production TeamHost: Dr. Taz; Produced by Rainbow Creative (Executive Producer: Matthew Jones; Lead Producer: Lauren Feighan; Editors: Jeremiah Schultz and Patrick Edwards)Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+

We're digging into how to improve egg quality with low AMH, high FSH, and DOR—science-backed steps for fertility success. I know you may have been told you have poor egg quality, but you're confused about what steps to take to improve it. After all, AMH doesn't measure egg quality. But what if there were science-backed steps you could take right now to improve egg quality and either help you get pregnant naturally or improve your next retrieval, leading to successful implantation at transfer? Doing another IVF retrieval without taking these steps only wastes time—after all, poor egg quality can lead to failed fertilization, abnormal embryos, implantation failure, or miscarriage. If you're ready to take control of your fertility with hope and a plan, this is for you. In this episode you'll learn: ✔️ Nutritional & lifestyle strategies to optimize egg health and fertility ✔️ Targeted supplements like CoQ10, omega-3s, and antioxidants ✔️ The role of thyroid and blood sugar balance in reproductive health ✔️ Detoxification and reducing exposure to endocrine disruptors ✔️ Functional medicine approaches to hormone regulation and stress management RESOURCES Reconnecting with Your Fertility: Preparing Your Body with Diet This guide is your roadmap to nourishing your body for optimal fertility. It includes a 10-day elimination diet plan that helps you identify which foods support fertility and which ones may be harming your reproductive health. By following this plan, you'll gain clarity on how specific foods impact your hormone balance and overall fertility.

Board-Certified Nurse Midwife Kristin Mallon joins Lesley Logan to illuminate how to bridge the gap between “normal” lab results and genuine wellness by harnessing hormone insights, gut health strategies, longevity medicine, and integrative care. From understanding the nuanced roles of midwives and doulas to exploring advanced testing for a deeper picture of health, Kristin reveals how following your intuition and seeking daily excitement can fuel a truly fulfilling life at any age.If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe.In this episode you will learn about:The difference between midwives, doulas, and OB GYNs.Turning to personal intuition when seeking healthcare solutions.Why standard labs often miss suboptimal hormone levels.How deeper gut testing supports lasting energy and vitality.Using advanced integrative approaches for longevity medicine.Episode References/Links:FemGevity - https://beitpod.com/femgevityFemGevity on Facebook - https://www.facebook.com/FemGevity/FemGevity on Instagram - https://www.instagram.com/femgevity/FemGevity on Tiktok - https://www.tiktok.com/@femgevityFemGevity on X - https://x.com/FemGevityFemGevity on LinkedIn - https://www.linkedin.com/company/femgevityhealth/FemGevity on YouTube - https://www.youtube.com/@femgevityGuest Bio:Kristin Mallon is a health tech entrepreneur with over 15 years of experience in the industry. As the co-founder and CEO of FemGevity, she is passionate about improving women's health through innovative solutions. Under her leadership, FemGevity has grown into a successful company that provides essential support to women who need it most.Prior to founding FemGevity, Kristin launched Vibrant Beginning, a high-end supplement line of prenatal vitamins. She is committed to making a significant impact in the healthcare industry and enhancing the lives of women around the world. Kristin advocates for transforming the healthcare narrative from solely providing "sickcare" to developing and offering platforms that support optimal health planning. If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. DEALS! DEALS! DEALS! DEALS!Check out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox Be in the know with all the workshops at OPCBe It Till You See It Podcast SurveyBe a part of Lesley's Pilates MentorshipFREE Ditching Busy Webinar Resources:Watch the Be It Till You See It podcast on YouTube!Lesley Logan websiteBe It Till You See It PodcastOnline Pilates Classes by Lesley LoganOnline Pilates Classes by Lesley Logan on YouTubeProfitable Pilates Follow Us on Social Media:InstagramThe Be It Till You See It Podcast YouTube channelFacebookLinkedInThe OPC YouTube Channel Episode Transcript:Kristin Mallon 0:00  There's this huge gap between optimal health and chronic care and crisis care and sick care that needs to be filled. You know, which is like what we're doing, and there's so much to be done. There's so much and then obviously it gets into the whole prevention of chronic care and crisis care in the long term. Lesley Logan 0:19  Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started.Lesley Logan 1:03  All right, Be It babe, I have a great human for you to hear from today. So I have been on a mission to help educate women on how to be it till they see it and part of that is you feeling like you have the health and the body and the strength and the stamina and the hormones that take you to where you want to go. And so today's guest is Kristin Mallon. She is part of the FemGevity team. You definitely have to listen to Michele Wispelwey's episode from last year, if you haven't, because the two combined are just absolutely wonderful. I have never had so much hope about women's health since I met them, and now I just feel educated, informed, supported. And so the first part of this episode is gonna feel medical-heavy, ladies, you gotta listen. Those of you, no matter where you are, what's going on, it's really good information. You can share it with a friend. And then, we have a really great, she blew my mind. I'm not kidding. What I expected her to answer and what she answered, wouldn't have guessed it in a multiple choice. And now that I know her, I would always, her tips and some of these things that she does for her life, have me wanting to reevaluate what I want to do in my year and what I want to call in more of. So this is just a chock-full episode. Thank you, Kristin Mallon from FemGevity for being here. And y'all make sure you let us know how this episode helped you. Share this with a friend. Here's the thing, we all have to educate each other and ourselves and support each other and to the few good men listening. Thank you so much. You should know this about women's health. Send it to your friend, your sister or your cousin, because this is how we all get stronger together. Lesley Logan 2:36  All right, Be It babe, this is going to be just so much fun. I have been sharing the reels that this woman has been putting out on Instagram multiple times. I'm like, I'm gonna share this one. I'm gonna share this one. We have Kristin Mallon in the house. She's a co-founder of FemGevity, and I love her. Love Michele. If you listened to the podcast I had with Michele Wispelwey, you know what they are. If you follow me at all, you know I'm obsessed with them and all that they're doing. So Kristin, can you tell everyone who you tell everyone who you are and what you rock at? Kristin Mallon 3:04  Yeah, I'm Kristin Mallon. I'm a certified nurse midwife, and I've been doing women's health for over 20 years, and really focusing on, obviously, being a midwife, the blend of medicine, but also ancient wisdom. Lesley Logan 3:17  Okay, I have a couple of things I wanna just chat with. Is like, first of all, I think midwives feel like, to me, they're becoming more and more popular and more and more accessible. Is that true? And then for the people who don't know what a midwife is, can you kind of break that down? Kristin Mallon 3:30  So, yes and no. I think there's pockets of the country where they're becoming popular and pockets of the country where they're becoming unpopular. There's a big, I think, problem in general, with the, you know, or challenge, I don't always like to say problem with, a big challenge with reimbursements across the board for all people that practice any type of Obstetrics and Gynecology, and so we're not really educating and training enough midwives. I think the desire is there and the demand is there, but then the burnout is high, and there's the business aspect, because most midwives are really altruistic, and they really kind of go into this type of work, because it's their passion. So that needs a little bit more support and needs a little bit more, you know, kind of hand-holding. Midwives are confusing, because people think midwives are doulas, people think midwives are doctors, and then kind of everything in between. So I am a board certified nurse midwife. So that's kind of like the highest level of midwifery training and education that you can get. I have a nursing degree. I have a master's degree in nursing and then I took a board certification that I maintain. You know, every year, there's a certain level of requirement that I have to attain. I deliver all of my births in a hospital, and I do assist on surgeries, and I do minor gynecological surgeries, and I really do everything that an obstetrician does, not really a gynecologist. So someone who's delivering babies working with babies, that's what I do. There's other types of midwives, so there's certified midwives who are midwives that are not nurses. There's lay midwives, which are midwives that are trained in a variety of different ways, usually kind of more culturally-trained. And then there's professional midwives, and their certification is a little bit different. And then all states have different governing boards about how they allow them to practice and not practice. But pretty much, if you're going to have a home birth, you're having a midwife. I know like one OB GYN in my whole career, and I know thousands of people in the birth space that he is a physician that does home births, but 96-ish, 95% of midwives are doing their births in a hospital setting so it's kind of confusing. They really are a nurse and an OB GYN had a baby and that's a midwife.Lesley Logan 5:41  Okay, I love that. Thank you for explaining it, because I think I definitely was one of the oh, it's like a doula. And I have a friend who's a doula, so I know clearly my friend is now finding out I didn't know what she did. Okay.Kristin Mallon 5:53  Well, and doulas are really, I always like to make this distinction and like the opportunity to educate people, because doulas have no medical training, no medical background, no medical certification, no licensing, they have to maintain and they can't perform any medical procedures. Whereas a midwife can do pretty much everything an obstetrician can do, except they can't be a primary surgeon on a surgical case.Lesley Logan 6:13  Yeah, yeah, that makes sense. Okay, so then you have been, so my other thing with what you've been rocking at is that you've been in, like, women's health medical field for 20 years, and I wonder, what have you seen change for the better, and what still needs changing that we can, you know, make sure we're aware of. I'm 42. This is coming out when I'm 42. I love that people are like, wow, you don't look 42. That's great. I would love to stay looking young as long as possible. That's wonderful. But I don't want to feel, I would like to feel young, too. So I'm just really excited about what you do and what you know about women's health.Kristin Mallon 6:49  Yeah, so we've come so far. So in the last 20 years, I think we've made remarkable strides in miscarriage care, in contraception and fertility care, in reproductive care, in breast health, just kind of an awareness, a lot of mental health awareness, a lot of cancer awareness, cardiovascular awareness. I think the areas where we need to improve on is definitely access. Not all women have access to the types of care they want. There's just not enough OB GYNs. And, unfortunately, there's not enough OB GYNs, there's not enough midwives. We're not graduating enough to replace the ones that are leaving the workforce on a year-to-year basis. It's kind of a big problem. And then, of course, which is what FemGevity is all about, is I know everybody can relate so well to this. You go to the doctor, you don't feel right, and they tell you, your labs are normal, but something's still wrong. And that's really where FemGevity was born, or birthed, so to speak, is from that sensation, because I dealt with that for 20 years. I was like, something's still, like, labs are normal, something's still wrong. Okay, let me look, let me dig, let me keep going. Let me pull from functional medicine. Let me pull from integrative medicine. Let me pull from longevity medicine. And let's figure that out. And a lot of that has to do with how women change decade to decade. So men kind of have this big change at puberty, and then they kind of peak, and then they kind of slowly evolve and change really gradually. And women are so different decade to decade. And once I kind of really started to unravel that and pull that back, it was easy to apply that to all the different things, including menopause care and endometriosis care, PCOS care, fertility care, reproductive care, women's health in general, from head to toe. And you know, a big thing that we do at FemGevity is a lot of gut health, like the gut is such a big overlooked thing. People think oh, I'm tired. I need to check for anemia, I need to check my thyroid. But we're like, no, you need to check your gut. We need to check micronutrient levels. We need to look deeper. So that's where I think we still have a long way to go and a long way to come, and that's what we're doing at FemGevity.Lesley Logan 8:50  Yeah, I think every woman listening is nodding their head when you're like, I went to the doctor and like, everything is normal. I actually had a female doctor in the, I forget what department it was, but it was like in these extreme diseases. And the woman, I got sent to her and she's like, do you feel supported by your doctor? And I'm, no, why am I here? This is the scariest place I could be. I am now very scared. Do I have AIDS? What is going on? And she's like, okay, I think we need to find, it was like a gut doctor who sent me there and because he couldn't figure what's going on, because I kept insisting, I'm not right, something's not right, and so I just got passed off. And, you know, a lot of people have, like, experienced a lot of family or in the holidays or birthdays, and you hear someone going, oh, it's what I ate yesterday. It's what I ate yesterday. I'm like, is it though, or is it something from a week ago? Or is it something? Because the gut is such a complicated, to me, it's complicated, place like it's not necessarily what you ate in the last meal. It could be from another meal that you don't remember.Kristin Mallon 8:51  Yeah, absolutely. And I think what you're talking about is it's really not doctors' faults, because the way that the healthcare system is set up, at least in the United States, is it's really crisis care, sick care, catastrophic care, cancer care, you know, the big C's of care. And if you don't have a chronic condition, you're really going to your doctor and you're saying do I have a chronic condition? And your doctor is telling you truthfully, no, you don't have something like diabetes or high blood pressure or cardiac disease, liver disease, kidney disease, etc. And so there's this huge gap between optimal health and chronic care and crisis care and sick care that needs to be filled, which is like what we're doing, and there's so much to be done. There's so much and then obviously it gets into the whole prevention of chronic care and crisis care in the long term. That's where my passion lies. That's what I'm really just I want for myself, I want for my family, I want for my friends. And I'm just like, so excited to let other women know, and men too, that there's an option. There's someone that can help you. There is a medically trained, licensed professional that can help navigate you through that. Well, everything's fine here, but you still don't feel right.Lesley Logan 10:58  Yeah, thank you for explaining that, because it is true that if you're not one of those big C's, you kind of feel like you're in this abyss. And it is amazing that FemGevity's kind of hope is like trying to fill that gap, which is really great. But I think I wonder, I obviously worry, if you don't get someone like you, eventually you end up in a few C's. The thing that's been bothering you that they haven't figured out, because it's not glaringly obvious, it's going to lead you that way. So let's just say most of the women here are over 40. What are some of the things that they need to make sure that they're checking as they're planning their annuals for this year and things like that, I guess, preventative wise, and then also just so that they're aware and they could be watching things as their body changes.Kristin Mallon 11:34  Well, one of the things that I really noticed working with women for so long is that women are really intuitive, and they tend, you know, some women are born and blessed with this great sense of intuition at the age of six, but most women grow and evolve into their intuition. And so there's so many different things women can focus on in their 40s. And I think a lot of times they know, they know, like, should I be focusing on hormone health? Should I be focusing on gut health? Should I be focusing on exercise, diet, nutrition, sleep? You know, the list goes on. And so what I like to do is, I like to, whenever I meet with a woman, is I kind of like to tease that out of her and try to get a sense from what she's already thinking herself, and really encourage her to go along that path and that trajectory like, you know, well, I've been thinking I should work on my sleep. And I've been thinking I should get a sleep tracker. And I'm like, yes, let's do that. What are your symptoms? Okay, I encourage her and say, I can see how that could be related to sleep, or I can see how that could be related to gut, or that could be related to diet. So I think in your 40s, it's really like you already know, and it's just kind of giving yourself the confidence to be like, okay, I know I need to find someone that's an expert in X that can help me unravel what could this possibly be, and then heading down that path. Lesley Logan 12:49  That's really beautiful. How nice Kristin, we could just listen to the intuition instead of like, sometimes people are trying to get you not to listen to it. It's like, focus on this over here. Focus on this over here. I think that's really wonderful and supportive. Kristin Mallon 13:03  Yeah, I mean, I think if you don't know where to start, sometimes, I think women can also have periods of less intuition, which I think is sometimes, like a leveling up, sometimes a stock will go down before it shoots up. And so maybe if you're caught in that place where you're like, you know, I don't know where to start, my mom says this. My sister says this. My friend said this. Usually it's hormones and gut just start with hormones. Get those checked by someone like myself, who's a hormone expert, who can read between the lines of what a normal lab, because a normal lab is saying, okay, you don't have Addison's disease, you don't have Cushing's disease, you don't have diabetes, you don't have hypothyroidism, but yeah, do you have subclinical fatigue related, a low T3? Do you have not enough conversion of the hormone T3 to T4 which any normal endocrinologist is going to be like, that doesn't matter. You don't have Hashimoto's, you don't have autoimmune disease, but you do have something that's affecting you. So hormones is a really good place to start. And then gut health. I mean, we do so many gut tests every day, and we rarely find someone that has like, a perfectly optimal, normal functioning gut. You know, I would say like, 99% of the time there's room for improvement in the gut.Lesley Logan 14:06  That is so funny. As we are recording this, I'm awaiting like, an update on a gut test, because y'all found a parasite the first time. And I was like, oh, well, that.Kristin Mallon 14:15  Oh, fun. Lesley Logan 14:16  I know. I was like, well, that's, you know, and people are like, oh, which country do you think you got it? I'm like you can get it from sushi, guys. It's not like I have to leave the country for this. Who knows? So I'm excited to see if it's gone. And also I had some dysbiosis, and I am excited, because I can tell when my gut health is strong. I have so much more energy. I feel like a more confident person. I feel more unstoppable. My sleep is absolutely amazing. It's not a surprise to me that, like, I had a little gut situation while I was traveling, and my sleep is off. I'm like, something's maybe something's going on there. So I really love that. If they're not working with you at FemGevity, what are they asking for? Because I know when I try to ask my female general practitioner for a hormone test, she specifically said, oh, you can't test those. They change all the time. And I was just like, I'm paying for this. I don't really know what you're worried about. So what should they be asking for or looking at when it comes to getting those things tested?Kristin Mallon 15:10  Yeah, so hormone health. So really, you kind of just want to get all your sex steroid hormones, which include sex hormone binding globulin, estradiol. If you really want to go deeper, you can get your estrone level done and your estriol level done, which you know maybe might not necessarily be necessary, progesterone, testosterone, free and total thyroid, insulin, cortisol. We do a lot of also functional medicine testing within that so usually, like hemoglobin A1C, homocysteine, CBC, looking at lipid panels, chemistry, liver function, kidney function. That's the general census of like, where you kind of want to go down. Prolactin levels are there too. I can even give you a list, because I'm rattling these off the top of my head, if you want to include it in your show notes, of the hormones I recommend getting. Lesley Logan 15:58  Yeah, we love that. Also, we'll transcribe this guys, so you can just go to the show notes and just take a screenshot. Kristin says.Kristin Mallon 16:05  Yeah, and I want to make sure I didn't forget any there too. Lesley Logan 16:07  Yeah, yeah, we'll love that. Kristin Mallon 16:08  For gut health, so there's really two companies that do, I think, so, you know, my business partner, Michele Wispelwey, her whole background was in the diagnostic lab space, so she is like a lab guru and knows everything. And also myself, like working with women and working with labs gone through so many renditions of labs over time, and labs that closed, and labs that were new and startup labs and labs that merged. And so I think there's a pretty standard gut test called a GI-MAP test, and there's another standard gut test called GI Effects. So GI-MAP is by Diagnostic Solutions, and GI Effects is by Genova Diagnostics. And so you can ask for a GI-MAP that's pretty, most really with it, longevity, functional medicine, integrative medicine, doctors are going to know what a GI-MAP test is, and that's kind of your standard gut test. I always caution women about, this is, like, a really classic thing that I saw with the advent so we do a lot of genomics, and we do a lot of genetic testing too. And so 23andMe came on the scene, and everybody was getting this direct to consumer test, and they were giving it to me, and I'm like, oh my gosh, this is so basic compared to what you can get from a licensed physician. And the same thing is true with like, over the counter gut tests. You can get an over the counter gut test that's probably going to cost you a similar amount of money when you go to a licensed medical provider, and it's just not going to tell you anywhere near as much like GI-MAP does, like 88 different pathogens and microbes. You're looking at yeast, parasites, you're looking for H. pylori, you're looking for dysbiosis, commensal bacteria. So good gut bacteria, bad gut bacteria, so many different things. You're getting virulence levels. So you're getting the actual amount. They're what are called PCR tests, which is like the kind of highest standard of care. So this was, like a big thing in COVID, was your COVID test, RNA, or DNA or PCR testing, and the PCR tests were the best tests. So you're just getting so much more when you go with those two companies. Lesley Logan 18:01  Yeah. So how often should we be doing this? We're getting our hormone test every year. Should we be doing a gut test annually? Is this something you have to do more often? How much is too much?Kristin Mallon 18:12  So I think once a year is probably the minimum, because you will be able to track yourself over time and be able to have data on yourself to look back at and say, okay, when I was 36 or when I was 46 or 56 my hormone levels were this and I felt this way. Some people check them every day. There's a, I just said don't do over the counter. But there is an over the counter test called Miracare, which is kind of like a fertility tracking device, where you can pee on a stick, and it will tell you what your daily progesterone and estrogen levels are. It tells you LH and FSH too, but that's not as important to the overall daily hormone picture. So you can do kind of anything but, once a year. The other thing about hormone testing is that it's important to know, like women get so much confusing information, do I need hormone testing? Do I not need hormone testing? Someone's giving me birth control without hormones or giving HRT without having my hormones tested. Like, why do I need it? Or why do I not need it? And so the gold standard hasn't been set yet. We haven't really come to a consensus as a medical community about how often should this be done. You know, we know in diabetes testing that someone should get a hemoglobin A1C like, every three to six months. We know in when someone's being put on a thyroid medication for the first time, we should check their thyroid every four to six weeks until it's managed and at a normal level. So this hasn't been set, which is why you have so many different clinicians with so many different conflicting views, including you don't need it or you do need it. The way we really use labs at FemGevity is once you've been looking at labs like I have for 20 years, you start to notice patterns. And even though these patterns aren't written down in a protocol by the American College of Obstetrician and Gynecologists, I'm just observationally matching it up with women have been telling me x and here's what the lab data is showing me. And so I'm using my clinical judgment. To kind of make those decisions. Also, it is true that your hormones can change so much, so when we look at an estrogen level, let's say you could be 33 in one blood draw and then in another blood draw with just a couple months apart, you could be like 133 but the main thing is is you're not zero, or you're not almost close to zero, and you're not 400 so you're kind of looking at it like a range versus an exact number. We do a lot of hormone balancing, and we do prescribe HRT and hormone replacement therapy. And so women will start on a hormone and their levels will actually go down. And so they're really confused. Well, I'm taking this extra hormone, but my levels are going down. And so it could just be exactly to what you said, like where we caught them in their cycle when we tested the first time, and then where we're catching them in their cycle and we test the second time. And if they don't have a menstrual cycle and are having a period anymore, they're still having ebbs and flows. Hormones are pulsatile. They pulse even like any hormone, like thyroid or insulin, insulin is a hormone, too. You can think about it, it just pulses into the bloodstream. And so are you catching it up on a trop or on a bow? And that's why we need to know. You know, let's say we give someone testosterone, for example, are you coming back with a male level in your bloodstream? Okay, that's too high. We need to cut down. So we're not waiting for symptoms to come up, symptoms of too much testosterone. We're checking the labs to make sure that we're in a ballpark. It's not so specific, and I think that can help women to interpret their labs and also to understand the big discrepancy. Well, this practitioner says this, and this practitioner says this, and neither of them are probably wrong.Lesley Logan 21:34  Yeah, first of all, I love that you have so much experience. As a Pilates instructor, right, when I was a new teacher, I'm like, okay, I don't know what that is. And then, as I've been teaching for almost 20 years, it's okay most people, when I see that, they have a hard time with this. So let's do this exercise over here, because you start to understand the patterns that are happening, and it makes an art to the science, I think. And also I appreciate you explaining that there isn't a gold standard yet, and that's unfortunate, because they just haven't been testing enough. There just hasn't been we lost a lot of time back when they thought HRT was the worst thing that could happen. I feel like we've we're trying to catch up with I feel like they're in the maybe it's just because now I'm 42 and that's what my algorithm shows. But I do feel like there's a lot more people researching this and coming up and testing things out, so we can have more people explore, and then we can learn more things. So that makes me happy. Okay, you and Michele started this amazing company together. Obviously, you're an incredible doctor. You know so much. What has been the funnest thing about starting a business, and what is the hardest thing that you're that you're like you are trying to because here's why I'm coming at this. I feel like I'm looking at, oh, my God, she is a doctor. She probably has her sleep under control, her hormones under control, all these things. Has it been easy to keep a balance in your own life doing this business and what's been the funnest part about what you guys do?Kristin Mallon 23:00  Yeah, so I would say that the funnest part is really getting to work together. Like, we really like each other, and we really get along, and we really have a lot of fun together. And so when we get to work together, it's like you get to work with your best friend. Like every day. It's really a really fun thing. I think, from the challenge perspective, I personally am a really big believer in like vibration attracts like vibration. And so as long as I'm kind of keeping my vibration in check and keeping my self clean, and I'm looking to reflect that reality outside of me, then everything kind of usually everything works out for me, and everything kind of falls into place. It's just kind of been my experience in life. So the challenge is, is that when things get off track, I usually have to remember to look in the mirror and be like, okay, what is it about me that is like, what thoughts or what influences am I allowing to come into my sphere and my energetic field that aren't in alignment with me, because that's being reflected in my outside world. So that's probably the big challenge, I would say. Lesley Logan 24:08  I so understand that, I really do, because it's not at the plate, and ladies, it's not, oh, everything is our fault. It's the, hold on, what did I bring to this energy that is causing this? Because, you know, there are people who just have force of natures, but I find that if I'm feeling a little nervous, if I'm feeling a little frenetic, if I'm feeling like I don't have control over things, and then I go into the business, the way that I ask for something comes from frenetic, non-controlled, not necessarily a specific place, and then it's a domino effect of the communication is off, and it's hold on, you know? So we do have to kind of take a step back and ask ourselves that, and that's the hardest thing to do in the moment. It's so hard in the moment to go. Hold on. Let me take a pause. How's my vibration? What am I bringing to this? Kristin Mallon 24:52  Yeah, it's hard if you say it's hard (inaudible). I always use a quote that I drilled into my mind, which is, like circumstances don't matter. Only state of being matters. And it's the state of being that makes your circumstances. It's not what happens, it's what I do with what happens. And I can usually, almost always have anything that happens be to my benefit and be to my good. It's kind of like going with the flow and being in the river versus trying to, like, paddle in a specific pattern. You don't know where all the rocks are, and you don't know where all the bumps are, and so if you kind of let the river take you, you usually can, you know, it doesn't look straight, and it always you're like, Hmm, I don't know if I would like go all the way over to the right, but then you realize that, oh, there was dead current in the middle of the river, and you needed to get to the side to get to the fast current. So I kind of try to think of that as much as possible. You know, it's not, I don't always win, but I'm winning most of the time, I hope. Lesley Logan 25:48  Kristin, that is so cool. That is amazing. We're clipping that and I'm gonna put that on my wall, because it is, I, especially, most of the women listening to this, they are caring for young children. They have older parents or family members in their life. They have. Kristin Mallon 26:08  Yeah, they're the in betweens. Lesley Logan 26:09  Yes, they have and they have jobs that they have to do. And then it can feel like the circumstances around you are just hard. And so what you just gave us, is such an amazing gift. Is like the state of being, like, how can I focus on that? So do you have tools? Or is it like a mantra that you say, is it that just that the mantra helps or like?Kristin Mallon 26:30  Oh my favorite mantra, I can give you my favorite mantra that works so well. Two words. So what? So what? Whatever it is like, so what? I mean, it works for 99.9% of things. If you're like this, that I'm going to be late, I didn't put the sandwich in the lunch bag, and I didn't do the permission slip, and I forgot to put these slides in a presentation. So what, you know? And I think that's something that's always really helped me to kind of see the forest through the trees. Lesley Logan 27:03  Yeah, I can see that because I am someone who's like, we're going to be late. And unless it's the plane, probably going to be most things are fine, (inaudible) catches the flight (inaudible).Kristin Mallon 27:16  Even if it is the plane being late might have your benefit, might be to your highest good, because maybe you met someone that now you're sitting on a different flight, or you ended up being able to not miss a phone call that was coming through. So, as long as I allow that type of vibration into my field, I usually end up having those results. The other thing that I think is super helpful, that I also kind of like encourage people to do, is, if you just do it a little bit, it kind of becomes second nature, which is to watch your definitions, watch how you define things. Because even like saying, oh, it's hard to do X, yeah, if you say, I'm working on doing X, or I'm getting better at doing X, or I'm improving my X, it's a much different definition than it's hard. And it's so fun for me. Like, when I first started doing this practice a couple years ago, it was so fun to change the definitions of things and just be like, oh, this happened. Well, that happened because it was so funny. My bra was showing or, I don't know, something happened where I didn't get the job I wanted to get, or I didn't get the client I wanted to get. And instead of it being like a failure, it was a learning experience, or instead of it being a mess up, it was an opportunity for growth or development or internal reflection, or for me to get this thing that I'm talking to you about right now, which is that I can choose how I define things. Lesley Logan 28:38  I really like that, because I do think it's fun. I'm going to keep working on catching myself. But one of the ones that sticks with me, because I was raised in a household that doesn't have a lot of money, and so they'd always say we don't have any money. There's no money for that. No you can't have it. There's no money for that. Kristin Mallon 28:50  I was, too.Lesley Logan 28:51  And I was, so was my husband, and we have been really conscious. I can always tell when one of us is in a bad state, because the words we'll say we can't afford that, which is like a not, like a non-sentence in this house, because the better phrase is, we are choosing not to invest in that right now. Oh, you know what? That's great. I'm not investing in that right now. Or that's actually not something we're spending money on today. So it's not that you don't have the money, it's not that you can't afford it. It's just not a priority in this moment. Kristin Mallon 29:20  That's a perfect example of the definitions. That sentiment. So, do you know the book by Napoleon Hill, Think and Grow Rich?Lesley Logan 29:27  Yes, I love it. I listened to the old tape or whatever. I maybe I should do that again as the year starts.Kristin Mallon 29:33  Yeah. Well, that's the epitome of what you just said. That's one of the big lessons that he talks about in that book. And that book influenced The Secret. So that's (inaudible).Lesley Logan 29:42  And everyone you can go to the original source, it's still out there. Do you remember the part? Because you're, I don't know if you maybe it didn't stick with you, but he mentioned the woman who would always put her hand on her left breast and go oh, I'm gonna get cancer. I just know I'm gonna die from cancer. And she'd always say that, and then she died of breast cancer. She like, literally, she kept putting her hand on herself saying she's gonna get it. It's like not saying that anyone who gets cancer did that to themselves. That's not it at all. But it's just like we, our words, have so much power, and we really do. I love that redefining. You guys, how are you going, like, I wonder you guys have to send in to the Be It Pod and to FemGevity which words you're redefining. I think that'd be really fun for us all to see as an experiment. Kristin, what are you most excited about right now? This is out in 2025. What are you excited that's coming up, that you guys are doing? What's going on? Kristin Mallon 30:30  I'm really excited that this concept of, so I think over the years, we've kind of defined it as functional medicine, and then we defined it as integrative medicine, and now we're defining it as longevity medicine, and I'm just so excited to be a part of that ecosystem and the effects that it has. I mean, I work with women primarily, so the effects that it has on women and the aha moments they have, and that feeling that, I think, that liberation that they've been looking for for so long that they're not just like, going down, down, down, down, down, but that they're actually going up, up, up and getting better is like, so rewarding and so fun that I'm just like, so passionate and excited about sharing that with women as much as possible. Anybody who wants to hear me talk about it, I'm like, do you want to hear me talk about optimization of health? Like, I'm totally down.Lesley Logan 31:20  I also like that it's changed to longevity medicine because the other ones were a bit vague and hard for I feel like this is what people want. It's not when you're like, oh yeah, I want a functional medicine. I guess that makes sense, but it doesn't sound sexy. I want a long life where I have longevity. I don't want to just be old. I want to have be strong and energized when I'm older, you know, I want all those things. So I think that's really cool. Since you love to talk about optimal health, is there anything else about optimizing our health that we didn't talk about that we should know about, that we should check on? Kristin Mallon 31:51  I always say don't give up on yourself, because I think women, so many times have been told no, or they go to the wrong doctor, or they hit dead ends and they think there's no hope. And if you don't give up on yourself, and you hear a podcast like this, and you're like, okay, I need to find a longevity medicine doctor. I need to find a hormone balancing expert. Or they can come over to FemGevity if they're in the United States, we can usually work with them in some way. There is a path to not just feeling better, but feeling like fantastic and great and energized. And I know there's people listening that are like, yeah, this girl's crazy. There's no way I'm so chronically fatigued. My kids are little, my parents are dying or sick. There is, there really, really, really, is just keep going on yourself and don't give up until you find the right person and the right practitioner to help you. It's worth it. So worth it.Lesley Logan 32:41  Oh, I love that. Thank you for that gift. That's a good one. We're gonna take a brief break, and then we're gonna find out where people can find you, follow you, work with you and your Be It Action Items. Lesley Logan 32:51  All right, Kristin, where can people find you? I'm gonna give you the link right now. You can go to beitpod.com/femgevity, because you guys can go and get a call and see how they can help you. But where else on the internet are y'all at?Kristin Mallon 33:04  So our website, femgevityhealth.com and all social media channels @femgevity. So we're on TikTok, Instagram, YouTube, Facebook, LinkedIn.Lesley Logan 33:15  It's probably really fun to be doctors and researchers that have to then learn social media and all the hacks. And I also love that I've got my captions to actually spell FemGevity out correctly. They can't spell my name, they can't spell my dog's name, but they can spell FemGevity. So that's the way to go, ladies. Yeah, okay, you've given us a lot of great stuff already, but for our action takers who are listening, bold, executable, intrinsic or targeted, steps people can take to be it till they see it. What do you have for us?Kristin Mallon 33:48  So my best advice is, whenever in doubt, follow your highest excitement in any given situation. It's a breadcrumb trail that kind of leads you to your biggest and best self. So follow your highest excitement to the best of your ability with no insistence or assumption on the outcome, and it always leads you to the best location, place, time for you.Lesley Logan 34:09  Oh my gosh, you're so cool. Kristin Mallon 34:14  Yeah, you too.Lesley Logan 34:15  Well, thank you, but, yeah, like, what a great tip. That's so fun, because most people say, like, follow your gut. And I've got these people going my gut's off something's wrong. But highest excitement, oh. Kristin Mallon 34:28  It's easy to do, because even if you think about it, you're like, and as soon as we get off this call, right, there's going to be a whole bunch of things you could do. You could check your email, you could take your dog for a walk, you could stretch, you could do Pilates. But if you just tune into like, which one is most exciting, more than any of the others. It'll lead you down a really thrilling and rewarding path.Lesley Logan 34:47  Oh yes, yes, it will, oh yeah, the doctor has ordered that I have to follow my highest excitement. I'm going to do that as soon as I hang up. Y'all please, if you, if this at all has you intrigued, contact FemGevity. It's really nice to have doctors who actually want to look at things and look at patterns, and, you know, don't want to just tell you, it's all good, yep, that problem. I don't know. It's really nice if someone listened to you, and I will just shout out, I was traveling for almost a month, and I got an email from your team going okay, you have to do your call. And I'm like, oh, my God, a doctor that wants me to come for my appointment. They not that other doctors don't. I'm sure I have doctors listening, but you can wait in the waiting room for 45 minutes. You guys make sure. Made sure I made my call, and I'm so glad I did, because I needed that call, and it's just really nice to have someone to look out for my optimal health. So thank you so much for all you do at FemGevity. Lesley Logan 35:40  You guys, how are you going to use these tips in your life? Make sure you tag FemGevity. Tag the Be It Pod. And share this with a girlfriend who, like is frustrated with their health and they're feeling stuck and feeling going in circles. You know, it's kind of nice to be reminded to not give up on yourself. So thank you, Kristin, for that. And until next time everyone, Be It Till You See It. Lesley Logan 35:59  That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 36:41  It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 36:46  It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 36:51  Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 36:58  Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 37:01  Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

We're exploring the best episodes from 2024 to help you improve your pregnancy success with low AMH and/or high FSH. As 2024 ends, you're probably planning your next steps to improve pregnancy success in 2025. You may have already tried fertility treatments or made some changes to your diet and lifestyle. But nothing has worked so far. That's why I'm doing a wrap-up of my favourite episodes from 2024. These episodes are action-oriented and give you specific steps to take to get to the bottom of the low AMH/high FSH and pregnancy loss so you don't waste precious time. I'll give you the highlights so you can start taking the right steps towards pregnancy success in 2025. It's not about doing generalized diet and lifestyle changes, taking a boatload of supplements and hoping for the best. It's about identifying missed healing opportunities and pinpointing the exact strategy to shift the needle and get your reproductive system back online. Remember – the majority of us can get pregnant naturally! This episode is for you if: - You want the top tips to help you get pregnant naturally in 2025 - You need a roadmap to figure out what should be next for YOU! - You want to learn the latest from the field of functional medicine and how it can help you have your baby   In this episode, you'll learn: 1) How to naturally boost estrogen and get pregnant 2) Why addressing homocysteine levels can boost egg and sperm health 3) What foods to eat if you have low AMH and/or high FSH 4) Why a mineral deficiency matters when you are trying to conceive 5) How to increase AMH levels naturally before starting IVF --- RESOURCES: Fab Fertile Method https://www.fabfertile.com/what-we-do/   Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii   --- I just put together a new guide, “Reconnecting With Your Fertility: Preparing Your Body With Diet” that I'm going to give you pro bono (aka, free

We're digging into how to improve pregnancy success in 2025 when you have low AMH and/or high FSH. Focusing on the AMH biomarker wastes time. After all, it's used to see how well you'll do with IVF. It doesn't predict your ability to get pregnant naturally, measure egg quality, or check your uterine receptivity. The bottom line is that it's extremely triggering and scares women into rushing to IVF or thinking donor eggs are the only option. We've helped couples with an AMH of 0.02 ng/mL at the age of 44 get pregnant naturally after they were told donor eggs were the only next step. So, what are the next steps for low AMH, and how can we get pregnant in 2025?   In this episode, you'll learn: 1) Why AMH is not useful to determine why you are struggling to conceive 2) The final word on HRT and what you need to consider (especially if you're dealing with certain symptoms) 3) Cutting-edge functional lab testing that can get to the bottom of why it's not working 4) The final word on PRP (platelet-rich plasma) ovarian rejuvenation and when/if to start this 5) How to improve egg quality and get pregnant with low AMH and/or high FSH --- RESOURCES: Fab Fertile Method https://www.fabfertile.com/what-we-do/   Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii   --- I just put together a new guide, “Reconnecting With Your Fertility: Preparing Your Body With Diet” that I'm going to give you pro bono (aka, free

In this episode of The Wholesome Fertility Podcast, I sit down with Dr. Marc Sklar to delve into evolving perspectives on fertility, especially for women over 40. We discuss the need to shift our focus from quantity to quality in fertility treatments, and the empowering impact this has on women navigating their fertility journeys. We cover the realities of IVF, the importance of patience, self-advocacy, and creating space for personal growth and healing. Marc and I also explore complex factors such as genetics, autoimmune issues, and male-related factors in recurrent pregnancy loss. This conversation is full of valuable insights for anyone on their fertility journey, promoting a holistic approach to healing and growth.   Takeaways   A shift in mindset is crucial for couples seeking fertility care after 40. Quality of eggs and embryos becomes more important than quantity as women age. Understanding hormones is important, but shouldn't be the sole focus. Regular ovulation is a key indicator of fertility, regardless of age. Real-life success stories provide hope and perspective for those trying to conceive. Patients should feel empowered to advocate for themselves in medical settings. IVF is not a guaranteed solution and should not be the first option considered. Donor eggs can be a valuable option, but should not be the first recommendation based solely on age. The energetics of fertility are crucial for healing. Recurrent pregnancy loss can stem from various factors, including genetics and autoimmune issues. Male factors contribute to 50% of miscarriages, often overlooked. The importance of the uterine environment in fertility cannot be ignored. Quick fixes are a societal conditioning that impacts health decisions. Understanding the microbiome can enhance fertility treatments. Emotional states can significantly affect physical health and fertility.   Be sure to check out our Fertility Empowerment Holiday Bundle here https://www.michelleoravitz.com/fertilityempowermentbundle before it's gone!   Guest Bio:   Dr. Marc Sklar — a.k.a The Fertility Expert — is a natural fertility specialist helping couples get pregnant for 21 years. He's mission is to help you feel HOPEFUL and CONFIDENT about your fertility journey again.    In addition to his Doctor of Acupuncture and Oriental Medicine, Dr. Sklar trained at the Harvard Medical School, Mind/Body Medical Institute. He is the creator of Fertility TV, MarcSklar.com and ReproductiveWellness.com, and a Fellow of the American Board of Oriental Reproductive Medicine and Medical Advisor for Symphony Natural Health.   As well as his online program, he also supports his community via his highly popular YouTube channel: FertilityTV where he shares information packed videos to educate his followers on all things fertility.    The Fertility Expert lives in San Diego, with his wife and two sons, where he has his clinic Reproductive Wellness. He also works with couples all over the world through his fertility online coaching - the Hope Fertility Program.   FERTILITY TV WEEKLY EPISODE - http://bit.ly/thefertilityexpert FACEBOOK - https://www.facebook.com/thefertilityexpert INSTAGRAM - https://www.instagram.com/the_fertility_expert/     For more information about Michelle, visit: www.michelleoravitz.com   Be sure to check out our Fertility Empowerment Holiday Bundle here https://www.michelleoravitz.com/fertilityempowermentbundle before it's gone!   Click here to get free access to the first chapter in The Way of Fertility Book! https://www.michelleoravitz.com/thewayoffertility   The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/   Instagram: @thewholesomelotusfertility   Facebook: https://www.facebook.com/thewholesomelotus/     Transcript:   Michelle (00:00) Welcome back to the podcast, Dr. Scalari.   Marc Sklar (00:03) Welcome, well, thank you for having me. It's automatic. But no, it's awesome to reconnect. It's been a while and I'm excited to have a conversation that we both are passionate about, which is everything fertility.   Michelle (00:07) I know it's automatic. Yes.   For sure. We're like, you could say we're a little obsessed, right? With fertility. It's like, live it, we breathe it, So awesome. actually today we're going to talk about a couple of different topics, but I wanted to talk to you about pregnancy after 40. Cause I know that a lot of what we hear out there, even about,   Marc Sklar (00:25) 100%. Yeah, absolutely. Yeah.   Michelle (00:46) how even after 35, it's considered a geriatric pregnancy, which I don't know about you. just don't love that term at all. It's icky. yeah, because I'm sure you see most people like closer to the age of 40 and doing really well. So I'd love for you to talk about it, your experience with that, and also some really cool examples of how it can work despite all of the naysayers.   Marc Sklar (00:55) Yeah, not a fan of it.   Mm-hmm   Yeah, so I think, I so many things I want to talk about when you say this that I need to prioritize it in a good way. here's a couple of things that I think are really important. One is, I think our perspective about fertility, and when I say our, not ours as practitioners and doctors and providers, but more like ours as in like,   the couple who is seeking care during this time and wanting to get pregnant in their 40s, I think a mind shift has to happen. And I think that they need to think about their fertility in a slightly different way. If we are thinking about our fertility and reading everything that is really focused on   couples that are 30 or 35 or whatever age in their 30s, then we're going to be skewed differently about our own fertility and our approach needs to be different. And so I say that in the sense that, you know, we have to have a different reality of what is okay and what we're trying to achieve. A woman who's in her 30s is trying to get as many eggs as possible.   Michelle (02:43) Mm-hmm.   Marc Sklar (02:43) So they have as many options when they have their embryos created and they are, you know, it's usually more about in general and this is a making a generalization, but it's more about quantity versus quality. We're like, let's have as many as we have so that we can choose the best quality of those and then we can move forward, you know, with our pregnancy. And...   the approach may or may not be in those situations about egg quality, because there might be other variables that are impacting their ability to conceive. Whereas I think when we are 40 and older, my approach really shifts. I don't care about quantity. I'm really, really focused on quality. And I think that mindset has to be different as a couple.   because then we were not as disappointed like, I didn't get that many follicles and they didn't retrieve as many eggs as I would have hoped. But because that's all we hear about. We hear about, look, we need all these eggs, we need all these embryos. But the reality is, is when we get older, I don't need 20 eggs or 20 embryos, I need a couple good ones. That's really what I'm looking for is a couple good embryos.   to work with and to transfer. So I think really a mind shift needs to happen and our perspective on fertility needs to change. And so for reading and understanding things as if we were 30 versus 40 or older, then we're gonna have, I believe, skewed perspective on our fertility journey. So that to me is number one. Number two is we do all get caught up in our hormones and some of that is appropriate and some of that is not appropriate.   Is it appropriate to understand where our hormones are at when we're at any age? 100%. Is it important to understand what our estrogen is doing and what our progesterone and FSH are doing? Absolutely. Is it important to know what our AMH is? Yes. Should we get caught up in AMH and make our whole focus about AMH? No.   The research doesn't promote, doesn't support these variables. Even FSH, AMH are not good indicators for a couple's ability to conceive and have a healthy pregnancy. Are they important for us to just have a baseline and understand? Yes. Will they potentially or can they potentially influence your IVF protocol? Yes.   But that doesn't mean we as couples need to get wrapped up in those numbers and make our fertility all about that because it shouldn't be. My rule of thumb is are you having a regular cycle? Check. Are you ovulating regularly? Check. Is your bleed healthy? Check. You can conceive.   Michelle (05:40) Mm-hmm.   Marc Sklar (06:00) Do we have to look at these other variables? Do we need to check your thyroid? Do we need to work on your adrenal glands and stress? Do we need to make sure your gut is healthy? Do we need to make sure all the systems are functioning properly? Seem analysis is good. Fallopian tubes are open. All of those things are still important. But the main thing that as long as you're ovulating, you can get.   And I think that's a really important piece. Now, we're not talking about IVF or not IVF right now. It's just like conception at 40, right? And or older. And so I think if we just focus on the right things and don't get bogged down by these little details of someone who might approach things a little differently if they were 30, then our approach will be better. It will be healthier.   Michelle (06:37) Mm-hmm.   Marc Sklar (06:57) you'll be more grounded in your approach. And we could focus on the areas that really need attention and support. And so I think that piece is really important as we are in our 40s, approaching fertility, still wanting to conceive. If we're always comparing ourselves to other women and other circumstances, we're gonna lose sight of what we need to do and always be trying to like catch up or do what they're doing. And I think that is...   That can really push us down the wrong road. I say this because truly I work with so many women who are over 40. And I see this time and time again. So it's coming from a lot of experience working with women over 40. And I have a wonderful story to share of a woman who is, and everyone will gasp when they hear, okay, when she conceived she was 48.   Michelle (07:55) That's awesome. I love that.   Marc Sklar (07:55) She is, I just spoke to her two days ago. When she delivers, she will be 49. Okay? And I'm not saying she didn't have a long journey.   Michelle (08:08) Was this natural or was it IVF?   Marc Sklar (08:11) This time was natural, but I'm not saying she didn't have a long journey. She did. I'm not saying it was easy. It was not. It was a long journey. It was difficult. Miscarriages, conceiving naturally, conceiving through IVF, long IVF protocols, multiple clinics, like all these things. So it wasn't easy. It was long, but she's 32 weeks pregnant right now.   Michelle (08:40) Wow, amazing.   Marc Sklar (08:41) And I say that because it's possible. It can happen. And these are the sorts of things we see on a regular basis. I'm not saying it's easy at 48, not at all. But I say that for some perspective on the process. Okay. And I think that, you know, do I think everyone could last for seven plus years trying? No, I don't think that's for everybody. She was never going to give up.   Michelle (08:51) Mm-hmm.   Marc Sklar (09:11) Like regardless, like she was never going to stop and never give up until she was pregnant. And that's what she told me. She's like, I'm not going to stop and I'm determined. I was like, okay, I'll support you. Right. That, that, that process is not for everybody. Some people will be on it for a year or just have one or two IVF transfers. And they're like, this is too much. I'm done. I'm going to move on. And I respect everybody's path in that process, but   Michelle (09:21) Wow, amazing. Yeah.   Right.   Marc Sklar (09:39) I want everyone to know it's possible and that's why I share that story. I think it's possible regardless of age with the right support and the right process and the right focus of our attention.   Michelle (09:51) I love that. I really do. And I love the stories because I think that there's so many people that can benefit and you have that sign hope in the background. And it's true. Like those are, but stories, real life stories, there's nothing like real life stories to provide real hope. Cause you can hear, you know, there's a chance of this or a chance of that. But when you actually see an example of somebody going through those challenges that you are and having a successful pregnancy,   Marc Sklar (10:00) Yeah.   Michelle (10:21) I think that there's nothing that compares to that.   Marc Sklar (10:24) Yeah, absolutely. And I love to bring in stories wherever possible. And she was just at top of mind because I just booked her two days ago. So yeah.   Michelle (10:33) That's awesome. You know what I find really cool is the Guinness Book of World Records, the oldest pregnancy is 58 and it was natural. And it was a woman in England who, you know, in England, they don't have a lot of sunlight and, know, and vitamin D access naturally. So I thought that was really cool. But it's, it could be done. It's possible. Just like you said, and I love that you said   Marc Sklar (10:45) Wow. No.   Michelle (10:58) as long as you're ovulating, there is a possibility that you can get pregnant.   Marc Sklar (11:02) Yeah, yeah, we see this, we do see this all the time. Look, as soon as you hit 35 and 38 and certainly 40 and older, you're going to read things and hear things that say, you can't, it's not possible, you won't, you need donor, you need IVF, whatever it is that you're gonna hear, you're gonna hear it all.   I think the hardest time is when you hear it from the person on the other side of the desk in a white coat that says to you, your only option is donor, just give up. And we all hear variations of those words, whether it's not possible, just use donor, whatever variation of that, of what I just said, when you go into an office, whether that's your OB,   Michelle (11:46) True.   Marc Sklar (12:01) or your REI or whoever it might be, and you're sitting down talking to them and they see your age, they assume certain things and they make certain judgments. And they express those verbally to you. And you hear that and that registers in your brain that embeds into your brain. And you start to believe it. Well, yeah, right.   Michelle (12:22) It's nocebo.   True.   Marc Sklar (12:28) I've never heard it, say it. really like that phrase. Yeah.   Michelle (12:31) You're never going to be able to get it out of your head now. Every time a woman comes in and tells you the story.   Marc Sklar (12:36) Yeah. And so look, they said this to you, it and our our brains are really strong and we imprint with these negative things very easily. It's much harder to imprint with all the positive, it takes more effort. And so it imprints into our brain. And now we start to believe it. Well, Dr. So and so said, it's not possible, I'm not going to do it, I can't. And then we repeat that to ourselves so often that   Michelle (12:49) Right. It's true.   Marc Sklar (13:05) Now our body and our brains believe that to be true. so if someone says something negative to you, you have to work double or triple as hard on yourself to get that out. And you need to express to them, I didn't come here to hear negativity. I didn't come here for you to tell me that I can't. I'm determined to get pregnant.   Michelle (13:09) 100%.   Marc Sklar (13:33) And it's fine if you're not able or willing to help me, I'll go someplace else, but I don't need you to tell me that I can't do it, because I know that I can. And you have to do it in that moment. You have to say that in that moment to them, because what you're saying to them is repeating it back to yourself to retrain yourself and get rid very quickly, get rid of that negative comment so it doesn't embed into your brain, into your conscious.   Michelle (13:52) Yeah.   Marc Sklar (14:00) But it also allows them, they need to be woken up. One, they need to be told this is not okay. And two, you have to have the power and the strength to verbalize that truth to them. Okay. You might not be getting pregnant in the conventional way that you thought or they thought. You might not get pregnant in the way that they would like you to. It doesn't mean that you cannot get pregnant. It means that it might take longer. It might be a different path. It might be...   whatever. And so I think it's really important in those moments to stand up for yourself and verbalize that and let them know they might not like it. It's okay. Yeah, you didn't like what they said to you. So it's fine.   Michelle (14:41) Yeah, exactly.   Totally, totally. And that's like really taking your power back regardless, ultimately it's your journey. You're not there to make the doctor feel better.   Marc Sklar (14:53) Right, listen, I think that's such an important piece. Unlike most other medical visits and specialties, you are a consumer buying their service. Just because they're wearing a white coat and they have MD after their name does not mean   that they get the say in everything. It's your journey, it's your process. You're paying them a lot of money for their service. And even if you have insurance coverage, by the way, it's still insurance coverage that can go someplace else to pay for somebody else. So it doesn't have to go to them. And so...   You have the power, like they make it feel like they have the power and they control the situation. I want you to know you have the power. You control the situation and your outcome. It's your dollars that you're spending. You are and should be an equal participant in this process with them. And they don't have to dictate everything. Now, I'm not saying, you you're telling them the protocols to use all the time, but   It needs to be a joint effort in this process. It's totally different than going into a different medical environment and a different provider for different services. They're not charging you $20,000, those other people, for a service that's elective. So stand up for yourself. Have that empowerment to do so.   Michelle (16:34) Yeah.   Right.   Yeah. And another point that I want to make is, you know, when you're working with a doctor, it doesn't matter how qualified, like, I feel like they should believe in your outcome. If they're doubting your outcome, find another person.   Marc Sklar (16:57) Yeah, right now, 100%, 100%. Look, I am not opposed to donor egg. I think that donor egg is something that is super valuable and has its place. What I don't like is that just because of your age, someone is telling you, need to use donor egg. What they're really saying,   And there is certainly a place for donor egg. have lots of women that I work with that use donor egg very successfully and I'm a big proponent of it. But what, why they are telling you just based on your age to use donor egg is because their success rates are impacted by your age and the challenge, the potential challenge of getting pregnant at your age.   Michelle (17:51) Right.   Marc Sklar (17:55) And so for them and their success rates, they have higher chances with using donor egg and they would just prefer, it's an easier process, they would prefer that you use donor egg for that purpose. Okay, now again, does it mean that it's not the right decision for some? It just means that I think if they're just making that decision based on age, I think there's a lot of other pieces that need to be looked at before that decision is made.   Michelle (18:24) What you just said is so important because it's the reality. Really if the system, it's the reality because their ability to really stay on top of their game is for their statistics to make them look really good. And it's human nature. They're going to be thinking about that when they're talking to you, regardless if they're, you know, they can be great doctors, the two can coexist, but   They're also in a business. So it's important to keep that in mind in the realistic aspect of it is that it's going to make them look better. They don't want to take a risk. They see it as a risk, but that doesn't mean that just because they see it that way, that that's really the case for you.   Marc Sklar (18:54) 100%.   Right, yeah. Look, absolutely. I say this also from, so everyone knows who's listening, 50 % of the couples that I work with, 50 % of them are doing IVF. I could group IUI into that as well, so IUI or IVF, some form of assistive technique. Of that number, about 15%, use donor egg.   Michelle (19:33) Mm-hmm.   Marc Sklar (19:34) So I'm fine with it. I'm happy to support you with it. I just often think that choice is made prematurely or that push in that direction is done prematurely without really giving you a fair chance, really looking at your case as a whole versus just looking at you as an age, as a number.   Michelle (19:56) Same thing with IVF. I also find that with IVF that people will start out maybe three months and they're young and they're like, you know, I just want a baby now. So I'm going to go to IVF. And a lot of people have a preconceived notion just because you're paying a huge amount of money and that there's technology involved that doesn't give a guarantee. in fact, I've seen people get more successful naturally, even at an older age than going through IVF.   Marc Sklar (20:05) Easy.   Well, the success rates for IVF for those who are listening and aren't aware are relatively low. You know, in your, from 30 to 35, those success rates are around 35 to 40 % ish. You know, depending on the clinic, some clinics might have a little higher, some a little bit lower, but roughly, you know, in the United States, that's an accurate statistic. It only goes down as you get older. And if you look, because most clinics,   Michelle (20:50) you   Marc Sklar (20:56) Don't have to report, but most clinics do report their statistics. If you look at statistics for IVF in their 40s without donor egg, those statistics are very, very low. So then you have to ask yourself, is this worth the money or can I get the same or better statistics and results trying naturally by addressing the root issues, by focusing on the things that I need to focus on, by getting healthy.   are those better for me? Are those odds better? One of the beautiful things you mentioned it with, you work with younger women and after three months they move forward with IVF. One of the beautiful things that's happened over the last 20 years is that fertility treatments and the fertility journey has become something that is more accepted and people are more willing to talk about it. And as a result of that,   marketing towards those communities has increased dramatically. And as a result, IBF has been spoken about more frequently because of that marketing. And so it's become so much more commonplace that couples who want to get pregnant, young, try for three months or six months, hey, it's not working.   you know, so and so did IVF and got pregnant or so, you know, we should just go do IVF. And they don't know the real statistics. They believe that it's a hundred percent successful. And as a result, it becomes the first line of treatment versus, you know, what used to be the third or fourth or fifth line of treatment, right? Well, I used to go to my OB and they used to do that. And then I would try other things. Now it's like, I'm not pregnant. Let's just go do IVF. Right. And so so many couples end up doing IVF.   thinking it's faster or more convenient without really working on themselves. And in turn, then they realized later on, I really shouldn't have started this way because it's not a guarantee. I haven't been successful. So they go there very prematurely. My preference would be is to see couples have patience. Take a step back. What's not working for me?   Michelle (23:03) Mm-hmm.   Yeah.   Marc Sklar (23:17) What do I need to improve and correct? And let's work on the root issues so that way you can be successful moving forward. And I had a conversation two weeks ago with a woman. I talked about it briefly this week on my Instagram stories because I think we were both frustrated with each other during this conversation. She has a history of repeated chemical pregnancies.   And she is frustrated with the lack of results and I've just started working with her. And so I asked her, know, she, and as we just started working together, she had another chemical and I asked her to stop trying for a little bit. I'm like, you're just having these ongoing chemicals and we're really not able to make progress. I just wrote out this plan for you. I want to give it some opportunity. You know, it's the end of the, it's close to the end of the year.   How about we just take off right now through the end of the year? Let's just take a break. Let's enjoy life and let's work on ourselves. And she felt like she was wasting time and she was feeling, I could feel her as soon as I said it, like getting anxious about like just the time of giving, creating this time to, and she's in her early forties. And she said, you know, I don't think I'm gonna do that. I can't do that. I'm gonna.   Michelle (24:19) Mm-hmm.   Marc Sklar (24:44) I'm going to keep trying because I feel like I'm wasting time. We had this back and forth, this long conversation back and forth. I'm going to totally support her and respect her decision about how she wants to move forward. I just don't agree. Sometimes taking a step back and working on ourselves and creating space is progress towards our ultimate goal. I know that we think that if we're not actively having intercourse and trying to conceive at ovulation every month, that we're wasting time.   Michelle (24:57) Yeah.   yeah.   Marc Sklar (25:15) Well, in a situation like this, we're just spinning our wheels. If all we do is continue to do the same thing every month, expecting a different result, I don't know how that's gonna change. So we need to give ourselves a little bit of opportunity. And she's so worked up about it and anxious about it, she's trying to control every aspect and she's scared. She's making this decision out of fear.   Michelle (25:19) Totally.   Mm-hmm.   Marc Sklar (25:43) So one, the decision's being made out of fear, and two, she's trying to strangle, like, I'm gonna control all of this. It's not, we are typically not successful if we make decisions out of fear, number one, okay? And number two, the more we try to strangle something, the more you strangle it and you don't allow it to be successful.   We need to create some space, some room for things to occur. Okay? And I'm a big proponent of this, like, let's just take a step back. Let's take a deep breath. Let's understand, let's give ourselves some space and not have to be so stressed about this. Most things, if you think about it, are created in space, in a little bit of a vacuum. Sorry, not a vacuum, in a little bit of a space. If we have this vacuum, we're constantly trying to control it. There's no space for creation.   Michelle (26:19) Yep. Yeah.   Marc Sklar (26:39) There's no place for an opportunity for something to be created in. So I think it's, know, painting a beautiful painting is created from a blank canvas. It's created from space. And the same thing with our life. We need to create an opportunity for life to be created. And so that means not straining, not holding on so tight, not trying to control every little thing.   Michelle (26:52) Mm-hmm. Yep.   Marc Sklar (27:08) Let's take a step back. I'm not saying you don't like do the right things. I'm saying we don't try to control all of those things so closely. And I think this is really such an important lesson for all of us because our tendency when we're told is I'm gonna do it differently. I'm gonna add this in like, right? And you're just like more and more and more more and more. So that's like this stranglehold that happens.   Michelle (27:29) Mm-hmm.   Marc Sklar (27:35) And I want us all to just let go a little bit more. It doesn't mean you're giving up. It doesn't mean you're taking a break. It doesn't have to be. It means you're just not holding on so tight to the outcome and the process. And I think this is so, so valuable for us. Difficult to do. I'm not saying it's easy, but it's so valuable. you know, I know her and I, were both...   kind of frustrated by the conversation because it didn't feel like she was listening to me and she didn't feel like she wanted to move on with my recommendations. She felt frustrated by me asking her to take a break. But I say it out of all love, like that is what I feel like is going to be the most beneficial for her in that situation. And I've had these conversations with others in the past and I'm just saying this from experience. So for all of you listening, sometimes we just gotta let go a little bit.   We've got to just ease up just a little bit.   Michelle (28:31) love this.   Yeah, no, I love this so much. you have no idea. Cause it, think that like you just said, you've had so much experience, you've seen this. And when you do something over and over again for many years, what happens is you start to get a feeling for it. You know, my husband works in the ER. He's starting to have a feel. He gets a sense when somebody's really sick or somebody saying they're sick, you start to get a sixth sense. You know, maybe we can't measure that, but it's a real thing. And I love that you talk about that. Cause to me that's   Marc Sklar (28:37) Yeah.   Michelle (29:04) being in a state of flow, being in a state of flow is the same exact thing that happens in our body when our chi flows and our vitality is able to feed all of our organs. cannot happen when it's constricted. And then going inward. Yeah, that's just going into the yin. You can't be constantly yang. You have to go back into the yin as well. And yin is incredibly productive.   Marc Sklar (29:25) Yeah.   Michelle (29:28) Like what happens when we're sleeping? We're in a state of yin. It's the most productive thing your body can do. You can't possibly have so much going on without that kind of like inert state. know, so it's, yeah, it's totally important, but also I don't know if you ever follow Dr. Joe Dispenza. I'm obsessed with his teachings. And have you ever done his meditations? So his meditations, he actually takes you through a form of induction, which   Marc Sklar (29:48) Mm-hmm. Yeah.   No.   Michelle (29:58) It's not hypnosis, but he gets you into a state of space, of becoming aware of space. Because when you become aware of space and everything that he does is based on science. actually has a whole research team on this. And this idea of kind of allowing this state of space, as they learn in quantum physics, you know, getting to this place where we're not locked in to the material world. We're not locked in.   We're kind of like moving back so we can allow this divine intelligence to take over. And then, and then it fixes things. It takes care of your body. does what it needs to do. Cause that's not our job. Our job is yet to direct and to intend, but our job is not to fix every single thing. When we try to do that, all we're doing is getting in the way of this divine intelligence. So I love that you're saying this because it totally like, it totally speaks the language that I'm feeling when it comes to.   fertility health and overall health like every way really.   Marc Sklar (31:00) Yeah, I agree. it's something I talk about. I have to do it, I feel like, repeatedly to the same person to get them to hear the message. And it's not intuitive. Like, personality-wise and for many of us, our goal is like, just want to fix it. I want to solve it. I want to do it. That creates this stranglehold. And so it's not intuitive for them to kind   Michelle (31:08) Yeah, because it's not common knowledge. It's not common.   Mm-hmm.   Marc Sklar (31:30) pull back a little bit and feel like that's moving forward. But it is.   Michelle (31:34) Yeah. Yeah, totally. Cause I mean, we have, we're conditioned to, you know, to first of all, get quick fixes. I mean, this is, we've been conditioned for years and this is all marketing for quick fixes, like quicker, faster, better, you know, and we also are conditioned to no pain, no gain. You know, you have to work for it. You have to get it. You have to be on top and   Marc Sklar (31:46) Mm-hmm.   Michelle (31:59) So over time, this is just a habit. That's going to be our knee jerk reaction or response to pretty much anything, but it's not necessarily the response your body needs.   Marc Sklar (32:10) Yeah, no, absolutely. And it's actually with the younger generation, that's only getting worse. Maybe not the no pain, no gain part, but the quick fix. That's our generation. Yeah. The younger generation is like, I don't want any pain, but I want all the gain. Yeah. And the quick fix, you know, part of it is because of the phone.   Michelle (32:20) Yeah, that might be more our generation. This is true. It's true. Yeah. I just want to be on my phone.   Dopamine.   Marc Sklar (32:39) the dopamine, but also like this, as much as Amazon has been a great service to so many people, it's a huge disservice. We, and especially the younger generation, expect everything now in a day. Right? That's the quick fix. That's like immediate gratification. Free delivery, two days. Now everyone expects free delivery and they want it there in two days. And it doesn't work like,   Michelle (32:55) Mm-hmm. Yeah.   Marc Sklar (33:09) The world doesn't typically work that way, but they've preconditioned us to this. And that's to our detriment, right? Because that gets translated across the board to all aspects of our life. Now we want things faster. We more immediate gratification. it should have been fixed. Why didn't they get back to me, right? Like all of these things, I think that's a problem. Yeah.   Michelle (33:32) I'm like, we're on the same page. 100%. Yeah. And I think that, yeah, it just, these are mental patterns that we're constantly repeating. And I'll be honest. I mean, ever since I had my phone, I just don't feel as sharp. I don't remember as much. My attention can't stay on one thing. And even me, I'm aware of this and it's impacting me.   Marc Sklar (33:41) Mm-hmm.   Right, yeah, yeah, yeah. One of my favorite things to do both to bother my children and because it's beneficial to them is if we need to order something from Amazon, I put it on the longest shipping option as possible. Like if it says one week or two weeks, that's what I pick. Every time. I mean, unless I like immediately need something, whatever. But like.   Michelle (34:08) that's smart.   That's actually really smart.   You need it. You'll use it when you need it.   Marc Sklar (34:18) Yeah, but like in general, I use the longer shipping option because I'm trying to retrain their minds to be like, it's not here yet. Okay, we'll come. It's not, it's not the end of the world, right? It will arrive. and usually Amazon gives you a little benefit for that delay, by the way. Yeah.   Michelle (34:36) Yeah, yeah, yeah, right. It's a little cheaper. That's really smart. That is actually really, really smart. And then you can put things in one box. So it also is good for the environment. So when it comes to recurrent pregnancy loss, because you'd mentioned you're talking about chemical pregnancies and what are some of the common factors that you've seen clinically?   Marc Sklar (34:46) Yeah, and good for the environment.   Yeah.   Yeah, so chemical pregnancy could be a little bit different, but if we're talking about, you know, reoccurring pregnancy laws or, you know, multiple miscarriages, then the, there are four buckets that I put things into. The first bucket is one we have to look at and analyze, but one we potentially can't do much about, which is genetics, right? Is there some sort of genetic abnormality that's occurring potentially?   Michelle (35:24) Mm-hmm.   Marc Sklar (35:30) due to my genetics or the combination of mine with my partners and what's that going on. I might end up with five causes actually now that I think about it. The next one is autoimmune issues. I find this is a huge reason for reoccurring pregnancy loss. will say also I find this is a big reason for secondary fertility issues.   Michelle (35:41) Hey, good.   Marc Sklar (35:59) with recurrent pregnancy loss. So secondary meaning you've been successful with the pregnancy one time or multiple times, and then at some point you're trying again and you're not successful, but in this case you've had, let's just say a loss. And so I would say I find that autoimmune issues are much more common in that situation because something happened in one of the previous pregnancies or postpartum that caused some sort of autoimmune issue that has triggered this outcome or contributed to this outcome.   Michelle (36:26) Mm-hmm.   Marc Sklar (36:28) Another one is blood clotting factors, that there is some sort of, you know, some issue, whether that's genetic or not, because it doesn't have to be genetic, that is contributing to more clotting factors that doesn't allow for that embryo to implant properly, and you could have a miscarriage. So that's three. Four, uterine issues.   That could be wide, that could be like a bigger bubble that doesn't get talked about as frequently. So what's going on in implantation that might be contributing to that? Is there an infection, a virus, a bacteria? Is there inflammation? Is there endometriosis? What is going on inside the uterine cavity and with the endometrium that could be causing this pregnancy or multiple pregnancies to not be able to be held?   And then the last one, which is male factor. So 50 % of all miscarriages are male factor related. Most typically in those, it's going to be some sort of DNA fragmentation issue. So the DNA of the sperm has been compromised in some way and that's contributing to that loss. That's the one that unfortunately we don't talk about as much because, like why would a male...   Michelle (37:43) Mm-hmm.   Marc Sklar (37:57) contribute to the miscarriage, you know, and they're not carrying. So that one gets ignored, but something that needs to be ruled out. So those are the, I said four, but really five, those are the five reasons that, you we should look at.   Michelle (38:10) Yeah, for sure. And also the microbiome, know vaginal microbiome can impact a lot.   Marc Sklar (38:14) Yeah, so that I look at that in that fourth one with the uterine environment. So to me, that microbiome is a piece that I look at when I'm evaluating that. Yeah.   Michelle (38:23) Yeah. And I feel like, I feel like they should always look at that, like before transfers. mean, cause people are paying so much money. And I know in Spain, it's more commonplace for them to give vaginal, suppositories for, probiotics. And I feel like it would really be very helpful for a lot of people.   Marc Sklar (38:33) Yep.   Great.   Yeah, I've started running that test much more frequently in the last year. And I can't say I run it for everybody because at some point I'm just balancing cost of things, right? Like we could run every test under the sun. It's just like, it's a matter of cost. But certainly if I see implantation failure, if I see chemical pregnancies, you know, these are the sorts of things that for sure I'll start to look at.   Michelle (38:48) Yeah.   Mm-hmm.   Yeah.   Chris. Yeah.   Yeah, for sure. I mean, we could talk for hours, I love that we talked about, first of all, it's really interesting just to get your take on things and to hear from another person who's doing the same thing, But also, you know, I love the fact that you were talking about the energetics of it, because I think that when you do this long enough, you start to see patterns and you could start to see how emotions can really constrict the chi, you know, from our perspective.   Marc Sklar (39:38) Yeah, sure.   Michelle (39:39) So I think that that is really important because yes, we could look at all the little details and the numbers and the stats, but the energetics aspect, we can get so kind of like focused on the small parts. And then sometimes it's good to kind of go zoom back and see the bigger picture. So I thought what you said about that to me was very, very powerful.   Marc Sklar (40:01) Yeah, all of these things, like everything we talked about today is so valuable for those individuals who need that specific message, right? Like we're all in a different place and we all have our own journey, but hopefully, you know, the messages we shared today and the information we shared today really resonated with those who are listening.   Michelle (40:10) Yeah.   I'm sure they did for sure. mean, was a really valuable information. So it's been great having you back, Dr. Sklar. It's been too long and we should do this every so often because I feel like we're never going to really run out of things to talk about. Thank you so much for coming on.   Marc Sklar (40:34) I agree. I'm happy to be on any time. Yeah,   Yeah, I appreciate it and wishing everyone success on their journeys.

Welcome back for another episode of the Owning Your Sexual Self podcast! This week I've got on a familiar face (or voice) Jordan D'Nelle! She's here to talk all about women's hormone testing. This is definitely in Jordan's wheelhouse, and I'm so impressed by her knowledge and I know you will be too!In this episode:Why hormone testing is essential for women's healthA breakdown of key hormones like FSH, AMH, progesterone, and moreTips for preparing for your next doctor's visit with a personalized testing listHow to identify signs of perimenopause and menopause through hormone levelsThe importance of checking in with yourself daily to track how you're feelingThank you so much for listening!  Don't forget to share on your social media and tag me if you loved this episode!ResourcesMy Everlywell Link!Dr. LoIn the Flo by Alisa Vitti Connect with JordanInstagram @JordanDnellePodcast: Vaginas, Vulvas, and VibratorsSupport the showConnect with Rachel!Instagram: @The_Rachel_MaineWebsite: https://linktr.ee/WellnessSexpertiseYouTube: YouTube.com/@OwningYourSexualSelfFacebook: Rachel MaineEmail: therachelmaine@gmail.com

We're digging into how to get pregnant with an autoimmune disease. A theme we see with low AMH, high FSH, diminished ovarian reserve, or premature ovarian insufficiency is autoimmune disease (i.e., Hashimoto's Thyroiditis, Celiac, Rheumatoid Arthritis, Multiple Sclerosis, Lupus, Psoriasis, Type 1 Diabetes, Chron's, Pernicious Anemia, and way more). There are over 80 different autoimmune diseases, with the prevalence increasing more than 3-12% per year. In the United States, Type 1 Diabetes has doubled in the last 40 years, celiac disease has increased fivefold in the last 30 years, and multiple sclerosis has increased by 30% since 2013. In 1/5 of premature ovarian insufficiency cases, there is an autoimmune disease present, which is often overlooked as a factor with conventional medicine. It's not about taking more medication to manage the autoimmune disease and pushing your body to conceive with IVF. This can lead to cancelled cycles, poor response to medication, abnormally tested embryos, and implantation failure. So, how do we prevent and reverse autoimmune disease so that you can get pregnant in 2025?   In this episode, you'll learn: 1) Conventional versus functional medicine approach to treating autoimmune disease 2) Factors that influence autoimmune diseases and what you can do to reverse autoimmune disease  3) Biomarkers to ask your doctor to check that help address underlying factors  4) Diet, lifestyle, and supplement recommendations to address autoimmunity and get pregnant in 2025   --- RESOURCES: Fab Fertile Method https://www.fabfertile.com/what-we-do/   Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii   Get your free copy of our Autumn Fertility Recipe Guide (includes 5-day meal plan/grocery shopping list, all free from the TOP allergens) at https://www.fertilitydietfreebie.com/.   --- I just put together a new guide, “Reconnecting With Your Fertility: Preparing Your Body With Diet” that I'm going to give you pro bono (aka, free

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Chris: My heavy metals test showed elevated thallium but my water is fine. What hidden unknown foods/sources is this coming from?   Anonymous: Hello, I've tested my hormones but didn't know it should be done by a saliva test. I'm wondering if I can still make something out of the results of the female hormones I tested in this way? Or are these results completely off? They've tested FSH, LH, prolactin, estradiol, progesterone, testosterone, DHEA-S, TSH and cortisol.. I understand it is not the same as with a saliva test, but hopefully it still means something? What should I look into , to understand the levels? I know Equlife offers tests, but you don't ship here, unfortunately.. Thank you for your help     Anonymous: Hi, I've been listening to a lecture from a naturopath about folic acid & methyl folate.. apparently all the studies about it closing the neural tube of the fetus were done on folic acid, not the methylated form. It apparently only makes sense to take methyl folate if you have the MTFHR mutation, otherwise you can actually feel worse on it and better on folic acid (non methylated). I know you say methylated folate is better but I'm wondering why, if all the 4research of its efficacy for fétus development is done on no methylated folate? Thanks for the explanation     Mel: Hi Dr. Cabral - thanks for your zest for all you do! I have an undiagnosed autoimmune condition and completed your 21-day detox a few months back, which was pretty uneventful without any noticeable side effects. After the detox, I had a rough stressful patch, and my diet went off the rails. So before beginning the Para Support protocol I'd like to do, I thought doing a 7-day detox would be a good idea to make sure my body was ready to handle it. The first day of the detox, however, my body reacted differently - it felt like it was on edge and dysregulated in a sense: my neuropathy flared up in an uncomfortable way, dizziness kicked in, my muscles got sore and fatigued, and my breathing felt more labored. Why would this only happen during my 2nd detox, and what can I do to remedy it?     Patrick: Hey doc ! Huge long time fan. I'm a very active 50 year old male. I'm always either hitting the gym or playing sports about 5 days a week . Last week I didn't have time for the gym so I exercised at my house doing allot of push ups, dips and band exercises this is nothing new I do it all the time. Last week the day after doing this I now have horrible elbow pain it feels like it's getting dislocated everytime i move my arm and put any type of pressure on it at all . Any tiype of rehab you can suggest would be great thanks     Rickardo: I have had great benefits in doing your Detox quarterly. however, i have noticed that after about 5-6 days, my resting heart rate drops to low 50's (usually I am in the 70's). I have even had it reach as low as 48. Any reason as to why this is? While i am quite healthy, i am certainly no athlete. Note i do have chronic stress which i am working on improving (which has shown through cortisol levels when i tested). Is the detox / fast perhaps a little too much for me considering i have been suffering from anxiety / high stress over a prolonged period of time, and hence why heart rate decreases to low 50's? Note i did a heart test through my GP and it came back with no issues. Also note after getting off the fast, my resting heart rate eventually returns to 70's. thank you so much!!     Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3221 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

In this episode, we dig into how to navigate the holiday season with low AMH/high FSH. The fertility journey can be all-encompassing, and the holiday season can be challenging. The pressure of the season may have you feeling overwhelmed or burnt out. Visiting friends and family and seeing coworkers who ask that intrusive and annoying question, “Do you have kids yet?” So many of us have been on the TTC journey for years. The stress can start to sneak up on you, impacting your biochemistry. As I've shared before, maybe the low AMH/high FSH is not a sign of menopause; maybe it's that your adrenals are struggling. So, what can we do about it? This episode is for you if: 1) You're constantly getting asked by family and friends when you will have your baby 2) You're not sure what to do for 2025 to optimize your fertility 3) You need an action plan so that you can tell people to mind their own business 4) You wonder if low AMH/high FSH is menopause or whether your doctor is missing an underlying healing opportunity --- RESOURCES: Fab Fertile Method https://www.fabfertile.com/what-we-do/   Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii   Get your free copy of our Autumn Fertility Recipe Guide (includes 5-day meal plan/grocery shopping list, all free from the TOP allergens) at https://www.fertilitydietfreebie.com/.   --- I just put together a new guide, “Reconnecting With Your Fertility: Preparing Your Body With Diet” that I'm going to give you pro bono (aka, free

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Anonymous: Hello, I've tested my hormones but didn't know it should be done by a saliva test. I'm wondering if I can still make something out of the results of the female hormones I tested in this way? Or are these results completely off? They've tested FSH, LH, prolactin, estradiol, progesterone, testosterone, DHEA-S, TSH and cortisol.. I understand it is not the same as with a saliva test, but hopefully it still means something? What should I look into , to understand the levels? I know Equlife offers tests, but you don't ship here, unfortunately.. Thank you for your help     Michael: What are your suggestions for kitchen utensils for cooking? Thanks for all you do.     Adriene: My health has been deteriorating since July when my neurosurgeon for nerve damage in my C5 and C6 along with two fractures in my C2 and C3. I now get fatigue quickly, having seizures due to my blood pressure skyrocket and then I have extreme pain and numbness in my right side. My doctors really want me tested for MS. Can someone have ms without lesions     Larissa: Hello, Can you recommend a probiotic for my 2.5 yr old son? Due to unfortunate circumstances, he was born via C-section and formula fed. He has little bumps on the back of his arm that I suspect based on my understanding of Chinese skin mapping is due to small intestinal issues. I heard the gut micro biome solidifies after age 3yrs and aside from organic unprocessed foods, want to help give him the best gut micro ions given the circumstances. Thanks in advance and for all that you do for our growing enlightened community!     Lauren: Hi Dr. Cabral, I had a fall while hiking. Nothing serious, landed on my hands & trauma to my right index finger created noticeable swelling (thought it might be dislocated). Dr. suggested an x-raym which confirmed no dislocation, but "ovoid calcification adjacent to the pip joint suggestive of calcific periarthritis". Generally I follow an anti-inflammatory lifestyle, but noticed prior (from more alcohol or holidays - more flex meals) the same finger has had joint pain/swelling. Far less than the fall, but noticeable. I am concerned it's not getting better & wonder about complications with arthritis moving forward. Would surgery be an option to remove it or what can I do? Pain on touch/bend properly + certain things seem to trigger it. Any specific supplements for calcium resorption help?     Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/3214 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Grab Your Opportunity to Chat With Lynne  About Dr. Liz Lyster: Dr. Liz Lyster, Midlife Health Expert, is passionate about helping women and men feel their best so they can do their best. As a Board-Certified OB/GYN doctor for over 30 years, Dr. Liz has helped women and men increase energy, reignite their sex drive, clear up hormonal imbalance, and lose hundreds of pounds. She is the author of several books, including “Dr. Liz's Easy Guide to Menopause: 5 Simple Steps to Balancing Your Hormones and Feeling Like Yourself Again” and the International Bestseller “Go for GREAT: Dr. Liz's Guide to Thrive at Every Age”. After graduating from Cornell University with honors, Dr. Liz went to medical school at the University of California, Irvine, followed by her OB/GYN residency in Los Angeles. To expand her love of teaching, Dr. Liz got a Masters of Public Health degree from UCLA in Community Health Education. Dr. Liz is currently in Private Practice in the San Francisco Bay Area.  Dr. Liz walks her own talk. To model growing older with grace, agility and power, Dr. Liz celebrated turning 50 a few years ago by climbing Mt. Kilimanjaro. She is a continuous learner, having logged thousands of hours as a leader, participant, or volunteer in personal development programs since the age of 19. She is the mom of two adult sons, and enjoys hiking. What We Discuss In This Episode: Perimenopause and Menopause Challenges  Symptoms can start earlier than many doctors recognize (e.g. while still having periods)   Standard tests like FSH are often insufficient; timing and interpretation matter   Hysterectomy can accelerate onset of menopausal symptoms, even with ovaries intact   Hot flashes persist for ~50% of women post-menopause Long-Term Hormone Therapy Considerations Dr. Lyster advocates continued low-dose hormone use for bone health, etc.  Notes estrogen may lower breast cancer risk, contrary to common belief Emphasizes bioidentical hormones as safest option Stresses hormone needs change over time; dosages often decrease post-menopause Key Strategies for Thriving in Midlife Prioritize and protect sleep quality Self-advocate with doctors; come prepared with questions Reject the notion of "just getting older" as excuse for symptoms Maintain positive mindset about aging and potential for vitality Supplementation Recommendations Vitamin D (actually a hormone) B12 (especially for metabolism/weight management) Magnesium (helpful for sleep, migraines) Adrenal support supplements Melatonin (for some; individual response varies) Cautions against low-quality retail supplements   Free Resource from Dr. Liz Lyster: Thrive at any stage in life: https://drlizmd.com/free-book Join The Miracle of Menopause Community: https://drlizmd.com/miracle-of-menopause   Connect With Dr. Liz Lyster: Website: https://drlizmd.com/ Facebook: https://www.facebook.com/DrLizLyster Instagram: https://www.instagram.com/drlizlyster LinkedIn: https://www.linkedin.com/in/drlizmd/ YouTube: https://www.youtube.com/user/thedrlizlyster   Connect with Lynne: If you're looking for a community of like-minded women on a journey - just like you are - to improved health and wellness, overall balance, and increased confidence, check out Lynne's private community in The Energized Healthy Women's Club. It's a supportive and collaborative community where the women in this group share tips and solutions for a healthy and holistic lifestyle. (Discussions include things like weight management, eliminating belly bloat, balancing hormones, wrangling sugar gremlins,  overcoming fatigue, recipes, strategies, perimenopause & menopause, and much more ... so women can feel energized, healthy, and lighter, with a new sense of purpose. Website:  https://holistic-healthandwellness.com Facebook: https://www.facebook.com/holistichealthandwellnessllc The Energized Healthy Women's Club:  https://www.facebook.com/groups/energized.healthy.women Instagram: https://www.instagram.com/lynnewadsworth LinkedIn:  https://www.linkedin.com/in/lynnewadsworth   Free Resources from Lynne Wadsworth: ✨ Ready to Thrive in Midlife? Let's Make It Happen!

We're digging into how to improve egg quality if you have premature ovarian insufficiency or diminished ovarian reserve. When you have premature ovarian insufficiency or diminished ovarian reserve, you may have been told you have poor egg quality. This may have you scouring the internet, following egg-quality diets and taking a boatload of supplements. Before you start another diet or take one more supplement, let's uncover the factors that negatively influence your egg health so you can improve your pregnancy success.   In this episode, you'll learn: 1) Why your doctor is testing the wrong biomarkers for egg quality 2) The specific diet that helps egg quality 3) How to know if this hormone is impacting egg quality (especially if you have low AMH and/or high FSH) 4) The supplements for egg health (and how not to waste money on supplements) --- RESOURCES: Fab Fertile Method https://www.fabfertile.com/what-we-do/   Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH - https://fabfertile.clickfunnels.com/optinvbzjfsii   --- I just put together a new guide, “Reconnecting With Your Fertility: Preparing Your Body With Diet” that I'm going to give you pro bono (aka, free

Dr. Natalie Crawford discusses the importance of cycle tracking for reproductive health, emphasizing its relevance in the current political climate. She explains the menstrual cycle, including the roles of FSH, LH, estrogen, and progesterone. Various cycle tracking methods are detailed, such as the calendar method, rhythm method, standard days method, basal body temperature (BBT), cervical mucus monitoring, and urinary LH tests. Effectiveness rates for perfect and typical use are provided, highlighting the need for consistent tracking. Dr. Crawford also addresses the impact of hormonal birth control and IVF on cycle tracking accuracy. Want to receive my weekly newsletter? Sign up at nataliecrawfordmd.com/newsletter to receive updates, Q&A, special content and my FREE TTC Starter Kit and Vegan Starter Guide! Don't forget to ask your questions on Instagram for next week's For Fertility's Sake segment when you see the question box on Natalie's page @nataliecrawfordmd. You can also ask a question by calling in and leaving a voicemail. Call 657–229–3672 and ask your fertility question today!      Thanks to our amazing sponsors! Check out these deals just for you: Quince- Go to Quince.com/aaw for free shipping on your order and 365-day returns Ritual-Go to ritual.com/AAW to start Ritual or add Essential For Women 18+ to your subscription today. Hello Fresh - Get 10 FREE meals at HelloFresh.com/aaw. Uncommon Goods - Go to uncommongoods.com/aaw for 15% off your next gift. If you haven't already, please rate, review, and follow the podcast to be notified of new episodes every Sunday. Plus, be sure to follow along on Instagram @nataliecrawfordmd, check out Natalie's YouTube channel Natalie Crawford MD, and if you're interested in becoming a patient, check out Fora Fertility. Learn more about your ad choices. Visit megaphone.fm/adchoices