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Your clinic told you donor eggs. You walked out wondering how much time you actually have left. Whether waiting six months means missing your window. Whether trying with your own eggs one more time is brave or stupid. The honest answer is longer than your clinic implied. And the window is not your AMH number. In this episode: - Why a 2024 study in Archives of Gynecology and Obstetrics found that ovarian reserve markers like AMH do not significantly predict natural conception in women with regular cycles - What the 90-day window before ovulation actually is, and why the eggs you work with six months from now are not the eggs you are working with today - The inputs your clinic's timeline assumed would not change: mitochondrial function, inflammation, iron, B12, zinc, vitamin D, cortisol patterns, toxic load - The clinical pattern we see over more than a decade of cases: month zero to six is where the picture comes into view, twelve to eighteen months is where it can start to move substantially - Why some pictures do not move, and why that is still a reason to look before you decide If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First" and then "The Gut Findings Your Clinic Did Not Look For." This episode builds on both. ——— WHAT YOUR CLINIC MISSED The full thyroid panel, not just a TSH. The iron panel that flags ferritin. The gut microbiome testing that your REI does not order. The inflammatory markers no one notices. The male side that almost no one investigates. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. ——— FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ——— ABOUT THE HOST Now in its eighth year, Get Pregnant Naturally was one of the first podcasts dedicated to the functional fertility approach for low AMH and failed IVF. Hosted by Sarah Clark, founder of Fab Fertile, author of Fabulously Fertile, and host of a podcast with over one million downloads. Fab Fertile is a functional fertility team that works with couples to review the lab work most fertility clinics do not run: gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, full thyroid panel, the iron panel, and inflammation markers, alongside nervous system work. Each week Sarah brings you what the team sees across more than a decade of cases. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. ——— If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. ——— TIMESTAMPS 00:00 The Donor Egg Recommendation and the Real Question 01:00 Who's Reviewing Your Case at Fab Fertile 01:30 AMH Is Not the Countdown Clock 03:00 The 90-Day Window Before Ovulation 04:30 What Actually Changes In 90 Days 07:00 The Fab Fertile Method: What We Investigate 08:30 Why Some Cases Do Not Shift 09:30 The Functional Fertility Second Opinion
Told donor eggs after failed IVF? There is a category of testing that your fertility clinic does not run. We rarely run a stool test and find nothing. The IVF cycle did not work. Maybe it was poor response. Maybe it was canceled before retrieval. Maybe you got embryos and they arrested. Maybe the transfer failed. Your clinic looked at your numbers and told you donor eggs. In this episode, Sarah Clark walks through the gut pattern the Fab Fertile team sees in women who come to us after failed IVF with a donor egg recommendation, and why this pattern changes the picture before the next decision. What this episode covers: H. pylori. One of the most common findings in the women who come to us after failed IVF. It impairs absorption of iron, vitamin B12, and zinc, the nutrients that affect egg quality, thyroid function, and hormone production. It is passed back and forth between partners through saliva. If you have it, there is a strong chance your partner has it too. Parasites, giardia, blastocystis. Common findings. Rarely tested at the fertility clinic. Bacterial overgrowth, including streptococcus. Fungal overgrowth and dysbiosis. The reason chasing an anti-candida diet without testing moves you in circles. Elevated calprotectin. A signal of gut inflammation, often present in women with IBD, Crohn's, colitis, and women with no formal diagnosis. Elevated zonulin. A marker of intestinal permeability. The pattern we see after rounds of antibiotics, sinus infections, UTIs, birth control, and high stress. Why this matters before a donor egg decision: H. pylori impairs iron absorption. Ferritin reads low or low-normal. The clinic says iron is fine because the lab range starts around 15. The fertility-optimized range is closer to 50. Iron is foundational to egg quality. The oxygen carrying capacity to your follicles depends on it. B12 affects methylation, the process your body uses to produce the co-factors needed for egg maturation. Zinc affects ovulation and progesterone production. Chronic gut inflammation affects ovarian response to stimulation, implantation, and miscarriage risk. When your clinic looks at a canceled cycle, arrested embryos, or a failed transfer and recommends donor eggs, they are responding to the outcome. They are not asking what is driving the outcome. This episode is for the woman sitting with a donor egg recommendation who is not ready to agree before she understands what was actually evaluated. Next steps: Access the free guide: What Your Clinic Missed. It walks through the markers we review before a donor egg recommendation, including the thyroid panel, the iron panel with the fertility target, the gut testing your REI does not order, the inflammatory markers, and the male side. Email hello@fabfertile.ca, subject line MISSED. Book a Functional Fertility Second Opinion. We will review your labs, your history, your full picture, and your partner's picture together. You will leave knowing what your biology has been telling you and what your next decision should be informed by. Email hello@fabfertile.ca, subject line FERTILE. Or apply here. About the Host I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Timestamps [00:00] Told Donor Eggs After Failed IVF [01:00] Why the Fab Fertile Team Reviews Your Picture [02:00] H. pylori: The Most Common Gut Finding We See [03:00] Parasites, Streptococcus, and the Bacteria Most REIs Do Not Test [04:00] Why a Single Gut Test Without Fertility Context Misses the Picture [05:00] Iron, Ferritin, and the Fertility Range vs the Lab Range [06:00] B12, Methylation, and Egg Maturation [07:00] Zinc, Ovulation, and Progesterone [08:00] What Your Clinic Missed: The Markers Before a Donor Egg Recommendation [09:00] Why a Donor Egg Recommendation Responds to the Outcome, Not the Cause [10:00] The Functional Fertility Second Opinion: What the Call Covers
The donor egg recommendation rarely comes after a complete workup. It comes after AMH, FSH, and an antral follicle count. That is usually where the investigation stops. In this episode, Sarah Clark walks through what is missing from the workup before women are told donor eggs are their only path: the full thyroid panel, not just TSH. Stool DNA testing for H. pylori, parasites, and food sensitivities. The vaginal microbiome. The male partner's blood work, which most clinics do not run. The nervous system patterns most REIs do not connect to fertility. Sarah shares Rebecca's case as a proof point. Rebecca was 27. Her AMH was 0.04 ng/mL. POI diagnosis. Told donor eggs were her only option. Her stool DNA testing revealed H. pylori and a parasite. Her food sensitivity testing showed gluten, dairy, and egg intolerance. She had adrenal insufficiency, thyroid imbalance, mineral depletion, and toxic load on her workup. Her eczema, migraines, and asthma were not separate issues. After targeted work, she conceived naturally in month five. Outcomes vary. Rebecca's case is one of many we use to illustrate what completing the workup can look like. This episode is for the woman sitting with a donor egg recommendation who is not ready to agree before she understands what was actually evaluated. The goal is clarity. Not opposition to your clinic. Not a guarantee of any outcome. Clarity on what your workup did not include, so that whatever you decide next gets made on the full picture. What this episode covers: The diagnosis is real. The investigation is incomplete. Why TSH alone is not a thyroid panel. H. pylori, hidden food sensitivities, and the gut inflammation driver. Eczema, migraines, and asthma as fertility signals. The male partner's workup should include beyond a semen analysis. Nervous system patterns most REIs do not connect to fertility. Next steps: Access the free guide: What Your Clinic Missed. The guide walks through the markers that the Fab Fertile team reviews before a donor egg recommendation. Email hello@fabfertile.ca, subject line MISSED. Book a Functional Fertility Second Opinion. We'll review your labs, your history, your full picture, and your partner's picture together, so you know what your biology has been telling you and what your next decision should be informed by. Email hello@fabfertile.ca, subject line FERTILE, or book here. About the Host I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Subscribe to Get Pregnant Naturally for weekly episodes on fertility optimization, IVF preparation, and the lab work your doctor probably isn't running. Timestamps [00:00] The Donor Egg Recommendation and the Investigation Underneath It [01:00] The Diagnosis Is Real. The Investigation Is Incomplete. [02:00] Sarah's POI Story and Why Fab Fertile Exists [03:00] Rebecca's Case: POI at 27, AMH 0.04, ng/mL Told Donor Eggs Were Her Only Option [04:00] Functional Lab Testing Before a Donor Egg Decision [05:00] What We Found: H. pylori, Parasites, Food Sensitivities, Adrenal Insufficiency, Thyroid [06:00] Eczema, Migraines, Asthma: Not Separate Issues From Fertility [07:00] Rebecca Conceived Naturally in Month Five [08:00] What Your Clinic Missed: The Markers Before a Donor Egg Recommendation [09:00] Why a Standard REI Workup Cannot Answer Why Your Numbers Are What They Are [10:00] Medical Gaslighting and the Permission to Investigate Further [11:00] The Functional Fertility Second Opinion: How It Works
Low AMH, high FSH, two miscarriages, told donor eggs were her only option. At 43, she conceived naturally. Here's what her clinic missed before the donor egg recommendation. This episode is for the woman sitting with a donor egg recommendation. Low AMH or high FSH on the chart. Failed IVF or recurrent miscarriage in the history. A clinic that said the numbers leave you no other options. Sarah Clark walks through the case of a 43-year-old client whose REI told her IVF or donor eggs were her only realistic path. Her FSH was 13.6. Her AMH was low. She had two pregnancy losses behind her. The diagnosis of diminished ovarian reserve was not wrong. The numbers were what they were. What had not happened was a structured investigation of why those numbers looked the way they did and whether the rest of the picture had been missed. Eighteen months later, she was pregnant naturally with her own eggs. What the clinic had not investigated was a long list. Her TSH was 3. Accepted as normal, but well above the range her own REI would have flagged before IVF prep. A full thyroid panel was never run. Her stool DNA test showed H. pylori, an infection that impairs nutrient absorption and drives inflammation. She had been gluten-free everywhere else for years, but she had been taking a weekly communion wafer every Sunday without realizing it counted. The cabergoline she was on was lowering her cholesterol and impairing her ability to make sex hormones. Her male partner had not been worked up. His semen analysis showed low volume and low concentration. His blood sugar was elevated. His kidney markers showed stress. The vaginal microbiome had not been tested. The seminal microbiome had not been tested. Her night sweats and disrupted sleep had been mentioned and dismissed. Her case is not a guarantee that anyone else will get the same outcome. Every case is different. The patterns we found in hers may not be the patterns in yours. But the principle holds: a diagnosis of diminished ovarian reserve, low AMH, or high FSH is a starting point for further investigation, not a complete picture of what is possible. What this episode covers: Why low AMH and high FSH are not the complete picture when donor eggs are recommended Why a TSH of 3 is not normal for fertility even when a clinic accepts it How H. pylori, hidden gluten, and gut infections affect egg quality and miscarriage risk What a full male partner workup looks like when there has been pregnancy loss or implantation failure What a structured second opinion covers when you have been told IVF or donor eggs are your only path This episode is for you if: You have low AMH, high FSH, or a diminished ovarian reserve diagnosis You have had a failed IVF cycle, recurrent miscarriage, or implantation failure You have been told donor eggs are your next step and you are not ready to agree before you understand what was actually evaluated You are in your late 30s or 40s and want to understand whether natural pregnancy with your own eggs is still possible Timestamps: [00:00] Low AMH, High FSH, Donor Eggs Recommended at 43 [01:30] Functional Fertility Testing vs Standard REI Workup [03:00] Thyroid and Fertility: Why TSH 3 Is Not Normal [04:30] Cabergoline, Cholesterol, and Sex Hormone Production [06:00] H. pylori, Hidden Gluten, and Gut Infections in Low AMH Cases [08:00] Vaginal Microbiome and Implantation in Recurrent Miscarriage [09:30] Male Partner Workup: Seminal Microbiome and Sperm Health [11:00] Night Sweats, Sleep Disruption, and the Nervous System [12:30] Constipation, Liver Function, and Hormone Clearance [14:00] Pregnant Naturally at 43: The 18-Month Timeline Take action: If you have been told donor eggs are your only option and you want a structured review of your timeline, your labs, and your IVF history before the next decision, the Functional Fertility Second Opinion is where that review happens.
Most women with low AMH and high FSH get one of two answers about their iron: "it's fine," or "it's low, here's a supplement." Both leave the real problem untouched. Failed transfers, failed IVF cycles, miscarriage, irregular cycles, exhaustion that won't lift, and nobody asking why the iron is low in the first place. This episode shows you what the full iron panel actually reveals. In this episode, Sarah Clark sits down with Fab Fertile clinical advisor Katy Bradbury (registered nurse and nutritional therapist) to break down the iron panel every woman trying to conceive should be looking at. Not just the one number your doctor checked, but the full picture. They get into why the standard iron prescription is one of the worst forms you can take, why high dose iron can actually make things worse, and why symptoms you've been told are unrelated (brittle nails, cold hands, hair loss, ice cravings, exhaustion) could all be pointing at the same thing. What you'll learn: The full iron panel every woman trying to conceive should request, and what the numbers actually mean Why being told "your iron is fine" off one number is missing the picture The link between low iron and failed transfers, miscarriage, irregular periods, and pregnancy complications Why low iron is so common with low AMH, high FSH, DOR, and POI The thyroid and iron connection most doctors miss, especially with Hashimoto's and hypothyroidism Hidden reasons your iron is low even when you're eating well: gut infections, H. pylori, SIBO, low stomach acid, celiac, heavy periods Why the standard iron prescription often makes you constipated, nauseous, and no better off What to take instead, and why every other day often works better than every day Iron rich foods that actually move the needle, plus the foods and drinks blocking your absorption without you knowing The thyroid medication timing rule nobody tells you about This conversation is for women navigating low AMH, high FSH, DOR, or POI who have been told their iron is fine without anyone running the full panel. It's also for women who have been on iron supplements for years without anyone asking why the iron got low to begin with, and for anyone who has had a failed transfer, a miscarriage, or a failed IVF cycle and is trying to figure out what was missed. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed.
Sarah Clark was told donor eggs were her only option. No second opinion. No workup. Just an IVF brochure pulled off the shelf. This is the story of what was actually going on, and what nobody looked for. At 28, Sarah was diagnosed with premature ovarian failure (now called premature ovarian insufficiency). Her OB/GYN handed her an IVF brochure during the appointment. She went to the REI, got on the donor egg list, and had both her kids through IVF with donor eggs. It took another decade before she discovered the underlying imbalances her REI never screened for: food sensitivities to dairy, gluten, and corn, plus a gut infection with H. pylori, streptococcus, fungal overgrowth and nervous system dysregulation (stressed out but didn;t even know it). In this rebroadcast episode, Monica Cox interviews Sarah about the clues her body was giving her for years before the POI diagnosis, and what she wishes someone had told her in her twenties. What you'll learn: The seemingly unrelated symptoms that were early signals (irregular periods twice a year, cystic acne, fungal rashes, chronic yeast infections, dark circles since age 12) Why a POI diagnosis at 28 doesn't automatically mean donor eggs, and why a second opinion matters The post-pregnancy health collapse that exposed the underlying gut and immune dysfunction Food sensitivities beyond digestion: mood, joint pain, skin, brain fog, autoimmune flares Why partners have to be in the protocol from day one, because infections pass back and forth The four foundational tests: food sensitivity, DUTCH hormone, GI-MAP stool, HTMA hair Why IVF should be the last choice, not the first, given the $60K average spend and three-cycle average Where to actually start: just diagnosed vs. one failed cycle vs. multiple failures behind you Timestamps: 00:00 Why this episode is for you if you have low AMH, high FSH, DOR, or POI 02:00 Diagnosed at 28 with premature ovarian failure, handed an IVF brochure, no second opinion 03:00 The clues in her twenties: irregular periods, acne, fungal rash, yeast infections 07:00 Post-kids health crash: chronic sinus infections, bladder infections, vertigo, antibiotic damage 08:00 Discovering food sensitivities (dairy, gluten, corn) and gut infections (H. pylori, strep, fungal overgrowth) 13:00 Connecting the dots: why every "unrelated" symptom was related 15:00 Why partners must be in the protocol, because infections pass between couples 21:00 Multiple failed IUIs and IVFs: burnout, cortisol, and the case for a pause 24:00 The four foundational tests: food sensitivity, DUTCH, GI-MAP, HTMA 35:00 Where to start: just diagnosed vs. one failed cycle vs. multiple failures This conversation is for women who've been told donor eggs are their only option, who are staring down a POI, low AMH, high FSH, or diminished ovarian reserve diagnosis, and who suspect their REI hasn't looked at the full picture. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed.
Your TSH is "normal." Your ferritin is "normal." Your glucose is "normal." And IVF still isn't working. Here's why normal lab ranges were never built for fertility and what optimal actually looks like. Most reference ranges are designed to flag disease in the general population, not to optimize egg quality, embryo competence, or implantation. That gap is where a lot of unexplained IVF failure, embryo arrest, and recurrent loss live. In this episode, Sarah Clark walks through the four biomarker categories most often dismissed as "fine" but influence cycle outcomes in women with diminished ovarian reserve, low AMH, high FSH, and failed transfers. What you'll learn: - What "normal" lab ranges actually measure and what they miss - Why fertility-optimized TSH sits closer to 1–2 mIU/L, not 4.0 - Ferritin 80–100 ng/mL and what it means for egg energy and endometrial development - Fasting glucose under 86, insulin stability, and follicular development - Why hsCRP under 1 mg/L matters for implantation and embryo quality - The full thyroid panel most REIs skip: Free T3, Free T4, Reverse T3, TPO, TBG - Male factor inflammation, sperm DNA fragmentation, and recurring infections - The reframe: normal protects against disease, optimal supports conception Timestamps: 00:00 Why "normal" labs don't mean fertility-optimized 00:30 What conventional reference ranges actually measure 01:30 Why DIY fertility optimization stalls without functional lab review 03:00 TSH "normal" vs optimal and the full thyroid panel REIs skip (Free T3, Free T4, Reverse T3, TPO, TBG) 04:30 How thyroid signaling affects egg quality, ovulation, and pregnancy loss 05:00 Ferritin 80–100 ng/mL: the iron range for IVF and egg energy 06:00 Fasting glucose under 86, insulin stability, and follicular development 07:00 hsCRP under 1 mg/L: low-grade inflammation, implantation, and embryo development 07:30 Male factor inflammation, sperm DNA fragmentation, and recurring infections 08:30 Embryo Audit Checklist + Functional Fertility Second Opinion: next steps This conversation is for women navigating diminished ovarian reserve, low AMH, high FSH, embryo arrest, implantation failure, or recurrent pregnancy loss who keep being told their bloodwork looks fine. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed.
LISTEN WITHOUT ADS: www.patreon.com/dopeypodcast This week on Dopey! We check in after Dopeywood! And talks about going back to meetings, realizing they don't need to be brilliant to be good. Dave shares a story about going to a Howard Stern vinyl party, meeting Baba Booey and Chuck D, and telling his Stern story while playing Neil Young. He reflects on being relentless in both recovery and building Dopey. The episode features Sarah Clark, a lawyer in recovery, who shares her story. She grew up with a drug-addicted father and started using as a teenager. Her addiction escalated from alcohol and Xanax to pills and eventually IV heroin. Within months, she was shooting in her neck and forehead and living a chaotic life of hustling, stealing, and bouncing between rehabs. After developing a severe abscess that led to losing part of her butt, she still couldn't stop. She went to treatment multiple times before finally committing. She got sober, worked the steps, and rebuilt her life. Today, Sarah is a lawyer, married, raising her stepchildren, and has adopted her husband's daughter, breaking the cycle of addiction in her family. ALl that and MORE, MORE, MORE, MORE on a super duper Dopey show! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
If you're heading into another IVF cycle after a failed transfer, you're probably being told to trust the process and try again. But what if the process is the problem? In this episode, we get into how to tell whether your next cycle is actually different — or whether you're about to repeat the same outcome with a new protocol number. In this episode you'll learn: The three signs your last cycle wasn't fully interpreted, just failed Why changing the protocol doesn't always change the outcome What "unexplained" actually means and why it's often a gap, not a diagnosis How time pressure pushes couples into decisions that don't serve them The specific questions to ask before you commit to another cycle I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over 1 million downloads. My team works with couples navigating low AMH and failed IVF, reviewing functional lab results including gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork, alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed. Access it here Ready to go deeper? If you want an expert review of your labs, IVF history, and full health picture before your next cycle, this is where we start. Learn more and apply for a Functional Fertility Second Opinion here.
Failed IVF with normal sperm? You're not alone, and the answer may be in what wasn't tested. DNA fragmentation and oxidative stress don't show up on a standard semen analysis. But they can drive fertilization failure, embryo arrest, and poor blastocyst development. If the male side was cleared after the basic parameters were evaluated, it may not have been fully evaluated. In this episode, you'll learn: What a semen analysis actually measures and what it leaves out Why normal parameters don't always translate to embryo development How DNA fragmentation and oxidative stress affect fertilization and blastocyst outcomes The patterns we see in recurrent IVF failure when male factor hasn't been fully assessed Why embryo development is a shared biological process, not an egg quality issue I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over 1 million downloads. My team works with couples navigating low AMH and failed IVF, reviewing functional lab results including gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork, alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Not sure what's been fully evaluated? Download the free Embryo Audit Checklist to map your past cycles and labs so you can see what's been looked at and what may have been missed. Access it here Ready to go deeper? If you want an expert review of your labs, IVF history, and full health picture before your next cycle, this is where we start. Learn more and apply for a Functional Fertility Second Opinion here. Timestamps 00:00 Why a "normal" semen analysis doesn't rule out male factor 01:00 What a standard semen analysis actually measures: count, motility, morphology 01:45 What semen analysis misses: DNA integrity, oxidative stress, mitochondrial function 02:30 Why couples with "normal" sperm still see embryo arrest and failed IVF 03:00 DNA fragmentation: what it is and why it matters for embryo development 04:00 Oxidative stress drivers: lifestyle, toxins, inflammation and metabolic health 05:15 The 70–80 day sperm lifecycle and why timing matters 06:00 Embryo development is shared biology, not just egg quality 07:15 Environmental and occupational factors impacting sperm health 08:30 When to revisit male testing before another IVF cycle
If your IVF transfer failed despite a good embryo, normal lining, and a smooth protocol, you may have been told it was "just bad luck." But failed implantation with a euploid or high-quality embryo is not random. It often means key biological factors were never fully evaluated before the transfer. You followed the plan. The embryo looked good. The lining was "fine." And it still didn't work. This is where many people get stuck. Not because there are no answers, but because no one stepped back to assess the full picture before repeating another transfer. In this episode, we break down why embryo quality alone does not determine implantation and what is often missed when a transfer fails. In this episode, you'll learn: Why a good embryo does not guarantee implantation The three biological layers that influence whether implantation happens How uterine environment, hormone timing, and systemic health interact What subtle inflammation and thyroid patterns can do to implantation What to review before transferring another embryo I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.
Unexplained IVF failure happens when a cycle doesn't work, and no clear cause is identified, but that doesn't mean nothing is wrong. In many cases, it means the biology behind the cycle wasn't fully evaluated. You did everything you were told to do. The protocol looked good. The embryos developed. The lining was fine. And it still didn't work. Then you hear the word "unexplained." That's where many people get stuck. Not because there are no answers, but because no one has stepped back to assess the full picture. In this episode, we break down what unexplained IVF failure means and why repeating another cycle without deeper analysis often leads to the same outcome. We walk through the patterns that don't show up on a standard IVF summary but still influence embryo development and implantation. If you've been told to try again but feel like something is being missed, this will help you start asking better questions before your next step. In this episode, you'll learn: Why "unexplained" IVF failure often reflects a gap in interpretation, not a lack of information The three patterns that are commonly overlooked before repeating a cycle What to look at beyond embryo grading and lining thickness How to think about your next step without defaulting to another round Why clarity matters more than changing protocols I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.
When an IVF cycle fails, the focus usually shifts to the next protocol. Different medications. Higher doses. Another retrieval. But an IVF cycle produces a huge amount of biological data that is rarely fully analyzed before repeating treatment. Ovarian response, egg maturity, embryo development, and the internal environment around transfer all provide important signals about what may be influencing the outcome. Yet many couples are encouraged to move forward with another cycle before those patterns are carefully reviewed. In this episode, we step back and walk through how to interpret a failed IVF cycle from a systems perspective so the next decision is based on biology, not momentum. In this episode, you'll learn: • Why a failed IVF cycle contains important biological clues that often go unexamined • What a true IVF cycle audit should include before repeating a protocol • The patterns in ovarian response, egg maturity, and embryo development that may reveal underlying imbalances • Why embryo development reflects whole body physiology, not just the laboratory environment • How to decide whether repeating a cycle makes sense or whether a different approach should be considered I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.
Wavemakers Podcaster Cruise - https://www.cwicmedia.com/wavemakers Sarah Clark breaks down LGBTQ issues, the Family Proclamation, and the emotional manipulation of the West Feminism, critical theory, and the social media spiral pulling women away Dismantling victim narratives, priesthood myths, and the deconstruction machine Soft lies, beautiful graphics, and the spiritual war targeting divine identity From situationships and swipe culture to faith, confidence, and God's timing Sarah Clark gets real about dating apps, commitment, and how she met her future husband Cwic Media Website: http://www.cwicmedia.com
Most couples do not walk into IVF lightly. By the time you reach a cycle, you have likely changed your diet, added supplements, tried acupuncture, adjusted your lifestyle, and done everything you were told might help. And yet, stimulation begins, and the outcome feels underwhelming. Here's the biological reality: egg and sperm development are influenced during the 90 days before a cycle ever starts. Follicles recruited at stimulation were already developing months earlier. During that window, metabolic signaling, inflammatory load, hormonal communication, and stress physiology quietly set the ceiling for response. When outcomes disappoint, protocols are often adjusted. Doses increase. Supplements stack. Timelines shorten. But stimulation does not create egg quality. It recruits what has already been developing. In this episode, we clarify the difference between preparing for IVF and auditing biological readiness so your next decision is informed, not reactive. In this episode, you'll learn: Why egg and sperm quality are shaped months before retrieval How metabolic instability and inflammation influence follicle recruitment Why adding support without removing interference often changes very little The difference between execution and systems readiness How a functional systems lens protects time, energy, and future cycles I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.
Poor embryo development is not random. And "it just didn't work" is not an explanation. If your embryos stopped growing on Day 3 or Day 5, you've likely been told some version of the same thing. Bad luck. Egg quality. Try again. But Day 3 vs Day 5 embryo arrest are not interchangeable events. The timing carries biological clues. And when those clues are ignored, couples often repeat cycles without addressing what actually shaped the outcome. In this episode, we break down what early arrest, later arrest, and repeating arrest patterns may be signaling and how to think more clearly before your next attempt. In this episode, you'll learn: Why Day 3 embryo arrest often reflects maternal energy and developmental support patterns Why Day 5 embryo arrest often leans toward paternal or combined biological coordination How sperm contribution becomes more influential as embryo activation progresses Why repeating embryo arrest is usually a shared systems pattern, not a single isolated issue How to use embryo timing as data instead of accepting vague explanations I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.
After a failed IVF cycle, the pressure to move quickly into the next one can feel overwhelming. Clinics often encourage momentum. Emotionally, it can feel safer to stay in motion than to pause. But rushing into another IVF cycle too quickly can quietly reinforce the same biological conditions that shaped the last outcome. If you've been told to increase stimulation, change protocols, or "just try again," this episode challenges that reflex. Because before another round begins, the more important question is: What actually needs to shift in the biology? In this episode of Get Pregnant Naturally, we explore why recovery windows matter after a failed IVF cycle and how back-to-back stimulation can compound physiological stress, especially in cases of low AMH, embryo arrest, or recurrent implantation failure. In this episode, you'll learn: Why stacking IVF cycles too closely can affect cellular energy and egg development How hormonal rhythm and communication break down when recovery time is skipped The hidden impact of inflammation and immune load between cycles Why more medication does not always mean better coordination inside the system How to recognize when repetition is happening without recalibration IVF is physically and emotionally demanding. Medications, procedures, disrupted sleep, and stress all increase the body's workload. Biology improves during recovery windows, not during nonstop stimulation. Strategic pauses are not delays. They are opportunities for recalibration. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.
If you've been told your embryos look good, your lining is appropriate, and your hormones are in range, yet implantation keeps failing, it can leave you with a nagging feeling that something is missing, but you can't quite put your finger on it. Most couples don't repeat IVF or transfers casually. They follow the plan that's laid out, adjust protocols, and keep moving forward because that's what makes sense. When outcomes don't change, the explanation often shifts to chance, timing, or trying again. In this episode, we talk about why those explanations often feel unsatisfying, and why implantation failure can persist even when everything looks reasonable on paper. Not because you haven't done enough, but because the full picture may never have been looked at all at once. This conversation is about stepping back and asking better questions before moving forward again. In this episode, we explore: Why "good embryos" and "normal labs" don't always translate into implantation How focusing on individual results can miss what's happening across the whole system Why changing protocols doesn't always address repeat outcomes The kinds of patterns that tend to go unexplored when everything looks fine How to think more clearly about whether another cycle is actually the next step Rather than offering another checklist or protocol, this episode helps you zoom out and understand why implantation is rarely a single-factor issue. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. If you've been moving from cycle to cycle without a clear way to evaluate what's actually been addressed, I created a free resource called the Embryo Audit Checklist. It helps you organize past cycles and labs so you can see what's been looked at and what may not have been considered yet. Access it here.
Most smart women don't stay stuck in fertility treatment because they aren't trying hard enough. They stay stuck because the same pattern keeps repeating, even when the outcomes don't change. If you've done multiple cycles, followed every recommendation, tried different protocols, and still ended up with the same results, this episode is for you. This isn't about which supplement to take or what protocol to ask for next. It's about how fertility decisions are being made, and why that matters more than effort. In this episode, I break down the common patterns I see that keep people looping through treatment without getting real clarity. In this episode, you'll hear about: Why clinics often move straight to "try again" instead of stopping to look at what's actually happening How following the plan can feel safe, even when the plan isn't working Why being busy in treatment isn't the same as making progress How fear of rocking the boat keeps people doing the familiar, even when it's disappointing The quiet cost of time, money, and energy when nothing truly changes I also share why I created the Embryo Audit Checklist. Not to give you more things to do, but to help you step back and look at your own data clearly so you can see patterns instead of reacting to the next suggestion. Email hello@fabfertile.ca subject line CHECKLIST for your copy. I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You've done "everything right" but the outcomes keep repeating You feel like you're always doing something but not moving forward You want to understand what's missing before committing to another cycle
We continue our series of conversations with local state leaders about the 2026 New York State of the State address. Assemblymember Sarah Clark represents District 136. She joined us recently on "Connections" to discuss Governor Hochul's plans to expand child care programs across New York. She's back with us this hour to explore additional state business — from affordability to taxes to economic development funding for Rochester, and more. Our guest:Assemblymember Sarah Clark, District 136---Connections is supported by listeners like you. Head to our donation page to become a WXXI member today, support the show, and help us close the gap created by the rescission of federal funding.---Connections airs every weekday from noon-2 p.m. Join the conversation with questions or comments by phone at 1-844-295-TALK (8255) or 585-263-9994, email, Facebook or Twitter. Connections is also livestreamed on the WXXI News YouTube channel each day. You can watch live or access previous episodes here.---Do you have a story that needs to be shared? Pitch your story to Connections.
Jan. 28, 2026- Assemblymember Sarah Clark, a Rochester-area Democrat, weighs in on Gov. Kathy Hochul's commitment to expanding child care access and considers how the Democratic majorities in the legislature may add to the plan.
If you've been told your failed IVF cycle was "just bad luck" or blamed on "egg quality," that explanation is incomplete. Bad luck is not a diagnosis. It simply means the underlying biological patterns have not yet been identified. IVF is a technical process that happens in a lab, but embryos still develop inside a living biological environment. If inflammation, energy production, immune signaling, or sperm DNA integrity are compromised, no protocol change alone can override that physiology. Repeating cycles without deeper interpretation often leads to the same outcomes, higher costs, and more emotional exhaustion. In this episode, I walk through the three biological patterns I consistently see behind embryo arrest, poor blast development, failed transfers, and unexplained IVF failure. More importantly, you'll learn how to use your past cycles as meaningful data so you can stop guessing and start making more strategic decisions before another round. In this episode, you'll learn: Why a technically "perfect" IVF cycle can still fail despite good labs and protocols How low cellular energy production impacts embryo development and early growth Why sperm DNA fragmentation often matters long before clinics flag it as abnormal How oxidative stress, inflammation, hormonal signaling, and metabolic strain influence embryo quality How to interpret repeated IVF outcomes instead of labeling them as unexplained or bad luck I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You've experienced embryo arrest, failed transfers, or repeated IVF cycles without clear answers You've been told everything looks "normal" but results keep falling short You want a smarter way to evaluate what your body is signaling before investing in another cycle
January 22, 2026 ~ Chris Renwick, Lloyd Jackson, and Jamie Edmonds talk swearing with Sarah Clark, co-director of the Mott Poll. They discuss changing norms and how parents handle their kids using curse words. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.
If you've been told your AMH is low and IVF is your only option, or you already went through IVF and it didn't work, this episode will change how you interpret that number and what decision actually deserves your attention next. Here's what most patients are never told: AMH reflects egg quantity, not egg capability. It helps clinics predict medication response, but it does not explain why eggs develop poorly, why embryos arrest, or why outcomes fail to improve despite protocol changes. When IVF fails, the cycle itself becomes valuable data if you know how to interpret it across systems instead of treating it as bad luck or age alone. In this episode, I walk through a real case where the outcome changed not because the AMH changed, but because the physiological environment influencing egg development was finally evaluated. This is not about avoiding IVF or chasing numbers. It is about understanding what the data is actually telling you so you can make a better next decision. In this episode, you'll learn: Why AMH predicts stimulation response, not egg health or developmental capacity How inflammatory load quietly interferes with ovarian signaling and embryo development Why nutrient absorption and utilization patterns matter more than supplement volume How brain–hormone signaling influences ovulation timing, progesterone, and cycle predictability Why nervous system state shapes immune balance, implantation readiness, and resilience under treatment stress I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You were told your AMH is low, and no one explained what that actually means IVF failed, response was poor, or embryos stopped developing without clear answers You want better interpretation before repeating another protocol or escalating treatment
"Poor egg quality" is not a diagnosis. It's where clinics stop looking. If you've been told you have poor egg quality after failed IVF, low AMH, embryo arrest, or recurrent pregnancy loss, this episode will change how you understand that label and what to do next. Here's the truth most women are never told: poor egg quality is not directly measured. It's a conclusion clinics infer based on age, embryo grading, or how your ovaries responded to stimulation. When IVF fails, that label often becomes the end of the conversation instead of the beginning of a deeper investigation. In this episode, I break down the five physiological patterns we see repeatedly in women with low AMH, failed IVF, embryo arrest, and pregnancy loss and why correcting these patterns can lead to pregnancy even when AMH does not change. In this episode, you'll learn: Why "poor egg quality" is a label, not a test result and what clinics are actually inferring How gut and vaginal microbiome stress drive inflammation and impair nutrient absorption critical for egg development Why mineral depletion disrupts mitochondrial energy, hormone signaling, and cellular communication in the ovary How blood sugar instability and circadian disruption interfere with ovulation and progesterone Why nervous system overload and HPA-axis patterns affect immune balance, implantation, and early embryo development I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of failed IVF cases and helped couples improve pregnancy outcomes naturally and alongside IVF. We specialize in low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, and recurrent pregnancy loss using functional testing and personalized fertility strategies. This episode is for you if: You were told you have poor egg quality with no clear explanation why IVF failed, embryos stopped growing, or all embryos tested were abnormal You don't want another medication tweak or repeated protocol, you want answers
We are live from the Gartner IAM Summit 2025 in Grapevine, Texas! In this episode, we welcome back Sarah Clark, now the Chief Product Officer and GM of North America at Hopae. Sarah shares her journey from Mastercard to buying rainforests in Costa Rica and rescuing dogs, before diving deep into the world of digital identity infrastructure. We discuss connecting government-issued digital IDs with the private sector to combat fraud and improve user experiences. Sarah breaks down the differences in global adoption, highlighting why the EU is leading the charge with upcoming mandates and how countries like Brazil and India are scaling their programs. We also explore the state of mobile driver's licenses in the US, the potential for age verification and workforce management use cases, and whether the US can catch up to the rest of the world. Plus, we wrap up with a heartfelt conversation about dog rescue and the challenges of pet adoption.Connect with Sarah https://www.linkedin.com/in/sarahmclark/Connect with us on LinkedIn:Jim McDonald: https://www.linkedin.com/in/jimmcdonaldpmp/Jeff Steadman: https://www.linkedin.com/in/jeffsteadman/Visit the show on the web at http://idacpodcast.comTimestamps00:00:00 - Intro: Live from Gartner IAM Summit 202500:01:25 - Introducing Sarah Clark and her journey to Hopae00:03:00 - What is Hopae and the vision for digital identity infrastructure?00:04:19 - Why governments are moving toward digital IDs (186 countries!)00:05:32 - Solving the fraud crisis with government-issued credentials00:07:05 - The benefits: Security, efficiency, and inclusion00:08:52 - Global adoption curves: India, Philippines, and Brazil00:10:48 - The EU vs. US: Who is winning the digital ID race?00:14:04 - eIDAS 2.0 mandates and the intermediary role00:17:03 - Future trends: Age verification, Fintech, and stablecoins00:19:54 - Workforce management and "Know Your Employee"00:21:28 - Sarah's passion project: Rainforest preservation and dog rescue00:25:35 - Closing thoughts on the future of identityKeywordsIDAC, Identity at the Center, Jeff Steadman, Jim McDonald, Sarah Clark, Hope, Digital Identity, Digital Wallets, Mobile Driver's License, mDL, eIDAS 2.0, Identity Verification, Fraud Prevention, KYC, Verifiable Credentials, Gartner IAM Summit, Digital Infrastructure, Biometrics, Age Verification
If you're over 35 with low AMH and have experienced a failed IVF cycle or been told IVF is your only option, this episode is for you. AMH provides information, but it does not tell the full story about your ability to get pregnant. In this episode, we break down what actually predicts pregnancy success when AMH is low and why focusing only on numbers often leads to frustration and stalled progress. You'll learn: What AMH truly represents and why it reflects ovarian reserve, not egg capability Why IVF often fails for women with low AMH despite "normal" standard lab results The difference between producing many eggs versus developing one high-quality egg How inflammation, digestion, immune activation, and mineral depletion affect egg development Why mitochondrial health is essential for egg quality and embryo development How stress physiology and circadian rhythm disruption impact ovulation, progesterone, and implantation The four underlying patterns we consistently see improve before pregnancy occurs, regardless of AMH Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. For over a decade, her team has helped hundreds of couples improve their chances of pregnancy success naturally and with IVF. Fab Fertile specializes in low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, and recurrent pregnancy loss using functional testing and personalized fertility strategies. This episode is especially for you if: You have low AMH and are over 35 You've had a failed IVF cycle or been advised donor eggs are your only option You want a deeper understanding of what actually drives egg quality and pregnancy success You're looking for a functional fertility approach beyond standard clinic protocols Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Low AMH After 35: What AMH Really Means for Fertility 01:02 Low AMH vs Egg Quality: Why Numbers Don't Predict Pregnancy 02:08 Why IVF Often Fails With Low AMH and Diminished Ovarian Reserve 03:18 Hidden Reasons IVF Fails: Inflammation, Digestion, and Immune Stress 04:28 Mitochondrial Health and Egg Quality After 35 05:35 Ovulation Stability and Why Weak Ovulation Blocks Pregnancy 06:42 Signs of Inflammation in Women With Low AMH and High FSH 07:52 Stress, Sleep, and Circadian Rhythm Effects on Fertility Hormones 09:00 What Improves Before Pregnancy Happens With Low AMH 10:12 What to Do Next After Failed IVF With Low AMH --- Resources
Sarah Clark is "exploding" online! Her direct, blunt style is reaching online viewers because she is authentic. No fluff. No Relief Society voice. Simply delivering truth and an authentic self. Sarah discusses her background working in Washington, DC, why she became an influencer, and the roots of her messaging. She also discusses her experience with SA as a child. Sarah's TikTok - / sarahsred Sarah's Instagram - / sarahsred7 Cwic Media Website: http://www.cwicmedia.com
As 2025 wraps up, it is normal to ask, "What's next for my fertility?" Maybe your cycles felt unpredictable, lab results felt confusing, or you have been living in constant action mode with supplements, protocols, and timelines. In this episode, we slow it down and get intentional. Instead of piling on more, we look at what your body has been signaling and how to enter 2026 with a clear, steady plan using a functional fertility lens. You'll learn: Why pausing at year-end can support ovarian signaling and reduce the stress loop that keeps you stuck How to review 2025 without spiraling, including what helped, what added pressure, and what your symptoms have been communicating Which labs to consider rechecking in 2026 and why they matter for fertility strategy, including TSH, vitamin D, ferritin, hsCRP, AMH, and FSH. The foundation for egg quality support through mitochondria basics, including sleep, protein, minerals, and CoQ10. How to build a realistic nervous system plan that fits a Type A life, so your next step is aligned, not rushed Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You have low AMH (ng/mL), high FSH, DOR, or POI and want to enter 2026 with a plan that supports your body without adding more overwhelm You have been pushing through and want to make decisions based on insight, not urgency You want a functional fertility approach that connects testing, nutrition, lifestyle, and emotional balance in a practical way Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 – Reflecting on fertility as 2025 ends and why slowing down matters 01:05 – Why constant doing and hypervigilance disrupt ovarian signaling 02:10 – Nervous system dysregulation in low AMH, high FSH, DOR, and POI 03:15 – Why rushing into IVF at year-end can backfire 04:40 – Secondary infertility and when fertility issues appear unexpectedly 05:20 – Reviewing what actually helped your energy, sleep, digestion, and mood 06:15 – Supplements vs personalized testing and why guessing adds stress 07:30 – Gut health, thyroid, inflammation, and missed underlying imbalances 08:45 – Retesting labs and focusing on mitochondria and egg quality 10:05 – Choosing your next fertility step intentionally, not from fear --- Resources
If you have low AMH, high FSH, diminished ovarian reserve , or premature ovarian insufficiency and keep hearing that your TSH is "normal," you may be missing a key piece of your fertility story. Even small shifts in thyroid function can influence egg quality, ovarian reserve, embryo development, implantation, and early pregnancy. In this episode, we look at how thyroid health connects to your labs, symptoms, and IVF outcomes so you can understand what is being overlooked. You'll learn: Why a normal TSH does not always mean your thyroid is optimal for fertility The thyroid markers most clinics miss and why they matter How thyroid patterns influence egg development, ovarian aging, and implantation The connection between thyroid antibodies, low AMH, and IVF failure Practical steps to support thyroid function and improve your chances of conception Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You have low AMH, DOR, POI, or high FSH and want clarity on how thyroid health plays a role You have irregular cycles, unexplained infertility, or repeated loss and wonder if your thyroid is involved You have thyroid symptoms, thyroid antibodies, or a diagnosis like Hashimoto's and want to understand how this affects ovarian function Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Why thyroid health matters for low AMH, DOR, and POI 01:02 Normal TSH vs optimal TSH for fertility 02:14 Full thyroid panel and what your REI may be missing 03:00 How low thyroid slows follicle development 03:45 Oxidative stress, inflammation, and egg quality 04:30 Thyroid dysfunction and accelerated ovarian aging 05:10 Hyperthyroidism, cycle disruption, and implantation 06:02 Thyroid antibodies and IVF outcomes 07:12 What high TPO antibodies mean for your transfer 08:00 Functional steps to support thyroid and egg quality ---
Being told you have Primary Ovarian Insufficiency (POI) or premature menopause can feel like the door has closed on your fertility. But these terms don't mean the same thing and understanding the distinction is essential, especially if you're still hoping to conceive. In this episode, we break down what's actually happening hormonally in each condition, why they're often confused, and how a functional fertility approach can help you understand what may still be possible. You'll learn: The key differences between POI, premature menopause, and early menopause What your labs are really telling you about ovarian function Signs that your ovaries may still be active even if your cycle has stopped Which functional tests give deeper insight into thyroid, immune, gut, and adrenal factors that influence ovarian health How inflammation, autoimmune activity, stress physiology, and nutrient imbalances can drive ovarian shutdown Supportive nutritional, lifestyle, and mind-body strategies that may improve hormone communication and egg health When to combine functional and conventional care to optimize your chances of conception This episode is especially for you if: You've been told you have POI, premature menopause, or early menopause and want clarity about whether your ovaries have truly stopped functioning You're under 45 with irregular or missing cycles, hot flashes, or elevated FSH, and want to understand your next steps from a functional-fertility lens You've felt dismissed or told "it's over," yet you want to explore supportive strategies that may help your hormones and ovaries regain activity, naturally or alongside medical care Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 Understanding POI and early menopause and why the distinction changes your fertility options when cycles are irregular or absent. 01:45 What POI before age 40 means and how irregular periods and fluctuating FSH can still indicate remaining ovarian activity. 03:00 Real examples of women with AMH at 0.04 ng/mL and 0.08 ng/mL who conceived by addressing inflammation, gut health, thyroid, and stress patterns. 04:00 How disrupted communication between the brain and ovaries drives POI and the role of autoimmunity, nutrient status, and the nervous system. 05:00 What premature menopause looks like on labs and why confirming ovarian shutdown matters when planning next steps. 06:10 How some women in their forties regain cycles and conceive naturally and what this reveals about hormonal resilience. 08:00 Factors that accelerate ovarian aging, including elevated hsCRP, gut infections, thyroid imbalance, environmental toxins, and nutrient gaps. 09:50 Why the gut and vaginal microbiome influence egg quality and implantation and how hidden infections affect fertility outcomes. 10:50 How functional thyroid ranges guide fertility decisions and why a TSH below 2 mIU/L supports better ovarian signaling and hormone balance. 14:40 Nutrition, mitochondrial support, mineral balance, and mind body work that help improve egg health and ovulation signaling. --- Resources
If you're over 40 and have been told your ovarian reserve is low, you've likely heard things like your only option is IVF with donor eggs or your time has run out. But those statements rarely tell the full story. In today's episode, Improve Ovarian Reserve to Get Pregnant After 40, we explore what ovarian reserve actually measures, why it does not define your fertility potential, and how a functional fertility approach can support egg quality, hormone communication, and your chances of pregnancy, whether naturally or with IVF. Even after 40, your body can respond when you understand the underlying imbalances that influence ovarian function. You'll learn • What AMH, FSH, and AFC truly indicate and why they don't measure egg quality • How mitochondrial energy, nutrient levels, and antioxidants influence egg development after 40 • The role of thyroid health and why optimal TSH should be below 2.0 when trying to conceive • How gut infections, immune dysregulation, and vaginal microbiome imbalances affect ovarian reserve • Which functional tests help uncover hidden imbalances that impact egg potential, including GI MAP, DUTCH, GrowBaby, and HTMA This episode is especially for you if: • You are 40 or older and have been told your AMH is low or your FSH is high • You have experienced failed IVF cycles, early loss, or poor egg quality and want to know what else you can do • You want a functional fertility framework that looks at hormone communication, egg energy, and whole body imbalances rather than just chasing lab numbers Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 What low ovarian reserve really means after 40 Why AMH and FSH do not predict your ability to conceive and why your fertility is not defined by these numbers. 01:00 AMH, FSH and AFC explained for women over 40 How ovarian reserve tests measure quantity, not quality and why functional fertility looks deeper. 02:00 Case study: Diminished ovarian reserve at 41 with autoimmune clues A real example of low AMH and Hashimoto's with gut infections that resulted in a natural pregnancy. 04:00 Mitochondria and egg energy after 40 How mitochondrial function influences egg maturation and which nutrients support better ovarian energy. 05:00 Thyroid health and why TSH must be optimal to conceive The full thyroid picture and why ferritin, antibodies and gluten sensitivity matter for ovarian reserve. 07:00 Mineral balance and heavy metals that affect ovarian reserve How magnesium, copper imbalance and toxic metals influence egg quality and hormone stability. 08:30 Adrenal stress and cortisol patterns that lower ovarian signaling How chronic stress suppresses FSH and LH and what adrenal patterns look like on testing. 10:00 Gut health, estrogen metabolism and inflammation How dysbiosis, leaky gut and yeast overgrowth interfere with follicle growth and hormone balance. 11:00 Vaginal microbiome and hidden infections linked to failed implantation Why Ureaplasma, Mycoplasma and high pH environments reduce embryo success and implantation. 13:00 Case study: Natural pregnancy at 43 with DOR A woman with low AMH and high FSH who addressed gut, adrenal and thyroid imbalances and conceived naturally. --- Resources
If you've been told you have poor egg quality, you might feel like your options are limited or that your body isn't capable of what you want most. In this episode, 5 Tips to Get Pregnant Even with Poor Egg Quality, we break down what egg quality really means, what affects it, and how to support your fertility through a functional-fertility lens. You'll learn practical, research-informed strategies that influence the environment where your eggs mature and develop. You'll learn: What poor egg quality actually means and why it's about cellular function, not the number of eggs How oxidative stress, thyroid issues, inflammation, toxin exposure, and blood sugar imbalances affect egg development The top functional strategies to support mitochondrial energy, hormone communication, and ovulation How gut health, minerals, detoxification, and nervous system regulation impact egg and embryo quality Research-backed mind–body approaches shown to improve pregnancy outcomes in IVF and natural conception This episode is especially for you if: You've been told you have poor egg quality, low AMH, or high FSH and want to understand what's actually behind those numbers You've had failed IVF cycles or early losses and want to know what else you can do to influence your outcome You want a whole body, functional fertility approach that supports egg development, mitochondrial health, and hormone communication Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- Timestamps 00:00 – What Poor Egg Quality Really Means Understanding how oxidative stress, thyroid imbalance, inflammation, mitochondrial issues, and chronic stress affect egg development. 01:42 – Why Functional Fertility Testing Changes Outcomes How deeper testing like GI MAP, DUTCH, and nutrient panels uncovers what IVF and basic labs often miss. 03:20 – Success Story: Improving Egg Quality with Hashimoto's and Low AMH A real case of transforming egg health after being told IVF was the only option. 04:08 – Mitochondrial Support for Better Egg Development Key nutrients like CoQ10, omega 3s, B vitamins, magnesium, and antioxidant rich foods that influence egg energy and embryo potential. 05:04 – Why Fasting, Keto, and Undereating Lower Fertility How shaky blood sugar, cortisol spikes, long fasting windows, and restrictive diets impact ovulation and hormone balance. 07:00 – Blood Sugar, Protein Targets, and Egg Free Breakfast Ideas Optimal A1C ranges, how to stabilize blood sugar, and how protein supports hormone communication and egg maturation. 08:40 – Reducing Inflammation and Daily Toxin Exposure Plastics, fragrances, water filtration, and anti inflammatory eating patterns that support healthy follicles. 09:50 – Functional Lab Testing to Personalize Your Fertility Plan Why combining GI MAP, food sensitivities, mineral testing, and mycotoxin screening gives a clearer picture of egg quality barriers. 13:10 – Thyroid, Adrenals, Liver, and Key Nutrients for Fertility How TSH, ferritin, vitamin D, homocysteine, cortisol patterns, and estrogen detox impact egg and embryo quality. 19:00 – The Mind Body Connection and Research Behind IVF Success What the Domar studies and HRV research show about stress, cortisol, and improving ovarian function. 22:10 – The 90 Day Egg Development Window and IVF Readiness Why creating a low inflammation, nutrient rich environment improves egg quality and IVF response. --- Resources
If you've ever been told your FSH is too high or that you're not a good candidate for IVF, today's episode will help you understand what that number actually means and the many ways you can still support your fertility. When most people hear "high FSH," they immediately think poor ovarian reserve or low egg count. That's not the full story. In this episode, we look at what high FSH signals, how to interpret it alongside other markers, and what both conventional and functional fertility options can help you move forward with clarity. You'll learn: • What high FSH actually measures and why context matters when paired with AMH, estradiol, and AFC • How inflammation, stress, thyroid imbalance, sleep, and environmental toxins influence FSH • Conventional treatment options such as mini IVF, natural cycle IVF, Letrozole, and individualized stimulation protocols • How functional fertility improves the internal environment so your ovaries respond better to any treatment • The key labs, nutrients, and lifestyle factors that support egg quality and hormone communication in high FSH cases This episode is especially for you if: • You've been told you have high FSH or diminished ovarian reserve and worry the window is closing • You've had canceled IVF cycles or poor responses and want to understand what else you can do • You want to see how a functional fertility approach can support egg quality so your next steps feel strategic and not desperate Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What High FSH Really Means for Fertility What FSH actually measures, why it does not reflect egg quality, and why high FSH is often misunderstood in conventional fertility care. 01:00 – The Emotional Impact of High FSH and Canceled IVF Cycles Understanding why high FSH triggers fear, how it influences IVF decisions, and how a functional lens shifts your strategy. 02:00 – Real Case Story: FSH in the 60s Reduced to 7 A Fab Fertile client lowered FSH dramatically after three failed IVFs and conceived with her own eggs after being told donor eggs were the only option. 03:00 – Drivers of High FSH: Inflammation, Stress, Thyroid, Sleep, and Toxins FSH as feedback, not failure. Exploring how inflammation, poor sleep, blood sugar imbalance, thyroid dysfunction, and environmental toxins impact ovarian response. 04:00 – Conventional Treatment Options for High FSH Mini IVF, natural-cycle IVF, Letrozole, Clomid, individualized protocols, medication dosing considerations, and how clinics determine next steps. 05:00 – Why Medication Alone Isn't Enough: The Functional Fertility Lens How functional testing identifies hidden blocks like gut infections, food sensitivities, chronic inflammation, nutrient deficiencies, and nervous system dysregulation. 06:00 – Hidden Stressors That Disrupt Egg Quality and Hormone Signaling Parasites, H. pylori, bacterial overgrowths, mold exposure, toxin load, fragrances, plastics, and irregular cortisol patterns that impact egg development. 09:00 – Key Fertility Labs for High FSH Optimal vs normal ranges for thyroid markers, vitamin D, ferritin, fasting insulin, A1C, homocysteine, and how methylation affects hormone detox and ovarian health. 12:00 – Functional Testing That Personalizes Your Fertility Plan GI-MAP, food sensitivity testing, DUTCH hormone mapping, genetic testing (MTHFR, COMT, GST), and vaginal microbiome tests for implantation and inflammation insights. 18:00 – When to Pause IVF and Re-Evaluate Your Strategy Why repeating protocols isn't effective when the internal environment isn't optimized. When a 3–6 month reset can improve ovarian response and IVF success. 19:00 – Final Takeaway: High FSH as a Message, Not a Verdict High FSH is information, not a dead end. How combining functional optimization with conventional care improves egg quality, hormone signaling, and overall fertility outcomes. RESOURCES
You've been told your AMH is too low or that your egg quality isn't good enough, especially if you're over 40. But AMH doesn't define your fertility; it's a reflection of ovarian reserve, not your ability to conceive. In this episode, we explore how a functional fertility approach can help you uncover the real reasons AMH is low and how to support your eggs, hormones, and body so you can move forward with confidence whether naturally or with IVF. You'll Learn: What AMH really measures and why many women with low AMH still conceive once key systems are supported. The underlying causes that lower AMH: inflammation, gut health, blood-sugar imbalance, thyroid/adrenal dysfunction, and nutrient depletion. Which functional labs reveal what conventional testing often misses (GI-MAP, DUTCH, micronutrients). How to support egg quality after 40 through personalized nutrition, targeted supplements, toxin reduction, and nervous-system regulation. When IVF fits best and how preparing your body 3–6 months in advance can improve response, embryo quality, and implantation. Inspiring success stories, including Samantha (age 44, AMH 0.02 ng/mL), who conceived naturally after addressing gut infections, insulin resistance, and stress. This episode is especially for you if: You've been told your AMH is low and want to understand what that really means for your fertility. You're in your late 30s or 40s and want evidence-based ways to support egg quality naturally. You're unsure if IVF is the next step and want clarity before investing time, money, and hope. Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. Next Steps in Your Fertility Journey Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What Low AMH Really Means for Fertility → Understanding what anti-Müllerian hormone (AMH) actually measures, and why it doesn't define your pregnancy potential. 02:00 – Why Egg Quality Matters More Than Egg Quantity → How mitochondrial health, inflammation, and hormone balance shape egg potential even with low AMH. 03:30 – Inflammation, Stress, and the Type-A Fertility Pattern → The hidden link between hsCRP, stress, and fertility outcomes in high-achieving women over 40. 05:00 – Functional Team Approach: Beyond Hormones and IVF → How the Fab Fertile Method integrates thyroid, gut, and nervous system insights to improve ovarian reserve and egg health. 07:30 – Gut Health and Fertility Connection → What infections like H. pylori mean for nutrient absorption, estrogen balance, and ovarian function. 09:30 – Blood Sugar, Sleep, and Mood Clues to Hormonal Imbalance → Recognizing insulin resistance and blood-sugar swings as hidden drivers of poor egg quality and disrupted cycles. 11:00 – Foundational Fertility Supplements That Actually Matter → How CoQ10, magnesium, vitamin D3/K2, and methylated prenatals support mitochondria and hormone regulation. 12:00 – Samantha's Story: Natural Conception at 44 with AMH 0.02 ng/mL → A real client case showing how addressing gut, thyroid, and adrenal imbalances made conception possible after repeated loss. 15:00 – Functional Tests That Reveal Why AMH Is Low → The key labs: full thyroid panel, hsCRP, ferritin, insulin, GI-MAP, DUTCH, and nutrient testing to find what's missed in conventional care. 18:00 – Creating a Fertile Environment After 40 → Practical steps to support egg quality, anti-inflammatory diet, toxin reduction, nervous system regulation, and realistic IVF timing. --- RESOURCES
Could what's happening in your mouth be impacting your fertility? In this episode of Get Pregnant Naturally, we explore the fascinating connection between your oral microbiome and reproductive health. From silent gum inflammation to the role of mouth breathing, you'll learn how your oral health can influence egg quality, implantation, gut balance, and even sperm DNA integrity. We're breaking down simple, practical steps, like the timing of dental cleanings, gentle oral-care swaps, and ways to reduce inflammation that can make a measurable difference on your fertility journey. If you're trying to conceive and want to uncover overlooked yet powerful strategies, this episode is for you. You'll learn: Why oral inflammation is often silent, but still disrupts fertility How male fertility is also impacted by oral bacteria The link between gum health, egg quality, and implantation Practical (and gentle!) oral-care strategies that support reproductive health The surprising connection between mouth breathing, sleep, and hormone signaling This episode is especially for you if: You've experienced canceled cycles, poor egg quality, or miscarriage without clear answers You're preparing for your next egg retrieval or transfer and want to optimize every detail You have bleeding gums, recurring cavities, or gingivitis and never considered how oral health affects fertility Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 Can your mouth affect your fertility? How oral health connects to low AMH, high FSH, and diminished ovarian reserve. 02:10 The oral microbiome and reproductive health Why inflammation in the mouth can influence egg quality, implantation, and hormone balance. 05:00 Gum disease, inflammation, and egg quality decline How chronic oral inflammation impacts ovarian health, mitochondrial function, and embryo development. 08:20 Sperm DNA fragmentation and oral dysbiosis Why men's gum health and oral bacteria matter for sperm DNA integrity and IVF outcomes. 11:10 Mouth breathing, stress, and hormone disruption The surprising link between airway health, cortisol, sleep, and reproductive hormones. 14:05 The gut oral axis and fertility How oral and gut microbiomes interact and why healing the mouth helps the gut (and vice versa). 17:15 Functional fertility approach to oral inflammation Reducing inflammation through nutrition, detox support, and targeted supplements to improve fertility. 20:05 Fertility friendly oral care routine The best ways to support your oral microbiome: dental cleanings, oil pulling, hydroxyapatite toothpaste, and non-toxic swaps. 23:00 Optimizing IVF success through whole body health How addressing hidden inflammation and oral health can improve egg and sperm quality before IVF. 26:10 Next steps for low AMH and DOR Why focusing on oral, gut, and immune health together helps improve ovarian response and pregnancy success. 28:00 Final thoughts Key takeaways for improving fertility through oral and systemic health. --- RESOURCES
If you've been told you have premature ovarian insufficiency (POI), it can feel final as if your ovaries have stopped working and your only hope is donor eggs. But the truth is more complex. Research shows that spontaneous ovulation is still possible. In this episode, we're looking at POI through both a conventional and functional fertility lens, exploring what it really means for your pregnancy potential, and how timing, preparation, and immune balance all matter. You'll learn: The difference between menopause and POI and why ovarian function can "flicker" back on What autoimmune activity, gut health, and toxins have to do with ovarian function The realistic chances of natural pregnancy with POI and how to detect spontaneous ovulation When hormone therapy or IVF with your own eggs might make sense Why donor eggs often lead to high success rates when functional foundations are addressed Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is especially for you if: You've been told POI or "early menopause" means you'll never get pregnant You're considering IVF or donor eggs and want to understand your options You want a clear, functional fertility plan to prepare your body for pregnanc · Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. · For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 — The truth about POI and pregnancy POI isn't always the end of the road. Learn how spontaneous ovulation and functional fertility preparation can open new possibilities even after a diagnosis of premature ovarian insufficiency. 01:00 — What POI really means (and how it differs from early menopause) Conventional vs functional views of ovarian function — why "flickering" ovarian activity matters for pregnancy potential. 02:30 Underlying imbalances behind POI How autoimmune issues, gut dysfunction, toxins, and stress affect ovarian function and fertility outcomes. 04:00 Realistic chances of pregnancy with POI Research-backed data showing 5–10% of women with POI conceive naturally, plus factors that improve success rates. 06:00 Spontaneous ovulation and how to catch it Tracking methods like Mira, Inito, and PDG tests that can help you detect rare ovulations and time intercourse or IVF cycles effectively. 08:00 Managing stress and nervous system regulation Why chronic stress and HPA-axis dysfunction shut down ovulation and how the nervous system work restores reproductive signaling. 10:00 Gut, immune, and environmental testing for POI Why stool, food sensitivity, and mycotoxin testing matter for egg quality, implantation, and autoimmune balance. 12:00 Nutrients and mitochondrial support for egg quality How CoQ10, magnesium, selenium, vitamin D, and omega-3s support ovarian function and improve outcomes. 15:00 IVF with your own eggs and donor egg options When IVF may still work for women with POI, and how to prepare your body functionally before considering donor eggs. 18:00 Hope and next steps for POI and fertility Why POI doesn't mean no chance from spontaneous ovulation to IVF and donor eggs, discover how health-first strategies improve success. --- RESOURCES ·
What if your Premature Ovarian Insufficiency (POI) wasn't just about your ovaries but about your immune system turning against them? Most women with POI are told it's simply early menopause. The conversation stops at hormone replacement or donor eggs. But new research shows that for many women, POI has autoimmune roots. When that's the case, treatment, prognosis, and even pregnancy potential all look very different. In this episode, we explore how the immune system can drive POI, the red flags most doctors miss, and which labs uncover what's really happening inside your body. You'll also hear how a functional fertility approach can calm immune dysfunction and support natural ovarian activity. You'll learn: The latest evidence connecting autoimmunity and Premature Ovarian Insufficiency Red flags that suggest POI may be immune-driven rather than purely ovarian The key labs to request for thyroid, gut, and immune system assessment Why conventional HRT isn't enough and how bioidentical hormones fit in Functional fertility strategies that support hormone balance and ovarian function Sarah Clark is the founder of Fab Fertile Inc. and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, premature ovarian insufficiency, recurrent miscarriage and helping couples prepare their bodies for pregnancy success naturally or with IVF. This episode is for you if: You've been diagnosed with POI, low AMH, or high FSH and want to understand what's driving it You or your family have autoimmune conditions like thyroid disease, celiac, type 1 diabetes, or lupus You've had irregular cycles, miscarriages, or failed IVF transfers, and feel like something deeper is being missed Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – What if POI isn't just early menopause? Why many women are misdiagnosed and how autoimmunity can drive premature ovarian insufficiency. 02:00 – Conventional vs. functional fertility approaches to POI How standard care stops at HRT or donor eggs, while functional fertility looks at what's really driving ovarian decline. 04:00 – Understanding POI beyond the ovaries How deeper health issues like immune, thyroid, and gut imbalances can affect ovarian function and fertility potential. 06:00 – The autoimmune patterns seen in women with low AMH and high FSH How family history, Hashimoto's, and other immune clues point to systemic dysfunction. 09:00 – Key labs to explore beyond AMH and FSH Why thyroid, antibodies, and gut testing reveal what routine fertility tests miss. 12:00 – Why you must advocate for deeper testing How to push for immune and inflammatory markers like ANA and hs-CRP when conventional medicine overlooks them. 15:00 – Gut health, inflammation, and leaky gut in POI The link between microbiome imbalance, gluten sensitivity, and ovarian autoimmunity. 18:00 – Nutrient and metabolic markers that affect ovarian function Vitamin D, ferritin, B12, folate, and homocysteine. What optimal levels mean for egg quality and implantation. 21:00 – Understanding HRT and bioidentical hormones for POI Why bioidentical estrogen and progesterone support heart, bone, and reproductive health more effectively than synthetics. 24:00 – Functional fertility action plan for autoimmune POI How to test deeper, calm the immune system, and improve fertility outcomes naturally or with IVF. --- RESOURCES Stop Ignoring hsCRP and the Role of Inflammation in Diminished Ovarian Reserve: https://fabfertile.com/blogs/podcasts/stop-ignoring-hscrp-and-the-role-of-inflammation-in-diminished-ovarian-reserve?_pos=1&_sid=82deaccd1&_ss=r Get Pregnant Naturally with Low AMH, Diminished Ovarian Reserve or POF: (Sarah's Story) https://fabfertile.com/blogs/podcasts/get-pregnant-naturally-with-low-amh-diminished-ovarian-reserve-or-pof?_pos=15&_sid=86a653303&_ss=r Is Your Thyroid Impacting Egg Health? The Hidden Connection to Low AMH, DOR & Fertility Success: https://fabfertile.com/blogs/podcasts/is-your-thyroid-impacting-egg-health-the-hidden-connection-to-low-amh-dor-fertility-success?_pos=6&_sid=81c11854e&_ss=r How Iron Deficiency Impacts Fertility, Egg Quality & Low AMH: https://fabfertile.com/blogs/podcasts/ferritin-iron-deficiency-fertility-low-amh-high-fsh?_pos=1&_sid=5bce72a22&_ss=r Why Addressing Homocysteine Levels Can Boost Egg and Sperm Health: https://fabfertile.com/blogs/podcasts/why-addressing-homocysteine-levels-can-boost-egg-and-sperm-health?_pos=1&_sid=b235d5698&_ss=r Autoimmune Roadblocks to IVF: How ANA Affects Fertility: https://fabfertile.com/blogs/podcasts/autoimmune-roadblocks-to-ivf-how-ana-affects-fertility?_pos=1&_sid=d10e6427f&_ss=r The Clotting Connection: Hidden Causes of Implantation Failure and Miscarriage: https://fabfertile.com/blogs/podcasts/the-clotting-connection-hidden-causes-of-implantation-failure-and-miscarriage?_pos=1&_sid=82f26ca56&_ss=r Our favorite fertility tracker Inito (use code FABFERTILE15 to save 15) ---
When doctors said her AMH was too low and IVF was the only option, one of our Fab Fertile clients decided to look deeper. Through functional testing and personalized support, she uncovered the health factors that were quietly working against conception and went on to get pregnant naturally after only 4 months in our program). You'll learn: Why AMH and FSH are only part of the fertility picture How digestion, inflammation, and nutrient imbalances can affect egg quality The impact of stress and sleep on reproductive hormones What changed once her whole-body health was supported Key steps you can take to improve your fertility even with low AMH or DOR Her story shows that fertility isn't defined by a single number it's a reflection of overall health and balance. Sarah Clark is the founder of Fab Fertile Inc and the host of Get Pregnant Naturally. Her team specializes in functional approaches for low AMH, high FSH, diminished ovarian reserve, and unexplained infertility helping couples prepare their bodies for pregnancy success naturally or with IVF. This epoisode is for you if: You've been told your AMH is low or your FSH is high You're considering IVF, but want to prepare your body first You're trying naturally and want to understand what your labs don't reveal Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – Why low AMH and high FSH aren't the full story Sarah shares how many are told donor eggs are the only option and why that message often misses deeper health factors that impact fertility. 01:45 – What this client's fertility journey looked like before Fab Fertile Three failed IVFs, two IUIs, and a diagnosis of diminished ovarian reserve plus the emotional toll that comes with feeling “stuck.” 03:10 – The overlooked factors affecting AMH and egg quality How long-term birth control use, chronic stress, and thyroid patterns (like high reverse T3) can influence fertility even when labs look “normal.” 04:45 – Gut health and fertility: what her stool test revealed From constipation and loose stools to parasites, C. diff, and H. pylori, how digestive imbalances can block nutrient absorption and egg development. 06:15 – The hidden food sensitivities that trigger inflammation Non-celiac gluten sensitivity, dairy intolerance, and gluten cross-reactors like tapioca, why eliminating inflammatory foods helped reduce immune stress. 07:10 – Supporting the body as a couple Why both partners completed functional testing and the elimination diet, and how addressing anxiety, gut issues, and stress improved overall fertility potential. 08:00 – Pregnancy after low AMH: what finally made the difference After only four months of targeted functional support, she conceived naturally. Sarah shares what changed and how mindset and visualization played a role. --- RESOURCES
If you've been told your AMH is low or that you have diminished ovarian reserve, it can feel like there's nothing you can do. But daily nutrition and lifestyle choices can make a profound difference, not just in lab numbers, but in energy, cycles, and pregnancy outcomes. You'll learn: How inflammation impacts egg quality, hormone signaling, and implantation The role of anti-inflammatory nutrition, gut health, and blood sugar balance in fertility Supplements that support mitochondrial function, hormones, and the nervous system Advanced testing and biomarkers that reveal hidden inflammatory triggers Why calming the nervous system is as critical as diet or supplements for fertility success Sarah Clark, your host and founder of Fab Fertile, shares how evidence-based functional strategies can shift ovarian function, lower inflammation, and create the environment for conception, even with low AMH or diminished ovarian reserve. This episode is especially for you if: You've been told your AMH is low or you have diminished ovarian reserve (DOR/POI) You want practical nutrition and supplement guidance backed by functional fertility You're looking for personalized, actionable steps to support egg quality and fertility Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – Low AMH Panic: Why Your Numbers Don't Tell the Whole Story Why AMH alone doesn't define your fertility potential and why other health markers matter. 01:30 – Functional Fertility Lens: Looking Beyond AMH and FSH How to shift focus from just lab numbers to whole-body health for improved egg quality. 03:00 – Inflammation and Fertility: How It Impacts Egg Quality and Implantation The link between chronic inflammation, ovarian reserve, and successful implantation. 05:00 – Elimination Diet & Anti-Inflammatory Foods for Low AMH Foods that lower inflammation and how a personalized elimination diet supports fertility. 07:00 – Gut Health and Fertility: Why Dysbiosis, Leaky Gut, and Infections Matter How gut imbalances can drive immune issues and impact ovarian function. 09:00 – Balancing Blood Sugar: Protein, Continuous Glucose Monitors, and Egg Health The role of blood sugar stability in hormone balance and mitochondrial function in eggs. 11:00 – Environmental Toxins and Fertility: Mold, Plastics, Heavy Metals How toxins burden fertility and practical steps to lower everyday exposures. 12:30 – Foundational Fertility Supplements: Magnesium, Omega-3, CoQ10, Vitamin D Evidence-informed supplements that support ovarian health and egg quality. 14:00 – Advanced Functional Testing: GI-MAP, Food Sensitivities, Genetics, Biomarkers The value of deeper testing to uncover hidden factors affecting fertility. 16:00 – Nervous System Reset: Stress, Mindset, and Calming Inflammation for Egg Quality Why stress management is crucial for hormone balance and ovarian reserve. --- RESOURCES
Sarah Clark is running for Seattle School Board District 2, which covers NW Seattle including Magnolia, Ballard, North Beach, southern Greenwood, and Green Lake. Her opponent is Kathleen Smith. This interview is part of our 2025 Seattle School Board Candidate series. Every Seattle voter will vote on four school board races in the general election: Districts 2, 4, 5, and 7.About Sarah ClarkCurrently serving as District 2 school board director (appointed April 2024, running to retain seat)Director of Policy at Seattle Metropolitan Chamber of CommerceMaster's in Education Policy from University of WashingtonGraduate of Seattle Public Schools (Madrona Elementary, Washington Middle School, Garfield High School, Class of 2003)Serves as City of Seattle FEPP Levy and King County LiaisonKey PositionsOn Why She's Running:Believes in coalition building and comprehensive policymakingWants to involve community more in the workDistrict is in crisis deeper than initially understoodSees opportunity to fix problems with new generation of collaborative board membersWants to set things up for success 10 years from nowOn Budget:Current budget reflects hope for legislative supportAlso preparing for scenario without enough fundingMany fixed costs (labor contracts, levies) limit flexibilityCommunity engagement is critical part of budget processHard decisions may be necessary if funding doesn't come throughOn Student Safety:Experienced assault as sophomore at Garfield (drives dedication to this issue)Current approach has failed; past models weren't successful eitherWorking to convene group of SPS/SPD leaders, community, city council, mayor's officeStudent safety policies need to be flexible and evolveCommitted to restoring district's relationship with SPD for 2025-2026Can't promise school resource officers will return in previous formOn Her Background:Was in Highly Capable Program (APP) and experienced segregation by academic programsShocked by difference between advanced classes and regular classesStudied equity and legacy of colonialism at UWEducation opened doors and she wants that access for othersHas two nieces in SPSOn Her Approach:Seeks to collaborate (shaped by playing sports and being on teams)Open to hearing from community (ideas, venting, questions)Takes responsibility seriously as part of her faith and valuesHopeful that local action can make impact despite federal challengesReady to develop fresh ideas to meet every student's needImportant InfoBallots mailed: October 15th | Due: November 4thAlso listen to: Interviews with all District 2, 4, 5, and 7 candidates at rainydayrecess.orgSarah's campaign: https://www.sarah4schoolboard.org/Podcast info: rainydayrecess.org | hello@rainydayrecess.orgSupport the showContact us at hello@rainydayrecess.org.Rainy Day Recess music by Lester Mayo, logo by Cheryl Jenrow.
Kathleen Smith is running for Seattle School Board District 2, which covers Magnolia, Ballard, North Beach, and Green Lake. Her opponent is Sarah Clark. This interview is part of our 2025 Seattle School Board Candidate series. Every Seattle voter will vote on four school board races in the general election: Districts 2, 4, 5, and 7.About Kathleen SmithData scientist at MicrosoftParent of 5-year-old entering kindergarten in SPSComes from family of educatorsAttended public schools, then Annie Wright School in TacomaEndorsed by Seattle Education AssociationKey PositionsFirst Priority:Add more ways for student school board directors to have power and contributeOn School Board Role:Board sets policy and holds district accountable through superintendentCurrently a disconnect between board and districtNeed balance between micromanaging and providing clear guardrailsImportant to build strong working relationships for alignmentOn Superintendent Search:Should consider hiring interim superintendent firstNeed someone who will truly listen to communityBalance listening with leading with confidenceMust understand Seattle's geographic and demographic diversityOn District Structure:Current balance is worst of both worldsSchools have accountability (funding tied to enrollment) but no controlDistrict should be more accountable for quality; schools have more controlAllow for local differentiationOn When Goals Aren't Met:Getting new superintendent is biggest lever for changeBoard doesn't have power to force district to changePower is in finding superintendent who will guide needed changesOn Community Engagement:Ultimate power is finding right superintendentBoard can help engage community to define expectations clearlyIf district won't listen, must replace superintendentOn Her Approach:Not a policy wonk; brings data analysis and science skillsWants clearer metrics for measuring equityKnown for seeking different perspectives and listeningFast learner despite learning curveWants to fight for educator living wagesOther Positions:Strongly supports Individuals with Disabilities Education ActSees board role as accountable to votersEducational Leader She Admires: Her mother (teacher)Looking Forward to Working With: Liza RankinImportant InfoBallots mailed: October 15th | Due: November 4thAlso listen to: Interviews with all District 2, 4, 5, and 7 candidates at rainydayrecess.orgKathleen's campaign: https://www.smith-for-schools.com/Podcast info: rainydayrecess.org | hello@rainydayrecess.orgSupport the showContact us at hello@rainydayrecess.org.Rainy Day Recess music by Lester Mayo, logo by Cheryl Jenrow.
If you've been told your numbers your AMH, your FSH mean your chances are slim to none, this episode is for you. Numbers can feel final, but they don't define your fertility potential. You'll learn: How our client Diana had one ovary, endometriosis, low AMH, and high FSH was told IVF was her only path What her functional testing revealed about gut health, food sensitivities, genetics, and key biomarkers The targeted nutrition and lifestyle strategies that shifted her health and hormones Why systemic healing digestion, adrenals, blood sugar, and mindset matter for egg quality How she conceived naturally after preparing her body, even when IVF was still on the table I'm Sarah Clark, founder of Fab Fertile. For over a decade, my team and I have helped hundreds of couples improve their chances of pregnancy success, whether naturally or through IVF. We specialize in supporting those with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), and recurrent pregnancy loss through functional testing and personalized fertility strategies. This episode is especially for you if: You've been told your fertility is defined by low AMH or high FSH You're overwhelmed by repeated recommendations for IVF without addressing your health first You want to understand how functional fertility strategies can create an environment where pregnancy becomes possible Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS 00:00 – AMH, FSH, and Fertility Potential Explained Why these numbers predict drug response but don't determine egg quality or your ability to get pregnant. 01:00 – Diana's Case: One Ovary, Endometriosis, Low AMH, High FSH How she was labeled with diminished ovarian reserve and told IVF was her only option. 02:00 – IVF and Low AMH: Why It's Not Always the Only Path The limitations of stimulation protocols for egg quality and why Diana chose to prepare her health first. 03:00 – Hidden Fertility Clues: Digestion, Adrenal Stress, Blood Sugar, Hormones The overlooked symptoms showing her body wasn't ready for pregnancy yet. 05:00 – AMH and IVF Success Rates: What the Numbers Really Mean How clinics interpret AMH, the truth about retrieval outcomes, and why numbers don't equal destiny. 07:00 – Lifestyle Reset for Egg Quality and Hormone Balance The daily sleep, stress, movement, and hydration habits that built a foundation for ovarian health. 10:00 – Functional Fertility Testing: GI-MAP, Food Sensitivities, and Genetics How uncovering gut issues, inflammation, and genetic blocks changed her fertility plan. 13:00 – Nutrients, Methylation, and Egg Quality Support Correcting deficiencies, reducing oxidative stress, and using targeted nutrition to improve ovarian reserve. 15:00 – The Turning Point: Healing, Stress Reduction, and Natural Conception How her digestion, hormones, and mindset improved, leading to a spontaneous natural pregnancy. 18:00 – Key Fertility Takeaways: Beyond AMH and IVF Why health optimization, not just stimulation protocols, is the true fast track to pregnancy success. --- RESOURCES
If you've been told your AMH is “too low” for your age, or that it means your only chance is IVF with high doses of medication, this episode is for you. AMH is not the final word on your fertility it's a marker that should spark deeper investigation. You'll learn: How IVF clinics use AMH to predict drug response and egg retrieval What the research actually says about high vs. mild stimulation for women with low AMH Why no stimulation protocol can improve egg quality The four functional fertility pillars that truly impact outcomes: mitochondria, inflammation, nutrients, and hormones A client story of moving beyond repeated IVF cycles to conceive naturally I'm Sarah Clark, founder of Fab Fertile. For over a decade, my team and I have helped hundreds of couples improve their chances of pregnancy success, whether naturally or through IVF. We specialize in supporting those with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), and recurrent pregnancy loss through functional testing and personalized fertility strategies. This episode is especially for you if: You've been told your AMH is too low and that aggressive IVF protocols are your only option You feel stuck in repeated IVF cycles with only minor protocol changes You want to understand how functional fertility strategies can change the environment where eggs are developing Not sure where to start? Download our most popular resource: The Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH. It breaks everything down step by step to help you understand your options and take action. For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00:00] Does low AMH really mean IVF is your only option? Most women are told IVF or donor eggs are the only path forward, but AMH is more than a fertility “score.” Here's why it's misunderstood [00:02:00] What IVF protocols are used for low AMH? High-dose meds, mild stimulation, dual stim, and add-ons like DHEA are common. But do they actually improve outcomes? [00:04:30] Why do repeated IVF cycles often fail with low AMH? Many women get stuck in the loop of “protocol tweaks” while underlying health issues go unaddressed [00:05:00] Can IVF improve egg quality? Research shows protocols change egg quantity, not quality, here's why mitochondrial and cellular health matter most [00:07:00] What functional strategies support mitochondria for egg quality? From CoQ10 and omega-3s to sleep and stress balance, these are the foundations of better egg competence [00:09:30] How does stress and nervous system dysregulation affect AMH? Graduate school, 50-hour work weeks, and perfectionism can suppress ovarian function, here's how to spot the signs [00:12:00] Which labs uncover hidden inflammation affecting fertility? Markers like hsCRP and homocysteine reveal systemic inflammation IVF clinics rarely check [00:14:00] Which nutrient deficiencies impact ovarian reserve and embryo health? Vitamin D, ferritin, folate, B12, zinc, magnesium, selenium, subtle gaps can change outcomes [00:17:00] How do thyroid, prolactin, and cortisol influence egg development? Hormonal imbalances upstream are often missed, yet they shape ovulation, luteal support, and implantation [00:21:00] Can you conceive naturally with low AMH? A client with one ovary, endometriosis, and high FSH conceived naturally after addressing digestion, adrenal health, and nutrient absorption --- RESOURCES
If you've been told your AMH is “too low” for your age, or that it means your chances of conceiving are slim, this episode is for you. AMH is not the final word on your fertility, it's a marker that can give us valuable clues about your health. You'll learn: What AMH levels typically look like across different ages. Why low AMH deserves closer attention. Which additional labs give a fuller picture beyond AMH alone. How women in our Fab Fertile community have conceived with their own eggs even with AMH as low as 0.02 ng/mL. I'm Sarah Clark, founder of Fab Fertile. For over a decade, my team and I have helped hundreds of couples improve their chances of pregnancy success, whether naturally or through IVF. We specialize in supporting those with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), and recurrent pregnancy loss through functional testing and personalized fertility strategies. This episode is especially for you if: You've been told your AMH is too low and donor eggs are your only option. You've had failed IVF cycles and want to understand if AMH is playing a role. You want to learn how to interpret AMH through a functional fertility lens, not just a conventional numbers-only approach. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00] AMH: What the Numbers Really Mean [00:01:00] Who This Helps: Low AMH, High FSH, DOR, POI, Failed IVF [00:01:50] AMH Levels by Age: Cleveland Clinic Benchmarks Explained [00:02:40] Does AMH Predict Pregnancy? Egg Quantity vs. Egg Quality [00:03:20] Functional Fertility Lens: What Low AMH Is Signaling [00:04:20] Tests Beyond AMH: Day-3 FSH, Estradiol, and AFC Ultrasound [00:05:40] Thyroid & Fertility: Optimal TSH, Free T4/T3, Antibodies (+ Free Guide) [00:07:20] Hidden Inflammation: hsCRP, Homocysteine, MTHFR & Egg Quality [00:08:50] Vitamin D, Iron & Ferritin: Nutrient Deficits That Lower AMH [00:10:40] Gluten/Celiac & Autoimmunity (ANA) + When to Pause IVF & Heather's Success --- RESOURCES
So many women are told that if they have low AMH and high FSH, their only path to pregnancy is through donor eggs. But is that the whole story? In this powerful conversation, Sarah shares her personal journey with premature ovarian insufficiency, the devastation of being told she had “no chance,” and the hope she's seen after 25 years of supporting women worldwide.Join me as I interview Sarah Clark! When Sarah Clark was 28 years old, she received a diagnosis of premature ovarian failure. She accepted the diagnosis and had both her children through in vitro fertilization. Years later, she realized the root cause of her infertility was a food sensitivity, chronic stress, and later a gut infection.She is the CEO and founder of Fab Fertile, a company dedicated to supporting couples with low AMH and/or high FSH, diminished ovarian reserve, and premature ovarian failure/insufficiency.She is the author of Fabulously Fertile - Supercharge your Fertility Naturally. Her Fab Fertile Method, which includes functional lab testing, supports couples to make diet and lifestyle changes that dramatically improve the chances of a healthy pregnancy and baby.On her Get Pregnant Naturally Podcast, she shares that with functional medicine and natural fertility solutions, we can eventually reverse infertility. Check it out on iTunes and Spotify.We dive deep into:✨ Why doctors often recommend donor eggs so quickly✨ The truth about AMH and FSH as fertility markers✨ Gut health, thyroid issues, and hidden imbalances that impact fertility✨ Why functional medicine offers new hope beyond the standard diagnosis✨ Real stories of women who restored cycles and improved egg quality naturallyIf you've ever felt hopeless after hearing that your AMH is too low or your FSH is too high, this episode is for you.
Conventional medicine often stops at the numbers, low AMH, high FSH for Premature Ovarian Insufficiency (POI) and turns quickly to donor eggs or IVF. But through a functional fertility lens, we can uncover hidden factors like inflammation, nutrient deficiencies, gut health, and hormone imbalances that may support ovarian function and improve pregnancy success. In this episode of Get Pregnant Naturally, Fab Fertile founder Sarah Clark explains how functional fertility strategies can help reverse POI and improve your chances of conceiving with your own eggs. You'll also hear Amanda's story: she was told she'd never conceive naturally with an AMH of 0.08 ng/mL, yet went on to have her daughter. This episode is for you if: You've been told your only option with POI, low AMH, or high FSH is donor eggs You've experienced recurrent miscarriage or failed IVF cycles You want evidence-based strategies to improve egg quality and fertility outcomes naturally We'll cover the difference between genetic and idiopathic POI, why functional fertility shines in unexplained cases, and the top mistakes people make with a POI diagnosis. You'll leave with practical steps you can take right now to support ovarian function. Subscribe to Get Pregnant Naturally for evidence-based guidance on functional fertility, and share this episode with anyone on their fertility journey. Not sure where to start? Download our most popular guide: Ultimate Guide to Getting Pregnant This Year If You Have Low AMH/High FSH it breaks everything down step by step to help you understand your options and take action For personalized support to improve pregnancy success, book a call here. --- TIMESTAMPS [00:00:00] Donor eggs only? Understanding Premature Ovarian Insufficiency (POI), Low AMH & High FSH Why conventional medicine often tells you donor eggs are your only option and the functional fertility perspective that looks deeper. [01:00:00] How Functional Fertility Strategies Can Improve Ovarian Function Practical steps for egg health, reducing inflammation, balancing hormones, and improving pregnancy success. [05:00:00] Idiopathic vs Genetic POI: What You Can Influence Naturally Explaining the difference between genetic and idiopathic causes and how functional approaches support ovarian function. [08:00:00] Nutrients, Gut Health & Lifestyle Factors That Impact Egg Quality Vitamin D, B vitamins, iron, gut microbiome, and inflammation as key influencers of ovarian reserve and AMH. [12:00:00] Real Client Stories: Restoring Fertility After POI Case studies of women improving FSH, AMH, and conception outcomes with functional fertility strategies and targeted IVF support. [00:13:00] AMH, Egg Quality & Gut Health Why AMH isn't a fixed predictor of fertility outcomes and how gut health, nutrient absorption, and inflammation can influence egg quality and ovarian reserve. [00:15:30] Non-Celiac Gluten Sensitivity & Ovarian Function How gluten sensitivity can impact hormone balance, follicle development, and fertility, even when celiac disease isn't present. [00:18:00] Key Nutrients for Egg Quality The importance of vitamin D, iron, B vitamins, methylation support, and protein for optimal ovarian function, and how deficiencies can affect IVF or natural conception. [00:20:45] Gut Infections & Systemic Inflammation Chronic gut infections, microbiome imbalances, and low stomach acid as hidden drivers of inflammation that can disrupt reproductive hormones and egg quality. [00:23:30] Lifestyle, Stress & Nervous System Support How chronic stress and a dysregulated nervous system impact ovarian reserve and fertility. Mind-body strategies, dietary adjustments, and toxin reduction to support reproductive health. --- RESOURCES
If you've been diagnosed with low AMH, high FSH, diminished ovarian reserve (DOR), premature ovarian insufficiency (POI), or have experienced recurrent pregnancy loss or failed IVF, you may be wondering if natural killer (NK) cells are playing a role. In this episode, Sarah Clark, founder of Fab Fertile, explains what NK cells are, when testing may be helpful, and why many reproductive endocrinologists dismiss it. You'll hear how functional fertility strategies, addressing inflammation, gut health, nutrient deficiencies, and immune balance; differ from conventional medicine and can improve egg quality, implantation, and pregnancy outcomes. We also cover what progressive fertility clinics are doing, what the research says, and how to decide if immunotherapy or intralipids are right for you. This episode is for you if you've had multiple implantation failures or miscarriages, feel dismissed by “normal” test results, and want evidence-based options to support your fertility journey.
If you're facing low AMH, high FSH, DOR, POI, or recurrent pregnancy loss, this episode is for you. We're diving into hsCRP (high-sensitivity C-reactive protein), a key, often overlooked marker of inflammation, and why it matters for fertility. Learn how chronic inflammation impacts egg quality, implantation, and embryo health, why hsCRP testing is often missed in conventional care, and what functional labs can reveal. We'll also cover homocysteine, ANA, and natural killer cells, plus practical strategies to reduce inflammation and clotting risks for you and your partner. I'm Sarah Clark, founder of Fab Fertile, and for over a decade, my team has helped 100's of couples improve fertility naturally or through IVF using functional testing and personalized strategies. In this episode, you'll learn: Why hsCRP testing is critical yet often overlooked in fertility care How systemic inflammation affects eggs, implantation, embryos, and male fertility Other hidden markers, homocysteine, ANA, NK cells, that can influence fertility outcomes Functional fertility strategies to lower inflammation, including diet, gut health, stress support, supplements, and hormone optimization Real-world case studies showing how addressing inflammation improved fertility, even with low AMH or DOR
Sarah Clarke Join us for an inspiring episode as we delve into Sarah Clark's groundbreaking documentary, "Bring Them Home." This film chronicles the remarkable journey of the Blackfeet Tribe in Montana as they successfully rematriate the American bison to their ancestral lands for the first time in 150 years. Narrated by Lily Gladstone, the documentary highlights the cultural and ecological significance of this keystone species and the community's unwavering dedication to overcoming obstacles. Tune in to discover how this uplifting story of resilience and cultural revival is set to air on PBS this fall. Chapters 00:00 Introduction and Personal Connections 03:10 The Evolution of Driving and Technology 05:50 Creative Journeys: Writing and Inspiration 08:56 Exploring Intuition and Personal Growth 11:55 Parenting Dynamics and Influences 14:56 Documentary Insights: Bringing Bison Home 18:04 Cultural Connections and Artistic Collaborations 23:00 Navigating Fame and Public Perception 23:47 The Impact of '13' and Creative Collaborations 29:46 The Evolution of Acting Through Parenthood 33:57 Adapting to Script Changes in Television 41:02 The Future of Filming Post-Pandemic 43:47 Reflections and Advice for the Younger Self Sarah Clarke Socials: IG @sarabeingsarahclarke...https://www.instagram.com/sarahbeingsarahclarke/