If you’ve ever heard that the gut is like the second brain, then you probably know that our gut health impacts our overall health, especially for fertility. Research has found that the gut microbiome impacts our digestion, immunity, metabolic and neuroendocrine functions, sleep, stress and so much more.
The GI MAP is a functional lab test that does a comprehensive analysis of your gut health. It looks at parasites, bacteria, fungi, inflammation markers, digestive enzymes and much more, and does so by targeting specific DNA of the organisms it tests.
The test looks at the DNA of pathogenic organisms like bacteria and viruses, but also the beneficial organisms (ie good bacteria) and the opportunistic bacteria as well.
The test looks at the specific genomes of these organisms that reside in the intestinal ecology. It’s a “Quantitate DNA test” – or real time test – which differentiates this test from other tests on the market.
The GI-MAP will actually measure how much of each strain exists in the gut, rather than just looking at a percentage.
Many of the consumer facing microbiome tests don’t actually give you a full picture of what’s happening in the gut – they don’t count bacteria or parasites present.
In fact, I’ve taken one of those tests in the past and just felt like I didn’t have any more answers to my questions.
The GI MAP is used by clinicians and provides the most comprehensive analysis of the gut microbiome compared to any other gut health test on the market. If you’re looking for real answers – test, don’t guess.
Some conditions that could benefit from taking a GI Map stool test would be someone with:
I’ll be spending the next few weeks talking about how gut health impacts fertility, but there are a few high level concepts when it comes to the connection between fertility and gut health:
1. Hormone Balance- your gut directly plays a role in balancing the levels of estrogen in your body. If you suspect you have estrogen dominance, taking a comprehensive stool test would be a good place to start investigating.
2. Inflammation- your gut can cause some serious inflammation in the rest of your body. I love that the GI MAP can test for Zonulin, which is a marker of intestinal permeability or “leaky gut.” When toxins from the GI tract can leak into the bloodstream, this causes an immune response by the body, and triggers inflammation. When we work on fertility issues, the broad goal is to reduce overall inflammation so the body can prioritize reproductive health.
3. Insulin Resistance – A 2012 study found that dysbiosis and intestinal permeability impacted insulin levels, which then affected egg and sperm development.
The researchers also found that leaky gut and inflammation was a common cause of PCOS, and that insulin disruption was the most common cause for menstrual disruption and problems with ovulation.
The test needs to be ordered by a qualified practitioner, such as myself. Interpreting the results requires understanding of gut bacteria, functional gastrointestinal health and experience dealing with dysbiosis or microbiome imbalances.
Interested to learn more? Book a free discovery call with me here to learn how we can use functional lab testing to address fertility.
If you suspect leaky gut or experiencing some of the symptoms listed above, we can discuss some options for you and work on your nutrition and lifestyle together to improve your microbiome.
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References
You may be thinking – I don’t need to work with a fertility dietitian / nutritionist, I already eat pretty healthy (weekend margs don’t count right?), I exercise, drink my green juices … and besides, I can get any nutrition information I really need through Google.
Well, my friend… I’m here to break down five benefits of working with a fertility dietitian nutritionist, specifically one that works in a functional nutrition capacity. I think some of these may surprise you!
Okay, we all have our issues with food. To say that eating is not emotional… well it’s just not what I’ve seen in my practice and in life. We all eat emotionally from time to time, even if it’s happy emotions like birthday cake, or holiday meals.
But when our relationship to food becomes restrictive or consumes our thoughts, it’s time to work with a professional who understands what you’re going through.
For many women struggling with fertility, food can be very time consuming. We’re told not to eat gluten or dairy or cut out coffee completely. We’ve heard of different fertility diets, and can easily spiral into the trap of thinking that every bite we take is going to either get us pregnant or leave us feeling miserable.
Working with a fertility dietitian that can help you set up your meals in a way that supports your fertility, but also leaves room for enjoyment is key. I mean, what is a life without pizza anyway?
Raise your hand if you’ve ever tried to take on a new hobby or something to improve yourself only to find yourself giving up a few weeks later? 👋🏼
A few years ago, I decided I wanted to take up surfing – I bought a foam board off Craigslist, rented a wet suit, and out I went into the ocean. As I splashed around the water, and even got tumbled by some waves I felt exhilarated by the cold Pacific ocean and glimmer of water in the sun.
Maybe I went out a few more times, but soon enough, I lost momentum. I didn’t have anyone to go with, no one to learn some new moves with or a partner to go with before or after work.
We all have the best of intentions when we start something new. But having accountability is key. And your dietitian is always going to keep you accountable to what you said you wanted for yourself.
When you work with a functional nutrition dietitian (hey, hello!) – you’re likely going to be introduced to some new functional lab tests. Tests like the DUTCH hormone test, GI MAP stool test, Spectracell micronutrient testing, food sensitivity testing and more.
The reason for this is because you’ve likely already had some conventional lab tests done in the past. The problem with this is that you’re still trying to get pregnant and have no answers. By the way… “unexplained infertility” is not an answer.
This is where a deeper dive into your gut, hormones, and nutrient levels is so important. For example, most people don’t realize that they’re probably deficient in vitamin D – a key vitamin (that acts as a hormone) needed for fertility.
Or maybe you’ve had heavy periods your whole life, but didn’t realize that your messed up gut health is actually impacting your estrogen levels, causing you to put on weight, and have heavy painful periods.
Working with a functional nutrition dietitian is going to be key to understanding the root cause of your issues.
One of the most common hormone disrupting conditions for women of reproductive age is PCOS. It can feel really scary when you get the diagnosis and you may think you’ll never be able to get pregnant without hormone therapy – WRONG. Just wrong.
Instead of jumping to medications and pills, you can work with a fertility dietitian who will help you manage your diet and lifestyle specifically for PCOS, so that you can have regular periods, and optimize your chances of getting pregnant naturally.
PCOS is not a death sentence, and there are plenty of women with the condition who get pregnant (and have healthy pregnancies) without assistive reproductive technology.
Well, good on you girl for being uber prepared for pregnancy.
Did you know that the best time to start taking prenatal vitamins and working on your diet is actually 6 months BEFORE you plan to start trying?
Working with a fertility dietitian is going to be huge for you, because you’re making sure you get all the nutrients you and baby need, so by the time that first trimester rolls in and all you want is bagels and crackers- you’ve already stored up the necessary nutrients to ensure baby is getting everything they need.
So tell me, which one applies to you? If you’re thinking you might benefit from working with a fertility dietitian, book your free discovery call with me today.
We’ll talk through what your goals are and how I might be able to help you on your journey towards becoming a mama.
I thought I’d write this post out to clear up any confusion you may have. Maybe you’ve heard of what a dietitian does, and maybe you’ve heard of fertility specialists – but perhaps this is the first time you’ve heard of a fertility dietitian.
So here we go. I’m going to break down exactly what a dietitian is, what we do, and how we work on fertility. I’m also going to talk about my unique approach with integrative and functional nutrition, as well as what you can expect from your first call with me.
An RD, or Registered Dietitian, is someone who has at minimum a bachelor’s degree in nutrition or dietetics and 1200 clinical training hours. RDs must pass a comprehensive national exam (in the United States) and have continuing education hours every year to ensure we remain current on the latest science, research and best practices.
Only a person who has met these stringent requirements can use the title “Dietitian.” In 2020, the requirement to be a dietitian will also require a Master’s degree.
Becoming an RD requires completing a rigorous academic program that includes courses in food science, clinical dietetics, community nutrition, lifecycle nutrition, medical nutrition therapy, education methodology, biochemistry, microbiology, social sciences, human anatomy and physiology, and other culinary and nutrition-related classes.
As a side note, my undergraduate degree was not at all science related – in fact, I studied International Relations and my career prior to becoming a dietitian was in international development and anti-hunger policy work!
A nutritionist, is not a regulated term, and thus anyone can call themselves one. Because of this, the nutrition world has become saturated with misinformation. You could take a 6 week course online and reasonably call yourself a nutritionist.
Now, I know this is super confusing, especially because as dietitians, we ARE nutritionists – meaning we can provide nutrition information to individuals and communities, but we also can provide medical nutrition therapy in a hospital or acute setting (think feeding tubes, diabetic diets, diets for specific disease states like heart disease, renal disease, or cancer). A nutritionist cannot do this.
Formal training and credentials are vital for achieving your nutrition and health goals, as what may work for one person, could be ineffective or even harmful to another. That’s why working with a Registered Dietitian is so important.
A fertility dietitian is an RD who specializes in helping women (and men) optimize their diet for fertility. Women with specific hormonal imbalances such as Polycystic Ovarian Syndrome (PCOS) can benefit from working with a fertility dietitian, or those who have been trying to conceive for 6 months or more with no results.
A fertility dietitian will tailor a program specifically for you – whether that means weight management to reach a healthy BMI, reduce insulin resistance, balance hormones, support egg health, regulate cycles, or work on more in-depth conditions such as IBS, Crohn’s, or Hypothyroidism.
In my own practice, I take an integrative and functional approach to nutrition, utilizing specific lab tests to get to the root cause of your fertility struggles.
Functional nutrition is a component of functional medicine, which is a framework that some doctors use to address the root cause of a disease. It is a model that looks at the whole patient (mind, spirit, body) and works WITH the patient together to address underlying causes of disease by evaluating biological systems.
Functional nutrition “emphasizes the importance of high-quality foods and phytonutrient diversity to address clinical imbalances and move people to the highest expression of health.” (Institute of Functional Medicine – https://www.ifm.org/learning-center/introduction-to-functional-nutrition/).
The main difference between a functional approach to fertility vs. a conventional approach is that a functional approach will look at the underlying issue (starting to recognize a pattern?)
A functional nutrition approach to fertility will look at why your hormones are off balance, what body systems are off, how inflammation impacts fertility, gut health, sleep, stress, and much more. We work with you to uncover the root cause of your fertility struggles, rather than prescribing synthetic hormones to mask the problem.
Conversely, a conventional approach to fertility would likely include a prescription for hormone replacement therapy such as Clomid or Letrazole, either IUI or IVF, often including several rounds of each. While IVF has about a 40% success rate (and costs tens of thousands of dollars), it also does nothing to address the root cause behind what was going on before.
If you’re looking to address the underlying issue and prefer a more holistic and natural approach, then functional fertility nutrition is for you.
During your introduction call we’ll discuss you’re eating patterns, medical history, any blood tests or procedures you’ve had, discuss your medications and supplements, sleep patterns, stress levels, menstrual cycle, and bowel movements. The goal is to get a pretty complete picture in order to know which treatment protocol is right for you.
We’ll also discuss your specific health goals, which can range from regulating menstrual cycles, weight loss, improving energy, reducing PMS symptoms, and of course – getting pregnant.
After our first call, I’ll send over your treatment proposal and suggest certain functional lab tests to help uncover some of the root causes behind your symptoms. The reason I weave in functional lab testing into all my programs is because it allows me to give you a specific, customized recommendation for you – rather than a broad approach.
If you’re interested in scheduling a free 30 minute discovery call – you can do so right here, to see if we’re a good fit to work together.
So, what questions do you have? Leave a comment below and let me know!
If you’re like most of my clients, you’ve probably already spent a lot of time googling at 3am what foods you should be eating to get pregnant. Maybe you’re googling at 3am right now looking for the perfect fertility diet. If you have, welcome.
I know how frustrating it can be to sift through the internet to find information that is not only useful, but also legitimate. Maybe you’re just starting out on this fertility journey, or perhaps you’ve been trying to conceive for 6 months, a year, or longer. Wherever you are in your journey, I know that following these three simple steps will greatly help you to realizing your dreams of becoming a mother.
I should preface this post by saying that there is no one “perfect diet” for every single person on the planet. As I’m sure you know, what works for your girlfriend would be torture for you. Some of my clients eat three meals/day, others eat six mini meals – some do better on low carb, and others need to have meat every day.
However, there are three basic components to my perfect fertility diet that will work for everyone, regardless of your individual needs. Of course, working with a Registered Dietitian will be the best way to get individualized recommendations based on your hormones, gut health, and nutrient needs. [If you’re interested in working with a dietitian specializing in fertility nutrition – book your free discovery call with me here.]
While there are certain foods you can emphasize throughout your fertility journey, you also want to think about your diet as a whole – meaning how to pair foods together for optimum nutrient absorption, breakdown of macros, and balancing blood sugar and hormones.
I’m going to break this down for you in 3 easy steps. Alright, let’s get right into your perfect fertility diet plan.
When you’re eating a carb source like a sweet potato, rice, or quinoa you want to make sure you’re not eating that carb alone. Or as Lily Nichols says, you don’t want to be eating a “naked carb.”
This goes for things like fruit too. Yes, fruit are healthy sources of carbs and fiber and you should definitely be including them in your diet, but just make sure you’re pairing your fruit or any other carb with a protein and/or fat source.
The reason for this is because you want to avoid spiking and crashing your blood sugar throughout the day. If you’re eating just oatmeal by itself for example, even though oats have fiber, it’s often too many carbs all at once.
This simple graph illustrates the point. When you eat just carbohydrates, there is a fast response – the carbs are broken down into sugar, causing the amount of sugar in your blood to spike. In response, the hormone insulin is released to quickly deal with all the sugar, and carries it into your cells to be used for energy. The result is a sharp decrease in blood sugar (the red line on the graph).
If you’ve ever eaten breakfast and then 30 minutes later you’re still hungry, this is probably what happened. By adding in a healthy fat source or protein, you’re slowing that process down (as seen above). You’re allowing a more slow release that will keep you fuller for longer, and won’t send your body in a cascade of disrupting your hormones.
So how does blood sugar spikes relate to the perfect fertility diet? Well, when you are eating in a pattern of spiking your blood sugar throughout the day, every day – this tends to cause more inflammation in your body. The ultimate goal of a fertility diet plan is to decrease as much inflammation in the body as we can, in order to make it an environment suitable for reproduction.
Furthermore, all carbohydrates (even healthy ones) raise blood sugar, which increase insulin, which increases testosterone, and can lead to irregular cycles – especially if you have PCOS. So if you’re dealing with irregular, long cycles – you’ll definitely want to start putting this into practice.
CARBOHYDRATE | PROTEIN/FAT |
1 Medium Apple | 1-2 Tbsp Nut Butter |
5 Whole Grain Crackers | 1-2 Hardboiled Eggs |
1 Cup Cantaloupe | 2 oz Cottage Cheese |
¾ Cup Berries | 6-8oz Plain Greek Yogurt |
2 Tbsp Dried Fruit | 12-15 Almonds |
Vegetable recommendations from a dietitian – I know, shocking. But eating enough vegetables throughout the day is KEY to your perfect fertility diet plan.
When you’re trying to conceive, it’s a super energy-intensive process that requires a flood of vitamins and nutrients. This is why I emphasize vegetables at every single meal. And if you think about it, the general requirement is at least 6-12 servings of vegetables per day.
Most people are not getting nearly this much. So if you start thinking about your plate as starting with vegetables and then adding in other components you’re likely to be getting more of those veggie servings.
Some ideas would be leafy greens like spinach and kale, zucchini, bok choy, and so many others. All these vegetables are going to help with your fiber intake as well, which will help keep you regular and keep your digestive track healthy.
What I mean by this is – if you’re including meat into your diet, be sure to choose organic grass-fed meats, pasture-raised organic eggs, and line-caught or wild-caught seafood. This is definitely going to be more expensive, but you’re also avoiding all of the hormones, antibiotics and other sh*t that is pumped into our food supply.
Now, if you can’t afford to do this all the time, I would recommend eating it less often, and instead choosing plant proteins like lentils or beans to help boost your protein intake. Canned tuna or salmon from brands like SafeCatch or WildPlanet are also really affordable options too.
Most women do not get enough protein, and especially if you’re vegan you’re likely not getting enough.
So to recap:
1. Don’t eat naked carbs – always pair your carbs with a fat or protein
2. Make the majority of your meals vegetables
3. Choose organic and high quality protein
Remember, what you eat now will affect the health of your baby, so you want to choose wisely as often as you can. This doesn’t mean you need to stress out about it. In fact, reducing your stress if part of an overall fertility plan that I recommend with my clients.
If you’re looking for a more individualized approach to your fertility nutrition plan, and are serious about getting pregnant naturally – let’s set up a free discovery call to see if we’re a good fit.
Remember, you are strong and you got this.
You may have heard that eating a “fertility diet” would help you get pregnant. Or perhaps you’re here because you think your diet could be the reason behind some of the symptoms you’re experiencing like PMS, irregular cycles, or other hormone imbalances.
As a fertility dietitian, I work with women specifically on diet and lifestyle modifications to improve their chances of conceiving naturally. Below are my top 10 favorite fertility foods, as well as the reason behind why they are so good for you when trying to conceive.
As you may know, what you eat affects your body, including for fertility. Think about it, the food we eat affects our heart, our blood sugar, our weight – why wouldn’t it also be affecting our reproductive system?
All of the fertility foods I include are functional foods, meaning they have a health promoting function in the body – specifically for balancing hormones, fertility and pregnancy.
If you’ve tried any of these fertility foods before, let me know in the comments, and be sure to keep your eye out for more fertility nutrition blog posts.
The first fertility food I recommend is pasture-raised organic eggs. Eggs are an amazing source of choline, specifically the yolk, which is essential for developing your baby’s brain. The cholesterol in the yolk is also a building block for the hormone progesterone. Eating enough healthy cholesterol in the form of pasture-raised organic eggs is an egg-cellent way of eating for fertility. (Sorry, had to! 🙂 ) One of my absolute favorite ways to eat eggs is by making Shakshuka– an Israeli-Tunisian dish. I have an Instagram highlight dedicated just to Shakshuka if you’re looking for some inspiration!
Next up is dark leafy greens – which are full of folate. You may have heard that folate is super important for your baby’s development, but why is it exactly a fertility food? Folate is a co-factor in many metabolic processes in your body, namely in DNA methylation and replication – aka making new copies of DNA. When you have adequate folate in your diet, your body does a better job of copying DNA, aka making a new baby! Don’t be fooled by prenatal vitamins that have folic acid though. Folic acid is a less bio-available form of folate, meaning your body doesn’t absorb it as well. [Here’s a link to my favorite prenatal vitamins that were formulated by a dietitian!] Getting a variety of greens is great too, so don’t be afraid to mix it up! Some of my favorites are spinach, bok choy, collard greens, kale, swiss chard or rainbow chard, and arugula.
The third food I recommend is salmon! Salmon is an amazing source of omega-3 fatty acids, which are a brain boosting fat. Omega-3s have been shown to improve cognitive development in fetuses. They balance out the ratio of omega-3 to omega-6 fats in the body. Since the Standard American Diet (SAD) is filled with omega-6 fats, we need to put an emphasis on eating more omega-3 fats. Other fish I recommend are tuna, cod, halibut, sardines (I’m super into them right now!) and herring. Looking for the most delicious salmon recipe, EVER? Definitely go bookmark this recipe for delicious salmon kebabs.
The fourth food I recommend is full-fat dairy. Full-fat dairy has the active preformed vitamin A, while plant sources of vitamin A are pro-formed and less bio-active. Full fat dairy can also be very supportive of balancing hormones. [Note: only eat dairy if you can tolerate it.] I love full fat plain greek yogurt or adding some full fat cream to my coffee for a delicious treat.
Number five is citrus fruits like lemons, limes, and oranges. Citrus are an excellent source of vitamin C, a powerful antioxidant that’s helpful in reducing oxidative stress in your body. I love zesting citrus and adding it to water, smoothies, and salad dressings. There are so many ways to add citrus to your diet including add lemon to your water, making homemade vinaigrettes, or just packing an orange for an afternoon snack. It doesn’t get easier than this one!
Our bodies naturally create oxidative stress, but an overload can cause inflammation. When you eat foods that are rich in anti-oxidants, they are literally cleaning up that oxidative stress and reducing inflammation.
The sixth food I recommend is berries. It’s summer now in Australia, and all the farmers markets are bursting with beautiful blueberries, raspberries and strawberries. If you’re in the northern hemisphere or found this article in the winter, you can definitely use frozen berries as well. Berries are rich in antioxidants, and getting a variety is key as each berry will provide something slightly different. Our bodies naturally create oxidative stress, but an overload can cause inflammation. When you eat foods that are rich in anti-oxidants, they are literally cleaning up that oxidative stress and reducing inflammation. (We want this!) Think of eating rich colors – those colors represent phytonutrients that are super anti-inflammatory and can scavenge free radicals. They’re also a good source of fiber and rich in vitamin C as well.
Number seven on this list may scare you away – but don’t go so quickly. The seventh food I recommend is liver and other organ meats. I know I know, this is probably the most shocking of the list – but organ meats in particular are like nature’s multivitamin. They have everything you really need to support a healthy baby and are especially high in vitamin A and CoQ10 – which is great for female AND male fertility supplement. If the thought alone is making you nauseous, I recommend taking beef liver capsules, like these from Vital Proteins (affiliate link). And if you happen to live in New York City, one of my favorite Israeli restaurants makes an excellent chicken liver pita – promise, it’s delicious.
Now, if I lost you on seven, I think I can win you back with number eight. The eighth food I recommend is oysters – which are the BEST source for bioavailable zinc. They’re also a great source of selenium and iodine – all very supportive for fertility. I love to recommend oyster date nights as it can be a great way to bond with your partner, and eat some delicious fertility foods together. Win, win!
The ninth food I recommend is fermented foods. Sauerkraut, kimchi, kombucha, kefir, and yogurt all have raw active enzymes and probiotics. Probiotics are great for your gut, digestion, and can reduce inflammation. If you’re new to fermented foods, I recommend starting out with a full-fat yogurt. The other items have more intense flavors, so experiment and go slow.
And the very last food I recommend is bone broth. Bone broth provides a rich source of amino acids, namely glycine which is essential during pregnancy. Bone broth is soothing for the gut, it’s anti-inflammatory and can help increase your protein intake.
So there you have it, my top 10 fertility foods for women trying to conceive. If you liked this article, be sure to share it with a friend or pin it for later! And let me know in the comments, which fertility foods are your favorite!
Do you know when your fertile window is?
I’ll be honest, I never even tracked my period before this past year. My period was something I dealt with, not something I was particularly interested in or fond of.
But once I started down this TTC journey, I became fascinated with periods, ovulation, and all the cascade of hormones that beautifully come together to make this ish happen.
Alright, let’s get down into it.
The BEST way to know if and when you’re ovulating is:
[Note: Some people like to use Ovulation Predictor Kits (OPKs), but this will not show if you’ve actually ovulated, rather it detects the LH surge that precedes ovulation.]
Your basal body temperature shows you if you’ve already ovulated, not that you’re about to. When an egg is released, the body starts producing progesterone, which raises your body temperature.
Thus, your basal body temperature (BBT) increases after you ovulate, and tracking this can be one way of verifying ovulation.
If you track your BBT every day, you should see an increase at least by 0.72 °F (0.4 °C) the day after you ovulate.
With an adequate corpus luteum function, it will stay at this level for 10–14 days.
If the fertilized egg doesn’t implant, the progesterone level and basal body temperature will decrease before menstruation.
Note: Your temperature can change based on other factors aside from ovulation such as lack of sleep, stress, if your immune system is compromised, etc.
I like this image as it brings everything together, all the hormones, temperatures, and phases of the menstrual cycle. I know this stuff can get really confusing, which is why I like the BBT and CM method – because you’re literally getting in tune with your body and your own individual cycle.
Too Long Didn’t Read: Track your temperature daily and notice the white sticky stuff in your underwear to accurately know when you’re ovulating, aka baby making time.
Questions? Interested in more fertility topics? Comment below!
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