Lifestyle

If you are currently pregnant you are most likely encountering quite a lot of surprising changes to your body. It is normal for your body to experience certain levels of discomfort, as the mother’s organs, especially the lungs, kidneys and heart get strained due to the fetus’ need for oxygen and nutrients, and the elimination of waste products.   

Thinking about the health of you and your baby during pregnancy can be overwhelming. There are numerous health complications that may occur and thus maintaining your well being can be a challenging endeavor. 

Today, we will specifically discuss gestational diabetes, a health condition during pregnancy that has been on the rise, and tips on how to manage it.  

What is Gestational Diabetes? 

Gestational diabetes is diabetes (excessively high blood glucose/sugar levels) that may occur during pregnancy. 

An organ called placenta that supports the growth and development of the baby forms in the mother’s uterus during pregnancy. The placenta synthesizes hormones that reduce the effectiveness of insulin, a type of hormone that is secreted by the pancreas. 

When food is consumed, insulin controls the storage and the usage of the blood sugar. Therefore, because insulin is less effective during pregnancy, a modest increase in blood sugar levels is common and a normal part of pregnancy. However gestational diabetes is detected when this increase in blood sugar becomes excessive. 

This type of diabetes usually goes away once the pregnancy is over but it has potential long term consequences for both the mother and the baby. Having gestational diabetes increases the likelihood of the mother developing type 2 diabetes later in life. It is also linked to the development of obesity and type 2 diabetes for the child.  

Wellspring Nutrition has compiled a list of five tips that can help you get through your pregnancy in the most healthful way possible, especially if you are struggling with gestational diabetes or have risk factors.   

Tip #1: Exercise

Research suggests that consistent physical activity during pregnancy reduces the risk of gestational diabetes by 50 percent.  

The recommended amount and level of physical activity depends on how active you were prior to pregnancy, but the general recommendation is 150 minutes of low to moderate intensity physical activity per week. Here are some examples of activities that are generally safe to do: 

• Walking
• Swimming 
• Light aerobics 
• Cycling
• Yoga
• Pilates
• Light jogging 

If you were very active before pregnancy, you should be able to maintain the same level of activeness but it is best to consult with a health care specialist first.  

Other than lowering the risk for gestational diabetes, there are many benefits to staying active during pregnancy for both you and the baby. For the mother, physical activity can also lower the risk for gestational hypertension, high blood pressure during pregnancy. Staying active also boosts cardiovascular function, decreases back pain, contributes to better sleep, minimizes the loss of bone density due to pregnancy, and reduces edema (swelling caused by pregnancy) of legs and feet. For the baby, an appropriate amount of exercise leads to longer gestation (prevention of preterm birth), potential improvement for their brain development, and an increased likelihood of them having a healthy BMI during childhood.  

Please keep in mind, however, that there are certain types of physical activities that pregnant women should avoid. Activities that could lead to abdominal trauma must be avoided. These are few examples of physical activities that you should avoid: 

• Contact sports (soccer, wrestling, basketball, football etc.)
• Downhill skiing 
• Scuba diving 
• Horseback riding
• Heavy weightlifting 
• Hot yoga

Regardless of your background or your specific condition, if you are looking to stay active during your pregnancy, you should speak with your health care provider to ensure the safety of you and the baby.  

Tip #2: Being aware of optimal weight gain during pregnancy

Gaining weight during pregnancy is a natural and normal process. This is absolutely not the time to be attempting any kind of weight loss. It is also important to be mindful of what a healthy weight gain should look like during this critical period. 

During the first trimester, mothers should be consuming around the same amount of calories as prior to pregnancy and should be expecting around 2 to 4 pounds of weight gain. After the first trimester, gaining around 0.8 to 1 pound per week is considered to be ideal. During the second and third trimester, mothers should be consuming about 350 to 450 additional calories compared to their pre-pregnancy days. 

The optimal total weight gain is around 25 to 35 pounds for someone with a BMI in the normal range. If you are carrying twins, however, the optimal range is between 37 to 54 pounds.  

Tip #3: Eating quality carbohydrates

Controlling your blood sugar levels is essential for managing gestational diabetes. Choosing the right type and amount of carbohydrates to consume is a great place to start. 

Although skipping carbohydrates might sound tempting if you are worried about your blood sugar levels, this is never recommended. Carbohydrates supply energy for the placenta and it supports the healthy growth of your baby. There is no evidence for the effectiveness of a low carbohydrate diet for managing gestational diabetes and the general recommendation is a minimum of 175 grams a day, although it may depend on the individual.   

When consuming carbohydrates, choosing the type with a low glycemic index is highly recommended. The glycemic index of a food indicates how rapidly it causes the blood sugar level to rise.  Low glycemic index foods raise the blood sugar level much more slowly compared to high glycemic index foods, due to its slower rate of absorption.    

Mothers with gestational diabetes should avoid refined grains such as white rice, white bread, white pasta, and white flour as well as foods containing a lot of added sugars since they usually have higher glycemic index. 

The recommended carbohydrates on the other hand are starchy foods with high dietary fiber content such as whole/unprocessed grains, beans/legumes, vegetables, and fruits. 

Additionally, carbohydrate consumption should be spread out throughout the day- instead of eating a few big meals a day, having smaller meals distributed within a day helps control major blood sugar fluctuations.  

Tip #4: Watching your diet

Although pregnant women should consume more calories during their second and third trimester, the quality of your food should be prioritized over quantity. 

Other than carbohydrates, there are several macro and micro nutrients that you should be actively incorporating in your diet during your pregnancy especially if you are dealing with gestational diabetes.

Research suggests that consuming protein from lean meat (unprocessed), fish, and plants are favorable for the treatment of gestational diabetes. In fact, women with gestational diabetes are recommended to consume 350 grams of fish per week. Check out our blog about high protein foods here as well, as we talk about safe types of fish to consume during pregnancy. 

The overall fat intake for women with gestational diabetes should be around 20 to 35 percent of total energy intake and the consumption of saturated fat should be restricted.  

There are several vitamins and minerals that play an important role during pregnancy. Iron, calcium, folic acid (Vitamin B9), and 25-Hydroxyvitamin D are a few examples. 

Here are the Institute of Medicine (IOM) recommendations for these micronutrients:

• Iron: 27 milligram/day
• Calcium: 1000 milligram/day
• Folic acid: 600 microgram/day
• 25-Hydroxyvitamin D: 5 microgram/day

These dietary advice are not just specific to women with gestational diabetes but apply to all pregnant women to ensure a healthy pregnancy with the best possible outcomes.

Tip #5: Screening 

This is especially important if diabetes runs in your family or you are considered to be overweight prior to pregnancy. 

Although lifestyle modification is key for gestational diabetes management, visiting your healthcare provider and receiving nutritional guidance or possible clinical treatment tailored to your individual needs should be a priority as well.

It is recommended that all women regardless of a history of type 2 diabetes be screened between 24 and 28 weeks of pregnancy. If you have risk factors for type 2 diabetes, getting screened at your first prenatal visit is advised. Regardless of your health history, receiving prenatal care, especially during the first trimester is crucial as that is the most critical time for the baby’s development.

Looking for more support? 

Whether it is guidance regarding hormonal imbalances like PCOS, or any fertility or pregnancy concerns, Wellspring Nutrition has your back! Our fertility dietician is available for consultation. 

References: 

1. “Exercise During Pregnancy: Safe And Beneficial.” https://newsnetwork.mayoclinic.org/discussion/exercise-during-pregnancy-safe-and-beneficial-too/
2. “Insulin Basics”, https://diabetes.org/healthy-living/medication-treatments/insulin-other-injectables/insulin-basics
3. Rasmussen L, Poulsen CW, Kampmann U, Smedegaard SB, Ovesen PG, Fuglsang J. “Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus.” Nutrients 2020 Oct 6;12(10):3050. doi: 10.3390/nu12103050. PMID: 33036170

 PMCID: PMC7599681

4. Smith A, Colleen A, Spees C. “Wardlaw’s Contemporary Nutrition, 12th Edition.” McGraw Hill, 2022. 

1. “What Is Glycemic Index.” https://www.eatright.org/health/wellness/diet-trends/what-is-glycemic-index

Ever wondered what steps you should take to optimize your nutrition before starting IVF?

Well wonder no more!

Here are 3 steps to preparing for your IVF journey

1.Take the time to optimize your lifestyle with your partner, whoever they may be!

It is important to keep in mind that dietary and lifestyle changes don’t happen overnight. Did you know that it takes approximately 3 whole months for both your eggs and sperm to fully mature? This really highlights why it is so important to spend at least 3 months prior to your first cycle of IVF making any required changes to your diet and lifestyle.

This may include:

• Optimizing your diet (I’ll go into more detail later in this blog post).
• Understanding your cycle. Speak to your fertility specialist or dietitian about your current menstrual cycle and ovulation. There are likely several strategies you can undertake to optimize and balance your cycle.
• Start or maintain a healthy, exercise routine. The current physical activity guidelines for adults state that you should aim to get at least 150-300 minutes of moderately intense exercise each week or 75-150 minutes of vigorous exercise each week for optimal health.
• Take steps to reduce your stress. Studies have repeatedly shown that chronic stress increases the level of inflammation in our body which increases oxidative stress and subsequent damage to the quality of our eggs and sperm. See my previous blog post for tips on how to reduce your stress!

2. Increase your consumption of dietary antioxidants!

One way you can do this is to adopt a Mediterranean-style diet. This pattern of eating has numerous benefits (particularly when it comes to fertility and IVF!).

⁠It has been shown to:⁠

• ⁠Improve both egg and sperm quality⁠
• Increase embryo yields when you are undergoing IVF⁠ treatments
• Optimize fertility outcomes
• Enhance pregnancy outcomes (encourages carrying a healthy baby to full term with no complications)
• Decreases inflammation in the body thus improving both egg and sperm quality and increases the likelihood of conception

So what does a Mediterranean diet look like?

• Consuming plenty of colourful fruits and vegetables⁠ every day. A simple way to achieve this is to aim for at least 3 different colors on your plate at every meal!
• Consuming wholegrains (breads, cereals, rice, quinoa etc.)
• Cooking and using healthy fats like extra-virgin olive oil
• Eating a variety of different nuts and seeds⁠
• Including legumes/beans⁠ in your diet (think of them like a vegetable with protein!)
• Plenty of seafood (with a particular emphasis on oily fish) at least twice each week
• Moderate consumption of dairy foods, eggs, and poultry (chicken, duck, turkey)⁠
• Limiting your consumption of red meat⁠

A Mediterranean style diet will ensure that you get all of the below nutrients that studies have shown are essential for quality eggs and sperm.

• Omega-3 fatty acids
• CoQ10
• Zinc
• Vitamin D
• Selenium
• Folate
• Vitamin E
• Vitamin C
• Lycopene

Studies have also shown that the wholegrains in a Mediterranean-style diet will aid the implantation of your fertilized egg!

3. Get a tailored supplement plan!

There are many ways that nutritional supplements can improve your chances of conceiving during IVF. However, it’s not as simple as taking your average prenatal.

A tailored supplement plan will take into account several factors including your:

• Age
• Medical history
• Reproductive history
• Current oral intake
• Weight and height

This will mean that you are taking supplements that have been individually tailored for your specific needs!

If you would like to learn how to optimize your nutrition before starting IVF, schedule your free 30 minute 1:1 strategy call with me!

References:

1.Mediterranean Diet 101: Meal Plan, Foods List, and Tips (healthline.com)

2. Maternal whole grain intake and outcomes of in vitro fertilization (nih.gov)

If you’re currently trying to conceive, you may have seen information around the internet about prioritizing non-toxic skincare and products – why?

What Are EDC’s?

The reason for prioritizing non-toxic products for fertility is to reduce the number of chemicals and endocrine disrupters you’re using on your body, which can impact your hormone health and reproductive health.

Some known endocrine disrupting hormones are:

• Pesticides – like glyphosate
• Phthalates – found in so many skincare products
• PCBs and Dioxins
• BPA Plastic
• Chemical retardants
• Perfluorochemicals found in clothes

Honestly, it can get very overwhelming pretty quickly when you start to think about the sheer volume of chemicals found in our skincare, makeup, cleaning products (even baby products!!)

Below I wanted to share some of my favorite non-toxic skincare brands to help you see that there are so many amazing companies producing clean products that won’t mess with your hormones or impact your chances of conceiving.

My Favorite Non-Toxic Brands for Fertility

• Tata Harper – I love their face masks and toners
• Ilia – beautiful bronzers and highlighters
• Kosas – pretty much all my makeup is from this brand. Super high quality
• Follain – I used to work for this company and learned soo much about clean beauty. Awesome resources and beautiful products.
• Credo – they have stores across the US and they carry so many different brands. One of my favorite stores to visit when I’m in NYC, Boston, or San Francisco.
• Primally Pure – their deodorant is amazing!

There you have it! I know there are so many more amazing brands out there, so if there’s one you know and love, let me know in the comments or DM on Instagram!

Looking for More Support?

We cover environmental toxins in DEPTH inside of my program – Nourishing Fertility. To learn more and snag $100 off the course, check out our FREE masterclass here.

5 easy ways to reduce stress while trying to conceive

Embarking on a fertility journey can feel long and overwhelming at times. It is important to have strategies in place to help you cope with stress and anxiety, particularly if you are a Type-A personality that likes everything to be perfect at all times! These 5 tips will help you to reduce your stress while you are trying to conceive.

Try as best as you can to take things back-to-basics, by taking perfectionism off the table. Focusing on the basic pillars of health and wellness, can reduce stress without adding additional overwhelming tasks to your already very long to-do list.

If our stress levels remain high for too long, we can end up with elevated levels of cortisol, a hormone that is made up of the same building blocks as progesterone.

If our body is busy focusing on making cortisol, it places less importance on progesterone production, leading to a reduced supply. This can lead to several negative side-effects, particularly in respect to fertility including:

• Estrogen dominance
• Decreased ability to conceive
• Difficulty with mood stabilization

Progesterone helps us to grow a thick uterine lining which is then shed during menstruation. If we don’t have enough progesterone, then we end up with a lighter period, and a thinner uterine lining to support healthy implantation.

So we can see just how big of an impact stress can have on our ability to conceive!

Try these 5 easy ways to reduce your stress while you are trying to conceive:

1. Ensure you get regular movement

Be sure to move your body daily, even if it is in a very gentle way. Research has shown time and time again, that exercise is incredibly beneficial for stress and our mental health as a whole.⁠ Try activities like yoga, walking, and tai-chi to get your blood flowing.

2. Get enough sleep

Take this time to create a relaxing night time routine to help you unwind and get adequate sleep. Try taking time off devices to read, listening to a podcast, trying a mindfulness exercise or talking to a loved one. Aiming for 7 to 8 hours of sleep each night will help your body to get the rest it needs, without adding additional stress hormones into the mix.

3. Connect with others
⁠

Remind yourself of the supportive community that you have around you on this journey. Reach out to friends, family, support services at your fertility clinic or a counselling service if you need to.⁠ Research has shown that good social supports have a number of protective effects on our health (all of which are beneficial for improving our chances of conceiving) including:

• Decreased blood pressure
• Normal heart rate
• Reduced cortisol levels

4. Keep busy!

⁠Type-A people are prone to overthinking and dwelling on the negative. Staying busy during your fertility journey can help you to stay positive and not focus on the things that we can’t control.

Take up a new hobby, clean out that cupboard, cook a new recipe or plan a day trip to somewhere you haven’t been before! Keep your mind and hands busy as often as you can to help reduce your stress.⁠

⁠
5. Reframe your thoughts⁠
⁠

Reminding yourself of the strength it has taken you to get to this point can be helpful for Type-A personalities. Try to avoid dwelling on negatives and focus on the facts. Spending time in a negative space will only make the process feel harder. Writing down your thoughts and linking them with facts can be a helpful visual and can help you to break negative thought processes.

For example, if you regularly think “I’m not meant to be a mother, this will never happen for me”, counteract this thought with several facts for example:

• I have several caring and motherly instincts and that is clearly seen in how I care for my partner and friends
• This may not happen right now, but that does not mean it will never happen

⁠If you try these tips and are still struggling to find enough support while you are trying to conceive, book your free 30 minute 1:1 strategy call with me to learn how I can support you using functional nutrition, specialty lab testing, and targeted supplements. Can’t wait to speak to you!

⁠
References:

1. Social Support and Resilience to Stress (nih.gov)
2. Why Stress-Baking and Cleaning Make You Less Anxious | WIRED
3. Exercise as Stress Relief (healthline.com)

What is the GI-MAP test?

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.

Some Functional Markers in the GI MAP Test:

1. Calprotectin– a measure of inflammation in the gut. Can be a sign of Crohn’s disease or IBD.
2. Pancreatic elastase– the level of enzyme activity- how good are your levels of enzymes that digest protein, fat, carbs and fiber.
3. Secretory IgA– a marker of the ‘reactivity’ of your gut immune layer. It represents the first line of immune defense of the gut. This is important when evaluating food intolerances
4. Zonulin– a marker of leaky gut (intestinal permeability)
5. B-glucoronidase- a measure of re-circulating toxins between the gut and the liver. You’ll see this marker elevated with excess estrogen and in people with poor liver detoxification.
6. Steatocrit- amount of fat in the stool- measures fat absorption
7. Gliadin IgA– an excellent measure of gluten intolerance

Why Not Order a Cheaper Gut Health Test?

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.

Why You Might Need a GI-MAP Stool Test for Gut Health and Fertility

Some conditions that could benefit from taking a GI Map stool test would be someone with:

• Autoimmune disease
• IBS/IBD
• Digestive complaints like diarrhea or constipation
• Brain fog, fatigue
• Joint pain
• Skin problems, like acne, rashes, hives or psoarisis
• Mood disorders, depression, anxiety
• Diabetes and weight loss issues
• Food intolerances

Why is Gut Health Important for Fertility?

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.

How to Order the GI MAP Test

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.

Want more support?

1:1 Coaching: Let’s hop on a call to discuss what working together could look like & determine if we are a good fit

Grab my free Fertility Nutrient Guide and get added to our mailing list to get information like this sent to your inbox directly!

References

1. Tremellen, K and Pearce, K (2012). Dysbiosis of Gut Microbiota (DOGMA) – A novel theory for the development of Polycystic Ovarian Syndrome Med Hyspotheses’ 79, 1, 104-12.

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!

1. Breaking down your relationship with food

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?

2. Accountability

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.

3. Test, don’t guess

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.

4. You have PCOS and you’re kind of freaking out

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.

5. You know your diet could be better and you just want to make sure you have a healthy pregnancy

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.