FERTILITY – Cutting Edge Insights & Holistic Approaches Panel at Parsley Health

– Hi everyone. My name is Dr. Jaclyn Tolentino. I’m the lead doctor here at Parsley Health
in West Hollywood, and Parsley Health… We are the premier model of healthcare. We integrate nutrition, lifestyle modifications,
mental health, and cutting edge diagnostic testing into conventional primary care. And our mission is to redefine medical care
with root cause whole person approach with a vast understanding of data, technology,
and also doctor patient and health coach relationships. So, many patients, they often include that
goal of pregnancy as one of their main goals. How do you lay down the best foundation for
yourself when you’re trying to conceive? So, what we’re gonna discuss tonight is the
process of preparing to conceive naturally, obstacles, what obstacles you might encounter
on the road to that goal, and also steps that you can take to overcome any barriers or challenges
to trying to conceive naturally. Fertility is a really sensitive issue. It’s also an emotional issue. And so we’re committed to creating really
great dialogue tonight to discuss the questions and concerns that most of you have about “how
do I conceive?” So, next we’re gonna introduce the panelists
I’m really excited about who we brought here tonight, thank you so much for sharing your
wisdom and thank you for your time for coming here this evening. If you could just all speak and say, what
your name is, what your background is, and of course, how you love to contribute to the
conversation about fertility, and maybe if you have any personal experiences about that. We’ll start with you. – Okay. My name is A’ndrea Reiter, I’m with Fusion
Fertility, and I use a mind body approach to getting pregnant. So, looking at the mindset component, and
I’ve had women up to age 47 get pregnant naturally, just by shifting their mindset and energy. It’s really cool to watch. I started this because my sister-in-law was
having trouble getting pregnant. And now I’ve a nephew who’s 10 years old. And it’s the most fulfilling thing that I’ve
ever done. And so my goal today in the discussion is
to talk about why mindset is important. And some things that you can implement today
that can help you shift that. – Great. – Hi, I’m Erica, I am a health coach out of
L.A. in this office. I’ve been with Parsley Health for about a
year and a half. I have my Masters in nutrition and Integrative
Health, which means that I’m focusing on both the nutrition and just the foundational lifestyle
to heal people, to allow people to be their healthiest and most vibrant, empowered self. Within the topic of fertility, as Jaclyn mentioned,
it’s one that many of our members are curious about and want to explore. And it’s one of the most fulfilling goals
as a practitioner to see them follow through on and we take in women who are told that
they can’t get pregnant naturally. And we’ve been able to shift their eating
habits and do some targeted supplementation and make sure that they’re sleeping, hydrating
well, and within a few months, they’re pregnant naturally and getting those emails, the next
time you see them that hug is probably like the deepest, most amazing hug. And so this is something that I’m wildly passionate
about because I think that there’s a lot of confusion in the world of fertility and family
planning. And it’s a pleasure to get to change some
of those misconceptions. – Hi, my name is Sage. I’m the creator and co-founder of Addictive
Wellness. We are a company making sugar-free raw chocolates
and incorporating Chinese in Ayurvedic herbs and a number of other things in that field. And my expertise and background that I bring
into this is, traditional herbal systems of indigenous cultures. And I think some people may not really initially
pay a lot of attention to what we’re talking about ’cause you’re not immediately wanting
to conceive. But really, I think when it comes down to
it, a fertile woman is a healthy woman. And so, some things that will talk about certainly
tonight will specifically be applicable to women wanting to conceive permanently, whereas
most of it is really to women who just wanna be vibrantly healthy and feel amazing and
have the hormones in a good place. And have great mental health and be glowing
like there’s so much more that happens as a downstream effect. If you get fertile, you also get really healthy
and feel great. So, I think this is something that can really
help anybody. – Yeah, I know, thank you so much. So, before I get started on the questions,
I have put together a good set of questions that I felt like were really important that
everybody should hear about and I’m really looking forward to you guys providing some
of the best answers. And then for those of you that are on Instagram
live right now, you guys have any questions that you wanna hear the answers to from our
panelists, make sure that you just go ahead and message in. And towards the end, we’ll be taking some
of the live questions from everyone. So, get started. The first one I wanna briefly discuss if lifestyle
factors can really impact fertility. And generally if there’s a certain part of
lifestyle that you feel is the best to help prepare a woman for pregnancy. So, let me start with Erica. – Okay, yeah. I think when you look at fertility, people
tend to wanna dive in on some of the really big topics like is my folate level good enough,
or you know, are my periods regular enough? But I like to take a step back and say like,
are we covering the baselines of health? Are you sleeping well? Do you handle stress well, or does it take
over your life? Are you hydrated because every single cell,
every single process in our body relies on adequate hydration and so if you’re not well
hydrated, you know we need to start there. We need to start at the base lines. I often give my members within Parsley a framework
to start with just good blood sugar regulation and its fiber, fat and protein on every plate,
you’re giving your body a ton of nutrients, you’re gonna be giving it beautiful gentle
blood sugar rises and falls. And you create the best foundation to do whatever
you want, whether it’s a fertility goal, or whether you have another health goal, but
we don’t cover those baselines, then it doesn’t even make sense to move into that second echelon
of treatment. – So Sage, when you’re talking about lifestyle
changes, and through traditional Chinese medicine and herbs and things like that, what do you
think is a good foundation or foundational concept within Chinese medicine for that? – Well, I think first and foremost, you know,
whenever we’re looking at things that can be problematic, you wanna make sure that you’re
optimizing hormone health. Because so many factors in our lifestyles
today are detracting from hormone health needs. And these are really some of the master switchers
that are gonna control things like ovulation and egg development. And so, we wanna look at, okay, what can mess
with our hormones? And there’s a variety of things. It helps us to really look at it from an evolutionary
biology point of view, really, because becoming pregnant, and having a baby is a huge investment
of resources on the part of the mother, it’s a huge risk in terms of her safety, and the
baby’s safety. So, if the environment is not safe, if it’s
not a low stress environment with an abundance of resources, then you’re gonna get in trouble
because you just don’t have what it takes, right? You’re not gonna, the body’s not gonna prioritize
fertility hormones, if you’re in a high stress environment. Or let’s say you’re overtraining, that’s another
thing that can be an obstacle as well. If you’re training to the limit every single
day, your body is gonna deplete its hormone reserves, and your body thinks you’re fighting
for your life every day on a biological level. It’s not gonna think oh, this is a great time
to be making babies – I’m fighting for my life every day. And there’s dietary aspects of this as well. For example, if you’re having a low-fat diet,
it’s signaling to your body This is not in a place of abundance where there’s plenty
of caloric resources available to me. So, then again, we’re in “survival mode,”
not “make a baby and procreate mode.” And then also toxicity is another issue we
really wanna look at going into this, whether it’s heavy metals that you’re being exposed
to, or whether it’s like PCBs or phthalates, parabens, things in perfumes and colognes,
which ironically, are some of the worst things for fertility…and phytoestrogens and xenoestrogens
like plastics coming from water bottles. These are like fake synthetic estrogens that
are gonna block your hormone receptors and not allow the healthy fertility hormones to
actually get in there. So, all these ways of alleviating stress from
the body can really help things out. – Great points. So A’ndrea, when we’re talking about lifestyle,
and just down to the basics. Say I’m like, “okay, I wanna get pregnant.” What are the things that I should be thinking
about? Maybe it’s a personal mantra, maybe it’s just
shifting my mind to be able to think about a certain thing that way. Like, what do you think is a good baseline
for women when it comes to the emotional and mental health concept there? – Well, one thing I find a lot is that people,
I don’t work is considered a lifestyle thing, but you spend a third of your life working. And a lot of times my clients have issues
like, there are either teachers or nurses or CEOs responsible for teams of people, and
they are giving so much to their job. And so the brain says, “well, I already have
kids, so, I can’t add another thing to my plate.” And so many of the women tell me, “well, yeah,
yeah, when I get pregnant, then I’ll look at it.” And that could be the very reason why you’re
not. So, I would say that you have to look at,
it’s not that you have to pretend you’re pregnant now when you’re not ’cause your brains like,
“no, we’re not. and I’m not playing that game.” But you do have to look at where you can step
back or create space. And I usually have my clients write down like
three to five things where they can create a little bit of space for them in their day. Even if that is like if you have a crazy job
that you go, you take a lunch break, if you don’t, or you take 10 deep breaths before
you go into work, something that is for you, that is creating space and feels downstream,
within your given circumstances. So, it’s not that you have to change everything
right now. But you do have to go “okay, what is for me? Where can I make a little bit of space here?” – It’s great. I wanna switch over to herbs and traditional
medicine approaches to boosting fertility. Can these be helpful? Are there any specific top herbs, maybe just
like the top three that you think are the most helpful that someone can incorporate
into their journey to help them conceive? – Absolutely. So, some of my favorites here are gonna be
Ashwagandha, is one and this works in a number of ways. It’s actually great for both men and women,
in fact. So, Ashwagandha is an Ayurvedic herb coming
from India, this is great for decreasing stress and anxiety. At the same time, it’s very supportive of
the endocrine system, supportive of the thyroid, which is another component endocrine system
that plays a huge role in successful fertility outcomes. And is, there’s an epidemic right now of hypothyroidism
in the modern world. And so, Ashwagandha is supporting in all these
ways. Some other ones would be Shatavari it’s another
Ayurvedic herb, which is also known as “she possesses 100 husbands.” If you can deal with the crap of 100 husbands,
surely you can make a couple of babies. So, that’s one of my favorites. And there’s also Gelatinized Maca, which is
a form of Maca that’s been heat processed. So, it’s actually more bioavailable and easier
to digest and more potent than raw Maca. Chasteberry is another great one for promoting
fertility hormones, but you have to be careful with it. Because Chasteberry, if you go off of it cold
turkey at any point, it can mess up your your flow of hormones to your your cycle for a
while. So, if you ever have to go off of Chasteberry,
it’s something you wanna wean off of real gently. And Tribulus is another one that again, both
good for men and women. But Tribulus, specifically for women, helps
to regulate ovulation. So, there’s lots of things here that can be
really helpful. And then one other category, if you don’t
mind, is the jing herbs in the Chinese system – things like Eucommia, Cordyceps, Cistanche,
Rehmannia, Morinda. These are replenishing your core kidney adrenal
energy. It’s like your reserves of energy, that’s
signaling to your body, “I have everything I need, I’m ready to actually give some to
the next generation.” And there’s also formulations that will help
in this department of hormone regulation. Things like Codonopsis and Longan. And another one is Buplerum and Peony, which
is specifically good for regulating hormones and in putting the cycle into a good balanced
place for fertility. – Thank you, Erica, from a nutrition perspective,
we talk a lot with our members about nutrition and how they conceive naturally. Can you give me the top three, the top five
foods nutrients, things that you think are like the most important to help boost fertility? – Yeah, the absolute top is I wanna know that
you’re getting enough calories. ‘Cause, as Sage has mentioned a couple of
times, we need to promote this idea of abundance in the body. So, if you have a fertility goal, this is
not the time that you also wanna be trying to get a 24 pack ab for bikini season, because
those just don’t align with one another. So, at the very minimum, I want to make sure
that you’re taking in enough calories to support you and to support all of your processes. So, that’s the first thing that we’re gonna
talk about. And we’re gonna have a very open dialogue
about that because I think that in and of itself can be a very scary topic sometimes. And it’s uncomfortable because there are times
when I have somebody who really desperately wants to become pregnant, really wants to
have children, and I’m like, “hey, you need to consider gaining five, maybe 10 pounds,
you might be a little underweight.” And that can be a tough conversation to have. But that’s one that is good to have that wonderful
relationship with your care team. Second to that, it’s fats, our fats are healthy
fats. So, things like avocado, oily fish, like salmon,
nuts, seeds. These are so beneficial because, without the
abundance of fats in the diet, you will not create those sex hormones. So, we absolutely need fats in order to create
those hormones. I’m also a big fan of just looking at different
micronutrients. In Parsley, we do a lot of wonderful testing. So, we can look at your nutrient reserves
so I can see that, oh, maybe you’re a little bit low on zinc, or maybe you’re a little
bit low on total protein, and we can adjust from there both of these being very hard for
ovulation. Or maybe beta-carotene, which we need in order
to create cell signaling. So, there’s a lot of really interesting nutrient
reserves that we can look at. Ultimately, there’s very few that are way
leaps and bounds more important over another. But we have to make sure that you’re not coming
from a place of feeling really depleted, from a nutritional standpoint and from a lifestyle
standpoint. – Right, thank you. A’ndrea, when it comes to shifting your mindset
and creating the best possible energy in the body, what are some tips or takeaways that
women can, just as a starting point if they’re new to that, something that they can start
to do to implement every day? – Well, I think there’s a quote, which I forget
who it’s by, but there’s a quote that says, “Ego says when everything falls into place,
I will find peace, spirit says when I find peace, everything falls into place.” And it’s so important when we think “when
I get the thing, when I get the baby, then I’ll be okay.” But what that’s saying from a law of attraction
perspective, like energy attracts like energy. So, if I’m saying “I’m only okay when I get
the baby,” what I’m actually saying is “I’m not okay, I’m not okay, I’m not okay.” And so that’s the energy that I met with a
match too. So, the best thing to start with honestly
is to go what is going right, right now? I’m getting a cycle. I have a uterus. I have a supportive husband, I have a place
to live. I am taking care of myself – what is going
right, right now. It doesn’t mean that you have to just be okay
with what is right now and while this is my life now and I have to deal with that. But you have to start from a place of gratitude
and, as of right now, technically speaking, you are okay right now. It’s only when we’re in the “shoulda, coulda,
woulda” of the past – “I should have done this. I should have said this” or the what-if of
the future. What if it doesn’t happen? What if I am too old? What if I’m not taking the correct 38 supplements? That’s what gets us upset in our present. It’s not our present that’s upsetting. So, the best place to start is to come to
the present. Why am I okay right now? What didn’t go well, today? Start there ’cause you can’t go when you’re
driving, you can’t go from reverse to drive. I mean, you can but you will break your transmission. So, you have to get to neutral first and then
go forward. – And how important is breath work and meditation
in this? – I mean, breath work is huge because we have
a whole emotional system that sits here and most of us are operating from here up. And so it is very important. Some people meditation, of course is great,
but not everybody’s a meditationy person. Most of my clients are super tight A, and
they’re like, I can’t meditate. I can’t do it. So, I mean if it’s going for a run or taking
a bath or whatever, reading the last Harry Potter book that you didn’t finish, whatever,
that is great, do that. That it is important. But you have to be doing things that are for
you. That not everything has to have a baby sticker
on it. I’m doing this meditation to get the baby,
that’s attachment. I’m gonna do this meditation because I feel
good. It makes me feel chilled out. – I love that. – That’s important. – Can I ask? ‘Cause often or somewhat regularly I have
people when I have that conversation, and I ask what is something that you enjoy to
do? Sometimes people are so disconnected that
they – “I don’t know.” So, how do you help with that? – Well, you can kind of put a pause button
on your life when you’re dealing with this. Like it’s like now my life is fertility. So, I will often ask them, what did you do
before this fertility journey started? Well, I used to play tennis, that’s literally
your homework. Yeah, go play tennis. One of my clients hadn’t had a glass of champagne
in five years – have a glass of champagne, you’re not gonna die. That’s not gonna be the make or break in whether
or not you get pregnant. So, it’s really about going back to What they
used to do, but then, I will make suggestions. Of course, there’s like the Den Meditation
over here, like, go to a class. Try different things and if you’re like, that’s
not my thing move to the next thing, but usually they can find something that they used to
like to do. It connects them back to who they were before
this started. And that’s so important. You’re a person still like, this is just part
of your journey right now. So, it’s not who you are right now. – So what is the number one mistake that so
many people make when they’re trying to conceive? And how can they avoid that mistake? I’d love for all of you answer that one. – Who’s to go first? – Sure, I’ll go ,yeah, I mean, there’s a lot
but I think just going back to the work thing. Most of my clients again, are very type A
and we’re used to being able to do A plus B and get C. We’re very efficient at work, we get it done. We don’t take no for an answer and fertility
is not linear like that, agree, and you cannot do A plus B and get C, otherwise you would
have a baby by now. So again, going back to that energy perspective,
if I am hunting for this thing from an energy perspective, I’m hunting it, it’s running
away. So, I’m hunting it so it’s running away. So, I have to come in more to a place of allowing,
and getting myself cleared out and lit up so that I am a match to the thing that I want. So, the biggest thing I see is, you know I
had somebody come to me who had just done nine back to back rounds of IVF and was like
no, not taking no for an answer, beating our head against a wall. I’m like, if it’s not working, stop banging
your head on the door, like pick a different door. You know, it doesn’t mean you have to give
up on your dream. It just means you can’t do it the way you
would do everything else. Especially work related. – And what about from a nutrition perspective
Erica? – Yeah, I really think that one of the biggest
pitfalls is when people get so caught up in the nitty gritty of oh my gosh, I need to
make sure that I have 12 milligrams of zinc every day because that’s what the RDA is for
somebody who’s trying to get pregnant, how am I gonna get that? And when you kind of take yourself out of
the intuition around eating and really just nourishing yourself, then, like you said,
love the analogy of hunting- I’ve got to hide to get to my 12 milligrams and it’s running
away from you. So, the biggest pitfall is becoming too caught
up in the minutia and getting away from “I’m gonna eat this beautiful piece of omega-3
rich salmon because it looks wonderful, and it nourishes me and I’m having the grilled
asparagus because I love asparagus, not because of the polyphenols and different nutrients
in it.” So it’s really just connecting back to the
fact that we need to nourish ourselves as human beings first. You need to be coming from a beautiful place
of abundance, not getting caught up in the nitty gritty and also not taking the fun out
of it either. Because trying to start a family should also
be a very fun time. And I see especially some type A people get
very focused on the outcome, and they forget about the journey. And it can be a beautifully fun time of exploration
with your partner and taking yourself out of that, you’re missing out on so much interaction
and fun and enjoyment. – For sure, so from a stress perspective Sage,
maybe you can help me with the herbs that are really helpful to bring down the stress
response that a lot of them have around just the topic of being super stressed out, trying
to figure out how can I get pregnant? You know, I’m really frustrated and I wanna
relax. So, what are some of the things there? – Absolutely so some of my favorite herbs
for stress are Reishi mushroom, which is known as the herb of immortality and spiritual potency. The Taoists traditionally would say that it
helps guide you around the obstacles standing in the way of human enlightenment- one of
the greatest herbs for getting you out of your head into your heart, and Ashwagandha
as we mentioned earlier is another great one. Holy Basil is another favorite. But I do wanna clarify with all these herbs
we mentioned so far, if you are actively trying to conceive, you wanna take these from the
time you get your period, up until ovulation, because although some of these herbs are traditionally
used during pregnancy, modern science has not extensively studied the safety of these
herbs in pregnancy or breastfeeding. So, they’re great to have before and leading
up and getting to that optimal place. But when it comes to the point where you may
be pregnant, okay, well now stop, you do all the other amazing things that you can do for
stress in terms of getting really good sleep, making sure that you are connecting well with
your partner, doing breath work, doing yoga, exercising gently. And there’s a time and place for the herbs
and so kind of ovulation where you cut off. If you don’t get pregnant on that cycle, you
get your period, now you start again. And if I may also answer your previous question
about things that people miss a little bit. I think there’s a lot of lacking education
for people, about some of the biggest tests that they can use to assess their fertility,
where it’s at now, and how it’s progressing over time, how much maybe they’re staying
infertile, or how maybe how fast their fertility is declining. Three of the most important tests in this
department are Inhibin B, which is one where you are looking at the – it’s actually great
insight at the quantity and the health of your active follicles. And then FSH is another one that’s very commonly
used. This is follicle stimulating hormone. It’s basically a signal being sent from your
brain to your ovaries to be more active. And so it’s kind of like your brain is the
boss of the office, and your ovaries are the factory, the more the factory people are kind
of not really producing, the more the boss yells down from above. So, the higher the FSH is, the more fertility
concerns you’d be having. And so you wanna ideally FSH, you wanna have
it below 10 is ideal for fertility. And the other one is AMH, and this is probably
one of the best in terms of being insightful, but also the most misunderstood. This is the anti-mullerian hormone. And this is a measure of what’s called the
functional ovarian reserve. A lot of people misinterpret it, and think
that this is the total ovarian reserve, which is not the case, this is kind of like the
people that are getting ready to go up to bat. This is a hormone produced by the follicles
as they’re getting ready to have eggs coming out. So, it kind of tells you what your fertility
over the next two to three months is gonna be like. And as it gets lower, it’s more problematic. If you can keep it higher, that’s really good. And there are things you can do that we can
talk about, you know, later to do that as well. But this you wanna ideally have it over one
is optimal for AMH. – So what’s one big thing that women can start
doing today? Or maybe it even has to do with their partner? Before we get into some of the questions from
the audience, there’s just one big takeaway from your own personal experience in your
field that you think is really valuable for women to come away with today, what would
that be? – I think one of the most important things
is to make sure that you have care providers and a team that is on team you. I cannot tell you how many people call me
crying being like, my doctor said, even IVF isn’t gonna work, blah blah, like all right,
are you getting a cycle or yeah, okay. All right, well, let’s figure it out. So, I think a lot of traditional doctors have
this misconception that just because of someone’s age, they are out of the race. And unfortunately, we have a bit of a white
coat syndrome in this country where it’s like, yes, they have had 10 years of training, but
they don’t know everything. They don’t know your capability. One of my clients who had an AMH of .08 was
told you will need donor eggs just hatched her child Christmas Day. So, it’s not just about the numbers-you need
to find whether that’s an integrated place like Parsley Health, if it’s a coach like
me, if it’s acupuncture, whatever it is, you have to assemble a team that is on team you. You are driving the bus and you can let a
doctor on the bus, a supplement on the bus, a coach on the bus, it’s your bus and you
have to drive it. You can’t try to flag down the IVF bus and
be like, please give me my baby. You have to know that you can do this. So, assemble a team that also thinks you can. – Yeah, I think it’s so important for women
to understand that they should use every tool, in their tool box to really, assemble that
team to have everything come together. And that’s every health care provider that’s
caring for them. It’s the friends, it’s the family. It’s how you treat yourself. So, it really is everything from a holistic
perspective that’s exactly how we practice at Parsley. And that’s probably why we see so many women
come into the office and have pregnancy as that number one health goal. – It’s also important too that, because we
give up so much of our capability on this journey. We think that because it’s not working, I
must need an outside thing. And so, we put all of our weight on that but
you just have to think of it as I can use these things as aids. But I am going to be the one that gets me
pregnant, you have to have that sense of capability. If you’re not, you’re not an energetic match
to being able to make a human. – Yeah, nutrition. – Yeah, definitely finding the diet that is
most supportive to you. I am wildly passionate about helping people
figure out what diet works for them, because you can pick up any book off the shelf that
is saying 21 days is gonna fix everything under the sun. But ultimately we have this beautiful thing
called bio individuality, and what works for somebody else is not gonna work for you and
vice versa. In my most perfect ideal world, I start working
with men and women about six months prior to when they ideally want conceive because
there’s so many unknowns. Does your body tolerate fermented fiber really
well? Or how are you with dealing with fats? Is your liver and gallbladder working well? How are your detox pathways? And we have a lot of unknowns. And we wanna figure out what’s working for
you and what’s working for your lifestyle so that as you get to the point where you’re
starting to try to actually become pregnant, it’s natural. It’s you, it’s your lifestyle, ’cause the
last thing we wanna do is find out you’re pregnant and then wanting to do a total 180
on diet and lifestyle. That’s the time for all these time tested
things to be just easy ’cause it’s not gonna get easier for nine months. So, we want diet and lifestyle to be figured
out. And like you said to be team you. This needs to be individualized for you and
your reality and your needs. – And I think really, it’s about a holistic
perspective. Because if you’ve got, you know, this is not
the perfect metaphor, but if you have a sinking boat with a bunch of holes in it, and you
plug one of them, you’ve still got a sinking boat. So, as much as people just wanna grab onto
like the one thing, that is helpful in certain regards. I think you wanna try to look at it from different
angles from the hormones, from the mental side of it, from make sure you’re getting
enough sleep and supplementation as well. If you don’t mind there’s three really impactful
supplements I’d like to mention. These would be: CoQ10 is one of them. Is something that is very supportive of your
mitochondria. This helps to escort electrons and protons
into the mitochondria and helps with ATP synthesis. ATP is basically pure cellular energy so that’s
cellular currency, and when you have your mature host – that’s your eggs. These are the largest cells in the female
body, hence, they’re gonna need a lot more batteries to power them. And the development of an egg is hugely, energy
intensive. So, you need a lot of healthy mitochondria
And this mitochondria really come to the center of so many aspects of health, and especially
fertility and egg health. And then you also have DHEA. Now this is a supplement that you can get
kind of like over the counter these days or in a health food store. But it is a hormone, so it’s something you
really should do under the guidance of the doctor. And a dose you commonly see – and again, you
customize this with your practitioner is something like 25 milligrams three times a day. And the reason for this is that both in men
and women, DHEA is rapidly converted into testosterone and other androgens. Testosterone, you may think is just like a
hormone for men, but in reality, it’s very important at lower levels like 130 of the
levels for women, as well. And for optimal fertility, you really want
your testosterone to be kind of in the upper third of the normal range. And what happens with testosterone is it comes
in and fits into the testosterone receptors among the granulosa cells that are around
the follicles. And this helps with follicle development. ‘Cause if your follicles are not developing
properly, then it’s gonna lead to less eggs and less healthy eggs. And when you look at women who are dealing
with lots of fertility problems very commonly, testosterone is very low. And the last one is called nicotinamide mono
nucleotide. This is something that is is very new. Literally the study I’m about to talk about
that has connected this to fertility was just published on February 11. So, this is like news that’s less than a month
old. And so we have this thing in our body called
NAD. It’s a core component of the energy production
of our body and our production of ATP, which we were talking about with CoQ10. And you can raise NAD in a variety of ways. And it’s found with things like NMN, nicotinamide
mono nucleotide that are found in certain foods This is something that’s a precursor
to NAD. And so you can like have a broccoli or avocado
or beef – these all have NMN, but it doesn’t survive digestion very well, which is a problem. So, you can get pure NAD intravenously very
effective, very expensive at the same time. So, a more effective way to do it is through
these NAD precursors like nicotinamide mono nucleotide and nicotinamide riboside, although
nicotinamide mono nucleotide is shown to be more stable and more effective. Now, as I said, they struggle through digestion,
so, if you can get them absorbed more directly, that’s great. So, there’s for example, a company named Alive
By Nature that has a sublingual tablet, which is pretty good, but still, it’s not the greatest. Then, there’s also Quicksilver Scientific
who does a liposomal one that absorbs very well, which is great. You get great absorption below the tongue
because there the skin is between a 10th and three quarters of a millimeter thick. So, you absorb into the blood very easily. But Alive By Nature actually, just today,
funnily enough, came out with a liposomal form of NMN, which I pre ordered, it’s in
the mail, I’m definitely getting it. And this is something that is shown in the
studies to really increase the NAD levels in the ovaries. And as a result they’re seeing and this is
in mice studies and it’s just been recently confirmed in horse studies, they’ve haven’t
done human studies yet as of this date, but they’re seeing more eggs being made, and more
successful pregnancies. So, they took mice who were 12 months old. And to put that in perspective, mice go through
menopause between nine and 12 months usually. And of the mice that were not on nicotinamide
mono nucleotide, you see about 1 in 15 was able to get pregnant Of the ones that were
taking it for four weeks at a dose that equates to about, for humans, about 350 milligrams
for a 110 pound female, about two thirds of the mice became pregnant. So this is amazing. And look, I guess it hasn’t been tested in
humans yet. But let’s say it doesn’t work for fertility
in the same way as humans, you’ve just taken a supplement that’s one of the greatest things
for extending your lifespan and health span. So, even if it doesn’t plan out and the dots
don’t connect for that next generation. Although it’s, you know, very promising that
it very likely could, you’re at least you know doing wonders for your own bodies. – Looking forward to seeing more studies on
it. – Yeah, absolutely. – So we’ve got some questions, right? How far in advance should you start preparing
for pregnancy? That’s a great question. How far in advance? So I can answer that, at least from a personal
standpoint, I feel like you can start preparing and as in advance as far as you’d want, really,
but from a purposes of egg quality and the egg getting ovulated like the one gets fertilized,
I typically recommend the same as Erica had mentioned about three to six months prior. So, at least three to six months prior. Sometimes for some women, there’s more to
the discussion, maybe they were on birth control for a long period of time. Maybe they haven’t had a period in a long
time. So you know, talking to your doctor about
these things, so that you can plan for something that’s really unique to you. There’s a lot of other considerations there. But at least three to six months prior is
what I would say. Guys anything different? – Mine have already been trying for a long
time. – Depends on your detoxification needs as
well -like let’s say you have really high levels of mercury and lead, something like
that. Where we need to go a route of like chelation
therapy you need to look more towards like a year, two years to allow time to properly
get those out of body. It takes time to do it gently where you’re
not having any negative side effects. – Good point. I’ve also noticed, too, that for some women,
especially the ones that have been on birth control for a long time, that once they get
off birth control and they’re trying to even just get a period back, just get one period
back, that could take a long time. And it could take a long time for us to work
on their body and work on the detox and work on different pathways and nutrition to try
to improve that. So, it really is an individual question. What would you recommend for someone who has
had ectopic pregnancies and is trying for the third time? Great question. – Might defer to the MD on that one. – Anyone wanna answer before I take a stab? No. Yeah, so ectopic pregnancies. That’s a great question. I think that from an individual standpoint,
anatomically, there can be problems, there can be problems with exactly where the actual
egg that’s fertilized is implanting, right? So, the reason why that could be could also
be because the egg may not have the best quality genetics. So, the egg, if it doesn’t have the best genetics
or even when it combines with the sperm, if there’s any problem with the actual fetus,
then of course the body has this tendency to abort, right? So, if it doesn’t have the right genetics,
if it doesn’t have the right nutrients if it’s not developing along, sometimes this
can even be issues where we need to investigate mom. We need to understand anatomically, what’s
happening with mom. We also have to understand why does she have
multiple ectopic pregnancies? So, is there any sort of genetic mutations
that might be involved there? Is there something in her underlying bloodwork
that needs to be investigated? So, cases like that are really on an individual
basis? – Can I just say something, just from an energetic
perspective. That I find that specifically with ectopic
pregnancies, but also even with miscarriage when there is, it tends to be even though
like, obviously, you’re trying and you think it’s the right time. Sometimes there are things outside that happen
that kind of, we put the brakes on and literally the egg will do that also. So like, for example, one of my clients, her
mom died and her husband was out of work and they moved, and her body was just like, nope,
nevermind and so we have to take that into account too- your brain is sending orders
to the body. So, we have to look at like what the brain
is worried about also because that can put the pause, put the brakes on the body as well. – And create the ectopic pregnancy. – Yeah, that’s the physiological manifestation
of it. – What would the ideal fertility diet look
like? – That’s a good one. Like I said, it’s very individual. Base minimum is we want make sure you’re getting
enough calories, yeah, calories to. – Hash tag catalories. – Finally gonna go viral. We want create abundance and its abundance
in calories. Its abundance in macronutrients, its abundance
in micronutrients. And the best way to approach that is really
with variety, because there’s an incredibly complex and beautiful inner play, that the
nutrients within real whole foods have. That science still can’t quite figure out,
all the different nutrients in an apple will never be encapsulated into a supplement because
the fiber slowing down the absorption and the area and the sunshine and all these different
factors are just so unique to that one whole food. So, at a minimum, we want a variety of foods
to promote the best quality diet and the best health and the best chance for a really good
pregnancy. I do promote more of a plant forward diet
and this can fall in line with many different philosophies. At Parsley, one of the diets we use very therapeutically
is a plant forward paleo type diet. It’s our core diet, where we’re removing a
lot of most inflammatory foods, things like your gluten your dairies, your sugars and
things that cause havoc within the body. You don’t want your body and your immune system
to be fighting an inflammatory battle at the same time that you’re trying to create new
life. So, we want to remove things that are not
working for you, replace them with things that are really supportive Getting in your
fats, your omegas that are so critical for fetal brain development and for inflammatory
support, getting great protein, a variety of proteins, making sure that you’re getting
plenty of fiber, a little bit of starch based on how much activity you’re doing. Not so little that we stress the thyroid,
not so much that we promote weight gain. So, there is a fine balance that minimum it’s
a whole foods first and then talk to your care team about supplementing and really bringing
into more of a minutia from there. – Yeah, one last question. When should you stop poor health habits, like
smoking and drinking and fast food, etcetera? – Today’s pretty good. – Right now, absolutely. As soon as possible. One more question. – Okay, good. – What would you do to normalize hormones
like thyroid, for someone who has Hashimoto’s? That’s a multi, I feel like that’s a multi
answer question, right? – It’s really multi level. So, much of it ties back to gut health. Autoimmunity. There’s a, with Hashimoto’s, there’s like
multiple components to it, right. There’s like genetic susceptibility is a part
of it, previous lifestyle factors. But if you can, at least go about the most. It’s not easy but easy to address. Now in a lot of ways that is most obviously
in front of you and you have tools you can actually deal with it is improving gut health,
decreasing heightened gut permeability, dealing with what you know, some people call leaky
gut and the inflammation and autoimmune reactions that come as a result of that. I think that can at least is one, you know,
one of the legs of the stool that you can stabilize. – And let’s not forget about stress. – I was just gonna say calming that cortisol
response for somebody with Hashimoto’s is so imperative. – Exactly ’cause that you know, that can make
everything worse, especially if the stress is not controlled. You know, cortisol overdrive really affects
thyroid gland directly. So, keeping stress under control is a big
one for patients that have Hashimoto’s and they’re trying to conceive. And we got oh, for me, let’s see. Okay, yeah. So basically, it’s make sure that you talk
to your doctor about any of the supplements, any of the food nutrition, anything else that
we’ve discussed today, it’s really important that you talk to your doctor about these types
of things that you’ve heard and whether or not the right for you. Any any last minute things that you guys wanna
add, that you wanna make sure our audience hears about when it comes to natural conception,
fertility, last minute thoughts. – As the one guy up on the panel maybe I could
share a little bit about what helps guys on that side too, as it takes two, right? So we guys, of course, you want to avoid things
that are gonna harm your sperm, right? So, this comes in the form of EMF is a big
one. Don’t be keeping your cell phone in your pocket. Don’t have your laptop on your lap. Women, if your male partner insists on doing
those things, check out a company called Lambs, L-a-m-b-s. They make an underwear that’s lined with silver
fabric that blocks EMFs, so at least you’re helping to block some of this harmful radiation. What you also wanna avoid is excess heat. So, too much use of a hot sauna, hot baths,
jacuzzi, any of that is also gonna be harmful to sperm. On the other hand, cold is very good for sperm. So, doing cold showers, doing ice baths is
all very supportive of sperm health. As is red light so you can get something like
the Joovv Go. It’s a small red high, high intensity red
LED thing. Put it in your pants for 10 to 20 minutes
a day-does wonders for testosterone and sperm production. And then looking in the herbal department. You could look at things like Ashwagandha
we talked about earlier for women- also great for men. It doesn’t directly affect the sperm. But it’s actually found in studies to end
up really increasing sperm count and quality as a indirect result of how it affects your
stress. And then Tribulus is another one for guys. Gelatinized Maca, He Shou Wu, Tongkat Ali
is another really fantastic one. And so there’s a bunch of tools you can bring
in here for guys. But yeah, it’s important for the guy to do
his part of the job as well and provide the best ingredients and everything we said about
mitochondria for women. Also applies for men, ’cause the sperm gotta
swim, they gotta cover some ground, they got to get moving fast. – I would also add for men explosive weightlifting
movement is one of the best ways to promote testosterone production in the body along
with promoting lean muscle mass, which is also incredibly important. So, getting in to like a Cross fit type gym,
or something like where you’re doing just those explosive Olympic lifts, so really fun
and good way to promote that. – And just from an energetic perspective while
we’re on the male train. I do find that a lot of my clients’ partners
who have a low count, low volatility, that kind of thing. It tends to be related to a couple of things. Either the woman is the breadwinner, and they
either don’t have a job or they’re not happy in their job, or they have some sort of emotional
trauma as well, but they have not dealt, or they’re not doing something that fulfills
them. Because the sacral chakra, if you’re into
energy kind of stuff, is creativity, relationships and children. That’s where the reproductive organs are in
both men and women. And so creativity doesn’t necessarily mean
photography, dancing, painting, it can be purpose for guys. And so if they’re in a like a slog of a job,
they hate it, or they’re unemployed or whatever. If you can sort of plant seeds, maybe for
them and encourage, even if it’s a hobby, they don’t have to change jobs or whatever,
but something that is fulfilling and purposeful to them. I found that one of my clients was just recently
a few weeks pregnant. They told her she couldn’t ’cause he had a
male factory issue. She’s all of a sudden pregnant because all
of a sudden he started volunteering at an animal shelter and he loves animals and like,
done. So, yes, there’s, again, it’s a holistic approach,
you’re gonna wanna look at everything but don’t overlook this stuff because it really
is, again, brains giving orders to the body. So make sure this is on straight. – It’s great to have a semen analysis done,
find out what your sperm count is, morphology, motility, get some numbers around where things
are at, so you can track it over time and see if what you’re doing is making an impact. – Well, I hope you all picked up some great
gems today. Where can everybody find you all on Instagram
or social media handles? – Yeah, I’m Instagram @addictivewellness,
same on YouTube and all other social media. – I’m @ericazellnernutrition, with two L’s
and I’m pretty much only on Instagram. I have not dived into some of the other ones
yet. – I am @fusionfertility on Instagram again
mostly and then futurefertility.com, and my book is on the table over there, “How To Get
Pregnant Even When You’ve Tried Everything A Mind-Body Guide.” It goes into four areas that most doctors
are not talking about that you might wanna think about as you’re on this journey. – And I’m Dr. Jaclyn Tolentino at Parsley
Health or @dr.jaclyntolentino. So it’s great. I’m glad that you guys got some gems from
this evening. Looking forward to holding another type of
panel, so that we can also continue to share more knowledge. Yeah, bye. – Bye.

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