Dr. Miranda Myles

13/11/2025

My day yesterday.
8 month old Harry
12 day old Luca

I’m addicted

13/11/2025

My day yesterday.
8 month old Harry
12 day old Luca

I’m addicted.

15/10/2025

Slow thyroid = constipation.
Sluggish thyroid affects just about every organ as we have thyroid hormone receptors on most cells.

13/10/2025

Your blood tests might not be wrong — they might just be done on the wrong day. ✨

Hormones are rhythmic, not static.
Testing at the wrong time can make your labs look normal when they’re not —
or abnormal when they’re perfectly fine.

🩸 The right day matters:
• FSH, LH, oestradiol, testosterone, SHBG & FAI → Day 2–3
• Progesterone → Day 21 (or 7 days post ovulation / 7 days before next period)
• Thyroid → Days 2–8 or 20–28
• Prolactin → 10am
• Iron → Days 7–10 or luteal phase
• Nutrients → Any day, fasted, morning

✨ Always test fasting, in the morning, and on the same cycle days for future comparisons.

Because timing changes everything. ⏱
Save this post so you know exactly when to test next time.

13/10/2025

12/10/2025

From the Pill to Panadol — some of the most common meds quietly drain key vitamins + minerals.
That means fatigue, mood dips, cramps, and poor recovery might not just be “you.”
Here’s what to look out for 👇

The Pill (Oral Contraceptives)
Depletes: B6, B12, folate, magnesium, zinc, selenium, vitamin C
💡 Hormone, mood + energy support nutrients — easily depleted.
Low levels = PMS, anxiety, fatigue + low libido.
👉 Support with a B-complex, zinc + magnesium daily.

Paracetamol / Acetaminophen (Panadol)
Depletes: Glutathione
💡 Glutathione = your liver’s master antioxidant.
Depletion → sluggish detox + higher oxidative stress.
👉 Support with NAC, selenium, vitamin C + sulfur-rich foods (onions, garlic, eggs).
PPIs (Reflux / Heartburn)
Depletes: B12, magnesium, calcium, iron, vitamin C
💡 Blocking acid = blocking absorption.
Low levels cause fatigue, cramps + anaemia risk.
👉 Support digestion

Statins (Cholesterol Meds)
Depletes: CoQ10, vitamin D, selenium
💡 Less CoQ10 = tiredness, muscle pain, brain fog.
👉 Supplement CoQ10 + antioxidants to protect mitochondria.

Metformin (for PCOS / Blood Sugar)
Depletes: B12, folate, CoQ10
💡 Long-term use can trigger neuropathy + fatigue.
👉 Support methylation + mitochondria with B-vitamins + CoQ10.

ACE Inhibitors (Blood Pressure)
Depletes: Zinc, sodium
💡 Low zinc affects immunity + taste.
👉 Add oysters, pumpkin seeds, nuts + seeds.

Corticosteroids (Prednisone, etc.)
Depletes: Calcium, magnesium, potassium, vitamin D, zinc, vitamin C
💡 Chronic use → bone loss, fatigue, poor healing.
👉 Prioritise bone nutrients + antioxidant support.

NSAIDs (Pain Relief: Ibuprofen, Naproxen)
Depletes: Folate, iron, vitamin C, potassium
💡 Long-term use damages gut lining + nutrient absorption.
👉 Support gut integrity with glutamine, zinc + vitamin C.

Antibiotics
Depletes: B-vitamins, vitamin K, probiotics, magnesium, calcium
💡 They kill infection and good bacteria.
👉 Rebuild gut flora with probiotics + fermented foods.

Antidepressants (SSRIs, MAOIs)
Depletes: CoQ10, B-vitamins, magnesium, zinc, melatonin
💡 Mood meds can worsen fatigue + insomnia via depletion.
👉 Support mitochondria + nervous system.

29/09/2025

True pain and fever, yes, Panadol (aka acetaminophen, aka Tylenol) is considered the safest western medicine treatment in pregnancy. And I’m not saying don’t, as it’s not ok to just “put up with pain”
in pregnancy.
What I’m saying is that it is always there as an option, but there are fabulous alternatives to try to mitigate pain, headaches and migraines in pregnancy.

1. Lifestyle:
Sleep Hygiene: Fatigue amplifies pain; prioritising naps and consistent sleep often reduces headaches.

Hydration: Dehydration is a common trigger for headaches in pregnancy—aim for 2–2.5L water daily.

Heat & Cold Therapy: Warm compress for muscle tension; cold pack for migraines or acute pain.

Gentle Movement: Prenatal yoga, stretching, or walking to ease back pain and release endorphins.

2. Nutritional medicine:
Magnesium (citrate or glycinate): Reduces tension headaches, muscle cramps, and supports sleep.

B-Complex Vitamins: Especially B2 (riboflavin) which has evidence for migraine prevention.

Omega-3 Fatty Acids: Anti-inflammatory, helpful for joint pain and systemic inflammation.

3. Herbal Medicine
Ginger: Safe in pregnancy, reduces nausea and mild inflammatory pain.
Chamomile (tea, not oil): Relaxant for tension headaches, safe in moderate amounts.
Turmeric (dietary, low-dose): Anti-inflammatory when included in food, but avoid high-dose supplements.

4. Essential Oils (always diluted, never internal)
Lavender oil: Inhaled or diffused for relaxation and headache relief.
Peppermint oil: Applied diluted to temples for tension headaches (avoid ingestion).

5. Homeopathy
Nux vom: natures Panadol. Brilliant.
Belladonna: Sudden throbbing headaches with sensitivity to light/noise.
Bryonia: Headaches worse with movement, better with rest and pressure.

27/09/2025

Pop a pill ➝ deplete glutathione ➝ drain NAC ➝ compromise egg quality.

Paracetamol is broken down in the liver.
Most of it is processed harmlessly, but a small fraction turns into a toxic by-product (NAPQI).

Normally, the antioxidant glutathione binds and neutralises NAPQI so it can be safely excreted.

⚠️ The problem?
If you take high doses, combine with alcohol, or have depleted glutathione stores (from stress, illness, poor diet, or chronic conditions), your liver’s ability to mop up NAPQI drops.
This can overwhelm the system and cause liver injury.

Glutathione is your body’s “master antioxidant,” crucial for detoxifying toxins (like the by-products of paracetamol), protecting cells, reducing oxidative stress, and supporting fertility.
To make glutathione, your body needs three amino acids: glutamine, glycine, and cysteine.
Cysteine is the rate-limiting step (the hardest one to get in enough supply)

💡 Fertility Connection
NAC supports egg quality by reducing oxidative stress directly, and also indirectly by boosting glutathione inside the ovarian follicles.
But if your liver is under pressure (say from paracetamol, alcohol, or chronic inflammation), NAC may get diverted primarily to glutathione production for detox.
Less NAC left for the ovaries = less antioxidant protection for eggs.

🌿 Support your glutathione system:
Prioritise protein (especially cysteine-rich foods like eggs, garlic, onions).
Load up on antioxidant-rich fruits and vegetables (vitamin C, selenium, and polyphenols help regenerate glutathione).

Supportive herbs (like milk thistle) and nutrients (N-acetyl cysteine, NAC) are well-researched for replenishing glutathione.

27/09/2025

Ovulation is the main event. Your period is the report card.

22/09/2025

Our boys are half as fertile as our grandfathers.

Why?
1. Smoking 🚬
Damages s***m DNA.
It reduces count, motility, and morphology.
It is linked with higher miscarriage risk in partners.

2. Alcohol / pharmaceutical and recreational drugs 🍺
Excess alcohol lowers testosterone and increases oestrogen.
They impair s***matogenesis and reduces s***m quality.
They can lead to erectile and hormonal dysfunction.

3. Obesity & Poor Diet 🍔
Excess fat increases oestrogen and reduces testosterone.
It is associated with higher DNA fragmentation and lower s***m motility.
Diets high in processed foods, trans fats, and sugar worsen s***m quality.

4. Heat & Tight Clothing 🔥👖
Prolonged heat exposure (saunas, hot tubs, laptops on lap, tight underwear) damages s***m.
Te**es need to stay cooler than body temperature for optimal s***m production because they are sensitive to heat, and oh so fragile 🙄

5. Endocrine Disruptors 🧴
Found in plastics (BPA, phthalates), pesticides, personal care products.
They mimic or block hormones, interfering with s***m development and are linked with declining s***m counts

✨ Key Takeaway: Lifestyle choices matter. Protecting s***m health isn’t just about fertility — it’s about long-term hormonal and metabolic health, too.