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Hello Fertility Welcome to Hello Fertility!

We are by your side while you try to conceive, whether you are looking to conceive naturally or improve your odds of IVF success with integrative and functional medicine.

When it comes to improving the quality of your eggs and the health of your ovarian tissue, there are three key factors t...
19/08/2022

When it comes to improving the quality of your eggs and the health of your ovarian tissue, there are three key factors that you need to pay attention to.

🥚 Androgen levels: androgens like testosterone and DHEA are critical for proper function of the ovaries and maturation of follicles. When androgen levels decline, we often see a decline in ovarian reserve as well. This most commonly happens as a result of normal aging, but other factors can cause antigens to be low as well, such as stress, inadequate sleep, and other lifestyle factors. This is easily tested and can be managed if it’s low.

Oxidative Stress: this is another term for “free radical damage”. Essentially, anything that causes damage to your DNA. Many things can increase oxidative stress in the body. Some are lifestyle related such as diet or exposure to environmental toxins. Even viral infection, poor sleep, and imbalanced blood sugar can also contribute. With oxidative stress, it’s all about balance. In order to combat oxidative stress, which is even produced through normal and healthy metabolism, we have to counter it with antioxidants. These mostly come from our diet but can also be found in many supplements.

Mitochondrial function: Mitochondria are our energy power houses. They manufacture ATP for our cells. When these are not functioning optimally, the low energy levels make it harder for ourselves to do their important work. Te**es and ovaries are disproportionately affected compared to other cells in our body because they are so energy dependent.

In our practice, and in our programs, we teach you how you can evaluate each of these areas. Every treatment plan is customized to address your specific needs.

***y

We know what drives both egg &  ***m healthWhile the cells are vastly different, the drivers for good quality are remark...
14/06/2022

We know what drives both egg & ***m health

While the cells are vastly different, the drivers for good quality are remarkably similar!

🔹 low and lots of & (our body’s master antioxidant) to balance that out

🔹 healthy : mitochondria are the energy-production powerhouses within our cells, including in the s***m, te**es, ***y and eggs. Making energy is critical for health & if low, can affect and as well as ***mquality (especially ***mmotility but all parameters including ***mcount and ***mmorphology )

🔹balanced levels of inflammation: is actually necessary for and but too much can be problematic. It’s this way with egg & s***m development too!

🔹 proper signaling: is critical for these cells to be made properly. The brain is like the boss of the factory and uses like little managers to go out & tell everyone what to do.

Almost all of your affect these underlying functional health drivers.

Poor diet? That can raise oxidative stress levels

Toxic exposure? That can damage mitochondria

Digestive challenges or your microbiome is off? This can impact hormone balance and inflammation

It’s why we look at your when you come in for an initial evaluation, to ensure we’re optimizing your health potential in all of these areas!


  health is critically important when   Again & again, we see this missed, under tested, and mismanaged.  On this week’s...
13/06/2022

health is critically important when

Again & again, we see this missed, under tested, and mismanaged.

On this week’s blog, we cover the important factors about and also, the biggest misses when it comes to thyroid evaluation.

Click the link in bio to check out the blog.

What questions do you have about your thyroid health? Have you had a complete thyroid eval? Or have things been missing for you?

Hormone balance is responsible for fertility and so much more!Regular cyclesMinimizing symptoms of   and  Balancing your...
07/06/2022

Hormone balance is responsible for fertility and so much more!
Regular cycles
Minimizing symptoms of and
Balancing your mood
Maintaining a health weight
I could go on!

Here are the top 6 nutrients for

🔹 Omega-3s : are a special type of fat found in fish and seafood, nuts, and seeds. fats Play a special role in hormone balance by supporting the health of the cell that produces the hormone. Omega-3’s have been shown to raise and levels, and to balance levels when it is low or high in women. It is also and a healthy part of the . This is the foundational reason that is used for imbalances

🔹Magnesium: is a critical mineral for hormone balance. It acts as a cofactor for hundreds of enzymes within the body, which means you need to have enough magnesium around for these enzymes to do their job! It supports steps in as , building , and more. Magnesium is commonly deficient in women, and I recommend either focusing on foods high in magnesium or taking a supplement

🔹 Zinc: Like magnesium, Is another mineral which is a superstar cofactor for enzymes. It is also a potent . Zinc has been shown to improve fertility for both genders, and is essential for hormone balance.

🔹 Vitamin D: low has been shown to impact hormone levels, including lowering estrogen (and worsening symptoms in women) 😬 avoiding often requires supplementation on an ongoing basis

🔹Iodine: this micro nutrient is essential for hormone balance. is a critical nutrient in order to make hormone properly, and without that, the rest of your cycle can be thrown out of balance. With iodine, too much can also be a problem, so testing should be done before supplementation.

🔹 Vitamin C: the humble is one of the most important nutrients to concentrate on for hormone balance. It supports production of hormones and has been shown to boost

is a critical component for women to have a healthy cycle!

Your lifestyle choices are more powerful than you think!Yesterday, I shared a story of a client who was worried, based o...
02/06/2022

Your lifestyle choices are more powerful than you think!

Yesterday, I shared a story of a client who was worried, based on genetic testing, that her hormonal destiny was less than stellar. When we tested her hormone levels, what we found was remarkable- she had beat her genetic destiny through lifestyle!

This opportunity is because of something called

Literally, epigenetics involve changes not to our genome, but to how it is read. While genetic changes (a la Darwin) take generations to happen, epigenetic changes can happen in a single generation- it allows our body to make functional changes to optimize to our environment more quickly. And they are STILL INHERITED from parent to child!

Many things are known to change our epigenome- toxic exposures, too many or too little calories, shortages of nutrients, etc.

One compelling example is a mouse study where genetically identical mama mice were exposed to BPA (bisphenol A, the hormone-disrupting toxin in many plastics). One set of mama mice was also given folic acid, choline, and betaine (which is an antioxidant and “methyl donor”).

Baby mice born from those mamas were followed, and what they saw was remarkable- baby mice from the BPA-exposed mamas had a high incidence of diabetes & obesity, and mice born to mamas who also received the nutrients did NOT. This simple addition to mom’s diet made ALL the difference in the health of the offspring.

Cool, huh?

Another way that our lifestyle choices can positively effect our genetics!



  and   Today, I had the chance to review a   with a colleague and client.  She had had genetic testing done that showed...
01/06/2022

and

Today, I had the chance to review a with a colleague and client. She had had genetic testing done that showed a LOT of risky (single nucleotide polymorphisms, basically small genetic errors that we all have)

Different from looking at (which are useful, but only tell you potential risks), the DUTCH test looks at ACTUAL metabolites in your urine. So, what is happening, not just what *could* happen.

In this woman, who puts her self care & health as a priority (despite being a super busy mom of 3!) her hormone metabolites were super balanced & healthy!

Her lifestyle overcame her genetics.

💥 boom 💥

Powerful!

One behavior that makes a huge impact is eating a lot of vegetables, specifically cruciferous vegetables. These veggies provide a ton of fiber, and contain special compounds that help you breakdown and metabolize estrogen healthfully.

Veggies like:
🔹kale
🔹collard
🔹broccoli
🔹cabbage
🔹Brussels sprouts
🔹Broccoli sprouts
🔹cauliflower
And more!!

Another reminder that your genetics are not your destiny, and the power of the choices on your and that you make every single day!



Men often do not get the same level of work ups for fertility as their female partners. There are many reasons for this,...
26/05/2022

Men often do not get the same level of work ups for fertility as their female partners.

There are many reasons for this, but the predominant one is that “all it takes is one s***m”.

This is true, but I would rephrase it to say, “you only GET one s***m”… And so you want it to be the BEST one possible!

When it comes to male fertility, there are several health factors that affect s***m quality. If we want to take a comprehensive look, it can be helpful to run some of these additional labs.

If you want to see how our clinic looks for OPTIMAL ranges for men, instead of simply lab normals, check out the link in bio and download our free guide today.

***m ***mhealth ***mcount ***mquality ***m ***mcount ***mmotility ***mmorphology

So many times, I see men with normal semen analyses check out of the fertility process thinking their job is done. But i...
24/05/2022

So many times, I see men with normal semen analyses check out of the fertility process thinking their job is done.

But in cases where couples haven’t found success, often times optimizing s***m health is the missing piece of the puzzle!

One big challenge is that the normal range for semen is set as the bottom 5th percentile of normal. What that means is that in a room full of healthy men, five will be at or below that number, and 95 will be above. When men are in the bottom 5%, there is so much opportunity for improvement!

That’s why I created my free guide to optimal labs for men. The guide includes an optimal semen analysis, and even covers where their hormones should be at!

If your partner has had a semen analysis done and do you want to see how it stacks up to the total group of healthy men, be sure to check out the link in my bio and download the guide. It is sure to be enlightening!

It’s literally the most beautiful Sunday in Boston 🌞 but there’s nowhere I’d rather be today than here!  Today is our fi...
22/05/2022

It’s literally the most beautiful Sunday in Boston 🌞 but there’s nowhere I’d rather be today than here!

Today is our first full day meet up for the Fertility mentorship, a year-long Mentorship for clinicians who want to level up the care that they provide!

Yes, that’s right- I’m the doc that trains the docs on fertility! 😍

The mentorship is focused on both clinical and business support, and includes monthly continuing education, live case observation, weekly cases, business accountability check ins, one on ones, and much more!

Today we’re focused on how to level up your practice to better serve women & couples who are trying to conceive.

Honestly, these full days fly by, and it’s AMAZING how much is accomplished in just a day!

So amazing to work with these amazing clinicians!


rachel.low
mackowiak_cbnw

Have you tried IVF without success?Think a “natural” approach to   couldn’t possibly help?I see women like you all the t...
19/05/2022

Have you tried IVF without success?

Think a “natural” approach to couldn’t possibly help?

I see women like you all the time!
🌟 Couples who have tried everything.

🌟 Couples with no explanation.

🌟 Couples who have spent a ton of money and time and still don’t have that baby there after.

This is not the end of the road, even if it feels that way!

A approach to and means uncovering root causes of fertility challenges. Things like:


Imbalance




And much more

If you’d like to learn more, check out the link in bio and schedule a visit today!

Gut Health and FertilityProbably my favorite place in our house is this very kitchen- and thank goodness for that! Becau...
17/05/2022

Gut Health and Fertility

Probably my favorite place in our house is this very kitchen- and thank goodness for that! Because the food you eat, and your digestive process are BIG factors for your fertility.

Have you wondered how?

🌟 Nutrient absorption happens here. This is the most obvious one, but an intact is critical to absorb all of the nutrients from the food that you eat.

🌟 Immune balance: about 70% of your is located surrounding your gut. Called the (gut-associated lymphoid tissue), it is there to protect you from the many pathogens that can enter your body thru the gut (think about even 50 years ago, before solid food preservation and refrigeration, how critical this was!). Now, in modern westernized countries, this immune reaction sometimes works against us, causing overstimulation of the immune system leading to inflammation and even

🌟 microbiome: the guy has an amazing body of research on its role in and . There are species and strains that can be picked up on re**al swabs and vaginal swabs that are associated with fertility challenges.

So, what is important to know about your when it comes to your fertility?

🌟 Choose wisely: your food selection is the greatest influence on your gut health- and , and the they provide, and the nutrient diversity from all make a difference

🌟 Chill when you eat- this is a toughie for some, but slowing down to eat allows your nervous system to turn on properly to assist in digestion. It’s a BIG deal. Eating is an activity best done exclusively- not while working, watching tv, driving, etc.

🌟 Get digestive rest: do you snack all day? Giving your gut a meal, then time to digest it, can assist with digestion of food and overall gut health. Whether this is in the form of breaks between meals or a 12 hour overnight fast (which I recommend!) it’s important to not be eating all the time. We all need a break sometimes!

Have you heard this concept but wondered why? 👇🏻Drop me a note in the comments with your Qs 👇🏻

My mantra for you today & every day, no matter what season you are in. 🤍❤️
08/05/2022

My mantra for you today & every day, no matter what season you are in. 🤍❤️

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