The Wholesome Fertility Podcast

In this episode of The Wholesome Fertility Podcast, I sit down with Dr. Marc Sklar to delve into evolving perspectives on fertility, especially for women over 40. We discuss the need to shift our focus from quantity to quality in fertility treatments, and the empowering impact this has on women navigating their fertility journeys. We cover the realities of IVF, the importance of patience, self-advocacy, and creating space for personal growth and healing. Marc and I also explore complex factors such as genetics, autoimmune issues, and male-related factors in recurrent pregnancy loss. This conversation is full of valuable insights for anyone on their fertility journey, promoting a holistic approach to healing and growth.   Takeaways   A shift in mindset is crucial for couples seeking fertility care after 40. Quality of eggs and embryos becomes more important than quantity as women age. Understanding hormones is important, but shouldn't be the sole focus. Regular ovulation is a key indicator of fertility, regardless of age. Real-life success stories provide hope and perspective for those trying to conceive. Patients should feel empowered to advocate for themselves in medical settings. IVF is not a guaranteed solution and should not be the first option considered. Donor eggs can be a valuable option, but should not be the first recommendation based solely on age. The energetics of fertility are crucial for healing. Recurrent pregnancy loss can stem from various factors, including genetics and autoimmune issues. Male factors contribute to 50% of miscarriages, often overlooked. The importance of the uterine environment in fertility cannot be ignored. Quick fixes are a societal conditioning that impacts health decisions. Understanding the microbiome can enhance fertility treatments. Emotional states can significantly affect physical health and fertility.   Be sure to check out our Fertility Empowerment Holiday Bundle here https://www.michelleoravitz.com/fertilityempowermentbundle before it’s gone!   Guest Bio:   Dr. Marc Sklar — a.k.a The Fertility Expert — is a natural fertility specialist helping couples get pregnant for 21 years. He’s mission is to help you feel HOPEFUL and CONFIDENT about your fertility journey again.    In addition to his Doctor of Acupuncture and Oriental Medicine, Dr. Sklar trained at the Harvard Medical School, Mind/Body Medical Institute. He is the creator of Fertility TV, MarcSklar.com and ReproductiveWellness.com, and a Fellow of the American Board of Oriental Reproductive Medicine and Medical Advisor for Symphony Natural Health.   As well as his online program, he also supports his community via his highly popular YouTube channel: FertilityTV where he shares information packed videos to educate his followers on all things fertility.    The Fertility Expert lives in San Diego, with his wife and two sons, where he has his clinic Reproductive Wellness. He also works with couples all over the world through his fertility online coaching - the Hope Fertility Program.   FERTILITY TV WEEKLY EPISODE - http://bit.ly/thefertilityexpert FACEBOOK - https://www.facebook.com/thefertilityexpert INSTAGRAM - https://www.instagram.com/the_fertility_expert/     For more information about Michelle, visit: www.michelleoravitz.com   Be sure to check out our Fertility Empowerment Holiday Bundle here https://www.michelleoravitz.com/fertilityempowermentbundle before it’s gone!   Click here to get free access to the first chapter in The Way of Fertility Book! https://www.michelleoravitz.com/thewayoffertility   The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/   Instagram: @thewholesomelotusfertility   Facebook: https://www.facebook.com/thewholesomelotus/     Transcript:   Michelle (00:00) Welcome back to the podcast, Dr. Scalari.   Marc Sklar (00:03) Welcome, well, thank you for having me. It's automatic. But no, it's awesome to reconnect. It's been a while and I'm excited to have a conversation that we both are passionate about, which is everything fertility.   Michelle (00:07) I know it's automatic. Yes.   For sure. We're like, you could say we're a little obsessed, right? With fertility. It's like, live it, we breathe it, So awesome. actually today we're going to talk about a couple of different topics, but I wanted to talk to you about pregnancy after 40. Cause I know that a lot of what we hear out there, even about,   Marc Sklar (00:25) 100%. Yeah, absolutely. Yeah.   Michelle (00:46) how even after 35, it's considered a geriatric pregnancy, which I don't know about you. just don't love that term at all. It's icky. yeah, because I'm sure you see most people like closer to the age of 40 and doing really well. So I'd love for you to talk about it, your experience with that, and also some really cool examples of how it can work despite all of the naysayers.   Marc Sklar (00:55) Yeah, not a fan of it.   Mm-hmm   Yeah, so I think, I so many things I want to talk about when you say this that I need to prioritize it in a good way. here's a couple of things that I think are really important. One is, I think our perspective about fertility, and when I say our, not ours as practitioners and doctors and providers, but more like ours as in like,   the couple who is seeking care during this time and wanting to get pregnant in their 40s, I think a mind shift has to happen. And I think that they need to think about their fertility in a slightly different way. If we are thinking about our fertility and reading everything that is really focused on   couples that are 30 or 35 or whatever age in their 30s, then we're going to be skewed differently about our own fertility and our approach needs to be different. And so I say that in the sense that, you know, we have to have a different reality of what is okay and what we're trying to achieve. A woman who's in her 30s is trying to get as many eggs as possible.   Michelle (02:43) Mm-hmm.   Marc Sklar (02:43) So they have as many options when they have their embryos created and they are, you know, it's usually more about in general and this is a making a generalization, but it's more about quantity versus quality. We're like, let's have as many as we have so that we can choose the best quality of those and then we can move forward, you know, with our pregnancy. And...   the approach may or may not be in those situations about egg quality, because there might be other variables that are impacting their ability to conceive. Whereas I think when we are 40 and older, my approach really shifts. I don't care about quantity. I'm really, really focused on quality. And I think that mindset has to be different as a couple.   because then we were not as disappointed like, I didn't get that many follicles and they didn't retrieve as many eggs as I would have hoped. But because that's all we hear about. We hear about, look, we need all these eggs, we need all these embryos. But the reality is, is when we get older, I don't need 20 eggs or 20 embryos, I need a couple good ones. That's really what I'm looking for is a couple good embryos.   to work with and to transfer. So I think really a mind shift needs to happen and our perspective on fertility needs to change. And so for reading and understanding things as if we were 30 versus 40 or older, then we're gonna have, I believe, skewed perspective on our fertility journey. So that to me is number one. Number two is we do all get caught up in our hormones and some of that is appropriate and some of that is not appropriate.   Is it appropriate to understand where our hormones are at when we're at any age? 100%. Is it important to understand what our estrogen is doing and what our progesterone and FSH are doing? Absolutely. Is it important to know what our AMH is? Yes. Should we get caught up in AMH and make our whole focus about AMH? No.   The research doesn't promote, doesn't support these variables. Even FSH, AMH are not good indicators for a couple's ability to conceive and have a healthy pregnancy. Are they important for us to just have a baseline and understand? Yes. Will they potentially or can they potentially influence your IVF protocol? Yes.   But that doesn't mean we as couples need to get wrapped up in those numbers and make our fertility all about that because it shouldn't be. My rule of thumb is are you having a regular cycle? Check. Are you ovulating regularly? Check. Is your bleed healthy? Check. You can conceive.   Michelle (05:40) Mm-hmm.   Marc Sklar (06:00) Do we have to look at these other variables? Do we need to check your thyroid? Do we need to work on your adrenal glands and stress? Do we need to make sure your gut is healthy? Do we need to make sure all the systems are functioning properly? Seem analysis is good. Fallopian tubes are open. All of those things are still important. But the main thing that as long as you're ovulating, you can get.   And I think that's a really important piece. Now, we're not talking about IVF or not IVF right now. It's just like conception at 40, right? And or older. And so I think if we just focus on the right things and don't get bogged down by these little details of someone who might approach things a little differently if they were 30, then our approach will be better. It will be healthier.   Michelle (06:37) Mm-hmm.   Marc Sklar (06:57) you'll be more grounded in your approach. And we could focus on the areas that really need attention and support. And so I think that piece is really important as we are in our 40s, approaching fertility, still wanting to conceive. If we're always comparing ourselves to other women and other circumstances, we're gonna lose sight of what we need to do and always be trying to like catch up or do what they're doing. And I think that is...   That can really push us down the wrong road. I say this because truly I work with so many women who are over 40. And I see this time and time again. So it's coming from a lot of experience working with women over 40. And I have a wonderful story to share of a woman who is, and everyone will gasp when they hear, okay, when she conceived she was 48.   Michelle (07:55) That's awesome. I love that.   Marc Sklar (07:55) She is, I just spoke to her two days ago. When she delivers, she will be 49. Okay? And I'm not saying she didn't have a long journey.   Michelle (08:08) Was this natural or was it IVF?   Marc Sklar (08:11) This time was natural, but I'm not saying she didn't have a long journey. She did. I'm not saying it was easy. It was not. It was a long journey. It was difficult. Miscarriages, conceiving naturally, conceiving through IVF, long IVF protocols, multiple clinics, like all these things. So it wasn't easy. It was long, but she's 32 weeks pregnant right now.   Michelle (08:40) Wow, amazing.   Marc Sklar (08:41) And I say that because it's possible. It can happen. And these are the sorts of things we see on a regular basis. I'm not saying it's easy at 48, not at all. But I say that for some perspective on the process. Okay. And I think that, you know, do I think everyone could last for seven plus years trying? No, I don't think that's for everybody. She was never going to give up.   Michelle (08:51) Mm-hmm.   Marc Sklar (09:11) Like regardless, like she was never going to stop and never give up until she was pregnant. And that's what she told me. She's like, I'm not going to stop and I'm determined. I was like, okay, I'll support you. Right. That, that, that process is not for everybody. Some people will be on it for a year or just have one or two IVF transfers. And they're like, this is too much. I'm done. I'm going to move on. And I respect everybody's path in that process, but   Michelle (09:21) Wow, amazing. Yeah.   Right.   Marc Sklar (09:39) I want everyone to know it's possible and that's why I share that story. I think it's possible regardless of age with the right support and the right process and the right focus of our attention.   Michelle (09:51) I love that. I really do. And I love the stories because I think that there's so many people that can benefit and you have that sign hope in the background. And it's true. Like those are, but stories, real life stories, there's nothing like real life stories to provide real hope. Cause you can hear, you know, there's a chance of this or a chance of that. But when you actually see an example of somebody going through those challenges that you are and having a successful pregnancy,   Marc Sklar (10:00) Yeah.   Michelle (10:21) I think that there's nothing that compares to that.   Marc Sklar (10:24) Yeah, absolutely. And I love to bring in stories wherever possible. And she was just at top of mind because I just booked her two days ago. So yeah.   Michelle (10:33) That's awesome. You know what I find really cool is the Guinness Book of World Records, the oldest pregnancy is 58 and it was natural. And it was a woman in England who, you know, in England, they don't have a lot of sunlight and, know, and vitamin D access naturally. So I thought that was really cool. But it's, it could be done. It's possible. Just like you said, and I love that you said   Marc Sklar (10:45) Wow. No.   Michelle (10:58) as long as you're ovulating, there is a possibility that you can get pregnant.   Marc Sklar (11:02) Yeah, yeah, we see this, we do see this all the time. Look, as soon as you hit 35 and 38 and certainly 40 and older, you're going to read things and hear things that say, you can't, it's not possible, you won't, you need donor, you need IVF, whatever it is that you're gonna hear, you're gonna hear it all.   I think the hardest time is when you hear it from the person on the other side of the desk in a white coat that says to you, your only option is donor, just give up. And we all hear variations of those words, whether it's not possible, just use donor, whatever variation of that, of what I just said, when you go into an office, whether that's your OB,   Michelle (11:46) True.   Marc Sklar (12:01) or your REI or whoever it might be, and you're sitting down talking to them and they see your age, they assume certain things and they make certain judgments. And they express those verbally to you. And you hear that and that registers in your brain that embeds into your brain. And you start to believe it. Well, yeah, right.   Michelle (12:22) It's nocebo.   True.   Marc Sklar (12:28) I've never heard it, say it. really like that phrase. Yeah.   Michelle (12:31) You're never going to be able to get it out of your head now. Every time a woman comes in and tells you the story.   Marc Sklar (12:36) Yeah. And so look, they said this to you, it and our our brains are really strong and we imprint with these negative things very easily. It's much harder to imprint with all the positive, it takes more effort. And so it imprints into our brain. And now we start to believe it. Well, Dr. So and so said, it's not possible, I'm not going to do it, I can't. And then we repeat that to ourselves so often that   Michelle (12:49) Right. It's true.   Marc Sklar (13:05) Now our body and our brains believe that to be true. so if someone says something negative to you, you have to work double or triple as hard on yourself to get that out. And you need to express to them, I didn't come here to hear negativity. I didn't come here for you to tell me that I can't. I'm determined to get pregnant.   Michelle (13:09) 100%.   Marc Sklar (13:33) And it's fine if you're not able or willing to help me, I'll go someplace else, but I don't need you to tell me that I can't do it, because I know that I can. And you have to do it in that moment. You have to say that in that moment to them, because what you're saying to them is repeating it back to yourself to retrain yourself and get rid very quickly, get rid of that negative comment so it doesn't embed into your brain, into your conscious.   Michelle (13:52) Yeah.   Marc Sklar (14:00) But it also allows them, they need to be woken up. One, they need to be told this is not okay. And two, you have to have the power and the strength to verbalize that truth to them. Okay. You might not be getting pregnant in the conventional way that you thought or they thought. You might not get pregnant in the way that they would like you to. It doesn't mean that you cannot get pregnant. It means that it might take longer. It might be a different path. It might be...   whatever. And so I think it's really important in those moments to stand up for yourself and verbalize that and let them know they might not like it. It's okay. Yeah, you didn't like what they said to you. So it's fine.   Michelle (14:41) Yeah, exactly.   Totally, totally. And that's like really taking your power back regardless, ultimately it's your journey. You're not there to make the doctor feel better.   Marc Sklar (14:53) Right, listen, I think that's such an important piece. Unlike most other medical visits and specialties, you are a consumer buying their service. Just because they're wearing a white coat and they have MD after their name does not mean   that they get the say in everything. It's your journey, it's your process. You're paying them a lot of money for their service. And even if you have insurance coverage, by the way, it's still insurance coverage that can go someplace else to pay for somebody else. So it doesn't have to go to them. And so...   You have the power, like they make it feel like they have the power and they control the situation. I want you to know you have the power. You control the situation and your outcome. It's your dollars that you're spending. You are and should be an equal participant in this process with them. And they don't have to dictate everything. Now, I'm not saying, you you're telling them the protocols to use all the time, but   It needs to be a joint effort in this process. It's totally different than going into a different medical environment and a different provider for different services. They're not charging you $20,000, those other people, for a service that's elective. So stand up for yourself. Have that empowerment to do so.   Michelle (16:34) Yeah.   Right.   Yeah. And another point that I want to make is, you know, when you're working with a doctor, it doesn't matter how qualified, like, I feel like they should believe in your outcome. If they're doubting your outcome, find another person.   Marc Sklar (16:57) Yeah, right now, 100%, 100%. Look, I am not opposed to donor egg. I think that donor egg is something that is super valuable and has its place. What I don't like is that just because of your age, someone is telling you, need to use donor egg. What they're really saying,   And there is certainly a place for donor egg. have lots of women that I work with that use donor egg very successfully and I'm a big proponent of it. But what, why they are telling you just based on your age to use donor egg is because their success rates are impacted by your age and the challenge, the potential challenge of getting pregnant at your age.   Michelle (17:51) Right.   Marc Sklar (17:55) And so for them and their success rates, they have higher chances with using donor egg and they would just prefer, it's an easier process, they would prefer that you use donor egg for that purpose. Okay, now again, does it mean that it's not the right decision for some? It just means that I think if they're just making that decision based on age, I think there's a lot of other pieces that need to be looked at before that decision is made.   Michelle (18:24) What you just said is so important because it's the reality. Really if the system, it's the reality because their ability to really stay on top of their game is for their statistics to make them look really good. And it's human nature. They're going to be thinking about that when they're talking to you, regardless if they're, you know, they can be great doctors, the two can coexist, but   They're also in a business. So it's important to keep that in mind in the realistic aspect of it is that it's going to make them look better. They don't want to take a risk. They see it as a risk, but that doesn't mean that just because they see it that way, that that's really the case for you.   Marc Sklar (18:54) 100%.   Right, yeah. Look, absolutely. I say this also from, so everyone knows who's listening, 50 % of the couples that I work with, 50 % of them are doing IVF. I could group IUI into that as well, so IUI or IVF, some form of assistive technique. Of that number, about 15%, use donor egg.   Michelle (19:33) Mm-hmm.   Marc Sklar (19:34) So I'm fine with it. I'm happy to support you with it. I just often think that choice is made prematurely or that push in that direction is done prematurely without really giving you a fair chance, really looking at your case as a whole versus just looking at you as an age, as a number.   Michelle (19:56) Same thing with IVF. I also find that with IVF that people will start out maybe three months and they're young and they're like, you know, I just want a baby now. So I'm going to go to IVF. And a lot of people have a preconceived notion just because you're paying a huge amount of money and that there's technology involved that doesn't give a guarantee. in fact, I've seen people get more successful naturally, even at an older age than going through IVF.   Marc Sklar (20:05) Easy.   Well, the success rates for IVF for those who are listening and aren't aware are relatively low. You know, in your, from 30 to 35, those success rates are around 35 to 40 % ish. You know, depending on the clinic, some clinics might have a little higher, some a little bit lower, but roughly, you know, in the United States, that's an accurate statistic. It only goes down as you get older. And if you look, because most clinics,   Michelle (20:50) you   Marc Sklar (20:56) Don't have to report, but most clinics do report their statistics. If you look at statistics for IVF in their 40s without donor egg, those statistics are very, very low. So then you have to ask yourself, is this worth the money or can I get the same or better statistics and results trying naturally by addressing the root issues, by focusing on the things that I need to focus on, by getting healthy.   are those better for me? Are those odds better? One of the beautiful things you mentioned it with, you work with younger women and after three months they move forward with IVF. One of the beautiful things that's happened over the last 20 years is that fertility treatments and the fertility journey has become something that is more accepted and people are more willing to talk about it. And as a result of that,   marketing towards those communities has increased dramatically. And as a result, IBF has been spoken about more frequently because of that marketing. And so it's become so much more commonplace that couples who want to get pregnant, young, try for three months or six months, hey, it's not working.   you know, so and so did IVF and got pregnant or so, you know, we should just go do IVF. And they don't know the real statistics. They believe that it's a hundred percent successful. And as a result, it becomes the first line of treatment versus, you know, what used to be the third or fourth or fifth line of treatment, right? Well, I used to go to my OB and they used to do that. And then I would try other things. Now it's like, I'm not pregnant. Let's just go do IVF. Right. And so so many couples end up doing IVF.   thinking it's faster or more convenient without really working on themselves. And in turn, then they realized later on, I really shouldn't have started this way because it's not a guarantee. I haven't been successful. So they go there very prematurely. My preference would be is to see couples have patience. Take a step back. What's not working for me?   Michelle (23:03) Mm-hmm.   Yeah.   Marc Sklar (23:17) What do I need to improve and correct? And let's work on the root issues so that way you can be successful moving forward. And I had a conversation two weeks ago with a woman. I talked about it briefly this week on my Instagram stories because I think we were both frustrated with each other during this conversation. She has a history of repeated chemical pregnancies.   And she is frustrated with the lack of results and I've just started working with her. And so I asked her, know, she, and as we just started working together, she had another chemical and I asked her to stop trying for a little bit. I'm like, you're just having these ongoing chemicals and we're really not able to make progress. I just wrote out this plan for you. I want to give it some opportunity. You know, it's the end of the, it's close to the end of the year.   How about we just take off right now through the end of the year? Let's just take a break. Let's enjoy life and let's work on ourselves. And she felt like she was wasting time and she was feeling, I could feel her as soon as I said it, like getting anxious about like just the time of giving, creating this time to, and she's in her early forties. And she said, you know, I don't think I'm gonna do that. I can't do that. I'm gonna.   Michelle (24:19) Mm-hmm.   Marc Sklar (24:44) I'm going to keep trying because I feel like I'm wasting time. We had this back and forth, this long conversation back and forth. I'm going to totally support her and respect her decision about how she wants to move forward. I just don't agree. Sometimes taking a step back and working on ourselves and creating space is progress towards our ultimate goal. I know that we think that if we're not actively having intercourse and trying to conceive at ovulation every month, that we're wasting time.   Michelle (24:57) Yeah.   yeah.   Marc Sklar (25:15) Well, in a situation like this, we're just spinning our wheels. If all we do is continue to do the same thing every month, expecting a different result, I don't know how that's gonna change. So we need to give ourselves a little bit of opportunity. And she's so worked up about it and anxious about it, she's trying to control every aspect and she's scared. She's making this decision out of fear.   Michelle (25:19) Totally.   Mm-hmm.   Marc Sklar (25:43) So one, the decision's being made out of fear, and two, she's trying to strangle, like, I'm gonna control all of this. It's not, we are typically not successful if we make decisions out of fear, number one, okay? And number two, the more we try to strangle something, the more you strangle it and you don't allow it to be successful.   We need to create some space, some room for things to occur. Okay? And I'm a big proponent of this, like, let's just take a step back. Let's take a deep breath. Let's understand, let's give ourselves some space and not have to be so stressed about this. Most things, if you think about it, are created in space, in a little bit of a vacuum. Sorry, not a vacuum, in a little bit of a space. If we have this vacuum, we're constantly trying to control it. There's no space for creation.   Michelle (26:19) Yep. Yeah.   Marc Sklar (26:39) There's no place for an opportunity for something to be created in. So I think it's, know, painting a beautiful painting is created from a blank canvas. It's created from space. And the same thing with our life. We need to create an opportunity for life to be created. And so that means not straining, not holding on so tight, not trying to control every little thing.   Michelle (26:52) Mm-hmm. Yep.   Marc Sklar (27:08) Let's take a step back. I'm not saying you don't like do the right things. I'm saying we don't try to control all of those things so closely. And I think this is really such an important lesson for all of us because our tendency when we're told is I'm gonna do it differently. I'm gonna add this in like, right? And you're just like more and more and more more and more. So that's like this stranglehold that happens.   Michelle (27:29) Mm-hmm.   Marc Sklar (27:35) And I want us all to just let go a little bit more. It doesn't mean you're giving up. It doesn't mean you're taking a break. It doesn't have to be. It means you're just not holding on so tight to the outcome and the process. And I think this is so, so valuable for us. Difficult to do. I'm not saying it's easy, but it's so valuable. you know, I know her and I, were both...   kind of frustrated by the conversation because it didn't feel like she was listening to me and she didn't feel like she wanted to move on with my recommendations. She felt frustrated by me asking her to take a break. But I say it out of all love, like that is what I feel like is going to be the most beneficial for her in that situation. And I've had these conversations with others in the past and I'm just saying this from experience. So for all of you listening, sometimes we just gotta let go a little bit.   We've got to just ease up just a little bit.   Michelle (28:31) love this.   Yeah, no, I love this so much. you have no idea. Cause it, think that like you just said, you've had so much experience, you've seen this. And when you do something over and over again for many years, what happens is you start to get a feeling for it. You know, my husband works in the ER. He's starting to have a feel. He gets a sense when somebody's really sick or somebody saying they're sick, you start to get a sixth sense. You know, maybe we can't measure that, but it's a real thing. And I love that you talk about that. Cause to me that's   Marc Sklar (28:37) Yeah.   Michelle (29:04) being in a state of flow, being in a state of flow is the same exact thing that happens in our body when our chi flows and our vitality is able to feed all of our organs. cannot happen when it's constricted. And then going inward. Yeah, that's just going into the yin. You can't be constantly yang. You have to go back into the yin as well. And yin is incredibly productive.   Marc Sklar (29:25) Yeah.   Michelle (29:28) Like what happens when we're sleeping? We're in a state of yin. It's the most productive thing your body can do. You can't possibly have so much going on without that kind of like inert state. know, so it's, yeah, it's totally important, but also I don't know if you ever follow Dr. Joe Dispenza. I'm obsessed with his teachings. And have you ever done his meditations? So his meditations, he actually takes you through a form of induction, which   Marc Sklar (29:48) Mm-hmm. Yeah.   No.   Michelle (29:58) It's not hypnosis, but he gets you into a state of space, of becoming aware of space. Because when you become aware of space and everything that he does is based on science. actually has a whole research team on this. And this idea of kind of allowing this state of space, as they learn in quantum physics, you know, getting to this place where we're not locked in to the material world. We're not locked in.   We're kind of like moving back so we can allow this divine intelligence to take over. And then, and then it fixes things. It takes care of your body. does what it needs to do. Cause that's not our job. Our job is yet to direct and to intend, but our job is not to fix every single thing. When we try to do that, all we're doing is getting in the way of this divine intelligence. So I love that you're saying this because it totally like, it totally speaks the language that I'm feeling when it comes to.   fertility health and overall health like every way really.   Marc Sklar (31:00) Yeah, I agree. it's something I talk about. I have to do it, I feel like, repeatedly to the same person to get them to hear the message. And it's not intuitive. Like, personality-wise and for many of us, our goal is like, just want to fix it. I want to solve it. I want to do it. That creates this stranglehold. And so it's not intuitive for them to kind   Michelle (31:08) Yeah, because it's not common knowledge. It's not common.   Mm-hmm.   Marc Sklar (31:30) pull back a little bit and feel like that's moving forward. But it is.   Michelle (31:34) Yeah. Yeah, totally. Cause I mean, we have, we're conditioned to, you know, to first of all, get quick fixes. I mean, this is, we've been conditioned for years and this is all marketing for quick fixes, like quicker, faster, better, you know, and we also are conditioned to no pain, no gain. You know, you have to work for it. You have to get it. You have to be on top and   Marc Sklar (31:46) Mm-hmm.   Michelle (31:59) So over time, this is just a habit. That's going to be our knee jerk reaction or response to pretty much anything, but it's not necessarily the response your body needs.   Marc Sklar (32:10) Yeah, no, absolutely. And it's actually with the younger generation, that's only getting worse. Maybe not the no pain, no gain part, but the quick fix. That's our generation. Yeah. The younger generation is like, I don't want any pain, but I want all the gain. Yeah. And the quick fix, you know, part of it is because of the phone.   Michelle (32:20) Yeah, that might be more our generation. This is true. It's true. Yeah. I just want to be on my phone.   Dopamine.   Marc Sklar (32:39) the dopamine, but also like this, as much as Amazon has been a great service to so many people, it's a huge disservice. We, and especially the younger generation, expect everything now in a day. Right? That's the quick fix. That's like immediate gratification. Free delivery, two days. Now everyone expects free delivery and they want it there in two days. And it doesn't work like,   Michelle (32:55) Mm-hmm. Yeah.   Marc Sklar (33:09) The world doesn't typically work that way, but they've preconditioned us to this. And that's to our detriment, right? Because that gets translated across the board to all aspects of our life. Now we want things faster. We more immediate gratification. it should have been fixed. Why didn't they get back to me, right? Like all of these things, I think that's a problem. Yeah.   Michelle (33:32) I'm like, we're on the same page. 100%. Yeah. And I think that, yeah, it just, these are mental patterns that we're constantly repeating. And I'll be honest. I mean, ever since I had my phone, I just don't feel as sharp. I don't remember as much. My attention can't stay on one thing. And even me, I'm aware of this and it's impacting me.   Marc Sklar (33:41) Mm-hmm.   Right, yeah, yeah, yeah. One of my favorite things to do both to bother my children and because it's beneficial to them is if we need to order something from Amazon, I put it on the longest shipping option as possible. Like if it says one week or two weeks, that's what I pick. Every time. I mean, unless I like immediately need something, whatever. But like.   Michelle (34:08) that's smart.   That's actually really smart.   You need it. You'll use it when you need it.   Marc Sklar (34:18) Yeah, but like in general, I use the longer shipping option because I'm trying to retrain their minds to be like, it's not here yet. Okay, we'll come. It's not, it's not the end of the world, right? It will arrive. and usually Amazon gives you a little benefit for that delay, by the way. Yeah.   Michelle (34:36) Yeah, yeah, yeah, right. It's a little cheaper. That's really smart. That is actually really, really smart. And then you can put things in one box. So it also is good for the environment. So when it comes to recurrent pregnancy loss, because you'd mentioned you're talking about chemical pregnancies and what are some of the common factors that you've seen clinically?   Marc Sklar (34:46) Yeah, and good for the environment.   Yeah.   Yeah, so chemical pregnancy could be a little bit different, but if we're talking about, you know, reoccurring pregnancy laws or, you know, multiple miscarriages, then the, there are four buckets that I put things into. The first bucket is one we have to look at and analyze, but one we potentially can't do much about, which is genetics, right? Is there some sort of genetic abnormality that's occurring potentially?   Michelle (35:24) Mm-hmm.   Marc Sklar (35:30) due to my genetics or the combination of mine with my partners and what's that going on. I might end up with five causes actually now that I think about it. The next one is autoimmune issues. I find this is a huge reason for reoccurring pregnancy loss. will say also I find this is a big reason for secondary fertility issues.   Michelle (35:41) Hey, good.   Marc Sklar (35:59) with recurrent pregnancy loss. So secondary meaning you've been successful with the pregnancy one time or multiple times, and then at some point you're trying again and you're not successful, but in this case you've had, let's just say a loss. And so I would say I find that autoimmune issues are much more common in that situation because something happened in one of the previous pregnancies or postpartum that caused some sort of autoimmune issue that has triggered this outcome or contributed to this outcome.   Michelle (36:26) Mm-hmm.   Marc Sklar (36:28) Another one is blood clotting factors, that there is some sort of, you know, some issue, whether that's genetic or not, because it doesn't have to be genetic, that is contributing to more clotting factors that doesn't allow for that embryo to implant properly, and you could have a miscarriage. So that's three. Four, uterine issues.   That could be wide, that could be like a bigger bubble that doesn't get talked about as frequently. So what's going on in implantation that might be contributing to that? Is there an infection, a virus, a bacteria? Is there inflammation? Is there endometriosis? What is going on inside the uterine cavity and with the endometrium that could be causing this pregnancy or multiple pregnancies to not be able to be held?   And then the last one, which is male factor. So 50 % of all miscarriages are male factor related. Most typically in those, it's going to be some sort of DNA fragmentation issue. So the DNA of the sperm has been compromised in some way and that's contributing to that loss. That's the one that unfortunately we don't talk about as much because, like why would a male...   Michelle (37:43) Mm-hmm.   Marc Sklar (37:57) contribute to the miscarriage, you know, and they're not carrying. So that one gets ignored, but something that needs to be ruled out. So those are the, I said four, but really five, those are the five reasons that, you we should look at.   Michelle (38:10) Yeah, for sure. And also the microbiome, know vaginal microbiome can impact a lot.   Marc Sklar (38:14) Yeah, so that I look at that in that fourth one with the uterine environment. So to me, that microbiome is a piece that I look at when I'm evaluating that. Yeah.   Michelle (38:23) Yeah. And I feel like, I feel like they should always look at that, like before transfers. mean, cause people are paying so much money. And I know in Spain, it's more commonplace for them to give vaginal, suppositories for, probiotics. And I feel like it would really be very helpful for a lot of people.   Marc Sklar (38:33) Yep.   Great.   Yeah, I've started running that test much more frequently in the last year. And I can't say I run it for everybody because at some point I'm just balancing cost of things, right? Like we could run every test under the sun. It's just like, it's a matter of cost. But certainly if I see implantation failure, if I see chemical pregnancies, you know, these are the sorts of things that for sure I'll start to look at.   Michelle (38:48) Yeah.   Mm-hmm.   Yeah.   Chris. Yeah.   Yeah, for sure. I mean, we could talk for hours, I love that we talked about, first of all, it's really interesting just to get your take on things and to hear from another person who's doing the same thing, But also, you know, I love the fact that you were talking about the energetics of it, because I think that when you do this long enough, you start to see patterns and you could start to see how emotions can really constrict the chi, you know, from our perspective.   Marc Sklar (39:38) Yeah, sure.   Michelle (39:39) So I think that that is really important because yes, we could look at all the little details and the numbers and the stats, but the energetics aspect, we can get so kind of like focused on the small parts. And then sometimes it's good to kind of go zoom back and see the bigger picture. So I thought what you said about that to me was very, very powerful.   Marc Sklar (40:01) Yeah, all of these things, like everything we talked about today is so valuable for those individuals who need that specific message, right? Like we're all in a different place and we all have our own journey, but hopefully, you know, the messages we shared today and the information we shared today really resonated with those who are listening.   Michelle (40:10) Yeah.   I'm sure they did for sure. mean, was a really valuable information. So it's been great having you back, Dr. Sklar. It's been too long and we should do this every so often because I feel like we're never going to really run out of things to talk about. Thank you so much for coming on.   Marc Sklar (40:34) I agree. I'm happy to be on any time. Yeah,   Yeah, I appreciate it and wishing everyone success on their journeys.

On today’s episode of The Wholesome Fertility Podcast, I speak to Dr. Jeff Gross, a top Neurosurgeon who has a background specializing in athletic injuries and spine procedures. Dr. Jeff shares his journey from spinal neurosurgery to the forefront of regenerative medicine, focusing on the transformative potential of stem cells and exosomes. He explains the science behind stem cells, their applications in treating joint degeneration, and their role in anti-aging and fertility. Dr. Jeff also discusses the regulatory landscape, the cost of treatments, and the exciting future of stem cell research, including innovative approaches to enhance mitochondrial function which has a lot of promise when it comes to egg and sperm health.   Takeaways   Stem cells can be used to treat various conditions, including inflammation. Accumulation of inflammation is a key factor in aging and conception challenges. Exosomes may play a significant role in the benefits of stem cell therapy. Regenerative medicine is evolving rapidly, with new research emerging. The cost of stem cell treatments can vary but is becoming more accessible. Stem cells are sourced from well-regulated donor programs in the US. Direct injection of stem cells may yield higher doses than IV administration. Future research may explore the use of exosomes in fertility treatments. Dr. Jeff emphasizes the importance of personalized treatment plans.      Guest Bio:   Dr. Jeffrey Gross graduated from the University of California, Berkeley with a degree in biochemistry and molecular cell biology. He earned his Doctor of Medicine in 1992 from the George Washington University School of Medicine. He contributed to virology research during his studies. After graduating, he undertook a residency in neurological surgery at the University of California, Irvine Medical Center until 1997. He then pursued a Fellowship and Chief Residency in Spinal Biomechanics at the University of New Mexico until 1999. Licensed in California and Nevada, Dr. Gross has SPINE practices in Orange County and Henderson, Nevada. A trained neurological surgeon, he specializes in athletic injuries and spine procedures, and offers longevity and biohacking consultations. He achieved board certification by the American Board of Neurological Surgery and is a member of several prestigious medical societies. He has written textbooks and articles in his area of expertise and is a peer-reviewer for the state of California and a scientific journal. Since 2020, Top Doctor recognized Dr. Gross as a leading Neurological Surgeon. He also received HealthTap’s 2022 Top Doctor Award as a top Neurological Surgeon in the U.S. Dr. Gross founded ReCELLebrate, focusing on anti-aging and regenerative medicine. The mission for ReCELLebrate emphasizes offering modern biochemical treatments and considering surgery as a last resort.     Websites: https://recellebrate.com/ https://www.instagram.com/recellebrate/ https://www.tiktok.com/@recellebrate https://www.youtube.com/@stemcellwhisperer https://www.linkedin.com/in/jeffrey-gross-md-5605605/       For more information about Michelle, visit: www.michelleoravitz.com   The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Check out Michelle’s Latest Book: The Way of Fertility! https://www.michelleoravitz.com/thewayoffertility Instagram: @thewholesomelotusfertility   Facebook: https://www.facebook.com/thewholesomelotus/     Transcript:   Michelle (00:00) Welcome to the podcast, Dr. Jeff.   Dr. Jeff (00:03) Thank you so much for having me. Nice to see you.   Michelle (00:06) Nice to see you as well. So you definitely have a very long, impressive background. So I'd love for you to share your story on how you got to really to the anti-aging stem cells work that you do, So I'd love to just get a quick background so the listeners can hear.   Dr. Jeff (00:26) Sure, thank you for that. It was by accident of sorts, maybe directed accident because I was practicing as a spinal neurosurgeon, taking care mainly of neck and back trouble, some other neurological issues, nerve problems, things like that. But my practice was highly consultative, a lot of opinions, second opinions. I was seeing patients who had neck and back problems that were perhaps...   mistreated or not fully treated elsewhere. And I was kind of, I was kind of a catchall for that. But my patients came to me one at a time. And these are patients that had tried different things and they just didn't work adequately. Like physical therapy, like anti-inflammatories, like rest, like, you know, chiropractic, acupuncture, maybe spinal epidural injections or things like that.   And they'd come in and say, well, you know, help for a minute, but just wasn't enough. I'm still having a lot of trouble with my neck or back or pinch nerve or whatever. And I say, well, the next thing on the menu is to talk about surgical options. And they'd say, well, I'm not that bad. So wait a minute. Okay, good. Cause I was hoping you would say you're not ready for that. Cause I really didn't want to offer that to you. Cause I've always been on the slow to operate side of things. So, a lot of them would say, well, how about lasers or how about.   Michelle (01:37) Mm-hmm, yeah.   Dr. Jeff (01:52) herbs or how about cannabis or how about stem cells? And I heard the stem cell one more than once and chance favors the prepared mind. So my undergraduate background is in molecular cell biology, which is kind of the stem cell, know, root of stem cell biology. And, you know, when you get whisked off from undergraduate to med school and residency and practice,   you don't really get to apply that cool science. So the nerd part of me took over and said, I wonder what's happened in all these years since I went to undergraduate, you know? So instead of going to the Stodgy Neurosurgeon Convention every year, or more than one, where the same people pat themselves on the back for saying the same things for decades, I decided I'm going to open my mind and start going to stem cell and regenerative medicine meetings.   Michelle (02:46) Mm-hmm.   Dr. Jeff (02:46) So I can offer this to my spine patients. So I did that and I not only brought back a new tool to offer them, but it blossomed into so much more. You can't get access to regenerative medicine, stem cell medicine, and I'm using those phrases sort of interchangeably here, and not say, I'll help your knee or your ankle or your shoulder or your...   autoimmune issues or other hyper inflamed states. Or, you you read more and you see accumulation of inflammation is really the aging process. And if you can fight against inflammation accumulating, you're fighting against aging. So the whole anti-aging umbrella opened up and here I am, you know, six years later where spinal medicine is only a small percentage of my practice and I love it.   Michelle (03:33) Mm-hmm. Yeah.   That's great. So, so for people listening, some people might be like, okay, I kind of heard about stem cells, but what exactly are they? So just for people listening for the first time, we're really not understanding that aspect of like what they are. Cause we hear about it a lot. And over the years, like you said, stem cell research has really drastically changed and has gone into so many different things. Sometimes we hear about like   Dr. Jeff (03:45) So.   Yeah.   Michelle (04:12) you know, back in the day about them growing a liver, like, you know, the possibility of growing organs through stem cells. for people who are really new to this, I would love for you to break it down.   Dr. Jeff (04:15) Yeah. Yeah. Yeah.   sure, let's do stem cell 101. That's great. and being a fertility podcast, this is relevant probably more than any other area of medicine because fertility and creating an embryo is, you know, creating a group of stem cells that divide and grow into a fetus who's made of all stem cells, right? And then,   Michelle (04:28) Hahaha   Right.   Dr. Jeff (04:54) then that fetus is born and it's a baby and the baby grows for 18, 20, 25 years, whatever. And that growth requires stem cells. And then after that, an adult has to maintain, has to replace, has to restore, has to regenerate and that requires stem cells. So what are these? They are cells from which other cells arise, from which other cells stem from. Okay? So, and they are...   Michelle (05:20) Mm.   Dr. Jeff (05:24) They are powerful because there are different types, right? We throw out the phrase stem cells, but when you're a one cell or a two cell or a four cell embryo, you have these omnipotent cells. They can form any part of your body. They are amazingly powerful. As those divide and differentiate, meaning take on some specific characteristics, they become less powerful and more directed, and those are called pluripotent.   And a pluripotent might be able to regrow a limb. And as you, as you, and many of your listeners probably know, there are certain species that can still do that. Like a starfish, you cut off a leg of a starfish, it can regrow it. Or a tail of a lizard or a limb of an axolotl, which is a strain iguana like creature from Mexico. So there are many examples in biology where these pluripotent stem cells can be called upon. And you mentioned maybe regrowing a liver someday.   that will probably require some knowledge of pluripotent stem cells, which are being looked at. However, after these stem cells sort of retain, we bank them in our body as adults, those are called multipotent. So they can't regrow a limb, they can't regrow an organ per se, although they can replace some organ cells and regenerate. And you were always replacing cells, we're replacing skin cells and   you know, hair follicles and all kinds of things that require stem cells. If you have an injury and you cut yourself, you, require stem cells to help come repair that. and you know, we make new blood cells all the time that requires stem cells in our bone marrow. So we are using our stem cells. This is not new. We just know more about it now. And the whole move in regenerative medicine is, is to take   Michelle (07:03) Mm.   Dr. Jeff (07:19) a lesson from that biology and use it strategically to help somebody do something they need.   Michelle (07:27) So interesting. So give us a couple of examples on how it works in the body. Like for somebody who needs it, for example, whereas like a therapy.   Dr. Jeff (07:34) Well, the-   Right. So the low hanging fruit as an example, are joint degeneration. Also called arthritis or osteoarthritis vaguely, or some people it's called bone on bone if it's bad enough. Right. And these are your painful joints. It could be from an old injury, an old arthroscopic surgery. It could be from just, you know, accumulated wear and tear. And this is a problem with the joints where the cartilage   is, you know, down and the joint is painful. You can't use it as well stiffness, et cetera. And it slows people down. And when you slow people down, particularly in their older years, they're less mobile and then they can't maintain their bones, their bone density, AKA, you know, the one way to fight osteoporosis is weight bearing exercise. So if you can't, if your joints hurt, you're not going to do it. And muscle mass, cause both bone density and muscle mass are correlated with longevity. So if you keep moving.   You maintain your muscles and bones, you'll live longer statistically. So in any event, we want to preserve joints. And that's kind of why I got into this field. I'm a structural guy of the spine and it easily extrapolates to the other joints. And most of the research, the well-published research comes from knees and other joints. And just parenthetically, most of the good published research that we follow, because we're not just shooting from the hip here.   We do shoot some hips, but it comes from Asia and Europe. The United States is behind, although we can do these things. And, you know, we can talk about that later, but the short of it is we have a really good track record of helping people with degenerated joints in reducing pain and improving function. And we do have some examples with where we've done some MRIs.   Michelle (09:09) Ha ha ha!   Dr. Jeff (09:37) before and after and the after MRIs have shown some regrowth of like knee cartilage, for example, and things like that. you know, we're not allowed to make any claims because we're not yet approved for marketing claims, but I can show examples and I have to say like you invest in stocks, know, past performance does not guarantee future results or something like that, but in medicine, never, yeah, yeah.   Michelle (10:01) Right, and each person is different and unique. Yeah.   Dr. Jeff (10:05) But anyway, it's better, listen, if you want to try to avoid a joint replacement surgery, it's worth looking into. So whether it's spine or joints, so that's the easy stuff. Low hanging fruit, I call it. The other stuff is anything with an inflammatory problem in your body can potentially have benefits from regenerative medicine on its face being a natural anti-inflammatory. So for example, autoimmune problems with hyperinflammation.   You know, like rheumatoid arthritis, thyroiditis, inflammatory bowel syndromes, MS, things that have an inflammatory component. Also, most diseases of aging are diseases of inflammation. So coronary artery disease, Alzheimer's, things like this, all have an inflammatory component. And this allows me to overlap into your area is there are some causes of fertility.   issues that have an inflammatory component, whether it's a uterine issue or ovarian failure. And sometimes fighting that inflammation, whether it's through lifestyle changes, diet, exercise, mindfulness, sleep, reducing mental stress, all those things can help reduce the inflammation and help potentially lead to successful pregnancy. The same can go for use of   regenerative biologics like stem cells, and they're not the only thing we use. And there are wonderful publications. And before we got on this, I refreshed my knowledge by doing a little homework. And there are even newer publications on use of these things to improve fertility. Now, most of these are from China because they are way ahead of us. But that doesn't mean they can't be applied here outside of China.   Michelle (12:01) Interesting. So interesting. So how do they get these stem cells?   Dr. Jeff (12:07) So stem cells and other related biologic material in the US comes from a well-regulated donor program. Typically the donors are women who are planning to have a C-section. Some of the labs even recruit the donors in the first trimester, make sure they're having a healthy pregnancy, they're not using substances they shouldn't be using, they take their prenatal vitamins, they're not in any high-risk behaviors.   And at the time of the C-section, they simply, and once the mother is congratulated with her new baby, they take the amniotic fluid, they take the umbilical cord, they take the placenta and they put them on ice in a sterile fashion and they go to an FDA compliant certified lab that can test and screen the materials, make sure there's nothing in there, no diseases, no problems, and then make it available to clinics and end users like myself.   So there are myths that all kinds of crazy stuff are happening out there, but not here in the US. We use highly regulated donor processes.   Michelle (13:19) When you have the stem cells from donors, can they be multiplied or is it just like a finite amount? Whatever is there is there.   Dr. Jeff (13:28) They can be, there are labs that put them in culture, would let them grow and divide and that's one thing that can be done. Now, just like anything, a copy of a copy of a copy tends to lose its vitality. So, things like telomere length, which is an aging marker, that changes with each division of a cell. So I don't like to use a divided material.   Michelle (13:50) Mm-hmm.   Dr. Jeff (13:58) I use just fresh first pass stuff. Maybe your listeners are a little young for this, but there's a really funny movie called Multiplicity, where Michael Keaton clones himself, and each clone is a little bit wonkier than the original. if you want a good laugh, yeah, check out that movie. But in short, I prefer the actual native original self.   Michelle (14:15) Comedy used to be so much better.   Right. Got it. Is this similar to cord blood, you know, when they, when the baby's born and they say, do you, you know, you can opt to do that and then store   Dr. Jeff (14:27) When we do self,   Yeah, let's tap into that for just a second and unpack it if it's okay. know, historically you would be offered to donate or not donate, but store your umbilical cord. And the purpose of that was, God forbid your child gets leukemia in seven years, you have a matched set of cells that they culture, they do divide.   Michelle (15:01) Mm-hmm. Right.   Dr. Jeff (15:02) and replace the child's bone marrow, you don't have to worry about a donor or a match. Now you can do that and you can also use, in some labs we'll use those umbilical cord cells as a source for any other future purpose, whether it's a joint problem or what have you, they're now doing that. In fact, you can use that for family members as well. So the reasons for a bank in your umbilical cord, and they probably won't tell you in the pamphlet, because it's not yet approved for marketing claims.   Michelle (15:19) Mm-hmm.   Mm-hmm.   Dr. Jeff (15:31) is much more than just, you know, just in case there's a case of leukemia, you need a full bone marrow replacement.   Michelle (15:39) So interesting. how, when you do have the stem cells, first of all, it must cost a fortune, it sounds like, it's limited. It's not something that you, because you're depending on donors.   Dr. Jeff (15:52) No, well, there's a little bit more to it. And that, and I keep using the phrase stem cells and other biologics. Let's, let's talk about other biologics for a minute because some of these other biologics are less expensive and here in the U S it's, it's affordable. You don't have to necessarily leave the country and go to go to central America or, you know, Hong Kong to get this or Europe. A lot of the professional athletes historically went to Europe, but they're, they're getting it here, here in the U S too.   Michelle (15:59) Okay.   Mm-hmm.   that's good.   Dr. Jeff (16:22) But we found out that if we gave you stem cells, let's say you came over and I hooked up an IV and we gave you stem cells, in 10 to 14 days, those would be out of your system. However, the benefits would go on for weeks or months or even some of the benefits would be prolonged. So why is that? If the stem cells are gone, what's going on? Well, it turns out the stem cells aren't really doing all the work. The stem cells are delivering cell to cell communicating and influential   Michelle (16:31) Mm-hmm.   Dr. Jeff (16:52) biomolecules, peptides, growth factors, small RNAs from cell, from the stem cells to your cells, reinvigorating and activating your cells to do that work. And those, those communication packets are called extracellular vesicles or for short exosomes. And you may have seen this, a lot of estheticians use them. You know, they can do the atom to your microneedle facial.   Michelle (17:11) Mm-hmm. Mm-hmm.   Mm-hmm.   Dr. Jeff (17:20) It's sort of an advanced vampire facial with these exosomes. So the exosomes are probably doing most of the work that the stem cells were doing. And there are advantages. They penetrate tissue better. They're easier to store and handle. They'll cross the blood brain barrier if you want them in your brain and nervous system. And they're less than half the price of stem cells. So we can do things that used to cost, you know, 20, $30,000 out of this country.   for less than half of that here, because the big cost is the materials, these biologics. So what does it cost was your original question, but now that you know we're using these exosomes preferentially in a lot of these cases. And by the way, as an aside, all stem cells, sorry, start over, all cells make exosomes. We're using stem cell derived exosomes from amniotic fluid, which is quite abundant. So there are really no cells in this.   Michelle (18:11) Mm-hmm.   Mm-hmm.   Dr. Jeff (18:19) There's no matching that needs to be done. and it's, it's wonderful. So, the, you know, for example, treating a knee, if we're trying to repair a knee, help someone heal a knee, we're asking their cells to do the work. We're just providing the, the, the re-instruction to tap back into the original factory that made that joint in the first place. And something that like that is kind of two doses of biologics, one above one below the knee.   the injection, the facility and everything where we do it as sterile. All that is, you know, in the nine to 12,000, depending on what we're doing. So it's not, it's not crazy. And IVs, if we do an IV, that's anywhere from like 4,000 to 8,500, depending on the dose.   Michelle (18:54) Mm-hmm.   And how many times would somebody have to do that?   Dr. Jeff (19:07) Maybe once. Usually the joints are one and done and then they go back to their normal wear and tear. So is it possible someone's going to come back in in 20 years and need it again maybe, but that's okay. We follow a French protocol that has published 15 year follow-up and we follow that protocol how they do it. And they've had over 82 % of the patients had wonderful results at the 15 year mark. We're waiting for them to publish the 20 year mark.   Michelle (19:10) Mm-hmm.   Mm-hmm.   Dr. Jeff (19:35) So we're not making this up. We're just duplicating what's already been done and good science that's out there.   Michelle (19:42) And for inflammatory conditions, autoimmune conditions, or even fertility, well, you know, because it's secondary to that a lot of times. Do you use IV? So really get it right into the bloodstream. Okay.   Dr. Jeff (19:51) Right, right.   Yeah, I would definitely. yeah. Yeah. And that's how we approach anti-aging anyway. People are biohackers, anti-agers that come in. This is what we do. And we, we do an IV. We, we try to figure out a dose that makes sense for that person based on the budget and their age and maybe their inflammatory markers and their blood tests and other things. And then we see how long it lasts. And some people get a year, two years. Some people get, you know, six months.   Some people come in preventively and do every three months a lower dose. just, we customize it for the individual.   Michelle (20:33) And that crosses the blood brain barrier. So it's good for brain health, really for just everything. The system.   Dr. Jeff (20:37) Yeah. Anywhere there's an inflammatory burden, we'll do it. But exosomes do cross the blood-brain barrier. And let me go off script here for a second. For listeners that have been pregnant before, in later trimesters, a pregnant woman has glowing skin and her hair is growing wonderfully. And typically, there's not a lot of joint pain, maybe   Michelle (20:43) Mm-hmm.   Dr. Jeff (21:06) low back pain from carrying the weight, why is that woman in, you know, not having this great skin and all that, it's because that woman is getting a daily dose of stem cell derived exosomes because they also not only cross the blood brain barrier, they cross the placental barrier. So what we do is almost simulate that in a single dose.   Michelle (21:25) Mm-hmm. Got it.   That's so interesting. in that case, when you are doing IV, is that also one and done?   Dr. Jeff (21:37) No, like I was saying, it depends on what benefits someone gets and for how long they last. It could be depending on the person's need. Now, if it's someone who's got an inflammatory problem and they're just trying to get pregnant, could be a one and done. If it's someone that has benefited from it and wants to do it repetitively, then we would help support that and make it available.   Michelle (21:43) I see.   Mm-hmm. Done.   Have you heard of this being used and injected directly into like uterus or those areas or is it typically more like IV?   Dr. Jeff (22:11) So not into the uterus, although there are examples in men of injecting the testes where they're not producing adequate sperm counts. I think IV would be a first. So I didn't read anything about ovarian injection yet. Could that be coming? Possibly. IV is obviously an easier thing to do. So I would try the IV first. But you're right, you're going to get a higher dose if you inject directly.   Michelle (22:20) Mm-hmm.   Or ovaries maybe?   Mm-hmm.   Dr. Jeff (22:40) That might be something to look at. haven't done it. We do have some sexual health shots we do at the exosomes now where we do P shots and O shots for men and women respectively for improvement in sensation, lubrication, that kind of.   Michelle (22:53) Mm-hmm.   I know that they do PRP with the ovaries and I think also uterus. So that's why I was asking because it's kind of similar, you doesn't have the same exact substance, but it's the idea of stimulating.   Dr. Jeff (23:14) No, I completely agree with that. PRP is basically a very lower, it's the lowest end self-donated regenerative medicine. And it probably contains some cells and some exosomes in there.   Michelle (23:21) Mm-hmm. Right.   So interesting. that's really fascinating. for you specifically, like if people wanted to work with you, do they have to come visit you, your office, where you are?   Dr. Jeff (23:38) Not necessarily. So, you know, most of what we do, we start out remotely. The vast majority of my patients come from somewhere other than Las Vegas, where I'm located, actually Henderson, Nevada, which is a suburb of Las Vegas. Most people start remotely. We do a lot of the blood tests or if they need MRIs or what have you remotely, and we only invite them to come to town if there's a reason to come to town. We do have some other colleagues in other parts of the states too that can do IVs.   things like that so we can sometimes refer. Yeah.   Michelle (24:09) Mm-hmm. It's really fascinating. It seems like state of the art. It's like the new thing that's coming out.   Dr. Jeff (24:13) and   It's a, and there are things coming. if you'll allow me to just jump there for a second. you know, we are working on some projects here at, at my practice. one of them involves exosomes that are stuffed with extra mitochondria. And for those of you that don't know, that's a small part within the cell. It's kind of a cell within the cell. we learned in high school biology, it was the powerhouse of the cell. made the energy, but it actually does much more.   Michelle (24:22) of course. Yeah.   Hmm   Dr. Jeff (24:46) And some causes of infertility relate to poor mitochondrial activity in the cells of the ovaries and things like that. So we're looking at exosomes that could be overstuffed with, that can donate more mitochondria. So that could be very useful. There are many other reasons to do that as well. And then we're even involved in a project that may be useful to help patients with cancer. And this is a particular exosome.   that comes from a certain type of immune cell, a T cell in our body, whose job is to identify, circulate around the body, identify, and then selectively remove or kill an abnormal cell like a cancer cell. So imagine that as an augmentative therapy or even as a preventative. Yeah, so we're hot on that trail. That's coming soon to a, to a re-celebrate clinic near you.   Michelle (25:36) That's fantastic.   I love that. That's awesome. That's really amazing. And what have you seen so far in regards to fertility? you seen people do this treatment and it work? with fertility, there's so many different reasons for why. I mean, it could be so many different. It's really a range of underlying conditions, but what have you noticed so far?   Dr. Jeff (26:03) Correct. So honestly, I don't have a fertility practice that's pretty far afield from what I do. I do a lot of structural work, a lot of joints, a lot of spine. We do some autoimmune and a few other things. But I have talked to colleagues, fertility specialists in the past, and we've talked about exosomes. I was at a biohacking conference in Texas last year.   Michelle (26:11) Yeah.   Dr. Jeff (26:32) the Dave Asprey event and someone came up to me and asked me about fertility. So I know it's on my radar. It's just not something we put out there necessarily. had one gentleman that had low sperm count. We had talked about doing something for him, but he didn't do it yet.   Michelle (26:34) Mm-hmm.   But have you seen or through colleagues or any studies that have shown even just IV, doing this with IV that it's helped?   Dr. Jeff (27:00) I've only read the abstract of some of the Chinese studies because we don't always get the full article translated. But most of those studies speak to direct injection. They have a lot of animal studies. So I don't have information on the clinical use of...   Michelle (27:07) Okay.   Dr. Jeff (27:25) exosomes personally for fertility, but I know that others have talked to me about it. So it's being done. And I, I did look it up online before we met today and you can actually find, there was a clinic in Europe that was advertising it for this purpose for fertility. Yeah.   Michelle (27:31) Mm-hmm.   Interesting. Yeah, which I'm sure people don't really have to go all the way to Europe. I'm sure also if you get the IV and your body's going through this anti-aging and your mitochondria are benefiting and also, which is very much linked to aging eggs. So you want to like revitalize and reawaken and also lower inflammation that also helps with egg quality and sperm quality.   Dr. Jeff (27:54) and   Michelle (28:08) So this is just definitely something that I found when I saw you, I was like, this is really interesting. I think that it's something that people should be hearing about. And I'm sure I wouldn't be surprised if in the future, a lot of fertility clinics are going to start looking into this as well.   Dr. Jeff (28:26) Yeah, no, the one that was advertising is an international fertility group, I think, in Eastern Europe. And they specifically have a webpage on this. Now, we can't have those webpages here in the US because we are not yet approved for marketing claims.   Michelle (28:32) Mm-hmm.   Mm-hmm. Right.   It's so interesting how all that works. But yeah, this is great. This is a really interesting topic and really great information. I love like cutting edge stuff. I love that it's kind of like to be continued because you're still like, You already have learned so much, but of course, there's so much more coming, which is exciting. I find it really exciting.   Dr. Jeff (29:00) Yeah.   I do too. have this renewed interest. know, I'm, I'm a self admitted nerd. So this is, gets me back into things that are very exciting. I don't get to do the same thing day after day anymore. that's, that's.   Michelle (29:19) I love that.   Yeah, for sure. So awesome. So for people who want to learn more about you and what you do, how can they find you?   Dr. Jeff (29:30) Check out Re-Celebrate because you're celebrating the renewal of your cells. That's spelled R-E-C-E-L-L-E-B-R-A-T-E. And that is our website is recelebrate.com. Instagram is recelebrate at recelebrate it. LinkedIn, Pinterest, YouTube, but just type in recelebrate, you'll find it.   Michelle (29:52) Awesome. And you'll find it also in the episode notes. So I'll share all the links in there, as well as information about Dr. Jeff. So this is a great conversation. This is really, really great. And I appreciate you coming on and explaining it so nicely and really breaking it down for us, you know, people that don't have that background. So thank you so much for coming on today, Dr. Jeff.   Dr. Jeff (30:03) Yeah.   you   It's been my pleasure, thank you for having me.

On today’s episode of The Wholesome Fertility Podcast, Caryn Johnson of @_bondlife shares her personal journey through infertility, detailing her struggles with unexplained infertility and the eventual discovery of autoimmune issues affecting her reproductive health. She emphasizes the importance of understanding the immune system's role in fertility and the impact of lifestyle factors such as diet, stress, and environmental toxins. Caryn advocates for women to take charge of their health by educating themselves and seeking out supportive healthcare practitioners. She also discusses her supplement line, Bond, which aims to address these issues holistically.   Takeaways   Caryn's journey began with unexplained infertility. She experienced multiple failed IVF attempts. The immune system plays a crucial role in fertility. Many women with unexplained infertility have underlying immune issues. Stress and lifestyle factors significantly impact reproductive health. Gut health is linked to fertility and autoimmune conditions. Caryn's research led her to create a supplement line, Bond. Advocacy and education are essential for women facing infertility. Environmental toxins can affect fertility outcomes. Women should empower themselves with knowledge about their health.   Guest Bio:   Caryn Johnson is the Co-Founder and CEO of BOND, an innovative line of supplements reimagining hormone and reproductive health, inspired by her experience with infertility. The former Vital Proteins Chief Marketing Officer launched BOND in the Fall of 2023, fusing her professional expertise with her passion to help women take a more proactive and empowered approach to caring for their cycle and reproductive health.   In 2017, when trying to start a family, Caryn learned she was autoimmune infertile. What she discovered was a stark reality - the lack of open conversations and support for women facing similar struggles. The doctor's office often left much unsaid, and the information available was surprisingly scarce. Shocked by the limited support system in place, Caryn recognized the need for a change. She leaned on her industry knowledge and contacts to advocate for herself and uncover invaluable resources. Her personal journey became a catalyst for a larger mission to make her learnings accessible to women everywhere. It was this experience that led her to create BOND.    A natural born innovator, Caryn is disrupting the marketplace with this new line of products that offers women the opportunity to take control of their reproductive health before it’s too late. BOND’s proprietary formulations, designed to preserve fertility potential and lay the foundation for a healthier body, feature science-backed ingredients that work together to balance hormones, protect egg health, and provide cycle support. With BOND, Caryn aims to address women’s health more holistically and encourage a more proactive conversation around reproductive wellness.    Caryn’s career began in marketing and public relations where she worked with many notable beauty brands and PR firms before being recruited as the fifth employee at then startup, Vital Proteins. She was the first marketing hire at the organization and ultimately, became the company’s Chief Marketing Officer leading the team through the brand’s acquisition by Nestle Health Sciences. Following her tenure at Vital Proteins, Caryn took on the challenge of leading Owlet, a baby monitor company focused on preventing SIDS, where she served as Chief Marketing Officer and successfully guided the company through its initial public offering.   Caryn lives in Chicago with her husband and two children Elijah and Ruthie.    You can use coupon code THEWHOLESOME for 20% off all products. https://bond.life       For more information about Michelle, visit: www.michelleoravitz.com   The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/   Check out Michelle’s Latest Book: The Way of Fertility! https://www.michelleoravitz.com/thewayoffertility   Instagram: @thewholesomelotusfertility   Facebook: https://www.facebook.com/thewholesomelotus/     Transcript:   Michelle (00:00) Welcome to the podcast, Karin.   Caryn Johnson (00:02) Thank you. Thank you for having me.   Michelle (00:05) It's so nice to meet you. And I know that you do a lot of amazing work helping women I also know that you have your own story that you can share. And I would love to hear your story and really what got you inspired to do the work that you're doing.   Caryn Johnson (00:21) Yeah, absolutely. So I'm here to share really the start of how I got to where I am today. And that really is rooted in finding out that I couldn't get pregnant. So we can start there and then we can get into all of the details together. But my husband and I met when I was young, early 20s. And by the time we got married many years later, we were already   most right away to start having a family. There was a piece of me inside that knew that I was gonna have some sort of issue. I don't know, you already mentioned that you do visualizations to me before we started. So, you know, like I just had this feeling whether I manifested it for myself or not. I, you know, we did the full year of trying to get pregnant to no success and then went back to our doctor.   Michelle (01:03) Yeah, yeah.   Caryn Johnson (01:18) my typical OB-GYN and started the path of IUIs, did four IUIs, had beautiful eggs, each IUI, and reacted to the medicine quite well, but never got a positive from any of those. So we were recommended to move towards IVF. found a reproductive endocrinologist in Chicago, which is where I was located at the time.   started the path to IVF and went through the process of an egg retrieval. Ended up seeing similar to what we saw in the IUIs, which was that my reproductive system performed quite well. And I was able, they were able to retrieve just about 30 eggs from one retrieval, which is quite high, borderline too high, but.   just shows like the reaction to the medicine and the overall viability of my reproductive system. Of that, I had really normal odds and was able to bank close to 14, I believe, quality grade embryos. So I was really excited to move into implantation because at that point,   I just really thought like whatever was unexplained is just kind of, you know, over to the side now. you know, all these things are just working out in my favor. So this is gonna be, you know, it for me, which a lot of women I feel like go into IVF feeling like the IVF center is like the place where you get your baby, which isn't always true. So.   I started doing implantations and I started losing babies. Prior to that point, I had never even tested positive in any sort of like regard for a pregnancy test. And I wasn't one of those that, you know, jumped right off birth control, you know, to move into conception. I hadn't been on birth control for many, many, many, many years, you know, prior to this point. But the implantations started failing and   My doctor said, this embryo was only attached for two hours, maybe a couple of hours is what they said. I just thought, how on earth, like why on earth would something attach for just a couple of hours and then that be the situation where   It just doesn't work out from there. Like what is happening? And you know, got immediately, the immediate response was bad odds. You know, this happens, miscarriage happens. Just keep going. You know, one in four, in eight, you you get all the stats and there's definitely a piece of that when you're not working with really good quality embryos. But you know, I was, I knew that everything was genetically great. knew.   and had no reason to believe that my body wasn't in working order to, you know, produce a pregnancy. So I just started pushing harder and getting a little bit more more fearful of continuing down the path of losing babies because I just, it hit me so hard. Even the loss of two hours, I mean,   I just like, I've never felt sorrow like that. And I didn't, I just didn't feel like myself or really anyone should have to like continue down that path for like the sake of odds. So I started doing my own research and I was at the time experiencing some issues in my digestive system. I also now looking back had a definite cortisol issue.   which relates into the picture, but I was a CMO at Vital Proteins at the time, which is that blue tub collagen company. And so I had a high stress level and I knew that something was going on in my digestive system. This was, you know, 2016, 2015, 2016, 2017. So.   Michelle (05:39) yeah.   Caryn Johnson (05:58) almost prior to when we really started, you know, as a world, as a community talking about the microbiome and gut health. But I sought out a naturopath who ended up doing a blood panel on me and told me that I had, you know, hundreds of food sensitivities, which is a   a classic sign of gut dysbiosis, but at the time it wasn't translated back to like an issue in the microbiome. It was treated as like, yes, you have all of these, you have all of these issues with, you know, different foods, just avoid them. And that will be the solve versus, why do you have like, you know, why do you have a hundred things that you can't eat?   Michelle (06:42) Hmm.   Caryn Johnson (06:46) like watermelon seeds up to your typical gluten, et cetera. So I just started doing my own research online and I found a book called, Is My Body Baby Friendly? It's written by Dr. Alan Beer, who is now deceased, but it's over 700 pages of the science of how the immune system works with your reproductive system, your hormones, et cetera.   in order to effectively procreate or in order for conception and implantation to occur. And that's when I realized there was something greater going on in my body outside again of just my reproductive system that we just hadn't figured out yet. So I read the book Front to Back. It's a very science heavy book. So I had to do a lot of like   thinking about new terms and figuring and trying to remember what I was learning. At the end of the book, there was a recommendation at the time, there are more doctors now, but at the time for three doctors that practice this type of medicine, which is the field of reproductive immunology. And so,   Michelle (08:01) Mm-hmm.   Caryn Johnson (08:03) One of those doctors, Dr. Joanne Kwok-Kam of Rosalind Franklin ended up being in my backyard essentially 45 minutes away in the Chicago area. So I took that as a sign that I needed to call and get additional help above and beyond my RE who was doing the IVF. And I called over there and was immediately put on a six month wait list.   So proceeded with the next round of IVF because I was already on some hormones. So I was already going through the round. I had at that point only done my own research. So I wasn't really sure what was going on in my body or if I could believe what I had read because my doctors that were helping me with the IVF weren't really like saying that   They believed in the immunology side of things. They hadn't seen enough research, et cetera. So I wasn't really getting support on what I was researching. So it was around the holidays, October-ish, when I ended up calling into the clinic and I ended up getting a call right around   Thanksgiving that they had a cancellation and I got moved up on the wait list. So I ended up getting into the reproductive immunology clinic many months before they said I would two weeks before my next IVF transfer and that was just an awesome Hail Mary. They did a full ultrasound. So tip to toe thyroid, you know, your whole stomach area inside and outside.   And then they do the craziest blood panel that I've ever done. don't know how you can even draw that much blood, but vials and vials of blood to look at immune markers in addition to hormone markers, vitamin markers, and your typical blood panel. And they called me back 48 hours later and said, need to cancel this implantation. You have the highest level of antibodies that we've ever seen.   not that we've ever seen, but that we're able to track. So you're past like where the chart goes essentially. So if you proceed with your implantation, it's almost definitely gonna end in a miscarriage because your body is gonna fight it off. And at that point I was terrified because that was like the first real something's actually wrong with you that I had heard.   Michelle (10:21) wow.   Wow.   Caryn Johnson (10:50) Everything else was just unexplained, unexplained, unexplained. And I just went into shock. I didn't know what to do. I didn't know who to believe. You know, I had two sets of doctors saying different things. So I proceeded with the implantation and I ended up implanting both a boy and a girl embryo. And then   started treatment right away on my immune system through the reproductive immunologist. So what they did was they put me on a series of pretty intense medications to quiet my immune system. And then I did what is called IVIG, which are blood transfusions or infusions that essentially look   to wash your blood of the antibodies that are over protecting the immune system. So I went into this protocol and I ended up getting pregnant. It was positive right away. we saw, so the clinic ended up treating me one to three times a week with this IVIG infusion, which they're about two to three hours long based on, they're based on body weight.   Michelle (11:50) Mm-hmm.   Caryn Johnson (12:14) I was in their office, you know, at least one to two times a week, also for an ultrasound. So I knew by five weeks that both embryos had attached. you know, at that point, my immune markers were even more all over the place. We couldn't get my immune system to a stable level by any means. And I ended up losing the girl embryo at seven weeks.   her heartbeat slowed and then ultimately it stopped, which is one of the symptoms or issues when you have an autoimmune issue going into a pregnancy. So, you know, that was so sad and devastating and she was higher up in the womb than the boy embryo. So at that point,   It was pretty much 50-50 odds of if she was going to end up coming out and bringing him with her or if she was going to be what's called a vanishing twin, which is when your body reabsorbs the pregnancy for the sake of the other pregnancy, which is really the best case scenario because then you don't lose the other baby.   Michelle (13:18) my gosh.   Caryn Johnson (13:36) I was put on bed rest. This was the start of my bed rest between six and seven weeks, which continued until I gave birth, basically. I was able to go to work, but that was pretty much it. And I lived in fear that we were going to lose a little boy, but I ended up reabsorbing the girl embryo. So she never came out and we just really aggressively treated my immune system.   which held on until 34 weeks when I went into basically how the immune system works during the pregnancy is during the first trimester, there is more inflammation that can be in the body and then it has to subside for the second trimester to continue successfully and then your inflammation increases and that's   eventually causes or is part of why you go into labor. But my inflammation and my immune system increased really fast. my water broke early and I ended up having him, you know, early but he was healthy because some of the immune medications included steroids. So he was a little bit bigger than, you know, your typical   34, 35 weaker. But I was able to carry my son and that really started my story of what the heck happened and why is autoimmunity so under researched when it comes to your reproduction and your fertility chances and how can I actually do more now that I have my children here.   Michelle (15:06) Mm-hmm.   Mm-hmm.   Mm-hmm.   Caryn Johnson (15:33) to support other women so they don't have to go through this amount of trauma, right? But also this amount of like research and advocacy for themselves because at the end of the day, like we just can't expect that from everyone and we shouldn't. We should be able to support. Yeah, so I'll take a breath there.   Michelle (15:40) Mm-hmm.   Yeah.   Wow, that's incredible story. And I mean, it's it's mind boggling, you know, that, nobody really talks about something that is so prevalent. And I do see that a lot, actually. And it could be the reason why you have unexplained infertility or why transfers don't work. And I speak to Amy Ralph, Amy Ralph, she's a   Caryn Johnson (16:19) Yeah.   Michelle (16:20) she does the same thing, Chinese medicine. And she talks about this a lot. She says, if you miscarry or you have repeated transfer failures with a good embryo and your doctor doesn't look into like what your lining is doing and how your immune system is working, then go to a different doctor because it's so important to look into that because you could spend so much time.   and you can spend so much money and just so many precious years going through so much loss for something that could be treated but can also be prevented. So I'd love to actually get your input on what you've discovered and how the gut relates to it but maybe other things that you've noticed or learned for the listeners.   Caryn Johnson (16:59) Absolutely.   Yeah, absolutely. And I think what you're saying is just incredibly important. Like the immune system, I feel like is the secret starting point to a lot of issues. And what's happening in medicine right now is a lot of women are walking away with an unexplained infertility diagnosis, but they're accepting that as a diagnosis, right? When it's not, it's just, it's not an answer.   And if you look underneath kind of that answer, you see a lot of crazy statistics, such as over 65 % of women who have unexplained infertility actually have an issue in their immune system. And then similarly over 60 % have an issue in their metabolic system. So blood sugar, insulin, know, early signs of PCOS, et cetera. And then.   Michelle (18:05) You   Caryn Johnson (18:10) When you look, you see that there are deep, deep nutrient deficiencies happening in this group of women as well. So you're looking at vitamin D deficiencies, vitamin B deficiencies, magnesium, omegas. All of these start with modulations that occur in the immune system as well. So when you think about it on a deeper level and from the research that I've done,   Michelle (18:23) Mm-hmm.   Mm-hmm, yeah.   Caryn Johnson (18:39) you're looking at something that's happened to you before it's affecting your hormones and triggering one of these other issues in your reproductive system. So like for instance, not only do I have, you know, autoimmune infertility, I do carry PCOS and adenomyosis as well. And for me, and based on the research that I've done, those are secondary factors.   to my immune system modulating and creating an overly inflammatory environment in my body, which then produced those issues. So we're not going up far enough in the chain of our bodies as to understanding our full systems. And again, it kind of goes back to like what's happening in medicine, which is that our doctors are   Classically trained in our reproductive organs, right? So they know our uterus they know our ovaries they understand how those work, but we need to get into you know, a new phase where we have Practitioners that understand how all of the systems are working together in our body Including our immune system and our endocrine system because they do have such a big and almost starting impact   Michelle (19:57) Mm-hmm. Yeah.   Caryn Johnson (20:07) on what's happening with our fertility.   Michelle (20:10) yeah, I completely agree. And I also I'm wondering, like, what have you seen? Because I think that when you talked about the food sensitivities, you were saying that it's okay, I'm allergic to so many things, or I'm sensitive to so many things, but why? So like, what are the things that you've seen that cause it to begin with?   Caryn Johnson (20:28) Yeah.   Yeah. So there are a couple of things that I see as a starting factors. One is overall stress. So if you can't keep your stress in check, you can't keep your cortisol levels in check, then your adrenal function will not perform in the rest of your hormones will not function correctly, which then trickles into some of these other problems. and then you get into other factors like what you're putting in your body.   the nutrition that you have or you don't have. They're saying the American diet is still between 60 and 80 % processed food. So we're putting still mostly junk into our systems that's modulating and creating these environments that we don't want. Number three is dysbiosis of the gut, right? Which is a huge factor in   Michelle (21:13) Mm-hmm.   Yeah.   Caryn Johnson (21:31) overall well-being and then your chances at fertility because what happens is that if your gut is in dysbiosis, your mucosal lining is disrupted and all of the toxins that are supposed to be in this like, think of it like pipe in your body, piped to get to the outside are now permeating that pipe and moving into your system and causing again, these major inflammation issues.   these, this uproar of immune response that is hard to counteract. You know, once you have that level of bacteria and then toxins that are entering the bloodstream. And then the last kind of reason that you would be kind of in this situation is just based on what's going on in your environment. So are you living in a city, you know,   that a lot of people in Detroit, for instance, there's a bigger rate of infertility there versus, you know, your non-city residents. It's also based on the toxins that enter your home. So are you getting rid of your plastics? Are you looking at the cleaning supplies you're using, the makeup you're putting on your face? It seems simple, but this toxic overload, again,   Michelle (22:52) Mm-hmm.   Caryn Johnson (22:55) creates this inflammatory response, which modulates your immune system. So those are really the four categories that kind of put you in this place. And then it kind of gets into epigenetics, which is like, you know, you've created this new world for yourself that your body has become. And, you know, is it going to be like that or are you going to be able to get yourself out of it?   Michelle (23:23) Yeah. my God. It's so important and it's true. We hear all the different factors and actually those toxins and the endocrine disruptors can be found in food, I mean, through pesticides and that can also impact your gut dysbiosis. so it's just, it's like an entangled web and it really is like a reflection of how we're living today and what's allowed in this country, which   Caryn Johnson (23:38) Yeah.   Yeah.   Michelle (23:50) I'm starting to get more and more frustrated with, you know, the fact that other countries are protecting their citizens more from chemicals and pesticides and things that are harming not only our health and chronic disease, also future. it's, it's unbelievable. And for that reason, I often tell people just go gluten free. It's not that.   Caryn Johnson (23:58) Yeah.   Gosh, get me started on glyphosate. It's so sad.   Mm-hmm.   Michelle (24:16) It's not that wheat is bad. And actually, as a matter of fact, a lot of people don't have those same responses if they go to Spain or Italy, even though it's not considered GMO, they have genetically modified it over the years. So there's so many aspects. So sometimes I'm just like, just remove it, And I see people feeling a lot better.   Caryn Johnson (24:26) Right.   Yeah.   Michelle (24:41) just from that, and especially with autoimmune conditions, actually that like going gluten free can really help. That's what I've seen.   Caryn Johnson (24:50) Yeah, no, definitely. It's just our food source is really sad. And it's just, it's so hard to pinpoint at the end of the day because no one really has the exact answer. But I just like, you see the data, like women who are eating on a Mediterranean diet have a lower risk of endometriosis.   Michelle (24:55) Yeah.   Mm-hmm.   Caryn Johnson (25:15) women who have like vitamin sources through green leafy vegetables don't have as much PMS. So like the correlations are there. It's just like, how do we get people to make better decisions for their body and understand like, don't be me, don't make bad decisions and then get into a position where you can't have the life that you wanted or dreamed of, or you have to fight so hard for it because   Michelle (25:16) Right.   Yes.   Mm-hmm.   Caryn Johnson (25:43) of choices you made earlier in your life from lack of knowledge, you know?   Michelle (25:47) Right. Yeah, totally. And then I also look at the nervous system, which is what you're, I feel like it's really linked to the cortisol issue, like the high stress, because we're constantly being bombarded with too much information. Really, I think too much information that our nervous system is able to translate. And I think that takes a trickle down effect into our bodies. I'm very big on like mind body because of that, you know, like that, that's one aspect, but of course, I mean, there's so many   Caryn Johnson (26:02) Mm-hmm.   Yeah.   Michelle (26:16) Like I said, it's like a web and every single piece matters. And that's what you were talking about before with medicine, looking at the body as a whole, as a functioning system, rather than just one part.   Caryn Johnson (26:21) you   Right, right. And just going back to your comment on cortisol, you know, a lot of it does start with cortisol because if you put yourself into too high of a cortisol state, your body doesn't produce enough hormones. It basically triggers all of your other hormones to act inappropriately. It goes into your progesterone receptor.   Michelle (27:00) Mm-hmm. Yeah.   Caryn Johnson (27:00) pretends it's progesterone and then it goes on your thyroid and says slow down, slow down. Your body doesn't have enough energy for this and your thyroid slows. So it's really like easy to dismiss like, yeah, I'm so stressed but I don't have to be stressed today and to understanding like if your body is in a constant state of stress, like the impact it can truly have on your system and on your hormones because   Michelle (27:27) Mm-hmm.   Caryn Johnson (27:30) I guess also people think of like cortisol is like over here and then estrogen and progesterone as like over here because they work through different axes of the body, right? But it's all related because if you knock one off, you're messing with the others. So I just, I wish people ultimately would understand that cortisol is a huge starting factor to their fertility journey as well.   Michelle (27:38) Mm-hmm.   Right. Yes.   Caryn Johnson (27:57) and to a hormone journey if they're not on the road to fertility.   Michelle (28:02) Yes, because ultimately the body's always going to favor survival. And when you're in high cortisol, your body's basically or something is signaling your body to let it know it's not safe. So when you're constantly in this state of feeling unsafe, your body's going to worry about other things and put off other factors that it would normally pay attention to when you do feel safe.   Caryn Johnson (28:08) Yeah.   Right.   Michelle (28:32) And being in this chronically is just not conducive to high vitality period.   Caryn Johnson (28:32) Right.   Yeah, I feel like at least we're in a better state of mind, like as a world where, you know, 10 years ago it was chic and cool to be like chronically stressed and like drinking like three cups of coffee in the morning and like running yourself ragged. Like I feel like everyone understands a little bit more that they shouldn't. It's just about like knowing your body and actually being able to say to yourself like, no, this isn't how I should.   Michelle (28:52) It's true. Yeah, that's a good point. Yeah.   Caryn Johnson (29:09) be feeling. This isn't how I want to keep stress or maintain like my day-to-day life.   Michelle (29:17) No doubt that we are getting educated like never before. like, it's, it's one of those things that when like the information comes out and we start to open our eyes, it's painful because we're realizing things that are not working. However, even though it's painful, it's actually helping us in the long run. And it's kind of like the, blessing and the curse of social media and all of the technology, but the blessing is information.   Caryn Johnson (29:28) Right.   Yeah.   Michelle (29:45) that is very important for us to know it's important for us to receive. So that aspect of it is really important. And then talk to us about your supplement product bond. And I know that you created that based on really your own frustration and it's become your baby. And I want to know what specifically or how does that address autoimmunity conditions for people who are going through that or?   Caryn Johnson (30:03) Yeah.   Michelle (30:14) least thinking maybe to look into their immunity in regards to their fertility, listening to this.   Caryn Johnson (30:21) Yeah, absolutely. So I launched Bond just about a year ago. I concepted it. took a year prior to that from concept to launch.   So really it started in the world of advocacy for me. I was just really looking to help other women getting involved in some Facebook groups, some communities. you know, there's not a lot of knowledge, a lot of people talking about this yet. There certainly wasn't, you know, even just a few years ago. so I, I took a speaking opportunity in Detroit and   I went to Wayne State University, which is where they do a lot of the research for autoimmune infertility. the main head of that clinic asked me to come and speak to the researchers because they do all of this research and it's isolated into their facility. They don't actually see the impact of what's going on with women who are going through this.   Michelle (31:24) Mm-hmm.   Caryn Johnson (31:25) so I got to share my story and, you know, had a really nice day there learning and seeing their facility, their lab, what's going on. And on the drive home is really when it clicked for me that there's a lack of, or there's a gap in what's going on research wise and, know, what's being discussed and what's being carried out and brought to.   the consumer or the public's attention. And I just felt like if I didn't take a larger stand to do something bigger to help women, that we'd be many, many more years behind even. So I went back to my house in Chicago, sat in my basement and did just clinical research for months. And I logged over 300 clinical studies, all centered around   the immune system and how it relates to hormones to the reproductive system and built my thinking for original skews, which were, which are daily balance, which is our best seller conception boost, vitality, and cycle care on this thinking first. so it really started with research before it was brought forward to healthcare practitioners and then formulated out.   And a lot of the research that went into each of the products is above and beyond supporting the reproductive organs. So when you look at daily balance as a whole, it has 15 vitamins and nutrients in it. And a lot of those vitamins and nutrients were chosen to not only support hormone balance, but to take that up a level and to support the immune system as it relates to being a predecessor to hormone balance. So   adding a vitamin D, which is a huge hormone regulator, putting fiber, five grams of it into a supplement so that women are potentially protecting their gut lining better and producing those short chain fatty acids that are going to protect their gut in a way that just probiotics don't. Adding in a probiotic blend that   we studied as being healthy strains, or not healthy strains, but strains from healthy fertile women. So really focusing on these immune factors and how they pull into the world of fertility. But to the public now, you know, almost simplifying that message and making it more of like the underlying theme because we're still not necessarily totally there.   so the ingredients exists in these formulas with so much thinking and thought as it relates to the whole body. and then the formulas come out and, they're focused on hormone balance, right? As well as we have a conception product, and then we have our cycle care product, which is focused on, PMS support. So PMS, symptom alleviation, and then hormone detoxification.   Michelle (34:16) Mm-hmm.   Caryn Johnson (34:44) So they all have an immune angle, also address a hormonal need.  And the other great thing too is that you can shop at a discount as a special thanks for listening to us here. You can head over to the link. We'll link it here with this podcast episode and use the code, the wholesome to get 20 % off your order.     Michelle (34:54) Awesome. And do you have information on your site, just like support for people wanting to learn more?   Caryn Johnson (35:00) Yeah.   Yeah, absolutely. we're starting to add more and more to our site. I wrote a white paper on how the microbiome affects fertility that you can download off of our website as well to get more information. And yeah, we share a lot on social too with, you know, article connections there. So that's another great way to keep up with kind of like up and coming research that we're seeing.   Michelle (35:32) Mm-hmm.   Caryn Johnson (35:33) But yeah, I would say too, just going back to one other thing you mentioned earlier on the, on the doctor front, the best thing to do as a consumer, like when you're hitting these issues is to bring the articles in and show them to your doctor and choose advocacy for yourself. Because I found that the response from them is far greater when you have data in your hands as to why you want to.   Michelle (35:51) Mm-hmm.   Yeah.   Caryn Johnson (36:03) add a supplement, think about a different form of medication, think about a different program that might make sense for your system. So I would say, you know, that is as important as ever. And, you know, what we try to do more and more is link that PIMD article, like when we post something so that you can find the actual source and see for yourself, you know?   Michelle (36:24) Mm-hmm. Yeah.   Caryn Johnson (36:31) read the information and make smart decisions.   Michelle (36:31) Mm-hmm.   I love that. That's great. I'm all about empowerment. think that we need a lot of that now. So this is great information. I really appreciate you sharing your story for people listening. And for people who want to find you and learn more, how can they find you?   Caryn Johnson (36:41) Yeah.   Thank   Sure, so our website is bond.life. Our Instagram is underscore bond life and we're, you know, a newer company. I'm still really involved on our social. So we love to take DMs and interact with people one-on-one that way. If you have any questions or want to get into, you know, what you might be experiencing and what our different products are, like we're happy to get into it with you and.   I will say for anyone that wants to shop on bond on our website, absolutely love to support you. And again, really the place to start with, with us is our daily balance product. has the baseline of nutritionals you need to support your   nutrients stores, your hormonal balance, and of course, your immune system. that is our purple bag on the website there. But Michelle, thank you so much for having me. I really appreciate this opportunity.   Michelle (37:57) Yeah, it was great having you on and having this conversation, which I feel like is so important because it is kind of like the big question mark that a lot of people are facing when they're trying to conceive. So thank you so much for coming on.   Caryn Johnson (38:09) Yeah, you're welcome.        

On today’s episode of The Wholesome Fertility Podcast, Sonia Ribas @soniaribascoach shares her journey from a marketing executive to a fertility coach, emphasizing the importance of holistic approaches to fertility. She discusses common challenges faced by individuals trying to conceive, the often unnecessary reliance on IVF, and the critical role of personalized treatment plans. Sonia highlights the impact of oxidative stress on fertility and the significance of mindfulness and community support in the fertility journey. Her insights aim to empower individuals and couples navigating the complexities of fertility.   Takeaways:   Sonia transitioned from a marketing executive to a fertility coach after discovering her passion for holistic health. Many individuals seek help too late in their fertility journey, often after failed IVF attempts. Statistically, 50% of IVF cases may not be necessary, highlighting the need for proper preparation. A holistic approach to fertility considers physical, mental, emotional, and spiritual factors. Oxidative stress negatively impacts egg and sperm quality, making lifestyle changes essential. Personalization in treatment is crucial; what works for one person may not work for another. Mindfulness practices can help manage stress, which can be harmful to fertility health. Community support is vital; many women feel isolated in their fertility struggles. Education and actionable steps are key components of effective fertility coaching.   Guest Bio:   Sonia Ribas, MBA, HHC, RYT Sonia is a sought-after LA based Fertility Coach and a Mom of 3. In her last 15+ years, she has successfully coached thousands of couples struggling to conceive. Her highly personalized, transformational and integrative lifestyle-based approach, which covers everything from nutrition to wellbeing, makes her an expert guide in her clients’ path towards Parenthood. She helps couples 1on1, in groups and in collaboration with Fertility Clinics around the world, in order to help patients boost their fertility from every possible angle and maximize their chance of conceiving, both naturally and via IVF.   Besides helping couples conceive healthy babies, she is a wellness educator and extremely passionate about inspiring people around the world to lead healthy lifestyles. She constantly collaborates with International lifestyle media outlets and companies as a consultant, speaker, educator and expert Health Coach.    You can find her at soniaribas.com and on Social Media @soniaribascoach.     For more information about Michelle, visit: www.michelleoravitz.com   Check out Michelle’s latest book here: https://www.michelleoravitz.com/thewayoffertility   The Wholesome FertilityFacebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/   Instagram: @thewholesomelotusfertility   Facebook: https://www.facebook.com/thewholesomelotus/     Transcript:   Michelle (00:00) Welcome to the podcast, Sonia.   Sonia Ribas (00:02) Thank you so much, Michelle.   Michelle (00:04) Yes, I would love for you to share your story of how you got into this work that you do.   Sonia Ribas (00:11) Okay. Yeah, let's go for it. So I always say, sometimes you find things in life. Sometimes things find you. In my case, fertility found me. So in my previous life, as I like to call it, I was marketing executive and director for multinationals. And then I found yoga and I fell in love with hot yoga at the time to the point that I left my job and I went travel the world.   and I created one of the first online yoga studios in the world. And as I was doing that, yeah. And I was, was doing that occasionally. I was also teaching private sessions and, I was living in Boston at that time and I had a client who was originally from India and she was my yoga student and she was great. And then she was relocated back to India. And then she called me and she said,   Michelle (00:45) cool.   Sonia Ribas (01:06) Hey, my OBGYN says I'm not going to be able to have children and I'm devastated. And I was like, wow. And she said, you're the only person I trust. And I was like, well, wait a second. Like I'm not a fertility person, you know? Like I'm into healthy lifestyle. I'm a yoga instructor. I know a thing or two about these things because I follow it, but not fertility. And she said, Sonia, you're the only person I trust. So.   Michelle (01:32) Wow.   Sonia Ribas (01:33) This is 15 years ago. So I teamed up with my mother, who's a traditional Chinese doctor in Spain. And we teamed up together and we put together a holistic program. That was the very, very first version of what I do today. And, you know, we created meditation videos, yoga videos, lots of herbs, supplements, diet, lots of mindset tools and things like that. Things that we were coming up with. And I did a lot of research as well.   to understand, you know, I'm a research nerd, so to understand what works, what's proven, et cetera. So we created the first version for her and her labs improved a lot and she got pregnant naturally. So her OBGYN in India started referring people my way.   Michelle (02:16) All right.   Sonia Ribas (02:22) So yeah, the rest is history. So I started informally doing fertility coaching without being certified. My mom was helping me, but at some point my mom said, you know, I have a full practice in Spain. I think it's time for you to go on your own. So this was 15 years ago. So obviously fast forward, I got certified. I became a health coach and I got a lot of certificates in medicine and women's health and a lot more. And then   I started practicing fertility coaching 15 years ago, then I had three kids of my own. So I perfected my method with obviously my own experience. And yeah, by now we've helped make more than a thousand babies.   Michelle (03:08) Amazing, that's incredible. So cool.   So what are some of the common things that you see when people come to you for fertility? Like some of the common stories that people share on their journey I know that's a big question, but whatever comes first.   Sonia Ribas (03:27) Totally. So what I wish I would see, first I'm going to tell you what I wish and then the reality is, because sometimes it helps understand what I wish I would see is I wish I would see more people come earlier. So I always use the analogy of a wedding, know, the same way as you prepare for a wedding. And if you think I'm going to get married, you don't just show up in your sweatpants at your wedding, right? You prepare, you get a dress, you prepare a set, you know, you get the whole thing going.   Michelle (03:41) Mm-hmm. Yeah.   Sonia Ribas (03:57) I wish it would be the same for having a baby because there's a lot of things that we would prepare in advance. There wouldn't be so many headaches and so many heartaches. Now, the reality is that I see people when they're on the desperate side, when they've been trying for a while and it has the journeys longer than they anticipated or when they've been told IBF is their only option.   Michelle (04:14) Mm-hmm.   Sonia Ribas (04:23) or even worse when they've tried IVF or IUI and it didn't work and then they come to me as a better alternative, more empowered version to get pregnant.   Michelle (04:35) And you say you had mentioned that you think that many times in many cases, people don't really need IVF. What has your experience been with that?   Sonia Ribas (04:46) So statistically, 50 % of IVF cases are not needed. So that right there tells you what happens, right? So a lot of people are thrown into IVF because that's the nature of the Western medical approach to fertility. In some cases, it works. In many cases, it doesn't work. And when it doesn't work, most of the times it's because the person was unprepared or the couple was unprepared or because it was not needed.   So I always say, I always use the analogy of a car. So if your car doesn't work, what do you do? You take it to the mechanic and the mechanic tries to jumpstart the battery. So that's IVF. IVF is jumpstarting your system. You might or might not be ready for it. It might or it might not work, but the process is very expensive, very invasive, and it has side effects potentially for the rest of your life. So it's not something to take lightly.   Michelle (05:19) Mm-hmm.   Sonia Ribas (05:42) It's not like, hey, I'm going to get my whatever. It's not like I'm going to get my teeth cleaned. No, it's an invasive thing. So what I say is going back to the analogy of the car, if your car doesn't work, you can take it to the mechanic, you can open the motor and have a look. Clean whatever needs to be cleaned, repair whatever needs to be repaired so that when you try to switch it on, it will switch on without being jump-started. It will switch on natural.   So this is what we do here. And I always say to people, hey, if down the line, it hasn't happened naturally and you want to continue trying IVF, by that time you'll be ready. Look, I always go back to statistics. IVF without preparation is about a 20 % success rate. IVF with the proper preparation and optimizing your system is an 85 % success rate. So if you're going to throw yourself into this process,   At least prepare yourself so you can optimize your chances of success.   Michelle (06:46) And what are some of the things that you see that people need when they come to you? Like, What are some of the more common things that you see?   Sonia Ribas (06:56) So we here, we leave no stone unturned because everybody needs a combination of factors and everybody is really different. So for some people, it's more the physical side. For other people, it's more the mental, the past traumas, the blockages, the limiting beliefs energetically. So we leave no stone unturned. We cover everything from the physical layer, the mental, the emotional, the energetic, and the spiritual layer. So we have a holistic approach.   to fertility, which I love your podcast is wholesome because we use that word all the time as well.   Michelle (07:31) Yes, for sure. mean, there's so many different layers. Some of the things that I personally see is a lot of people are given diagnosis and I guess in the journey, it's very easy to get a lot of limiting labels thrown at you. And I really say thrown at you. mean, I was one of them. had my own issues with my menstrual cycle.   growing up, but not realizing that I had other option. And I think that a lot of times is that people don't realize that they have options and they don't realize or aren't really told along the way, unless they find the right person, that there are alternatives and things that they could do to improve their state. I think that that was, that's the biggest hurdle is just really not even knowing anything else exists.   Sonia Ribas (08:25) Absolutely. Yeah, so a lot of the things we do is education because people obviously you don't know and people go to Dr. Google, which is probably the last thing you should be doing because it's nerve-wracking. So we do a lot of education, but we step a lot into action. We're very, very action and results oriented. I always say to my clients, we are here for transformation. And if we are here for transformation, we need to combine information,   plus action. So everything we offer here is very, very action oriented, whether it's on the diet side and we roll up our sleeves and we create personalized diets for our clients. But also, for example, on the movement side, we give them a lot of tools. Like it's not just, go move and go exercise, but we give them a lot of exercise videos, yoga videos, strength training, like all the tools they can actually go and implement with real actionables.   Michelle (09:24) And when you talked about percentage of improvement for IVF, if you're prepared versus not prepared, is that anything specific to your work or something that you've seen? How do you base that?   Sonia Ribas (09:38) No. Yeah. So that's kind of like statistics that we draw in our practice. mean, the fact that IVF is around a 20 % success rate is known. That's not something that I've decided. That's something that's published. Obviously, it depends on the age brackets and all that, but we can call it an average. And then what I see is I have a lot of people who've tried IVF, and they come my way after a number of failed rounds of IVF.   Michelle (09:43) Mm-hmm.   Yeah.   Mm-hmm.   Sonia Ribas (10:06) And then we can draw statistics of like, from these people, how many people then have a successful IVF after? And it's about 85%.   Michelle (10:13) Yeah, that's awesome. it's good to know. I'm curious because I'm a little bit of a numbers nerd myself and I like to kind of get like data and I hearing just things even with like studies and so kind of jogged my curiosity. That's awesome and I agree. I do Chinese medicine. I also do fertility coaching, but ultimately,   Sonia Ribas (10:19) Me too.   Michelle (10:35) when you do make these changes in your lifestyle, you really can optimize a lot of your wellbeing, but it's almost like you're the way I see it is you're triggering an anti-aging because that's really what fertility is. It's kind of like anti-aging treatment. If you think about it, it's the same thing. It's just really optimizing your health, optimizing your mitochondria and your body's energy so that it's able to   Sonia Ribas (10:52) Right? Yes.   Michelle (11:02) produce, reproduce, but that's ultimately like turning back the clock, which we can actually do. something that you can actually do with lifestyle, which is why I find it so empowering in general. I find that a lot of people also feel that it's not just empowering for conceiving, but it's empowering as they get older as well.   Sonia Ribas (11:12) Yes.   Yes, yes, exactly. So what we do here is reverse the effects of oxidative stress. So as you say, it's kind of like the anti-aging version of fertility.   Michelle (11:36) And what are some of the things that you find or some of the ways you approach that just for people listening that are curious, like, cause some people know, you know, that that can impact equality as we age, oxidative stress gets higher, but some people might not, you know, it might be like new terms if they're just listening to this now and they're first starting this journey. so let's kind of break it down for the listeners if they're hearing this and why it's so impactful for   not just egg quality, but for sperm quality as well.   Sonia Ribas (12:09) Yes, there's a massive difference though. obviously as you age, oxidative stress happens. It's the byproduct of being alive. It's funny because my dad always said, you know, when my dad drinks or something and I say, hey, dad, this kills you. He says, you know what? Living kills me. Being alive means that you are subject to the process of oxidative stress. Everybody's subject to that. Now there's a difference between egg and sperm. Eggs,   Michelle (12:27) Mm-hmm.   Sonia Ribas (12:38) You are born with your set of eggs. I cannot take out your eggs and replace them. They are there. We can do a lot of things to optimize their functioning, optimize their quality. As you said, optimize the mitochondria and make them fitter and stronger and better working, but they're the same. Now, sperm on the other side is regenerated all the time. The sperm that's ejaculated today is not the sperm that will be ejaculated tomorrow or in three weeks.   That's why it's a lot easier. In my experience, it's a lot easier to improve sperm quality than egg quality. But we can work on both and we definitely have great success on both. But every time that I get a couple that have a combination of factors, I always look at the male and I say, okay, you're on the lucky side. If you do this program, I can guarantee for sure that your sperm will improve no matter what.   Michelle (13:39) So let's talk about the egg quality and how oxidative stress impacts the egg quality and like what people can do, generally speaking to improve their quality of eggs.   Sonia Ribas (13:44) Okay, yeah.   Okay, great. So how it impacts egg quality is, well, it's in a number of ways, but primarily two very strong ways. One of them is genetically. It affects the DNA structure of your cells, including the DNA structure of your eggs. So when your eggs produce embryos, it might be that the embryos are genetically not normal. So that's when we see genetic things happen, even not viable.   So that's one thing that happened. The other thing that is very visible that happens is that the mitochondria, which is the energy factories of the cells, get affected. So they're not as strong. This is why we recommend supplements like CoQ10, for example, to boost the functioning of the mitochondria. Now, what do we do holistically in this program to optimize that quality? It's one of my favorite topics in the world. Thanks for asking me that. So it's a holistic approach.   We boost fertility, we boost equality from every possible angle, everything lifestyle-based and everything is research-based here. So everything we offer here has been proven at some point by research papers. So we work on 15 factors. So my program is 15 modules plus a bonus module, that's male factor. So for 15 modules, we deep dive into 15 areas of your lifestyle.   that need to be optimized because they're strictly related to fertility. So if you optimize those areas of your lifestyle, you are boosting your fertility and your egg quality no matter what. And those are, there's a physical layer, there's a mental layer, emotional layer, energetic layer, and spiritual layer. So we combine things like diet, hydration, supplements, weight management, movement. We talk about inner dialogue, emotions.   cortisol, stress, everything that happens related to your stress hormones, sleep patterns, circadian rhythms, your relationships, your toxic relationships, your conflict, your libido, your sex drive, your relationship, your connection to your partner, environmental toxins, empowerment, your connection to your inner power, limiting beliefs, empowering self-affirmations, meditations, cycle syncing. also do   sit cycling, and then connecting to your group. So I think it's very important. And that's something we never talk about, which is like, can throw a lot of things at you. But if we don't find your version of what I'm talking about, it's not going to work. So that's why it's very important, the concept of bio-individuality, which means a person's food is another person's poison. Right?   Michelle (16:34) Yeah, it's true.   100%.   Sonia Ribas (16:45) Everything needs to be personalized to you because we are here to deliver results for you, not for your neighbor. So what works for your neighbor and your cousin might be very different. Some people have night shifts. Some people have preferences on food. Some people have cravings. Some people turn to different things to deal with emotions. Some people have past trauma, most of us. Like all of this is very, very personal. So what I'm very fascinated about and obsessed about is   Michelle (16:53) my god, so true.   Sonia Ribas (17:15) How do we go in the trenches with our clients? How do we help them land all the recommendations into their real life so that we can truly move the needle for them?   Michelle (17:28) Yeah, I love that. It's so true because that is something that I often see is, especially when they first come to us because they're like, you know, my best friend, she also struggled with fertility. She tried this herb and it helped her. And I wanted to try it too, or somebody else tried DHEA, which is a hormone and I want to try it too. And it is a hormone and it is something that I always recommend never take anything like that.   unless you get tested and see what's going on in your body. Because for one person, it could be amazing. It could be a game changer. But if your body has a completely different makeup and imbalance of hormones, it can actually be detrimental. So I'm really glad that you brought that up because everybody's so unique. literally are like, our bodies are like fingerprints. And I love that saying one man's food is another man's poison. It's 100 % true.   Like somebody can thrive, actually dairy has been shown to help with many women who are trying to conceive full fat. It's been shown in studies. I'm also a nerd with that. Like I love that because it's true. Like then you could see, okay, for the majority, yeah, it can actually be really beneficial. However, if you have a dairy sensitivity or an allergy or it causes more inflammation, or as in Chinese medicine, we look at like dampness.   which is an element, I'm sure your mom has taught you about that. Then if that's the case, that would not be great for that particular person. it's so important for people to realize that, yes, you listen to podcasts and you read about it and you go down like Dr. Google, as you said, and you can learn a lot of things. However, your body is so unique and your body needs a customized plan.   Sonia Ribas (19:03) Thanks.   Yes, absolutely. And even a step further, your body today is different than your body in two weeks because you are a woman and you are in the waves of your menstrual cycle. So if you're ovulating today, you'll feel strong, you'll feel energetic, you'll feel social. And in two weeks, as you're about to menstruate, you'll feel like a completely different person.   Michelle (19:33) Yes, that's true.   Sonia Ribas (19:52) And that's something I like to talk about because I get a lot of men kind of like asking me how true this is, how is PMS real? Is she making it up? you know, they just, because they're flat, they don't understand the fluctuations of hormones. And I do a lot of education on that, on cycle syncing, how this is real and how life is a lot easier if you serve the waves of your cycle.   instead of fighting it or instead of just acting as if it doesn't exist.   Michelle (20:24) Totally. I call that just kind of personal flow. In Chinese medicine, we do a lot of like physical flow with the meridians and our qi. But when we have flow in our life, that's really what it looks like. It's really understanding, not fighting, kind of going with that, riding those waves. So yeah, I totally agree.   Awesome. And so what are some of the, love talking also about the mind and how stress can impact our bodies. I understand this from a Chinese medicine perspective. I also, we know that when we're in fight or flight, basically the energy rich blood rich areas are going to be our arms and legs or limbs so that we can either fight or run. And it takes it away from our vital organs and including the uterus. So   let's talk about that. Let's talk about how stress can impact fertility and why it's so important to address that aspect of ourselves.   Sonia Ribas (21:27) Okay. I love, this is one of my favorite topics. So when it comes to stress, I always say there's two kinds of stress. There's useful stress and there's chronic stress, which is not useful. So stress is a natural response and it's actually very useful response to danger and to situations in life that need for you to be pumped with certain hormones called disall adrenaline to react.   Like if there's a lion about to chase me, I need to experience stress so that I can react and save my life, right? I need to run or hide or something, right? So that's useful. And in certain situations in life, that's very useful. Now we have in our modern society normalized a stressful feeling to the point that because we have deadlines, have infertility problems, we have a lot of things going on.   Our body is constantly in alert as if a lion's about to chase me every five minutes. So that's called chronic stress and that is highly inflammatory. So if you feel you're having that, which you probably are because we pretty much all have that, you need to find ways to release that cortisol. You know, because otherwise we have what we call a cortisol intoxication or a cortisol overload.   And cortisol is highly inflammatory, even excess. So you need to find ways to release it. And this is where we step into action. So for me, for example, I need to go workout to release stress. If I don't move, I can meditate and things like that, but it's not going to be the same as sweating it out. So I do hot yoga. Hot yoga is my thing. Right. For other people, it's different, you know, there's a lot of different ways. So.   Michelle (23:10) I love hot yoga. Yeah.   Sonia Ribas (23:19) If workout works for you, great. Meditation also works for a lot of people. And if you're not meditating, I get a lot of people tell me, that's not for me. Give it a chance because meditation does not need to be a full hour in Tibet. It can be 10 minutes, five minutes sitting on your bed and just like focus on your breath, diaphragmatic breathing. As you inhale, expand your belly.   As you exhale, you contract your belly and you connect to your breath. And that in itself sends your brain signal of, am safe. And you can activate your parasympathetic nervous system, which is the rest and digest. And that's where your reproductive function thrives. If, however, you're activating your sympathetic nervous system, which is your fight or flight, then your reproductive function won't be favorized.   Michelle (24:05) Yes.   Sonia Ribas (24:13) because your body will only favorize the functions that are essential for survival.   Michelle (24:19) Absolutely.   Sonia Ribas (24:20) So another way that I always tell people to activate your parasympathetic nervous system, so to release stress, is hugging. Hugging, a long hug, also does that. Also sends that signal to your brain of, am safe, I escaped the lion, everything's good. So that also works really well. And also hot and cold therapy.   So if you're stressed and you're like, my God, I don't know what to do with myself, go take a cold shower or a hot shower or combine both or take ice water or make yourself a hot tea. Like hot and cold therapy are very good as a way to release cortisol as well.   Michelle (25:06) Interesting. Yeah. mean, there's the cold plunges. There's I'm trying to look into that as far as fertility goes. Possibly might be good for men, but I'm not sure about women quite yet. Trying to do the research on that, but I do agree. Maybe it's kind of like that initial kind of shift from one state to another that sort of breaks up the stagnation.   Sonia Ribas (25:29) Yeah, it's the shocker. I knew you're going to say that because obviously in the traditional Chinese medicine, we don't want to be cold. And I grew up this way. You always want to be on the warmer side. I remember when my mom did her internship in Beijing, it was super hot, like 110 degrees. And everybody was drinking hot tea 24-7. And she was calling me like, I don't know if I can do this, like, hot tea.   Michelle (25:31) It's a shock, yeah.   Yes.   Yeah.   Sonia Ribas (26:00) But yeah, I know very well that that's a tradition. I grew up with that. And for me, cold water is a problem too. But what I do is I shock my system and I do hot, cold, hot, cold, and I always end with hot because I cannot walk out of my shower feeling cold. But I do think shocker.   Michelle (26:17) Yes, and also the shower is not as extreme as some of these cold plunges.   Sonia Ribas (26:22) That's true. That's true. Yeah, I do think the combination though is very, very interesting. But as we said, hey, bio individual.   Michelle (26:28) Right. It's like the yin and yang. We're kind of forcing a yin and yang balance in some way. Yeah.   Sonia Ribas (26:33) Exactly. Yeah. And also, you know, try it out. Like I always say to people, don't take my word for anything. Everything we talk about, try it out for yourself and see it in your own body, how it feels. Find your own version.   Michelle (26:44) Yeah, that's right. Totally. And I think that our bodies are just so intelligent and we're made of this intelligence and it always speaks to us. It speaks to us with food. It will guide you if you're really connecting with it, which is why I love meditation so much because it really brings us an awareness to that communication. It bridges, it almost like builds this neuron, this connection between us and our bodies.   that maybe we've ignored for so long and sort of forgot really was there. That's why I love mindfulness. But also what I love about really becoming mindful and meditation is it teaches us to become aware of our body. we can catch ourselves if we're getting too stressed out about certain things, we can catch ourselves and realize, hey, I'm not actually in danger right now.   and of realize that, and that mindfulness is what is kind of on guard to check, you know, your situation.   Sonia Ribas (27:50) Absolutely. I love that you're saying that. I love mindfulness. In my program, we call it heartfulness, actually, because it's all the mindfulness principles of being aware of what you're doing, of your surroundings, being very much there. But I call it heartfulness because I like to shift the focus from here, because we spend so much time here, to here. How does it feel? How does it feel to be here now?   Michelle (27:56) Ooh, I love that.   Yes.   Sonia Ribas (28:19) Okay, you're noticing everything, mindfulness and the added touch of the heart, the feeling, the savoring. I feel we need more savoring and we need to be more connected to that concept of savoring in life. And that's one of the things that I preach all the time.   Michelle (28:38) I love that because it's almost like bringing romance back into life, right? Cause it's like those moments, just savoring those moments and bringing more romance, which really, does that do? It's like infusing meaning into the moment. And there's more meaning, there's more richness. And if you think about just kind of how we used to live, I think of like, I don't know, a street in Paris where people are just sitting a lot longer to talk and eat and take their time and really tasting everything.   Sonia Ribas (28:42) I love that. Yeah, totally.   Michelle (29:05) I think that when you're doing that, you're really infusing kind of that chi life force energy into your moments in life, which ultimately I think impact your body.   Sonia Ribas (29:16) Yes, and fertility is about that. Fertility, a concept for me of fertility, the essence of boosting fertility is adding that boost of life into your life. More grace, more flow, more enjoying, more savoring, more being here, more embracing, empowering yourself.   Michelle (29:29) I love that.   Yeah, I love that. That's so true. mean, really, ultimately that's it's just a richness. It's kind of like living in an energy rich state, which ultimately, mean, that's it's kind of like just energy being really efficient and thriving through your body. And that's when your cup overflows, you're able to bring more life forth. And that's yeah. Also, I think that also when you're working in this work,   You start to see patterns and you start to see how clearly what's crazy about it is that in order to reproduce, we need all this energy, but like the fertility journey on its own can be so taxing and draining, which is why it's important to have somebody who understands it to guide you and to help you with that ultimately. And, or even a community or friends or connecting with others going through it, because I think that helps as well.   having that sense of support.   Sonia Ribas (30:37) Absolutely. Absolutely. You don't need to go through this alone. I think that some things in life are meant for you to do alone, some things are not. And fertility is definitely not one of them. I am always shocked when I read statistics that about 63 % of women with fertility problems never talk about it with anyone. It totally breaks my heart.   Michelle (30:47) Yeah.   That's sad. Yeah. see it too. mean, people, when they first come to my office, they're like, they feel so relieved. They're like, I can't really talk about this. Even with my husband sometimes, I'll say.   Sonia Ribas (31:09) Totally. Yeah, totally. They're so scared of ruining their marriage if they talk about it. And in my program, we combine private coaching with group coaching. And I have a lot of people at the beginning of the program who are unsure about the group coaching at the beginning. And they're like, I'm not sure, you know, it's kind of private. Then they give it a go. And then by the end of the program, when they give me feedbacks, I always ask for feedback at the end. They say, my God, the group sessions were the best. It's a group.   They call it a mouth hug. And feeling seen, feeling validated by women who are in the same season in life is so, so therapeutic.   Michelle (31:39) Yes. Yeah.   my God, yes, I've seen the same thing and I've seen people in the programs connecting and having lifelong relationships because afterwards I'll find out they're still in touch and it's amazing. Yeah, it's really, and I think that also we're meant to meet the right people at the right time, even people going through the same journey and they become really like lifelong friends.   Sonia Ribas (31:59) I think.   Exactly, exactly. Those people were meant to cross paths and to continue some journeys together. Absolutely.   Michelle (32:19) Yes, awesome. So if somebody's hearing this, is there like a word or a sentence or some kind of inspiring tip that you can provide? Somebody's going through it right now, going through the fertility journey and obviously going through the struggles that we all know are very real.   Sonia Ribas (32:37) Yes. So I think that my summary for today is you don't need to do this alone, especially this week. I'm very sensitive to this because I've seen a lot of people who have chosen to do this on their own and to continue struggling on their own. it totally breaks my heart. So in terms of your chances of success, in terms of how enjoyable this will be in terms of your own journey and your own experience, don't you ever think you need to do this alone? You know, there's help out there that can make it so much better for you.   and embrace it.   Michelle (33:10) Awesome. And so if people are hearing this and they want to find out more about you, how can they find you?   Sonia Ribas (33:16) Okay. So the two ways, easier ways to find me is my website, sonyarebus.com and my Instagram page, which is Sonia rebus coach.   Michelle (33:27) Awesome. So Sonia, thank you so much for coming on. I have all your information on the episode notes if anybody wants to find it. And this is a great conversation. I love that you're really into empowering couples. And ultimately, I think that that is so needed in this world. So thank you so much for coming on today.   Sonia Ribas (33:50) Thanks for having me, Michelle.