Fertility Protocol for Conception: Labs, Nutrition & Proven Strategies

Dr. Brighten: [00:00:00] Today we're talking about science-backed ways to support your fertility because women are constantly being told one version of this story. You are getting older, so that's the only problem. It could be. I mean, that's what I was told. Despite having a baby at 40 and at 41, every doctor I saw just kept saying, you're too old.

You need IVF. And as it turns out, that was never the problem. And listen, this is not to say that age doesn't matter. It does. I'm not gonna lie to you about that, but. That's the only thing somebody is telling you about fertility. That's an incomplete conversation. That's why today we are talking about the difference between egg quantity and egg quality, how inflammation, hijacks fertility, and we're gonna definitely be talking a bit about PCOS and endometriosis, how those completely changed the conversation.

And I'm gonna talk you through some of the top things you must be doing if you are currently trying to conceive.

And yes, we [00:01:00] are also getting into specific supplements and dosages and not take, you know, 27 pills and just try to manifest your way to becoming pregnant. And by the way, I think that manifestation is a good practice, but I do wanna ground this in science . And if you're new here, welcome to the Dr. Brighton Show. I'm your host, Dr. Jolene Brighton. I'm a hormone doctor, a nutrition scientist, and I'm someone who has struggled with secondary infertility. And if you can take a quick minute and subscribe, like leave a review, that support would mean so much to me. But I

Real quick, I do wanna acknowledge that many of you have been asking for this episode for a very long time, especially as we were doing our endometriosis expert series. And I just wanna say thank you for being patient with me after I had my pregnancy loss last year. I've been very deep in grief and moving through that, but I understand that you need support, and I'm at a place where I feel like I can hold both my [00:02:00] grief.

My journey and be able to support you. And that's exactly what I wanna do in this episode.

I don't wanna hold this up. So let's get into what you came for.

Let's talk about that biological clock, but make it accurate. If you think fertility is about how many eggs you have. I like to say this is like judging a restaurant by how many tables it has and never really asking is the food any good?

So we need to separate a quantity from a quality. Now a quantity is basically how many eggs do you likely have left and your doctor will use anti-malaria hormone or an A MH if you're in the IVF process to try to estimate that for you. Quality is how likely are those eggs to fertilize grow normally lead to a healthy pregnancy.

Now I'm gonna tell you about one supplement that can help in this arena, but first I wanna bust some myths [00:03:00] about women fertility age, and we're gonna throw in the mail factor as well. So the first one is the cliff fertility doesn't stop instantly. At age 35, it declines more significantly because both the quantity and the quality of the eggs is decreasing.

But it's not like after age 35, boom, you're not gonna be able to get pregnant . 

Now when it comes to a rapid egg quality, people will tell you that that drops after age 35 as well. By age 35, about 35% of women's eggs are lower quality, and as we get closer to 40, that's around 50%. But that doesn't mean you cannot still conceive naturally. If you're looking for a book that can help with some of these things, yes, you can get pregnant by Amy. Rob, I think is a great one because she integrates both conventional medicine and also her Chinese medicine practice.

Now this one is a big myth and that is men can have babies forever. We [00:04:00] now know that male fertility also declines. Starting in about their forties, men start producing lower quality sperm, and that affects overall conception chances. So the chances of getting pregnant and it can impact mom and baby's health during the pregnancy and sometimes long-term as well.

But what I want you to take away is that age is not the whole story and pretending that's all it is, isn't helping women. It's why so many of us get labeled unexplained infertility, or they just tell you that you're old and that you have to do IVF. I'm not bagging on IVF as you guys know my story. I did IVF.

But let's not pretend it's not expensive and not without risk, and that not everybody gets the outcome they want, which is a baby in their arms.

 so as women, the reality is is that you can have a woman with decent ovarian reserve, like a MH on paper looks good, and she could still have issues with ovulation, inflammation, insulin [00:05:00] resistance, endometriosis, or just hormonal issues overall. On the flip side, you can have a woman who is younger and technically has more time, but her body.

Is sending signals that something is off and she's still not able to get pregnant. So fertility is not just a birthday problem, it's also an ovulation problem, a metabolic problem. We're gonna talk about inflammation in this episode, and sometimes it's also a diagnosis you should have gotten years ago, problem, but they put you on the pill instead and said, don't worry about it until you wanna have a baby.

I think it's also important to note that a normal, basic workup does not always mean that your fertility has actually been evaluated in a meaningful way. It may be that no one has dug very deep just yet, and that matters because a lot of women are being reassured that, oh, you're young. Don't worry about it when they actually need answers or they're being told like, oh, you're old, and that's all that's going on.

I know I've said [00:06:00] that a few times, but. It's so important that if you've been struggling to get pregnant, you meet with a reproductive endocrinologist, especially if you're over age 35. Especially if you know you have co-occurring conditions like Hashimoto's thyroiditis, which is hypothyroidism, uh, endometriosis, PCOS, adenomyosis celiac disease, like the list goes on, and there's a lot of reasons to evaluate women's fertility.

Sooner than later.

Okay, so we can say, yes, age matters, but fertility is also more than age. And if someone's only focusing on their, on your age, then they're missing like real reasons that your body is struggling. Now, the supplement that can help your fertility is coq 10. The ranges can be anywhere from 200 to 600 milligrams that you take three to four months before conception.

This is especially helpful for women over age 35. So what coq 10 does is that it boosts a TP [00:07:00] energy, the energy of the mitochondria, and that supports your eggs. It's critical for proper maturation of those eggs. It also gives antioxidant protection. So it's gonna reduce reactive oxygen species that protects your egg, and it protects sperm from DNA damage.

There have been studies that show that coq 10 supplementation is associated with increased egg maturation and improved embryo quality. There is also some research that suggests it can increase the number of retrieved eggs during IVF cycles in women who have had diminished ovarian reserve. But I would never wanna say like this one supplement is a guarantee for you.

So coq 10 can help both natural conception and advanced reproductive techniques like IVF, and it does that by enhancing egg quality. Increasing maturation rates, improving embryo quality, and there is some research showing that it can help with clinical pregnancy rates. So [00:08:00] KQ 10 is definitely one to talk to your doctor about and consider on your fertility journey.

Now I wanna shift gears and talk about inflammation because as a woman with endometriosis and adenomyosis, I need you to hear about your inflammation and your fertility. Now, before I tell you how to lower inflammation fast, I need you to understand why inflammation even matters in this conversation, because this is not just about like, am I bloated or am I retaining water or am I tired?

Inflammation can make your entire reproductive environment. Less cooperative. It becomes hostile to your chances of conceiving and staying pregnant. And that's honestly a nice way to put it.

So inflammation can interfere with how your hormones are able to signal to the cell's. Receptors. It can mess with your ovulation. Worsen insulin resistance. It can affect the quality of the environment an embryo is able to develop in. It can disrupt sperm and eggs, ability to meet, [00:09:00] and it can create conditions that are not exactly making implantation any easier.

Now I wanna be careful here because inflammation has become one of those words that people are throwing around, like glitter just woo, inflammation. Everything seems like it's inflammation these days, right? And everyone's inflamed and all of that feels really stressful. So what we're actually talking about here.

Is that the body is under repeated physiological stress, so it's chronic inflammation. Chronic inflammation is sneaky inflammation because it's creating symptoms that go unnoticed, but it's having a really big impact on your health and your fertility. Now, inflammation can come from things like blood sugar swings, insulin resistance, if you will have really poor sleep or you're under chronic stress.

As we get older and we accumulate more visceral fat, fat around our organs, that can lead to chronic inflammation. [00:10:00] If we're eating a diet that's less nutrient dense and it's more rich in ultra processed foods, those fats can shift your inflammatory profile. Certainly things like drinking heavily, smoking, um, you know, not moving your body, having a se sedentary lifestyle, so not exercising regularly.

Those can all contribute to inflammation and in some women chronic inflammatory conditions are existing alongside these same things. So like endometriosis, PCOS, celiac disease, adenomyosis. Hashimoto's, um, any autoimmune disease really. Now, next week I'm gonna talk about how inflammation may be influencing the development of A DHD or autism in children.

It will not be another blame mom talk or shame filled lecture. It's going to be actionable and evidence-based. So make sure that you subscribe so that you don't miss that. Now if we've got all this inflammation, why not just take an [00:11:00] anti-inflammatory? I totally get that, and I get asked this all the time, but the reality is, is that it could block ovulation and further hinder your chances to get pregnant.

Now, one thing that can be leveraged here is progesterone. There is a myth that progesterone suppresses the immune system, but that's this oversimplification and just wrong. It doesn't suppress the immune system. It instead shifts it to being more tolerant to baby and. In that it tells your like security team, that's your immune system to stop overreacting to everything.

So your Dr. May test your progesterone five to seven days post ovulation. They may recommend progesterone therapy. But while you wait for labs, one move that you can make to drop inflammation quick is Omega-3 fatty acids. Eating cold water, fish not just three times per week but daily and taking a quality omega at maybe [00:12:00] 2000 to 4,000 milligrams a day can help drop inflammation.

Now we're gonna talk about stress reduction more. I know it sounds basic, but it's a biggie. So chronic inflammation demands a response from cortisol. Cortisol is a highly anti-inflammatory hormone. Chronically elevated. It can interfere with ovulation and progesterone production. But it's not enough just to deep breathe.

I'm not gonna tell you that because if you have chronic inflammation, we have to find that and address it. So it could be of endometriosis, it could be gut dysbiosis, or even an infection. It could be autoimmune disease. Whatever it is, it has to be found and it has to be addressed because you know, I would recommend eating an anti-inflammatory diet.

That's a low in ultra processed foods, rich in plants, high quality fats, that helps inflammation immensely, but it will only take you so far if you do not address why you have [00:13:00] that inflammation in the first place. So a fertility supportive plate is gonna be colorful, produce healthy fat, lots of fiber that's gonna help your body with regulating insulin and inflammation.

Please don't listen to anyone that's like, Hey, you just need to do like a three day detox and you won't have inflammation. If you have chronic inflammation, there's a reason for it. We need to figure out why the body is under attack. Will you also bring on anti-inflammatory therapies?

 Now I mentioned PCOS and endometriosis. Those both we know are leading causes of infertility, and it's important if you're dealing with these conditions that you don't waste time in addressing them and seeing a medical provider who can help you and support you on your fertility journey.

Now we have other episodes on PCOS and endometriosis, and we'll link those in the show [email protected] PCOS is often an ovulation problem. First, women will have eggs, but they don't ovulate them regularly, and even if [00:14:00] they do, they may not be the best quality because they have insulin resistance, inflammation, high androgens affecting the quality of that egg.

In PCOS. So I mentioned we see the insulin resistance. There's androgen excess, so that's that excess testosterone I was talking about. There's irregular cycles because your ovulation is irregular. There's also acne and hair changes, weight gain, difficulty losing weight. There's metabolic dysfunction at the core, and this matters because.

If insulin is high and blood sugar regulation is off, that feeds the whole system in the wrong direction. It becomes a pro-inflammatory direction, and it causes the ovaries to make the wrong hormones. They're making more androgens than they are cyclical hormones of estrogen and progesterone.

So with PCOS, blood sugar regulation, gut support, inflammation, anti-inflammatories, coming in and looking at how do we get you cycling regularly, has to be part of the strategy. Now with [00:15:00] endometriosis, that's chronic inflammatory disease. It's systemic. Women can have pelvic pain, take pain with sex. So like, how can you get pregnant if you have pain?

Every time you try to do it, they can have bowel symptoms, fatigue, anxiety, and the pelvic environment becomes hostile when it, when it comes to the fertility conversation. Depending on if you have endometriomas or not, can impact the quality of your eggs. So you want to have imaging, have an evaluation with an endometriosis excision specialist because. Sometimes you may need to go the route of IVF, but they may suggest they remove an endometrioma first. It's all gonna depend on what your A MH is.

Uh, you know what your health history is, how large the endometrioma is, what your past history is of getting pregnant, and so it's important that you work with a team. Not just a reproductive endocrinologist. There are some who will just put you through IVF cycles without a care in the world of [00:16:00] what happens to your endometriosis.

And there are others who understand endometriosis and they will work alongside an excision specialist. They'll recommend you to an excision specialist. That's a green flag in a reproductive endocrinologist. If they're like, Hmm, I'll just go in. I'll do a little bit of surgery. We'll see what we can do.

Like, no, you want a full excision? If that's the route you're gonna go.

So with PCOS versus endometriosis, we wanna think ovulation insulin resistance, metabolic signaling. With PCOS endometriosis, we're thinking lots of inflammation, pain, pelvic environment is disrupted, and women usually have a delayed diagnosis, and some women can have both because apparently the body sometimes likes to be aggressively unhelpful.

Now if you are feeling overwhelmed at this point and you dunno where to start. I don't want you to, starting with like anything and just trying to throw everything at yourself or doing some like weird supplement stock that somebody on TikTok [00:17:00] swears changed their life. I want you starting with very specific non-negotiables.

If you're in my endometriosis reset course, you know how I love my non-negotiables. So here are the big areas that we have to care about first. So. Stress regulation, sleep. We need to be thinking about nutrition. I mentioned it a bit earlier, movement. Remember, a sedentary lifestyle is associated with chronic inflammation, and we have to reduce environmental toxins.

These matter in the fertility conversation. Now, why all of these things matter is because they're influencing hormone signaling. They influence your blood sugar, inflammation, ovulation, um, the basic physiological environment that your body is operating in to help you get pregnant and stay pregnant. And I know they're not glamorous, and that's exactly why so many people skip them and instead they go to like, what [00:18:00] is the bright, shiny object?

Everybody wants a fertility hack. But the reality is, is that. The fertility foundation is what we all should be working on because the foundation is what makes the other hacks. Because some of those supplements do work like right, coq 10, they matter. Okay? The foundation matters. So we're gonna go through them one by one, and I'm going to have a supplement list for you that you should consider talking to your doctor about and seeing if it's right for you on your fertility journey.

Now we gotta talk about an ugly truth. You cannot expect a hormonally stable, fertile body out of a nervous system that thinks it's being chased by a bear. Every night at 11:47 PM Okay, so sleep is not a luxury. It is endocrine maintenance and so poor sleep that can impact your insulin sensitivity, your appetite regulation.

It definitely affects stress hormones. It can increase inflammation, and it [00:19:00] also hinders your body's ability to recover, which is especially important if you do go through IVF. So if you're trying to conceive and you are sleeping five and a half hours, scrolling in bed, waking up wired, pretending that it's fine because you are used to it, I want you to know that your body is not used to it, okay?

And that doesn't mean your body likes it either. So I'm not judging you, but this is where I need you to shift, and I need you to be boring and consistent. And a grown woman doing sleep hygiene. So aiming for seven to nine hours, ideally getting a regular bedtime, waking up at the same time every day, even on weekends, um, opening up your curtains, getting morning light exposure, less caffeine later in the day.

Cool dark room in the evening, and stop treating your phone like an emotional support animal. Put it away. Put it away 30, 60 minutes before bed. Because if your sleep is chaotic, your hormones are gonna be [00:20:00] chaotic. And if you are on your phone looking at stressful things, that's gonna disrupt your nervous system.

So here's an action step for you for the next seven days, just want you to pick one sleeve goal. What's it gonna be? Consistent bedtime or no caffeine after 12:00 PM morning sunlight. Within an hour waking like, just pick one of the things I said and just start there. Just one, one thing at a time.

We're moving on to stress. No, I'm not going say, just relax and you'll get pregnant. I literally hate hearing that so much because that advice, it deserves jail, like straight to jail. Anyone who says that. Now when I talk about stress, that doesn't mean that if you have a busy job or a hard season, you're completely doomed. What it does mean is that chronic physiological overload can worsen your inflammation, that can disrupt your sleep, that might be messing with your sleep. It's gonna affect your blood sugar and it's going, it's gonna stress your systems that are already struggling, and it's certainly gonna [00:21:00] impact ovulation and progesterone Now.

I'm not blaming you, okay? This is not about blame. It's more about the load. And the question is not like, am I stressed? The question I want you to ask is, how many stressors is my body carrying without any real recovery? And we have to face it. If you have chronic inflammation, if you have a chronic condition, you are under stress from that.

And most women, when we ask them like, how many stressor are you carrying? The answer is too many. They're like under slept. They're undereating protein. They're over caffeinating. They're overcommitted, they're doom scrolling, maybe even over exercising. And so these things can make your cycle and your hormones feel chaotic.

And that's because the, this kind of stress it signals that we need to survive. That's the priority not trying to get pregnant. 'cause the environment is just too dangerous. So an action step for you is to [00:22:00] pick one nervous system downshift, that you will actually do. Okay, which one will you actually do not?

Which one is like, oh, I'm gonna put that on my calendar and it's just gonna stress me out more.

So maybe that is five minutes of slow breathing when you wake up. Or maybe it's a 10 minute walk after dinner. Or maybe it's not hanging out with those people that make you feel, um, absolutely wrecked and bad about yourself after you've been with them, like. Just pick one way to start downregulating that stress and I will link in the show notes an episode on the vagus nerve stimulation.

'cause that's a really easy one to get you into parasympathetic rest and digest activity pretty quickly. So when we talk about nutrition for fertility, we need to focus on the things that are gonna help with hormone production, mitochondrial function. Um, we want to eat in a way that's already for early fetal development. Like eat as if you're pregnant. And so we don't wanna try to be perfect 'cause that's a stressor.[00:23:00] 

We wanna try to be consistent with things like having protein at every meal. Trying to hit 25 grams minimum of fiber every day, making sure we're eating enough total calories and that the food that we're eating has it's rich in micronutrients. So getting rid of ultra processed foods, that that alone will shift you into more nutrient density.

And then of course, we wanna focus on blood sugar stability.

Okay. Now let's talk about the supplements that women always ask about. So. Of course, if you're trying to get pregnant, you should be on a prenatal. A prenatal, ideally with at least 400, maybe more like six to 800 micrograms of folate coming in every day mixed with B six, B12, and Minerals

Coq ton. I already mentioned at the top of this episode, this is one of the most common that's discussed for egg quality ovarian reserve. And if you are someone who has been struggling trying to conceive, or you're over 35.

[00:24:00] Hitting that 600 milligrams a day, usually 200 milligrams, three times a day. That's where the evidence is really at, is an expensive supplement, which is why we'll say, oh, you know, 200 to 600 milligrams. Some women are doing 800 milligrams, but getting coq 10 in can be really helpful. Now my acetol is a really well studied nutrient.

It's very commonly studied at two grams, one to two times a day. This is especially relevant for women with PCS because Acetol may help with both metabolic health and regular ovulation and egg quality. The studies are mixed on, you know, pregnancy outcome data. But I want you to understand that's because you cannot just take a supplement and expect that you will get pregnant.

And if that happened for you, great. But if you're on this podcast, you probably already know that it takes a multidisciplinary approach.

End acetylcysteine is something that is commonly used for PCS and endometriosis. The dose is [00:25:00] usually 600 milligrams, three times a day for fertility. That's also the same dose for endometriomas and. NAC is a precursor to glutathione. Glutathione is a very potent antioxidant that protects the quality of the eggs.

It protects all of your cells in your body from free radical damage. We mentioned omega threes already for dropping inflammation. However, a combination of EPA and DHA, which by the way, you will not get enough in any prenatal that's out there. You need to take it separately. Taking fish oil. It's gonna support inflammation.

It's relevant for PCS and endometriosis, especially it, you know, I don't wanna make it out to be this like standalone fertility fix, but it's really, really important for your nervous system. So nourishing your nervous system, but also baby's nervous system and it can help with insulin as well. Now if you are deficient in vitamin D, well hopefully [00:26:00] would catch you before you're deficient.

So if you're low in vitamin D or you are deficient, you're gonna need to supplement with vitamin D. So you'll need to get a blood test. And then typically it's 4,000 IUs daily that you would be supplementing with to bring your vitamin D levels back up. Now this is a test and treat. This is not a like, let's just guess.

Usually, you know, prenatals will have like a thousand I use in it. That's totally fine. Um, you know, even some people will do 2000 IUs test their blood. They're not going high. But what we don't wanna do is think vitamin D is good. It helps my fertility, so therefore more is better because it's a fat-soluble vitamin.

It can be problematic at height doses.

Now the other supplement that has less research to back it up, but I have found in my own fertility journey was very, very helpful. Was NAD, more specifically NMN, which is a precursor to NAD and I took that every day and so did my husband. We [00:27:00] did an egg retrieval and we got lots of embryos, but none of 'em were eulo a current A, according to the BGTA testing, which we know is not a hundred percent accurate. We took NMN, and then we got three OID embryos. 

So there is something to it. We need a lot more research before we start recommending this, like across the board for everybody. But I think it's a supplement worth mentioning. And then the last thing I would say is to check your thyroid health because if your TSH is elevated, even above 2.5, for some people they'll find that they don't ovulate as regularly. They struggle to get pregnant and in IVF procedures, it may be that adding a little bit of thyroid hormone really helps with that egg maturation.

Your thyroid health is super important because surrounding the egg in that follicular fluid, there's actually thyroid hormone present. So it has a role. We just haven't researched it thoroughly enough.

Now when it [00:28:00] comes to exercise infertility, it should not look like punishing your body. Uh, and if you are and you're punishing your body into submission, we don't get surprised when your hormones get kind of weird. So movement does matter. I'm sure you're aware. So we've talked about the inflammation.

There's insulin sensitization, there's just circulation in your body, sub circulation to your pelvis, your metabolic health, and your hormones Overall. If you have PCOS, you have to be doing. Exercise. So everybody needs to be doing strength training, cardio, but also exercises that help them wind down and nourish their nervous system.

Sometimes women here, exercise helps hormones, they go super intense, intense, anything. So whether that is exercise or. Dieting, these things, they disrupt safety signals to the body they can make. Getting pregnant, staying pregnant harder. So we do wanna move regularly. We wanna strength train, we wanna do our cardio, we wanna engage in walking in [00:29:00] neat movement, which is basically like you don't have an exercise plan, you're just moving your body throughout the day because that's just like part of living as a human.

And then again, looking at things like. Maybe it's Pilates for you, maybe it's yoga, maybe it is, um, you know, just doing some deep stretching in your garden or something that helps you tonify that parasympathetic nervous system. Now, if you're someone who's going from a sedentary lifestyle, starting like 10 to 20 minutes of walking like every day or even twice a day, that can be the sweet spot for you. If you're struggling with exercise, you haven't been exercising in a while, you have a medical condition, meet with your doctor, make sure you get clearance there, and then maybe work with a physical therapist, occupational therapist, or maybe even a personal trainer to help you get started in a way that matches what your body's needs are.

Okay, well, I saved the best for last, or maybe the worst for last because I gotta talk to you about environmental toxins now. I don't want you becoming paranoid and throwing out everything in your house by tonight because you listened to this [00:30:00] podcast. I want you making the biggest impact swaps without turning your life into like a full-time chemistry project where you feel like you have to read every label at all times.

Always. But when we talk about reducing toxins in fertility, what we're talking about is lowering the unnecessary exposures that may affect your hormones, your fertility, your partner's fertility as well. And this is, again, I don't want you to stress out. It's not about being perfect. But it's about looking at what you control, what in your environment you can.

You can change and focusing there. So of course, if you're smoking, that's gotta stop. If you are drinking heavily, which is having more than two drinks a week, it's gotta stop plastics. You don't wanna reheat your food in it. You wanna reduce that. So start in your kitchen, moving out the plastics, replacing 'em with glass.

It can even just be mason jars. I always tell [00:31:00] patients just to start with these three things, the plastics that you're eating out of your air quality. So maybe you wanna sleep with an air purifier in your room, but you definitely want to start eliminating fragrances. Glade plugins. Yeah, I'm calling them out Ca Yankee candles, those kinds of things.

And then take off your shoes before you come inside. That can help with environmental toxin exposure, and it's a really easy move. The other thing is to buy organic when you can, but wash your produce. That is super important, and we don't buy organic because we're like, oh, it's more nutrient dense. I hear this argument all the time of like, don't buy organic.

It's not more nutrient dense. I'm like, duh. We know that we buy organic because. It is less pesticide exposure on us with endocrine disruptors that affect our hormones and also because we care about the people who grow and harvest our food. And the conversation around organic does not always need to be just about the individual.

We [00:32:00] also need to think about the people who grow and harvest our food and make it possible that all we have to do is go to a grocery store and eat. So look at your personal care products. If you ha, if I had, you know, had to start with one thing, I'd say fragrances and look at the bottle as it's getting to the end, that's a good opportunity to say, okay, when I get to the end of this, I'm gonna have a swap and it buys you time to make that swap.

Now, if you take nothing else from today in this episode, it is that fertility, not just about age.

It's age and a quantity, a quality, inflammation, metabolic health, the diagnoses you have, the daily inputs that are shaping your hormones, and if you feel overwhelmed. Come back to the non-negotiables we talked about today. So where can you just take one step today? Sleep, stress regulation, nutrition, movement, and reducing environmental toxins.

Again, if you can [00:33:00] just start cleaning up the air in your house, you're making one positive move for your fertility and this is the foundation. So as always, it is such a pleasure to get to spend time with you. I appreciate you supporting this podcast. If you can leave a review, like subscribe, I would appreciate it so much and I will see you next time.