Realfoodology - Egg Freezing, IVF & Fertility Truths

Starting point is 00:00:00 Regardless of your single parent by choice, same-sex couple, you need to make sure both partners are leveling up their health. And you're both doing everything you can to have a healthy pregnancy and healthy child. Plants do not make folic acid. Animals do not make folic acid. Mother nature does not make folic acid. Mother nature makes folate and one is called methyl folate. 80% of your blood should be consisting of methyl folate. When you go to freeze eggs, you have some advantages and disadvantages. The advantage of simply freezing eggs that are not fertilized is that you have full autonomy on what happens to these eggs. There are specific aging markers, the ones we use on our test, that are directly connected to fertility outcomes. Meaning, when women come back with an older biological age, they have poorer outcomes on fertility.

Starting point is 00:00:46 If a woman was 28, but her biological age came back at 32 or 33, she got poorer outcomes, then maybe somebody who was actually 32 or 33 and came back at the same age. On today's episode of the Real Foodology podcast, if you've ever wondered, whether you're doing enough or if it's already too late when it comes to fertility, this conversation is going to feel really grounding. We're diving into what no one tells you about egg freezing and IVF, why male fertility is half the equation, how stress and environmental toxins play a role and the biggest misconceptions about ovarian reserve and age. This is the honest, nuanced fertility conversation that I wish more people are having. I've compiled four of my favorite moments all into one

Starting point is 00:01:27 episode. You will hear from Sasha Hockman, Dr. Z, Dr. Ben Lynch, and the wonderful women at Weenadle. Hope you enjoy. I used to think that all extra virgin olive oil was basically the same. Until I learned that most grocery store oils are blended, they're bottled long after harvest, and they're often stripped of their nutrients. If it doesn't taste peppery or green, it's probably not doing much for your health. That's why Yaya's Evo Extra virgin olive oil is now a staple in my kitchen. It's certified organic, single origin, and cold pressed within hours of harvest from family-owned groves and grease. You can genuinely taste the difference. It's rich, it's vibrant, and it's full of antioxidants and anti-inflammatory compounds that support heart,

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Starting point is 00:02:49 my memory, being able to show up for my job, and really give. it my all. And lately I've been thinking about it a lot more because of everything I went through with my health recently and really seeing a difference and a bit of a decline in my brain health and seeing the difference between what it feels like to really be on and really have that cognitive function that I lost for a little bit and getting it back. But it's really much bigger than that. It's your focus, your mood, your resilience, your clarity under pressure. And your brain doesn't operate in isolation. It reflects what's happening across your entire body. Things like inflammation, blood sugar, regulation, nutrient levels, sleep quality, and vascular

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Starting point is 00:04:03 That's just a dollar a day. Learn more and join Function using my link. Visit functionhealth.com slash real foodology and use gift code real Foodology 25 for a $25 credit towards your membership. That's so wild. To me, I just have to believe I'm like there, it has to be because of what's happening. in our environment. There's no way that we have always been like that, in my opinion. The infertility rates are rising for sure. I think it's multifactorial. I do think our environment

Starting point is 00:04:34 plays a huge role. I also, I mean, I know for a fact that a big part of it is we're waiting longer to have babies, right? So that's a huge variable. But if you control for age and you still look at younger women, the infertility rates are significantly high. higher than they used to be. The biggest question I sometimes ask myself is, well, is it because we're more educated and people are seeking out treatment as opposed to just suffering in silence? Or is it, I think it's probably a combination of many things. I definitely do believe that our environment plays a massive role. We just have so many environmental toxins. There are many different researchers who are looking at the different pesticides, for example, and how that's

Starting point is 00:05:25 affecting sperm. And we know that, you know, sperm parameters have declined quite significantly in the last 50 years, particularly from men who live close to sort of big farms that spray pesticides and that are exposed to things like glyphosate. Yeah, that's a big one that I like to talk about a lot. That's, I mean, well, it doesn't give me joy, but it's just, I think it's a really, it's an invisible insidious one. Yes. And that's, that's the hardest part. It's kind of like an invisible disease. You don't see it. You think, okay, well, I'm mostly eating vegetables, fruits, whole foods as much as possible in terms of my protein sources. I'm not, you know, my carb choices are really healthy, low glycemic index, high fiber. And yet, here we are. And it's the most frustrating thing

Starting point is 00:06:16 for patients that are stuck doing all these repeat IVF cycles and they're just like, what, I've done everything in my life to stay as healthy as possible. So that's definitely a big part of it for sure. Ag reserve does not predict likelihood of pregnancy. Amazing. So anti-malarian hormone levels does not correlate to likelihood of pregnancy. You could have diminished ovarian reserve and still have the same likelihood as someone your age who has very high egg reserves. So having high ovarian reserve is really cost effective for egg freezing, but is not like, it could be falsely reassuring. Yeah.

Starting point is 00:06:58 And on the other hand, a diminished ovarian reserve can lead someone to feel like they're never going to get pregnant and there's no way that they're going to get pregnant naturally, when in reality, there's probably a lot of women out there with diminished ovarian reserve getting pregnant on their own. And they have no idea because they've never tested their fertility because they just get pregnant. Yeah. So. Oh, my gosh.

Starting point is 00:07:16 so much for saying that too. I'm sure everyone listening is probably feeling better. I'm feeling better. I'm glad that you brought that up. I guess before we wrap up, is there anything else that you feel like women need to know that we didn't cover in any of this area? I guess the other big takeaway is that female age is the number one predictor of reproductive success. So if you are younger and you're even thinking about it, just go for the consultation. It doesn't commit you to anything. But just like, go see a fertility specialist, see what it's all about, understand your numbers, what things look like for you, and then make a plan accordingly. The most common thing that I see in women that come to see me, the number one regret is, I wish I froze my eggs or I

Starting point is 00:08:04 wish I froze more eggs. Yeah. And the people who have that, that have the eggs, they never regret it. There are people who end up having leftover embryos and they're like, you know, I did what I needed to and now I have the family I wanted. But the worst is seeing the regret. And I hate to see that for women to go through when they want a specific family size. And it becomes a lot more difficult, especially as you start to increase in your 40s.

Starting point is 00:08:34 So it's important to talk with your doctor. How many kids do you see yourself having? What does that look like for you? Just get an and have the consult. Yeah, I think that's really important. I wish, I know I can say, and I think I told you this last night, that at 36, I wish I had not waited that long, but it was, it was not even something that was like that was crossing my mind before then, right? Like I always knew that I wanted to be a mom and I always just felt like, oh, this is just going to happen someday. And of course it did. It happened later than I had hoped and that I had expected for it to. You know, and thank God I found my person. But I just, I wish that I had started thinking about this when I was like 28, 29 and maybe did it when I was like 32. And look, I don't live in regret. I don't believe in living regret because you're just, you're going to like torture yourself. But just if you're younger, I think it's just like you said, going for a console. Just like poke around. If that's something that you want to do, just look into it earlier than you think you would. Because also,

Starting point is 00:09:33 So it comes in a blink of an eye. It does. I feel like I'm 29. Like I can't believe that I'm 40. And so I just look back at all those years where I'm like, I just like all of a sudden I blinked and I'm 40. And I'm like, okay, should have been focused on this a little bit more. But it's fine. Yeah.

Starting point is 00:09:50 It's working out the way that it is supposed to. And, you know. Yeah. And 40 isn't the end for most people. It just for some women, it just takes a little more work. but plenty of women get pregnant in their 40s. Yeah. But, you know, but, you know, it's really interesting.

Starting point is 00:10:10 I would say that almost every fertility doctor I know has frozen her eggs or has frozen embryos. There's very few that I know. I think I can only think of one person who didn't do fertility preservation. And so, and this is because we understand it so well. And so all of us in our early 30s, we're like, all right, it's time. Egg freezing, embryo banking, whatever it looks like. You know, some people who are married, embryo banking. I was one of those people and we ended up needing to use an embryo in order to get

Starting point is 00:10:38 pregnant. So, you know, it worked out. So, yeah, it's always a good idea to just understand it. I agree. It's actually quite controversial, whether priming is really even necessary or not, especially with birth control pills specifically. Yeah. So some data shows it makes absolutely no difference. And then some shows it does. Now, the advantage of taking birth control pills prior to starting is that the theory behind it is you're kind of keeping the follicles small, similar in size, and the hope is when you stop the pill, the follicles will grow more in synchrony so that you have more mature eggs available all at the same time maximizing the egg count. That being said, I have had plenty of patients not wanting the pill who have been very successful

Starting point is 00:11:25 in their cycles as well. And I know many doctors who don't do it, and they have really great outcomes. I would say my favorite type of priming is starting in the ludial phase. So one week after you ovulate and with an estrogen pill in particular. I don't do this for women with really high ovarian reserve because the concern with them is that they're going to hyperstimulate. But with the estrogen pill, this is called an estrace prime, that has been shown to improve the response to the injectable medications. and potentially yielding to a higher number of eggs retrieved. So that is my preferred method.

Starting point is 00:12:08 That being said, there have been many cases where I do what's called just like a straight start. So at the beginning of the menstrual cycle, but you can really tell on ultrasound, when the follicles are all various sizes, this is where I tell those patients, like, listen, you have a good number of follicles, but some are way bigger than the others. I don't think they're going to grow in synchrony and we're not going to get a high number of eggs. if you want reconsider we don't start today and with the next cycle we start priming you we do the birth control we do the estuary's prime and then we start in hopes of getting a higher yield yeah which i wonder now looking back if because that was never a conversation that was had with me and i wonder now if that was yeah like if i'd been told that i probably would have been like okay i'm just going to suck this up and just do it it could also be the type of birth control pills that you've been taking too because sometimes and we talked about this too last night where I said well esterase has a lot of side effects the most common one being just really intense nausea and that was my personal experience

Starting point is 00:13:13 with it too but if you administer it vaginally then you're bypassing that first pass effect of it being metabolized by the liver which leads to a lot of the side effects so if you place it vaginally it has really great absorption you're bypassing some of the side effects and you're only on it for a week yeah Okay, at a week, that's like pretty manageable. Yeah. I just was, I was so, I, like, joke that I have, like, PTSD for my experiences on synthetic hormones that I just, like, I was.

Starting point is 00:13:42 It's a thing. Yeah, it's a thing. I, like, didn't freeze my eggs because I didn't want to have to take the birth control. It really, it did. It, like, scarred me. I really, like, did not have great experiences on birth control. Yeah. It's really interesting with a birth control pill, how two women can feel vastly different.

Starting point is 00:13:58 Oh, it's wild. Yeah. For me, it's the opposite. it. I feel like my best when I'm on it. And then I've had many patients for like, I will not do it. I literally go nuts. Yes. I've been thinking a lot about how aging really shows up, not just in birthdays, but in energy, recovery, and how fast your body bounces back. That's why I got so excited about qualia senilitic. One of the most fascinating breakthroughs I've seen in the science of aging. As we age, our bodies accumulate senescent cells, often called zombie cells, which can drain energy and slow recovery.

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Starting point is 00:17:02 biological age test, you know, at first I tested myself, thinking I was going to come back in my 20s. I was mid-30s at the time, single in LA wanting babies. I didn't come back in my 20s. I didn't even come back at my age. I came back four years older. And so initially, like, went into denial and was like, well, maybe this actually doesn't connect to fertility. So I went into the research, but sure enough, there are specific aging markers, the ones we use on our test. This particular aging marker that we use, which is based off of DNA methylation, so we're actually looking at the DNA. And we could talk about the different ways that different companies are testing biological age,

Starting point is 00:17:38 but this particular marker was connected to poorer outcomes when that age was older, even when women were younger, which means if a woman was 28, but her biological age came back at 32 or 33, she got poorer outcomes, then maybe somebody who was actually 32 or 33 and came back at the same. age. Wow. Yeah. And why is that? Like, what's happening there? Is it just because the egg, the cells are not as healthy? So maybe the sperm's not able to stick to the egg, the egg is not as healthy? So biological age is a measure of cellular health. Eggs are the largest cell in our body. And when that age is older, it tells us that there's things, there's things that are

Starting point is 00:18:19 happening in the body that are accelerating that biological clock, and that's aging, that's disease, and that And fertility is a byproduct of health. That's what it comes down to. So the healthier you are, the younger your biological age and also the more fertile. Barring a few other, like specific things. Like if you have blocked fallopian tubes, that's going to be a slightly different issue, not necessarily related to biological age. But addressing biological age and cellular health will help you get better outcomes

Starting point is 00:18:45 if you are needing to do something like IVF. Take in a biological age test, specifically with this, the aging speedometer marker is what they're looking at. anybody in the world can join this rejuvenation Olympics. I was actually number 44 out of 8,000 for a while. That's amazing. Yeah, I don't know where I am now. I haven't checked. Eggs are one of the densest places of mitochondria in the body, and that's a huge part

Starting point is 00:19:08 of this cellular health and a huge part of reproduction. So yeah, definitely, I haven't used that exclusively, but I have used that in combination with things. And that was one of the things I was on for three months. And it depends on how much exposure someone has had over time and what their natural detox mechanisms are. Some people have need that part more than others. There was a study done on a specific detox protocol using the Quicksilver products. So they're like push catch, their glutathione. It was a three month study and it was three components. So they had people cycle on and off

Starting point is 00:19:43 different products. I'm sure it was sponsored by them. Full disclosure. Great company. Yeah, yeah, you know. That's how stuff gets done these days apparently. Exactly. And so what they found was that the detox component, so doing that push catch, which it's a liver sauce that helps the liver, you know, get more toxins out of the tissues out of the body, gets them into the bile, into the gut. And then the catch is a binder, clays, chargles and things that then binds it, grabs it and then takes it completely out of the body. So it's not just getting reabsorbed. In order for me to prepare space for this baby to come in.

Starting point is 00:20:20 in, there's some things that I have to do with my business right now where I really need to like restructure, do some things a little different, get some more support so that I have that time and space for that baby to come in. Beautiful. Yeah. Yeah. I'm very into all of this. This is a big one.

Starting point is 00:20:38 Can I share something else? Yeah. So I started talking to my baby soul before I met my fiancee. And I felt like a girl energy. And I told her, I'm like, go find your dad. And on our second date, my fiancé looked at me and he goes, I can feel our daughter. And I was like, okay, this is it. Okay, we're going to have to talk after this because there's some things I'm not ready to publicly share yet.

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Starting point is 00:22:22 Go to clearstem.com slash real foodology and use code real foodology at checkout for 15% off your first order. That's clearstem.com slash real foodology and code real foodology for 15% off. What we've been seeing is that IVF is a little bit like could be a band-aid, especially when it comes to like male fertility issues because a lot of times one out of four couples that have go through IVF the partner isn't even tested that is so insane how are we allowing that to happen that what how are they missing the process is messed up because imagine how much burden the female takes on just going through IVF how can you not even check the male partner I know it's a big and we know that like sperm quality is a barometer of your health so you have this opportunity to like look under the hood and dive deep and say okay

Starting point is 00:23:18 well, why do I have sperm motility issues? Why do I have sperm quality issues? It could be linked men that have issues with erectile dysfunction, have higher chances of cardiovascular disease. So this is an opportunity to dive in and look under the hood of your health for both men and women. And a lot of times we're just like, okay, we just need to have the baby ASAP. We just got married.

Starting point is 00:23:43 We're 40, you know, and it's like, you know, we're very much advocating. for like there's so much you could do and use this challenge as an opportunity to become healthier. I think over the last decade, I've kind of just had this mentality of like, oh, it's going to happen when it's supposed to happen. And I never was thinking, like really thinking about like, how can I improve my fertility? Because also at the time, I mean, I wasn't even, you know, on my way to getting married and just didn't know. And I was going to, it was even going to be possible. And so I'm so glad we're having this conversation because I'm hoping that people, will listen to this and start to take more care and pay attention to this because I feel like,

Starting point is 00:24:26 I don't know, I'm just, I'm really hoping that I have paid enough attention to my health and that I've taken care of my health enough to where I'm just like, I'm starting to get so nervous because I'm like, oh my God, if I can't get pregnant, I'm going to be so upset. It's hard. It's hard. It's hard. It's hard. And I would say the more you can get back to not letting those thoughts creep in. We've all had them. I mean, I had a miscarriage before I had kids and it went, I'm sorry, I know it's emotional. And I had all the thoughts. Will I ever have kids? Why me? All these things. Why did I have, you know, married later in life, all the things? It's proven that gratitude a few minutes a day can really help shift the brain. And that's why also at Wenatal, we knew that the supplements are one part of the equation, but your mental health is so important also. You will get there 100%. But you also have to believe and know that it's waiting for you. I think it's hard to keep faith when a lot of the messages were spewed are pretty toxic. It's not just the food. in the air that's toxic. It's really these terms and these fear-mongering. And there's a lot of this and it's an industry. And so being kind to yourself during this process is also super important.

Starting point is 00:25:32 Trying to stay in your own and not look left and right, right? Like just stay in your own lane and be super grateful for your relationship, grateful for your health. You're going to get there. I have no doubt. And I will say there are so many positives to having kids later in life. I look at people that are like 25 and, you know, they have kids, but then like maybe they're not like advanced in their career or maybe like they're not stable financially or maybe they're, you know, there's a million reasons why I am so grateful that I had my kids in my late 30s and early 40s. Like I don't have FOMO when people go out. I just want to be there done that. Exactly. I'm over that.

Starting point is 00:26:13 I'm okay with being like super present with my kids. and like I never feel like I'm missing out on anything. And there are just like so many benefits. Yes. Oh, I just love this because it's so interesting how like your life just unfolds obviously the way that it's meant to be. But like I always thought I was going to be a young mom. So I think a lot of this journey too has been me kind of like grieving that and just

Starting point is 00:26:36 accepting like, okay, like I decided to take my career on first. And also I just didn't happen to meet my person until later for whatever reason. Yeah. But you made some really good points. And I think that, yeah, that helps. me a lot and hopefully it helps a lot of people listening because it's, you know, I think as women, too, we take on so much of this, right? 100%.

Starting point is 00:26:54 Like, we get, we're so hard on ourselves and we're also, I think women are just hard on other women in general. Like, we're brutal. Yes. It's never too early to start working on your fertility. 100%. 100%. Yes.

Starting point is 00:27:07 Well, and I think, too, like everyone just, it's so narrow focus, like fertility, fertility, but you're not thinking about what you just said, the overall, like, zoom out and think about gut health, your thyroid, because it all works in synchronicity together, right? And so why are we not focused on that? And in the nutrition, what is the body need for preconception? Yeah, it's 100% it all works together. And with my second baby, it was actually after I had my miscarriage at the age of 41. So when I was 41, my birthday gift was that I got pregnant and three months later, I had a miscarriage. I was focused on my health. I was doing all the things, but completely ignored my husband's health and had no idea that men were 50% of pregnancy health and fertility.

Starting point is 00:27:58 Isn't it crazy that we don't even, we don't talk about that publicly at all? It's so obvious. It's so obvious. When people pointed out, I'm like, duh, but it's never really talked about publicly. It's always on the woman. Always on the woman. And when we kind of came across the information on how men actually have this amazing opportunity because they're always regenerating sperm with a process called sperm metagenesis. So I think they're generating like thousands of sperm every second of the day. That's wild. I think it's like 100 to 200,000 sperm a day. Yeah, it's about 1,500 every second. So they have this amazing ability to regenerate sperm. Now, us as women, we don't regenerate eggs. We are born with eggs that were born. We can improve how those eggs are mature,

Starting point is 00:28:46 but men, they're getting new batches of sperm all the time. So they have almost a bigger opportunity to improve the fertility equation if you look at it like that. And research shows that men that take antioxidants like Kukuten, NAC, L-Karnatine, vitamin C, have five times higher chances of getting their partner pregnant. So when we came across that information after our miscarriages, we were like, wait, why aren't all men on antioxidants? What's going on here? This should be like the protocol for every couple who's getting married. It's like, here's your engagement gift. I'll bring you over you. Wouldn't that be a little, it would be a little inclusive. And honestly, I do that. No, I honestly think it's brilliant. I'm like, anyone that wants to gift me that, I would be so

Starting point is 00:29:38 copy. But really it goes back to like what happened in society that for hundreds of years as women, we're so advanced in so many things. We're in the workforce and we're literally have equal rights and all these things. But how are we not discussing that men are 50% of the fertility equation? That was the true aha moment that led to we natal. We're literally like we need to shift the gender paradigms. We need to open people's aperture to realize that it's a team sport. You cannot do it alone and regardless of your, you know, single parent by choice, if you're in a same-sex couple, whether you're doing this in any component, you need to make sure both partners are leveling up their health. And you're both doing everything you can to have a healthy pregnancy

Starting point is 00:30:20 and healthy child. And it's not just that. It's the genes that you give your kids for their lifetime. It's not just a woman who gets pregnant. It's, you know, the sperm is heavily involved. And the health of your sperm is extremely important. And if the man has MTCFR, then they are passing that MTFR onto the baby. You don't know the MTCFAR status if you're developing baby, but you can guess it and you think of the odds. So if you have MTCFR compound or Zygus, one of each, then your partner, what does he have or what does she have? You know, do they have the same as you? Well, then is a baby going to inherit two six, seven-seventh-s? That's more significant than one of six-nine seven-seven and one's 1298. They're going to get two-12-98.

Starting point is 00:31:05 you know, they're going to get something for sure. And so while you might have just, let's say you have just a 677, Courtney, but your partner has a 677 and the 1298. So the doctor will look at, you know, you say, oh, it's not a big deal. You just have 1-677 or you just have 1-1298. And they don't look at the guy. Yeah. And then you have a miscarriage. And the baby's homocysteine could have been elevated. And you're, Yours is fine. Nobody's talking about this. So if the baby's mt. Javarri enzyme is not functioning very well, and yours is, well, you know, you are passing all the nutrients to that developing baby.

Starting point is 00:31:54 And so the status of the partner is very, very important. And so men, you need to be taking a prenatal vitamin as well, ideally for three months, because it takes three months for sperm to basically become all new again. You know, they kind of cycle through. And some miscarriages occur. Most miscarriages occur because of chromosomal abnormalities. And I say that with a pause because I got to be careful what I'm saying because I don't have the reference in front of me.

Starting point is 00:32:27 I will say many miscarriages occur because chromosomal abnormalities. abnormalities. And the chromosomal abnormalities, women, it's not just your fault. It's fact, it's no one's fault. Men's chromosomes are also being passed. So if the men's sperm are unhealthy, they are passing unhealthy chromosomes. And when the baby is developing and it's going through all the checks and balances, if there's significant chromosomal abnormalities, miscarriage. Naturally, the baby, baby will be miscarried because nature has determined it's not fit for survival. And so both man and women must be supported with a prenatal and ideally both are evaluated for M. Jafar. Any sort of fertility issues or even if they're not, if they're just preparing and they want to be

Starting point is 00:33:24 at optimal health, you know, there's the necessary things like getting enough sleep, reducing your stress, working on your toxic load. So getting the cleaning supplies out of your house that are toxic chemicals, cleaning up your skin care, your makeup, and for your men, too. I actually heard you talk about this recently that I hadn't even thought about. The shaving cream for men has valets in it. And I was like, oh, my God, I need to change out Hector's shaving cream. Yeah.

Starting point is 00:33:51 So little tweaks like that can make a huge difference too. And there's so much focus on the women's body, right? And there's not enough on the men. men eating, how do their diets look, how are their, you know, detoxification pathways? Do they have this MTHR gene? Look into all of that. What are the products that they're using? Because, again, there's so much focus on the women, but nobody's really talking about the men's health. And they play half the role. Yeah, they do, literally, half the role. So it's crazy. You're baking the baby, but to make the baby is both of you. Boys are not going to have sperm going around at that age.

Starting point is 00:34:28 She was like, no, but you can identify by the distance between their anus and, you know, the start of their scrotum apparently. And if it's short, the likelihood of their being infertile later on in life is very, very high. So, and boys are being born with a short distance. And so, yeah, it's a big deal. Thank you so much for listening to the Real Foodology podcast. This is a Wellness Loud production produced by Drake Peterson. The theme song is by Georgie.

Starting point is 00:34:58 You can watch the full video version of this podcast inside the Spotify app or on YouTube. As always, you can leave us a voicemail by clicking the link in our bio. And if you like this episode, please rate and review on your podcast app. For more shows by my team, go to wellnessloud.com. See you next time. The content of this show is for educational and informational purposes only. It is not a substitute for individual, medical, and mental health advice and doesn't constitute a provider-patient relationship.

Starting point is 00:35:23 I am a nutritionist, but I am not your nutritionist. As always, talk to your doctor or your health team first. Are you overwhelmed by the shoulds? Do you want to simplify your life to better align with your values? Do you want to create space in your schedule so you have room for the good stuff? Play, joy, relationships, creativity, and more? Check out Edit Your Life, a podcast to help you edit the unnecessary from your life so you have more room to enjoy the awesome.

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Realfoodology - Egg Freezing, IVF & Fertility Truths

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