• Massage for Men?

    By Meredith Nathan LMT

    When we discuss fertility massage, it’s often assumed this practice is designed only for women.  It’s true that the benefits for women are vast, but men shouldn’t feel left out! The male reproductive system completely mirrors the female reproductive system (in function if not in location).  The Fallopian tubes are comparable to the vas deferens, as both are systems of transportation in the body. The ovaries are comparable to the testes, both producing the carrier’s ‘seed’. The uterus and the penis both allow the safe passage of that ‘seed’.  And though the hormones dominating men and women are different, both can be negatively impacted by stress.

    Abdominal and sacral massage can positively impact circulation, lymphatic flow, and digestive congestion in both men and women.  Keeping in mind that restricted blood flow can impact nerve function (including the nerves of the reproductive organs), lymph movement helps the body’s systems of detoxification (and toxicity can impact sperm quality) and digestive stagnation can actually affect hormonal balance, the connection between massage and fertility for men becomes clear.  And since the sperm live for 60-70 days, receiving fertility massage while making positive lifestyle choices for several months is ideal!

    Lastly, who can argue with the benefits of a stress-reducing massage during a highly stressful time?  Lowering cortisol levels, the stress hormone, can boost libido, increase energy, and help promote hormone balance.  And perhaps most importantly, it can increase your sense of well-being during an often tense and emotional time. Our culture doesn’t often celebrate or create space for men’s emotions, or their need for self-care…but during a fertility journey, both are vital to creating the endurance that will go the distance.

    Try a Fertility Enhancing Boost today!

  • Summer Lovin’

    by Stephanie Marynus LAc

    Summer Solstice is just around the corner! YAY! Street festivals, concerts, grilling and vacation – the last thing you want to think about is health. Summer is one of the times of year that most people fall off track with their routines the most, aside from the winter holidays. However, I believe in giving yourself some leeway here and there so you can enjoy life. As an acupuncturist, we believe it’s all about balance.

    You don’t have to deprive yourself, especially if you tend to be more active during the summer months. There are simple things  you can do to keep yourself from going overboard during summer. These things will help you stay on track this summer, so that you don’t have to start over at square one when September rolls around.

    1. Stay Hydrated

    If you have seen me for acupuncture you know I am a stickler for water. Being hydrated cleanses the body and gets it ‘moving’, so to speak. This is a simple method to reduce the side effects of fertility drugs that, energetically speaking, “dry” you out.  It improves your mood, reduce aches and pains, prevents constipation and bloating, and increases your energy.  Click Here to see what happens after drinking 1 gallon of H20 everyday for a month! The general guidelines for water intake state that you should drink at least half an ounce for every pound you weigh. For example, if you weigh 160 pounds you should be drinking at least 80 ounces of water a day. Strategically set water bottles around the house and at work to remind yourself to drink water throughout the day.

    1. Get Moving

    It’s time to get moving and release that energy that you built up during winter. Not only will workouts counteract any of your splurges over the summer holidays but they can also improve your happiness.  According to the international best seller, The Happiness Equation, by Neil Pasricha, “Pennsylvania State researchers reported in the Journal of Sports & Exercise Psychology the more physically active people are the greater their general feelings of excitement and enthusiasm.” It doesn’t take much: Half an hour of brisk walking three times a week improves mood. That is great news for a woman who can not exercise while undergoing stimulation. Something as simple as a daily stroll to check out the neighborhood’s new hip restaurants can keep you on track.

    80/20 Rule

    I am not going to tell you that you should skip every ice cream outing that you are invited too. Life is all about balance and eating right a majority of the time. The key is knowing when to allow yourself a treat and when you should make healthy choices. Simple things like swapping out unhealthy choices for healthier ones can make a huge difference. When grilling out, instead of choosing that bacon cheeseburger, swap it out for grilled chicken. Instead of potato chips choose carrots and celery. In choosing healthy alternatives you won’t feel so bad about having that ice cream snack later on. Food was made to fuel our bodies, but treating yourself every now and then is not a crime.

    Ferris Bueller, a Chicago favorite, once said, “Life moves pretty fast. If you don’t stop and look around once in a while, you could miss it.” Let your hair down and enjoy yourself this summer. After all, you have been waiting for this time all year. Keep your goals in the forefront so when fall comes around you won’t be regretting 3 months of slacking. Just remember the 80/20 rule, and keep your body moving. If you follow these easy tips, you will not have a problem staying on track with your health.

    Try our Summer Passports this season to make the most of the season and save!

  • Thin Lining? Silver Lining!

    by Meredith Nathan LMT

    A common setback to a successful fertility cycle is a thin endometrium, or uterine lining.  In the case of IVF, some cycles never make it to transfer because the endometrium is too thin.  Reproductive Endocrinologists usually like to see the lining at least 7-8mm by the time of transfer, with a ‘trilaminar’, or three-layered appearance on an ultrasound.  Why does the uterine lining sometimes not grow and thicken throughout the follicular phase as it should?  

    A few common causes include:

    • – poor pelvic blood flow
    • – pelvic blood stagnation
    • – low BMI
    • – estrogen deficiency
    • – uterine fibroid(s)
    • – adhesions or scar tissue in the uterus
    • – endometritis (infection of the endometrial cells) or adenomyosis (a condition whereby the uterine lining grows into the muscular wall of the uterus)

    Pelvic blood flow and blood stagnation are two sides of a coin: closely related in some ways, and in other ways complete opposites. For example, someone who never exercises and works a desk job may suffer from blood stagnation; her sedentary lifestyle keeps the pelvic cavity ‘swampy’ in it’s consistency.  On the other side of the ditch, the high-intensity, cross-fit, marathon-running athlete is sending much of her blood flow to her extremities (not to mention flooding her body with adrenaline, cortisol, and other stress hormones that may interrupt her hormone balance). Both of these women might end up with a thin uterine lining, for the exact opposite reason.

    In other cases blood stagnation can actually CAUSE poor blood flow.  Adhesions in the uterus can be the result of trauma or internal infection, but can also be the result of a sedentary lifestyle and blood stagnation.  These adhesions can result in lowered circulation, and a thin uterine lining.

    Other causes of thin lining can also be related, where one causes the other or several cluster together in a constellation of symptoms.  For instance, uterine fibroids are more common in an environment with poor circulation. But, the scar tissue that can result from uterine fibroids can create more blood stagnation and circulatory challenges, resulting in: poor circulation.  Likewise, low BMI may cause estrogen deficiency and other hormonal imbalances. Low estrogen may also create other body weight challenges.

    Mind boggled?  I don’t blame you.  But if any of these scenarios sound familiar, take heart.  First of all, you do not need to have the ‘perfect uterus’ (if such a thing exists) to get pregnant.  I’ve personally had clients with a lining as thin as 4mm achieve a successful implantation and pregnancy (and who now have healthy babies).  

    And the silver lining is that there are a number of positive, holistic choices you can make to give your endometrium a boost:  

    • – if you’re concerned about a low BMI, consider gaining weight.  Fat cells produce estrogen, and estrogen helps build the lining! That’s not an invitation to gorge yourself on milkshakes and cheetos (wouldn’t that be nice?) – see a nutritionist to help guide you to a healthy BMI, using a anti-inflammatory diet filled with healthy fats.
    • – while you’re at it, ask that nutritionist about things to avoid, and also supplements that can support your lining.  Some research suggests Vitamin E (included in a good prenatal vitamin) and L-arginine may support a thick uterine lining, while substances such as caffeine and nicotine are known to restrict blood flow, possibly thinning it.
    • – choose low-intensity, moderate exercise options, such as gentle (non-heated) yoga, swimming, walking, or the elliptical machine.
    • – thermal therapy, hip stretches/openers (including some fertility yoga poses you can use now!), femoral massage, and other self care techniques can help improve pelvic blood flow
    • – receive a manual therapy, such as, Fertility Enhancing Massage (FEM), or Mercier Therapy (available at PDtM from Meredith Nathan), to reduce adhesion in the abdomen and increase pelvic blood flow.  Your FEM Practitioner, exclusively at Pulling Down the Moon, can also teach you further self care techniques to help boost your blood everyday! Try a sample of these self-care fertility massage techniques today!
    (Photo by Aleksandar Pasaric)

  • Celebrating the Arrival of Spring Produce

    By Margaret Eich, MS, RDN

    Spring is finally here in the Midwest, and things are starting to get greener. Crocuses and daffodils are blooming, and it seems people are starting to have a little more of a spring in their step as the promise of summer and warmer weather approaches. That also means that soon we will have local fruits and vegetables once again.

    Focusing on increasing fruits and vegetables, especially from local sources is a great way to focus on improving your overall health and fertility. Certain fruits and vegetables like leafy greens, avocados, and oranges are rich in folate, which is important for preventing neural tube defects. In general, fruits and vegetables are rich in vitamins, minerals, antioxidants, and potential anti-inflammatory compounds. These may be supportive of both female and male fertility. Did you know that women going through ART have higher levels of oxidative stress that may be offset with antioxidants? Loading up on the fruits and vegetables is a great way to do this. Increasing fruits and vegetables also increases your fiber intake, which feeds your beneficial gut bacteria (fertility nutrition starts in the gut!). Try to choose organic when possible, as eating higher pesticide fruits and vegetables has been linked to longer time to pregnancy.

    Farmer’s markets are great way to work eating more fruits and vegetables, as the freshness and quality is often superior to the produce found in grocery stores, where it may have been shipped many miles. At the farmer’s market, your produce may have been picked just that morning or the previous day! Another great option is gardening if you have the space. Studies on gardening show that it may help combat stress, boost your mood, and it’s good exercise! Live in an apartment or condo and don’t have outside space? Seek a community garden, or try growing some herbs in your window or in a pot on your balcony. Other options for a deck or balcony could be salad mix in a pot.

    Eating more vegetables is a great way to boost your overall health and fertility, by increasing fiber and nutrient density of your diet.

    Try these tips to increase the amount of vegetables you’re eating:

    1. Add vegetables to your eggs at breakfast (or any time of day).
    2. Add cauliflower rice to chili, curry, or stir-fry.
    3. Add greens like kale to soups, chili, taco meat, or stir-fry toward the end of the cooking time.
    4. Have a big meal salad with protein.
    5. Add sautéed onions, mushrooms, and greens (like spinach, kale, or chard) to tomato sauce.
    6. Use spaghetti squash or oodles instead of pasta.
    7. Add cucumber, celery, and/or greens to a smoothie.
    8. Use cauliflower, spaghetti squash, or zucchini to make pizza crust.
    9. Use zucchini or eggplant instead of noodles in lasagna.
    10. Roast carrots, beets, broccoli, or cauliflower with olive oil.

    Check out some seasonal nutrition recipes! Learn more by consulting with a nutritionist!  Book today!  Questions?  Call us at: 312-321-0004.

     

  • Endometriosis Awareness Month: Decreasing Endometriosis Symptoms

    Diana Zic, RPYT, CHC

    I am extremely empathetic to those women with endometriosis as I used to suffer from pelvic pain, heavy menstrual flow, and at times vomiting and constipation dating back to the age of 12. Although I haven’t been diagnosed with the disease, I’m pretty sure the rupture of my appendix when I was in 3rd grade paved the way for my discomfort around my menstrual cycle.

    For those reading this and are unsure of what endometriosis is exactly, according to Mayo Clinic, “it is often a painful disorder in which tissue that normally lines the inside of your uterus – the endometrium – grows outside your uterus. Often times it spreads to the Fallopian tubes, ovaries and the ligaments that hold the organs in place which may cause trouble when trying to conceive and cause pain.

    Many women do not realize that they have it until they are trying to conceive. As it’s hard to diagnose without laparoscopic surgery  (which I’ve done and it’s not the greatest experience as you can imagine) though it can help clean up scar tissue temporarily which can relieve discomfort and offer a window to try to conceive, but it’s likely to come back if the root cause isn’t found.

    Also, I believe because so many women are suffering from pelvic pain and PMS symptoms it’s become seen as a cliché to have these symptoms so they are brushed off as “normal”.

    The symptoms of endometriosis are typically associated with the menstrual cycle and unique to each woman and may include: Pain during sex, extreme cramps that don’t go away with anti-inflammatory support or that impede daily life, bowel and urinary disorders, periods that last longer than seven days, heavy cycle (changing pad or tampon every hour) and nausea or vomiting. YUCK!

    Good news! There are ways to decrease symptoms in a non-invasive way FIRST!

    • Be mindful. Start to track your symptoms daily: mood, stress levels, diet and exercise to see if there’s a pattern to your pain.
    • Try an elimination diet. Certain foods may be triggering inflammation in your body. Read about some recommendations here from our nutrition team.
    • Balancing your hormones. High levels of estrogen is connected to endometriosis. Studies show when estrogen is dominant over progesterone, or progesterone is too low, it can set a woman up for pelvic pain. Yoga can ease menstrual pain, improve fertility, and aid in hormonal balance.
    • Seek out a pelvic physical therapist with expertise in women’s health and a massage therapist specializing in fertility. This can alleviate pain, symptoms, and aid in hormone balance.

    Do you have or think you have endometriosis and are trying to conceive? Do you want support to help guide you to the root cause of your pain and heal your body?  Join Diana for Yoga for Fertility with rolling enrollment on Wednesdays in Chicago (through April 10th) and the NEXT SERIES will start on Monday, March 25th at 7pm at Pulling Down the Moon or learn about our March fertility health coaching special with Diana at: 312-321-0004 today!

    Be well,

    Diana

  • Tips for Spring Restoration

    By Cathy McCauley, LMT

    Spring arrives this month, and with it, more cold days (perhaps even snow)!  But March also brings the promise of new life. I love this time of year. The ground starts to smell fresh and ripe. Small green buds begin to swell from the earth reaching up, up, up. Birds chatter in the trees. The sun stays in the sky a little longer each day. After a long, cold winter of hibernation, spring restores nature’s beauty.

    Spring inspires us to restore ourselves, too and these self-care techniques will lead you to restoration of mind, body and spirit.  

    Hydrate. Drink a glass or two of water first thing in the morning. Keeping yourself hydrated helps boost your mood, improves brain power and protects you against disease.

    Make a gratitude list. Spending just a few minutes a day writing down what you are grateful for can dramatically shift your day. The more gratitude you have, the more open to abundance you become.

    Breathe. Set aside a few minutes each day to practice breathing. There are so many benefits! Among them, diaphragmatic breathing alleviates stress, reduces pain, strengthens internal muscles and moves blood to organs and tissues. If you’re not sure how to get started, schedule an Open the Breath (™) massage to receive some hands-on breath work coaching.

    Stretch. Five to 10 minutes of stretching in the morning increases energy levels, enhances circulation, reduces injury and centers your mind. Even better is a regular yoga practice. Pulling Down the Moon’s yoga classes can give you a jump start!

    Eliminate something from your diet that isn’t serving you. Instead of overhauling your entire diet, start by taking out one food that doesn’t nourish your body. Replace it with a different item that supports your desire for restoration. Learn even more by working with a nutritionist!

    Do you have ideas on how to restore yourself or tips for others? Please share them! I look forward to seeing you in the center. Many wishes for a beautiful spring!

    – Cathy

    Cathy is available for Fertility Enhancing, Therapeutic, Prenatal, and Postpartum Massage services at our Highland Park and Buffalo Grove offices!  Schedule with her at: 312-321-0004 today!

  • Vitamin A: Are you getting the right amount?

    By Margaret Eich, MS, RDN

    Vitamin A is a fat-soluble vitamin that is essential for reproduction, vision, immune system function, and embryo and fetal development. There are two main types of vitamin A: preformed vitamin A known as retinoids, which are found in animal products, and are converted to retinoic acid, which regulates transcription of a number of genes. The second type of vitamin A is called carotenoids, which includes beta-carotene and hundreds of others. Only about 10% of carotenoids are capable of being converted to retinol and further to retinoic acid. Beta-carotene, alpha-carotene, and beta-cryptoxanthin are all capable of being converted to retinoic acid, though only small amounts are converted.

    Most women hear about vitamin A in terms of toxicity – that you shouldn’t take too much vitamin A prior to and during pregnancy, as it may cause birth defects, which is true. We recommend limiting the amount of preformed vitamin A from supplements to no more than 5000 IU (which is equivalent to 1500 mcg RAE). RAE stands for Retinol Activity Equivalents and is the standard way of expressing vitamin A requirements and amounts in food, as it accounts for the differential bioavailability of preformed vitamin A and carotenoids. Supplement labels usually use International Units (IU) to list vitamin A doses, which can sometimes make sorting out your vitamin A intake confusing! There is no limit for carotenoids like beta-carotene, as they haven’t been shown to be capable of causing vitamin A toxicity or birth defects. Some prenatal vitamins do contain preformed vitamin A, such as retinal palmitate, which is fine and maybe helpful if you struggle to meet your vitamin A needs, as long as the preformed vitamin A is less than 5000 IU. Make sure to check all of your supplements for vitamin A, as other combination formulas aside from your prenatal vitamin may contain vitamin A.

    The daily recommendation for vitamin A is 700 mcg RAE and increases to 770 mcg RAE in pregnancy. In the US, women are getting on average only 580 mcg per day – in other words, US women are not getting enough vitamin A. So while it’s important to make sure you’re not taking in excess vitamin A from supplements, it’s also important to make sure you’re getting enough vitamin A due to its essential role in reproduction, embryo development, and organ formation during fetal development.

    Your best sources of preformed vitamin A include liver, fish, dairy, kidneys, eggs, poultry skin, butter, and dark meat chicken. Your best (plant) sources of carotenoids include: sweet potato, pumpkin, carrots, cantaloupe, spinach, kale, collards, and butternut squash. Absorption and conversion of carotenoids to active vitamin A is variable based on the food it’s contained in, and an individual’s ability to digest and absorb it. Because of the variable in absorption, it makes sense to include a mix of preformed vitamin A and carotenoids to meet your vitamin A needs.

    Need some help sorting out your vitamin A intake. Book a nutrition consult today!

     

  • Nutrition Strategies for Endometriosis

    By Margaret Eich, MS, RDN

    March is Endometriosis Awareness Month, and today we’re sharing some nutrition tips to support endometriosis. If you have endometriosis, work with your doctor on an appropriate treatment plan, but try these lifestyle tips to help manage your endometriosis as well:

    The omega-3 fatty acids, EPA and DHA, have anti-inflammatory properties and thus may help reduce inflammation in endometriosis. Cold water fatty fish and fish oil supplements are the best sources. In addition, taking omega-3 fatty acids during pregnancy may help to prevent preterm labor and are important for baby’s developing brain and vision. Fish oil is great, but we shouldn’t forget about also eating seafood, which is very nutrient rich and supportive of fertility and a healthy pregnancy. It’s just important to focus on low mercury fish and limit to 12 oz per week. Some good choices include wild salmon, sardines, whitefish, herring, and oysters.

    Consider a trial of a gluten free diet. One study showed that a gluten free diet helped to reduce endometriosis pain. Gluten is in wheat, rye, and barley and relatives of wheat like spelt and kamut. Instead substitute naturally gluten free grains and starches like quinoa, sweet potatoes, potatoes, butternut/acorn squash, brown rice, and legumes.

    Maximize your fruit and vegetable intake. This one is a no-brainer, as high fruit and vegetable is associated with better overall health and reduction in risk for many chronic diseases. Aim to include vegetables with both lunch and dinner and breakfast when possible. Include fruit to satisfy sweet cravings after meals or paired with protein at snacks.

    Want to learn more?  Schedule with a nutritionist today!

    Sources:

    1. Halpern G, et al. Nutritional aspects related to endometriosis. Rev Assoc Med Bras. 2015; 61(6): 519-23.
    2. Marziali M, et al. Gluten-free diet: a new strategy for management of painful endometriosis related symptoms? Minerva Chir. 2012;67(6): 499-504.

     

  • Couples Guide to Holistic Health

    by Elizabeth DeAvilla RD

    While becoming parents as a couple takes two, preparing your bodies is definitely an experience that takes both teamwork as well as some independent actions.

    Know that everyone has different needs

    We all know that men and women have different needs, that’s a given, and we also know that reasons of infertility can be very different as well, I mean, our bodies are built differently, thankfully! Let’s say that we need to increase or decrease a certain hormone, well, in our partner’s case it may be the same story, but with a whole different food group! Being able to understand where certain problems lie, could lead to very different solutions. While there are definitely foods and supplements that work wonders for both, no matter the gender, just know that what one partner is following for treatment may not be applicable, or even supportive of the others.

    Exercise together

    I used to hate running with my husband, he was so competitive, and I found myself trying to race him all the time. I bit the bullet and finally let him in on how I was feeling and he had a great response, “Oh, I thought that was your pace!” It was something that we had never talked about, and never set that game plan. Now we’re able to go out, set a good, (tolerable!) pace and have an enjoyable time. We are able to act as a cheerleader, as well as give accountability when that couch looks oh so tempting as well!

    Be that Cheerleader

    We all could use that high five every once in a while, and who better to give it than the one working towards the same goal? In fertility journeys there are many hurdles, as well as small successes when you look for them. Following treatment plans, taking our supplements/medications, completing medical/therapy appointments, procedures, positive results for one/both partners are all great ways to celebrate when you can!

    Want to learn more about how nutrition can help you and/or your partner?  Schedule a nutrition consultation today! Save in February with our $99 Wild Card special for an initial nutrition consultation!

    Questions?  Call us at: 312-321-0004.  Elizabeth is available on T/R evenings in Chicago and alternating weekend days including Highland Park.  She is available for phone consults as well for your convenience.

    .  

  • Setting New Goals for 2019

    by Elizabeth DeAvilla RD

    When it comes to setting goals for the new year, especially nutrition goals, there’s some tricks of the trade to keep in mind to help ensure success.

    Making Positive Goals

    When I set out to make goals for myself, I always get excited. it’s a new opportunity to take steps in health, education, fitness, emotional health, all for the better. One thing that I do try to keep in the back of my mind is what can I add to my life. I find that positive goals work best, not deprivation goals. Think of the feelings that you have when you make the goal of exercising for 20 minutes/3 days a week. I get excited about new workout clothes, about positive body image. Now think of the goal of giving up pizza. Not the same warm fuzzy feelings! Even as a registered dietitian, that “goal” sounds awful. Know that while we’re all trying to move in a positive direction, when we talk about giving up things that are commonly staples, even if just weekly staples, this can have a negative impact on our views, especially when it comes to food. If it’s something that weighing on you, maybe change that goal to incorporating more vegetables as pizza toppings, and everyone wins.  

    Making Smart Goals

    We’ve all asked ourselves what can I do to give myself the best chance of achieving what I’m setting out to do? Start with changing the goal you’re setting. When our goals are ones that are commonly called Smart Goals, this can provide us with the structure to make even the most difficult tasks, a bit easier.

    Specific: What is the exact goal that you’re looking to accomplish? When people come to me with the end goal of “being healthy” I have to take a step back. As a practitioner, my ultimate goal for patients is always health, but that is such a broad term. Is it achieving a healthy BMI? Is it lowering a certain laboratory value? Is it to finish a 5k? by setting a specific goal, this will help you and your team of experts devise the best game plan for success.  

    Measurable: Lets go back to the goal of “being healthy.” What does that even mean? Is it fitting into the pants we wore in high school? Bringing our blood pressure down to a healthy number? Take what you would like to achieve and put a number to it, a time line, give yourself some accountability. By this February 28th, I will have incorporated breakfast into my daily meals at least 5 days a week. Small supportive actions such as purchasing a calendar to track all the successes would make your successes even more visible.

    Attainable: I once had asked a small child what she wanted to be when she grew up, she said a unicorn. Now in her head, as a 6 year old, this was totally attainable–in my current lifetime, not so much. When setting goals, we need to make sure that what is desired is actually something that we can accomplish, and do so in a healthy manner. Is it obtainable for me to grow 5 inches and become the next big super model, probably not, but achieving a healthy weight loss goal of 10lbs over the next 3 months? Totally do-able in my case.

    Time Bound: Sometime in the next year, I’m going to run a 5K. We all remember how long a year is, right? 365 days to make a change, and lets be honest, “Tomorrow” is a pretty common date when we’re trying to make some changes. By changing that date to April 30th, this then allows for us to make that plan, and take the steps necessary with respect to time to allow for success.

     

    Making Permanent Goals

    They say it takes 2 weeks to make a habit, right? Well… sort of, first we have to get to where we want to be. In terms of that breakfast goal, yes, after a few weeks of incorporating that first meal of the day, your body will adjust, and you’ll being to feel those hunger cues bright and early. That “being healthy” goal? We’re going to have to establish a new baseline first. By taking the small steps that we outlined earlier, this will have the best chance of becoming a success. Lets start with incorporating more vegetables on our pizza, then maybe adding in those workouts a few times a week, then voila, we ran that 5k in April, and by May, we’re proud of our success! But it doesn’t end there! We need to keep up with our new health(ier) lifestyle, and this means maintenance. Maybe this would be continuing with the workouts (try a FREE Yoga for Fertility community class!) as we would with any other appointment that we make, by adding more vegetables to our grocery list every time we shop. Pretty soon these are all going to be more habitual and for that we all deserve a pat on the back.   

    Set yourself up for success and support with the ART Recovery Prep ProgramStart in January and save!