• Magnesium: An Essential Mineral for Fertility and Pregnancy

    By Margaret Eich, MS, RDN

    Magnesium is an essential mineral in hundreds of reactions in the body involved in a variety of processes including deriving energy from food, DNA synthesis, and blood sugar regulation. In addition, magnesium is a mineral component of bone along with calcium and phosphorus. Along with these important functions, did you know that magnesium may play a role in fertility and pregnancy as well?

    Magnesium’s Role in Fertility and Pregnancy

    In a study of 33 women with polycystic ovarian syndrome (PCOS), 23% of women did not meet their daily magnesium needs. (1) In another study comparing women with and without PCOS, women with PCOS consumed less magnesium than women without PCOS. In women with PCOS, lower magnesium intake was correlated with higher risk for insulin resistance and elevated testosterone, key hallmarks of PCOS. (2) There have been many studies investigating the impact of magnesium levels and magnesium supplementation on insulin resistance and type 2 diabetes. These studies point to a significant role for magnesium for blood sugar regulation. (3)

    Magnesium supplementation may also help prevent muscle cramps in pregnancy, and may also be helpful for headache prevention. Research is ongoing around magnesium and its impact on risk for gestational diabetes and gestational hypertension.

    How much Magnesium do we need?

    According to NHANES data, the majority of Americans do not get enough magnesium in their diet. The daily requirement for magnesium is 310-320 mg for non-pregnant women. During pregnancy, magnesium requirements increase to 350-360 mg daily. 

    Food sources of Magnesium

    The best food sources of magnesium include: nuts and seeds especially Brazil nuts, cashews, and almonds; seaweed, leafy greens, legumes, whole grains, and dairy products.

    Magnesium Supplements

    Adding a magnesium supplement can be a helpful way to ensure you’re getting enough magnesium on a daily basis. Magnesium glycinate is the preferred form of magnesium, as it’s very well-absorbed and unlikely to cause digestive issues or loose stools like other forms of magnesium that are less well-absorbed like magnesium oxide.

    Unsure if you’re meeting your daily magnesium needs? Schedule a nutrition consultation for a comprehensive review of your diet and supplement regimen.  Supplements are available in Chicago, Highland Park, and via our online shop for your convenience!

    References

    1. Szczuko M, et al. Quantitative assessment of nutrition in patients with polycystic ovarian syndrome (PCOS). Rocz Panstw Zakl Hig. 2016;67(4):419-426.
    2. Cutler DA, et al. Low intakes of dietary fiber and magnesium are associated with insulin resistance and hyperandrogenism in polycystic ovarian syndrome: a cohort study. Food Sci Nutr. 2019;7(4):1426-1437.
    3. Linus Pauling Institute at Oregon State University: Magnesium

     

     

  • Myo-inositol and D-chiro-inositol for PCOS

    By Margaret Eich, MS, RDN

    We’re sharing some of our best tips for managing PCOS with diet, lifestyle, and supplements to support patients not just during PCOS Awareness Month but all year long! We love working with clients with PCOS, because there is so much you can do by changing your habits to positively impact PCOS. A PCOS diagnosis is based on the Rotterdam criteria, which includes 1) irregular menstrual cycles with absent or irregular ovulation, 2) cysts on the ovaries, 3) elevated androgen levels. Two of these 3 characteristics must be present for a diagnosis of PCOS. 

    Another common characteristic of women with PCOS is insulin resistance with 60-75% of women with PCOS have insulin resistance regardless of body weight. When you have insulin resistance, your insulin isn’t working as effectively as it should to get glucose out of your blood and into the cells of your body to be used for energy. The pancreas compensates by pumping out more insulin. These elevated insulin levels seem to be at the root of the elevated androgen/testosterone levels commonly found in women with PCOS. Thus addressing the insulin resistance in PCOS may help lower insulin and testosterone levels and improve menstrual cycle regularity. You can read more about managing insulin resistance here.

    So this is where inositol comes in as a really helpful supplement. Inositol is a nutrient found in beans, grains, fruit, and nuts that research has shown to be beneficial for PCOS. There are 9 different forms of inositol, but two forms have been shown to be beneficial for PCOS. These are myo-inositol and D-chiro-inositol.  Myo-inositol in combination with D-chiro-inositol may help lower insulin and testosterone levels and increase menstrual cycle regularity in women with PCOS making it a very helpful tool in your PCOS management strategy. The body’s normal ratio of myo-inositol to D-chiro-inositol is 40:1, and a recent study has shown that this is the most effective ratio in supplemental form for restoring ovulation in PCOS. At Pulling Down the Moon, we carry Ovasitol, which contains the recommended 40:1 ratio of myo-inositol to D-chiro-inositol.

    Beyond PCOS, myo-inositol also may improve egg quality and may reduce risk for gestational diabetes when taken during pregnancy. Book a nutrition appointment today to further discuss ways to help manage your PCOS, check out the PCOS specific features in our online store for your convenience, and check out our upcoming FREE Boost Your Egg Quality IQ webinar today!

    Reference: Nordio M, Basciani S, Camajani E. The 40:1 myo-inositol/D-chiro-inositol plasma ratio is able to restore ovulation in PCOS: comparison to other ratios. Eur Rev Med Pharm Sci. 2019;23:5512-5521.

     

  • 5 Root Cause Approaches to PCOS 

    By Diana Zic, RPYT, Certified Functional & Integrative Health Coach

    Whether you’re starting to plan your family, you’ve been on your journey for a bit, or have had your kiddos; having a conversation with your doctor about Polycystic Ovarian Syndrome (PCOS) can be a good idea if you are having symptoms!

    What is PCOS and is who affected?

    PCOS it is one of the most common hormonal endocrine disorders in women. It affects 7 million women in the United States alone. In fact, September is PCOS Awareness Month! Statistics show this impacts all races/ethnicities including: Caucasian: 4.8%, African American: 8.0%, Hispanics/Latinas: 13%, as well as, an added concern for teens as obesity increases. 

    For some women, symptoms can appear as early as their first menstrual cycle. Unfortunately, most women don’t know they have it until they start trying to conceive. PCOS can often looks like what is termed “normal” symptoms to have as a maturing woman. For example, you may have acne, anxiety (reduce anxiety and stress!), depression, or an eating disorder. 

    The diagnosis of PCOS varies based on the criteria used by your doctor and may look for the following: hyperandrogenism, chronic anovulation, polycystic ovaries, and oligoanovulation.  

    PCOS affect 7 million women in the US alone.

    What Causes it?

    Genetic predisposition appears to be strong with this diagnosis.  Many women have mothers and sisters struggling with the same condition!

    GOOD NEWS! Lifestyle factors such as diet, exercise, and stress reduction combats against your predisposition!

    So, what are gals to do if they suspect PCOS? 

    Keep reading for tips!

    1. Talk with your doctor. It’s important to get the appropriate testing done to get clarification! A simple blood test and ultrasound is all you need to get started.  You may even be eligible for a free check-up! Learn more here.
    2. Dietary Changes. Lose the low-fat, high-carbohydrate diets. Choose complex carbs, which are high in fiber and moves through your body more slowly so your blood sugar levels stays level. According to the Mayo Clinic, even a modest reduction in your weight – for instance, losing 5 percent of your body weight – might improve your condition. 
    3. There are also supplements available that may be helpful. See the new research on PCOS and CoQ10 Supplementation today!

    Here’s a prior blog of mine for some ideas of foods to start incorporating now. 

    1. Be active. Exercising daily helps to reduce and/or prevent insulin resistance, reduce inflammation and it’s the happy drug for your mind by producing endorphins. It also helps to reset your HPA Axis – reducing stress! Try the Moon Salute Sequence today to see what a difference a few minutes can make! Join Pulling Down the Moon’s 6 Week Yoga for Fertility Series starting September 24th (for those trying to conceive), or CocoonCare’s schedule (for pre/postnatal care) to see for yourself! 
    2. Get support. As I mentioned, 7 million women in the USA have PCOS, so don’t feel like your abnormal or broken beyond repair. We can help you implement these changes, reach out!

    Wanna learn more on the root cause approach? Try the You Pick Two Special during PCOS Awareness Month to try two services (Acupuncture, Massage, Yoga for Fertility, or Health Coaching) for only $199!

    Be well, 

    Diana

  • PCOS and Coenzyme Q10 Supplementation

    By Robin Miller, RDN

    Polycystic ovary syndrome (PCOS) is one of the most common causes of infertility in women, affecting up to 10% of women of childbearing age. Despite what the name suggests, it is actually a disorder of the endocrine system–think hormones! You can even be diagnosed with PCOS even without having ovarian cysts. 

    PCOS is characterized by high levels of androgens (“male” hormones), including testosterone, androstenedione, dihydrotestosterone (DHT), dehydroepiandrosteron (DHEA) and DHEA sulfate (DHEA-S). Higher than normal levels of insulin are also common due to to insulin resistance (much like that seen in type 2 diabetes) over time. When you have insulin resistance, your insulin isn’t working as well as it should to signal for glucose to be transported out of the blood and into the cells of the body to be used for energy. To compensate, the pancreas produces more insulin leading to high insulin levels, which seem to drive the higher testosterone levels in PCOS.

    A recent study suggests that supplementation of Coenzyme Q10 (CoQ10), has beneficial effects on glucose metabolism as well as serum total and LDL cholesterol levels in people with PCOS. In this study subjects took 100 mg of CoQ10 daily for a 12-week period at the conclusion of the study a notable improvement in overall fasting glucose, insulin resistance, and total and LDL cholesterol was observed in subjects. 

    So, what is Coezyme Q10?  Coenzyme Q10 (CoQ10) is a nutrient that occurs naturally in the body. CoQ10 is also in many foods we eat. CoQ10 is involved in energy production and acts as an antioxidant, which protects cells from damage and plays an important part in the metabolism.  

    Unfortunately, as we age, naturally occurring levels of CoQ10 in our body decline. Evidence suggests that supplementing CoQ10 may help many different conditions such as high blood pressure and heart failure and most recently PCOS. 

    Want to learn more about how supplements can help you? Schedule a  nutrition consult and work with one of our Registered Dietitians to develop an individualized supplement and treatment plan specifically designed for you!

  • Navigating the Supplement Aisle to Support Your Fertility Journey

    By Robin Miller, RDN

    It is daunting to see how many nutritional supplements are available in grocery stores, pharmacies, health food shops, and internet retailers these days. Finding the right supplement when you are pregnant, struggling with infertility, and for preconception can definitely be a challenge when looking at all the countless products on the crowded shelves. 

    Even as a registered dietitian, I find myself scouring the shelves to determine which supplements are worth taking and which are made by a company who has a very creative marketing team. The reality is most people do not know what to look for when selecting supplements, and unfortunately may end up paying a premium price for an under-performing product.  

    Here at Pulling Down the Moon, not only do our team of registered dietitians evaluate a clients’ supplementation regimen, we also ensure that all supplements we recommend adheres to certain standards deeming them safe and effective. We often find many people make supplement decisions based on pretty label claims vs. evaluating what the actual supplement contains and how it is regulated. Most clients get very general advice from their doctors regarding a prenatal vitamin at best and specific brands and ingredients are not discussed.  That is where we come in!

    Here are some things we look for at Pulling Down the Moon, when we evaluate supplements:

    • The supplements must be third-party tested.  Since supplements in the US are not regulated, one cannot assume that what you are paying for is what you are actually getting. It is important to see some kind of indication that the supplement was verified by a third party for quantity and purity, undergoing rigorous examination. Look for are the USP seal and the NSF seal. 
    • Be wary of choosing supplements that provide a “proprietary blend” of ingredients when dosages are not listed on key ingredients.  It is essential need to see the quantity of the nutrients that are included in the supplement.  A proprietary blend often combines multiple ingredients together, and the amount of each ingredient is not shared on the label.  
    • There must be studies about the nutrient or supplement that is not funded by the manufacturing company. Our registered dietitians base all of our recommendations on what the research and medical literature suggests.  Many supplements claim that they are “clinically proven”, but when you look a little closer, the studies that they use to make this claim may be funded by the company who makes the supplement.  It is not an independent study, and therefore bias cannot be ruled out.   
    • Choose certain versions of nutrients over others, and often it costs more. Whether you are trying to conceive or pregnant, we believe that quality matters.  In many cases, certain nutrients are better absorbed and utilized in one version vs. another or are available in a natural form instead of a synthetic for.  A version of nutrients that we prefer is:  Methylcobalamin instead of cyanocobalamin when Vitamin B12 is being supplemented. Cyanocobalamin is the synthetic form of Vitamin B12.
    • If probiotics are being mail-ordered, make sure they are being delivered appropriately if the supplement is not heat-resistant.  Many probiotics are heat-sensitive and will essentially die if they are heated beyond 100 degrees Fahrenheit. Make sure that you are ordering from a company that offers quick delivery and will ship with an ice pack.  Otherwise, having your probiotics sitting in the hot delivery truck may cook them to the point that they are essentially useless to your body. 

     

    Hopefully these tips will help you navigate the aisles a little easier the next time you are shopping for supplements.  We believe choosing high-quality supplements with high-quality nutrients is 100% worth it in the long run, especially when pregnant or trying to conceive. 

    Want to get your supplement regimen evaluated by one of our Registered Dietitians? Make an appointment today and come check out the supplements we have available for purchase to support you and your partner on your fertility journey!

  • Demystifying Insulin Resistance and the Impact on Fertility and Pregnancy

    By Margaret Eich, MS, RDN

    Insulin resistance is a common component of polycystic ovarian syndrome (PCOS), but did you know many other women have insulin resistance as well. The presence of insulin resistance prior to pregnancy is associated with increased risk for gestational diabetes, preeclampsia, and having a large baby. How do you know if you’re at risk for insulin resistance? If you have PCOS, prediabetes, or are carrying extra weight, especially in the abdomen, you may have insulin resistance. An estimated 60-75% of women with PCOS have insulin resistance regardless of their weight. If you are concerned that insulin resistance may be an issue for your, talk to your doctor about labs test that can be done.

    What is insulin resistance? Insulin is a hormone secreted by the pancreas that helps transport glucose, which is broken down from the carbohydrates we eat, into the cells of our body to be used for energy. When insulin isn’t working effectively to get glucose out of our blood and into our cells, this is called insulin resistance. The pancreas tends to compensate for insulin resistance by pumping out even more insulin leading to elevated insulin levels. These elevated insulin levels seem to be at the root of the elevated androgen/testosterone levels commonly found in women with PCOS. Thus addressing the insulin resistance in PCOS may help lower insulin and testosterone levels and improve menstrual cycle regularity. 

    If you do have insulin resistance, the good news is that there is plenty you can do with your diet and lifestyle to help your insulin work more effectively:

    1) Lose weight if needed. Even a 7% weight loss can help your insulin work better. For example, if you weigh 200#, losing 7% of your body weight is losing 14#. You don’t have to lose weight into a “normal” BMI range in order to make a significant impact.

    2) Exercise. Exercise moves glucose from your bloodstream and into the cells of the body without the need for insulin. Ideally, if you can exercise at least 150 minutes per week, you can improve your insulin resistance. Getting some exercise, like walking, after meals, especially after high carb meals, is a great way to help manage blood sugar levels.

    3) Manage your carb intake. Minimize refined carbs and added sugar. Focus on low glycemic carbs like legumes, vegetables, fruit, and whole grains. Limit starches to ¼ of your plate at meals, and practice filling half your plate with non-starchy vegetables.

    4) Include protein with all your meals and snacks. Including protein helps ensure your meals and snacks are satisfying and keep you full for at least a few hours. When protein is paired with carbs, it slows the absorption of carbs into the bloodstream leading to a more gradual rise in blood sugar levels.

    References: 

    Check out our upcoming webinar for more information on this topic with our NEW SERIES: Beyond the Blog!!  Join us on Monday, October 21st at 6pm CST for “Yoga and Nutrition for PCOS and Beyond”!

    Are you looking to manage your PCOS, weight, and/or insulin resistance? Make an appointment with one of our Registered Dietitians today!

  • Nutrition, Hormones, and Microbiome Diversity

    By Kelly Lyons, L.Ac, MSOM

    I often get the question, “Why do I need a probiotic?” It is easy to take a probiotic and start to develop valuable high quality and diverse forms of gut bacteria.  All too often, that diversity in bacteria is lacking. Probiotics can help adjust that.

    Study after study shows correlations between gut health and vital system health throughout the body. Just recently, I read an article in the Journal of Clinical Endocrinology and Metabolism that illuminates a relationship between PCOS and gut bacteria. In “Gut Microbial Diversity in Women With PCOS Correlates With Hyperandrogenism” the study revealed links between PCOS and a reduction in microbiome diversity. It also showed a possible correlation between elevated testosterone in women and decreased microbiome diversity. In a follow-up study, one of the same researchers, Varykina Thackray, Ph.D., stated, “Our new results suggest that altering the gut microbiome via prebiotic or probiotic therapies may be a potential treatment option for PCOS.” (Links to studies at end of blog.)

    What does the gut have to do with hormone balance? Glad you asked. Hormones are metabolized in stages as they trek through the body.  They travel to the liver, and then they go to the gut, where hopefully and ultimately, they are eliminated out of your system. At various points along the way, hormones can get tripped up in their metabolic process.  If hormones get to the gut, and there is an unhealthy microbiome balance, they can easily get stuck there. This is one way that hormones accumulate and mess with digestion, disrupt biofeedback signaling, and slow down healthy hormone production.

    I think about what probiotics have to do with Chinese Medicine a lot. Traditional diets across cultures use daily fermented foods to assist digestion. Ancient Chinese texts describe the digestive system as the earth element and the center.  “The Earth permits sowing, growing, and reaping.” This is a very important passage from the Shang Shu, translated by our beloved late teacher Giovanni Maciocia. You hear your acupuncturist talk often about “reducing damp” and “reducing sugary foods that cause damp accumulation.” As the stomach and spleen are the origin of qi and blood, this makes sense.

    If you are trying to get a certain amount of highly nourished blood moving, without hesitation, to the uterus, you need the digestive system to be on it. You need the Earth element. You need the Spleen and Stomach channels to not be overworked and bogged down.

    If you are trying to metabolize hormones, whether in a natural cycle,  a medicated cycle, postpartum, menarche, perimenopause, or menopause, you need your digestive tract working optimally.

    Unfortunately, most of us were not raised to have a diverse palate that intuitively steers us to foods, herbs, and spices that are bitter, sour, pungent, salty, AND sweet. We mostly enjoyed sweet and salty diets. This creates an environment that appeals to certain microorganisms in the gut and discourages microbiome diversity. Did you know that there are taste receptors in the lower GI tract? So, we need to balance the flavors we eat, if we want our bodies to outmaneuver the impact of our less than healthy choices.  

    What does a sour food do for us? Technically, it increases saliva, digestive enzyme secretion, stimulates metabolism, and encourages proper liver function. (By the way, the sour flavor falls into a TCM category with the liver and spring, so when you feel like heavy wintery foods are not working for you anymore, try adding sour foods into your menu with greens to aid in the digestive transition). Apple cider vinegar? Yes, add a splash to your lemon water in the morning, with your probiotic. It will help prep your system to start digesting. Add it to your greens, too, at lunch!

    What about the taste of bitter? Bitters increase saliva and digestive enzyme production. They enhance the movement of blood in the digestive system after meals. If you have been in our offices, you know HOW IMPORTANT it is to keep blood moving in the abdominal cavity. Bitters encourage more complete absorption of nutrients. This can protect the body from having to deal with stray food particles leaving the intestines through the bloodstream, otherwise known as Leaky Gut Syndrome. Guess what that does? It reduces damp and clears heat. Where there is inflammation, there is fluid accumulation, and vice versa. Next time you go to buy your chocolate bar, go as dark as you can and think about how beneficial that bitter is!

    Pungent flavors are amazing. These are the wildcard friends that open you up and make you laugh your eyes out! They literally open up the orifices, again, when the tendency is to contract. These are things like onion, garlic, ginger, scallions, horseradish, mustard, mint. All of these plants are known across cultures as medicine.  Mint needs no introduction to my clients. It is cooling, vents pathogens, soothes the liver, motivates blood flow, and is uplifting. It is part of an essential formula in Chinese Medicine called Xiao Yao San, or Free and Easy Wanderer. Pungent flavors are medicine. Use them in your meals. A little goes a very long way.

    Empty nutrition is robbing us of systemic health. Non-functional food is fueling the growth of harmful bacteria that degrades gut health, leaves cells weakened, and entire body systems undernourished and in distress. And there is a lot that you can do. If you are on a mission to balance hormones, regulate a cycle, reduce bloating and promote healthy metabolism of hormones from a medicated cycle, or reduce anxiety, and you haven’t aimed your attention at your gut, start now! Take a breath, get in warrior pose, and start helping your gut be as strong as it can be. Come in and talk to us. Let us help you through it.

    Exciting stories often start in very tiny packages.  Microorganisms are an example of this. Our entire body is understood as an ecosystem in Chinese Medicine. I remember reading an article about salmon shortages affecting old growth trees. It said that more than 75% of the nitrogen the trees needed to thrive was provided by the remains of salmon dragged into the forest by animals.  It reminded me of the human digestive system, and how reliant it is on tiny, often understudied components.

    If you are not taking a probiotic, or eating fermented foods daily, consider it. If you are bloated, constipated, or experiencing brain fog and signs of hormone imbalance, come in and discuss what to do with your practitioner.  Probiotics, prebiotics, functional and balancing foods, acupuncture, yoga, meditation, exercise, working with a nutritionist, and supplements can help create a healthy structure for you to take your next step forward.

    Try acupuncture, nutrition, massage, and yoga during these summer months with passport savings! Pick-up a probiotic on your visit, too!

    Research Links:

    Pawelczyk L, Duleba AJ, Kelley ST, Thackray VG. 2018. Gut Microbial Diversity in women with polycystic ovary syndrome correlates with hyperandrogenism. J Clin Endocrinol Metab 103:1502-1511. doi: 10.1210/jc.2017-02153 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276580/

    The Endocrine Society. “Improved PCOS symptoms correlate with gut bacterial composition.” ScienceDaily. ScienceDaily, 23 March 2019. http://www.sciencedaily.com/releases/2019/03/190323145201.htm

     

  • Choline: Are You Getting Enough?

    By Margaret Eich, MS, RDN

    Are you getting enough choline in your diet? Most women are not, and most women may not have even heard of choline. Choline plays an important role in fetal development, including brain development. Most people have heard they need to get enough folic acid (or folate) before and during pregnancy to prevent neural tube defects, but did you know that choline may also play a role in preventing neural tube defects, like spina bifida? Research has produced conflicting results in this area, but ensuring adequate choline intake makes sense while the research sorts itself out, especially given choline’s other benefits.

    In addition to a potential role in preventing neural tube defects, choline deficiency may also play a role in the development of fatty liver. Choline is also a precursor to the neurotransmitter acetylcholine, which is involved in muscle control and memory. In addition, choline is converted to betaine in your body, which assists in the conversion of homocysteine to methionine, thus preventing homocysteine levels from becoming elevated. Elevated homocysteine is associated with increased risk for cardiovascular disease and miscarriage.

    Choline is not technically considered a vitamin, since our bodies make small amounts, but our bodies don’t make enough to meet our daily choline needs. Therefore, we need to get choline in our diet. Non-pregnant women need 425 mg choline daily, and this goes up to 450 mg during pregnancy, and 550 mg while breastfeeding. In the US, average choline intake is well below this recommended level with women on average only taking in 260 mg choline per day!

    The best food sources of choline include liver, eggs, meat, seafood, legumes, and cruciferous vegetables like Brussels sprouts, and broccoli. One egg provides almost 150 mg choline, which underscores how helpful eggs are in meeting your choline needs. Not only are eggs rich in choline, but they are also just a very nutrient dense food to support your overall health, fertility, and pregnancy. Because choline is most concentrated in animal foods, vegans or vegetarians who eat limited eggs and dairy products are at highest risk for choline deficiency. Since so many US women struggle with getting enough choline, it’s a good idea to take a prenatal vitamin that contains choline, especially if you are vegan or vegetarian with limited intake of eggs.

    Looking for more information about nutrition for fertility and pregnancy? Book a nutrition consult today!

    References:

    1. Linus Pauling Institute at Oregon State University: Choline
    2. Caudill, et al. Pre- and Postnatal Health: Evidence of Increased Choline Needs. J Acad Nutr Diet. 2010; 110:1198-1206

     

  • Rethinking the Cleanse

    By Margaret Eich, MS, RDN

    The New Year is here and it’s one of the most popular times of the year to do a “cleanse.” This often comes from wanting to “detox” after eating too much or too many sweets during the holidays. For many, it’s a way to try to jump start some quick weight loss. For women trying to conceive, any type of restrictive cleanse or eating plan truly isn’t appropriate. Fertility and pregnancy are “metabolically expensive” processes for your body, meaning that you really need adequate calories, protein, and nutrients for optimal function. Here at Pulling Down the Moon, we focus on a nutrient dense, anti-inflammatory diet that eliminates certain foods for a period of time in order to determine if certain foods are negatively impacting your health, but also to give yourself a period of time away from foods that aren’t serving you, which may help to reduce cravings in the long-term.

    Here are few things we focus on:

    1. Modify the food coming in. Start by looking at the quality of food you’re taking in. Reducing/eliminating added sugar is a great way to help balance blood sugar levels and reduce cravings for many people. Eating more organic food is also important, as one study showed that eating more high pesticide fruits and vegetables was associated with lower likelihood of pregnancy and live birth when doing fertility treatments. In addition, higher intake of fast food has been associated with longer time to pregnancy. Choosing organic minimally processed meats, fruits, and vegetables, when possible, is a helpful component for a cleanse.
    2. Don’t focus solely on food. There are a number of chemicals in food packaging and personal care products, such as BPA, parabens, and phthalates that are hormone disruptors and thus may adversely affect fertility. It’s important to educate yourself about these sources, and start choosing more natural alternatives. The Environmental Working Group’s Skin Deep database is a great place to start.
    3. Support digestion. A healthy digestive system is a foundational part of good health and fertility, as our digestive system helps us digest and absorb our food optimally. In addition, our gut can have a profound impact on the rest of our body. Supporting healthy digestion ensures regular elimination of hormones like estrogen that can play a role conditions like fibroids and endometriosis, when in excess. Drink plenty of fluids, include probiotic foods regularly, and include at least 5 servings of non-starchy vegetables per day. These vegetables provide food to nourish your gut bacteria, which may have a profound impact on our digestion, immune system, and health.  

    These are just a few aspects that we discuss during the ART Recovery/Prep cleanse at Pulling Down the Moon. Schedule an appointment today, if you’d like to discuss how a cleanse program might be helpful for you.  Try it this month and save with our January special!

    Remember that changes to diet and lifestyle are a lifelong process that last beyond a few week cleansing period. A cleanse or reset period can be a helpful jump start for more lasting change!

  • Stocking Your Fertility Friendly Kitchen

    By Margaret Eich, MS, RDN

    When you’re working on making changes to your eating habits to support fertility, it’s important to set yourself up for success by making sure you’ve got healthy foods on hand. Often the best of intentions can awry, because we’re short on time or mental space or energy for planning. Stocking your kitchen with healthy nutrient dense foods helps ensure you have healthy options on hand. No need to overhaul everything at once, but pick your step to take to help you move forward. Here are some tips for getting started:

    1. Keep only fruits and vegetables out on the counter. Everything else should be put in the fridge, freezer, or cupboards. We tend to reach for what we see. Have you ever walked past a cookie sitting out and been tempted to eat it? Of course! We all have. Out of sight, at least helps to keep it out of mind. Conversely, when you see fruit and veggies out, you’re more likely to reach for them for snacks or when planning a meal.
    2. Buy versatile vegetables. If you have trouble with vegetables rotting in your fridge, you’re not alone. To combat this, focus on vegetables that you can use for a variety of recipes. For example, organic power greens are a combo of baby kale, chard, and spinach. These greens work for salads, adding to smoothies, and for cooking. For cooking, add to a veggie egg scramble, stirfry, chili, or sauté with mushrooms.
    3. Stock your freezer with organic frozen fruits and vegetables. Of course, fresh fruits and vegetables are great, but we all get busy and frozen are super convenient and nutritious. Pick your favorite vegetable blends. Alternatively, broccoli and cauliflower rice are always good options when you need to add a quick veggie to a meal. Thaw out frozen fruit, and add to plain yogurt or to a smoothie for breakfast or a snack.
    4. Stock your freezer with high quality meats and fish, like wild salmon, grassfed beef, and organic chicken. A common barrier to preparing dinner is not having a protein source on hand. It’s so helpful to just be able to open the freezer and have something to cook.
    5. Keep nuts and seeds on hand for snack, smoothies, and salads. Choose raw or dry roasted nuts and seeds, but skip those roasted in oil. Great choices include walnuts, almonds, hemp hearts, and pumpkin seeds, but most nuts/seeds are nutrient dense and contain healthy fats, so you can’t go wrong.
    6. Keep eggs on hand. A veggie omelet/scramble works great for breakfast or for dinner on a busy night. Boil some eggs on the weekends that you can grab for snacks or breakfast during the week.
    7. Keep beans on hand for a nutrient dense protein source. Beans are packed with fiber, iron, and folate. In order to avoid BPA in canned beans, either buy beans in BPA free cans, glass jars, or cartons, or make your own from dried. You can freeze portions of cooked beans, so that you have them on hand when you need them.

    Now that you have gotten started, schedule a nutrition consult for the next steps!  Purchase a Wild Card in November and save with an Initial Nutrition Consult for only $75 (save $50)!  Must be scheduled before December 31st, 2018. No promo code needed to book today!

    Don’t forget Supplement Prenatal Packs are only $12 in November for a full month’s supply (save $56.50)!! Use promo code FALL12 to save online or in-center while supplies last!