• My Journey to The Moon

    Hello beautiful readers!  My name is Christie Frisch and I’m delighted to introduce myself, having recently joined the team at Pulling Down the Moon, River North.  As a postpartum doula and licensed massage therapist specializing in fertility, prenatal and postpartum care, I am a passionate advocate for women and the women-identifying, especially when it comes to supporting new, expecting and trying-to-conceive mamas in experiencing each unique journey into parenthood to its fullest.  I feel incredibly fortunate to get to do what I love every day.

    My own entry into motherhood was a crucial turning point for me in so many ways, inspiring me eventually to redirect my professional focus into holistic wellness.  In those richly transformative early weeks following my daughter’s birth I recall feeling that no one around me seemed to “get it,” despite my having numerous family and friends nearby.  An internet search led me to a new moms group, where the universal complexity of our experiences impressed upon me deeply.  What other dimension of the human condition could offer the potential for such beauty, and also such rawness?  I was fascinated.  And I wanted to help support women in tapping into as much of the beauty as possible, despite the natural stress and challenge each journey brings.

    I’ve lovingly refined my signature treatment, energy balancing massage, which I tailor to each client’s needs over the expansive course of the childbearing journey.  From fertility enhancement all the way through the “fourth trimester” I seek to lift up and understand each client’s evolving needs, listening actively throughout consultation and each treatment as I integrate sound, reiki energy work, aromatherapy and guided meditation to create the ultimate massage experience (I like to think of it as a “massage plus”). My approach is inclusive and empowering, and we are all about incorporating time-honored healing arts from around the world to enhance our clients’ experience at each juncture.

    2019 has been an exciting year for me for a host of reasons, not least of which has been joining the fabulous community of wellness professionals at the Moon.  It is with much gratitude that I am now offering the five-part Fertility Enhancing Massage protocol to Pulling Down the Moon clients on Tuesdays and every other Friday at the River North location.  I received extensive training in the FEM protocol under Meredith Nathan, which I found to be both complementary and enriching to the modalities I’ve previously employed.

    It’s already been abundantly rewarding to work with Meredith and the massage therapy team at the Moon, where I’ve found so much like-mindedness among us.  My approach has always been grounded in the view that at its best, massage therapy has the potential to activate and enhance the body’s self-healing ability, producing real results that can positively impact our clients’ lives.  I view my work as nothing short of guiding my clients toward realizing this potential for themselves.  There’s no greater privilege than working with others who share such belief in the value of our work and I greatly look forward to the chapter here ahead.  I look forward to taking care of you when you schedule your massage therapy appointment!  Take time for your this season and let us support your journey at each stage!  Book Now

  • I Never Thought Becoming a Mama Would Be Hard…  

    My parent’s were able to have my sister and I.  My husband, Daniel, has parents that went through infertility, and with the help of medication, were able to conceive him and his sister.  And sure, you learn things in sex ed class, but no one teaches you just what real life can bring when you find out you cannot have a baby on your own.

    Dan and I had gone back and forth for many years about wanting children and how many.  We both came from families in which there are two children, and although that seemed like the obvious choice, something was not settling right with me.  For example, we have one dog, Mr. Big, and we love him to pieces.  For nine years, he was our fur-baby, and I didn’t want another dog.  And although animals and humans are not the same, my heart was in the same place…if I could have a baby, I wanted to have one.  One in which I could set all my heart and efforts on.

    After over a year of trying to conceive, Dan and I were referred to a specialist to look into our fertility struggles.  After a surgery to clear a blocked tube, finding out about a cyst I had, and enduring many, many blood tests, it turned out that there were problems on both sides, and the odds of conceiving without medical assistance were less than 1%.  IVF would give us a chance of up to 75% success in conceiving, and not knowing what I would be in for, we decided privately that IVF would be our shot (no pun intended) to have a baby.  

    And so we informed our extended families of infertility and the journey of IVF we would be headed upon.  Our fertility doctor is one of the best in the Chicago land area, and we felt as positive as we possibly could in a situation of the unknown.  I had seven eggs retrieved, and all seven were successfully fertilized.  In the process of IVF, we ended up losing some of the embryos and were down to three to be sent for genetic testing.  One did not make it, and one came back positive for transfer.  There was one embryo that did not come back with a result, and I remember the doctor’s office asking me if I wanted to have the embryo retested.  Dan and I decided that we did, and while that embryo was sent out, I could have the embryo that came back positive transferred.  

    And so we did.

    A few days after a successful transfer, we were cautious and careful in everything I did.  I took off work the day I went for the blood test to find out whether or not I was pregnant.  I wanted to be alone.  

    And then I got the call…the transfer worked, and we were pregnant.

    I decided not to tell Dan until he got home, as I wanted the chance to surprise him like other women got to do when they took a successful at-home pregnancy test.  Except my way was through several blood tests at the doctor’s office.  I had baby Air Jordan’s and flame-less candles set up in what would be the future nursery.  When Dan came in, he went upstairs and was surprised with the good news.  He was so happy, and I was feeling things I couldn’t believe…I was finally pregnant.

    Right before the transfer it is important to note that we received information that the embryo that needed to be retested came back positive.  Stunned at this news, we decided to keep that embryo frozen and would think about the possibilities later.  

    It was time for some additional blood tests to see how the transfer was doing and the pregnancy progressing.  I remember getting the call telling me that the HCG numbers should have doubled but mine did not.  They would need me to come in again for another test.  Worried about what could happen, I did all I could to shield Dan for the heartache and pain of bad news.  The numbers were not rising, and I had a miscarriage.  

    We were devastated.  

    Making those calls to the family members was only part of the pain.  Knowing how excited Dan was about me being pregnant, and then telling him we had lost our baby, well, some moments truly make you stronger in life.  That pain is something I will never forget.

    Still…we still had one embryo left that could be transferred.  Soon my body healed and with continuous shots and medication, I was ready for the transfer of the final embryo we had; the “surprise” embryo that was retested and came back positive.  I remember that whole week acting completely different than I did with the first transfer.  I was doubtful and felt like I needed to prepare myself for disappointment again.  It would help me when something bad happens this time around if I already expected it.  But, Dan reminded me to stay focused on this fighter embryo.  

    And so I tried with all I had in me.

    We had the transfer, and I remember our nurse specifically telling us to do everything opposite we did with the first transfer.  “You’re not superstitious are you?,” she asked.  Being that I am not, we tried to be as normal as possible and not live in fear of the tiny embryo that was fighting to stick inside of me and become a positive pregnancy.  And even though my body was reacting completely different with this transfer than from the first one, I did all I could to remain calm.  Daniel was my greatest supporter and without him, I don’t know if I could have stayed true to my word on believing this time would be different.

    Then the day came for the blood test to determine if I was pregnant. This time, I went to work and tried not to think about what the result would be.  When I got the phone call that afternoon, the nurse was happy and told me the transfer was successful, and we were pregnant.  Still, knowing that things could take a turn for the worse (the HCG number was still lower now than with the first transfer), I played my emotions cautiously.  A few days later, I took another blood test, and the HCG number grew more than expected.  I remember getting the call and this time things were dramatically different.  The pregnancy was healthy and successful and although anything can happen, we were further along than before!  I called Dan with the news, and I will never forget the tone in his voice or how he responded that day.  It was an amazing moment of complete joy.  

    Speed up nine unforgettable months, and on April 19, 2018, my water broke.  On April 20, 2018, after four hours of pushing, I gave birth to the most beautiful, healthy blessing in a baby boy.  His name is Ferris Jobs, and Dan and I love him so much our hearts hurt.  We chose not to find out the gender or tell anyone our name choice.  When the nurse handed him to me and said I had a son, Daniel and I looked at each other and cried.  It was the happiest moment of our lives.  

    In the story of Ferris, I wouldn’t change a thing.  

    He will grow up knowing that he was born to do great things, that he was wanted and loved by his parents more than anything in this universe, and that there is a guardian angel always looking out for him.  

    He is our rainbow baby, and the greatest love of my life.

    **Check out Tess’ book, I’m Very Ferris, in the tea room at Pulling Down the Moon in Chicago on your next visit and follow us on Instagram for an upcoming giveaway to win your own copy! Participate in the Candlelight Remembrance Yoga with the #waveoflight on Oct 15th and let us honor your little one lost too soon during Pregnancy and Infant Loss Awareness Month.

     

     

     

    BIO:

    Entrepreneurship has always been Tess’ dream job, and after having her miracle baby boy, Ferris, she realized there was no better time than the present to follow this dream. Ferris is Tess’ last embryo and the answered prayer of faith, love, and science through IVF.

    Tess made the decision to become a professional children’s picture book author and compose the I’m Very Ferris series after leaving corporate America and, once-and-for-all, jumping into the risk of starting her own company. Reading holds a very special place in her heart, and this next stage of her career has Tess teaching something she is so passionate about in the lives of children through her picture books. Tess is also training to run the New York City marathon in November 2019.  She loves to host parties and celebrate life, no matter how small the occasion! 

    Tess earned a Bachelor’s and Master’s Degree from Elmhurst College, which is also where she met her husband, Dan.  

    “I am a mother, first and foremost, and everything else comes second.  I believe you really can have anything you want…but you are going to have to work for it and expect nothing to be handed to you.  I am a do’er and believe in living the good life. Having my health, loving so hard it hurts, and remembering that life was meant to be lived  – that’s what is important to me.

    My husband often calls me his real-life Steve Jobs because I respect what Steve said and live my life and teach my son to believe in the following whole-hearted:  “Here’s to the crazy ones, the misfits, the rebels, the troublemakers, the round pegs in the square holes… the ones who see things differently — they’re not fond of rules… You can quote them, disagree with them, glorify or vilify them, but the only thing you can’t do is ignore     them because they change things… they push the human race forward, and while some may see them as the crazy ones, we see genius, because the ones who are crazy enough to think that they can change the world, are the ones who do.”

    LINKS:

    https://tesskossow.com/

    https://www.facebook.com/imveryferris/?modal=admin_todo_tour

    https://www.instagram.com/tesskossow/

    https://www.linkedin.com/in/tess-kossow-100657178

  • 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

     

     

  • Acupuncture During Pregnancy

    By Christina Livas L.Ac.

    As an acupuncturist working in the fertility field, I am frequently asked if Acupuncture is safe during pregnancy. I am here to answer that question! Acupuncture is a completely safe and effective treatment for minor to moderate pregnancy symptoms. It is important to know that there are many medications that are considered unsafe to take during pregnancy and while breastfeeding. That is why many patients turn to acupuncture (as I did during my own pregnancy) to treat even common symptoms unrelated to pregnancy to avoid taking medication unless it was deemed necessary. 

    Here is a list of symptoms Acupuncture can treat during your pregnancy journey.

    First trimester:

    Second Trimester:

    • Lingering first trimester symptoms
    • Pain
    • Sinus congestion
    • Hypertension
    • Preeclampsia 
    • Emotional Imbalance

    Third Trimester:

    • GERD/acid reflux/heartburn
    • Neck pain
    • Back pain
    • Sciatica
    • Rib pain
    • Leg cramps
    • Headaches and migraines
    • Insomnia
    • General discomfort
    • Itching 
    • Sinus congestion
    • Anxiety
    • Preparing the body for labor

    Postnatal:

    • Discharge
    • After pains
    • Perineal pain
    • Incision pain
    • Breast discomfort
    • Fatigue
    • Insufficient Lactation
    • Mastitis
    • Baby blues/postnatal depression

    While acupuncture can treat a variety of symptoms during your pregnancy there are still areas of the body that should not be needled while you are pregnant. This makes it very important that you choose an acupuncturist that specializes in fertility and/or pregnancy. Pregnancy is an amazing and exciting time in your life and you should make sure your body feels amazing too!! 

    Book your appointment with Christina in Highland Park or Buffalo GroveAcupuncture support for fertility, pregnancy, postpartum care, and general wellness is available in Chicago seven days a week, too!  Book an Initial Acupuncture Consultation with the $99 Wild Card and save $51 this season!

    Specials are available with services from our partner CocoonCare AND Pulling Down the Moon!  Check it out today!

    References:

    https://www.ncbi.nlm.nih.gov/pubmed/31392990 – low back pain and pelvic pain
    https://www.ncbi.nlm.nih.gov/pubmed/30423471 – anxiety and depression pre/postnatal
    https://www.ncbi.nlm.nih.gov/pubmed/30261764 – treating nausea and vomiting
    https://www.ncbi.nlm.nih.gov/pubmed/31483927 – safety of acupuncture during pregnancy

  • Acupuncture Explained

    Kelly Lyons, L.Ac, MSOM 

    The value of your practitioner
    Why do I need to come in to the office?

    One of the beautiful aspects of acupuncture is that your body is seen and understood as the complete instrument that it is. Your acupuncture point system is endlessly evolving. If you have graduated out of weekly or twice weekly acupuncture sessions, or have fallen out of the habit of coming in to the office, this post if for you.  It is also for those who are at the end of their fertility focus, may be on a break, or are wondering if they can use acupuncture for different reasons. 

    What is important about coming to see your acupuncturist is that they will assess the current state of your health and choose point combinations that will tune your instrument, or all out repair it. It needs to be done in the office every now and then, even though we send you home more educated, with homework, or with goals accomplished.  

    There are ways to make this easier and less stressful. Pull out your calendar!  As you assess your healthcare plan for the next year, look at the entire year ahead. Break it down into quarters, seasons, and peak stress times. Book a sequence of appointments for at least 2 weeks before an event like a holiday, a change in season, or as the quarter winds down. Book 2 appointments the week before tax season or school starts.  It is great to touch base with your wellness team to be reminded of how to stay on track. This will help you be at your best.

    Women have the opportunity to use their menstrual cycle, also, for scheduling structure. The frequency of office visits depends on what is going on for you, and what your cycle or the year is like. Talk to your acupuncturist to find out what fits best for you. For some, it could be coming during your period, to help keeps things moving. For others, it could be better to come in before you ovulate.  Reach out and ask us how we can help recharge your wellness routine.  

    Come in and see us then have a great Fall!  Book and save in October with our BOO-GO special that includes a FREE follow-up session ($95 value)!

  • Lower Stress from Conception to Postpartum with Massage

    By Cathy McCauley, LMT

    You’ve received the results – you are pregnant! Take a deep breath. It may have been a long road to get to where you are now.

    Pregnancy is an exciting time, and you’re probably feeling a mixed bag of emotions. Maybe you have concerns or stress. These feelings are normal as changes occur in your life and in your body. However normal, it is important to find healthy ways to deal with feelings, emotions and stress during pregnancy.

    Chronic stress during pregnancy can impact you and your baby as more blood is sent to the extremities rather than to the internal organs as a result of the “fight or flight” response. With blood being sent to other areas over the internal organs, stress can compromise blood flow to the baby, perhaps by as much as 65%. This may result in lower fetal heart rate and blood oxygenation (Gorsuch and Key 1974 as cited in Osborne 2012).

    Massage for Health
    One way you can improve your health and well-being during pregnancy is to receive regular prenatal massage. While multiple sessions can have a greater effect on improving pain and lowering anxiety and depression, even one massage session can offer benefits (Moyer et al 2004 as cited in Osborne 2012).  The Unwind the Mind Massage is safe and supportive from transfer through the first trimester at 14 weeks, the Prenatal Massage can be enjoyed throughout pregnancy, and the Postpartum Massage after delivery whenever you feel comfortable or are cleared by your doctor.

    Safe, therapeutic touch provides you with deep levels of relaxation that signal your parasympathetic nervous system creating physiological balance, steadier blood pressure, pulse and respiratory rates; regular blood flow to the uterus, placenta and fetus; and healthier immune system functioning, emotional states, and responses to stressful stimuli (Nichols and Humenick 2000 as cited in Osborne 2012). This is good news for you and your baby.

    In addition to the therapeutic touch, evidence shows that having a strong support system may reduce pregnancy complications. A study of several hundred pregnant women who had difficult life changes in the two years immediately preceding and/or during their pregnancy found that those who also had strong support systems had one-third the complications of those who experienced similar stresses without a support system (Nuckols et al. 1972; Hobel and Colhane 2003 as cited in Osborne 2012).

    Pulling Down the Moon wants to help support you through your pregnancy. Whether choosing prenatal massage, nutrition, acupuncture, or one of our community events; we offer nurturing care for you during this exciting and stressful time of transitions.  Our partner, CocoonCare can support your prenatal/postnatal fitness, health coaching, and informative workshop needs!

    Take time to relax and celebrate with a massage todayCathy is available in Highland Park on Sundays, Mondays, and Thursdays, as well as, Buffalo Grove on Tuesdays! Enjoy savings with our package options throughout your journey!

    References:
    Osborne C. Pre- and Perinatal Massage Therapy, A Comprehensive Guide to Prenatal, Labor and Postpartum Practice. 2nd edition. Baltimore: Lippincott Williams & Wilkins, 2012.

  • New Continuing Education in Fertility Massage Broadens PDtM’s Reach to Support Fertility Clients

    Watch the Video! 

    Fertility massage is a cutting edge field, with far-reaching benefits that are still being explored. At Pulling Down the Moon, we’ve developed specific techniques for working with the body after seeing thousands of fertility clients for nearly two decades. We’ve striven to be pioneers of this emerging healing art, blending the best of ancient modalities with cutting edge massage techniques. Our programs have reached thousands of women across the Chicagoland and the DC area, have been purchased by Shady Grove Fertility, the largest Reproductive Endocrinology Center in the United States, and Pulling Down the Moon has been recognized by the NCBTMB as a provider of continuing education in the field of fertility massage. The American Massage Therapy Association (AMTA) also recognized our Massage Director, Meredith Nathan, with the 2018 Pioneer Award for the development of this protocol.

    After struggling with our inability to support people struggling with infertility who lived outside of Chicagoland and the DC area for years, PDM is proud to be launching Continuing Education in Fertility Massage for the first time since it’s inception.  Now Massage Therapists across the country with a passion for women’s health and fertility can receive training in our exclusive techniques, and as a result, couples hoping to be parents around the U.S. can receive the benefits.

    Moon Massage Level 1 consists of 3 online modules, each ranging 90 minutes to 2 hours in length, a hands-on techniques review video, and a final exam.  It will include an overview of reproductive anatomy, both natural and assisted fertility cycles, contraindications for fertility clients, common fertility challenges and ways massage can support these issues, specific fertility massage techniques, and a 30-minute basic fertility massage protocol that can be used with all fertility clients, both male and female (at the appropriate time in their cycle).

    This webinar will lay the foundation for a series of hands on courses, ultimately leading to training in our exclusive Fertility Enhancing Massage Protocol™, a training formerly available only to PDtM staff.  This level 1 training is your first step toward certification in the FEM Protocol.

    Testimonials

    “I believe wholeheartedly the FEM Protocol will complement the therapies I treat my patients with and enhance their success, while hopefully decreasing the stress level they are facing as they undergo the difficult and arduous treatments we prescribe.” – Dr. Melissa Ann Esposito MD FACOG

    “I thoroughly enjoyed the Moon Massage level 1 Module training series. Meredith is an amazing instructor with an infectious personality. Her enthusiasm for the subject matter, her vast knowledge, and the way she expresses the concepts so clearly make it highly enjoyable to watch as you learn. It is filled with so much practical information, and though it is highly technical,  it is presented clearly and with a review section in each segment. All aspects of fertility and IVF are well covered, and the hands on portions really illustrate the techniques clearly. It was one of the best presented and well designed continuing education classes I’ve taken.  Thank you so much.”  – Deana Burrows, LMT

    Join the Massage Team!

    Learn more about Fertility-Enhancing Massage!

  • (Guest Blog) Celebrate National Infertility Awareness Month: My Personal Journey

    Infertility – it affects 7.3 million people…that’s as if infertility took over New York City.  That is how big it is!

    This is  a special post to honor to National Infertility Awareness Month.

    It is a time to dedicate a post to all those currently dealing with infertility and for those who have overcome their infertility to reflect back, and remember how that time has forever changed you.

    When you experience something powerful in your life, like infertility, it leaves a mark with you.  You aren’t the same person that you were before.

    And that can be a good thing.

    I’ll admit, sometimes I can be a bit stubborn, especially when it comes to goals and reaching them.  I truly believe that if you put your mind to something you can achieve it. Getting pregnant and the dream to be a mom however is different.  It is a goal that you can work at and work at and still never achieve [without needing help, or rewriting what the journey looks like to reach that goal].

    I thought I did everything right.  Got married, worked to feel stable in my career, lived a healthy lifestyle, and truly waited until I was “ready”.  I stopped taking the pill and we tried [and tried and waited and waited] and nothing happened, no period and no pregnancy.

    Things weren’t happening according to “plan”, which for me as type A person wasn’t ok.

    My husband and I  went to go meet with a reproductive endocrinologist to formulate a plan.  I had to get my period coming regularly before we could even discuss trying to get pregnant.

    Fast forward one year, FINALLY after every hormone drug you could think of, my stubborn period came.  It never stayed, I always had to be stimulated to get it, but once I finally got it we could start taking the next step in the plan, trying to get pregnant. At this point I was still strong, pushing forward trying to achieve “the goal”.

    Fast forward again several months, we had tried several IUI [that came with a cancelled cycle, a failed cycle, and a chemical pregnancy].

    After our IUI tries we were starting to feel defeated. I started making back-up plans to our alternative plans, it became obsessive. We decided to move forward with IVF.  IVF felt more serious, there were more drugs, more monitoring appointments, more everything.  

    I was starting to feel the effects of the two-year plus on this journey.  My body, my mind, everything, my body didn’t feel like me anymore, I was bloated all the time, stressed out, and frustrated.

    But we kept pushing forward, and thank god we did, our first IVF attempt was a success. The moment my doctor called to tell me we were pregnant will be a moment that I will remember forever [vividly, down to the very last detail].

    It made all the struggles, all the doubt, all the everything worth it.

    So if you are reading this, just starting out on your journey, know that the journey may be hard, it may be stressful on your mind and body, but you will get there, the path may take a couple different turns, but it will end, and you will be stronger than you ever thought possible before you started!

    By: Katie O’Connor, Founder of the non-profit Shine: A Light on Fertility: inspiring fertility empowerment by sharing the journey.  We provide free support, mentoring and advocacy for fertility health.

    Photo Credit: Alaina Bos Photography, Face of Infertility

    *Join Shine Fertility for in-person meet-ups in Chicago at Pulling Down the Moon the second Tuesday of every month!  The next Shine Together event will be on Tuesday, April 9th at 6pm!

    *Join Katie on Thurs, April 25th at 6:30pm for Shine Fertility’s NIAW Panel Event!

     

  • 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

     

  • 3 Reasons Pulling Down the Moon’s Prenatal Yoga Class Is Unique

    by Kellie Greene RYT RPYT
    You’re pregnant, and you’ve been doing your research. Maybe you read our blog on the benefits of prenatal yoga, or maybe your care provider suggested you try some classes. Maybe you’re already searching for a prenatal yoga class that fits.
    PDtM has a unique environment for prenatal yoga; here are three things that make Pulling Down the Moon classes different than the rest.
    1) Classes start with a check in
    Our prenatal classes always begin by giving participants the opportunity to share the highs and lows of their week with other parents who are experiencing a similar journey. Many of our clients have had memorable fertility journeys prior to pregnancy; taking the time to share and listen to one another helps everyone feel connected, stay present, and focus on the practice.
    2) Instructors understand the range of emotions you may feel
    The staff at Pulling Down the Moon are compassionate, empathetic and understanding. The yoga space is a safe environment to share the good, the bad, the ugly. Pregnancy after a loss or a difficult fertility journey is not always filled with positive emotions. Often fear, anxiety, grief, and other emotions sneak in. We understand that you can feel joy for this current pregnancy, fear that your heart will be broken, and confusion at the conflict between these emotions — all at once. We get it! Most of us have been there ourselves, and we hold space for your feelings here.
    3) Classes provide realistic and practical strategies to manage emotions
    Unlike some of the approaches to prenatal yoga, we intentionally talk about your non-preferred emotions and come up with realistic and practical strategies for coping with and managing them. We will address fears around the birth, talk about ways to involve partners, and create plans that may involve massage, acupuncture, and alternative strategies to help with physical and emotional aspects of your pregnancy.
    In addition to providing a holistic health environment to help you on your fertility and pregnancy journey, yoga classes at Pulling Down the Moon provide a community environment for women to support one another and experience the journey together. From the bottom of our hearts, we wish you the best of luck in your search and hope you find the prenatal supports that work best for you!
     We will also be offering a special Prenatal Workshop in Chicago for the New Year, learn more here. Questions?  Call us at: 312-321-0004.