• 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!  Schedule in October and save with an Initial Nutrition Consult for only $49!  Use promo code PCOS49 and book today!

     

  • Tips to Manage Your Sweet Tooth

    By Margaret Eich, MS, RDN

    So many of us struggle with having a “sweet tooth,” reaching for sweets automatically after meals or struggling to say no to any sweets that happen to be in the break room at work or at events. When we rely on willpower in these situations, it’s very difficult to be successful. Instead, set yourself up for success by making sure to have healthy snacks on hand and managing your appetite. Anytime we become overly hungry, we’re much more likely to overeat, and it’s more difficult to make healthy food choices.

    It’s helpful to first determine the time of day that you’re working on cutting back on sweets. If it’s after dinner, get in the habit of having fruit for dessert after dinner. Don’t make having a real dessert off limits, since that sometimes makes us obsess about it more. Just add the fruit or a fruit smoothie as an experiment and see what happens. Sometimes you just might find that it’s enough, and you don’t need a “real” dessert afterward. The key is to pick fruits that you really enjoy and feel like a treat to you. Here’s a delicious and nutrient-rich smoothie to try, especially right now when peaches and blueberries are in season.

    Peach Blueberry Smoothie

    • 1 peach, peeled and pitted
    • 1 cup blueberries
    • ½ cup water or amount to achieve desired consistency.
    • Add all ingredients to blender or food processor.
    • Blend until smooth.

    Want to learn more?  Call us for a Nutrition Consult for fertility, pregnancy, postpartum, as well as, health/wellness support at: 312-321-0004.

     

  • Prenatal Vitamins: What to Look For

    By Margaret Eich, MS, RDN

    Choosing a prenatal vitamin can be daunting, as there are a wide variety of brands and types of prenatal vitamins out there. It can be hard to know exactly what nutrients are the most important to focus on when evaluating vitamins. Prenatal vitamins can really run the gamut from bare bones to very comprehensive. The foundation should be a healthy nutrient dense diet, but most people have gaps in their diet at times and fertility and pregnancy often require additional nutrients. Here are some of the most important attributes to look for when shopping for a prenatal vitamin:

    • Contains 150 mcg iodine. The American Academy of Pediatrics recommends taking a prenatal vitamin with 150 mcg of iodine, as iodine is important for thyroid function, which affects baby’s brain development. A full one-third of women of pregnant women don’t get enough iodine.
    • Contains at least 27 mg iron to support red blood cell production and prevent anemia.
    • Has vitamins A, C, and E, which are antioxidants and may support egg quality.
    • Rich in B-vitamins that support ovulation.
    • Purity-tested EPA/DHA (fish oil) to support egg quality, reduce inflammation, and support baby’s brain development and vision.
    • Contains 1000-2000 IU Vitamin D to support bone health and IVF success.
    • Contains choline, which may prevent neural tube defects along with folate/folic acid.
    • Contains at least 600-1000 mcg folic acid or methylfolate (the active form of folate) to prevent neural tube defects.
    • Free of colorants, unnecessary allergens, additives, and preservatives.

    At Pulling Down the Moon, we carry 2 different prenatal vitamins that have all of the attributes above, but some key differences from each other. The Prenatal Vitamin Packet is a really comprehensive prenatal vitamin to take during pregnancy. The Supplement Packet with Prenatal Vitamin provides extra support for fertility patients with 100 mg CoQ10 and 2000 IU vitamin D and is designed to be taken while trying to conceive.

    Save in September with our Supplement Pack sale! Learn more here and stock-up while supplies last!

     

  • Omega-3 Fatty Acids: Impact on Fertility

    By Margaret Eich, MS, RDN

    In recent years, we’ve been learning about the impact of quality of fats on our health. The focus should be on including healthy fats, instead of on following a low fat diet. The same is true for fertility. We learned in the Nurses’ Health Study that higher intake of trans fats was associated with ovulatory infertility. In addition, omega-3 fatty acids seem to impact fertility in a variety of ways.

    Let’s back up and review the different types of omega-3 fatty acids. The plant source omega-3 fatty acid (like walnuts, chia seeds, and flaxseed) is called alpha-linolenic acid (ALA), and the animal source omega-3 fatty acids (like cold water fatty fish, eggs, and grassfed beef) are EPA and DHA. EPA and DHA may have beneficial impacts on our health and fertility. Our body is able to convert a small amount of ALA into EPA and DHA, but this conversion is inefficient. Going right to the source by getting EPA and DHA from fish, eggs, and supplements is your best bet.

    Studies have looked at the impact of omega-3 fatty acids on embryo quality, PCOS, endometriosis, and sperm quality. Higher intake of omega-3 fatty acids has been associated with better embryo quality when doing IVF. An additional animal study showed similar results. In a randomized controlled trial of men with low sperm count, motility, and morphology, EPA and DHA supplementation improved all three of these sperm parameters compared to placebo. In PCOS, omega-3 fatty acids may help lower LDL cholesterol and triglycerides and reduce insulin resistance. Higher intakes of omega-3 fatty acids have also been associated with lower risk for endometriosis, and in an animal model of endometriosis, omega-3 fatty acids helped induced regression of endometriosis lesions.

    Omega-3 fatty acids, EPA and DHA, have many potential fertility benefits. Eating low mercury fatty fish is beneficial, however it’s important to keep even low mercury fish intake to 12 oz per week. Thus EPA and DHA supplementation is often recommended in order to take in omega-3 fatty acids on a daily basis.

    Try our EPA/DHA in July and save 20% while supplies last!  Use promo code EPA20 when checking out in our online store here.

    References

    Hammiche F, Vujkovic M, Wijburg W, et al. Increased preconception omega-3 polyunsaturated fatty acid intake improves embryo morphology. Fertility and Sterility. 2011; 95(5):1820-1823.

    Yang K, Zeng L, Bao T, et al. Effectiveness of omega-3 fatty acids for polycystic ovarian syndrome: a systematic review and meta-analysis. Reprod Biol Endocrinol. 2018;16:27.

    Safarinejad MR. Effect of omega-3 polyunsaturated fatty acid supplementation on semen profile and enzymatic antioxidant capacity of seminal plasma in infertile men with idiopathic oligoasthenoteratospermia: a double-blind, placebo-controlled, randomized trial. Andrologia. 2010;43:38-47.

  • Summer Produce to Help Maximize Your Fertility

    By Margaret Eich, MS, RDN

    Now that late summer is here, the local produce is abundant. Visit your local farmer’s market for the best tomatoes of the year, and stock up on some raspberries and zucchini. These summer fruits and vegetables can help support your overall health and fertility. Check out some specific items to emphasize below:

    Summer Fruit: Berries pack a strong antioxidant punch and tend to be high on the priority list of farmer’s market shoppers. Watermelon, cherries, and peaches also grow here in the Midwest, and the juicy summer sweetness makes for great desserts without the added sugar.

    Broccoli and Kale: These cruciferous vegetables may help balance estrogen levels and contain important nutrients like calcium, folate, and vitamin C.

    Zucchini: Zucchini tends to be abundant and cheap at the farmer’s market. Use a spiralizer to make zoodles (zucchini “noodles”) and top with chicken or white beans, pesto, fresh tomatoes, and sautéed kale for a nutrient-rich summer meal.

    Herbs: Don’t forget the herbs like chives, cilantro, oregano, basil, and dill. Herbs are antioxidant-rich and thus may help to prevent free radical damage to eggs and sperm. Add any of these herbs to salads, salad dressings, or eggs for extra flavor. Use basil to make pesto or in Thai dishes with cilantro. Use cilantro in tacos or other Mexican dishes.

    Eggs: You can get some of the best eggs at the farmer’s market – the kind of eggs that come from chickens that have been running around eating bugs and vegetable scraps. These eggs have a deep orange yolk, due to higher levels of beta-carotene. Eggs are a healthy and nutrient-rich protein source and are great way to ensure you get enough protein at breakfast.

    Learn more about healthy exercise and nutrition while trying to conceive, during pregnancy, and beyond at the FREE Essential Fertility Fitness Tips on August 29th at 6pm and/or Lifestyle Hacks for PCOS on September 18th at 6pm! 

  • Keeping Your Fertility Friendly Eating Going During the Summer Months

    By Margaret Eich, MS, RDN

    It’s both easier and harder to eat healthy during the summer. Local fruits and vegetables are abundant, especially leafy and greens and berries, which are nutritional powerhouses. On the other hand, there are also lots of opportunities for less healthy options due to eating more meals out on vacations and attending more parties and barbecues.

    The key is not to take the enjoyment of these events, but to make choices that are consistent with your goals with the knowledge that there is no such thing as the perfect diet, and that it’s perfectly fine and normal to indulge sometimes. That being said, what’s the best way to handle events during the summer? Follow these tips, and see what you can apply to your life:

    Have a plan in mind for events or meals out. Often when we’ve decided ahead of time what we plan to eat, it goes better than when we make decisions in the moment. When eating out at restaurant, check the menu online ahead of time. At  other events, try to load up your half your plate with vegetables.

    Bring a healthy dish. Potlucks tend to be light on the veggies, so bring a veggie dish if you can. Alternatively, bring fruit or a healthy protein.

    Manage your appetite. Make sure you don’t arrive to restaurants, parties, or events ravenously hungry. When we’re overly hungry, it’s SO much harder to make healthier food choices, and it’s much easier to overeat.

    When you’re on vacation, rent a place with a kitchen. That way, you can prepare some of your own meals. Seek out a local farmers market for fruits and vegetables, and pick up some local fresh fish if you’re somewhere on the water. Make a point of prepping 1-2 meals per day where you’re staying, so that you can have healthier options and feel your best.

    On road trips, you use apps to find restaurants nearby. Using the signs on the freeway pretty much ensures you’ll be eating at fast food restaurants. Apps like Yelp will show you what restaurants are nearby, and you can even peruse menu from the car (not while you’re driving, of course) and get directions.

    Remember to keep it all in perspective. What you eat most of the time is what matters the most to your health and fertility. Eating also shouldn’t be a source of stress in our already stressful lives, so do your best and let the rest go. It’s ok and totally normal to indulge and eat more meals at restaurants on vacation. Choose healthier options most of the time, indulge sometimes, and eat until your satisfied, but not overly full, and make peace with your decisions without guilt.

     

    Looking for more ways to use your diet to positively impact your fertility or to fit healthy eating into your busy life, book a nutrition appointment today!

     

  • Fast Food, Fruit, and Your Fertility

    By Margaret Eich, MS, RDN

    A recent study looked at women’s diets while they were trying to conceive and found that certain aspects of their diet impacted their fertility. 5628 women with no previous pregnancies recalled their intake of certain foods leading up to conception when they were 14-16 weeks pregnant. The two factors that were found to impact time to pregnancy (how long it took to get pregnant) were fast food intake and fruit intake.

    Fruit

    Eating fruit 1-3 times per month as compared to 1-6 times per week was associated with an 11% increase in time to pregnancy. Eating fruit 1-3 times per month compared to 3 times daily was associated with 19% longer time to pregnancy.

    Fast food

    Eating fast food at least 4 times per week was associated with a 24% increase in time to pregnancy as compared to women who eat no fast food.  Risk of infertility was 41% higher in the group of women who ate fast food at least 4 times per week compared to those who ate no fast food.

    It’s important to keep these results in perspective, as the time to pregnancy increase with high fast food intake or low fruit consumption was only about 0.6-0.9 months, which isn’t a huge difference. The increase in risk of infertility is definitely concerning. The bottom line is that we already know that fast food is harmful to our overall health, but it is also seems to impact fertility, which could be through the intake of unhealthy fats in fried foods and just a generally nutrient poor diet high in refined carbs and added sugars.

    It’s important not to stress when you read these studies! Fertility is affected by many factors, so worrying about your fast food intake or lack of fruit intake is definitely counterproductive. Instead look forward and work on small changes that that will improve your overall health and potentially your fertility moving forward.

    If you are eating fast food regularly, focus on one step you could make towards healthier eating. It could be cooking up 1 one-pot meal with leftovers per week, such as soup or chili that you could eat for multiple meals during the week. Alternatively, it could be choosing healthier fast food options with more whole foods such as tacos, a salad with protein, or a burrito bowls that include vegetables and omits fried foods. Adding some fruit can be as simple as taking the step of bringing an easy fruit with you to work or adding a fruit after dinner in the evening. Clementines, bananas, and apples are all pretty easy and portable. Berries pack a good antioxidant punch and would also make a great addition.

    Need help making changes to your diet to maximize your fertility? Schedule a nutrition appointment today! Get outside this summer with others TTC and learn more about nutrition for fertility with Mia Zarlengo at the FREE Two Week Walk event in Chicago on July 21st! 

     

  • Is it Hot in Here?!

    By Dr Helena Para LAc, DACM, MSTOM

    With the quickly approaching summer, and Chicago’s humid tendencies already underway, some people may be getting concerned about staying cool. One such population would be women with a tendency towards hot flashes. While we most often associate hot flashes with menopause and ladies over 45, there are other reasons for this bothersome temperature dysregulation. Pregnancy, menstruation, premature menopause and anxiety can all be causes of hot flashes, and some individuals are just heat intolerant overall. Interestingly, Traditional Chinese Medicine pays particular attention to your body’s internal and external temperature, and you may find that your acupuncturist often asks about temperature even when you don’t have any complaints associated with it.

    The best way to balance temperature and clear heat is the integration of acupuncture into your health care routine. Your acupuncturist can determine the root cause of the fluctuations you are experiencing and bring your body back into balance. If you want to carry on the heat clearing outside of the treatment room- you can also eat foods that are “cooling” in nature.

    Alfalfa sprouts Apple

    Artichoke Apricot

    Asparagus Avocado

    Bamboo Shoots Banana

    Beets Blueberry

    Bok Choy Cantaloupe

    Broccoli Cranberry

    Cabbage Fig

    Carrots Grapefruit

    Cauliflower Lemon

    Cilantro Lime

    Collards Orange

    Cucumber Peach

    Daikon Pear

    Dandelion Persimmon

    Mushroom Strawberry

    Potato Tomato

    Seaweed Watermelon

    Snow Pea Barley

    Spinach Kamut

    Squash Millet

    Watercress Rice

    Try a Nutrition Consultation in June AND a follow-up session for only $99!  It is great for general health, your fertility treatment plan, during pregnancy, and postpartum. Learn more here.

    Don’t miss the opportunity to meet Helena in Sept for our FREE Points to Ponder:  Acupuncture, Community, and Stress Reduction session in Chicago! Have more questions about how acupuncture can help you or want to schedule an initial consultation?  Call us today at: 312-321-0004.

  • Choosing the right kind of fats to support fertility

    By Mia Zarlengo, MS RD

    Do you know the different types of healthy fats that support a diet that fights off inflammation in the body ? Since science has begun to debunk the myth that a “low-fat diet” is the healthiest diet, we can look to focus more on which fats are actually healthy that we should include in our daily intake.

    One of the key components of a diet that supports reproductive health is being anti-inflammatory. Many sources of fats can support fighting inflammation, while some are actually pro-inflammatory. Navigating these different choices is a great first step in adopting a more anti-inflammatory, fertility friendly diet.

    Fats to avoid that can cause inflammation:

    Trans-fats: Luckily, trans-fats for the most part have been taken out of our food system in America. However, it’s still important to always check your food labels and be sure there are 0 grams of trans fats!

    Corn and Soybean oil: These oils are often used as cheap fillers in processed foods. However, these processed vegetables oils are heavy in omega-6 fatty acids; when our omega-6 levels exceed omega-3’s, the result is an increase in inflammation. Swap out processed vegetable oils with some of the healthy options below!

    Healthy fats that support an anti-inflammatory diet:

    Avocados: One of the easiest anti-inflammatory foods I tell patients to add to their plate are avocados! They are easy to pack on the go, go well with all sorts of meals, and are a nutrient-dense source of healthy fats to help fight off inflammation! They also provide fiber, potassium, and many other micronutrients essential for health.

    Olive oil: Olive oil, especially in its raw state, is a great source of healthy fats. I suggest using this as a salad dressing or a finishing sauce, to avoid burning off the healthy properties of the oil that can happen at high temperatures.

    Salmon: This fish is packed with omega-3’s, great for fighting off inflammation in the body. This is a great source of protein that will also add a healthy dose of good fats to your plate!

    Walnuts: Walnuts are especially high in omega-3’s for a nut, and a great addition to salads, snacks, and smoothies! They also provide fiber, another essential nutrient for a fertility-friendly diet.

    Chia Seeds: These tiny little seeds pack a mean punch of nutrients! They are high in healthy fats, fiber, and protein. Try adding these to your smoothie, oatmeal, or yogurt to create a more nutrient-dense meal!

    In addition to a diet filled with antioxidants from vibrant, colorful vegetables and fruits, fiber from vegetables and whole grains, and foods low in added sugars, healthy fats are a great addition to your diet to help support reproductive health and fight off any internal inflammation. Trying adding a healthy fat source to all of your meals today and notice how you feel!

    Book a nutrition appointment today to learn more ways to adopt an anti-inflammatory lifestyle through diet and supplementation to support hormonal health!  Don’t miss your chance to meet Mia in-person at our Chicago office for the FREE Two Week Walk event July 21st!

  • CoQ10 Improves Egg and Embryo Quality

     

    By Margaret Eich, MS, RDN

    An exciting new study shows promising results for CoQ10 supplementation in women with poor ovarian reserve doing IVF. In the study, 186 women under age 35 with poor ovarian reserve, defined as Anti-Müllerian hormone (AMH) < 1.2 ng/mL, and antral follicle count (AFC) < 5, were randomized to receive either treatment with 600 mg CoQ10 (200 mg 3 times per day) or control (no treatment) for 60 days leading up to their IVF cycle.

    The results were pretty striking. The CoQ10 group had significantly more high quality day 3 embryos (1 vs. 0 in the control group), significantly less gonadotropins needed for stimulation, significantly more eggs retrieved (4 vs. 2 in the control group), and significantly higher fertilization rate (67% vs. 45% in the control group). In addition, significantly more patients who took CoQ10 had embryos to freeze (18.4% vs. 4.3% in the control group). The CoQ10 group also had higher pregnancy rates (32% vs. 17% in the control group) and higher live birth rates (29% vs. 16% in the control group), but these results were not statistically significant.

    CoQ10 is an antioxidant and plays an essential in energy production in our body cells, including maturing eggs. CoQ10 is thought to exert its beneficial effects by neutralizing free radicals that could damage the DNA or other structures within the egg. Damage to DNA can prevent fertilization or result in a nonviable embryo. In addition, because of CoQ10’s role in energy production, CoQ10 likely also supports the energy needs of maturing eggs, thus leading to better quality eggs and embryos.  CoQ10 tends to be a safe and well-tolerated supplement, and in this study, there were no adverse effects reports from supplementing with CoQ10.

    Absorption of CoQ10 is best when the dose is divided into 3 doses with meals during the day. Because CoQ10 is fat-soluble, having fat with CoQ10 increases the absorption. Learn more about our CoQ10 supplement here.  

    Reference: Xu Y, Nisenblat V, Cuiling L, et al. Pretreatment with coenzyme Q10 improves ovarian response and embryo quality in low-prognosis young women with decreased ovarian reserve: a randomized controlled trial. Reproductive Biology and Endocrinology. 2018;16:29.

    **Save 25% off CoQ10 in June with the promo code EGG25! Available in-center and online while supplies last.

RECENT POSTS

categories

Archives

2018

2017

2016

2015

2014

2013

2012

2011

2010