Aimee Raupp is joined by fertility expert Sarah Clark in a conversation about Premature Ovarian Insufficiency. 

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Disclaimer: Please keep in mind that I am not a medical doctor. I have been a practitioner of Traditional Chinese Medicine for over 17 years and I will be speaking from my clinical experience helping thousands of women conceive. The office of Aimee E. Raupp, M.S., L.Ac and Aimee Raupp Wellness & Fertility Centers and all personnel associated with the practice do not use social media to convey medical advice. This video will be posted to Aimee’s channels to educate and inspire others on the fertility journey.

SEE TRANSCRIPT BELOW OR CLICK ON THE IMAGE ABOVE FOR THE FULL VIDEO.

Aimee:

Well, hello everyone. How are you? It is me, Aimee, and I'm getting to come to you live, which is always so fun. And I am bringing on a special guest and we are going to talk all things premature ovarian insufficiency. And so if that pertains to you or you have questions for that, I'm going to ask you to put questions in the question box down in the lower right corner, that circle that has the question mark. And I am going to bring on Sarah from Fab Fertile. And let me just see, how do I add as a moderator? I don't know if that's right. I think you have to ask to join actually, Sarah. So hit the little movie camera with the plus sign in it, and then that should bring you into my waiting room and go live with…

Let's see. I think this worked. Yeah. Okay, here we go. I'm going to accept you in. Hi. There we go. How are you?

Sarah:

How are you? Good.

Aimee:

I'm good. How are you?

Sarah:

Good, good. We made it.

Aimee:

We made it. I know. I am still in my workout clothes in this morning. It's like I've been to back to back day, but-

Sarah:

I know. I just had a quick walk.

Aimee:

And you're going to hear my dog in the background because I'm downstairs and he's going to whine a little bit, but that's okay.

Sarah:

There you go.

Aimee:

It's good to see you. How are you?

Sarah:

Good to see you. Good. We're just out for a walk and I was like, “Why is it so hazy out here?” And I guess in all these forest fires or stuff like that, I'm in the middle of the country outside of Toronto and I'm like, “What?” You can smell the smoke in the air. What's going on?

Aimee:

There was a fire near us in Nova Scotia, so up in Canada and we're all the way down in Connecticut and it was impacting our air quality and it was crazy. And I remember living in California at one point during wildfires and it was like you would drive and the ashes were on your windshield. I mean, it was just crazy pants. So I told everybody that we're going to talk about all things premature ovarian insufficiency.

Sarah:

Yeah, that's good.

Aimee:

Let's get into it. So I was also just on your podcast. So that was released, what was that? Last week? Was that last week?

Sarah:

Yeah, last Monday, the 29th, I think. Yeah.

Aimee:

Yeah. And that was all things about miscarriage and getting the right testing and stuff. So if you guys want to check out Sarah's podcast, it's called Fab Fertile, right?

Sarah:

No, it's called Get Pregnant Naturally.

Aimee:

Get Pregnant Naturally. Yeah. Okay. But you can follow Sarah at Fab Fertile and then her podcast. And I was just on it. And you have tons of awesome guests and awesome information. And so for all my community, why don't you tell everybody a little bit about your self?

Sarah:

So I'm the founder of Fab Fertile, and I had my own journey with fertility, or I was diagnosed with primary ovarian sufficiency or premature ovarian failure as it was called back when I was 28. So 25 years later, when you get that diagnosis, it's the same response, sorry, you've got to go to donor eggs. There's nothing we can do. What I know in the functional medicine, functional nutrition space, there's a lot of things we can do. And so I assembled a team that includes an OBGYN with a functional medicine background. She was for years in conventional medicine just doing surgeries all day long and then had her own health crisis. And then so many of the functional docs do had their own health crisis. And wait a minute, what is all this stuff?

Aimee:

And they have a wake-up and they're like, “Wow, I got to look [inaudible 00:03:45] this.”

Sarah:

It caught in that disease model and managing disease and then move to the functional model. And so she's our medical case reviewer. We have functional nutrition practitioners that review our lab testing, really develop a targeted protocol, and then we have mindset coaches. So really believe in a mind, body, spirit approach, especially with POI, if people have been told, “Sorry, donor eggs are your only option.” Yeah. And so I went on to have both my kids with donor eggs and my daughter's 21, my son's 18, and then now helping couples that have been given this diagnosis, helping them getting pregnant naturally or with their own eggs. There's lots of things we can do. When you look at your health, we're not, similar to you, not anti-IVF, but it's like pro-health, let's look at your health. You'll either get pregnant naturally or if you go to IVF, you're going to improve your chances of it actually working.

Aimee:

A hundred percent. And there's a million ways to bring, not maybe a million, but there's a lot of ways to bring baby through. And none of them are wrong. They're all exactly what they're supposed to be for each individual. But I do, I see our work as getting you in the best alignment on all the levels, mentally, emotionally, physically, nutritionally, so that you can also be the mother we want you to be and we need you to be in this world. But then also if you wind up needing to go to IVF or even donor, the vessel still needs to be prepared and you still need to have the, if you will, the goods to develop a child into full capacity. You'll come at them from this whole functional nutrition perspective, mindset perspective and then create a targeted plan. And so one thing I was thinking about that we could talk about is do you guys check for the ovarian antibodies or do you want to get into that at all? What do you think about that, I suppose? It's like an [inaudible 00:05:38] everything.

Sarah:

We don't necessarily start there. We're looking at all the different stressors in the body from the gut infections, the food sensitivities, environmental toxins. So many people now are doing the PRP and things like that. And some of these things can be good, but to me it's like a bandaid. If you've just done that, you haven't looked at all the different issues going on in your body. Some of the themes we see with POI are food sensitivities. You see gluten off the chart, non-celiac gluten sensitivity. That was the same for me where I didn't have celiac. So it's like a false negative for celiac.

But people having, just off the chart, so we see the food sensitivities as a theme, a lot of leaky guts. So many people that were on… Like I had the irregular periods, was put on birth control for many years and then came off and on for about seven years and then came off. And then that predisposes you to the gut infections and food sensitivity. So we see people with being on birth control for many years. Like myself, antibiotics, I had chronic sinusitis, chronic UTIs to tons of antibiotics, which then destroys the healthier guts. So a lot of this is leaky gut. And so then you end up being intolerant to your favorite foods. So that's what we see too in the food sensitivity piece.

Aimee:

So a lot of it, almost like our approach is similar in elimination diet, figure out the right fertility diet if you will, the right foods for your body. And you're doing the same kind of thing of looking at symptoms of, okay, what else is going on? How's your digestion? How's your sleep? How's your skin? Right? And seeing if there's any inflammatory reactions, because typically in these POIs, I mean even your case in particular, these really young girls that are getting this diagnosis, there is some kind of inflammatory response that's going on that's basically the body's then saying, “I don't feel safe. I don't feel secure. I got to shut down this system so I can just survive in the world.” And so fertility goes into the backseat and communication with the ovaries basically shuts down. And so you're working on restoring that.

Sarah:

We see it all the time. And so we've got some young people in too, and we help people from obviously twenties and thirties and things like that in early forties with typically POI is loss of function of the ovaries before the age of 40. And sometimes I just don't know if the diagnosis is correct for many people. And sometimes you've got people that could have Turner syndrome or fragile X for some of the genetic piece. Yeah. 33 with POI diagnosed at 31. So what was the one we were looking at today? She was 32. We were reviewing how all of her tests, and she had a whole bunch of issues going on with her gut from some parasite.

Aimee:

And are you doing a stool analysis?

Sarah:

Yeah. So we're doing the stool test, looking at the DNA of the stool. We use the GI map. And so found that for her. We found that for her. She was showing signs of leaky gut where she moved to a good elimination diet standpoint. She hadn't taken gluten out at that point before she came to see us, but she was doing more meats and things like that. And then she started being intolerant. And you can see on her food sensitivity test, she's intolerant to beef and she's intolerant to fish and some of the other foods.

Aimee:

Which is somewhat unlikely. So then you know she's just triggered and reacting to everything basically?

Sarah:

Yeah. So this inflammation, right? Another ones too where she-

Aimee:

Histamine response of some sort.

Sarah:

Another ones where she had, again, the gut infections are a theme where we see people with either… Yeah, so the testing for leaky gut. So you can see that usually on a food sensitivity panel too. And also on the food sensitivity, on the stool testing, you can see-

Aimee:

Zonulin.

Sarah:

Yeah, exactly. The zonulin marker. For this other woman, she had a number of parasites and stuff too that we saw on there. So we see the…

Aimee:

Go ahead.

Sarah:

We see the food sensitivities, we see the gut infections and the gut infections. We see fungal issues, we see parasites, we see bacteria, and we see the H. pylori piece being more lower in your stomach acid, you're not able to absorb all your nutrients.

Aimee:

Well, I always think too, I'm originally trained, obviously I have a biology and chemistry background, but then I became an acupuncturist Chinese medicine person. And so we always see very broad based that if the digestion fire, we would almost say it, is compromised. What that means, so say there's H. pylori, say there's parasites, say there's bacteria, say there's yeast, whatever we get to label it once we do the GI map or we get further testing, but really higher level, what that means is the stuff you're consuming, even if you're eating a really good clean diet and you're taking good quality supplements, you are not absorbing them. So they're not doing for you what they could be doing for you because your gut health, your capacity to digest and absorb your nutrition is compromised.

And until you repair that, you're not going to repair the hormones and you're not going to reset the stage because the body is still saying, “I can't get what I need. What you're giving me isn't working. And so I can't function, I can't pick up the pieces and start functioning with my ovaries again. I just can't do that.” And then right too, I mean we'll use a DUTCH test as well, and you can really see, I think you can sometimes identify low-lying infections and what they're doing to the cortisol or cortisone, and you put that piece together too that then there's this chronic stress on the body. So you might not be chronically stressed or in chronic fight or flight, but your body is where it's like, “I just can't do this.” And so it really is about healing that gut to improve absorption, but then also that helps regulate the nervous system and help the body. It really is like I did a piece a while ago about the basis of really what I see is restoring fertility is restoring a sense of safety in the body.

And I got some negative feedback on that. People didn't like that commentary. They thought like, “Oh, so I'm not safe.” And it's like, no, what I mean by that though is the body's basically saying, “I don't have everything I need to do my job. And so if you want me to do this job…” And then that's also the same thing of like, oh, but you're going to go and do PRP, and now I'm going on a tangent, but even the platelets, I still want to juice them up before you go and do PRP, right? I want to make sure your growth factors are where they're supposed to be so that you can get the most benefit from that PRP. We're not just going to bandaid approach it, even stem cell.

I've had a couple girls do the stem cell treatment, and same thing, I have a POI girl who just did it in Spain, 28, but same thing. I said, “I want three months with you. We're going to work on this protocol.” We did all the things, the GI map, the DUTCH test, the genetics, all the mental health components. And so we have her on a solid protocol. I run herbs, and then now she just went and did it. So I feel like she's going to get the most bang for her buck in a sense, right?

Sarah:

Yeah. We have a similar approach where you can't outsupplement like a poor diet. You can't outrun the stress even if you say, “I'm not stressed,” and you have many people like I coach a type A busy professional. Sometimes they'll say to me, “I don't even feel stressed,” and I would've said that back then. I'm not stressed. I'm like, “Let's go. I can do anything.” But the body, I had food sensitivities, I had these gut infections. My dad's a chemist and I grew up working in his chemical factory surrounded by all these chemicals. And so we see those environmental toxins piece and the mental emotional side of it. So similar to you, we have the spiritual and the mental emotional side of that to really help with people because with this diagnosis, if you're told donor eggs, that's a devastating thing. And people feel going to spend tens of thousands of dollars and it might not even work. Or sometimes we think that that's the only option that's-

Aimee:

Well, that's the thing too of I see girls where, I mean, I know you see it too, they're being pushed down donor egg route and they're clear cut autoimmune. They're probably going to reject that embryo. They're probably going to miscarry that donor. And so it's not about that. We have to make the body more, almost like I would say implantable. It has to be more hospitable to a pregnancy before we even go and pursue that option.

Sarah:

Exactly. And we use the same thing too, where your body doesn't wants to survive, not procreate. It's under attack by all these different things. It doesn't feel safe, and your reproductive system is not online. It's down the hierarchy of what it needs to… You're trying to survive if it's in fight or flight kind of thing.

Aimee:

I mean, I'm playing devil's advocate with you, but what's your typical response when people say, “But then there's women in war zones who are really in fight or flight and they're getting pregnant, and so why not me? Why is my body choosing to be in survival mode and not hers?”

Sarah:

That whole comparison thing for us, well, comparison's a thief of joy, and we're going to go like, “What about the drug addict down the street and the person in the war zone?” We don't know what that's done to their health, but for someone that's dealing with the fertility journey, it's impacted our fertility. Someone else could have diabetes, heart disease, cancer, whole host of other health issues. For us, it's fertility and we just need to then start dealing with it. And we can do the IVF side of things, but if we haven't looked at our health, I do believe that your health will come back. For me, I didn't look at my health and my health then suffered in my mid-thirties, and I still would've said I had excellent health, but I was taking multiple, I had UTIs, sinusitis, I had dandruff and vertigo, and I caught every cold and flu. And we see this a lot with some clients.

It's not just like, “Oh, wow.” It's not, oh, wow, but it's not like, “Oh, I just have piece POI.” There's other things going on in the body. And those other things are huge clues, healing opportunities for us to address. And if you go ask your REI do this diet or lifestyle matter, they're going to say, “Oh, maybe it's okay, but it's not essential.” But you're asking the wrong person.

Aimee:

Yes. Well, that's it. I think that's so important. I had this conversation multiple times in the clinic yesterday of put your reproductive endocrinologist in this category. He's good at or she's good at going and getting those eggs out of your ovaries. We hope that they're good at fertilizing that egg and sperm in their laboratory. They're good at transfers. Don't ask them about nutrition. Don't ask them about supplements. They're not the people. They have limited time to look at that research. And the good smart ones are actually outsourcing that anyway. They're telling you who to go to and who they trust.

And so yeah, I agree of know your resource in a sense, right? So this question right here, what about not having fragile X but having hypothyroidism, my POI is idiopathic? I mean lovingly I say this to you and I mean it lovingly there, there's no way it's idiopathic. It's idiopathic to the Western doctors, not to us. There is a root cause of it, and it's typically an inflammatory and or autoimmune situation going on or an underlying gut infection. I mean, I think you would agree to any additional-

Sarah:

Literally thyroid is one of the main things you can see from either it's been a missed Hashi's or Graves', it's hypothyroidism and they're just taking a medication for it and not going what's the trigger? The thyroid-

Aimee:

Then how they check your thyroid antibodies. You could be hypo and no one one's checked your thyroid antibodies. You could have Hashimoto's. That could be, I'm sure as you, a POI and Hashimoto's are literally 90% the same. They're present. And then you add in celiac or non-celiac gluten sensitivity. That's the right term for it. And years ago when I was writing Yes, You Can Get Pregnant, I feel like I've told this story a hundred times, so forgive me, but I interviewed a couple doctors and I interviewed this guy, Hugh Taylor, he's the head of reproductive medicine up at Yale. And he was a friend of a friend and he was glad to get on a phone call with me. And he was cool. He was doing all this research on plastics and how they're impacting fertility and toxins in the environment. So I knew he was the right guy.

And this is really I feel like before we were really all talking about this because it was like 2014, 2013. And I said to him, I go, “If you look at the research, it's like there's PCOS and there's endometriosis, and then there's all this unexplained infertility, and then maybe POI or POA, it was called at the time.” I said, “But do you think in all these cases there's an underlying autoimmune or an undiagnosed autoimmune or inflammatory condition?” And he was like, “Young lady,” he said to me, he's like, “You're onto something.” He's like, and this is 2014, “We're testing every patient when they come through for Hashimoto's and for celiac.” Because he's like, “The high correlation with unexplained infertility.” And then, I mean, you could have the diagnosis of POI or PCOS or anything, but they're looking, and across the board, we're seeing just a multitude of women that are dealing with fertility challenges actually also have Hashimoto's and or celiac or some other, right? I mean, how many ANA positives do you see in your labs over time, right?

Sarah:

Yeah. We see the autoimmune component all the time from the celiac to Hashi's to Graves' to lupus to MS to rheumatoid arthritis. Yeah, RA. We see that all the time. And then they're being pushed to IVF and no one's in functional medicine, functional nutrition is the best thing to actually help to reverse this stuff. And people are ulcerative colitis, Crohn's being on medication for years. So it's not just, “Oh, I have this autoimmune thing,” it's part of the puzzle. And then we start to address that. Then when you go in to do an IVF and that's aside you want to do that actual implants. So doing that-

Aimee:

Who actually hold and stay, right? Because often we're seeing the same thing, even recurrent pregnancy loss, which we talked about on the podcast of like, “Oh, it's an egg quality issue. You just need to get PGT tested normal embryos or you need to go to donor.” I mean, it's usually the same answer. And it's like, oh, absolutely not. It's actually not at all. Your egg quality is actually probably perfectly fine. There's an inflammatory reaction or an autoimmune reaction going on in your body that's either compromising quality when that embryo's developing and or compromising the uterine environment, not allowing for implantation to stick. And then we have a reproductive immunologist that are now looking at that, but still half of the REs out there think reproductive immunology is hocus-pocus, which is fascinating to me. I'm like, “Have you not read the data? I mean, what? Are you not on-“

Sarah:

Yeah, I just believe in getting it's-

Aimee:

“I'm on PubMed every day. Why are you not on PubMed every day?”

Sarah:

I just believe in getting a team. So it's not about excluding your REI or RE or OBGYN, but looking at a functional nutrition practitioner, functional doc, things like that, is key. And then you're in the center. You know your body best. And a lot of times it's like the medical gaslighting. You've been dismissed. Oh, you've got cold hands and feet and your hair's falling. Your skin's just dry as a lizard, but oh, no, you don't have any problem. Your thyroid's fine. It's normal, but is it optimal? So really being able to look at that and that whole thing of being well-fed, but malnourished eating all this organic foods, but really are you-

Aimee:

Absorbing,

Sarah:

You've got H. pylori and you're not absorbing it. You're not absorbing all those nutrients.

Aimee:

I can't believe we just started doing the GI map really this past year, and I'm like a fly on the wall. Similar to you, I have a functional medicine practitioner on my team, and because it's my practice, I had to sit on those calls and I'm a nerd. I love to listen and learn, and I think every patient comes back with H. pylori or yeast. It's crazy and I'm like, “Oh my God. Oh my God, this is it. This is it.” I mean, it's part of it, but it's really cool to have things to solve for. And then you really do see dramatic shifts. I mean, it's interesting. If I just keep my Chinese medicine hat on, we typically go that route anyway. If I'm seeing a lot of GI disturbances, but not every H. pylori patient presents with GI disturbances.

Sarah:

I didn't.

Aimee:

Not every celiac patient presents with GI disturbances. It's crazy.

Sarah:

Yeah. I didn't have any of that's a reflex or GERD or any of those other symptoms, burping, all that, no. And many people, if you do, then it's more advanced perhaps, or there's a higher virulence factor. So we see that too where sometimes. So definitely it's a theme we see the whole… We're looking at the biochemical. I do believe it's equally as important to look in the mental emotional side of things-

Aimee:

A hundred percent.

Sarah:

Because otherwise you'll self-sabotage, you'll be like, “The doctor told me donor eggs, I don't think it's really going to work. And then, does it make sense to me to not eat bread anymore or not eat gluten? Or why do I got to take my toxins out?” So it is really important to the mental emotional side of it. And if you're in, this is going to impact the relationship with your partner, pull you apart or bring you closer together.

Most people that have gone through this, they already selected the solution that they thought was going to work, which was IVF, and it didn't work. It didn't work. They invested a lot of money and they're devastated. And now you were like, “Okay, we're going to do these changes.” But it is kind of ripping the bandaid off because I always say it's not a sick population, but it's not an optimal health. I was not in optimal health when I was going to the doctor saying, “I got to go back to work. Give me some antibiotics.” I got chronic UTIs, sinusitis. I got colds and flus. That's not optimal health. You shouldn't be dealing with those things. And we see a lot of people with their immune system so compromised, and then all the stress, we just keep pushing ourselves and going further and let's go that type A behavior, which will have served you, but then is your body now saying, “Whoa, hold on. Hold on.”

Aimee:

Or, “I'm at capacity,” right? Yeah, I mean the mental emotional piece I agree is… And I think it's the cornerstone too in the sense of it really helps you put all the pieces together in this loving, kind, supportive way, compassion for yourself versus the very masculine approach of now I have to do all these things and I'm going to check all these boxes and I'm going to do an elimination diet or whatever it is, and I'm take all these meds and I'm fixing, fixing, fixing versus this is a path of discovery, and I'm learning how to best support myself and my partner if you're in a partnership. And it really is too, I mean, I've been on this Joe Dispenza binge lately, I don't know. As I go in and out, out of mail, obsessed with him. But the last few days I've just been listening to him nonstop, and he was just saying, “Your personality creates your reality.”

But also a lot of what I talk about in Body Belief too of this emotional inflammation component, it changes your physiology 100%. It's not hocus-pocus, it's not made up. It's not theory. This is actually scientifically shown that your brain and your beliefs impact your physiology. So if you are not looking at that piece, I think similar to you cannot out supplement a diet. You cannot supplement a mindset. You just can't. And so much of it is a lot of the books out there and a lot of the information out, there's just like, “Oh, got to get on NMN. That's going to change your egg quality.” And I'm all for it. Listen, I love recommending a good NMN supplement these days and antioxidants, I'm all for it. However, if you're not absorbing it, it's a waste of money.

And I think someone asked too of how do we improve absorption? I mean, I think one thing that Sarah and I are both using in our practices is the GI map. We do like that, it's a stool analysis test. I pay $362 and 40 cents for a test for each of my patients, and that's at cost. And then someone has to review it for you. So it's not inexpensive, but it does really help you understand. I mean, other ways you can do it is the book that I wrote, the Egg Quality Diet is an elimination diet. That is another way to do it and to start jump-starting healing the gut. However, if there are low-lying infections, that's not necessarily going to be the direct fix. You actually may need a course of antibiotics or you may need a course of herbal antibiotics or both.

There's lot of things that could be going on that I think these additional functional medicine testing, like we always use the DUTCH test, we use the GI map and we do genetics, and then we piece all that together and then help you come up with a clear plan. And then also your symptoms. Your symptoms should be telling you whether or not you're properly digesting and absorbing.

Sarah:

Yeah, we're doing similar tests. And we also do a vaginal microbiome too.

Aimee:

Yeah, I'm getting to that. I just did the Evvy test myself. They sent me one and I did it. I'm waiting for my results. Once I get my results, I'm going to do a live with Evvy. So I like the Fertilysis. I think there's a couple really good ones out there. And yeah, I'm typically saying go get test for endometritis, but it's uterine and it's a little more invasive and aggressive, whereas the vaginal microbiome. And I feel like too, if you look at the research, that's where a lot of it's going of seeing that when the microbiome in obviously the gut, but in the vaginal area is off, it's almost like a clear cut correlation with fertility.

Sarah:

Yeah. UTIs, BV, miscarriage, someone on the fertility journey, thrush, they've got some really good research in the UK and people on our team, they're cutting edge over there. And yeah, it's definitely a vaginal microbiome. And then also we do hair as well too, to look if there's mineral or heavy metals and people get very excited about the testing, probably like you and I feel like a broken record, but it's also equally important to do the mental emotional-

Aimee:

And that's the hardest. It's not like take this three times a day. The mental emotional work is work. And again, listening to Joe Dispenza, you've got to show up for yourself. And it's a lot easier to blame and to push away. And again, not name-calling by any means, but I mean, just even to myself of it's a lot easier to just be like, “I'm too busy to meditate. I'm too busy to journal. I'm too busy to do these things, or this happened and that's why I'm mad.” And it's like, okay, well, we got to unpack that. I'm going to unpack that.

And so it's a multifaceted approach, but typically I think when we're thinking about ovarian function being compromised or being shut down as it is in like POI, you really do need to backtrack and think, okay, why is the brain not communicating that? That's a mental emotional piece, and now why is also the body saying, “I have to shut down this part of my system because it just don't have the goods to… I can't prioritize procreation right now. Just can't.” And what is the reason for that? And it's not idiopathic. There's a reason.

Sarah:

There's a reason, which is empowering. There's things you can do.

Aimee:

And there's things you can do to fix it. A hundred percent. Yeah.

Sarah:

Yeah, because I'm like, “Let's go and do…” Give me the plan that we need to then… Yeah, we use HeartMath as well too, used in 25 years of study and for peer-reviewed studies. Joe Dispenza has done all kinds of research and studies using HeartMath and using your HRV.

Aimee:

HRV is so good.

Sarah:

You can be meditating all day long, but maybe it's bopping all along and you're still full of anxiety and worrying, and you're stuck up in that fight or flight, and the body still thinks it's not safe. So that can be super helpful too.

Aimee:

Yeah, a hundred percent. Oh, it's so great to talk with you. Yeah, so any parting words? I mean, I'm sure you have some good… Your podcast probably covers this in detail too, POI, so we can direct guys there, everybody there to listen to your podcast and check out all the work that you're doing.

Sarah:

Yeah. Awesome. Yeah, I've got a ultimate guide too for getting pregnant this year with low AMH and high FSH too. So it's at gpthisyear.com, so getpregnantthisyear.com, so they can check that out. But yeah, lots of stuff on my podcast. Been around for five years and tons of functional docs and nutrition practitioners, and Aimee Raupp is one that on there well as well. So definitely-

Aimee:

Yeah. I feel like I've been on more than once, haven't I? I feel like, yeah.

Sarah:

No, I think you're just… Yeah, it was the first time.

Aimee:

It was the first time?

Sarah:

Yeah, I know. I know. But definitely check on her episode, we talk all about repeat miscarriage, so already getting really good feedback about that.

Aimee:

Yeah. And thanks, Sarah. We'll do this again.

Sarah:

Awesome. Thank you.

Aimee:

Okay. Thank you, guys.

Sarah:

Okay. Take care.

Aimee:

Bye. Have a good day.

Sarah:

Bye.

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