If your first thought is, “What’s a Fertility Hot Seat?!” Then let me tell you!

I go live ONCE A MONTH on Instagram and YOU have the opportunity to join me live to get my take on your case. I set a timer for 15 minutes, you ask your question/s and I give you my answers.

Whether you’re chosen to go live with me or not, I may answer questions that can help with YOUR case. If you’ve ever thought about coaching with me or my team but weren’t sure if it would be a good fit this would be a great opportunity to test it out!

Did this case resonate with you? Drop a comment below!

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

Speaker 1:

Hi, hello, hello, hello. I am so excited. We are going to have a fertility hot seat here today. So for all the newbies, this is how it works. You request to join me live and at random, I'm going to pick one of you to join me live and I'm going to give you a free 15 minute fertility consult based on my two decades of clinical experience. You might notice that the background's a little different than normal. I'm actually in my New York City clinic right now as we speak. I had to reschedule patients because we had a snowstorm on Tuesday. So I'm going to do my hot seat and then I'm going to hop into practice and I'm booked. So please don't reach out if you want an appointment because there are no spots available. So anyway, I'm excited, people who have already started requesting to join me live.

So just a reminder, you hit the plus button down at the bottom of your screen and that will request to join me live. And then at random, in about a minute or two, I'm going to pick one of you to come live with me and a free 15 minute consult. Please keep in mind this is not medical advice. I have to say that because it's the right thing to do. I will not be answering questions, so if anybody posts questions in here, I will not answer them. This is specifically a fertility hot seat. I have a live Q and A that's going to happen in about two weeks and we're going to do it all on my new supplement line, the Rejoova Fertility supplements. If you guys have not checked out the new supplement line, they are fucking amazing. Excuse my F-bomb. Go to getrejoova.com. G-E-T-R-E-J-O-O-V-A. I will put it here actually.

And these do not, the most common questions we're getting right now on Rejoova is do you ship internationally? Not yet. Unfortunately, there are a lot of regulations around herbs and organ meats, both of which are in our formulations and supplements from country to country. So we're working with someone who's going to help us get to market that we can then ship internationally. And the second question we're seeing a lot of is, does this replace a prenatal? No, the answer is no. You still will need your prenatal. I'm kind of seeing it as it's replacing all of your antioxidants and it's replacing a lot of stuff like your CO Q-10 and your vitamin D and your NAC. But have a look at the supplements and look at the ingredients and you can do it yourself too and just see, oh, this has CO Q-10, this has vitamin D, this has NAC, this has liver. Okay, so I don't need any of those supplements anymore. I just need this one bottle. Pretty exciting. But that's going to be in two weeks. I'm going to talk about Rejoova.

I'm also going to do, it's on my to-do list, just so you guys know, a price point comparison because the Get Rejoova supplements are not cheap. They're $90 a bottle for a one month supply, but when you add up all the things that you're not buying anymore, it's actually a savings. And so I want to break that all down for you guys though, and I have to update the site and my bundles and all these things, but so anyway, this is a fertility hot seat. There's now seven people who have requested to join me live.

So one last thing. As I was starting to say, this is not medical advice, this is advice based on my two decades, 20 years of clinical experience. Keep in mind over those 20 years, I was averaging 60 patients a week for 15 years in my clinic, and then about five years ago I moved more online and I was kind of doing a hybrid of some online and some clinic. And then now I'm more online than in the clinic. I'm only in my clinics now once a month and I just hop around and I don't take any new patients, just so you know. My associates take the new patients. I oversee all cases, but I'm not taking on new patients in the clinic, that is. I only see people through my six month intensive FFP program. It's just how my life has evolved and also now I have five coaches that I manage all these cases. So you have to keep that in mind.

It's just in order for me to be the best, Amy for all of you, this is what I have to do. And so these hot seats are fun because I know tons of practitioners like to join in and they learn and then I know all of you learn, and so let's get to it because I do have a busy day of clinic clients and I'm going to take a sip of my, I know you guys are going to be like you're drinking out of a can, but I just didn't have a second to grab a glass.

And sometimes it's okay to drink out of a can, right? We're human, we're not robots. I'm very much about the 80 20 rule and everything we do and apply here, right? Perfection does not equal pregnancy. And I think that's something that we all really need to own and accept. So let me get in here and just see. So who do I want to go live with? Let's see. Oh my god, there's so many of you. This is so hard. Okay, I'm just going to at random hit one and if it doesn't work, you have to be on your phone too, guys, just so you know to go live. If it doesn't work with Gabriela, then I'll pick somebody else. Okay. It worked. Hi.

Speaker 2:

Hi.

Speaker 1:

How are you?

Speaker 2:

I'm fine. How are you?

Speaker 1:

I am doing okay. Thank you. It's nice to meet you.

Speaker 2:

It's nice to meet you too. I feel like I'm in your world right now because I'm doing your diet and I'm following all your stuff, listening to all your podcasts, so I feel like I already know you.

Speaker 1:

Well, thank you. Thank you. I know, there's a lot of me out there. Sometimes I Google, people were asking, I was in my private community earlier and someone was asking about gallstones and I'm like, I know I wrote a blog about gallstones forever ago. I just googled my name and gallstones and it was like up it game. Here you go. 2012. But thank you. Thank you for trusting me. I know this journey is so fricking hard and so I appreciate that. And then just to be clear, right, you know this is not medical advice. I'm going to give you some. Okay.

Speaker 2:

Correct.

Speaker 1:

Just so we're safe and following the regulations. So go ahead, tell me what's going on and let me see how I can help.

Speaker 2:

Okay. So I had a miscarriage unfortunately in November. I discovered at the eight week mark, but it happened in the six week time period. My husband and I have been trying for maybe four months, maybe the first month was kind of not serious. Then we got a little bit more serious. So yeah, it was on our third or fourth month and I am younger. I'm 30. But it was one of those things that obviously has been really hard. I also just had therapy today, so I feel like I'm in this emotional state of it all, but I have had health issues kind of intermittently and the reason I started with the egg quality diet is I feel like I have no idea what state my body was in during pregnancy, if that could have affected the miscarriage at all. But I have struggled with chronic diarrhea for years kind of thing.

Always kind of just ignored it and was like, that's just who I am. But have recently been, I think right before I got the positive pregnancy test, I had cut out gluten and dairy to see maybe that has something to do with this. I also have eczema. I have lots of outbreaks of eczema probably every couple of weeks and it definitely feels like it's a stress thing for me too, but I don't know if it's related to what I'm eating or not.

Anyway, so I had the miscarriage. Unfortunately, the pills didn't work for me. I had to have a DNC and then I had a long six weeks after the miscarriage until I got my period. And my first period was pretty painful and I passed a quarter size clot of tissue. It was retained and I've had one cycle since then. I'm just am finishing it. Actually, my partner and I tried last cycle. We didn't get pregnant, but I guess I'm just wondering if, okay, the other part of this all is that I think I have PCOS. I don't present in the way that is, I don't have a lot of the typical things including on my blood work, but I have been struggling to get a diagnosis because of that, I think. What I do show is that I have facial hair growth and that has been the last three years of these I've noticed it.

Speaker 1:

How much and where?

Speaker 2:

Stubborn hairs. On my chin on both sides of my chin and it's probably like 20 hairs. It's not just a couple. It's a decent and they grow quickly every couple days.

Speaker 1:

And is your testosterone high? Has that been checked?

Speaker 2:

No, it's not. But on an ultrasound.

Speaker 1:

Okay, on ultrasound they see the.

Speaker 2:

On ultrasound, they see the cyst, but they won't give me the diagnosis.

Speaker 1:

That's interesting because you have two of the Rotterdam criteria right there. That's interesting. Okay.

Speaker 2:

I don't know if it's because I live in Spain. That's another thing. It could be.

Speaker 1:

Don't mean to laugh. Although, Spain is pretty cutting edge right now. They're doing lots of cool stuff in Madrid with bone marrow.

Speaker 2:

I don't know if it's just the doctors that I'm seeing. It could be that I saw two older men gynecologists, that I need to maybe find. I'm kind of in that phase of, I wanted to ask you, do you think I should be pushing to get a diagnosis if my blood work all shows up normal?

Speaker 1:

I also think regardless of the diagnosis, right, if it's like PCOS or this wouldn't be you too, your AMH probably is higher, but you're also 30.

Speaker 2:

I did just get my AMH tested and I got it back today actually. It's a 6.35.

Speaker 1:

So typically we look for, AMH above a 10 is usually very indicative of PCOS and then the FSH to LH ratio where it's a two to one or a three to one ratio, that's also indicative. Obviously the facial hair, obviously the string of pearls on the ultrasound. And then we're looking at testosterone and SHGB and DHEAS all being high, but you don't have to have all of those.

But also to the point of do we need a diagnosis? Only if you want to take metformin is what I would say because otherwise you could do it with Myo Inositol. You could do with diet, lifestyle shifts. So all my PCOS girls were still kind of doing the same thing, right?

Speaker 2:

Okay, yeah.

Speaker 1:

I think where it matters is your predisposition towards pre-diabetes or gestational diabetes, things of that nature where it might have a bigger role, but again, unless you were to go and treat it with a western medicine, that's the only reason it truly matters.

Speaker 2:

Yeah, that's kind of what I've been thinking too. I think it's been frustrating to not have anyone take me seriously and that is something I'm also dealing with a little bit of how persistent are you? The other thing with the miscarriages here in Spain is my doctor, an older man who is very kind and sweet, but is like, we won't consider an issue until you've had three back to back and I'm like.

Speaker 1:

It's the standard. It's so fucking frustrating. It's beyond upsetting. But you could still take the bulls by the horn, if you will, the bull by the horns if you will, or take back the reins. And I do have a panel. If you go to amyrock.com/miscarriage, there's the miscarriage panel there of all the testing which you could get done. Did you test the tissue when you did the DNC or no?

Speaker 2:

No, because I didn't really even realize that was an option. I think unfortunately it was one of those things. I hadn't done a lot of reading or research into miscarriage before we had one, and then when it all was happening, it was so overwhelming and I just didn't even know that that was a thing you could do unfortunately until after. Yeah.

Speaker 1:

So I mean that's it too of to be statistical for a second, it's like 20% of pregnancies end in miscarriage and that's just normal. It is where I start to flag it, and I think you know this because you've been following me is back-to-back miscarriages without a live birth in between, we should be looking deeper. You have the egg quality diet, so those red flag symptoms speak to me like, okay, the diarrhea, the eczema, that tells me there's some malabsorption issues. So I would do the egg quality diet, which you're doing and improve nutrient absorption.

You should see your skin shift. It was the game changer for my skin. I had eczema my whole life until my twenties, my late twenties, early thirties when I started changing my diet more aggressively or just finding my trigger foods and stress will still impact me at times, but not nearly like it used to. And if I am stressed, I just double up on my cod liver oil typically, and my eczema goes right away. And that's obviously my case, but I feel like I see that trending for most people. So I would think about that.

And also even if it is PCOS, one of the other big concerns with PCOS is either anovulation, you're not ovulating at all, or you're having these 100 day cycles where you're only getting a few attempts a year to conceive. And so since you're ovulating it sounds like fairly regularly, that's another reason that it is what it is. You know what I mean, right now, that's how I would look at it. But I would probably do the Myo to D-Chiro-Inositol because it can't hurt. And then I would also really focus, and the egg quality diet lays that out, on the protein and making sure you're getting at 30 grams of protein within, I'd say the first few hours of waking to really start the day off strong to help manage the insulin because that's really where the side effects kick in, I think, with potential PCOS.

And then as far as trying again, I mean obviously you did try this time. In my opinion, I think you come from this space of we have no reason to believe that there's anything major wrong. You can kind of check your boxes, you could go and get the additional blood test. I'm sure it'd probably be an out of cost expense. One thing a patient of mine who is a physician told me a workaround is to, you could ask for, I don't know how the system works there, but you could ask for a referral to a hematologist saying that there's a history of blood clots or strokes in your family and you bring up to the hematologist that you had a miscarriage and there's this history in your family and you're just a little concerned. And most hematologists just don't even think about fertility. Well, they're really just trying to support you. So that is one way to get the miscarriage panel done. It works for girls in the US here as well.

Speaker 2:

Okay, that's good to know.

Speaker 1:

Or the baby aspirin, I mean, you're young. I don't typically recommend it just at any point, but you can clear this with your doctor too, of taking a baby aspirin in the luteal phase. If there is a low lying clotting factor disorder, it could support treating it and prevent another loss if that were the case. But I think too, it's like you're also young enough that the inflammation probably hasn't impacted that quality yet, to be quite honest, that obviously we see these symptoms, the diarrhea, the eczema that your body still can manage and get away with it. If you were 10 years older, I think it'd be more like I would say, okay, let's do the egg quality diet. Let's wait two to three months, then try again.

But I think for you too, it's like do all the things. Make sure you're taking the fish oil, get your vitamin D levels checked, really pay attention to that diarrhea and that eczema. Those are your two guys. Take the Myo Inositol, make sure you're on enough methylfolate, no folic acid, all those kind of basics. And then hopefully you get pregnant again in the next few months and all goes well, right? If not, then we dig deeper. If we get pregnant and we miscarry again, I mean it does, it sucks, but then, and I think you're already making changes so you at least can feel good. I'm doing something different than what I did last time.

Speaker 2:

I feel so empowered by following your diet and I have noticed huge changes in my digestion. I have not had diarrhea since changing to the egg quality diet. My eczema is still flaring and I wonder if it's stress. And I have had some, I'll have organic wine here in Spain and I'm like, maybe that's okay. But then I've noticed after that I have a flare and I'm wondering if it's a histamine thing or it could be, so I've noticed a huge change.

Speaker 1:

Watch the ferments too. If you feel like there's a histamine thing, watch the ferments that I recommend in the egg quality diet too. I find that if I pull those from patients that are histamine-y, they are less histamine-y.

Speaker 2:

Like sauerkraut? You think that could cause it?

Speaker 1:

Try it. Try a week without sauerkraut and see if the eczema gets better.

Speaker 2:

I love the sauerkraut. I loved making my own. That was so fun.

Speaker 1:

It's so good. But even for me, if I have kombucha on a regular basis, I'll get sneezy, I can get histamine-y, but you'll see too over time as the gut heals, then you can have those exposures and you shouldn't have a flare. But still right now, and also your hormones are still coming back in. I feel like this is the second cycle since, but yeah, it could be lots of little shifts. But yeah, I would just really tune in, use the food diary, use all the additional resources that come with the book on the website and really tune into, okay, when it flares and see if you, that's basically my job. That's when I do it. I just look back the day before and try to connect the dots and be like, okay, you had this, then you got a little flare here and I try to pinpoint the foods, if you will.

Speaker 2:

Yeah. I will note also, I had a low vitamin D in the summer last May when I got my vitamin D checked. So I have been kind of supplementing and I have had recently this last week blood work done again, just to kind of check in on how things are going. Kind of like what you said, I've just went to a different doctor and was like, I would like, this happened and they ordered some blood work. I just haven't gotten it back yet. But in terms of vitamin D levels, what would you say is ideal for trying to conceive? Mine were at 24.

Speaker 1:

Yes. And that was nanograms per milliliter. That's like the US standard. So yeah, that's low. And the research shows under 30 impacts implantation rates. It definitely could be a cause for miscarriage too, which sucks, but is something, not that we're in a blame state, but more like detectives. We want it between a 50 and a 70. That's my goal. And yeah, I'm happy with that. But even for you, if we just get above a 30, which you probably already are, and even if it's, I know it's not summer right now, but trying to get light on your eyes every morning if you can, even through a window, but ideally you're getting outside and letting that light hit you.

And then I would get your thyroid checked too, your TSH for T3 and T4, just to make sure everything's where it needs to be. And then for you too, when you're pregnant, again, I would push for early monitoring. So I had a miscarriage. I'm not waiting until eight weeks. I want to come in at the positive. I want blood work. And I would then push for your pregnancy hormone, which is the beta HCG, progesterone. So funny, all these explosions. I don't know what's going here, progesterone and then thyroid as well. I would get those three, TSH, beta HCG, and progesterone all checked and check it the first time, check it a week later. And I think it'll just be empowering to you of like, okay, I'm on top of this and we're navigating and looking for anything.

Speaker 2:

I know, I've been having that feeling of hopefully the next time I'm like, will I want more help or will I want to be like, no, I don't want to look at anything until later, but I think it is true, feeling like you have information is empowering. And at least that's how I felt in this process right now.

Speaker 1:

Good. And that's it too of, I think it's Deepak Chopra who says something, the idea of being in control is a total fallacy. The steps to enlightenment mean that we surrender all control. But these little steps though do make us feel a little more in control. Okay, I kind of know what my body's doing. But the thing is, the truth is too, your progesterone could be low and you could still carry that pregnancy to term. Your TSH could jump and you could still carry that pregnancy to term. But it's just this thing of like, okay, I'm getting this information and I can get the support I need when and where I need it and advocating for yourself I think always feels good.

Speaker 2:

Yeah. Well, thank you so much. I really appreciate it.

Speaker 1:

You're welcome so much. Of course. I thank you so much for being so brave and coming on, so thank you.

Speaker 2:

Thank you.

Speaker 1:

And good luck. And yeah, feel free to DM us when you get your next positive or have any other questions. Okay? You're welcome.

Speaker 2:

Thank you so much, Amy.

Speaker 1:

Thank you everybody. Goodbye.

END TRANSCRIPT.

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.

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