𝒟𝑜𝒸𝓉𝑜𝓇𝓈 𝒶𝓇𝑒 𝓅𝑜𝑜𝓇𝓁𝓎 𝓉𝓇𝒶𝒾𝓃𝑒𝒹 𝒾𝓃 𝓃𝓊𝓉𝓇𝒾𝓉𝒾𝑜𝓃 ⁣ ❗️

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A poor diet outranks smoking as the number one killer in the US. But this recent study shows that medical students are poorly trained in nutrition prior to becoming physicians. It’s possible that improved diets could prevent more than 1 in 5 deaths every year. Physicians can help by providing their patients with dietary advice, but they lack the necessary training. 

 

In my field of infertility, we know that nutrition impacts a couple’s chance of success with fertility treatments as well as their opportunity to have an uncomplicated pregnancy. Other studies have shown that how healthy we are prior to pregnancy not only impacts the future child, but also our grandchildren. As a REI, I have an obligation to share this information with patients because the health of our society, and future generations, is at risk. 

This is why I try to talk to all my patients about their nutrition when trying to conceive (TTC)⁣
✔️Improved chance of conceiving naturally⁣
✔️Greater chance of success with fertility treatments⁣
✔️Healthier egg and sperm⁣
✔️Decreased chance of complications in pregnancy⁣

Thank you to @cookingforboards and @flavors4wellnessmd for starting this campaign #foodtoheal⁣

Progress is possible ! Don’t give up!

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𝗣𝗿𝗼𝗴𝗿𝗲𝘀𝘀 𝗶𝘀 𝗽𝗼𝘀𝘀𝗶𝗯𝗹𝗲! 𝗗𝗼𝗻’𝘁 𝗴𝗶𝘃𝗲 𝘂𝗽!⁣ ⁣
Unhealthy diet is a major risk factor for diseases, including infertility. In the United States, poor diet is estimated to be the leading cause of death. I’ve reviewed how important your diet is when trying to conceive previously. Today, let’s review how we are doing in the United States with our diet (1999-2016). 
✅Decrease in percentage of energy intake from low-quality carbohydrates 👍
✅Increase in percentage of energy intake from high-quality carbohydrates👍
✅Increase in percentage of intake of plant protein⁣👍
✅Increase in percentage of intake of polyunsaturated fat⁣👍

BUT⁣

Despite improvements in macronutrient composition and diet quality, there is continued too high of intake of low-quality carbohydrates and saturated fats 👎

As a fertility specialist, to me this study shows #progress . Our diets are not great, but we are making progress. What we eat matters. And with slow and steady changes, we can all get healthier. In terms of fertility, a healthier diet means healthier egg and sperm, increased chance of success, decreased chance of complications in pregnancy, and healthier families for generations to come. ⁣

Is your diet making it harder to get pregnant?

𝐼𝓈 𝓎𝑜𝓊𝓇 𝒹𝒾𝑒𝓉 𝓂𝒶𝓀𝒾𝓃𝑔 𝒾𝓉 𝒽𝒶𝓇𝒹𝑒𝓇 𝓉𝑜 𝑔𝑒𝓉 𝓅𝓇𝑒𝑔𝓃𝒶𝓃𝓉?

A recent study looked at the impact of a processed modern diet on fertility. This study evaluated  areas of India that have recently adopted an urban diet with processed foods. They found that women who ate an urban diet were more likely to have problems with hormonal imbalances like what is found in polycystic ovarian syndrome (PCOS). Women who have PCOS are more likely to have difficulty conceiving. This suggests that as areas of India become more urbanized, infertility may become even more common. 

 

What you can do to optimize your fertility when trying to conceive:

✅Eat a whole foods plant-based diet

✅Avoid heavily processed foods like fast food

✅Cook your own meals whenever possible

✅Eat meat sparingly

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Tea and Plastics: the most recent example of healthy food packaged/prepared badly

As fertility specialists we try to point out how diet/lifestyle can optimize your fertility efforts. Recently, I shared the latest information that coffee and tea can actually have some benefits—despite popular, but misguided beliefs. But it is always important to realize that it’s not just what we consume—but also how we prepare it that matters!

Fancy tea bags

Tea can easily become an example of a healthy drink gone bad if not prepared properly. A recent study from McGill University demonstrated that just one of the new fancy plastic tea bags can release 11 billion microplastic and 3 billion nanoplastic particles into your drink in as little as five minutes when prepared at standard temperatures. These tiny particles cannot be seen without a microscope. But because of their size they can enter your body much easier than they can ever leave. In fact, a study from the World Wild Life Fund found that it is not unusual for people to consume about 5 grams of plastic per week by eating sea food or drinking beer from cans lined with plastic. That’s equivalent to eating the amount of plastic in a credit card each week!

Although we don’t (yet) know of all of the potential health effects of micro-particles—we do know that plastics can have a negative impact upon fertility due to the chemicals that they contain. In fact, a direct link has been found between the ingredients used in plastics upon egg quality and maturation (their ability to be fertilized). More importantly, these plastic tea bags are not needed and have only recently been introduced.

Here are a few tips to consider:

  • Say “NO” to unnecessary plastics—as consumers you speak volumes with your purchases. Let companies know if you’re choosing to not use their products due to their packaging choices
  • Get a re-usable device to steep your tea
  • Support organizations like the Environmental Working Group that offer tips to minimize your exposure to plastics

 

As I said in my previous blog post, “these low calorie, plant based beverages may have some health and fertility boosting benefits.” But now I’ll modify my statement with a reminder that this is only true if packaged and prepared in a health way.

Stay informed and motivated,

~Robert

Robert Greene, MD, FACOG

Conceptions Reproductive Associates of Colorado

Modern Family Building strategies for the LGBTQ Community

Many of us take for granted that having children will become a natural outcome of our current relationship. For members of the LGBTQ community—this is not the case. A recent survey conducted by the Family Building Council found that 33% of the LGBTQ respondents over age 55 either had children or were planning to have children. This was a sharp contrast to LGBTQ Millennials—age 18 to 35—for whom 77% are either already parents or planning to have children. Even more encouraging among Millennials, is that there are nearly as many members of the LGBTQ community planning to have children as their non-LGBTQ peers—48% vs 55%. However, the LGBTQ Millennials know that they are going to need some assistance to achieve their family.

Booth at Pride Fest

The Family Building Survey also revealed among LGBTQ Baby Boomers—those 55 and older—nearly 75% became parents through intercourse. Many of those were children conceived in former relationships and therefore were “blended families.” This was in sharp contrast to Millennials. Among the 18 to 35 year olds, more than half planned to use Assisted Reproductive Technologies, adoption or fostering to meet their family building goals. That amounts to an estimated 3.8 million LGBTQ Millennials considering expanding their families and 2.9 million that are actively doing so.

 

If you’re among those seeking to become parents, consider the following:

  • Learn what options are available rather than simply thinking about the simplest way to initiate a pregnancy
  • Consider what your ideal completed family would like before finalizing your plan—it can be very difficult to find the same donor years later if you want a sibling
  • Seek out providers in the healthcare community that will serve as your allies and advocates
  • As more insurance companies are covering reproductive technologies as a covered benefit—investigate how those options apply to you

 

Stay informed,

~Robert

 

Robert Greene, MD, FACOG

Conceptions Reproductive Associates of Colorado

Social media & infertility

Social media and infertility. The future is here. 🙌

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I’m excited to be included as part of a landmark paper series spearheaded by @drkenanomurtagmd advocating for the use of social media in the field of reproductive endocrinology & infertility. 

 

I committed to embracing IG as part of my social media journey earlier this year in the midst of preparing for my final oral boards, having a busy clinical career in private practice, and during my pregnancy. I’m not posting as much as I had hoped recently because I’m adjusting to my return to work from maternity leave. But I hope to be back in full swing soon, especially once I start getting more sleep!

 

I’ve been humbled by the power of this platform to connect with patients and others in medicine. I’ve also realized that being part of IG has helped me find my voice #asawoman , as a physician, and as a mother. I am so incredibly grateful for this community. ❤️

 

Inspired by @nataliecrawfordmd recent podcast, I am sharing with you my #goals for the future of this account.

✅Advocate for the importance of diet and lifestyle in fertility

✅Educate about my field of reproductive endocrinology and infertility using evidence-based medicine

✅Support other women using social media. 

✅Expand my outreach to patients. Share my personal struggles in life as a working mom and physician. Help patients decide if I am the right fit to manage their care. 

 

Vitamin B3: an emerging tool in reducing the risk of miscarriage

About one in four pregnant women will experience a miscarriage. At least two thirds of miscarriages are believed to be due to a genetic abnormality in the embryo. It can make it even more emotionally devastating if the pregnancy was initiated following an IVF procedure with an embryo that had already been genetically tested prior to transfer. That’s why it is so very important that we investigate other—possibly preventable—causes of early pregnancy loss. One emerging strategy is to optimize vitamin B3 intake.

Vitamin-B3

Vitamin B3—also called niacin—serves as critical component of energy within cells to support growth and development. It also serves as a key signal for a group of chemicals that are necessary to repair DNA as well as regulate your body’s stress response. These are all critical functions to initiating and maintaining a successful pregnancy. Unfortunately not all pregnant women are getting enough vitamin B3.

 

Surprisingly, not all prenatal vitamins contain niacin / B3. One study that was following over 500 pregnant women found that despite following a healthy diet and taking daily supplements—a high percentage of women were vitamin B3 deficient. More recently, a study published in the New England Journal of Medicine demonstrated that giving a group of high risk pregnant women a high dose vitamin B3 supplement seemed to reduce the risk of both miscarriage and birth defects. Additional studies are on-going to see how this may translate into women with average risk.

 

While we await the results of future studies in this area, there are some safe and simple steps you can consider to help minimize your risk of miscarriage:

  • Eat fortified cereals and grains
  • Include blueberries and grapes as part of your healthy diet—they contain a chemical pterostilbene which can enhance Vitamin B3 activity
  • Check your prenatal vitamin to confirm that it has at least 20 mg of Vitamin B3
  • Talk to your provider about whether or not you should consider a Vitamin B3 supplement

 

Stay informed,

~Robert

Robert Greene, MD, FACOG

Conceptions Reproductive Associates of Colorado