As my patient, you expect my best effort and I am here to share, I am expecting the very same from you.
I hear about “cheat days.” Well…. Would you want me to cheat and not do my level best to help you conceive
I can hear it…. It would be a resounding NO.
Here are some of my requests:
Sugared beverages, independent of their caffeine content, may be a bigger threat to reproductive success than caffeine and caffeinated beverages without added sugar. Higher intake of sugared soda was associated with lower total, mature, and fertilized oocytes and top-quality embryos after ovarian stimulation. Machtinger et al (2017) showed that women who consumed sugared soda had, on average, 1.1 fewer oocytes retrieved, 1.2 fewer mature oocytes retrieved, 0.6 fewer fertilized oocytes, and 0.6 fewer top-quality embryos compared with women who did not consume sugared soda.
Anything unnatural coloring
A study in the Journal of the American Academy of Child & Adolescent Psychiatry, found the effects of food colors were notable in regards to behavior in ADHD kids. The UK and EU banned the use of some food dyes in food manufacturing. You can at least consider banning it in your own household, right Red colored vitamins Consider, it may do more harm than good.
Trans-fats, Fried Foods.
The food industry uses trans fats to “amplify” the taste and it allows these foods to have a longer shelf life. Unfortunately, that’s not all trans-fats do. The consumption increases risk for many chronic diseases, such as heart disease, stroke, and type 2 diabetes. Eliminate trans-fat. A Harvard study showed that fertilization rates were found to be lowest in couples where men had diets high in trans-fat intake. These foods include cakes, pies, cookies, biscuits, doughnuts, fried fast food, and frozen pizza.
Continued in comments...
It’s the last Medication Monday!
Every Monday I‘ve been going over the different T2D medications, because more and more T1Ds are developing insulin resistance, metabolic syndrome, and overweight and obesity! These are hallmark features of T2DM, a disease ultimately of insulin resistance. Some people call this “double diabetes”.
The T2DM meds all work to achieve the goal of improved insulin sensitivity, usually with the added benefit of weight reduction (did you know that adipose (fat) tissue is an endocrine organ that secretes hormones that cause insulin resistance It’s not bad, it’s just true).
So this Monday, we are talking about our first-line therapy for T2DM, AKA what you should try before and in addition to anything else, our best tool, and it’s not a med at all: nutrition and exercise.
I know. It’s not glamorous or interesting, and it’s certainly not as simple as taking a med. But the truth is that these are the most powerful tools that we have to combat insulin resistance and metabolic syndrome, and we would be silly not to talk about them or use them.
We have great data showing improved A1c, reduced risk of complications, and improved insulin sensitivity independently associated with increased physical activity, diets high in fiber, and low in glycemic index (but avoid sat fat - most T1Ds die of heart disease, a macrovascular complication). There’s a lot of ways to meet these goals but in the end the data is best summarized in the words of Michael Pollan: “Eat (real) food, not too much, mostly plants”. And when it comes to physical activity, it‘s simple as going for a walk.
Finally, there’s nothing wrong with using medications as an adjunct to lifestyle! It doesn’t mean you’ve failed and it certainly doesn’t mean that you’re cheating. If the tools are available, why not use them But the same holds true for the nutritional choices we make and how much we move our bodies. Those tools are our most basic ones that are available to us (no matter your social or other health determinants) and they‘re also our most impactful. ✨
This has been med Monday! I hope you learned something and enjoyed it too! Remember, knowledge is power! ✨
Did you know that the Women's Preventive Services Initiative (WPSI) has a mobile-friendly, interactive Well-Woman Chart To increase accessibility of the current WPSI recommendations, the interactive version of the Well-Woman Chart can be added as a shortcut to your smartphone or tablet (internet connection is required). Head to the link in bio for step-by-step instructions to add the Well-Woman Chart shortcut to your home screen.