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Insulin Resistance and Fertility - Article Series

weight loss insulin exercise diet nutrition supplements naturopathic

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#1 DrFionaMcCulloch

DrFionaMcCulloch
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Posted 09 September 2013 - 01:09 PM

Hello IVF.ca friends,

 

For those who are interested, I just published an evidence-based 4 part series on insulin resistance and fertility in Naturopathic Currents.  This article will answer all of your questions about weight loss, obesity, exercise and fertility.  It also goes through some of the top supplements used for this condition, that are safe for fertility.  

 

Enjoy! 

 

Insulin Resistance and Fertility

 

 

Dr. Fiona


  • judes likes this
Dr. Fiona McCulloch, BSc., ND : Naturopathic Doctor, Integrative Women's Health & Fertility
White Lotus Integrative Medicine
Greenfield Ave, Suite 201
North York, Ontario, M2N 3CBCanada
phone (416) 730-8218



 
 

#2 judes

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Posted 09 September 2013 - 04:00 PM

Awesome! Thank you for this!


  • DrFionaMcCulloch likes this

Me: 34 Him: 35
Married since 2006 TTC ever since
Diagnosis: PCOS 

 

For complete history, see about me.

 

2012

 

IVF 1.3
12/26 - Mackenzie born 7:54 am, 6 lbs 3 oz

wFsTm5.png

 

2013 - Project sibling

 

IVF 2.1

4/17 - consult - Project sibling is a go.  same protocol as last time pending bloodwork and sonohysterogram. 

Projected beginning of cycle - August 2013.

 

5/8 - sonohysterogram: tubes clear, no residual placental tissue, ovaries still polycystic. Green light to cycle when ready.

 

8/9 - baseline scan. begin meds, 150 puregon, 50 menopur

8/13 - add orgalutran

8/18 - trigger half ovidrel, half hcg

8/20 - ER - 17 retrieved. 8/21 - 8 mature, 7 fertilised

8/23 - ET - One 8-cell grade 2 embryo transfered

8/26 - One embaby made it to the freezer!

9/1 - HPT - BFP!!!!

9/5 - Beta - 295!

9/9 - Beta - 1550!

9/18 - we have a heartbeat. Little Shrimp is 4.5mm and heart is beating at 109 bpm

10/25 - Turns out Little Shrimp is actually Little Shrimps! We had identical twins! Twin A 174 bpm, Twin B 183 bpm. Both measuring 11wks + 4 days

 

11/1 - NT scan. 1.5 and 1.6mm. Twins both measuring 12wks + 5 days, 2 days ahead.

 

Week 24 - put on modified bed rest due to softening of the cervix

Week 27 - hospitalised with pre-term contractions

Week 29 - put on strict bed rest

 

Seamus and Ronan born March 13 at 31 weeks and 2 days

 

Ronan came home April 7 and Seamus came home April 11.

 

SFCBm4.png
 

My blog - Geeky.Mama.Life

 

My YouTube channel - Geeky Mama Life

 

My day in the life vlog - Geeky.Mama.Vlogs

 

 

 


#3 JacMac

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  • Location:Fort McMurray
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Posted 10 September 2013 - 12:40 AM

I also agree, thanks for this link. Off to spend more money on supplements, sigh
  • DrFionaMcCulloch likes this
Me - now 36 Him - 37
Trying to conceive since our wedding day May 25, 2008.
Started Clomid Jan-April 2012.
Referred to RFP June 2012.
First consult at RFP November 2012.
First IVF cycle on antagonist protocol (GonalF, Luveris) January 2013.
Transferred two day-3 embryos, had severe OHSS, lost one twin between 7-13 weeks but was expecting one little one October 2013.
Found out at 6 mos that our little one had died weeks earlier and had to induce and deliver stillborn, July 25, 2013.
Something found on adrenal gland at follow up ultrasound, MRI showed what seems to be a benign tumor. Meeting with specialist Jan 8, 2014 - all fertility treatments on hold. :/
Tumour is definitely producing Aldosterone (causes high blood pressure) and Cortisol. Lucky me, only 34 similar cases recorded in the world! Tumour removed May 2014.
Approached about a possible adoption March 2014. Rush through all the paperwork and process.
Charlotte Evangeline born June 27, 2014. We brought her home on July 7 and held our breath for 10 days until she officially became ours.
Surprise BFP October 2014. Due to wonky cycles, ultrasounds convince Doctors I have a blighted ovum but detailed ultrasound reveals heartbeat at 6w3d. On progesterone support and waiting to see if pregnancy is still viable. Holding our breath again.
Adalyn Marie born on June 9, 2014 after a roller coaster pregnancy.

#4 Red Wine

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Posted 10 September 2013 - 12:02 PM

Great info!  Thanks for sharing!


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See about me page.


#5 Red Wine

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Posted 10 September 2013 - 07:28 PM

Dr. Fiona, are the supplements listed effective for lean PCOS-ers?


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See about me page.


#6 DrFionaMcCulloch

DrFionaMcCulloch
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  • Location:Toronto
  • Dx:N/A
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Posted 16 September 2013 - 12:04 AM

They are actually, RedWine. wink.png

 

 Most lean PCOS-ers are often insulin resistant, despite being slim.  There are some differences between lean and overweight pcos-ers...but these supplements could definitely be helpful in both cases.  From my experience with patients (and from my own as a lean -pcos-er) , we need a bit of a hormonal "nudge" to get things started ...that being said, even when lean, pcos-ers are insulin resistant in general - and when insulin is controlled, things are much improved. It's always a very individual approach, but a huge improvement can be made in many just by following these general guidelines!

 

I often like to follow the HOMA-IR index in my patients (fasting insulin/blood sugar index) to track progress. 

 

thanks for reading my articles! 

 

 

Dr. Fiona


Dr. Fiona McCulloch, BSc., ND : Naturopathic Doctor, Integrative Women's Health & Fertility
White Lotus Integrative Medicine
Greenfield Ave, Suite 201
North York, Ontario, M2N 3CBCanada
phone (416) 730-8218



 
 

#7 Red Wine

Red Wine
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  • Dx:Unexplained

Posted 24 September 2013 - 09:29 AM

They are actually, RedWine. wink.png

 

 Most lean PCOS-ers are often insulin resistant, despite being slim.  There are some differences between lean and overweight pcos-ers...but these supplements could definitely be helpful in both cases.  From my experience with patients (and from my own as a lean -pcos-er) , we need a bit of a hormonal "nudge" to get things started ...that being said, even when lean, pcos-ers are insulin resistant in general - and when insulin is controlled, things are much improved. It's always a very individual approach, but a huge improvement can be made in many just by following these general guidelines!

 

I often like to follow the HOMA-IR index in my patients (fasting insulin/blood sugar index) to track progress. 

 

thanks for reading my articles! 

 

 

Dr. Fiona

Hi Dr. Fiona,

 

Thank you so much for the info!

 

Even though I'm a "lean" pcos patient that doesn't mean my weight hasn't crept up in recent years, but I'm still a healthy weight according to my doctor.  However, I would still like to lose 10 lbs (but 15 lbs would be better) to feel more comfortable in my own skin.  I tend to store my fat in my hips, thighs and butt, so are there any specific tips you could give me to lose the weight.  Even though I have pcos I don't have high cholesterol, in fact, my doctor says my cholesterol is excellent.  I have good blood pressure and my insulin is slightly abnormal, but not enough to be put on medication.  I do eat healthy (most of the time) and I do exercise regularly.  Will the supplements in the article help with weight loss for leaner pcos patients?


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