Shownotes
Before pregnancy even starts, there's a window that quietly shapes a lot of what comes next, and most of us never hear about it. This episode is part of the Trimester 0 preconception podcast festival, and I'm sitting down with Kelly Moline, PharmD, the pharmacist and functional medicine practitioner behind the Moline Method. We get into how she combines her knowledge as a pharmacist with her functional medicine expertise, what actually matters about folate timing, how gut health and thyroid function connect, whether all that lab testing is really necessary, and what her patients almost always assume is fine when it isn't. If you're even thinking about trying in the next year, or just curious about the science, this one's for you.
If you like the conversations we have here, and your curiosity does not stop at wellness, come join the Mavens. The Smart Girl Newspaper is my free weekly newsletter for women who want to truly understand the things they are curious about, from their health to the wider world. New issue every week, link in the show notes.
Links:
Moline Method Website: https://molinemethod.com/
Functional Medicine for Moms (Spotify): https://open.spotify.com/show/2xfnGf8367wtHEuXp4BJQs?si=73e3c9c627ef490d
Functional Medicine for Moms (Apple): https://podcasts.apple.com/us/podcast/functional-medicine-for-moms-first-time-parents-navigating/id1821035310
Kelly’s Instagram: https://www.instagram.com/functionalmedicineformoms
Preparing for Pregnancy Guide: https://molinemethod.com/fertility
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Transcripts
And so if we constantly are under fight
or flight, our body's saying, "We don't
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need to reproduce right now," right?
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"We're fighting for our lives.
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We're running from a tiger.
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I don't know what you're doing."
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So we are not gonna do that.
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We're not going to make a baby.
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That does not sound safe.
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Let's not forget about your partner.
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They are half the equation 'cause I
have so many women doing all of these
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things to get their body ready for
pregnancy and to optimize everything,
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and then their husband is like, "I don't
think I need to do anything," you know?
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Like, "I'm just here for a
day," and then that's it.
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But they need to be
optimizing everything, too.
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Kelsy: So in this trimester zero
preconception phase, what is one
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of the things that many women think
is normal that you often flag?
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. Dr. Kelly Moline, PharmD:
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So a lot of the time many women
think that their, , period symptoms
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may be normal, whether that is heavy
periods or irregular periods or a
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lot of blood or very little period.
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So even when they come in and
they're like, "Yeah, it's great.
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My period lasts a day," that's something
that I wanna flag because that means
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we're likely not getting that hormone
cascade that we should be getting.
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And then I see a lot of the
digestive symptoms as well.
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And gut health always
relates to hormone health.
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It's how we are detoxing our hormones.
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So if we also have a lot of gut
issues or even simple things like
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fatigue or anxious feeling or not
sleeping at night, all of those
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things are reasons I wanna dig deeper
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Kelsy: I've always been curious,
how can you tell what is normal
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when it comes to menstrual flow?
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Dr. Kelly Moline, PharmD:
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I think there's a little bit
of range with normal as well.
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But I like to have that usually
four to six days is gonna be more
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normal, and not the super heavy,
big clots, that type of thing.
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I want that to be manageable.
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We're not bleeding through pads
or tampons within an hour or two.
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And yeah, it shouldn't wreck your life.
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And even those PMS symptoms of the
week before, and you're getting very
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irritable, and you're having maybe
headaches or other symptoms like that,
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we want to address that as well, because
there's other underlying things going on.
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And the more we can correct, the
better chance that we have for
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conceiving, but then also having
a healthy pregnancy and healthy
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postpartum delivery, baby, all of that
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Kelsy: So some of these symptoms
you're mentioning, fatigue,
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headaches, I feel like those can
be very subjective and broad.
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But you're saying - you see those
as indications that there might be a
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deeper issue that affects that sort
of hormonal song and dance, I call it.
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Like hormonal balance I feel like is
relative, but those expected hormonal
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fluctuations that we experience,
those things like a headache, like
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fatigue, like menstrual flow, all of
those can indicate deeper issues going
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on that might affect our fertility?
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Dr. Kelly Moline, PharmD:
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Yeah.
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So all of those symptoms are, signs
and symptoms are really just how
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your body is telling you something.
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So we need to be able to listen to those
and identify why they're happening.
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And so that's all root cause medicine
is identifying why something's
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happening so that we can address
that so it stops happening like that,
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because we need to listen to our body.
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Rather than what a lot of
my pharmacy degree taught me
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was, "Oh, you have a headache?
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We can treat that with a pill.
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Oh, you're having fatigue?
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Let's get some coffee in there," right?
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We need to see what's going on,
and then we can, uncover the root
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cause and optimize from there.
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Kelsy: In pelvic floor PT, the joke for
us is that a lot of physicians and other
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healthcare practitioners will say, "Oh,
your pelvic floor is super contracted?
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Drink some wine.
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Oh, you're having pain with sex?
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Drink some wine."
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So it's the unauthorized prescription
of alcohol to help with relaxation.
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Very similar to what you were
saying for pharmacy, but maybe
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in a slightly less regulated way.
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So speaking of pharmacy, you
started out as a pharmacist.
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What was that impetus for going
from pharmacy to becoming a
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functional medicine practitioner?
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Why did you feel called to
transition to this more sort of root
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cause holistic form of medicine?
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Dr. Kelly Moline, PharmD:
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Yeah, that's a great question.
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So I am still practicing as a pharmacist
as well, so I'm working part-time at an
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independent, in a compounding lab where
I work a lot with hormone replacement
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therapy and that type of stuff too.
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, But When I graduated pharmacy school, I
went on to do my residency, and that's
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what brought me here down in Texas.
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And I was kind of all over the place
that year from teaching at the college,
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, working retail at the independent
pharmacy, and working in ambulatory
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care, so working with a lot of chronic
disease from diabetes, , smoking
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cessation, lipids, blood pressure, all
of that, working closely with providers.
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And then at the independent pharmacy,
they also wanted me to start a
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weight loss program where it was
a lot of diet education, not like
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the GLP-1s that we think of today.
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That was not taking place yet.
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So I was doing a lot of that,
but there were also a lot of
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women who were doing everything,
quote-unquote, but not losing weight.
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And so I wanted to understand why,
and especially the women, that
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it was happening to the most was
around those transitional periods,
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so perimenopause and menopause.
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So that led me into digging more into
hormones and gut health and detox.
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And then also on the retail side, I
saw people on more and more and more
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medications, but not feeling better.
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You know, they come to the pharmacy, and
now we have a new symptom, whether that is
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from life or from a previous medication.
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And what do we do about it?
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We give them another medication.
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And so it really felt like
this never-ending cascade,
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and you know, my passion is to
understand why that's happening.
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And so I just kept asking
more and more questions.
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I ended up finding a functional
medicine course, and so I got certified
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in functional medicine throughout
that process too, and then I brought
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functional medicine to the pharmacy.
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And so that was really fun.
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And then when I got pregnant with my
first baby, I decided to bring that
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independently so that I could also have
more flexibility with being a mom and
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then have more say with that kind of stuff
too and lean into different directions.
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But yeah, that's kinda why I transitioned,
and now I'm in the compounding lab in that
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same pharmacy, but I really love it 'cause
I think it goes hand in hand with a lot
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of what I do with functional medicine too.
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But I see both sides, that hormone
replacement therapy, the thyroid, even
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GLP-1s and how those can be used as tools,
but not always the answer as well and how
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we still need to work on things like gut
health, detox, nervous system regulation,
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cortisol balance, all of that too.
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Kelsy: And it's nice because I feel
like you're one of the few that has
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that expertise from both, where you're
able to not view an issue or a challenge
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from one lens, but you're able to
pull from both for whatever patient's
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in front of you, whether you're at
the compounding pharmacy or whether
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you're in your own private practice.
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So I feel like having that multifactorial
view, that multi-expertise lens to look
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at a problem through is always beneficial
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Dr. Kelly Moline, PharmD:
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Yeah, I think sometimes both sides,
whether that is like the Western
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medicine versus the Eastern medicine
and the more, , natural medicine kinda
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demonize each other because there's a
lot they don't know about each other.
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Where I've heard a lot of people
in this holistic world just say,
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you know, "Medications are bad.
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We don't want them," and they don't know
a lot about them, so they must be bad.
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And I, I see their effects and what
they're intended for use, but are also
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can be a lot of side effects and risks
that come with medication, and I think
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that should be part of the conversation,
and sometimes they are used for a tool.
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And I always try to say if we can do
shortest duration for lowest dose,
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and then, figure out the root cause,
that would be the best approach if
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that needs to be part of the equation.
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But then on the flip side, I
see a lot of Western medicine
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practitioners, demonize holistic
medicine and say, "That's just bogus.
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There's no science behind it,"
which is absolutely false.
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There is a lot of science behind it.
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There's a lot of history behind it.
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And then if you talk to a lot of people
who have had really good functional
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medicine providers, they'll say
their experience with it and how they
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really did feel better in it, too
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Kelsy: It's one of the reasons I love
being a physical therapist, 'cause I do
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feel like we get the traditional Western
medicine education, but we ride this line
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between Western and Eastern, and I love…
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I've had a few traditional Chinese
medicine practitioners on the
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podcast, and a wealth of knowledge,
and a lot of the things that they've
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been practicing for, you know,
centuries, research is catching up to.
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So I do feel
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Dr. Kelly Moline, PharmD:
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Yeah
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Kelsy: This nice, puzzle, this link
between the two, and when you're able
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to combine that and when you're able
to ride that line and get expertise
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from both and view things from both
areas, and not just Western and
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Eastern, but more like holistic
versus a little bit more medicalized
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part of treating the whole person.
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I feel like it's such a wonderful
opportunity to help someone
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in the best way possible.
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So speaking of your background
as a pharmacist and now as a
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functional medicine practitioner,
you founded the Molling Method.
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So talk to us a little bit about that and
specifically a few of the pillars that you
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look at when treating someone who is in
this trimester zero preconception phase.
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. Dr. Kelly Moline, PharmD:
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So Moline Method is
really my method, right?
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It's my name.
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But a lot of it comes from my
functional medicine training, but then
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also my pharmacy background as well.
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And kinda to your point earlier,
when someone comes in, they're not
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usually starting from ground zero,
zero supplements, zero medications.
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They usually have maybe a couple
medications on board, or they've
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tried different supplements.
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And I've seen so many practitioners
on both sides say, "I don't know what
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that is, so you can just stop it."
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Or, you know, like, I can come in and
say, "Okay, this medication, yes, it
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can be solving this issue or addressing
this issue, but it's also causing
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these other effects, or we're having
nutrient depletion from it, so we
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also need to have, uh, more nutrient
balance," whether that is replacing the
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vitamin B12 or whatever the medication
is depleting, we can help do that.
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And then with the supplements too, I
can look at it and say, " Okay, this
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can be a good supplement, or it can be
not a good quality supplement based on
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the form it is or whether or not they do
testing, what the pharmaceutical grade is.
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And so we can get to a
better stance on that.
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So I really do like to analyze people case
by case and what they're coming in with.
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I And by that I mean, like,
their symptoms and stuff too,
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and any labs they may bring in.
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And if we don't have labs,
we can get simple labs.
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I have on my website some basic
foundational labs, and I have three
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different price points if or not we want
to include more hormones in that as well
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along with semen analysis for our males.
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And then I have my preparing
for pregnancy guide too.
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So those are things that I would
really love people to start with
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in trimester zero to get prepared.
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And then if you need functional testing,
that is where we can really work
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one-on-one because we've identified
red flags from the labs before or, your
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doctor has, or you're having more symptoms
like what we talked about earlier, or
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having digestive symptoms and you wanna
look into gut health, male and female as
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well, , because both is gonna impact their
fertility and the health of the baby.
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So we want to look at it
from all points if possible.
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And so, I always go by what are
our symptoms, what do we wanna
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do functionally, and then what
do we have the means for and
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what do we have the time for?
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If we have the time f- to detox
and that kind of stuff, and if
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that's needed, then we'll do that.
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If we don't have the time because we're
trying to conceive, like, yesterday, then
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we're not gonna do a full detox because
that's not gonna be safe in trying to
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conceive or even up to three months
trying to conceive because the egg itself
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and the semen itself is being created,
, 90 days prior to it being released.
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So we want the healthiest
baby on all aspects.
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So I really do take that case
by case, and that's one benefit
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of working directly with me.
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But I know that not everyone
needs the expense of functional
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testing, and so that's why I offer
things on my website as well.
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Because when I was trying for this
pregnancy and I was looking into
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ordering all of these functional
tests for me and my husband, and
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we didn't have any issues, right?
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And we already have a healthy baby at
home, and I'm like, "Okay, do I wanna
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spend this much money on all of these
tests even though I know it's important,
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but I'm not having any symptoms?"
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And you know, we are also trying
to save some money here and there.
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Um, so what can we do that makes sense
that we can still get really good
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information from and make , items to do?
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So I created, some simple blood work that
is honestly even more affordable a lot of
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the time than asking your doctor for them.
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'Cause I got some blood
work even from my midwives.
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I'm like, "Okay, let's add this on."
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I'm like, "Why is it that expensive?"
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or It's more affordable on my website,
so that was, like, a plus of adding
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it there especially for I think a lot
of people are really optimistic when
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they're gonna start trying to conceive.
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They're like, "Oh,
we're, yeah, we're fine.
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We're, we don't have anything going on."
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So this is just a great way of seeing if
that's true or do we need to dig deeper?
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Kelsy: I love that you mentioned
your personal experience too.
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As someone who is a functional
medicine practitioner realizing,
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okay, not everyone is appropriate
for maybe that level of expertise.
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Especially like you said, if you're
relatively confident in how your body
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functions, you've had a successful
pregnancy before, maybe someone just wants
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a little bit of guidance and specific
labs and not necessarily that one-on-one.
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So I love that you mentioned that
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Dr. Kelly Moline, PharmD:
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Yeah
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I also pair it with my Preparing for
Pregnancy guide, because I wanted
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to put labs in there in the guide
of these, this is the standard range
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that, you know, Western medicine
or your typical practitioner might
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be looking at, that is like, this
would be indicated of medication,
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or this is indicative of disease.
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But we're not waiting for disease to
do something about it, so we're going
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to do something to try to optimize it.
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So I also include the optimal range
for fertility in all the markers and,
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or most of the markers that I include
in my guide, 'cause it can get long.
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But then I say what the optimal
range is, and then lifestyle
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recommendations and diet
recommendations to help you get there.
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Because yes, of course, we can work
one-on-one to optimize your vitamin
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D level, but I don't think people are
dumb, and people can like figure out
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that they can just take more vitamin D.
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And if we can get that low-hanging fruit
by doing it a little bit DIY, then I want
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more people to have access to that too
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Kelsy: I love it.
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I also wanted to ask you, you
mentioned if people have time, you
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might recommend some sort of detox.
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Dr. Kelly Moline, PharmD:
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Mm-hmm.
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Kelsy: That process look like
and who would that be for?
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What might they come to
you with symptoms of?
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Dr. Kelly Moline, PharmD:
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Yeah.
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So I look at organic acid testing in some
of the tests that I offer, and so I can
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see how your body is handling toxins.
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And it tests for toxins that are
in our day-to-day, so it's not
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necessarily saying stay away from
these specific toxins, which if we can
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stay away from toxins, we wanna do.
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But we live in this world, so
we want our body to be able to
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process those efficiently, and
sometimes it's not doing that well.
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And the toxins tend to stay in our fat
tissues, and that can go towards our
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brain, it can go just in our fat, and then
it can also go to a baby or it can go to,
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the egg or the sperm and damage the DNA.
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And symptoms can look all over the board.
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So it can be headaches.
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It can be we're not losing fat, and
we have a trouble with weight loss.
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It can be hormonal issues.
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It can be we've been on a lot
of medications, and our liver
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has had to process all of these
or even a lot of supplements.
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And it can be even, like, gut pathogen
killing through a protocol, which gets
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you to the other side so much better
for your gut health, but that's also
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a lot that the liver has to handle.
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It can be the cortisol cascade
if we have really high cortisol.
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Like, all of that goes through the
liver, and the liver does a really
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good job, but it does slow down
over time, and it does clog up.
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And so when it slows down, it
just keeps the toxins in our
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body, and that's not what we want.
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But we also don't wanna detox when we're
trying to conceive, when we're pregnant,
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or when we're breastfeeding because
when we're detoxing, we're pulling
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those toxins out of the tissues and
mobilizing them, and that's where they
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can go cross through the pl- placenta.
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That's when they can get to the embryo.
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That's when we can get to the brain.
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That's when we can get through
the breast milk and toxins can
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end up where we don't want them.
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So timing of that is very important
as well and working with, hopefully,
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a healthcare practitioner to help that
protocol and help you respond well 'cause
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if you're doing a detox at a not a great
time, you could also feel really crappy
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from a detox, so we wanna avoid that too.
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Kelsy: And you mentioned if someone has
enough time, what might that timeline look
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like for someone who is in trimester zero
and they're like, " I'm really flexible
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on when I want to try and conceive.
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I notice that I might have some of these
conditions that might need a detox."
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How long will that usually take?
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And I'm sure there's a range.
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Dr. Kelly Moline, PharmD:
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00:20:23,041 --> 00:20:24,650
Yeah, definitely a range.
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Depends where we lie.
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I like to do, like a supplement
that has a week protocol with it,
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and that's works really well for
a lot of people to kickstart it.
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And if we need a little bit more, then
I like to add liver toning supplements
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for about two months after that.
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So it depends where we are,
but I like to finish at least
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three months prior to conception
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Kelsy: Okay, I love that.
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And I love the explanation of
detox because detox is such a hot
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topic that it's nice to better
understand the science behind what's
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actually happening during a detox.
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We talk about liver detox, we
talk about just detox is such a
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hot item word and clickbaity word
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Dr. Kelly Moline, PharmD:
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Uhum
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Kelsy: it really helps to understand
how you approach it from a more
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medical and scientific lens.
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Dr. Kelly Moline, PharmD:
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Yeah, we're not talking
about the juice cleanse.
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That's completely different.
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Kelsy: Good point.
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I'm glad you mentioned the juice
cleanse, 'cause I do feel like
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people will be like, "Oh, detox."
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That's why I wanted, even for
my own curiosity, like what
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does that actually look like?
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You mentioned a lot about gut health.
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I want to out some more hot topic phrases
and I guess systems of the body, and
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I want you to run through how you view
them from a functional medicine lens.
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So we'll start with gut health, which
we've already covered a little bit,
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but also nervous system and hormones.
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Are those three related at all?
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And what are some of the broad ways that
you look at some of those like hot phrases
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when we talk about health and wellness?
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Dr. Kelly Moline, PharmD:
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00:21:55,716 --> 00:21:57,135
Yeah, great question.
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So when I was digging into functional
medicine before I found my course
357
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or anything, I'm like, "Let me just
get into thyroid," or, "Let me just
358
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get into gut health or cortisol."
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And then I'm like, "I can't just
get into one because they're
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all related to each other."
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So backing up, I think everyone knows
that to conceive, we have to have
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hormone balance of some sort, right?
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Hormones have to be working, and that's
gonna relate to gut health because
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your hormones, how they get excreted
from the body is through the gut.
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So if the gut is backed up, if it's
inflamed, if it's not absorbing
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nutrients properly, that's not
gonna happen efficiently, and then
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we can have a hormone imbalance.
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For example, estrogen gets cleared
through the gut, and if we have
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constipation or other gut issues,
we're gonna have estrogen dominance,
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which means more estrogen compared
to progesterone, and that is not a
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good look for fertility or symptoms.
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And you might have more of the anxiety,
the rage, the bloating, the headaches.
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So we want to correct
that for our hormones.
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And then nervous system regulation, in
my world, that means cortisol balance.
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And cortisol is our stress
hormone, and we need that.
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That's made from our adrenal glands, and
we want that to rise in the morning and
377
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fall throughout the day and be low by
bedtime so you get good quality sleep.
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But when we're stressed and we're under
fight or flight, then cortisol gets high,
379
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and that's a normal, healthy response.
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We want that to happen, absolutely.
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And other things are
happening when that happens.
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So it's pulling resources
from the rest of our body.
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It's pulling glycine, which is an amino
acid in the gut, to make quick energy.
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But constantly pulling that is gonna
then cause leaky gut as well, um,
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which is holes within the gut lining
that can cause more inflammation, more
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prone to food sensitivities your immune
system's gonna be lower, all of that.
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So they're all related and we
want to have cortisol balance.
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We don't want it too high or too low.
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When our body's constantly pushing
out that cortisol and pushing out
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00:24:27,405 --> 00:24:31,825
those stress hormones, then eventually
it's gonna down-regulate that to
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protect itself, and then we're
dragging throughout the whole day.
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And then we have a flat cortisol line,
which is also not what we want, and then
393
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we might have trouble sleeping at night.
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So we want to help regulate
that, correct that rhythm.
395
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That can help correct the, the
different hormones, estrogen and
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00:24:51,165 --> 00:24:57,285
progesterone, because when we have a
lot of cortisol, that's gonna steal
397
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a pre-component to make progesterone
called- Pregnenolone, it's a precursor
398
00:25:02,983 --> 00:25:05,413
so that we have that pregnenolone steal.
399
00:25:05,453 --> 00:25:10,963
And so if we constantly are under fight
or flight, our body's saying, "We don't
400
00:25:10,963 --> 00:25:13,073
need to reproduce right now," right?
401
00:25:13,283 --> 00:25:15,183
We're fighting for our lives.
402
00:25:15,183 --> 00:25:17,193
We're running from a tiger.
403
00:25:17,223 --> 00:25:18,733
I don't know what you're doing.
404
00:25:19,013 --> 00:25:21,383
so we are not gonna do that.
405
00:25:21,383 --> 00:25:23,113
We're not going to make a baby.
406
00:25:23,113 --> 00:25:24,503
That does not sound safe.
407
00:25:24,833 --> 00:25:30,423
So we need to have our nervous system
regulated, whether that is cortisol
408
00:25:30,433 --> 00:25:34,923
balance, whether that is the deep
breathing, that's gonna help for sure.
409
00:25:35,253 --> 00:25:40,353
If it's chiropractic help getting
outside, like all of those things, right?
410
00:25:40,553 --> 00:25:44,613
I'm not saying supplements and
medications are for the answer for
411
00:25:44,673 --> 00:25:50,703
everything because part of what I do is
I bring in all aspects of health, and
412
00:25:50,703 --> 00:25:56,043
we need to have lifestyle and nutrition
there, and that should be really 80%
413
00:25:56,083 --> 00:26:00,143
of what you're doing so that we can
eventually take away the supplements
414
00:26:00,183 --> 00:26:02,453
and live that healthy lifestyle as well
415
00:26:02,853 --> 00:26:07,393
Kelsy: That is a perfect explanation of
sort of the link, and I know that is so
416
00:26:07,393 --> 00:26:11,683
much broader than that, and you do such
a good job of simplifying it for me as
417
00:26:11,723 --> 00:26:16,433
the lay understanding, lay understander
of this education and this complexity
418
00:26:16,443 --> 00:26:18,483
that's within the whole human body.
419
00:26:19,307 --> 00:26:22,877
in functional medicine, the
thyroid is also a huge component.
420
00:26:23,197 --> 00:26:26,667
Can you talk a little bit
about the thyroid, what role it
421
00:26:26,667 --> 00:26:30,727
plays in our bodies, and how it
affects how we feel and function?
422
00:26:30,977 --> 00:26:30,978
Dr. Kelly Moline, PharmD:
423
00:26:30,978 --> 00:26:35,337
So the thyroid is actually a gland that
sits the base of your neck right here.
424
00:26:35,347 --> 00:26:41,957
It looks kinda like a butterfly, and
it's our thermostat, it's our ultimate
425
00:26:41,987 --> 00:26:47,797
regulator in our body, and it's
constantly assessing how we're doing.
426
00:26:48,047 --> 00:26:54,537
And for the thyroid to work properly,
we need to be in that rest, digest,
427
00:26:54,557 --> 00:27:00,757
recovery, , state, where when we have
that fight or flight state where our
428
00:27:00,787 --> 00:27:06,537
cortisol is going up and you're f- flying
from the tiger, whatever then it's always
429
00:27:06,537 --> 00:27:09,777
gonna down regulate the thyroid, always.
430
00:27:10,127 --> 00:27:14,967
And so I have a lot of people
that are on thyroid medication.
431
00:27:14,967 --> 00:27:18,457
Working in a pharmacy, that's our
top prescribed medication by far.
432
00:27:18,727 --> 00:27:23,527
So the thyroid medication is being
prescribed a lot because people
433
00:27:23,527 --> 00:27:28,777
are looking at thyroid testing,
typically just a TSH, which is
434
00:27:28,787 --> 00:27:34,107
thyroid-stimulating hormone, to see
how loud the body is telling the
435
00:27:34,107 --> 00:27:37,137
thyroid to make more thyroid hormone.
436
00:27:37,357 --> 00:27:41,517
And if it's really, like, yelling loud,
we're like, "Oh, the thyroid must not
437
00:27:41,517 --> 00:27:46,717
be listening 'cause it's not working,
so we should give it thyroid hormone
438
00:27:46,727 --> 00:27:52,947
replacement," AKA levothyroxine or
something like that, and th- because
439
00:27:52,947 --> 00:27:55,437
it's not working, so that's our solution.
440
00:27:55,707 --> 00:28:00,487
Which really it may just be not
working and it's not listening, not
441
00:28:00,487 --> 00:28:04,387
because it can't work, but because
it's working on everything else in
442
00:28:04,387 --> 00:28:06,187
the body just to try to stay alive.
443
00:28:06,427 --> 00:28:11,387
So it has that cortisol cascade
like we talk about, and it's down
444
00:28:11,387 --> 00:28:15,337
regulating our metabolism, so
you might feel the weight gain.
445
00:28:15,337 --> 00:28:17,807
You might feel cold, tired.
446
00:28:17,807 --> 00:28:22,507
Those are all symptoms of,
like, low thyroid production
447
00:28:22,507 --> 00:28:24,897
or low thyroid, efficiency.
448
00:28:25,237 --> 00:28:31,347
And so we want to help the body get
into that rest, digest, recovery
449
00:28:31,347 --> 00:28:33,287
nervous system regulation first.
450
00:28:33,477 --> 00:28:35,787
And then a lot of times
the thyroid can pick up.
451
00:28:36,017 --> 00:28:38,927
Sometimes we need to give it
some of those building blocks
452
00:28:38,947 --> 00:28:40,537
to make the thyroid hormone.
453
00:28:40,537 --> 00:28:45,517
Sometimes we need to work on the cellular
level where the thyroid hormone is
454
00:28:45,517 --> 00:28:49,737
being converted to the active version,
so it can actually work on the cells.
455
00:28:50,067 --> 00:28:53,587
So there's a lot of different
pieces that can work together
456
00:28:53,627 --> 00:28:55,187
to get the thyroid working.
457
00:28:55,197 --> 00:29:00,937
But it is one of those things that I
think needs to be checked for, especially
458
00:29:00,937 --> 00:29:06,157
when we're talking about fertility,
because it's a great indicator on where
459
00:29:06,157 --> 00:29:11,127
the body is and it doesn't always mean,
oh, we just need thyroid replacement
460
00:29:11,127 --> 00:29:16,347
hormone or l- levothyroxine, but there
could be other things going on, other
461
00:29:16,347 --> 00:29:18,737
inflammation going on that can help.
462
00:29:19,017 --> 00:29:25,687
And just because TSH may be normal
and I have an optimal range but I also
463
00:29:25,687 --> 00:29:30,297
like to dig deeper into the thyroid
and look at those, , single thyroid
464
00:29:30,307 --> 00:29:38,117
hormones T3, T4, reverse T3, free, um,
all of those things, antibodies to the
465
00:29:38,117 --> 00:29:44,017
thyroid to see what else is it doing
rather than just looking at TSH too
466
00:29:44,417 --> 00:29:47,037
Kelsy: It sounds like with all
of this, the nervous system is
467
00:29:47,107 --> 00:29:50,837
a good place to start, a good
sort of action item to tackle.
468
00:29:50,857 --> 00:29:54,737
It's all integrated, and it's all
intertwined, which I feel like is
469
00:29:55,097 --> 00:29:58,217
one of the reasons it's nice to
have someone walk you through this.
470
00:29:58,247 --> 00:30:04,743
But there any that you would recommend
in regards to nervous system regulation
471
00:30:04,753 --> 00:30:09,373
or maybe not even regulation, just
like helping the nervous system to
472
00:30:09,773 --> 00:30:13,943
be able to get from that fight or
flight response to that rest, digest
473
00:30:13,973 --> 00:30:16,703
part of the whole nervous system?
474
00:30:16,903 --> 00:30:16,904
Dr. Kelly Moline, PharmD:
475
00:30:16,904 --> 00:30:19,863
So try to figure out why it's happening.
476
00:30:20,003 --> 00:30:20,513
Okay?
477
00:30:20,763 --> 00:30:27,063
So rather than our nervous system is
off, so now we need this supplement or
478
00:30:27,063 --> 00:30:33,193
this medication or this to do, if we can
back up and figure out why our nervous
479
00:30:33,193 --> 00:30:35,753
system is off, that can be really helpful.
480
00:30:36,153 --> 00:30:40,523
Is that stress that we can
remove from our day-to-day?
481
00:30:40,743 --> 00:30:41,853
But sometimes it's not.
482
00:30:41,953 --> 00:30:45,593
Sometimes it's a stressful job
and we can't just leave our job.
483
00:30:45,603 --> 00:30:48,693
We have a family to provide
for or something like that.
484
00:30:49,073 --> 00:30:53,903
But sometimes we can remove certain
stressors whether that is emotional
485
00:30:53,913 --> 00:30:59,373
stress or could be physical stress
going on, whether that is pain or it
486
00:30:59,373 --> 00:31:02,503
could be like a gut pathogen going on.
487
00:31:02,553 --> 00:31:05,363
It could be toxins going on.
488
00:31:05,593 --> 00:31:10,363
So I deal with a lot of the
chemical side, but there's also…
489
00:31:10,753 --> 00:31:14,023
There's so many different types
of stressors, so if we can
490
00:31:14,023 --> 00:31:15,893
figure out why that is happening.
491
00:31:16,153 --> 00:31:19,873
So for example, like I have people
that are like, "I think I'm fine,"
492
00:31:20,133 --> 00:31:22,143
but then we dig into their gut health.
493
00:31:22,143 --> 00:31:25,223
I'm like, "Oh girl, you have a lot
of pathogens, and that's causing
494
00:31:25,223 --> 00:31:27,273
stress on the body and inflammation."
495
00:31:27,613 --> 00:31:29,773
So that's something
that we'd wanna address.
496
00:31:30,173 --> 00:31:36,763
But we can also help by doing the other
things like the deep breathing, like the
497
00:31:36,763 --> 00:31:42,643
prayer meditation like the eating better,
not having those blood sugar spikes
498
00:31:42,653 --> 00:31:46,633
all the time 'cause that's gonna cause
inflammation and that's hard on the body.
499
00:31:46,963 --> 00:31:52,683
So if we can eat more whole foods
and reducing like those processed
500
00:31:52,693 --> 00:31:54,983
simple sugars and that type of thing.
501
00:31:54,993 --> 00:31:56,673
If we can get out in nature.
502
00:31:57,013 --> 00:32:00,723
If we can get sunlight in the morning,
'cause that's gonna help reset the
503
00:32:00,723 --> 00:32:03,553
circadian rhythm or your sleep-wake cycle.
504
00:32:03,853 --> 00:32:07,663
And then have dim lights
and dark at bedtime.
505
00:32:07,893 --> 00:32:12,763
So there's a lot of lifestyle things that
we can add to help reduce the stress.
506
00:32:12,763 --> 00:32:17,313
But if we can also see what may
be causing it, and you may know
507
00:32:17,353 --> 00:32:18,823
what's causing your stress.
508
00:32:19,073 --> 00:32:22,813
And sometimes writing it down and
figuring out like, "What can I control
509
00:32:22,893 --> 00:32:26,363
and what can't I control, and is this
really a priority to stress about?"
510
00:32:26,403 --> 00:32:28,123
and maybe just like leave
it there on the paper.
511
00:32:28,523 --> 00:32:31,363
But yeah, Those would
be my recommendations.
512
00:32:31,613 --> 00:32:34,473
Kelsy: Do you have a favorite
sort of breathing pattern
513
00:32:34,583 --> 00:32:35,833
that you recommend for people?
514
00:32:35,833 --> 00:32:41,063
Is there a count or something that
you like to do with your patients
515
00:32:41,063 --> 00:32:42,443
that you find extremely helpful?
516
00:32:42,843 --> 00:32:42,844
Dr. Kelly Moline, PharmD:
517
00:32:42,844 --> 00:32:47,683
So I originally was taught boxed
breathing, but then now I like
518
00:32:47,713 --> 00:32:49,353
a four-six-eight breathing.
519
00:32:49,583 --> 00:32:55,503
So having the longer exhalation versus
inhalation puts your body into that
520
00:32:55,573 --> 00:32:58,113
rest, digest, recovery mode better.
521
00:32:58,353 --> 00:33:04,723
So what that means is we breathe in for
four counts, hold for six, and breathe out
522
00:33:04,733 --> 00:33:07,363
for eight, and then you can repeat that.
523
00:33:07,413 --> 00:33:12,783
And I even do that a lot of times before
bedtime if I have trouble falling asleep,
524
00:33:13,053 --> 00:33:17,173
'cause then again, it puts our body
back into that rest, digest, recover
525
00:33:17,573 --> 00:33:18,923
Kelsy: That's what I'm
going to take with me.
526
00:33:18,923 --> 00:33:22,653
I love knowing what other people do
for their breathwork because I'm…
527
00:33:23,013 --> 00:33:25,983
Box breathing is just easy
because it's counting, right?
528
00:33:25,983 --> 00:33:29,033
And it's the same time, but I
love the 4-6-8, so I'm definitely
529
00:33:29,033 --> 00:33:30,213
gonna have to try that one out.
530
00:33:30,557 --> 00:33:34,377
So another thing that I hear often
in this functional medicine space
531
00:33:34,387 --> 00:33:36,677
is about folate and folic acid.
532
00:33:37,067 --> 00:33:41,237
And college, I've told this story
before, but my professor was
533
00:33:41,237 --> 00:33:43,798
like, " Every woman of childbearing
age needs to be on folic acid."
534
00:33:43,798 --> 00:33:48,928
So I was under the assumption
that I needed to be on folic acid.
535
00:33:48,968 --> 00:33:53,978
And within the last, I think probably
two or three years, I've heard more
536
00:33:53,988 --> 00:33:58,968
about certain bodies not accepting
folic acid or that form of folate.
537
00:33:58,978 --> 00:34:05,678
So to us a little bit about folate
and how we can get the right version
538
00:34:05,948 --> 00:34:10,088
for our bodies in the right form,
and why that actually matters.
539
00:34:10,288 --> 00:34:10,289
. Dr. Kelly Moline, PharmD:
540
00:34:10,289 --> 00:34:17,178
So folate is vitamin B9, and folic
acid is the synthetic version of that.
541
00:34:17,568 --> 00:34:21,188
But it's not apples to apples in the body.
542
00:34:21,507 --> 00:34:28,408
Some bodies will accept it and utilize
it like folate, and some have a
543
00:34:28,408 --> 00:34:34,318
gene variation frequently known as
MTHFR, where they can't process that.
544
00:34:34,598 --> 00:34:39,178
And that's super important for a lot
of things going on in the body from
545
00:34:39,178 --> 00:34:41,487
mitochondrial health, cellular health.
546
00:34:41,748 --> 00:34:45,737
But especially when we're talking
about pregnancy and preconception,
547
00:34:45,998 --> 00:34:50,608
we're talking about the nervous system
developing, the neural tube defects.
548
00:34:50,848 --> 00:34:54,648
So that's why it's the general
recommendation to have,
549
00:34:54,848 --> 00:34:56,467
quote-unquote, folic acid.
550
00:34:56,478 --> 00:35:01,528
But I think it should be replaced as
folate because so many more people
551
00:35:01,538 --> 00:35:05,088
are finding out that they have
this gene variation called MTHFR.
552
00:35:05,098 --> 00:35:11,261
And what I thought was very interesting
is even if you don't have that
553
00:35:11,261 --> 00:35:16,961
variation, your husband might, and
then that is going to influence
554
00:35:17,001 --> 00:35:19,381
the gene variation of your baby.
555
00:35:19,601 --> 00:35:24,861
And so your baby might have a gene
variation that you don't have, and that's
556
00:35:24,861 --> 00:35:30,471
gonna affect how they're developing,
their risk of miscarriage, all of that.
557
00:35:30,591 --> 00:35:36,881
So if we can take the easy route and
take folate instead of folic acid,
558
00:35:37,101 --> 00:35:39,031
that's typically my recommendation.
559
00:35:39,431 --> 00:35:40,211
Kelsy: Okay, I'm shocked.
560
00:35:40,211 --> 00:35:43,771
This is amazing because I knew you were
the perfect person to ask about this
561
00:35:43,771 --> 00:35:48,271
because it's something that has been
drilled into us, I feel like, as women, is
562
00:35:48,271 --> 00:35:51,621
folic acid, neural tube development, like
all of these things that I hear about.
563
00:35:51,981 --> 00:35:56,381
But if my body can't process it in
the right way, and I had no idea
564
00:35:56,381 --> 00:35:57,681
it was a synthetic form either.
565
00:35:57,681 --> 00:36:00,271
So this is all new information to me.
566
00:36:00,471 --> 00:36:04,171
That is crazy, especially the
male component of it all, too
567
00:36:04,571 --> 00:36:04,572
Dr. Kelly Moline, PharmD:
568
00:36:04,572 --> 00:36:09,671
Yeah, and even in my last pregnancy,
I was doing even more research, and
569
00:36:09,681 --> 00:36:15,331
tongue ties and lip ties can also
be from lack of vitamin Bs as well.
570
00:36:15,571 --> 00:36:20,191
So making sure we have those methylated
versions of the vitamin Bs or those
571
00:36:20,261 --> 00:36:25,491
active forms in quality supplements
can reduce the risk of the tongue
572
00:36:25,491 --> 00:36:29,901
ties, lip ties, cheek ties of our
infants, which can leader, lead
573
00:36:29,911 --> 00:36:35,481
to feeding struggles and speech
struggles and more symptoms like that.
574
00:36:35,881 --> 00:36:37,081
Kelsy: Yeah, dental development.
575
00:36:37,131 --> 00:36:40,961
I have a cousin who just turned 18,
and she got her tongue tie fixed at 18
576
00:36:40,961 --> 00:36:46,511
years old because she was having so much
TMJ and dental issues related to it.
577
00:36:46,521 --> 00:36:46,881
So
578
00:36:47,221 --> 00:36:47,631
Interesting.
579
00:36:47,631 --> 00:36:50,251
I'm gonna have to bring that up to them
too as something that might be in their
580
00:36:50,251 --> 00:36:55,261
genetics to understand for when she
potentially tries to get pregnant too
581
00:36:55,661 --> 00:36:55,662
Dr. Kelly Moline, PharmD:
582
00:36:55,662 --> 00:36:56,301
For sure
583
00:36:56,701 --> 00:36:57,021
Kelsy: Okay.
584
00:36:57,021 --> 00:37:01,731
So if someone has, let's say, three
months before they are trying to
585
00:37:01,741 --> 00:37:03,731
conceive, what would be some of the
586
00:37:07,658 --> 00:37:08,158
checkboxes?
587
00:37:08,188 --> 00:37:08,548
And I know we've covered all of
them, but if someone is like,
588
00:37:08,548 --> 00:37:09,688
"Okay, I am in trimester zero.
589
00:37:09,708 --> 00:37:13,508
I'm looking to check the boxes on
my health to prepare my body in
590
00:37:13,508 --> 00:37:18,268
the best way for pregnancy," what
would be some of those boxes for,
591
00:37:18,298 --> 00:37:19,508
that you're giving your patients?
592
00:37:19,758 --> 00:37:19,759
Dr. Kelly Moline, PharmD:
593
00:37:19,759 --> 00:37:25,638
So I would love for people to look into
my Preparing for Pregnancy guide because
594
00:37:25,638 --> 00:37:30,888
it is gonna have a lot of those steps,
and I do have a timeline too of, okay,
595
00:37:30,888 --> 00:37:34,948
we're six-plus months out, now we're
three-plus months out, we're one-plus
596
00:37:34,948 --> 00:37:38,378
month out, and then we're trying to
conceive, and what that looks like.
597
00:37:38,638 --> 00:37:42,718
And then on the other side too, have
we been trying to conceive for one
598
00:37:42,718 --> 00:37:45,178
month, three months, six months, a year?
599
00:37:45,488 --> 00:37:51,058
Because we're gonna take different
steps before we're just asking, maybe
600
00:37:51,068 --> 00:37:54,278
even going to a fertility clinic,
like, "I've been trying to conceive.
601
00:37:54,288 --> 00:37:55,208
What do I do?"
602
00:37:55,558 --> 00:37:59,108
And if you're under 35, they're gonna
say, "Try to conceive for a year.
603
00:37:59,178 --> 00:38:00,588
If you haven't, come back to us.
604
00:38:00,978 --> 00:38:01,968
We'll do something.
605
00:38:01,978 --> 00:38:03,108
We'll look into it.
606
00:38:03,118 --> 00:38:04,448
Maybe we'll do IVF."
607
00:38:04,508 --> 00:38:07,518
And we jump to that
conclusion a lot of the time.
608
00:38:07,868 --> 00:38:13,478
So I wanted more of what we can do to
optimize before, but then also during,
609
00:38:13,478 --> 00:38:18,618
because a year is a long time to get those
negative pregnancy tests over and over,
610
00:38:18,888 --> 00:38:20,748
and I've been through that waiting period.
611
00:38:20,978 --> 00:38:26,458
I actually had a miscarriage first, and
so having that experience, I don't wanna
612
00:38:26,458 --> 00:38:30,328
wait until I have two, three miscarriages
before someone will even help me.
613
00:38:30,658 --> 00:38:37,648
So I wanted to give women and couples
the information that I really wish I had.
614
00:38:37,658 --> 00:38:41,928
So I spent a lot of time making this
Preparing for Pregnancy guide, and
615
00:38:41,938 --> 00:38:45,448
I had so many questions from people
saying, "Just tell me everything."
616
00:38:45,448 --> 00:38:46,288
And I'm like, "Everything?
617
00:38:46,298 --> 00:38:47,618
That's a lot of information."
618
00:38:48,018 --> 00:38:54,595
So I put a lot of stuff in there from
gut health, nervous system regulation
619
00:38:54,795 --> 00:38:57,605
diet, supplements, and then the labs.
620
00:38:57,605 --> 00:39:01,715
So if you're able to get labs for
both couples, just the foundational
621
00:39:01,715 --> 00:39:07,335
ones to look at metabolic health, to
look at lipids, to look at thyroid,
622
00:39:07,355 --> 00:39:09,435
to look at your nutrient status.
623
00:39:09,445 --> 00:39:14,155
So we're looking at iron stores, we're
looking at vitamin Bs, , we're looking
624
00:39:14,155 --> 00:39:16,725
at magnesium, we're looking at vitamin D.
625
00:39:16,735 --> 00:39:23,055
So that can be really helpful to see
where we need to start with and optimize
626
00:39:23,075 --> 00:39:25,625
before we're trying to get pregnant.
627
00:39:25,915 --> 00:39:29,825
But other things I would
do is regulate sleep.
628
00:39:29,875 --> 00:39:32,085
That's a huge one if we're able to.
629
00:39:32,305 --> 00:39:36,605
If you're not able to sleep at night,
that isn't gonna be helpful for
630
00:39:36,605 --> 00:39:39,665
recovery and all those things, and you
might need to look into that further.
631
00:39:39,665 --> 00:39:42,855
That would be a sign or a symptom
that something else is going
632
00:39:42,855 --> 00:39:44,795
on, why you're not sleeping.
633
00:39:44,795 --> 00:39:49,245
So maybe it's your progesterone
isn't being optimized and
634
00:39:49,245 --> 00:39:50,635
so now we're not sleeping.
635
00:39:50,635 --> 00:39:53,905
So that progesterone dip
can cause insomnia too.
636
00:39:53,925 --> 00:39:58,805
So there's a lot of things that we need
to look at, but then regulating your
637
00:39:58,815 --> 00:40:06,795
stress, uh, being able to, just manage
stress better, whether that is emotionally
638
00:40:06,865 --> 00:40:10,955
or through supplements, through
breathwork, all of that can be helpful.
639
00:40:11,295 --> 00:40:15,375
And then the diet component,
managing blood sugar, managing
640
00:40:15,375 --> 00:40:16,315
your metabolic health.
641
00:40:16,675 --> 00:40:23,618
If we have a really high BMI or we have
a big body fat percentage, then trying
642
00:40:23,618 --> 00:40:28,678
to work to help re-reduce that just to
optimize it, , because that can lead
643
00:40:28,678 --> 00:40:33,708
to more inflammation, more health risks
down the line for you and for baby.
644
00:40:33,938 --> 00:40:36,198
, Those would be great
places to get started.
645
00:40:36,198 --> 00:40:37,658
But then also your partner.
646
00:40:38,058 --> 00:40:40,218
Let's not forget about your partner.
647
00:40:40,448 --> 00:40:45,268
They are half the equation 'cause I
have so many women doing all of these
648
00:40:45,278 --> 00:40:51,448
things to get their body ready for
pregnancy and to optimize everything,
649
00:40:51,778 --> 00:40:55,368
and then their husband is like, "I don't
think I need to do anything," you know?
650
00:40:55,368 --> 00:40:58,828
Like, "I'm just here for a
day," and then that's it.
651
00:40:58,928 --> 00:41:01,708
But they need to be
optimizing everything, too.
652
00:41:01,788 --> 00:41:05,318
Their metabolic health, , they
can look into their labs, they can
653
00:41:05,328 --> 00:41:11,478
optimize their nutrients, and then
also things like reducing heat exposure
654
00:41:11,528 --> 00:41:15,738
to the testes is really important
because that's gonna damage the
655
00:41:15,738 --> 00:41:18,218
sperm, it's gonna dan-damage the DNA.
656
00:41:18,568 --> 00:41:21,948
So staying away from hot tubs
or saunas during that time.
657
00:41:21,958 --> 00:41:24,038
My husband loves saunas.
658
00:41:24,438 --> 00:41:27,868
And I had to tell him, like, "During
this time, I am so sorry, but
659
00:41:27,928 --> 00:41:29,528
we're gonna cut that out, right?"
660
00:41:29,728 --> 00:41:34,438
Or let's start with, like, reducing it
quite a bit, and then he did cut it out.
661
00:41:34,808 --> 00:41:40,218
And I'm like, it's just such a
short time for the man to do those
662
00:41:40,228 --> 00:41:46,258
things, and I'm like, for me, I have
pre-pregnancy, pregnancy, postpartum,
663
00:41:46,268 --> 00:41:48,518
like, don't even get me started.
664
00:41:48,558 --> 00:41:51,538
But yeah, he was more than willing.
665
00:41:51,548 --> 00:41:53,108
He knows his side of it.
666
00:41:53,398 --> 00:41:56,928
And if we have women doing
everything, they're 50%.
667
00:41:57,328 --> 00:42:00,638
50% is not a passing score.
668
00:42:01,038 --> 00:42:06,948
So we need the other 50% to come in and
do their job, too and get their health in
669
00:42:06,948 --> 00:42:12,658
check and reduce other external things,
whether that's smoking, vaping is really
670
00:42:12,658 --> 00:42:19,658
common or is in now and get their health
in check and optimize the best they can.
671
00:42:19,658 --> 00:42:22,718
And it, and I go into a lot of
male fertility in my guide as well
672
00:42:22,718 --> 00:42:27,858
because it is so important, and I
also talk about it in my podcast.
673
00:42:27,858 --> 00:42:32,048
I have my husband on my podcast, and
I also had a male fertility expert
674
00:42:32,058 --> 00:42:34,358
from the semen analysis company.
675
00:42:34,368 --> 00:42:39,468
So we can also do semen analysis to see
exactly where we are, which is a great
676
00:42:39,468 --> 00:42:42,108
start to see how much we need to do.
677
00:42:42,338 --> 00:42:46,268
Do we need to get into supplements
or are we doing pretty good and
678
00:42:46,268 --> 00:42:47,938
we just need to sit tight, right?
679
00:42:48,338 --> 00:42:51,868
Kelsy: Walking through all of that
is perfect too, because it really is.
680
00:42:51,948 --> 00:42:56,628
That's why I feel like where your
expertise lies it's very holistic.
681
00:42:56,628 --> 00:43:00,638
You are covering a whole lot of different
aspects of the body and systems of the
682
00:43:00,638 --> 00:43:05,048
body, and I appreciate you simplifying
all of it for us a little bit today, even
683
00:43:05,048 --> 00:43:10,528
though I know it is way more complex than
what you're even telling us about today.
684
00:43:10,528 --> 00:43:15,018
So to end, is there anything we
haven't covered today that you wish
685
00:43:15,088 --> 00:43:19,098
every woman in trimester zero, this
preconception phase, understands?
686
00:43:19,348 --> 00:43:19,349
Dr. Kelly Moline, PharmD:
687
00:43:19,349 --> 00:43:25,108
I would love for people to know that you
need to prepare, and I think we just live
688
00:43:25,338 --> 00:43:30,618
in sometimes a really optimistic world,
which can be great for reducing anxiety.
689
00:43:30,618 --> 00:43:33,188
Like, we don't need to be
anxious about infertility, right?
690
00:43:33,508 --> 00:43:39,528
But in the same sense, we prepare for a
year, 18 months, two years for a wedding,
691
00:43:39,608 --> 00:43:45,758
but they don't prepare to get pregnant
and to carry life and to create a life.
692
00:43:46,038 --> 00:43:51,018
And so we need to have that
side too, and just knowing how
693
00:43:51,328 --> 00:43:53,308
important it is to get healthy.
694
00:43:53,308 --> 00:43:58,188
And then, the baby's health for
the course of their life is gonna
695
00:43:58,198 --> 00:44:01,828
start with you parenting before
you even have a baby, right?
696
00:44:01,858 --> 00:44:07,188
Of knowing that falls on your shoulders,
but in the best way because you're gonna
697
00:44:07,198 --> 00:44:12,128
be able to bring this beautiful life
into the world that you and your partner
698
00:44:12,128 --> 00:44:14,478
created, which is the best feeling.
699
00:44:14,698 --> 00:44:18,668
And things happen, and that,
those are things we can't control.
700
00:44:18,668 --> 00:44:22,188
Like my first, my water broke
early, and then we ended up in the
701
00:44:22,188 --> 00:44:24,338
NICU, and that was a whole thing.
702
00:44:24,618 --> 00:44:28,518
But now she's beautiful and healthy
and all of that, and we're so
703
00:44:28,528 --> 00:44:30,598
excited for baby number two now.
704
00:44:30,888 --> 00:44:36,028
So I'm just, this is like a real
passion of mine to help other women
705
00:44:36,378 --> 00:44:41,648
and couples get there and to have
their own growing families too.
706
00:44:42,048 --> 00:44:42,838
Kelsy: I love that.
707
00:44:42,838 --> 00:44:43,088
Dr.
708
00:44:43,088 --> 00:44:45,848
Kelly, thank you so much for
joining us today on the podcast.
709
00:44:46,158 --> 00:44:49,128
I will leave the link to her
website, The Moline Method, in
710
00:44:49,128 --> 00:44:52,258
addition to her Preparing for
Pregnancy guide that she mentioned.
711
00:44:52,568 --> 00:44:54,788
She has spent so much time on this.
712
00:44:54,948 --> 00:44:58,178
It is just jam-packed of
a lot of the questions.
713
00:44:58,178 --> 00:45:02,408
We were only able to scratch the surface
today because it is so much more in depth
714
00:45:02,428 --> 00:45:05,748
on, in her Preparing for Pregnancy guide,
but I will leave the link to that below.
715
00:45:05,748 --> 00:45:10,008
I'll leave the link to all of her
social channels, too, and the link
716
00:45:10,038 --> 00:45:13,538
to the Functional Medicine for
Moms podcast on Spotify, Apple.
717
00:45:13,538 --> 00:45:16,271
But wherever you get your podcasts,
she is also there, her and her
718
00:45:16,271 --> 00:45:18,111
husband do some great episodes.
719
00:45:18,111 --> 00:45:22,091
I think that's super special that your
husband comes on for certain episodes,
720
00:45:22,091 --> 00:45:26,711
and they cover everything from some of the
women's health topics to even things like
721
00:45:26,711 --> 00:45:29,611
parenting and allergies for your children.
722
00:45:29,621 --> 00:45:34,181
And just it covers the broad range of
what women during this phase care about.
723
00:45:34,181 --> 00:45:36,321
So I will leave all of those links below.
724
00:45:36,331 --> 00:45:36,831
But Dr.
725
00:45:36,831 --> 00:45:40,351
Kelly, thank you so much for coming
on Wellness Fixes the Pod, and I'll
726
00:45:40,351 --> 00:45:42,151
see you guys again on the next episode
