obstetrics

Dr. M’s Women and Children First Podcast #85 – Lily Nichols RD

Welcome back to Dr. M’s Women and Children First Podcast, where we dive deep into the latest research and expert insights on health, nutrition, and optimizing well-being. Today, we sit down with an influential voice in prenatal and fertility nutrition, Lily Nichols, RD.

Lily is a registered dietitian, researcher, and best-selling author known for her groundbreaking work on real food nutrition for pregnancy. Her previous books, Real Food for Pregnancy and Real Food for Gestational Diabetes, have redefined how we think about maternal nutrition, blending ancestral wisdom with cutting-edge science. Now, with her latest book, Real Food for Fertility, she expands her expertise to help couples optimize their chances of conception and support a healthy pregnancy from the very start.

In this conversation, we’ll explore the critical role of nutrient-dense, whole foods in fertility, how conventional dietary advice may be missing key elements, and why blood sugar balance, gut health, and micronutrient status are essential for reproductive success. Lily’s research-driven approach challenges outdated dogma and offers practical, evidence-based solutions that can make a real impact on fertility outcomes.

Whether you’re planning for pregnancy, supporting a loved one on their journey, or simply interested in how diet shapes reproductive health, this episode is packed with actionable takeaways.

Join me in welcoming Lily Nichols, RD, to the podcast!

Dr. M

Real Food for Fertility

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 31

Epigenetics and Pregnancy
Epigenetics is the study of environmental signals and their effects on our genes. Our genes are not altered so much as they are read and used differently based on the environmental inputs. Epigenetic effects are critical during the pregnancy period as the environmental signals can alter an offspring’s outcome both in good and bad ways. Making sure that we control for better environmental signal exposure while pregnant can go a long way to protecting our children’s DNA from dysfunction and thus their outcome with health. It is well known that chemicals are generally negative insults to our epigenome while anti-inflammatory whole foods are positive. These epigenetic marks can be conserved over multiple generations making them extraordinarily beneficial or dangerous. Here we will discuss the lifestyle mitigating factors for a positive pregnancy and newborn outcome….plus an ode to Brenda Wassum.
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 23

Stress and a Woman’s Ability to Conceive – The Healthy Mind Is Key.
How was it meant to be?  Humans were designed to be excellent at handling acute stress while chronic stress on the other hand was never expected to be part of our day to day existence. We run from the tiger and survive the event or we die. That being said, chronic mental stress is the greatest disruptor of human balance and health. To truly know this fact and work towards alleviating it is the immediate route to a healthy life and a healthy pregnancy. Mental stress has profound negative effects on immune and hormonal function to the detriment of mom and her babe. Chronic mental stress is known to disrupt pregnancy conception and perinatal events. Perception of one’s stress is often more important than the event itself. Becoming aware of your perceptions and working toward a minimally stressed mind is a key to a healthy pregnancy. A woman should be honored and protected while pregnant to keep external stress levels low. In this chapter, you will learn why and how stress has the ability to hurt a pregnancy. The to do section gives tools to reverse the negative process……plus a graduation note.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 12

Pregnancy is a super important time. Do not take by inhalation, ingestion or other exposure anything that is a potential toxin for the body.
Things to avoid:
1) Caffeine – in low to minimal doses, it is clear that caffeine is safe for pregnant women and their offspring. Caffeine easily crosses into the placenta and thus the baby’s circulation. In utero babies cannot metabolize caffeine well putting them at risk with increasing exposure. The data does not support the same reality for more moderate to high doses. Caffeine is known to raise blood pressure and heart rate in all users in variable numbers based on metabolism capabilities…… plus a literature review and a recipe.
Enjoy,
Dr. M

Dr. M’s Women and Children First Podcast #61 – Bridget Briggs, M.D. – Hope and Epigenetics Part 3

This is the third story of hope for us as a species. We have a level of control over our outcome that is baked into our DNA.
Bridget R. Briggs, M.D. and I sit down today to discuss the clinical approach to epigenetics in patients especially women. She is a physician who specializes in Women’s Health. Dr. Briggs received her undergraduate degree from the University of California Los Angeles in Psychobiology. She then completed her medical degree from University of California San Diego School of Medicine before completing her residency in family medicine as well as internship in Obstetrics and gynecology. She has been in practice for 25 years in Southern California. She is the owner of two family medicine practices in California where she specializes in functional medicine and womens health. She is a well known speaker and educator on the topics of epigenetics and methylation in humans.
Her story is personal regarding her deep dive into epigenetics and health based on her family’s history and experiences to date. We take a winding road looking at the clinical applications of epigenetic understandings as laid out by the experts and trailblazers of DNA methylation and phenotypic change in animals and humans. We get into some controversial topics including vaccination, preparation for, avoidance of and much more. The conversation is open, honest and thoughtful. We finish with a hard look at the pregnancy state and how to achieve optimal outcomes for our offspring. It is another story of hope for humanity.
Please enjoy my conversation with Dr. Bridget Briggs,
Dr. M

 

Dr. M’s Women and Children First Podcast #58 – Mahmoud Ghannoum, Ph. D. – Microbiomes – Bacterial and Fungal

This week’s guest is Professor Mahmoud Ghannoum. For over four decades, Dr. Ghannoum has been exploring a critical but neglected inhabitant of the human body, the fungus. Born and raised in Lebanon, Dr Mahmoud Ghannoum is the current Director of the Center for Medical Mycology at Case Western Reserve University. He began his scientific journey at Loughborough University in England where he studied the fungus candida and its health associated diseases. Coupling this work to his curiosity about the whole area of intestinal microorganisms in the human body, he has become one of the leading researchers in the world in this space.
His discoveries include the knowledge that fungal organisms constitute an essential part of the microbiome. In fact, in 2010, Dr Ghannoum was the first scientist to identify over 100 native species of fungi in the oral cavity and that they are mostly friendly to us. Like with bacteria, there are good fungi as well as bad fungi. And just as it was startling to discover that we need positive bacteria in our guts, most people today are shocked to learn that their health depends on flourishing colonies of helpful fungi. Symbiosis in all things seems to be the flavor of the day and history has proven this to be what we should have always assumed.
He is widely published in top journals as well as being the founder and director of Biohm, a company dedicated to microbiome analysis and management from the perspective of fungal and bacterial communities. He is the author of Total Gut Health. This week, Dr. Ghannoum and I look critically at the microbiome of humans from the well trafficked bacterial road to the less travelled fungal road.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 13 Issue 40

Maternal Microbiome Part II
Mom has a gut microbiome that directly seeds her babies microbiome. This microbiome dictates human long term and short term health. Eating a diet loaded with fiber based fruits, legumes and vegetables will cause a highly diverse bacterial microbiome to exist and this existence is correlated with better long term health……plus a section on mate matching as well as the recipe of the week!
Enjoy,
Dr. M