Rank #1: What to Eat BEFORE getting Pregnant with Julie Kelly
Who is Julie Kelly?
As a Food Scientist, Julie Kelly’s passion for all things edible began in her college days at Cal Poly San Luis Obispo. She discovered her knack for helping people ‘find their way with food’ while cooking for friends in the evening and studying nutrition during the day. After working towards a Masters in Dairy Science, working in the corporate food world, and then the management consulting world, Julie met her husband Chris, fell in love over bikes and food, and opted for a more meaningful career as Mom to their daughter Ivy, and a nutrition consultant at Nourish Balance Thrive. Julie enjoys geeking out on nutrition science while also sharing her knowhow with ‘real people’ at NBT. Her favorite part is working with women and families to sort out their dietary, immune and hormonal challenges.
In this episode we talk about:
- 20-30 gms protein per sitting (204 oz of meat, typically)
- Depends on your goals, body size, activity level and individuality
- They are complex molecules and take energy to digest
- Better to "frontload" protein at the first part of the day
- Pay attention to how you feel
- Fat doesn't make you fat
- unless you're eating hydrogenated oils and other "bad" fats
- Seek out good fats
- Hormones are made from cholesterol-necessary
- balances a diet
- makes food taste better and satisfies your appetite
- Only way to avoid sugar cravings
- No more "Hangry" episodes (hungry and angry)
Blood Sugar Control:
- Everyone needs a glucometer
- Hypoglycemia: RED FLAG
- Especially important in the Pre-conception period
- Consider HG experience a blessing, as it motivates you to pursue better health
- lab testing can help you concentrate on your individual problems
Signs of Adrenal insufficiency:
- Uneven energy throughout the day
- Not being able to go to sleep easily
- Not being able to stay asleep easily
- fat around the waist=cortisol is the culprit
- Lack of drive or motivation
If you're planning to get pregnant:
- Figure out macronutrients: Fat, Carbohydrates and Protein
- Exercise (don't overdo it)
- Stress Reduction: Headspace app.
- Blood Sugar management
- Lab testing: can discover hormone dysregulation, gut pathogens like h. pylori, neurotransmitter turnover, liver health, root causes of symptoms
Dec 10 2014
Rank #2: The Real Cause of Hyperemesis Gravidarum?
Dr. Michael Fox is not the first person to suggest that the cause of morning sickness and hyperemesis gravidarum starts with blood sugar dysregulation but he is one of the few OB-GYN and Reproductive Endocrinologists who suggests that eating a ketogenic diet during pregnancy is not only safe for mom and baby but also the answer to this blood sugar dysregulation.
Dr. Fox thinks that the problem starts with hypoglycemia (low blood sugar), then gets worse when women eat carbohydrates (which turn into sugar in the blood) to combat the nausea (crackers anyone?), which can spike insulin 2-3 times what it would be in a non-pregnant woman, then add in dehydration, which makes everything worse, loss of nutrients (from vomiting and not eating) (especially magnesium, zinc and b vitamins) and so begins the cascade of symptoms that spirals out of control leaving the newly pregnant women feeling like she's dying with no hope of coming out of it. Add in doctors and nurses telling a women that it's "normal" and there is nothing that can be done and you have a very bad scene.
In this episode we discuss:
- Ideal diet for Fertility, pregnancy, and beyond
- Fat provides the most sustained energy for the longest length of time
- Carbs= Sugar
- "Fat protects you against hypoglycemia better than any other macronutrient."
- Minimum time to be on diet to prepare for pregnancy, 6 weeks. 12 weeks would be ideal.
- Older cultures had special foods and preparations for fertile couples to have healthy babies.
- It's hard to convince women that they need to eat a lot of fat
- If ketosis was bad, we wouldn't be here.
- Not enough studies about nutritional ketosis and pregnancy
- It would take thousands of patients to study to be statistically relevant
- Pre-eclampsia related to insulin resistance
- It's hard to accept that nutrition could be an effective treatment
- Many diseases are nutritional in nature
Links mentioned in this episode:
Dec 03 2014
Pregnancy Sickness Support
Pregnancy, Birth and Beyond
Fourth Trimester Podcast: The first months and beyond | Parenting | Newborn Baby | Postpartum | Doula
Informed Pregnancy Podcast
The Birth Hour - A Birth Story Podcast
Respectful Parenting: Janet Lansbury Unruffled
Happy Mum Happy Baby
The Longest Shortest Time
Rank #3: I'm pregnant and sick, what should I do?
I've been there before. Panicking in the bathroom, wishing it wasn't true.
It's a hard question to try to answer because nothing I say is going to make you feel magically better. If you're already sick then more than likely it's going to continue to some extent. But learning what works best for you and fighting it everyday could mean the difference between hospitalization and infection, or staying home.
If you haven't done it already, I highly suggest you get a Doctor's appointment, the soonest available.
Ask for medication and start taking it round the clock right away. If you haven't gotten sick yet, you could just have it on hand until it starts. For some people it's violent from the start. Keeping yourself out of a bad cycle of dehydration and vomiting and not eating is the overall goal.
Medication to ask about:
- Zofran: (prescription) (ondansetron) Anti-emetic (it helps control the vomiting)
- Unisom: (Over the counter) (doxylamine) anti-histamine (helps control the nausea)
- Diclectin: (prescription) (Pyridoxine/doxylamine) which is unisom and B6 together in a time release capsule.
- Phenergan: (prescription) (Promethazine), (I.V., suppositories, pill)
- Reglan: (prescription) (Metoclopramide) dopamine-receptor antagonist. It can help with nausea and vomiting by helping with gastric emptying. It's often given to people with GERD. However, one adverse effect to watch out for is called tardive dyskinesia. It can also make you feel tired, restless and anxious.
- Gabapentin: (prescription) (Neurontin) anticonvulsant and analgesic, usually given to control seizure disorders or neurological pain. This is still being trialed and is not commonly prescribed. Adverse effects for pregnancy are unknown.
Dealing with constipation as a side effect of medication, notably Zofran. You can ask your doctor for a stool softener to be proactive and try to prevent constipation from happening. You can also try milk of magnesia or another kind of magnesium pill or liquid. That can help in numerous ways, including getting some much needed magnesium. If you're already constipated, I would suggest doing more than that to try to get ahead of the problem. Glycerin suppositories (can be found in more drug stores in the U.S.) Enemas (like Fleets brand enema): It comes in a self contained package with saline. One time use.
- Willard water
- warm water
Magnesium oil: You can make it yourself. It's actually not an oil but a solution of equal parts magnesium chloride and filtered water.
What would you tell someone with HG who just found out they were pregnant?
Nov 26 2014
Rank #4: How to Control Gestational Diabetes with your diet
Interview with Lily Nichols, RDLily Nichols is a Registered Dietitian/Nutritionist, Certified Diabetes Educator, Certified LEAP Therapist and Certified Pilates Instructor whose approach to nutrition embraces real food, integrative medicine, and mindful eating. Her practice focuses on digestive health, food sensitivities, and of course, prenatal nutrition. She's passionate about helping moms with gestational diabetes control their blood sugar using real food, mindfulness, and exercise. Her forthcoming book, Real Food For Gestational Diabetes, will be available in 2015. For more from Lily, including her free ebook, 33 Yummy & Healthy Pregnancy Snacks, visit PilatesNutritionist.com
In this episode:
- Gestational Diabetes (GD) aka "carbohydrate intolerance"
- A1C test gives an average blood sugar of the past 3 months
- Testing in the first trimester can predict GD with 98% accuracy
- By the tenth week, there is a 3 to 3.5 percent increase in insulin production than normal
- Insulin resistance in the second and third trimester is the body's normal way of shunting glucose to the baby
- Why the current recommendations don't make sense
- The difference between nutritional ketosis and diabetic ketoacidosis
- How you can control you GD with diet
- Why medicine may be needed
- Why we don't have enough studies on ketosis and pregnancy
- Why the studies we do have are poorly designed
- Gluconeogenesis: Glucose can be made from fat and proteins
Nov 19 2014
Most Popular Podcasts
Rank #5: When Prescription Drugs aren't enough for HG
What should you do if Zofran or the other prescription medications aren't enough to combat the nausea and vomiting of pregnancy? What if you're not eating or drinking and no one in your town knows how to treat Hyperemesis Gravidarum? What are you options?
In this episode, I talked to Katie when she found herself in this exact scenario. She found that marijuana was more helpful and allowed her to eat and take care of her child than the prescription drug Zofran.
In this episode:
- Mental effects of HG and malnutrition
- Zofran made Katie feel like she was on drugs
- Immediate relief that lasted for hours
- The options: edibles, tinctures, smoking, vapor
- CPS and mandatory testing in the hospital
- Link to article discussing the dilemma of eating vs. illicit cannabis
- More information about HG and Medical Marijuana
Jan 07 2015
Rank #6: What about Medical Marijuana for Hyperemesis Gravidarum
Since I first published this episode, I've heard from many people about this topic. There is a lot of interest about medical marijuana for seizures (especially for children, because it seems like a safer alternative to most anticonvulsives), cancer, pain, and of course, nausea. I found a few articles about it that I didn't have last time. Hyperemesis Gravidarum and Clinical Cannabis: To eat or not to eat. It's long, but makes some good points about starvation during HG. Pregnancy and Medical MarijuanaHere's an interesting study: Infant exposure during gestationSince then, Ricki Lake announced she was directing a new film called Weed the People. It's about the use of cannabis as a medical treatment for children. I've enjoyed Ricki Lake's other films like The Business of Being Born. (Side note: She's also set to direct a film about Birth Control. I can't wait for that.)Thoughts?
Nov 05 2014
Rank #7: How to use Minerals to Heal after HG
I had a great time talking to Jessyka Earl about her experience with HG. She has one child from one pregnancy and she was sick right up until her premature labor and birth. She had to change doctors during her pregnancy when she didn't get the care she needed. She was also never formally diagnosed with hyperemesis gravidarum. This is common but if you're not getting the care you think you need, seek a second opinion.
Jessyka's wake-up call came at about 6 months post-partum when she started feeling like she had HG again. That's when she decided she had to take her health seriously and to try to figure out what was going on. I hope this episode is helpful for you.
Things that were mentioned in the episode: Zofran Seabands Stress can cause nutritional deficiencies. How to know if you need Magnesium. Why you need Zinc. Why you shouldn't take magnesium and zinc at the same time. (Take zinc in the morning with food and then start taking magnesium, spread throughout the day.) I put together a booklet that explains this in further detail. You can sign up for the download here.
Nov 12 2014
Rank #8: Pet Peeves about how we talk about HG
Today I ranted a little about my pet peeves about how we sometimes talk about HG.
The baby gets everything it needs from you, so don't worry.
While true, the only time there's no negative effects of that is when Mom is fully stocked with baby making products (i.e. minerals, amino acids, vitamins and fat.) It's hard to do when you're not eating, starting out at a deficit and running on empty. That's when the body goes after the reserves in the bones, teeth and tissues. And that's when compromises happen, whether for the baby or more so for the Mom.
This is not to make you feel guilty, because I know you're doing everything possible to get through it. It's more a rant at how seriously doctors should take the malnutrition that happens during an HG pregnancy. We can't say that folate matters and women need to eat healthy and then turn around and tell Moms it's fine to throw up every day of their pregnancy and lose weight and everything will be fine. You may both survive it, but it's not ideal. And there are things we can do about it. Doctors and nurses: Act like it is the crisis that it is!
I took XYZ and my baby was fine, so yours will be too. This one is harder because I know that it comes from a place that wants to reassure the Mom that she is doing everything she can and it's going to be alright. And there is a place for that. And when you're just surviving, not vomiting is the top priority and then the next one is to actually consume food and drink.
But it's actually means nothing that one person took something and nothing bad happened. Just because someone says something is safe doesn't actually mean it's safe for you or your baby. I mentioned the germline exposures. Here's a podcast episode to get a taste of it. Genetics is obviously individual and can cause different results in different people. It's something to pay attention and know about yourself. I didn't mention this in the podcast but this is why vaccines can be harmful to one person and not to another. At the same time, epigenetics means that it's not a static system. We can effect change in our bodies by changing the environmental and food exposures to our bodies.
We are shaped by our mother's mother's mother, so we can't be blamed for that. But we do have the responsibility of what we do today.
My body has betrayed me. My body is stupid/broken and hates me.
I know that's how it feels. I know that we feel like we're dying and no one is saving us. But in fact, symptoms are a sign that the body is protecting itself. Organs shutting down is actually the very last ditch effort the body is making to preserve you. It's thrown out every sign/symptom/cry for help it could find to get your attention. Your body would never betray you. It's always on your side. Just because it doesn't make sense, doesn't mean there's no reason for it. Our problem is we haven't figured out why it's happening. But we will.
This is why I say that we must pay attention to what is happening when you're not pregnant. All symptoms are signs we need to pay attention to. If you start there, you make a huge difference.
Which brings me to the last one: There's nothing I can do. This is me. Nothing can change. There's no hope.
There is always hope! There is always something we can do. The body is always trying to heal, it just doesn't always have all the raw material that it needs. Don't give up. Don't accept less than a long and happy life. Recovery and healing takes time but it can happen. Believe that it's possible. And then set about making it happen.Ultimately, as crazy at it sounds, I see getting Hyperemesis Gravidarum as the best motivator to pursue a healthier life than anything that's ever happened to me. Sometimes bad stuff saves us from something worse.
Dec 17 2014
Rank #9: Disease and the Role of Emotions in the Body
Kyle Davies is a Chartered psychologist, therapist, coach, consultant, speaker & author. He specializes in helping people overcome chronic health challenges, get unstuck and transform their lives. We talked about: The role of emotions in the body.Why we divorce emotions from physical illness.What stress is and how to "deal" with it. How illness starts and then stays chronic.How a label can become your identity.How to get unstuck.If you want to get in touch with Kyle, you can find him on his website: kyledavies.net facebooktwitterWhat do you think of his approach? Did it resonate with you?
Dec 24 2014
Rank #10: Getting Your Meds right with Ashley Ziegler
I talked to Ashley Ziegler of the blog, Itsy Bitsy Blessings about her experiences with Hyperemesis Gravidarum. We talked about so many things:Her most visited post is a guest post by Brad Klingele titled, "So, Your Wife is Barfing her Guts out". You have to read it. And then pass it around to all your friends and their husbands. How we can fall into the trap of thinking we can "will ourselves through it". I know I did that before getting pregnant. The paranoia she felt when she was hospitalized, thinking that she was surely going to die and thinking that no one was telling her the truth.
When her Doctor said that she didn't know anything else to try, a combination of drugs, phenergan and zofran, actually finally worked.
Consider lowering your dose of medication is the side effects are too much. Or ask about raising your dose if it's not working. Many drugs are dose specific and will work better at a higher dosage and in combination with other drugs. Don't be afraid to ask. Ashley's blog series on women with HG.
We talked about why HG women in particular feel the need to have other people understand. Ashli McCall's book, The Chronicles of Nausea, where she talks about her Hg experience in a diary like prose. She also talks about her experience with cancer in conjunction with HG. Her other book is "Beyond Morning Sickness". I would recommend them both. Ashley Ziegler is currently pregnant with her fourth pregnancy.
Email me if you are interested in hearing more about the International HG Day Meetups. firstname.lastname@example.org
Jan 14 2015