The Journal
Evidence-informed articles from Dr. Mariah, ND on fertility, digestion, thyroid health, metabolism, men's health, athletic performance, and lifestyle medicine.
Standard preconception bloodwork screens for illness. Here are the fertility-relevant markers worth reviewing: thyroid, ferritin, fasting insulin, progesterone.
Your fertile window is the 5 days before ovulation plus ovulation day. Here is how to estimate it, the body signs to watch for, and what a calculator misses.
A low AMH measures egg quantity, not egg quality, and major medical bodies say it should not predict natural fertility. Here is what it does tell you.
Endometriosis can lower egg quality through inflamed follicular fluid and oxidative stress. Here is the mechanism and the 90-day window that matters.
PMOS (formerly PCOS) shows up as four phenotypes with different metabolic risks. Here is how to tell which one you have and what it changes about your care.
Fibroids are tied to estrogen, but the drivers go beyond your ovaries: gut health, vitamin D, environmental estrogens, and chronic stress all play a role.
Cysts on your ovaries do not automatically mean PMOS (PCOS). Here is how the two differ, how each is diagnosed, and what an ultrasound alone cannot tell you.
What changes in weeks 1 to 12, what tests happen at your first prenatal visit, and how to manage nausea, constipation, and nutrition early on.
What cortisol actually does in the body, why a cortisol cocktail rarely changes anything, when testing is worth doing, and which bloodwork to review first.
PCOS has been renamed polyendocrine metabolic ovarian syndrome (PMOS). Here is what changed, what didn't, and why the new name matters clinically.