How to Get Pregnant Faster: The Role of Toxins, Inflammation, and Men’s Health┃Ann Shippy

3 Feb 2026 · 47 min · 24 chapters

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In short

Preconception care to increase chances of getting pregnant faster by addressing environmental toxins, inflammation, nutrition, microbiome, and men’s health; reframing infertility as a “check engine light” and discussing when IVF fits.

Guest

Dr. Ann Shippy, physician and former chemical engineer; leads the “preconception revolution” and promotes science-backed checklists, lab testing, detox support, and fertility supplements.

Key claims

Most couples don’t prepare; optimal prep takes at least 3 months (prefer 6–12) for both partners. Men contribute at least 50%+ to fertility via sperm quality, epigenetics, and inflammation. Environmental exposures (glyphosate, plastics/BPA, PFAS) and hidden inflammation/autoimmunity can impair fertility and fetal outcomes. IVF success is often ~30% per round, but preparation can improve outcomes even after failed IVF.

Notable examples

A 47-year-old patient with high toxins, nutritional deficiencies, and microbiome shifts improved after ~3 months and conceived on the first “fun” night; a patient’s BPA dropped after changing takeout soup containers; a woman with alarming microbiome results near 7 months adjusted diet/supplements and was ready for delivery. Mentions SpermQT (sperm count plus epigenetic markers) and sauna guidance (avoid for men close to conception).

Written by AI. May contain mistakes. Listen to the episode to check what was said.

Chapters

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Understanding the Fertility Crisis

0:45 to 1:40

Discussion on infertility rates and the importance of preparation for conception.

“Is there any message you want to leave parents with who are maybe struggling to conceive now?”

Preparing for Pregnancy

2:03 to 2:21

Insights on how couples can prepare for conception and improve fertility.

“Brighton Show, where we burn the BS in women's health to the ground.”

Preparing for Pregnancy

2:26 to 6:19

Insights on how couples can prepare for conception and improve fertility.

“What is the number one thing that everyone thinks they're doing right in getting ready for a baby, but it's actually sabotaging them?”

Environmental Toxins and Fertility

6:19 to 10:41

Exploration of how environmental toxins impact fertility and health.

“What do you think are the most important labs women should be prioritizing in preconception?”

Supplements for Fertility

10:41 to 14:00

Discussion on the essential supplements for enhancing fertility in men and women.

“So for me personally, my detox genes are part of why I ended up in medicine in the first place because I don't eliminate the toxins that I'm exposed to very well because I don't methylate very well.”

Nutritional Deficiencies and Fertility Crisis

14:00 to 15:28

Learn about the impact of nutritional deficiencies on fertility and health.

“So the little organelles inside our cells that make energy, when we give our bodies those supplements, which are just good for health and longevity in general, it also really can make a difference.”

Understanding Infertility Rates

15:28 to 17:25

Explore alarming infertility statistics and their implications globally.

“It's one in five or six couples deal with some level of infertility, which means not getting pregnant after a year, starting or growing their families.”

Understanding Infertility Rates

17:31 to 17:59

Explore alarming infertility statistics and their implications globally.

“That's myalloy.com M-Y-A-L-L-O-Y.com and the code Dr.”

Historical Perspectives on Fertility

17:59 to 19:08

Discuss how historical practices affect modern fertility and women's health.

“When I look back at my grandmother's time, you know, before there was birth control, and I know you're such a beacon of light for women understanding how birth control affects them.”

Men's Health and Fertility

19:08 to 20:54

Delve into the significant role of men's health in fertility outcomes.

“These are women who are trying to have babies, seeking to become mothers, and they're unable to do so.”
Show all 24 chapters

Epigenetics and Sperm Health

20:54 to 22:43

Learn how epigenetics affect sperm quality and future child's health.

“There's other data too that's showing that the health of the sperm affects the health of the pregnancy.”

Impact of Sperm on Pregnancy

22:43 to 25:04

Investigate how sperm quality influences maternal health and fetal outcomes.

“Talk to us more about how sperm is impacting mom's health during the pregnancy, but also fetal outcomes.”

Supplements and Their Importance

25:04 to 27:38

Discover essential supplements that can improve fertility and overall health.

“I think it's been disempowering for men and it's put so much stress on women.”

Choosing Quality Supplements

27:38 to 28:00

Gain knowledge on how to select high-quality supplements for fertility.

“Talk to us about how people can choose quality because often your gynecologist, you tell them, I want to get pregnant.”

Understanding CGMP and Inflammation

28:00 to 28:34

Learn about CGMP standards and the importance of inflammation in infertility.

“And usually those are brands that go through practitioners.”

The Impact of Inflammation on Fertility

28:34 to 30:03

Explore how inflammation affects both male and female fertility and babies.

“So I want to ask you, you know, in terms of, we've talked a little bit about mitochondrial health, but inflammation.”

Testing for Inflammation

30:03 to 31:32

Discover various inflammation markers and their significance in fertility.

“So when we have inflammation, depending on what the source is, we really want to figure it out.”

Testing for Inflammation

31:33 to 33:05

Discover various inflammation markers and their significance in fertility.

“So we can do a high-sensitive CRP, a SED rate, an MPO, an LPPLA2.”

Addressing Elevated Inflammation

33:13 to 33:54

Understand the importance of managing inflammation before conception.

“Are they still falling into the three-month PrEP protocol or do they need more time to work on that inflammation?”

Anti-Inflammatory Practices for Couples

33:54 to 35:52

Identify practical anti-inflammatory strategies couples can implement.

“And then we'll talk a little deeper about investigating the gut.”

Microbiome's Role in Pregnancy

35:52 to 42:02

Learn about the impact of microbiomes on pregnancy and infant health.

“I just had a patient do the tiny health test right around seven months and got a little bit of an alarming result back.”

The Importance of Perspective in Parenting and Infertility

42:02 to 46:59

Learn how reframing challenges can foster resilience in parenting and fertility struggles.

“when I look at everything and it's often we think, well, if I just do everything right, we'll never have problems, except that there's a lot in the environment that you can't control.”

The Importance of Perspective in Parenting and Infertility

47:03 to 47:23

Learn how reframing challenges can foster resilience in parenting and fertility struggles.

“It can help you with practically anything on the web, like restoring a vintage motorcycle from a 50-page restoration block, or finally break down that long article you've had open for weeks.”

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47:23 to 47:54

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Transcript

Automatic transcript. May contain errors.

0:00You mentioned we're in a fertility crisis. What does that mean for people listening? It's really, really alarming. It's one in five or six couples deal with some level of infertility. What is the number one thing that everyone thinks they're doing right in getting ready for a baby, but it's actually sabotaging them? Most people don't even know that they can prepare. Dr. Ann Shippy is a physician and former chemical engineer leading the preconception revolution. Using science-backed strategies to help couples boost fertility. Prevent chronic disease and transform health for generations to come.

0:36When it comes to preconception, most women here take a prenatal and men usually are told you don't have to do anything. What role do you think men's health is playing in this? It's at least 50 % or more. Is there any message you want to leave parents with who are maybe struggling to conceive now? They're staring down the do I go the IVF route, which usually like 30 % success rate. Even people who failed at IVF, when they do this process, they get super fertile even into their mid-40s.

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1:55Find OLLI Sleep Solutions for the whole family at OLLI.com. That's O-L-L-Y dot com. Welcome to the Dr. Brighton Show, where we burn the BS in women's health to the ground. I'm your host, Dr. Jolene Brighton. And if you've ever been dismissed, told your symptoms are normal or just in your head, or been told just to deal with it, this show is for you. And if while listening to this, you decide you like this kind of content, I invite you to head over to drbrighton.com where you'll find free guides, twice weekly podcast releases, and a ton of resources to support you on your journey. Let's dive in.

2:34What is the number one thing that everyone thinks they're doing right in getting ready for a baby, but it's actually sabotaging them? Well, most people don't even start to prepare. They don't know that they can prepare. This is kind of a new area that people need to be aware of. So most people are just like, okay, it's time to start a prenatal, get off the pill, and we're just going to try. And it turns out that it's really, really helpful for both the sperm health and the egg health to have at least three months to prepare longer if you can. I really prefer six months or a year for both the man and the woman to prepare.

3:09And then I think there's like an invitation process that can also happen where both partners can get on the same page with their intentions for their family. And most people skip that step. And then they, you know, get into parenthood and find out that they have some pretty big differences or there's some things that haven't been healed. And it's really so helpful if we can identify what those things are before starting to try to conceive. What would it look like ideally for a woman to prepare three months in advance? I think six, I agree, six months, a year, fantastic. But most of the time when a woman wants a baby, she wants a baby now or yesterday and not having to think about, oh, I have to delay things.

3:56So if someone has three months, what are your top recommendations specifically for women? So I like to start out with asking them to use a barrier form of birth control because when you start doing this process, you get super fertile. And I've had a number of people not be able to complete the process. because or you know get pregnant before it's done because they get so fertile that the rhythm method and the pull-out method don't work anymore so start with that and then they're in the book the preconception revolution there's a whole checklist to go through and the more you get done the quicker the more effective it's going to be in that three months i've got a patient right now who came in to see me she'd heard about me she'd had a couple kids earlier on 47 and had met the love of her life and they really wanted to have a child together.

4:44And she was so wise to do this because she really wanted to check in with me. Do you think it's possible for me to get pregnant? And if so, what should I do? I said, well, let's rent some labs and see what's going on. And we found that she had some high environmental toxins, some nutritional deficiencies, and some shifts in her microbiome. We worked really hard for about three months. And they had one night where they were We're like, okay, let's just have fun, thinking that they wouldn't get pregnant yet because we hadn't quite completed the process. Got pregnant first try. And now she's going into ending six months, going into seven months, and having just an amazing pregnancy.

5:24So the main message that I want people to understand is that by taking the time to do this in advance, it actually speeds up the process in the long run to start to prepare. So in the checklist, there's everything from setting the intentions, doing the work together, to getting your blood sugar managed, all the lifestyle things like sleep and a super concentrated nutritious diet in place. And then have a period where we help our bodies to detoxify both by reducing the unsuspecting toxins that are coming into our bodies all the time and then helping our bodies to detoxify in the most gentle way possible.

6:06and then help get our microbiomes balanced, feed our mitochondria, really know the supplements that can make a big difference for enhancing fertility and then helping the bodies to prepare to have the healthy babies. What do you think are the most important labs women should be prioritizing in preconception? If I can only pick a couple, it's really to look deeply into their nutritional status. Most people think they're eating pretty healthy, but then when we look at the labs, They're not getting the nutrients that they think, even if they're taking supplements along with it. So I like to do very in-depth testing, and it's all really outlined in the book.

6:44So amino acids, essential fatty acids, trace minerals, a little bit about how the detox pathways are working, etc. And then I really love to do the toxin levels. So knowing what your heavy metals are, your pesticides, the plastics, the BPAs and BPs and the pesticides, all of these things can really impact fertility and how healthy the baby is for both the man and the woman. What do you typically see when it comes to environmental toxins and what should people be aware of as the worst offenders for fertility? Yeah, it's so interesting, the data that's coming out now on sperm health and that the toxins that the sperm is exposed to can affect how healthy the pregnancy is and the health of the future baby, including their fertility.

7:42So things like glyphosate, when the sperm are marinating in glyphosate, it can really have some pretty detrimental effects. So glyphosate is the pesticide that's sprayed on so much of our food. So this is one of the reasons to actually prioritize eating organic as much as you can. The other really interesting one is the plastics. And I think this is starting to be part of the conversations because it's so hard to get away from the plastics. You know, we think we're doing the right thing by drinking water, bottled water, but then we're getting a big plastic load. So much the takeout foods are soaked in plastics, basically.

8:20The PFAS with the nonstick pans and the microwave containers and popcorn and things like that are all leaching into the foods. And then our bodies are absorbing them and they're getting stored in our bodies. Mm-hmm. So this can feel pretty overwhelming for people to hear all of the ways that environmental toxins are negatively impacting fertility, but also how ubiquitous they are. Where do you recommend people start? So there's a lot of information in the book with this, but if you can start in the kitchen, it's a great place because you can make some big changes really quickly. Like just get rid of all your plastic containers and switch to glass.

9:01If you have plastic to seal it, just don't have the food touching the plastic and definitely don't microwave it in the plastic. So switches like that and then buying as much of your food fresh and not in packaging can make a huge difference. So one story that I learned a lot about was I had this patient who thought she was doing everything right, had all the plastic out of her kitchen. But she went and got organic soup for lunch for takeout most days. And her BPA was sky high. So we had to do our little detective work and figure out why it was coming because she's like, I don't drink out of bottled water.

9:45I don't package my food in it. But she hadn't connected that the soup in the plastic takeout container was leaching into her food and then driving it way up in her body. So she made that simple change. She went and ate there instead of doing takeout or doing something else for lunch. And her BPA went way, way down. So it can be that simple as just kind of noticing where you might be getting the exposures. But it's so great to be able to check the levels. I think that's really encouraging for people to hear because often it sounds like this big undertaking and then you have to also do something to try to get it all out.

10:23But in a lot of these instances, like you're talking about with BPA, if you reduce the exposure, the body will eliminate those. But there are instances where we do get exposures to environmental toxins and we don't eliminate those well. Can you talk a little bit about that? Yeah. And so much of this is based on our genetics. So for me personally, my detox genes are part of why I ended up in medicine in the first place because I don't eliminate the toxins that I'm exposed to very well because I don't methylate very well. I don't make glutathione very well. And I've got some enzymes in my liver that don't start the detox process.

10:57So I have to be constantly doing the body support with the supplements and things like hyperbaric and infrared saunas to get my toxin levels down. And I see this works really beautifully with patients. So there's a lot in the information out there that detox is hard and, you know, you have to suffer through it and you need to do, you know, juice fast and all this kind of thing. That's not true. what you really need to do or take the right supplements. So taking liposomal glutathione, help with methylating, so special B vitamins, folate, some things that help our cell membranes to heal like phosphatidylcholine and detox.

11:41It can be just going on an ongoing basis and be very gentle. Do you have like a sauna protocol that you recommend for couples before trying to conceive? So one of the things for couples is that when you're starting to try to conceive in probably at least a few weeks before, the men should not do sauna anymore because it can actually damage the sperm and people doing ice packs and all that kind of thing. But we don't really know how well that works. But up until close to that time where they're trying to conceive, it's really great for both of them. And what I recommend for patients with the saunas is that they really listen to their bodies each day.

12:17Okay. So if you're listening, there might be some days where you get in for five minutes and you get the instinct to get out. Really listen to your body because you might be a little bit more dehydrated. You might have hit some more heavy duty toxins that are being released and your body's like, okay, I'm done for the day. And then there might be other days where you want to stay in for 40, 45 minutes and, you know, really work up a great sweat. So there's not a set protocol for people. I really encourage you to tune into your body and not think it has to be a certain way to get the results because even 10 minutes can make a huge difference sometimes.

12:56You talked a little bit about supplements for detox. when it comes to preconception, most women here take a prenatal and men usually are told, you don't have to do anything. You'll be fertile for life, right? Maybe they might here take a multivitamin. What do you recommend for men and women when it comes to supplementation? I really love this topic because most people don't realize that men and women can both be doing so much more to augment their fertility and help them have healthier babies. So So I talk about a lot of the research that's gotten done in the last 10 years. It's amazing how this has been studied by incredible researchers looking at so many different antioxidants making a difference for both the men and the women.

13:44So things like curcumin, astaxanthin, the liposomoglutathione is also a really great antioxidant. The B vitamins all really support for fertility and healthy babies. And then another area of research that's so fun is mitochondrial support. So the little organelles inside our cells that make energy, when we give our bodies those supplements, which are just good for health and longevity in general, it also really can make a difference. So CoQ10, special forms of CoQ10 like MitoQ, there's some really interesting research with that particular product. NAD, which a lot of people are hearing about. L-carnitine, the B vitamins also make a big difference.

14:29And magnesium. Like magnesium is something that pretty much almost everybody is deficient in, not optimal in. And it can make such a big difference in so many different pathways in the body working well. People will argue you can get all the nutrients you need from your food. What would you say to that? The research shows that that's not true. I think that's part of why we're seeing this fertility crisis. that environmental toxins meet nutritional deficiencies. And as somebody who's gotten to measure that in my patients for 20 years, there's rarely a person that is optimal in their nutrients. Even if they're eating super, super clean, trying to go to the farmer's market and fix everything fresh, we can usually find some areas that they're not getting the nutrients that they need.

15:19You mentioned we're in a fertility crisis. What does that mean for people listening? Yeah, it's really, really alarming. It's one in five or six couples deal with some level of infertility, which means not getting pregnant after a year, starting or growing their families. So that's in the U.S., but this is a global issue. Mm-hmm.

16:11autism in the U.S. and one in 22 in the state of California. We have increasing rates of mental health, diabetes, obesity, autoimmunity, and cancer in our children. And what I see in my patients is that we can shift all of this. Men and women can go on to have their healthiest children yet, even if they've had children that have had struggled with autism or autoimmunity. well into their 40s just by doing, you know, working on all these lifestyle factors and then really helping their bodies to be in balance. One thing I hear from women all the time is that they're struggling with symptoms like hot flashes, sleep disruptions, and brain fog, but aren't sure where to turn to for help.

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17:50Plus, you'll get$20 off your first order today. That's M-Y-A-L-L-O-Y.com, code Dr. Brighton. When I look back at my grandmother's time, you know, before there was birth control, and I know you're such a beacon of light for women understanding how birth control affects them. So before that time, women were commonly having babies while into their 40s because they didn't have any way to stop it. And they were eating differently. They weren't being exposed to these levels of environmental toxins. and um it it was we didn't they didn't talk about advanced maternal age because women just had their you know they were just having their babies their bodies were built to procreate and so um i think the birth control you know women telling their bodies not to get pregnant for a very long time is also such a big issue like how do you shift that conversation at a cellular level to reignite this birthright that we have to start and grow our families.

18:58Yeah. A lot of people will point to the reason why we're seeing a decline in birth rates is because women are choosing not to have babies. But what we're talking about here is a fertility decline. These are women who are trying to have babies, seeking to become mothers, and they're unable to do so. What role do you think men's health is playing in this? It's at least 50 % or more. And often men's sperm is not checked until they've gone way down the path with the infertility. My suggestion is that men start to use their sperm quality as a health and longevity marker. It should be better than a cholesterol.

19:44Yeah. No, I definitely agree. I'm like, you should be bragging about your sperm count. Exactly, because it's just saying, hey, when the sperm are healthy, the body's healthy. So better than many of these other markers that men are getting to know how they're doing. But what is so fun is when men can go from having to deal with knowing that they're having an issue, doing this process where they actually get to really take care of themselves, see a shift in the sperm quality and the epigenetics. There's a new test out that actually will check the epigenetics of the sperm, which is so important to the health of the future child, that they can see how their work affects the future health of their child.

20:32And it's so inspiring for men then to know, okay, yeah, if I'm exercising, if I'm avoiding the alcohol, if I'm eating really clean, if I'm doing my detox process, I can have a healthier sperm count and quality and a healthier baby. It's like by giving themselves the gift of health, they get to give it to future generations. I think it's really helpful and inspiring. There's other data too that's showing that the health of the sperm affects the health of the pregnancy. So like having cannabis and alcohol and having exposure to other toxins increases the risk for miscarriages and other pregnancy issues.

21:18I think that's really important because often when doctors are considering cannabis use, they're considering motility and how many we have. So how many swimmers and how well are they swimming? And they're not actually considering, but how good are the ones that make it there overall? Talk to us about this test that is testing the epigenetics of sperm? It's so fun. It's called SpermQT. And the way that they're applying it is a little bit different than I am. Mostly they're using it to help IVF be more successful. But what I see is that when this data improves, then people just get pregnant naturally, easily, and they don't have to do the IVF piece.

22:02So yeah, SpermQT, it's an up and coming, really exciting test. What is it telling people when they get this test? So it will do the traditional sperm test that looks at the sperm count, the morphology, like the shape of the sperm, the motility. So those are the traditional things. But then it also looks at some of the epigenetic markers, which are how the genes are getting dialed up and dialed down. And they can estimate whether there's a problem or not. So they'll say abnormal, normal, and excellent. So the closer you can get to that excellent range, that will equate to better fertility and healthier babies.

22:42Yeah. Talk to us more about how sperm is impacting mom's health during the pregnancy, but also fetal outcomes. Yeah. So that's on the epigenetic side. So I think about our sperm, the sperm is being like a time capsule. And the egg too, but especially the sperm. So it's like the dad's one chance to pass on the important messages to the baby about the environment that they're coming into. So we know based on data when there was famine that some of the thrifty chains that help the child to be able to keep the nutrients get dialed up because there's more of an obesity problem in those children. So that's just one example.

23:28There's also data showing some trauma markers get passed on as well. So then what we know is some of these cannabis dials in that time capsule and other toxins are impacting then when the egg and the sperm get together and start to grow the baby, that those genes that have been upregulated or downregulated by dad, a lot of times will have more priority. And so as the baby's developing, if there's some detrimental epigenetics, it can actually be associated with some of these problems that we want to get ahead of and avoid. Yeah. And I think it's interesting because if you view it through an evolutionary perspective, this is about conveying the most important data for the survival of the organism.

24:21However, within our modern environment, what we're seeing play out, mom's got more morning sickness, mom might develop preeclampsia, like the negative effects of pregnancy that we are trying to get our patients as healthy as possible to avoid, right? Some of the consequences that can come along with that, that has always been put on the shoulders of women. And now in light of new research, we're understanding that most of the time when things are going wrong. We didn't do anything wrong. And I would say like any woman listening who has ever been a mom has usually worked hard on her health. Like, you know, there's the outliers.

25:00And yet there hasn't been this emphasis on men's health. And I think that's been a big disservice to them in this conversation. I think it's been disempowering for men and it's put so much stress on women. So what I really love to do in my practice is when I get to help both the man and the woman to do this preparation. And then I, I mean, I really see the healthier pregnancies. So things like postpartum depression are less common than all the morning sickness issues are less likely to happen. So there's this theory that, that I pulled together with all the research in the book. And then there's like the reality of it is even more exciting than what the research shows because There's so many of these things that there's so much conversation and fear about.

25:47There's hope. We've talked about for men, if we want to get the sperm healthier, let's take away the alcohol. Let's take away the cannabis. Really, any recreational drugs. Not a good thing. Nicotine. You talked a bit about supplements. Is there anything else you would add that men should really be considering that their primary care doctor is probably not talking to them about? We have a whole guide on the supplements that I love, and there's tons of information in the book. Of course, I love to customize it for my patients, but the things that really can help that would benefit everybody would be the liposomal glutathione, phosphatidylcholine that helps the cell membranes and mitochondrial membranes, and all the mitochondrial support.

26:33so the CoQ10 the carnitine the NAD um and people feel better any you know just quality of life is better with the but those things as well um it's a little bit of a financial investment some of these supplements are you know definitely um are not the least expensive supplements out there CoQ10 is easily one of the most expensive supplements out there and you know I also talk about like SPMs, incredibly expensive. But when you consider how they have to be manufactured and how volatile the process is, and when you go to the raw ingredients, it's like, this is what it costs. And I think it's so important to get the best quality so that you actually are getting what you think you're getting and it's going to have the impact that you want.

27:21But when you look at the cost of having a child that has health issues or having a pregnancy that doesn't go well. It makes so much sense to invest in these things up front as true prevention. Yeah. Talk to us about how people can choose quality because often your gynecologist, you tell them, I want to get pregnant. They're like, take any prenatal, find a cheap one out there. It doesn't really matter. But you and I know how wild the industry can be and how much matters. How can people be a smart consumer? So you want to look for things that look like they're pharmaceutical grade that have been extra tested for efficacy and purity.

28:04And usually those are brands that go through practitioners. It's hard to get most of those these days just by going on the internet and looking for them. But the CGMP is one of those. And then And you should be able to ask for second-party testing for just about anything. And for people listening, the CGMP is the manufacturing practices, and you can find that on the label of the bottle. Exactly. Yeah. So I want to ask you, you know, in terms of, we've talked a little bit about mitochondrial health, but inflammation. Talk to us about the role of inflammation in infertility. Oh, I'm so glad you asked that question.

28:48It's so interesting because I was on a deadline for the book. I was supposed to turn it into the publisher when I decided I just need to print it out and just feel it for the last time. And I held it in my hands and I was like, oh, my God, there's another chapter. I've got to write it. I just did. Did they let you put another chapter in? I did. Oh, that's amazing. Shout out to your publisher because sometimes they're like, we've got a word count. We've got to meet. Yeah. And it was one of the topics that I was like, oh, my gosh, this is so important. There was a little bit through the book on this, but I was like, I really need to explain the importance of inflammation for both men and women.

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29:25Yeah. Because for the sperm, again, if we think about it as a time capsule, that inflammation gets passed down to the baby. So we want to look at markers for inflammation. If you have access to labs, that's one that in addition to doing the other testing that I talked about, We can do very detailed inflammation markers to just give ourselves some clarity on whether there is any or not. But a lot of times people will feel it. You know, they'll have a little joint pain, a little fatigue, a little gut bloating. It doesn't have to be anything serious, but even those inflammation markers can get passed on.

30:03So when we have inflammation, depending on what the source is, we really want to figure it out. Often it's in the digestive tract. we've got a shift in the microbiome or we've got food allergies, a little bit of issues with whether we're absorbing our nutrients. But there's ways that we can look at all of that. One of the other really important sources for kind of hidden inflammation is autoimmunity. So fortunately, that's a test that most people can do through their primary care doctor is just ask for a very detailed autoimmune panel that should go through insurance to see if there's any signs of that because a lot of time that's brewing and can be either putting the future baby at risk or causing some issues with infertility.

30:50So looking for thyroid issues. So Hashimoto's with the thyroid peroxidase antibody, thyroglobulin, thyroid receptor antibody, and ANA. So you might not know that you have these things. They can just be simmering. And what's really beautiful is that when we go through this process of helping our bodies to be healthier, helping to detoxify, build the mitochondria, a lot of times we can reverse it. And then it's not there to wreak havoc with this whole process. What inflammatory markers would you recommend someone gets as a starting place? And then what are maybe ones that their provider may not even be aware of or consider?

31:31Oh, I forgot this question. So in addition to the autoimmune panels, some of the panels that go with cholesterol are really helpful. So we can do a high-sensitive CRP, a SED rate, an MPO, an LPPLA2. And then there are a few others that are part of those advanced cholesterol panels. And then as part of the nutritional panels, a lot of times there's something called an 8-hydroxy-2-deoxyguanosine and a lipid peroxidase. And there's more, but those are some that are more easily available and super helpful. So if you see something that's a little bit elevated, doing this process will usually help it to come down.

32:12Eczema is unpredictable, but you can flare less with EpGliss, a once-monthly treatment for moderate to severe eczema. After an initial four-month or longer dosing phase, about four in ten people taking EpGliss achieved itch relief and clear or almost clear skin at 16 weeks. And most of those people maintain skin that's still more clear at one year with monthly dosing.

32:58If you have new or worsening eye problems, you should not receive a live vaccine when treated with EpGliss. Before starting EpGliss, tell your doctor if you have a parasitic infection. Ask your doctor about EpGliss and visit epgliss.lily.com or call 1-800-LILY-RX or 1-800-545-5979. Okay, so let's say someone has elevated inflammatory markers. Are they still falling into the three-month PrEP protocol or do they need more time to work on that inflammation? It's better to give yourself a little bit more time, but it's so worth it because the whole pregnancy process will be so much better to really give your body time to dot the I's, cross the T's, and make sure that process is turned off.

33:39Because I think about it as being like, we need a little fire in the fireplace to really keep things going. But when these inflammation markers are up, it's like the fire has gotten out of the fireplace, and we need some time to get it back into the fireplace. What are some anti-inflammatory practices that couples can start to incorporate, that can start to nudge things along? And then we'll talk a little deeper about investigating the gut. Some really simple things that actually can have huge changes would be to do a low inflammation diet. So just going with gluten-free, dairy-free can make a huge difference for some people.

34:17You don't even need to test for it. Just try it. doing some of the detox process can really make a difference. And then things like hyperbaric and sauna, if you have access to it, can be beautiful, along with taking antioxidants like curcumin is a really lovely one. And then one of my favorites is the liposomal glutathione. And then in terms of gut health, what impact does the microbiome of mom and dad have on baby and the pregnancy as a whole? Thank you for that question because that's such a wonderful area of emerging research. The man's microbiome is another piece of this time capsule that gets passed on.

34:59So it's really great when you can actually measure the microbiome because it's so easily shifted by changing the diet and taking probiotics, prebiotics, that kind of thing, and then taking supplements that help the gut to heal. And then with the women, I think it's a lot more common. People know that, you know, the baby gets seated with the woman's microbiome. So you want to have that in order as much as possible. So there's some labs that have come out that actually do a really good job of the gut microbiome and the vaginal microbiome. So Tiny Health is one, And then Evie is another one. So it's actually nice to do the preconception work for the woman and then also double check during pregnancy as well and right before delivery to make sure that everything's really beautifully optimized.

35:52I just had a patient do the tiny health test right around seven months and got a little bit of an alarming result back. And so we were able to, just within like two weeks of getting the data, making some adjustments, we added some supplements like digestive enzymes and butyrate and got her on a low histamine diet. And things shifted really quickly. So she's ready for delivery. What were the alarming signals that came through? So the data now shows there are certain families of bacteria that are going to be more problematic for inflammation in the baby's gut. And so it looked like she was not going to be passing on the microbiome that she wanted because there were more bacteria that make a lot of inflammation, that drive inflammation in our bodies.

36:49and you know when we got the results back I was like oh gosh we don't have very much time so so we just jumped on it and I was actually kind of amazed at how quickly we got things squared away with her yeah yeah what is the impact of inflammation on a developing baby because your average doctor is not going to check inflammation they're not even going to check okay, in the first trimester panel. This is not something that's really on their radar. However, we have decades of literature that tell us when there's inflammation in utero, we can have some pretty negative outcomes on baby. You know, I think it's really the fruit of why we're having this children's health crisis is that, you know, just humanity is so much more inflamed And that already sets their bodies off with this epigenetics.

37:47So I feel like inflammation just finds the weak spot in each person, right? So one person might be more predisposed to the—one baby might be more predisposed neurologically and be more at risk for autism. Another child might be more at risk for the autoimmune diseases. Another child might be more at risk for the mental health. So it's really where genes meet epigenetics, meet inflammation. And I don't want women to be scared or feel like this is their fault because I think this is the thing that so much of women's health is, is if I had known I would have done better, but your doctor did know and they didn't do better by you.

38:32And so you can't be the only one shouldering all the responsibility in this. But for women listening right now who might be like, okay, I'm pregnant. I might be inflamed. I might have microbiome issues. What would be some of the first things that they could do starting tomorrow on their own? The easiest thing is to follow the diet in the book. Okay. It's a low inflammation diet. Can you give us just like highlight? Everybody can do that right away. And sometimes it's amazing how it even reverses autoimmunity. Sometimes with my patients with even like glupus and MS and things like that, Hashimoto's, just changing the diet sometimes is enough to make a big difference in just a few months.

39:14So I'd like most people to do gluten-free, dairy-free, which is not that hard anymore. Except none of your French women are going to do that. I hate to play this people. You know, even in France, it's not that hard. Like traveling in Europe. Oh, no, I don't think it's hard to be dairy-free. I just think nobody wants to do it. But when you're faced with this decision, Like, what can I be doing for my baby? You might do it, at least temporarily. So gluten-free, dairy-free, the cleanest protein that we can find. So if you can find grass-fed organic meat, great, because we need plenty of protein to build a healthy baby.

39:53There are ways to work around with vegetarians, but it's hard. It's a lot of work. And then eating the brightly colored vegetables. So the cruciferous vegetables are so helpful for supporting the body for detox and lowering inflammation. So the cauliflower, cabbage, kale, bok choy, arugula, whatever ones of those you like. Or if you don't like them, hide them in sues or stoops or something. And then the brightly colored berries. So the blueberries, raspberries, blackberries, organic as much as possible. those things alone for some people will really really lower inflammation and then the supplements that are safe so things like curcumin and and the spm fish oil are also super helpful for very quickly making some shifts in the inflammation markers and it's fun to measure them if you have access to measuring them and seeing what's happening so you can can iterate and know You're doing all the things.

40:57And I just want to come back to this as a mom. Like one of the things that really inspired me to write this book is I really wish I had had this. Seeing what my kids have gone through and they're okay. But I just know that if I had known these things, their own health journeys would have been a lot easier for them. Yeah. Well, I think, and I want to say also, it's really important to recognize because sometimes someone might be listening to this and they're like, but my child had health problems. So I have a nutrition degree. I did preconception care, both my husband, myself. I grew my own food.

41:39I ate straight out of the garden and my son still went on to have some health issues. And people would, there were actually other practitioners who were like, well, if you had done this, if you had done that, I'm like, I did do all of that. And things still happen. But in the reality is, how much worse would this have been? His body recovered faster. Like that when I look at everything and it's often we think, well, if I just do everything right, we'll never have problems, except that there's a lot in the environment that you can't control. And I think when problems do arise, we have to look at it from the lens of, But what is it like on average?

42:18So my son had Panda's autoimmune condition of the brain. Most children are struggling for six years with nonstop flares. This child was coming out of a flare, recovered at a month. Yes, we had the ebbs and flows like the disease does, like every autoimmune disease does. But I looked at that and I'm like, wow, I could have taken the perspective of what did I do? I didn't do enough. And instead I looked at, I'm so grateful I did all of this because the recovery process, like the resiliency of the body and not getting stuck in these patterns was so much more. And so I just want to offer that reframe for parents because I think all the best parents blame themselves for literally everything that ever goes wrong.

43:02Yeah. I love that. I know you're right that by doing this process, no matter what your child is confronted with, they will have better resilience. Mm-hmm. Is there any message you want to leave parents with who are maybe struggling to conceive now? They're staring down the, do I go the IVF route? Which as someone who's done IVF and looked at all the research, it is very sad how inefficient and really expensive, not always, you don't get the, you know, you don't get the results for how much money you put in. And we don't talk about that enough. Usually IVF is framed as like, if you can't get pregnant, don't worry, IVF will save you.

43:44And I think, and I was reading recent statistics that it was like, yeah, it's like 30 % success rate. Like that's not great when you're looking at investing 20,$30 ,000 for a single round. So I want to reframe infertility. I want to frame it as there's a check engine light on. One or both bodies are just giving a warning sign that it's not a great time to conceive and that it's time to look under the hood and see what's going on and help the body to get back into better balance. There are a couple of exceptions to that, but what I find is that even people who've failed at IVF, when they do this process, they get super fertile even into their mid-40s.

44:31So I want there to be hope. And it was really interesting because I was doing a book signing yesterday. And one of the people that came up to get a book, he just kind of wanted to have a conversation. And so he was asking me some questions. And then there was this woman kind of listening in on the conversation right behind him. And it turned out that he's an IVF doctor and he was getting the hardest cases. And he had started doing some integrative medicine training. So he had started implying that with preparing some of his patients before doing IVF on them well he got to just practice he said they all got pregnant naturally without almost all of them got pregnant naturally unless they had blocked tubes then the woman who was listening in had she was like tearing up and so i was like what's what's going on and she said she failed four rounds of ivf and so listening to this conversation between me and this ivf doc it was such a gift to me to see her hear this message of hope.

45:50Is there any reason someone couldn't do the protocol in your book and go through IVF if someone's listening right now? I think a lot of times you won't need IVF, but especially if there's a reason. Like the woman that was listening in doesn't have a partner, so she had decided she was going to do this on her own. Just had two women that are preparing to do IVF, the couple that's married. And so certainly there are reasons that people will do IVF or, you know, they haven't met their partner yet and they're concerned about when that's going to happen and they want to store some eggs. This will make the process more effective.

46:33You're going to have a better success rate if you do this preparation. Yeah. Well, thank you so much for taking the time to chat with us today. Your book is available everywhere, correct? Everywhere. Fantastic. Well, we will link it in the show notes and it is always good to see you. We haven't seen each other in so long. So good to catch up with you. You look amazing. You're just glowing. Oh, well, thank you. I have a good lighting guy in the room.

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From the publisher

If you’re trying to conceive and wondering how to get pregnant faster, you’re likely being flooded with advice that ranges from tracking ovulation to “just relaxing” or jumping straight to IVF. What’s often missing from these conversations is a deeper understanding of preconception health—the biological groundwork that determines whether conception is easy, delayed, or doesn’t happen at all.

In this episode of The Dr. Brighten Show, Dr. Jolene Brighten sits down with Anna Shippy to unpack why fertility challenges are rarely random and why the body often sends signals long before a pregnancy test turns positive. Together, they explore how inflammation, environmental toxins, nutrient status, gut health, and—critically—men’s health and sperm quality all shape fertility outcomes.

This conversation reframes infertility not as a failure, but as a check-engine light—a sign that the body may not yet be in an optimal state to support conception, pregnancy, or a healthy baby.

This Episode Is Brought to You By

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Find Ann Shippy 

Ann Shippy's Instagram: https://www.instagram.com/annshippymd/ 

Ann Shippy's Facebook: https://www.facebook.com/AnnShippyMD/

Ann Shippy's YouTube: https://www.youtube.com/annshippymd

Ann Shippy’s Book: The Preconception Revolution
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