Fertility Hot Seat with Aimee Raupp

Jillian shares her fertility journey from five miscarriages in three years and repeatedly being told her age was the problem to finding a more supportive medical team and giving birth to a healthy baby girl four days after her 44th birthday. After conceiving her first daughter naturally at 37 and giving birth at 38, Jillian never expected that growing her family would become so difficult. Her first miscarriage happened at 39, followed by four more early losses. An American living in Rome, she saw multiple doctors, tried prescribed treatments, and began to feel increasingly discouraged by the message that IVF or donor eggs were her only remaining options. But Jillian felt there was more to her story. At 42, she joined Aimee’s group coaching and fertility eCourse. Together, they looked more closely at her history of pregnancy loss, family history of autoimmune disease, physical symptoms, nutrition, and emotional well-being. Aimee connected her with Dr. Vidali, whose referral led Jillian to a doctor in Rome who pursued more extensive testing and identified additional immune-related findings. We discuss the fear of taking a break from trying, the emotional impact of being told you are too old, and the importance of finding practitioners who take your concerns seriously. Jillian also shares how nutrition changes, meditation, visualization, and boundaries around online fertility groups helped her feel more supported throughout the process. Jillian became pregnant at 43, approximately three months after starting the additional treatment prescribed by her specialist. With close medical monitoring and continued support, she welcomed her second daughter at 44. Her story is an honest conversation about pregnancy after loss, self-advocacy, and learning to trust yourself while finding the care you need. Key Topics * Jillian had her first daughter in 2016 after conceiving naturally at 37 and giving birth at 38. * Her first miscarriage happened at 39, beginning a period of five early pregnancy losses over approximately three years. * Although the losses happened around five or six weeks, Jillian describes them as devastating. * As an American living in Rome, she was navigating fertility care away from her home country, with the pandemic adding another layer of difficulty. * Jillian saw approximately five different OBs and repeatedly heard that her age was the main explanation for her losses. * Doctors introduced blood-thinning medication and progesterone, but Jillian experienced three further miscarriages while following that treatment approach. * A family history of autoimmune disease led Jillian to wonder whether something beyond age needed to be investigated. * Her own research introduced her to Dr. Braverman’s work, but she still felt stuck and unsure how to access the right support. * At 42, Jillian joined Aimee’s group coaching and fertility eCourse, which she describes as a turning point. * Aimee explains why Jillian’s history prompted her to seek a more detailed evaluation of possible immune-related contributors to her losses. * They paused trying to conceive while pursuing additional testing and making changes to Jillian’s nutrition and lifestyle. * Taking a break felt frightening because Jillian was already worried about time and getting older, but she also knew she needed a different approach. * Aimee connected Jillian with Dr. Vidali, whose referral helped her find a specialist in Rome. * Her new doctor ordered more extensive testing and took her concerns seriously after she had felt dismissed by other practitioners. * Jillian describes feeling discouraged by her AMH and FSH results, but says her specialist helped her stay focused on the broader treatment plan. * Aimee and Jillian review symptoms beyond fertility, including eczema, dry skin, fatigue, digestive concerns, and a history of heavy periods. * Jillian followed Aimee’s nutrition plan for approximately six months and continued it into early pregnancy. * She prepared her o

What’s Really Behind Low AMH, Part 2: Real Women, Real Labs, Real Results In part two of this series, Aimee Raupp takes the NLRP3 inflammation framework from part one and shows what it looks like in real women’s bodies, with real labs, real numbers, and real timelines. She shares the stories of women who were told donor eggs were their only option, then walks through one case in full detail to show exactly how she connects the pieces: thyroid, vitamin D, iron, leptin, metabolic famine, blood flow, and the emotional work that so often gets skipped. Key topics: * A quick recap of part one: AMH as a smoke detector, not a verdict * How the NLRP3 inflammasome damages the granulosa cells that make AMH * A woman with an AMH of 0.1, six failed IVFs, and five losses who got pregnant naturally at 42 * A medical professional who went from six failed IVFs with zero normal embryos to two euploid embryos at 44 * Why “your only option is donor eggs” is so often the wrong answer * Judy’s full case: five miscarriages, a falling AMH, and a doctor pushing donor eggs * The labs that told the real story: TSH, vitamin D, iron, and leptin * Metabolic famine: how undereating, near keto eating, and overexercising suppress fertility * Feeding your ovaries instead of your waistline * Blood flow support with acupuncture, castor oil packs, and abdominal massage * Why trauma and nervous system work are fundamental, not optional * How Judy’s AMH rose from 0.7 to 1.2, and why that wasn’t the headline * Looking back with 2026 clinical eyes: the hidden insulin resistance pattern * Why low carb isn’t right for most women in their reproductive years * An inside look at The AMH Protocol, Aimee’s new six week program Timestamps:00:00 - Welcome to The Fertility Authority01:48 - Recap of part one: AMH as a smoke detector02:16 - The NLRP3 alarm system and granulosa cells03:01 - Real women, real numbers, the same verdict03:11 - AMH of 0.1, six failed IVFs, pregnant naturally at 4204:14 - Five REs said donor eggs: two euploid embryos at 4405:45 - Different women, different numbers, same wrong answer06:26 - Judy’s story: five miscarriages and a falling AMH07:02 - The labs at the time of loss: TSH and vitamin D07:20 - Clotting factor disorder already identified and controlled07:57 - AMH dropping from 1.5 to 0.7 and the push for donor eggs08:09 - What the full picture showed: iron, blood deficiency, leptin08:54 - Near keto, skipped breakfasts, and daily intense exercise09:22 - Feeding her ovaries, not her waistline10:30 - Rebuilding her blood with food and Chinese herbs10:34 - Blood flow support: acupuncture, castor oil packs, abdominal massage10:39 - The emotional work and fertility trauma coaching11:06 - A word from Rejoova12:41 - Trauma as background noise for the nervous system13:12 - The toll on her marriage and honoring the desire13:48 - Ongoing coaching, hysteroscopy, and endometrial biopsy14:41 - Repeat labs and what improved15:15 - The email: letting go and a surprise pregnancy16:01 - AMH from 0.7 to 1.2, and why that’s not the headline16:48 - Numbers are data, not destiny17:16 - Looking back with 2026 clinical eyes: insulin resistance17:43 - Why low carb isn’t good for most women trying to conceive18:30 - The labs most women never get run18:52 - Introducing The AMH Protocol19:20 - The six weeks: diagnostics, nutrition, blood flow, mindset, supplements, integration20:04 - Daily lessons, weekly live Q&A, and private community20:23 - Enrollment details and October 12 start date21:19 - Find the fire, put it out22:00 - The DIY option: Yes, You Can Get Pregnant22:54 - Closing and how to work with Aimee Resources & Links: * The AMH Protocol (enrollment closes October 10 at 11:59 PM, program begins October 12) * Fertility Lab Testing Panel * Yes, You Can Get Pregnant: Revised Edition by Aimee Raupp * The Egg Quality Diet by Aimee Raupp * Part 1: What’s Really Behind Low AMH * NLRP3 Inflammasome research * Rejoova: use code AIMEE20 for 20% off any individual supplement (

Endometriosis researcher and clinical nutritionist Savannah Regensburger joins me on The Fertility Authority to discuss why endometriosis gets missed, what deserves a closer look, and how we can better support women who are still searching for answers. Savannah brings a background in neuroscience, clinical nutrition, and clinical research, along with her work as an educator, women’s health advocate, and co-founder of I Am Endometriosis. Together, we look at endometriosis through the lens of research and clinical practice, including the gaps that leave women waiting years for a diagnosis. We discuss why the conversation needs to go beyond painful periods. From painful ovulation and persistent bloating to fatigue, digestive concerns, and fertility struggles, we explore the patterns that prompt us to ask more questions—and why symptoms need to be considered in the context of the whole person. We also talk about silent endometriosis, questions around AMH and ovarian reserve, and the role of imaging and specialist evaluation. Savannah shares how her own experience navigating misdiagnoses informs the way she approaches patient education and advocacy. Our conversation covers nutrition, sleep, the nervous system, environmental exposures, and ongoing support after surgery. We discuss what it looks like to build a sustainable approach to care without turning health into another full-time job or expecting perfection. We also explore the emerging interest in GLP-1 medications and endometriosis research. Savannah shares her personal experience with physician-supervised tirzepatide use after excision surgery, and we discuss investigational treatments, unanswered questions, and the need for more research. Finally, we talk about the emotional weight of a diagnosis, finding community, and why women deserve providers who are willing to listen, investigate, and work together. Key Topics * Savannah’s background in neuroscience, clinical nutrition, and research, and how these fields shape her approach to endometriosis education. * Why believing patients and taking their concerns seriously are essential starting points in the diagnostic process. * Gaps in medical education and the challenges women face when seeking answers about endometriosis. * Looking beyond painful periods when discussing symptoms, including back pain, fatigue, painful ovulation, and persistent bloating. * Silent endometriosis and the questions that can arise when fertility challenges occur without significant period pain. * How AMH, ovarian reserve, and endometriomas enter the conversation about endometriosis and fertility. * The overlap between endo belly, digestive symptoms, celiac disease, and other conditions that may need separate evaluation. * Why Savannah considers sleep and circadian rhythm important parts of her approach to supporting health. * The emotional and physical demands of chronic illness, surgery, and fertility treatment, and the importance of nervous system support. * Building realistic nutrition and lifestyle habits while allowing room for individual needs and imperfect days. * Savannah’s experience with excision surgery and the ongoing care she describes needing afterward. * The role of pelvic MRI, ultrasound, and experienced specialists in evaluating symptoms and interpreting findings. * Savannah’s personal experience with GLP-1 medications under physician supervision, including side effects and the changes she reports noticing. * Why adequate nutrition, protein, fiber, muscle mass, and bone health remain part of the medication conversation. * Research questions around inflammation, metabolic health, and fertility, including the limitations of the evidence discussed. * Investigational endometriosis therapies and why early research needs to progress through clinical trials. * How I Am Endometriosis connects women through community, education, and advocacy. * The emotional complexity of finally receiving a diagnosis and why continued support matters. * The

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This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit aimeeraupp.substack.com/subscribe