Aimee Raupp | The Fertility Authority Podcast

What’s Really Behind Low AMH, Part 2: Real Women, Real Labs, Real ResultsIn 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 programTimestamps: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 AimeeResources & 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 (not valid on bundles)Connect with Aimee Raupp:* Instagram* Website* Substack* Work with Aimee and her team 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

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 need for earlier recognition, better collaboration, and care that takes women’s experiences seriously.Timestamps00:00 - Welcome to The Fertility Authority01:48 - Introducing Savannah Regensburger and today’s conversation03:55 - A note about medical advice and physician guidance04:10 - The conversation with Savannah begins04:33 - From neuroscience to clinical nutrition and research06:05 - Misdiagnoses and finally receiving an endometriosis diagnosis07:48 - What could shorten the path to diagnosis?08:09 - Believing patients and discussing clinical diagnosis09:06 - Gaps in endometriosis education11:23 - Fertility concerns and looking beyond painful periods12:14 - Sponsor break: Aimee Raupp Beauty13:20 - Back pain, fatigue, and overlapping conditions13:47 - Silent endometriosis and fertility14:41 - AMH, ovarian reserve, and endometriomas15:16 - Painful ovulation and persistent inflammation16:07 - Endo belly, digestive symptoms, and celiac disease18:21 - Discussing autoimmune overlap and individual differences19:14 - Connecting neuroscience and endometriosis care20:10 - Sleep, circadian rhythm, and consistency20:49 - The nervous system and the burden of chronic illness21:39 - Environmental exposures and personal triggers22:18 - Surgery and ongoing support23:12 - Discussing gut health and the estrobolome24:39 - Pelvic MRI, ultrasound, and specialist interpretation26:21 - Symptom monitoring and conversations about future fertility27:10 - Introducing the discussion about GLP-1 medications27:40 - Savannah’s research background and interest in inflammation28:46 - Bringing treatment questions to her physician29:13 - Savannah’s experience with semaglutide and tirzepatide30:29 - Side effects and physician-guided dose adjustments31:32 - Changes Savannah reports in symptoms and lab results32:33 - Nutrition, protein, fiber, and adequate intake33:19 - Research questions around inflammation and fertility35:18 - Individualized care and combining approaches36:58 - Gaps in research involving pregnancy37:40 - Investigational endometriosis treatments and clinical trials40:26 - Building the I Am Endometriosis community41:17 - Education, policy, and Capitol Hill advocacy44:08 - What Savannah wishes women knew before diagnosis44:18 - Mental health and support after diagnosis45:26 - Earlier recognition and looking deeper into symptoms46:18 - Digestive and skin concerns in the broader health picture48:28 - Addressing dismissal and improving collaboration49:54 - Where to find Savannah and I Am Endometriosis51:04 - Aimee’s key takeaways52:43 - Emotional support and finding your community53:28 - Closing encouragement and additional resourcesResources / Helpful Links* Aimee Raupp Resources & Freebies* Aimee Raupp Fertility Books* Aimee Raupp Substack* Work with Aimee and Her Team* Savannah Regensburger on Instagram: @savannahregensburger* I Am Endometriosis on Instagram: @iamendometriosisEpisode SponsorAimee Raupp Beauty — visit aimeeraupp.com and use code PODCAST20 for 20% off, as shared in this episode.This episode is for educational purposes and is not medical advice. Please speak with your physician before making changes to your care, especially medications. 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

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

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

Jen shares her fertility journey from frozen eggs, failed IVF, miscarriage, and being told she had about a 1% chance of success to ultimately conceiving naturally and giving birth to a healthy baby girl at 44.After freezing eggs years earlier as an “insurance policy,” Jen returned to fertility treatment at 43 believing IVF was her only option. Instead, all five of her previously frozen eggs were lost during the thaw, embryos from another retrieval stopped developing, and her clinic told her it was time to consider donor eggs.Jen decided she was not ready to accept that answer.She began working with a fertility-focused naturopath, discovered Aimee Raupp’s best selling fertility book: Yes, You Can Get Pregnant, and eventually joined Aimee’s fertility program. Together, they looked beyond fertility statistics and focused on nutrition, hormones, thyroid health, supplements, digestion, stress, emotional healing, and rebuilding trust in her body.We discuss how age-shaming affected Jen’s confidence, why self-forgiveness and surrender became such an important part of her fertility journey, and what changed when she stopped treating fertility as something she had to control perfectly and instead focused on becoming healthier, supported, and more compassionate toward herself.After another miscarriage and an incredibly difficult year that included losing her father, Jen conceived naturally again at 44. That pregnancy resulted in her healthy daughter, Ruby James.Key Topics* Jen came to Aimee at 43, approaching 44, after experiencing miscarriage and a difficult fertility treatment journey.* She had frozen five eggs in 2016 while single, believing egg freezing would serve as an “insurance policy” for having children later.* When she and her partner decided to start a family at 43, Jen returned to the same fertility clinic believing IVF was essentially her only option.* Jen describes experiencing significant age-shaming during fertility treatment and being made to feel that her chances of becoming a mother were extremely low.* Her clinic attempted to use her previously frozen eggs alongside eggs from another retrieval, but all five frozen eggs died during the thaw and three embryos from the new retrieval stopped developing after three days.* After the failed cycle, Jen was told she had approximately a 1% chance because of her age and was encouraged to consider donor eggs or possibly IUI instead of another IVF cycle.* Walking away from that clinic became a major turning point, and Jen decided she wanted to explore another approach rather than accept that her fertility journey was over.* Jen began working with a fertility-focused naturopath who evaluated hormones and bloodwork that she says had not previously been explored in depth.* Around six weeks after her retrieval, Jen tried naturally and became pregnant on the first attempt, but that pregnancy ended in miscarriage at eight weeks.* Discovering Aimee’s book Yes, You Can Get Pregnant dramatically changed Jen’s perspective because it was one of the first resources she found that gave her hope about pregnancy after 40.* Jen says the emotional component of Aimee’s work became just as important as nutrition and supplements because she carried years of regret about not becoming a mother sooner.* A major part of their work involved forgiving her younger self, processing grief, and questioning the belief that she had somehow “missed her chance.”* Jen eventually realized that motherhood was happening at the right time for her life, her relationship, and the person she had become.* Letting go of the age-shaming she experienced in fertility treatment became another important part of rebuilding confidence in her body.* Jen incorporated Aimee’s nutrition approach and made major lifestyle changes around sugar, soy, dairy, alcohol, coffee, and other foods.* Instead of seeing the diet only as something she had to do to become pregnant, Jen began viewing it as a way to improve her overall health.* Having a supportive partner helped make the nutrition changes more sustainable, particularly because Jen worked in the restaurant industry and her partner was a chef.* Aimee and Jen discuss monitoring hormones, progesterone, estrogen, digestion, thyroid function, supplements, herbs, and other health markers during their work together.* Jen experienced significant improvements in digestion and overall health while working on these areas.* During the fertility journey, Jen’s father passed away, adding another major source of grief and stress during an already difficult period.* Instead of expecting perfection during that time, Jen continued following much of the plan while allowing herself more flexibility.* In February 2021, while working with Aimee, Jen discovered that she was naturally pregnant again at 44.* Jen says this pregnancy felt very different because she felt stronger physically and emotionally and believed she had done everything she reasonably could to support her body.* Although pregnancy after 40 came with anxiety and some minor complications, Jen describes feeling physically well throughout the pregnancy.* Her experience with her new OB was also very different from her earlier fertility treatment experience, with her care team being supportive rather than focusing primarily on her age.* Jen gave birth at 44 and turned 45 approximately one month later.* Her daughter’s name, Ruby James, carries a special connection to Jen’s late father. Ruby was his July birthstone, while James was his first name.* Aimee had unknowingly helped inspire the name Ruby during one of their conversations when she commented on Jen’s ruby necklace.* Jen says one of the hardest parts of the fertility journey was learning to surrender control after miscarriage.* As a business owner who was accustomed to being in control, she struggled with the uncertainty of fertility and pregnancy.* Through Aimee’s teachings, emotional work, and mantras, Jen began practicing trust instead of trying to control every possible outcome.* She learned to trust her instinct to try naturally and trust that she was taking the right steps even though she could not control exactly how the story would unfold.* Aimee discusses the importance of creating a sense of safety in the body, not only through nutrition and physical health but also by addressing fear, urgency, stress, and what she calls mental inflammation.* Jen says the emotional work of stopping self-blame and feeling that she was “not enough” became one of the most important parts of her journey.* She also emphasizes that fertility support should not be about perfectly checking every diet or supplement box.* Building the right support team became another major lesson for Jen, including practitioners, Aimee, her partner, and other people who genuinely believed in and supported her.* Jen says accountability and structure helped reduce the overwhelming amount of fertility information available online.* She encourages women to choose a path and trusted team rather than constantly jumping between different fertility recommendations.* Jen also learned to give herself grace when she was not perfect with food, supplements, or other parts of the plan.* Her message to other women navigating fertility is to recognize that it is a journey, give yourself compassion, surround yourself with the right support, and keep trusting yourself.* Jen ultimately conceived naturally after being told she had roughly a 1% chance and gave birth to a healthy baby girl at 44.Timestamps00:00 - Welcome to The Fertility Authority and Aimee’s root cause approach01:20 - Introducing Jen’s Story of Hope02:05 - Life with baby Ruby almost one year later03:20 - Starting the fertility journey at 43 after miscarriage04:05 - Freezing eggs in 2016 as an “insurance policy”05:05 - Returning to fertility treatment at 43 and believing IVF was the only option06:10 - Age-shaming and being told the odds were extremely low07:30 - Losing all five frozen eggs during the thaw08:15 - Embryos stop developing and everything is lost09:00 - Being told she had about a 1% chance and should consider donor eggs10:10 - Walking away from the fertility clinic and choosing another path11:05 - Finding Aimee, a naturopath, and the Egg Quality Diet12:00 - Conceiving naturally on the first try after retrieval12:40 - Pregnancy reaches eight weeks before miscarriage13:20 - Finding Yes, You Can Get Pregnant and discovering hope after 4014:20 - Why the emotional work became just as important as diet and supplements15:15 - Processing regret and forgiving the younger version of herself16:10 - Letting go of the belief that she should have become a mother sooner17:10 - Realizing this was the right time in her life to become a mom18:00 - Releasing the age-shaming from fertility treatment18:45 - Making the Egg Quality Diet part of everyday life20:00 - Sugar, dairy, soy, alcohol, coffee, and improving overall health21:15 - Why understanding the “why” behind nutrition helped Jen stay consistent22:10 - Hormones, estrogen, supplements, herbs, digestion, and thyroid support23:30 - Losing her father during the fertility journey24:25 - Following the 80/20 approach through grief and an incredibly difficult year25:15 - February 2021: the positive pregnancy test at 4426:05 - Feeling physically and emotionally different during this pregnancy27:00 - Pregnancy after 40 and finding a supportive OB28:05 - Giving birth at 4428:35 - How Aimee helped inspire the name Ruby James30:00 - Why surrender was one of Jen’s hardest lessons31:00 - Learning to trust after miscarriage32:10 - Following her instinct to continue trying naturally33:15 - Releasing control and allowing the journey to unfold34:10 - The emotional toll of watching other women become mothers35:20 - Creating safety in the body and reducing mental inflammation36:20 - Moving beyond the pressure of “I’m running out of time”37:15 - Why fertility is about more than perfectly checking every box38:10 - Building the right