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    Fertility doesn’t drop off a cliff at 37. It’s a g Fertility doesn’t drop off a cliff at 37. It’s a gradual decline. Eggs take around 90 days to mature, so the next three months matter.

Here’s what’s being studied, and the doses researchers have used:

🔸 **CoQ10 / ubiquinol.** The most-researched dose is 600 mg a day, split through the day, for at least 60 days before IVF, although there is emerging data the 12 mg per kg of body weight Ubiquinol is the better-absorbed form, and trials comparing the two are underway.

🔸 **Resveratrol.** Studied around 200 mg a day. Timing matters: it’s usually stopped before transfer or once you’re trying to implant.

🔸 **Alpha-lipoic acid.** Studied at 600 mg a day, mostly in PMOS and IVF populations.

🔸 **NR (nicotinamide riboside).** Supports NAD+, which declines in ageing eggs. The research so far is in animals, so there’s no established human fertility dose yet.

🔸 **Myo-inositol.** Usually studied at 2 g twice a day, mostly in PMOS. The evidence in women over 37 is still emerging.

Supplements can support egg quality, but they can’t stop the clock and they don’t guarantee a pregnancy. What’s right for you depends on your bloods, medications, history and treatment plan. Please don’t self-prescribe off a reel. Speak with your practitioner or fertility specialist first.

Test, don’t guess.

💬 Comment **EGG QUALITY for my guide to dive a bit deeper.**

_________________

I’m Dr Miranda Myles, a Clinical Naturopath and registered Chinese Medicine Practitioner (Acupuncturist)I support women trying to conceive prepare for their pregnancy and baby. 
Over 25 years and 25,000 patients, I’ve worked with women through preconception, trying to conceive, IVF, donor eggs or sperm, early pregnancy loss and postpartum. I also work alongside women who have PCOS, endometriosis, adenomyosis or thyroid conditions. 
My approach combines naturopathy and acupuncture with functional testing, so care is tailored to you.
This work is personal. I became a mum at 42 and again at 47 through donor eggs.

Your miracle. My mission 💕

Follow along for more.
No medical advice. Education purposes only
    Reference ranges describe the general population. Reference ranges describe the general population. They weren’t set with fertility in mind.

Ferritin is your iron stores. A result can sit inside the lab range and still be under 30, a cut-off many guidelines use to define iron deficiency. Before conception, I like to see ferritin above 50. Iron matters for ovulation, and pregnancy draws heavily on your stores.

TSH is the brain’s signal to your thyroid. It’s a screening test, not the full picture. A “normal” TSH doesn’t rule out thyroid issues that can affect fertility, such as autoimmune thyroid disease. A comprehensive thyroid panel includes:

- TSH
- Free T4 and free T3
- Thyroid antibodies (TPO and thyroglobulin)

Many fertility specialists also prefer TSH under 2.5 when you’re trying to conceive. The evidence there is mixed, which is exactly why it’s worth a conversation.

Neither result explains infertility on its own. Both are worth reviewing rather than skipping past.

If you’re under 35 and have been trying for 12 months, or 35+ and trying for 6, it’s time to see a fertility specialist. Take your results with you and ask what they mean for you.

Save this for your next appointment.
    Welcome earth-side gorgeous one. I am so honoured Welcome earth-side gorgeous one. I am so honoured to help  bring you home. 

Well done mama bear 💕
    Your TSH is normal. Your thyroid might not be. Th Your TSH is normal. Your thyroid might not be.

There are four key times in a woman’s life when thyroid issues are most likely to show up. I call them the 4 Ps: puberty, pregnancy, postnatal and perimenopause.

The group we miss most often is our teenage girls.

Thyroid antibodies aren’t just an adult issue. About 8 to 14% of women of reproductive age have them. In girls aged 12 to 18, just under 6% have TPO antibodies and just under 10% have thyroglobulin antibodies.

This is not a pattern we should be missing.

TSH alone won’t show you whether antibodies are present. If you, or the teen in your life, are in one of the 4 Ps, ask your healthcare practitioner whether a full thyroid panel, including antibodies, is right for you.

Test, don’t guess.

📌 Save this for your next blood test
💬 Send it to a mum of a teen girl

This is general information, not personal medical advice. Speak to your healthcare practitioner about your own situation.

_________________

I’m Dr Miranda Myles, a Clinical Naturopath and registered Chinese Medicine Practitioner (Acupuncturist)I support women trying to conceive prepare for their pregnancy and baby. 
Over 25 years and 25,000 patients, I’ve worked with women through preconception, trying to conceive, IVF, donor eggs or sperm, early pregnancy loss and postpartum. I also work alongside women who have PCOS, endometriosis, adenomyosis or thyroid conditions. 
My approach combines naturopathy and acupuncture with functional testing, so care is tailored to you.
This work is personal. I became a mum at 42 and again at 47 through donor eggs.

Your miracle. My mission 💕

Follow along for more.
No medical advice. Education purposes only
    Your TSH is normal. Your thyroid might not be. Th Your TSH is normal. Your thyroid might not be.

There are four times in a woman’s life when thyroid issues are most likely to show up. I call them the 4 Ps:

🌸 Puberty
🌸 Pregnancy
🌸 Postnatal
🌸 Perimenopause

The group we miss most often is our teenage girls.

Thyroid antibodies aren’t just an adult problem. About 8 to 14% of women of reproductive age have them. In girls aged 12 to 18, just under 6% have TPO antibodies and just under 10% have thyroglobulin antibodies.

Antibodies can be present while TSH still looks “normal”, and TSH alone won’t show you what the immune system is doing. A full thyroid picture includes TSH, free T4, free T3 and both antibodies (TPO and TgAb).

If your daughter is tired, flat, struggling with her periods or just not herself, ask her GP about a full thyroid panel. The same goes for you if you’re pregnant, postnatal or in perimenopause.

Test, don’t guess.

📌 Save this for your next blood test
💬 Share it with a mum of a teen
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