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Making Baby Series - Part 23 : Eating to Conceive



Eating well to maximize fertility is not much different from eating well to maximize good health in general. But what may come as a surprise to you is that some specific foods and types of foods, as well as some ways of eating, can have specific fertility effects.
Diet can help correct hormone imbalances that may be at the root of fertility problems, and certain foods and drinks are known to decrease fertility.




The most potentially powerful fertility effect your diet may have is that it can make you healthy. As my (Jill’s) Chinese medicine teachers taught me, a healthy body gets pregnant. It’s something we’ve both seen play out in our own patients time and time again, and it is our simplest recommendation to you: Get healthy to get pregnant; get pregnant by getting healthy.

The Chinese have a saying: “Eighty percent is perfection.” In that spirit, we urge you to aim to follow the Making Babies rules about 80 percent of the time. It just takes too much effort to follow them 100 percent of the time, 24-7, and if that is your goal, you’ll be unlikely to stick with the program over the long haul. We hope you’ll consider our recommendations for a healthier pattern of eating as guidelines, not strict orders. That’s right, we’re giving you permission to cheat. In fact, we want you to, at least once a week.

If following these guidelines is a drastic change for you, you should ease into them, building up to the full program gradually. This will help you stick with the program and avoid unnecessary stress on your body. As always, you should discuss changes like these with your doctor.
For those who want to “eat to conceive,” we recommend fresh, seasonal, organic food in its natural state; whole grains; colorful fruits and vegetables; healthy fats; sufficient protein; alkaline foods; and plenty of water. Steer clear of trans fats, highly refined grains, processed foods, refined sugar, heavy metals, aspartame, and MSG. Finally, always keep a positive attitude toward food and eating.

FRESH, SEASONAL, ORGANIC FOOD IN ITS NATURAL STATE
Eating good-quality food is one of the most important things you can do for your over-all health. If you stick to this one rule, you will accomplish much of what follows by default. After all, there’s no such thing as an organic Twinkie. “Fresh, seasonal, organic food in its natural state” by definition eliminates trans fats and simple carbs, and right away you’re in compliance with two more of the most important recommendations of this program.

Eating organic allows you to avoid the pesticides, chemicals, synthetic additives, and other agents contaminating so much of our food supply and wreaking havoc on our health. These pose a long list of health risks. In terms of fertility, many agricultural chemicals, as well as the hormones given to animals raised for their meat, milk, or eggs, affect hormonal balance.

Furthermore, organically farmed crops are more nutritious, providing more of what a healthy body needs to thrive and be fertile. The soil they are grown in is nutrient-rich, and the crops are raised in such a way as to absorb those nutrients as nature intended. Research shows that the overall nutrition level of all our common foods has decreased over recent decades due to industrialized farming methods, which deplete the soil. Organic foods are actually able to nourish you better, and so you will be able to nourish new life.

Some studies even show that organic foods boost fertility. For example, the Lancet published a Danish study of organic farmers who lived mainly on the fruits of their labors (and so ate a diet free of pesticides). This study unexpectedly revealed that the men had sperm counts more than twice as high as those of the group of blue-collar workers to which they were compared.

Finally, in the traditional Chinese medical view, foods as well as people contain qi (energy). This qi is depleted as food is refined and processed. As I (Jill) explain to my patients, an ear of corn absorbs nutrients from the soil and energy from the sun as it grows. Cooked in its natural state, it passes on those nutrients and that energy to you. Once it has been processed into breakfast cereal, it has lost some of its nutrients and most of the energy it absorbed when it was a living thing. Breakfast cereal companies and other food manufacturers make up for this by adding nutrients back in, but just as that can’t recreate the complex interplay of nutrients and micronutrients in fresh foods, it can’t replace the energetic value either. Choosing whole, unprocessed foods ensures that you will get all the benefits of the foods’ life force.

WHOLE GRAINS
Most of the grains Americans eat have been refined. They cook faster and spoil more slowly that way. They are also digested faster, much faster, so they bombard the body with simple carbohydrates—the same way sugar does, metabolically speaking—making us feel lousy. We constantly cycle from brief “sugar highs” to long, low “sugar crashes”—the sharp peaks and valleys of energy with which most of us are all too familiar. Blood sugar and insulin levels go through the roof as the body tries to handle the rapidly digested carbs, ultimately creating insulin resistance and increasing our risk of type 2 diabetes and a host of general health issues. This cycle also increases the risks of hormonal and ovulatory problems that impair fertility.

In addition, refining robs grains of most of their natural nutrition. The whole point of refining is to remove the germ (the part of the grain that, if fertilized, will reproduce) and the protective layer of nutrient-rich bran. As the outer shell of the grain is stripped away, so too are the fiber, protein, antioxidants, B vitamins, and phytonutrients that make whole grains so nutritious. Many of these same lost nutrients play key roles in fertility.

Refined and processed grains are also acidic in the body, which can wreak havoc with fertility, among other things.

With the popularity of high-protein diets, we’ve seen more and more patients who simply don’t eat enough carbohydrates. You need some carbohydrates every day to maintain balanced hormone levels. (Women with polycystic ovarian syndrome, or PCOS, may need to cut back on carbs, Just choose your carbs wisely, focusing on complex carbs such as vegetables (even starchy ones such as sweet potatoes) and whole grains.

Explore a wide range of whole grains; there’s a universe of them out there. Discover high-protein quinoa. Enjoy magnesium-rich millet. Try spelt. Switch to brown rice. Experiment with bulgur. Just remember that all grains should be cooked thoroughly to ensure easy digestion.

IT DON’T MEAN A THING IF IT AIN’T GOT THAT JING Jing translates as “reproductive essence.” It describes our genetic inheritance and how it affects our longevity and ability to conceive. Healthy people have healthy jing and a healthy reproductive capacity—which they inherit from their parents and pass on to their children. Our jing helps us produce eggs or sperm. This isn’t just a human thing. All living things have jing, including plants that become our foods. Jing is mostly associated with foods designed to nourish new generations, including eggs, seeds, nuts, and sprouts. Grains are full of jing. Grains are seeds, and like all seeds (and nuts), grains contain the fertilized germ cells and the nutrition to sustain a new plant: jing! You need whole grains to get the jing, because it is destroyed by refining. Seaweed and algae are also considered to be full of jing, because they are so rich in trace elements. Male or female, our jing is best supported by foods naturally full of jing.

COLORFUL FRUITS AND VEGETABLES
Fruits and vegetables, including beans, are the other major sources of healthy, slow-digesting carbohydrates. Beyond that, they are packed with fiber, vitamins, minerals, antioxidants, and phytonutrients. We all know that getting our fruits and veggies is good for our health. But we’re here to tell you that they’re also crucial for fertility. We recommend eating a broad range of colorful fruits and vegetables every day.

What does color have to do with it? A plant’s color signals its phytonutrient content, and the more intense the color, the more phytonutrients. The antioxidant beta-carotene is probably the most famous phytonutrient, and also the most important for fertility. It works to maintain hormone balance and prevent early miscarriage. The corpus luteum, which helps produce the progesterone necessary to sustain a pregnancy, has very high levels of beta-carotene. Research shows that cows deprived of beta-carotene develop ovarian cysts and are slow to ovulate, and their fellow mammals—humans—work much the same way. You get beta-carotene in your diet from yellow and orange foods (including carrots, cantaloupe, and sweet potatoes), as well as from broccoli and leafy greens such as spinach.

Lycopene is also important. It’s been shown not only to prevent cervical and prostate cancers but also to increase sperm count. It’s found in red fruits and vegetables, such as tomatoes, red peppers, and watermelon.

Green is good, too, especially cruciferous vegetables and leafy greens, including kale, chard, collard greens, dandelion leaves, cabbage, broccoli, arugula, spinach, bok choy, and seaweed. Not only are these foods rich in folic acid, but they also contain beta-carotene, B vitamins, vitamin E, iron, zinc, magnesium, and selenium. In addition, they are full of fiber and important phytonutrients. Broccoli, Brussels sprouts, cabbage, turnips, mustard greens, kale, and the like contain a phytonutrient called di-indolylmethane (DIM), which helps both men and women metabolize estrogen better. For women, that means cruciferous veggies help combat the estrogen dominance that can lead to fibroids and endometriosis. In men, they improve the balance of testosterone with estrogen and allow more testosterone to circulate freely in the body. DIM helps eliminate active estrogen, breaking it up into particles, a process that can release testosterone bound to certain proteins. One daily serving of these vegetables is all you need to get the job done.

Round out your food color spectrum with blues and purples, including blueberries, blackberries, eggplant, plums, red cabbage, grapes, and red onions. They are rich in phytonutrients, particularly anthocyanins, which are anti-inflammatory as well as powerful antioxidants, both of which are benefits to fertility.

Vegetables with more neutral tones bring a lot to the table as well. The allium family, including garlic, onions, shallots, and chives, have antibacterial and antifungal properties that boost your immune system. Undetected infections are a major cause of unexplained infertility, so eat your alliums to help protect against infections.

Cook vegetables lightly to maintain the maximum amount of vitamins and enzymes, both of which can be destroyed by heat. Cooking makes veggies more easily digestible, so that your body can extract the nutrients it needs. Raw veggies are fine, too—where would we be without salads?—but you wouldn’t want to go exclusively raw.

HEALTHY FATS
First of all, you need to eat some fat. If you’ve been strict about keeping fat from crossing your lips, adding healthy fats back into your diet will be important for your fertility as well as your overall health. Your body needs dietary fat to make hormones, fight inflammation, and facilitate ovulation, among other things.

You do need to make smart choices about which fats you eat. And, of course, you need to eat them in sensible quantities. Eating too much fat or the wrong fats interferes with ovulation, spurs insulin resistance, increases the risk of endometriosis, and disrupts hormone production and balance, not to mention all the other ways it messes with your health. Healthy fats are good for everyone, and in particular for people who tend to be very thin, women in phase 4 of their cycle, and men with low semen volume.

Saturated fats from animal products harm your heart and contribute to insulin resistance, endometriosis, and PCOS. They are also where the dioxinshang out, so limiting them will protect you from dioxins as well. You do need some cholesterol in your diet to support fertility, and cholesterol is found where you find most saturated fats—in animal products. The body uses cholesterol in making hormones, including progesterone and testosterone, and if you don’t have enough cholesterol, you won’t have the right building blocks to make hormones.

Eliminate trans fats altogether, because, among other things, they can cause or exacerbate insulin resistance and ovulatory dysfunction and interfere with hormone production and balance. There is no safe level of trans fats in your diet. Eliminating trans fats is crucial for women with PCOS.
In a large, long-term study, researchers at the Harvard School of Public Health and Harvard Medical School found a link between increasing amounts of trans fats in women’s diets and increasing instances of infertility. Women who ingested trans fats were 70 percent less likely to get pregnant than women who did not. Even as little as 4 grams a day of trans fats was enough to cause problems.
If you are eating only fresh, whole, natural foods, you don’t have to give trans fats a second thought: they exist only in commercial, industrially prepared, and factory-manipulated foods. Watch out for commercial baked goods, crackers, cakes, and so on, as well as frozen meals and, the biggest transgressor of all, stick margarine. Trans fats now must be listed on food labels, so read them. Avoid anything with “partially hydrogenated vegetable oil,” which is the source of trans fats. Many manufacturers are reformulating their products to eliminate trans fats, but it’s worth noting that revamped products often rely on saturated fats. Be sure to check the labels carefully so that you know what you are eating.

Pruning these bad guys from your daily diet will leave room for healthy, beneficial fats. Unsaturated fats are the way to go: olive oil, nuts and seeds (and their oils), and avocados are the most nutritious sources. These are important for everyone, especially for women with PCOS.

Essential fatty acids (EFAs) also are crucial. EFAs are, as stated right there in their name, essential, and your body can’t make them. EFAs are a vital component of every human cell, so they have many health benefits. For our purposes, we want to call attention particularly to their vital role in balancing hormones and supporting the opening of the follicle to release the egg. Once you are pregnant, they are equally important for nourishing a developing embryo.

The key EFAs for fertility are the omega-3 and omega-6 fatty acids. Omega-9 fatty acids are good for you, too, but not technically “essential,” because your body will manufacture them if you have enough 3s and 6s. You also get 9s in olives, avocados, and nuts.

Omega-3 fatty acids have a broad range of benefits, including increasing blood flow to the uterus, thereby increasing the chances of implantation and pregnancy. They also fight inflammation and so can soothe menstrual pain and help with other problems that can interfere with conception. Increased blood flow also benefits the placenta, supporting optimum growth of a fetus and ultimately reducing the risks of premature birth and low birth weight.

The standard American diet is jam-packed with omega-6s, largely because they are plentiful in processed oils such as corn, sunflower, and soybean. We’re getting way too much of a good thing. At the same time, most of us don’t get enough omega-3s. Even more important than the absolute level of omega-3s in your diet is the ratio between omega-3s and omega-6s. Getting even amounts of each is most supportive of hormone balance. To achieve that, you’ll need to play up omega-3s while de-emphasizing omega-6s.

Fish, flaxseeds, and flaxseed oil are the best sources of omega-3 fatty acids. Cold-water, fatty fish are your best bets, including cod, salmon, herring, mackerel, anchovies, and sardines. Walnuts are another good choice, as are eggs from chickens fed a diet rich in omega-3 fatty acids (check the labels). Omega-6 fatty acids are found in flaxseeds and flaxseed oil, olives and olive oil, some seeds and nuts, and chickens fed diets rich in EFAs.

FERTILITY SUPER-FOODSFlaxseeds. Along with a rich supply of omega-3 fatty acids, flaxseeds provide lots of B vitamins, magnesium, and manganese. They also contain really gentle phytoestrogens (plant estrogens) known as lignans, which block harmful xenoestrogens (synthetic chemicals in the environment with estrogenic properties) in the body. All in all, flaxseeds are powerful packages for balancing hormones and boosting fertility. Aim to get about two tablespoons of flaxseeds every day. Grind them up, since whole flaxseeds are hard to digest and tend to pass through your digestive system whole, and you don’t get much benefit from them that way. Try sprinkling them on hot or cold cereal or a salad, or blending them into a smoothie. Or use flaxseed oil as a salad dressing. (Don’t bother cooking with it, as heat destroys many of the beneficial properties.) 

Sprouts. Chinese medicine particularly prizes sprouting grains, legumes, and seeds. Sprouts are full of jing. The dynamic balance struck in the process of changing from seed to sprout is thought to be particularly nourishing to couples trying to develop their very own “sprouts. “ If you prefer a more grounded explanation of the fertility benefits of sprouts, we’ve got you covered: eating sprouts encourages an alkaline (rather than an acidic) environment in your body. Goji Berries (Wolfberries). Tiny, red Goji berries, a traditional Chinese herb also sold whole and dried to eat as you would raisins, are packed full of antioxidants. Look for them in your health food store. Studies have shown that they can increase sperm count and promote follicle growth in women who have trouble ovulating.

PROTEIN
Our patients are split into two groups, each needing different advice when it comes to protein. The first group needs to be told to eat more protein. The amino acids that make up protein are vital for egg production and sperm maturation and for making hormones such as LH and FSH.

Animal studies link inadequate protein intake with poor-quality eggs, and there’s no reason to assume humans are any different. You need at least two and a half ounces of protein every day. You can get it from meat, fish, eggs, and dairy products, of course, but there are plenty of vegetarian sources of protein, too, including beans, lentils, brown rice, quinoa and other whole grains, and nuts and seeds (especially sunflower seeds). Soy foods are another good source of protein, and soy protein powder can be the easiest way for vegetarians and vegans to boost their protein intake. If you are relying on soy as a major source of protein, you should be aware that the phytoestrogens in soy foods can adversely affect sperm count. Some women don’t handle the phytoestrogens well either. If you are a Stuck type, you should have no more than two servings of soy per week to make sure you don’t run into any problems.

With the rising popularity of high-protein diets, we find ourselves advising our second group of patients to cut back on their protein—or to switch from animal to plant sources of protein at least some of the time. Too much protein can be as much of a problem as too little, depleting the body of calcium and creating excessive levels of ammonia. High-quality protein should be the goal. Beans, nuts, and seeds are nutritional powerhouses, packed full of not just protein but also iron and fiber. One of the largest long-term studies of women’s health ever undertaken demonstrated that women who got more of their protein from plants and less from animal sources had fewer ovulatory fertility problems. Whether you need to get more protein, more animal protein, or less animal protein depends on your fertility type. See part V for more details.

Protein is digested and released into the bloodstream slowly, thus allowing for maximum absorption of amino acids. You can support that process by eating small amounts of protein at a time, so you don’t overload your system.

ALKALINE FOODS
Cervical mucus must be alkaline (as opposed to acidic) so that sperm can survive long enough to journey to the egg. What you eat has a big impact on the pH of your mucus. (High pH is alkaline; low is acidic.) In fact, if you eat well, you can keep your whole body alkaline, which is beneficial for your health in general. To keep your cervical mucus alkaline, focus on fruits, vegetables (especially green vegetables), sprouts, and wheatgrass, and lean less on acidifying meat, dairy, and grains. Alcohol and coffee acidify the body, which is part of the reason you should cut back on these. Artificial sweeteners have the same effect.

You can find comprehensive lists of foods that are alkaline and acidic in many books and on Web sites, and some of this information is contradictory. Try not to get bogged down in the details here. Like so much else, it is all about balance. If you’re good about getting whole grains and veggies, cutting down on coffee and alcohol, and keeping your portions of meat sensible, your system will generally be more alkaline than acidic.

WATER
Water is one of the most important nutrients we consume. Seventy percent of the human body is water. It is vital to the functioning of each and every system, and it plays a key role in transporting hormones, developing follicles, and maintaining optimum consistency and quantity in both semen and cervical mucus. (Women, be especially sure you’re well hydrated during phases 2 and 3 of your cycle so that you’ll produce fertile cervical mucus.) Water also helps us absorb nutrients and eliminate toxins, both of which are important for fertility and overall good health.

Women with cervical mucus that is too thick to promote conception may simply be dehydrated. The same goes for men with low semen volume. In these cases, simply drinking more water can restore fertility.

Aim for six 8-ounce glasses of water a day to maintain adequate hydration (eight glasses for Dry types). Consider limiting yourself to filtered water, to eliminate chlorine. Most tap water is chlorinated, and about half of bottled water is nothing more than bottled tap water, so it’s chlorinated, too. Chlorinated water contains chemical compounds called trihalomethanes (THMs), which have been linked to increased risks of miscarriage and certain cancers.

You can substitute juiced raw vegetables, fruits, or cereal grasses (such as wheat-grass); herbal tea; or green tea for some of the water. Caffeinated or alcoholic beverages are dehydrating, so if you partake, you can’t count them toward your water quota. In fact, you should probably add a bit more water to make up for the dehydrating effects.

If you’ve been chronically dehydrated—as so many of us are—it will take some time for your body to get used to all the liquid coming in. Build up to the recommended amount gradually over a couple of weeks to ease the transition.

 THAT MUST BE WHY THEY CALL ITFERTILI-TEA!In my (Jill’s) family, putting on the kettle and brewing a cup of tea was the solution to just about anything. So it’s no surprise to me that tea is good for fertility, too. If you don’t want to take my word for it, ask the researchers at the Kaiser Permanente Medical Care Program of Northern California in Oakland who studied 210 women as they were trying to get pregnant. Women who drank tea every day—even just half a cup—were twice as likely to conceive as women who never drank tea. Women who were getting similar levels of caffeine from other sources (mainly soda or coffee) did not experience a similar boost in fertility. Scientists suggest that tea might promote fertility in two ways. First, the hypoxanthine in tea might be necessary for the follicular fluid that helps eggs mature and get ready for fertilization. Second, powerful antioxidant polyphenols in tea might help prevent the chromosomal abnormalities that can cause an embryo to miscarry or fail to implant. Like all antioxidants, polyphenols benefit the immune system as well. The study at Kaiser Permanente did not get into what kind of tea the women drank, but we recommend green tea to our patients. Green tea has up to ten times more polyphenols than black tea and only about half the caffeine. Three cups of green tea a day (or two of black tea) will keep you within our caffeine guidelines (see page 74). You’ll also reap the same benefits from two or three cups of decaf tea.

STEER CLEAR
Along with all the good things you should include in your diet, there are a few things you’ll do best to avoid when you are focusing on fertility. Trans fats, as already discussed, are the biggest no-no, followed by highly refined grains and processed foods. You also should take it easy with alcohol. Here are some other foods you should watch out for.

Refined sugar and sugary foods cause sharp peaks and valleys in blood sugar levels, which in turn lead to hormone imbalance and, potentially, fertility problems. It goes like this: You eat a candy bar, your body rapidly digests the sugar, and you get a sugar rush. That part feels pretty good. But every time this happens, your pancreas goes into overdrive, producing insulin like crazy to try to get all the sugar out of the blood and into your cells, where it can be converted into energy. Then your blood sugar plummets, and you feel drained and exhausted. In an attempt to replenish your blood sugar, your adrenal glands secrete extra cortisol. (And, to the same end, you probably crave even more sweets.) Over time, excess cortisol weakens your adrenal glands to the point where they produce lower levels of sex hormones. And the repeated high demand for insulin leads to insulin resistance, which has been associated with infertility.

Heavy metals contaminating common foods create fertility problems, along with a host of other serious health consequences. Mercury, all too often present in certain kinds of fish (the biggest ones, at the top of the food chain), is a toxin that was never meant to find its way into the human body. When it does, it interferes with the action of zinc. That’s a big problem, because zinc is crucial for the formation of healthy sperm and eggs. You should not eat swordfish while trying to get pregnant (or while pregnant or nursing) and must also avoid shark, tilefish, and king mackerel. You should limit your intake of fresh or frozen tuna, red snapper, and orange roughy to no more than twelve ounces a week. (Canned tuna is generally okay.) Cadmium gets into the body via foods grown in polluted soil and through pesticide residue on produce. It, too, interferes with zinc, and it’s been implicated in increased miscarriage rates as well. Eating organic will help you avoid this problem.
The artificial sweetener aspartame has been linked to infertility and birth defects, as well as cancer. Everyone would benefit from avoiding it. While you’re at it, skip all artificial sweeteners—they make the body too acidic.

Studies in rats have linked monosodium glutamate (MSG) with decreased fertility in both males and females, and from our point of view, that’s more than enough reason to recommend avoiding it.

NOURISH YOURSELF
It is well established that in times of famine (as in times of war), birthrates drop. This is true of all kinds of animals, including humans. When resources are scarce, the best strategy for group survival is not to have to share those resources with a growing population. We don’t have to consciously decide this for our bodies; it happens on a much deeper level, and it is largely beyond our control.

Why bring this up? Tough though times may be, American society is clearly not experiencing famine; all our patients have access to all the food they’ll ever need. But many people are so controlled about what they eat or on such strict diet-and-exercise regimens that it amounts to the same thing. Bodies receiving all the same signals they would if they were starving may well respond by not working to bring new life into the world.

So while you are busy planning how to eat to enhance your fertility, we want to leave you with some final words of advice: make eating a positive experience, a true nourishment of your body. At the most basic level, this means eating enough and eating foods rich in nutrients to convincingly portray the world to your body as a welcoming, sustaining place. You can maximize the effect by supporting proper digestion, so that all the good nutrients in your food can be put to use. Chew your food, don’t eat on the run, eat in an emotionally positive environment, and don’t multitask while you are eating. Eat foods worth eating, and treat each meal as a little oasis in your day. That’s nourishing yourself.

Eating Through Your CyclePhase 1 (Menstruation) 
• Eat foods rich in iron—including meat, eggs, fish, kelp, spinach, broccoli, dried fruits, and sunflower seeds—to help your body replenish the blood it is losing. 
• Include foods rich in vitamin C—including citrus, mangoes, cherries, potatoes, tomatoes, cantaloupe, strawberries, peas, and watercress—to help with iron absorption. • Make sure you get plenty of protein from both animal and vegetable sources. 

Phase 2 (Pre-ovulation)
• Eat well so that you’ll be well nourished and able to nourish a maturing follicle. Protein is especially important.
• Choose foods rich in vitamin E, which is found in the fluid around the developing egg and is important for its nourishment. Good sources include cold-pressed oils, sweet potatoes, avocados, leafy greens, nuts, seeds, and whole grains. 
• Avoid alcohol now most of all. 

Phase 3 (Ovulation)
• Get plenty of B vitamins, which are particularly important to the release of an egg and implantation. Choose leafy greens, whole grains, eggs, and (if you eat it) meat. 
• Eat foods rich in zinc, which is needed for cell division and helps with progesterone production. You can find it in meat, fish, poultry, wheat germ, eggs, and whole grains. 
• Be sure to get vitamin C, which is found in high quantities in the corpus luteum and is thought to play a role in progesterone production. 

Phase 4 (Potential Implantation) 
• Now is the time to get your fill of pineapple. The bromelain it contains has been shown to help implantation.• To support implantation, eat plenty of warming foods and avoid cold, raw foods, or at least balance them out. For instance, if you eat a salad, warm up your meal by adding soup, a baked potato, or some steamed brown rice. 
• If you have PMS, it is especially helpful to limit processed foods, refined sugar, alcohol, and coffee and to increase your fiber intake, all in the interest of helping your body eliminate estrogen more efficiently and less uncomfortably. 

Remember:
  • Implement drastic changes gradually.Choose fresh, seasonal, organic food in its natural state. Choose whole grains and cook them thoroughly. 
  • Choose colorful—yellow, orange, red, green, blue, and purple—fruits and vegetables, especially cruciferous vegetables (such as broccoli, Brussels sprouts, cabbage, turnips, mustard greens, and kale) and members of the allium family (garlic, onions, shallots, and chives). 
  • Cook vegetables lightly. 
  • Include some fat in your diet. Avoid all trans fats and limit saturated fats. Get some healthy fats every day (unsaturated fats and EFAs, such as omega-3 fatty acids from olive oil, nuts, seeds, avocados, fish, and flax). 
  • Get at least two and a half ounces of protein every day from meat, fish, eggs, dairy, soy, beans, whole grains, nuts, or seeds. It’s fine if you get more than that, as long as you don’t go overboard. Most people should aim for more plant and less animal protein. Eat protein in small servings. 
  • Lean more on alkaline foods (vegetables, fruits, sprouts, and wheatgrass) and less on acidifying foods (meat, dairy, grains, alcohol, and coffee). 
  • Aim for six 8-ounce glasses of water (or other healthy fluids) each day. 
  • If you like it, drink tea. Two cups of black tea or three of green tea will not put you overboard in terms of caffeine. Or drink decaf tea. 
  • Avoid highly refined grains and sugars and processed foods of any kind. 
  • Don’t use aspartame or any artificial sweeteners, and avoid MSG. 
  • Support good digestion. 
  • Don’t strictly limit what kinds of food or how much food you eat. 
  • Make eating a positive activity.
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