Born Free Method: The Podcast

Nathan Riley
  • 4.2 (320)
  • MEDICINE
Born Free Method: The Podcast

The institutions and individuals who run the world would like you to believe that you are powerless. That there's nothing you can do to improve the wellbeing of your family. That you aren't smart enough to understand shmancy science stuff. That eating and living well is too hard for most...so why try? That exercising your rights to informed consent and refusal is irresponsible. That having a birth on you terms, in your own home would be incorrigible. That pregnancy is a disease and childbirth is a medical procedure. That your symptoms are "all in your head". That cervical cancer is an inevitable consequence of HPV infection. They're wrong. Welcome to your revolution. nathanrileyobgyn.substack.com

  1. Tony Ebel, D.C.

    NOV 1

    Tony Ebel, D.C.

    I invited Tony Ebel, DC, interactive chiropractor and founder of PXDocs, to come speak to my Born Free Method community members because he’s brilliant. But he’s not just brilliant, he’s also awesome. Tony is the sort of guy with whom I could enjoy a bourbon and talk about my vulnerabilities as a father, the cult of medicine, and difficulties in my relationship. He’s a regular guy… But from this regular guy, I’ve gained some incredible insights about what he calls the “perfect storm”. When I say insights, I mean validation. We met through an Instagram post that I posted a year or so ago in which I presented the story of a woman who had a child with autism spectrum disorder, and she was asking me if thought that perhaps a hypoxic injury in her birth could have caused the autism. While I don’t believe that a hypoxic injury alone could be responsible (and proving that would be impossible), I did consider the influences of the myriad of other stressors put on little babies and whether these stressors, in combination, might overwhelm an already fragile nervous system within a baby that experienced relative hypoxia during childbirth. Tony jumped on that post, and we’ve been friends every since. I soon found myself on one of his live webinars where he discusses how the combination of environmental toxins, poor co-regulation with the parents (e.g. long NICU stay), subluxation during birth, or the myriad of issues related to cesarean birth might impact a child’s lifelong health. And even better: what to do about it. You might be thinking, “What business does a chiropractor have in speaking about birth?” Well, like other chiropractors who have come on the podcast such as Elliot Berlin, Lindsey Cantu, and Kaleb Valdez, these practitioners often have to fix the problems that we generate through our overly-interventive approach to childbirth in the conventional model. They are sounding an alarm…and we have been slow to respond. There was a recent post on another OBGYN’s Instagram page meant as an eye-roll in response to another chiropractor’s suggestion that perhaps cesarean birth might impact how the sutures of the fetal skull and its orientation around the vertebral spine through the atlas and cervical spine might impact a child’s health. I commented with the suggestion that perhaps we should listen to what he has to say rather than discount is completely carte blanche because he isn’t an OBGYN. I got trashed. But I ask Tony about this hypothesis in this interview, and he unpacks it beautifully. Perhaps there is a reason that baby’s do better - on average - when born vaginally versus abdominally? What do we have to lose through consideration of the myriad of issues that c-section might cause, especially given that we can all agree that 37% of babies being born in our country by c-section is problematic? In this conversation with Dr. Ebel, we also discuss the ideal timing and frequency of newborn chiropractic care (spoiler: immediately), issues with vertebral joint subluxation, the neuroendocrine-immune (NEI) system, PANDA/PANS, and laying a healthy foundation for our kiddos through proper nutrition and life modification. Disclaimer: This episode is not meant to demonize c-sections or OBGYNs. It’s a call to action to reserve the operating room for only the necessary cesareans…and most of the c-sections women are undergoing aren’t necessary. And often they were provoked by a laundry list of interventions, perhaps also unnecessary in most cases. If you had a c-section - or end up having a c-section - Tony has some advice for you, too! This interview was conducted in front a live audience with Born Free Method Community members, so there’s also a lively Q&A throughout the conversation. Our community gets back-stage access to all of these interviews. Consider joining us so that you don’t miss out! Find Dr. Ebel and his cadre of awesome practitioners at PXDocs.com. Check out his amazing pod

    56 min
  2. Miscarriage and Pregnancy Loss: What's Egg Quality Got to Do With It?

    OCT 30

    Miscarriage and Pregnancy Loss: What's Egg Quality Got to Do With It?

    This story is often the same. Positive pregnancy test. Excitement.Go to your OBGYN.Sterile, crinkly paper.Phallic probe in the vagina.Then you wait…What do you see, doc? Is there a heartbeat? Is everything ok?Even in your 20s, your fecundity, a fancy term for “the likelihood of conceiving on any given cycle”, is around 20%. Instagram and Facebook would have you believe otherwise, but the fact remains: not every pregnancy goes the distance.Is something wrong with me, doc?What did I do wrong? ”Oh no, honey,” the good doctor says, “This happens all the time. Just keep trying…”You wipe up all of the goo and get dressed, holding back the tears until you’re safely in your car, shielded from all of the happily pregnant couples in the waiting room.While miscarriage is relatively common, it hits harder when it happens again, and again, and again, especially when you aren’t given any tools or insights as to why or how it keeps happening to you. Your mom told you that you were special, but you don’t want to be special in this way. I’m joined today on the podcast with the two founders of WeNatal, my preferred prenatal vitamin company. In this conversation, they’ll speak to the void in conventional maternity care that leaves so many couples feeling hopeless and unsupported by their doctors, and they have a product that might be a step in the right direction…WeNatal offers his and her prenatals, fish oil, and a new “egg quality” supplement, and I’ve been passing them all out like candy to my Born Free Method community members and others who seek me out for guidance. Using THIS LINK, with any prenatal purchase, they’s throw in a bottle of their DHA Plus (fish oil) at no charge. Their egg quality supplement contains five potent mitigators of oxidative stress: acetyl L-carnitine, Coq10, PQQ, NAC, and ALA. When combined with a sound prenatal, this supplement provides every reassurance that you are doing everything in your power from a supplement standpoint to improve the quality and function of your precious eggs. And the same goes for the guys and their sperm… If you’d like comprehensive support from pre-conception through postpartum, check out the Born Free Method. When you enroll, you score free samples of WeNatal’s his/her prenatal vitamins, and you get lifetime access with direct support from me and Sara Rosser, CPM, my co-creator. Lifetime. Access. Direct. Support. There’s nothing like it.Sara and I have a free pregnancy loss program that we are offering as well in the event that you want some support specific to your loss, miscarriage, or ongoing challenges with pregnancy. Notes for this episode are found on Substack Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by AudioKraken / Pond5 Born Free Method: The Podcast is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    47 min
  3. Screening for Fetal Chromosomal Abnormalities

    OCT 27

    Screening for Fetal Chromosomal Abnormalities

    Pairs well with the 2021 Russian River Pinot Noir Davis Family Vineyards  Five Pearls 1. Cell-free DNA screening has the best sensitivity and specificity of all screening methods. But before you order it, it's best to get a prenatal ultrasound 2. Best non-cell-free screening modality is the sequential integrated serum screen (1st-tri serum + NT ultrasound + 2nd-tri serum) 3. Formal anatomy survey should be offered at 18 - 22 wga; can identify soft markers for T21 and T18 4. Prenatal genetic screening should be offered to all pregnant women regardless of risk profile 5. Anything that doesn't add up, it's best to just refer to a genetics counselor or even your friendly MFM for clarification. The (very) Basics of DNA and Reproduction * apart from RBCs and cornified cells of your skin, hair, and nails, every one of your body's cells has a nucleus * gametes (sperm or ova) are haploid, meaning their nuclei contain 23 chromosome * somatic cells are diploid, meaning their nuclei contain 23 pairs of chromosomes (46 chromosomes total) * when a sperm meets an ovum, magic happens! * the sperm fertilizes the egg to create a zygote: the 23 chromosomes of the sperm combine with the 23 chromosomes of the ovum * for the next 24 hrs, the zygote undergoes rapid, mitotic division ("cleavage"); after about 100 cells have been formed, it's called a blastula * the total mass of the original zygote has not changed, it has merely divided, and each individual cell is called a blastomere * the blastula consists of a spherical layer of cells called the blastoderm surrounding a yolk-filled cavity called a blastocoel. * in mammals, the blastoderm arranges itself into an inner and outer layer of cells, the embryoblast and trophoblast, respectively. The former will go on to form the fetus, the latter the placenta. Illustration credited to Libretexts.org (click image for source) * the embryoblast undergoes gastrulation, where it rearranges itself into three germ layers: endoderm, mesoderm, and ectoderm, and the fetus gradually develops from here * any chromosomal defect - whether parts missing, extra copies, or missing copies - can lead to abnormalities in the development of the fetus Illustration credited to Libretexts.org (click image for source) Epidemiology of chromosomal abnormalities * chromosomal abnormalities are found in 1-in-150 pregnancies * they are more common in the 1st trimester (aneuploidies are the most common reason for early pregnancy loss) * incidence of aneuploidies increases proportionately with maternal age and presence of a paternal chromosomal abnormality or translocation * Trisomy 21 (Down syndrome) is the most common chromosomal aneuploidy among live infants (1-in-700 live births) * although risk of aneuploidies correlates w/ maternal age, most T21 kids are born to young women because overall, young women have more children than older women * Trisomy 18 (Edward syndrome) is the 2nd most common (1-in-3000) * Trisomy 13 (Patau syndrome) is the 3rd most common (1-in-6000) * the most common sex chromosome aneuploidy is 47, XXY (Klinefelter syndrome), which is seen in 1-in-500 males * the only viable monosomy is 45, X (Turner syndrome), which is seen in 1-in-2500 females and is unrelated to maternal age * unlike aneuploidies, copy number variants are independent of maternal age * a copy number variation is a type of duplication or deletion event that affects a considerable number of base pairs within a chromosome; it can be detected on microarray * in pregnancies where the mom is age 36 or less, microarray abnormalities are more common than aneuploidies * prenatal genetic screening should be offered to all pregnant women * if a screen is positive, diagnostic testing should be offered Single time point screening approaches Cell-free DNA screening * can be used as early as 9-10 wga * can detect sex of fetus * genetic material is found in maternal circulation * derived from placental trophoblasts * in pregnancy, of the cell-free DNA fou

    42 min
  4. Gestational Diabetes

    OCT 11

    Gestational Diabetes

    I paired this episode with the 2021 Pinot Noir from Imagery. Five Pearls * Prevention is key. Work on modifying lifestyle well before conception for best outcomes * Sugar is toxic as hell to our vital organs, and our growing baby/placenta are no exception.  * Insulin appears to be associated with the best outcomes compared to oral agents. * C-section for suspected fetal macrosomia is for the birds. * Inducing a woman with well-controlled GDM probably isn’t always in her best interest.  Epidemiology * 7% of pregnancies are impacted by any type of diabetes * 86% of those impacted are the result of GDM * Compared to all other ethnicities, white women are impacted the least * Older age at time of conception, sedentary lifestyle, and pre-pregnancy obesity are risk factors (same risk factors for type 2 DM outside of pregnancy) Maternal complications * 9.8% chance of developing preeclampsia when fasting blood sugar is * 18% change of developing preeclampsia when fasting blood sugar is >/= 115 mg/dL * 17% chance of undergoing c-section with diet-controlled GDM versus 25% if medication is required (9.5% without GDM) * 70% of women who develop GDM will develop type 2 DM within 22-28 years after pregnancy, but this varies by ethnicity (60% of hispanic women who develop GDM will develop type 2 DM within 5 years of pregnancy) Fetal/neonatal complications * Increased risk macrosomia, neonatal hypoglycemia, hyperbilirubinemia, shoulder dystocia, and birth trauma * Several agencies have cautioned around the risk of stillbirth, as well, but the data for this is poor at best. Rachel Reed recently wrote a nice blog (rant) about the topic in her newsletter * Linear relationship between any abnormal value on the 2-hr 75-g OGTT and c-section, birth weight >90th percentile, neonatal hypoglycemia, and fetal hyperinsulinemia * Higher risk of your child developing type 2 DM in their lifetime When did GDM screening arise? 1963 This study was undertaken to: “evaluate various methods of screening for the ‘prediabetic state’ which often becomes recognizable during pregnancy.” - Wilkerson et al, 1963 Screening strategies: * 1st trimester: reasonable if there are risk factors or if you live in a city/region with high prevalence * 50-g oral glucose challenge (non-fasted) (two-step) * If negative, repeat at 24-28 weeks * If positive (>130-140 mg/dL), move to 3-hr oral glucose tolerance test (see below) * Straight to a 75-g oral 2-hr glucose tolerance test) (one-step) * Check fasting sugar → drink the drink —> check blood sugar at 1 hr and 2 hr * If either value is elevated, then you have your diagnosis * HgA1C: potentially insightful in 1st trimester but not as sensitive as oral glucose challenge/tolerance test * 24-28 weeks: reasonable to defer in 1st trimester if low prevalence community or minimal risk (and no need to repeat if diagnosed in 1st trimester) * Same options as above * If 1-hr OGC was elevated in 1st trimester, but 3-hr OGTT was negative, you can simply repeat the 3-hr OGTT (100 g bolus) without repeating the 1-hr OGC * 3-hr OGTT (100 g) * Checking fasting blood sugar → drink the drink → check blood sugar after 1, 2, and 3 hrs * 2 of 4 values elevated is consistent with diagnosis (although some have argued that 1 value is sufficient):  * “Although a higher level of scrutiny may be focused on this subset of women, further research is needed to clarify the risk of adverse outcomes in patients with one abnormal value on the 100-g, 3-hour OGTT and whether they would benefit from treatment.” * Glucola has a bunch of junk in it. Fingersticks and CGM are very reasonable alternatives to the sugary drink. Orange flavor from Fischer-Scientific contains artificial food dyes that don’t belong in the human body, especially when growing a baby. If an oral glucose test is preferred, consider Fresh Test instead of Glucola. There is no data to support gummy bears, fruit juice, or any other alternatives. What are some of the risk

    44 min
  5. John Petrocelli, PhD

    OCT 10

    John Petrocelli, PhD

    I found John through his Ted Talk: “Why BS is more dangerous than a lie”, and I immediately grabbed a copy of his book, read it once, read it twice, cross-referenced everything, and then asked him on the podcast. We recorded the conversation with a live audience of members from both the Clear & Free and Born Free Method communities. John’s research is important. As an experimental social psychologist at Wake Forest University, he helps to clarify why we all have the tendency to opine on every issue under the sun, regardless of whether or not our opinion is informed or utter b******t. Thanksgiving is approaching, along with a presidential election. If your family is like me, there will inevitably be chatter around the election results, for better or for worse. Heaven forbid somebody challenges Aunt Sally on her very passionate argument for why Donal Trump was the better candidate. And nobody would ever dare to criticize Uncle Charlie’s passionate advocacy for Kamala Harris’ plan to ease conflict in the Middle East. And nowadays I pray for the loner who would have loved to see Jill Stein or RFK Jr. as the next president. As the old adage goes…"Don’t talk politics around the dinner table.” But is anything that they are saying true? Or is it b******t? Or is a flat out lie? We are confronted by the same dilemma seemingly everywhere: from medicine, to politics, to environmentalism, to the supplement industry. It’s frankly hard to discern the signal in a sea of noise. In my conversation with John, we go deep on: * the Asche conformity experiments * threats of social ostracism for being a non-conformist * Dunning-Kruger Effect  * B******t in the wine industry * Honing your bullshitter detector * How to reveal b******t when speaking to a bullshitter * Pseudo- profound language espoused by New Agers like Deepak Chopra (with a live demonstration!) * …and much more Most importantly: What is the value in evaluating all of the evidence before forming an opinion? Do you necessarily have to opine every time you are given the opportunity? And how can you gently approach someone who seems to be espousing b******t without calling it for what it is? Other references from the conversation: * Harry Frankfurt, “On B******t” * New Age Pseudo-Language Generator * Why Most Published Research Findings Are False, by Jon Ioanniddis Find John’s website HERE and go read his book, “The Life-Changing Science of Detecting B******t” (also great on Audible) Full notes from the episode are available on Substack Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by AudioKraken / Pond5 Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    1h 55m
  6. Maryn Azoff

    OCT 8

    Maryn Azoff

    Maryn was my wife’s teacher on a retreat earlier this year to Costa Rica. The theme of the retreat? Voice activation. Stephanie came to me one day and asked “Would you be cool if I went to Costa Rica for a week?” Without hesitation, I agreed and off she went. She developed laryngitis upon arrival in Costa Rica. Ohh….this was going to be good for her. And not just because of the music and ceremonies: moving energy through her chakras was greatly needed now that we have completed our family. When she returned, she was lit up, and she insisted that we work through Maryn’s 9-month program together, whereby we would be chanting 108 times every day, for 40 days per each of the 7 primary chakras. We are currently on the fourth chakra (heart), and some resistance is coming up for me. But the first three chakras weren’t a walk in the park either. What is going on here? Why the resistance? And why dedicate 30 min per day for 280 days? The chakras are wheels or reservoirs of energy that became popular when the Vedic and Buddhist teachings from the East infiltrated the West. From a Western medical perspective, each chakra also corresponds to nervus plexi located in a chain from the perineum (root) to the cosmos (crown). This chain figuratively grounds us into Mother Earth and constitutes an antennae that connects us to the universal “one” of the cosmos. This is powerful medicine, but I wouldn’t have believed it had I not practiced it myself. As I learned about the chakras and felt through my resistance, particularly in the first through fourth chakras, I began to unpack my relationships to my mother, my father, my self, and my connection to others. And this piqued my interest further… In the Born Free Method community, we host calls with our community every other week, and often we have guest speakers, like Stu Fischbein, Lindsey Cantu, Lily Nichols, Lisa Hendrickson-Jack…you get the point. Big hitters. Well, I asked Maryn to come speak to a separate group within Born Free Method: the dads. How can you show up as a supportive partner if you don’t have a grounded sense of safety and security in your self (1st chakra)? How can you show up as a compassionate, emotionally available father if you have been conditioned to suppress your feelings (2nd chakra)? How can you even hope to maintain a semblance of intimacy prior to conception but certainly after the birth of your child (also 2nd chakra)? This is why Maryn’s work is so critical…And the tools to “fix” these “issues” are free and very accessible. The tools are your breath and your voice. This interview is thus a live call in which the Born Free Dads, some of whom are veterans fathers some of whom are future fathers, got a private audience with Maryn. Given the myriad of applications for Vocal Transformation and chakra balancing for future and present fathers and mothers alike, Maryn and I are also organizing a cohort of couples and parents who want to go deep into this work. The program consists of 9 months of chanting accompanied by a beautiful online program and regular meetings with Maryn, along with direct access to me. There are 15 spots, and I recommend that you and your partner commit together, as it will have a long lasting impact on your relationship(s) (speaking from personal experience). Please email me if interested in learning more: nathan@bornfreemethod.com Notes from this episode can be found on Substack Listen to Maryn and her partner Patrick perform “Dead Man” (incredible vocals) width="100%" height="352" frameBorder="0" allowfullscreen="" allow="autoplay; clipboard-write; encrypted-media; fullscreen; picture-in-picture" loading="lazy"> Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the

    2h 9m

  7. OCT 5

    Thomas Verny, MD

    Dr. Verny was recently a guest speaker in my beloved Born Free Method community call, and there were so many hot takes that I am compelled to release this one as a podcast episode. Typically, these calls are reserved for Born Free Method community members, who also get to ask questions live (which you'll hear in the recording), and they get access to the full video recording. If you're interested in learning more enroll HERE. Thomas (he asked that I call him by his first name) is one of my heroes, and he rubs shoulders with other heroes of mine, like Gabor Mate. He is the author of several books, but I recommend starting with The Embodied Mind (also on audible) or The Unborn Child. He is regarded as “the father of pre- and perinatal psychology”, a field which begs the question of how we treat ourselves, others, and even our unborn children might impact our long-term health and the health of our children (present, future). His wisdom is unbelievable. You're going to love this one. * What is perinatal psychology? * What is life? * What is consciousness and the psyche and where do they come from? * The mind versus the brain * Darwinian versus Lamarckian theories of evolution * Transgenerational trauma * Epigenetics * And much much more... Please share with your friends if you found any value, and leave a review on Apple Podcasts or wherever you listen. I take your input seriously! Dr. Verny’s website The Embodied Mind | The Secret Life of the Unborn Child | Nurturing the Unborn Child Notes for this episode can be found on Substack. Work with Nathan: Beloved Holistics | Born Free Method | Clear & Free | Twins-Breech Medical Disclaimer: Born Free Method: The Podcast is an educational program. No information conveyed through this podcast should be construed as medical advice. These conversations are available to the public for educational and entertainment purposes only. Music provided by AudioKraken / Pond5 Get full access to Born Free Method: The Podcast at nathanrileyobgyn.substack.com/subscribe

    1h 6m

  8. OCT 5

    Anemia in Pregnancy

    This one pairs nicely with the 2020 Bonterra Cabernet Sauvignon (Organic) Five Pearls 1. Normal physiologic changes in pregnancy that are relevant in anemia: blood volume expands by 50% (increased iron requirement), red blood cell mass increases by 25% in a singleton pregnancy, and increased iron stores in the female body during pregnancy help to sustain the increased demand. 2. Low serum ferritin is the most sensitive and specific single lab finding in iron deficiency anemia. And yet, it’s specificity isn’t great. 3. The CDC recommends universal screening for iron deficiency anemia in pregnancy along with universal supplementation. 4. B12 deficiency and folate deficiency are common causes of macrocytic anemia; folate deficiency much more likely than B12. 5. Blood transfusions are almost never indicated in pregnancy, apart from the rare case of a large, concealed placental abruption (Hgb non-reassuring fetal heart rate patterns, reduced amniotic fluid volume, fetal cerebral vasodilation, and fetal death) Definition of anemia in pregnancy Hgb = hemoglobin; HCT = hematocrit - Hgb - - everybody should be screened in the 1st trimester and at 24-28 weeks - If hematocrit level is less than 33% in the first and third trimesters or less than 32% in the second trimester, you need to investigate the cause. If iron deficiency is ruled out, other etiologies should be investigated - Living at a high altitude and tobacco use cause a generalized increase in hematocrit and hemoglobin levels, and consideration of these factors may be appropriate when interpreting test results Classification of anemia Physiologic changes in pregnancy that may lead to anemia - blood volume expands by 40-50% (increased iron requirement) - red blood cell mass increases by 15-25% in a singleton pregnancy - increased iron stores in the female body during pregnancy help to sustain the increased demand **UK guidelines on iron deficiency anemia: https://www.bsg.org.uk/wp-content/uploads/2021/09/Iron-Deficiency-Anaemia-in-Adults.pdf “An SF level of Structure of hemoglobin - four polypeptide chains + heme - the six chain types: alpha (α), beta (β), gamma (γ), delta (δ), epsilon (ε), and zeta (ζ) - adult hemoglobin consists of two alpha chains + either two β-chains (hemoglobin A), two γ-drains (hemoglobin F), or two δ-chains (hemoglobin A₂) - hemoglobin F predominates in the developing fetus from 12 -24 wga, after which hemoglobin A begins to increase Iron deficiency anemia - 2% prevalence in general female population (2x higher for black women compared to white) - “An assessment of iron status in pregnant individuals in the United States using data from the National Health and Nutrition Examination Survey (known as NHANES) from 1999 to 2006 found that iron deficiency prevalence increased significantly with each trimester (mean ± standard error, 7%, 14%, and 30%, in the first, second, and third trimesters, respectively) and was higher in Mexican American pregnant women, non-Hispanic Black pregnant women, and women with parity greater than 2” - in pregnancy, higher prevalence by far in 3rd trimester - associated with low birth weight, preterm delivery, and perinatal mortality - there may also be an association with postpartum depression and worse mental and psychomotor performance testing in offspring - diagnosed by lab analysis OR if there's an increase in Hgb by 1g/dL after iron treatment OR by the absence of bone marrow iron stores on bone marrow biopsies - iron storage may be low (iron depletion), or stored + transport iron are low (decreased erythropoiesis), or stored + transport + functional iron are all low (full blown iron deficiency anemia, yeehaw!) - on iron studies, iron deficiency anemia presents as: microcytic, hypochromic, iron store depletion, low plasma iron, increased total iron-binding capacity (TIBC), low serum ferritin, and increased free erythrocyte protoporphyrin - serum ferritin levels are most specific and sensitive for the

    39 min
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4.2
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About

The institutions and individuals who run the world would like you to believe that you are powerless. That there's nothing you can do to improve the wellbeing of your family. That you aren't smart enough to understand shmancy science stuff. That eating and living well is too hard for most...so why try? That exercising your rights to informed consent and refusal is irresponsible. That having a birth on you terms, in your own home would be incorrigible. That pregnancy is a disease and childbirth is a medical procedure. That your symptoms are "all in your head". That cervical cancer is an inevitable consequence of HPV infection. They're wrong. Welcome to your revolution. nathanrileyobgyn.substack.com

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