NicoleNP

Wife & Mother • Women’s Health NP & Clinical Nutritionist. Fertility • Perinatal Health • Motherhood • Family Wellbeing

[NicoleNP @NicoleMarieNP]

The lifelong foundation of health for your children starts with your health and during the pregnancy.

The environment and parental health can shift mitochondrial and epigenetic “set points,” influencing whether a child starts life with robust or fragile cellular programming. 👶🏼🧬

[NicoleNP @NicoleMarieNP]

@VivekGRamaswamy Slicing healthcare costs is definitely needed. Will be interesting to hear your plan!

[NicoleNP @NicoleMarieNP]

There’s a lot of focus starting to come around what children are exposed to after they’re born, but the focus needs to move a bit upstream to intrauterine environment and the very earliest parts of development. Truly, preconception health of the parents and exposures/epigenetics during pregnancy.

[NicoleNP @NicoleMarieNP]

The topic of ‘phytoestrogens’ is more nuanced than usually talked about. Phytoestrogens bind estrogen receptors much more weakly than estradiol (& xenoestrogens) and can, in some tissues and circumstances, act as partial antagonists by competing with stronger estrogens. Their net effect depends on the person’s hormonal environment, gut microbiome, dose, and the specific phytoestrogen.

[NicoleNP @NicoleMarieNP]

@MAHA_TANK @Tripp_untamed I’ve seen good results of clearing it with mastic gum capsules, lactoferrin and DGL.

[NicoleNP @NicoleMarieNP]

@GutOptimized MARCoNS?

[NicoleNP @NicoleMarieNP]

@MetalsBrah Certainly. I have not done an htma but so far other testing has not shown heavy metal impact. For me, estrogen and bile seems to be the lever. htma on the list though.

[NicoleNP @NicoleMarieNP]

@anabolicgut Kayser-Fleischer rings? These rings form when excess copper deposits in the cornea

[NicoleNP @NicoleMarieNP]

It still seems like mainstream OB/GYN often treats the ovaries and uterus as if they’re malfunctioning in isolation, but they’re usually responding to signals from the whole body. Their solution is mostly...birth control for the symptoms.

Metabolic health, insulin signaling, gut and bile flow, thyroid function, stress physiology, sleep/circadian rhythm, immune tone, environmental exposures, under-fueling, nutrient status, and nervous-system load all feed into ovarian signaling and uterine behavior.
Yes, there are structural issues. Yes, there are genetic conditions. Yes, some people need medication, surgery, or hormonal suppression.

But..for many women, the “problem” is not the cycle itself.

The cycle may be the readout...Abnormal bleeding, painful periods, PMS, PCOS-pattern symptoms, ovulatory dysfunction, short luteal phases, and even “diminished ovarian reserve” conversations often deserve a wider lens than: “Let’s just shut the whole cycle down.” (with exogenous synthetic hormones/birth control)

Instead of...
What is the body reacting to?
What inputs are driving the signal?
What can be restored upstream?

The ovaries & uterus are not in a silo separate from the rest of the body. (obviously)

*The menstrual cycle is a whole-body signal.*

And we wonder why around 600,000 hysterectomies are performed annually in the United States. Overall, about 14.6% of American women have undergone the procedure.

[Isabel Brown @theisabelb]

Can you reasonably consent to birth control at 12, 13, or 14 years old? Why are so many Gen Z women quitting the pill en masse? And why is it important for us to keep talking about? 🧐

Last weekend at WLS, I sat down with four beautiful and courageous college students to talk about their birth control journeys and “why I quit the pill” stories—and I’ve never been more convinced this is one of the most important health issues of our time. 👀

[NicoleNP @NicoleMarieNP]

@SecKennedy Standardized, audited actual allowed amounts tied to CPT/DRG/site-of-care/payer/product, plus enforcement and patient-specific out-of-pocket estimates?

[NicoleNP @NicoleMarieNP]

@biohacker What if the correlation with h. pylori and stomach cancer is because h. pylori can more likely be opportunistically present with damaged gastric lining? So far (just an n=1)..stopping asa, taking lactoferrin, mastic gum and DGL moved a patient's test to negative for h. pylori.

[NicoleNP @NicoleMarieNP]

@jack_schroder_ I was able to request these large posters from Roche. Going to frame them in my consult room to have when "can you check my hormones" is asked to tell them yes, with a bit of nuance. Great link to view these diagrams: https://t.co/3EWLC0W2on

[NicoleNP @NicoleMarieNP]

@novic_william @markkaplan20 Thank you! I appreciate you taking the time to share!

[NicoleNP @NicoleMarieNP]

@novic_william @markkaplan20 Would you be willing to share what Vit C and colloidal minerals you take? 34 years is impressive.

[NicoleNP @NicoleMarieNP]

@VigilantFox Interestingly— my 83yo grandmother has stayed entirely well throughout the years of Covid even when around others with Covid. She’s taken this medication for many years and I’ve wondered if this could’ve played a role

[NicoleNP @NicoleMarieNP]

@sam_empie @sam_soete Check saliva cortisol when waking. I’m finding its exaggerated cortisol awakening response (CAR) that seems to correlate with this.

[NicoleNP @NicoleMarieNP]

@TimelessTrvlr Used to enjoy going downtown in Cincinnati for evening outings. Not any longer with the crime and general feel of it

[NicoleNP @NicoleMarieNP]

@nicknorwitz @realDaveFeldman @AdrianSotoMota My labs are all pretty similar except I do have elevated TMAO, Lpa and LP-PLA2 (but low hs-CRP and ox-LDL). Those are the three my endocrinologist keeps talking about .