How To Select The Right Prenatal When You Are TTC

May 15, 2023

How To Select The Right Prenatal When You Are TTC

We’re digging into how to select the right prenatal as you prepare for your baby.

As we prepare for pregnancy success, a prenatal is an essential part of our fertility toolkit.

However, not all prenatal supplements are created equal in terms of quality, nutrients, and delivery systems.

There can be a lot of confusion, and buying a prenatal on Amazon is never a good idea.

Should your prenatal have folic acid or methylfolate?

Is iron really a good idea in a prenatal or can it lead to complications?

What about Vitamin A (we discuss the studies) and should your prenatal contain iodine?

So how do we know how to select the right prenatal?

In this episode, you'll learn:

  1. Why it is so important to ensure your prenatal has methylated folate rather than folic acid. (Plus, what you need to know if you have the MTHFR gene variant. Hint 60-80% of the population has it.)
  2. How much choline we need when we are TTC
  3. The importance of vitamin A during pregnancy (i.e. we discuss testing and why a vegan/vegetarian diet may require supplementation)
  4. Does your prenatal contain iodine? Many of us that consume a Western diet and are deficient in iodine (i.e. required for thyroid production, which is essential for pregnancy success)
  5. Why we don’t want iron in our prenatal (i.e. supplementing iron in an iron-sufficient or iron-overloaded person can lead to pre-term delivery, preeclampsia, gestational diabetes, inflammation, and oxidative stress)






    • You should start taking prenatal vitamins at least three months before conception
    • It’s what we do prior to conception that can have the biggest impact.


    • Why you need methylated folate in your prenatal supplement
    • The difference between folic acid and methylated folate
    • How MTHFR genetic variants can hinder the conversion of synthetic folic acid to methylated folate
    • What it means to be homozygous or heterozygous when it comes to MTHFR genes


    • What u need to know about fortified foods
    • Most of us don’t include enough whole plant foods in our diet
    • Folic acid is so widely available in the food world; all you have to do is eat real food
    • If it has a health claim on it, run in the opposite direction.


    17:41 CHOLINE

    • Choline is an essential nutrient for fetal development
    • Eggs are the best dietary source of choline
    • The genetic component of choline

    23:37 B VITAMINS

    • People are often depleted of B vitamins
    • Many prenatals not only have low doses of B12 but also in less bioavailable forms
    • How we approach dosing to avoid negative side effects
    • Why we look for methylcobalamin, adenosylcobalamin, or hydroxocobalamin in vitamin B12 supplements
    • The role of B6 in fertility and pregnancy
    • B6 can be helpful to reduce nausea during early pregnancy.
    • It’s really important to look at the B vitamins together because they act synergistically
    • Vitamin B2 deficiency is quite common in the Western world
    • Stress depletes our B vitamins
    • So many menstrual cycle issues can be supported with B vitamins

    30:42 VITAMIN A

    • There’s a lot of fear around vitamin A and pregnancy.
    • Vitamin A is an essential vitamin for fetal development
    • Is it okay to eat organ meats?
    • How much vitamin A and the best form to take during pregnancy

    34:17 IODINE

    • Iodine helps reduce the risk of stillbirth and premature birth
    • Special considerations for people with autoimmune conditions
    • Iodine is a particularly important nutrient for when you’re trying to conceive.
    • Many people with Hashimot’s actually have low iodine levels.
    • It’s important to monitor thyroid levels for those with Hashimoto's who are TTC

    40:30 IRON

    • Why we have ot be cautious when it comes to iron
    • It’s always food-first when it comes to iron
    • Risks associated with too much iron
    • Why you need an individualized approach for iron supplementation
    • Missed diagnoses due to iron testing


    • The big difference when you’re looking at the underlying drivers of your symptoms



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