Archive for January, 2009

Bio-Identical Progesterone

For several decades women were given synthetic hormone substitution referred to as HRT. The products used were laboratory created or conjugated compounds that in no way replicated what is naturally produced in the female body. Then many studies showed in a big way that some of these patented compounds were dangerous to health. When the results of these tests became public, women were frightened, and well meaning physicians who knew no other alternative to HRT stopped prescribing these hormone drugs.

In Europe, bioidentical hormones have been used by women for decades. Bioidenticals are plant-derived molecularly identical replicas of the hormones naturally produced by the human body. Prescriptions for bioidentical hormones can be tailored to the specific treatment needs of each patient, allowing for flexibility in administration and dosage. Numerous studies published in highly respected international journals have demonstrated the safety and efficacy of bio-identical hormone replacement therapy.

Progesterone has a calming effect in the body. It builds bone, and is a natural diuretic and fat burner. It restores proper cellular oxygen levels, improves vascular tone, normalizes blood clotting, and prevents cyclical migraines and arterial plaque. Progesterone helps balance the actions of estrogen and acts with estrogen and testosterone to prevent cancer and other degenerative diseases. A low level of progesterone results in irritability, anxiety, obsessive behaviors, weight gain, itching, bloating, sweating, digestive problems, flatulence, and loss of memory.Progesterone is naturally present in the body only during the second half of the monthly cycle. The declining level of progesterone is what causes breasts to swell and be painful during this time. While synthetic progestin drugs administered continuously rather than cyclically have been implicated in breast cancer, natural bioidentical progesterone administered during the second half of the menstrual cycle acts to prevent all hormone related cancers. Since progesterone is present in the body naturally for about 15 days a month, replacement bioidentical progesterone should follow this pattern. It is only during pregnancy that progesterone is continuously present in the body for a sustained period of time.

Many women experience estrogen dominance, a term that does not mean an excess of estrogen. It means there is not enough progesterone. This condition is characterized by heavy bleeding that may include clots, unexplained weight gain, bloating, and an intestinal tract that feels like it is filled with concrete. Pre-menopausal women who are still producing an adequate amount of estrogen can often regain hormonal balance simply by buying a tube of progesterone cream at a health food store or online health retailer, and applying it as directed for the second 15 days of the monthly cycle. All the progesterone creams sold at such places are bioidentical.

Progesterone deficiency following pregnancy is the culprit during post-partum depression. Instead of taking a synthetic anti-depressant that could provide unpleasant side effects and appear in breast milk, progesterone cream can be safely used after giving birth until a feeling of normalcy returns.

Blogger’s note:  Actually progesterone deficiency can be one of many issues behind postpartum anxiety disorders- not typically depressive disorders.  Many women have found substantial relief from their symptoms of anxiety by using natural progesterone cream, or sublingual progesterone pellets. 

For providers who would like to order Bezwecken Progon B sublingual progesterone pellets, click here: http://www.wellnessworks.net/page/WW/CTGY/BZ

 

Sources:

http://www.naturalnews.com/025340.html

Uzzi Reiss, M.D./O.B. GYN., Natural Hormone Balance.

Kathy Maupin, M.D./O.B. Gyn., Founder of BioBalance for Women.

John Lee M.D., What Your Doctor May Not Tell You About Breast Cancer.

Khalid Mahmud, M.D. interviewed by Suzanne Summers, Chapter 22, Breakthrough.

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Mental Health and the Beginning of Life

The bigger the better. While we don’t usually apply this to babies, it appears that bigger is in fact better when it comes to birthweight and mental health. A recent study found that low birthweight carries significant risk for depression and anxiety later in life.

“The lower the birthweight, the more likely that an individual will suffer from mood disorders over the course of their life,” says AHFMR Population Health Investigator Dr. Ian Colman, who led the study as part of his Ph.D. research at the University of Cambridge. He is now a faculty member of the School of Public Health at the University of Alberta. “The results give us a clue to one of the causes of depression. There is something different about people who are depressed, and for some people this difference can be traced back to the beginning of life.”

The study used data from one of the longest-running cohort studies in the world. The Medical Research Council National Survey of Health and Development has tracked the health and well-being of more than 5,300 people since they were born in Great Britain in 1946.

Being born small isn’t necessarily a problem, notes Dr. Colman. But low birthweight can indicate adverse conditions in the womb. When a mother is stressed, blood flow to the uterus is restricted and the fetus gets fewer nutrients for growth. At the same time, stress hormones pass through the placenta to the fetus, where they can affect brain development and the baby’s stress response.

Significantly, the researchers also uncovered another factor in a connection between early development and mental health: the age at which children reach developmental milestones. The people with the poorest mental health were, on average, the last children to stand and the last to walk. The people with the best mental health were the first to stand and the first to walk. “This tells us that many people with depression not only have something different about them early in life, it also says those differences have to do with the development of the brain,” says Dr. Colman.

“From a public-health point of view, this is very important because it demonstrates that how we treat pregnant mothers really does matter.”

Dr. Colman is now extending his work to better understand the links between prenatal stress in the mother and mental illness later in the child’s life. Using data from British and Canadian cohorts, he is looking at whether those who are smaller at birth and slower to reach developmental milestones are more likely to become depressed in the face of stressful events such as divorce, job loss, and death in the family.

“There is considerable evidence from animal-based research that [maternal] prenatal stress affects the stress response of offspring. Obviously we can’t take pregnant women and put them in stressful situations just to see what happens. My work is a window on what actually happens in human populations in these conditions.

“One of the main things I’m building toward is a theoretical model of the causes of depression through the life course. Many factors influence the causes, progression, and long-term prognosis for depression. I want to tease some of these out.”

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Maternal Nutrition and Mental Health

The old adage “you are what you eat” still holds true. Good nutrition is essential for brain growth and development in particular, and for good physical and mental health in general. And yet poor nutrition is extremely common. The impact of a poor diet is magnified in pregnancy-when a woman’s nutritional needs increase and the fetus depletes maternal reserves.

“We know the level of nutrition a mother needs to meet her own basic requirements and those of her unborn infant through the course of a pregnancy,” says the University of Alberta’s Dr. Catherine Field. “But very little has been done to define nutrition in terms of functional outcomes; for example, how nutrition affects the mental health of the mother or the neurological development of the child. That’s what our team is exploring.”

Dr. Field is one of the leaders, with Dr. Bonnie Kaplan and Dr. Deborah Dewey, of the team officially called “The Impact of Maternal Nutrient Status During Pregnancy on Maternal Mental Health and Child Development”. The team has paraphrased this for the sake of convenience, and refers to itself as the Alberta Pregnancy Outcomes and Nutrition (APRON) team.
Why look at the mental health of mothers? Because it matters. Maternal depression, for instance, is strongly associated with poor physical, emotional, and behavioural development in newborns. Depression can also influence the mother-child interaction, including how a mother feeds her baby. Children of depressed mothers have reduced muscle tone and lower activity levels, along with increased behavioural problems. They also score lower on developmental tests.

Why look at the neurological development of children? Because it matters too. Many neurodevelopmental disorders appear to be increasing. These include attention-deficit hyperactivity disorder (ADHD), learning disorders such as reading disabilities, and autism spectrum disorders. These disorders can significantly affect children’s performance in school, as well as their physical and mental health and that of their families.

For the APRON team, the link is nutrition. “There’s been an explosion of research around the world on nutrition and brain function,” says APRON team co-leader Dr. Bonnie Kaplan from the University of Calgary. “And it’s not just research-people are being treated successfully with various nutritional interventions. This needs to be explored further. We need to understand the relationship between nutritional inadequacy and depression in women before and after birth. We need to look at maternal nutrition and the brain development of children. We have an incredible opportunity to do this in Alberta.”

The APRON team is composed of 16 researchers from the University of Calgary, the University of Alberta, and the University of Tilburg in the Netherlands. The team includes such health professionals as dietitians, psychologists, and physicians, as well as young people who are training in these areas. “With direct links to the health professionals of today and tomorrow, we have the opportunity to translate new understanding about maternal nutrition into action that improves maternal and infant health,” says Dr. Kaplan.

Insights into mood disorders in mothers and the health of their babies will come from a study involving 10,000 pregnant women in Calgary and Edmonton (5,000 from each city). The work involves complete assessments of maternal mood and maternal nutrition, as well as of the neurodevelopment of the child from infancy to age three. Nutrition will be evaluated from reports of what individuals eat, and also from measurements of the levels of various nutrients in their blood.

“The information we collect will be a rich database not only for our team but for future researchers,” Dr. Field points out.

The team will ask questions in three main areas: women’s mental health, birth, and child development.

“In [the area of] women’s mental health, we’ve known for a long time that many women struggle with depression after birth,” notes Dr. Kaplan. “The latest research shows that some women experience altered mood during pregnancy-and not just women with a history of depression. So we will be looking at maternal mood throughout pregnancy and after childbirth. There are hints in the literature that nutritional insufficiency contributes [negatively] to maternal mood. We hope that we’ll be able to understand more about this connection.”

The second area centres around birth and birth outcomes: labour, Apgar assessments of the health of newborns, their birthweight, any congenital anomalies, and their neurodevelopmental function. The team will also collect blood from the umbilical cord and a small swab from inside the mouth of each infant for future genetic analysis.

The third area is the neurological and cognitive development of children. Is there a relationship between nutrients taken in by the mother during pregnancy and the development of disorders such as ADHD, autism, or learning disabilities in the child? In this part of the team’s work, led by the University of Calgary’s Dr. Deborah Dewey, mothers will periodically report on their children’s physical and mental development. Members of the team will do a complete assessment of mental ability and motor skills of a random subset of children when those children are three years old. A key goal is to find predictors of neurological development in the child from the nutrient intake of the mother.

For example, we already know that folic acid, a B vitamin, reduces the risk of certain serious birth defects called neural tube defects, which affect the brain and spinal cord. One of these, spina bifida, is the second most common birth defect in Canada. In this disorder, an abnormality of the spinal column results in varying types and degrees of handicap, including bending of the spine, paralysis, learning disabilities, and mental retardation.

Because of the importance of folic acid in preventing neural tube defects, flour, pasta, and cornmeal products are fortified with the nutrient. When fortification programs began in the late 1990s, food manufacturers added a lot more folic acid than required because little was known about its shelf life. But now that they have had more experience with fortification, manufacturers have reduced the amount of folic acid added to food.

“Some researchers are concerned that we’re going to see a resurgence in neural tube defects,” says Dr. Field. “There is a simple solution-just add more. But we don’t know what impact this will have on mothers and infants, as too much folic acid may increase the risk of cancer. We really need to know whether the current recommendation is appropriate.

“This is the kind of issue that our team will be able to get a handle on. And there’s much more to find out. We’ve known for years about straightforward relationships like vitamin C and scurvy. But when we’re into complex brain development and neural function, it’s unlikely that only a single factor is involved. We will be measuring the intake of vitamins, minerals, and omega-3 fatty acids, and whether those levels are sufficient. The potential to improve health is amazing. We’re eager to get going.”

 

Click for more info…

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Provider Profile: Dr. Nancy Lins

nancy_lins_small1PSI Member Dr. Nancy Lins is a board certified Naturopathic Physician licensed in the State of Hawaii. Her background includes the use of various natural modalities including Nutrition, Vitamin Therapies, Botanical Medicine, Homeopathic Medicine, Acupuncture, Structural Therapy and Mind/Body Medicine.

Dr. Lins completed her clinical training in Hawaii focusing primarily upon women’s health issues pertaining to hormonal imbalances and anti-aging medicine.

Dr. Lins implements a comprehensive treatment plan using nutrition, lifestyle, botanical (herbal) medicine and vitamin therapies to heal the body, mind and spirit. Bio-identical hormone replacement and targeted amino acid therapies are available if indicated. The Kona Wellness Center, located in the heart of Kailua-Kona, offers Medical Thermography (FDA-cleared for early breast cancer detection), Anti-Aging technology and High Performance weight loss programs.

 

  1. How long have you been in practice and how did you become interested in perinatal mood?

I have been licensed since 2002. I also suffered with PPD following the birth of my 2nd child at age 38.

2. Please describe your clinical approach to women’s perinatal mood issues.

We have a comprehensive 1 1/2 hr initial consult to cover all the areas of nutrition, supplements, lifestyle, support and exercise. We discuss all her symptoms, history and cover lab work.

3. What types of issues do you see most often?

Hormonal imbalances

4. Please say a little about your assessment and testing procedures.

Discussion, physical exam (if she is in office), labs as needed, blood, saliva, and urine tests.

5. Which treatments do you tend to favor for mild reactions? And severe reactions? What is a typical course of treatment for each type of mood issue?

Nutritional & lifestyle for mild, if she is under the care of another MD I may need interventions for severe cases.

Typically I will look at hormonal, nutritional support and treatments for imbalances which may occur post partum such as Candida, dehydration, poor nutrition, thyroid problems, glucose, etc.

6. What have been some of your most remarkable cases?

One patient who, with diet could relieve all her symptoms, but whenever she went back to her junk food diet would have a severe reaction and then seek my help again to get her on track.

One patient who was suffering from horrible violent thoughts and suicidal ideations which resolved in one week after taking bio-identical progesterone. (I use Bezwecken Progon B unless they prefer creams then I have an Rx from the compounding pharmacy).

7. You have a special skill in helping certain women to recognize their need for medications, which can be difficult for many practitioners. What can you share about your approach that helps women to feel more comfortable with a decision to use medications?

I have some patients for whom medications are appropriate. I support my patient in finding the most comfortable and appropriate treatment for her situation. I tell them if you broke your leg you would need a crutch until it healed. Sometimes the medication is the crutch. I don’t have judgments on it I just want her to feel better.

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Healthful Eating Ideas

Many readers are asking for specific tools they can use to fight mood disorders.  I am surprised by the number of women who have ‘forgotten’ how to eat (myself included).  It can be hard to step back and realize how foods impact our moods- sometimes we are low or experience foggy thinking and it can be related to a food allergy, sugar highs/lows, or low nutrition foods.

Generally, pregnant women and new mothers should eat nutrient dense foods that are free from toxic chemicals, inferior oils and over-processing.  It is very important to AVOID SUGAR, especially high fructose corn syrup.  Did you know that the average 12 ounce soda contains 10 teaspoons of sugar?  

WellPostpartum Weblog will explore each of these issues in-depth in future posts.  For now, consider using these fine resources:

The Kitchen Shrink kitchenshrink1

Find some really valuable guidance about the connection between food and health and well-being. For Savona, you really are what you eat. In the first half of her book she looks at how both our body and brain are affected by what we eat. She discusses well-being generally, how mood, energy and concentration are all affected by blood-sugar levels, and why, for example, it can be so damaging to try to ‘cure’ tiredness with chocolate, coffee or other quick fixes. She addresses digestion and detoxification, energy and specific issues such as premenstrual problems, sleeplessness and depression. Most recipes are easy to prepare and unfussy, and Savona encourages adaptation and experimentation.  

 

Mother Food by Hilary Jacobson is a unique healthguide, herbal, and cookbook for breastfeeding mothers, drawing on traditions from around the world. Focusing on pregnancy and the postpartum, “Mother Food” explores lactogenic foods and herbs and how they enhance milk production, prevent postpartum depression, increase energy, promote gentle weightloss and detox, and improve the mother’s and baby’s immune systems. Also, these foods affect a baby’s IQ, colic, allergy, and even her like or dislike of the taste of her mother’s milk. Expert opinions are reviewed and traditional systems of medicine are succinctly explained. Written in an easy-to-read style and replete with remedies and recipes, “Mother Food” is both practical and informative. Recommended by lactation consultants and approved by the La Leche League International Book Evaluation Committee, “Mother Food” has become a favorite of mothers who want to learn what they can do to optimize both the quantity and quality of their milk, while contributing to their own and their baby’s best health.

Raw In 10 Minutesrawintenminutes

Over 150 pages and 80 Raw Organic Living Recipes that are all under 10 minutes and $10. Totally innovative, new recipes That are all unique, fast, easy, modeled to look and taste just like all of your favorite “cooked”"baked”"deep fried” comfort and junk foods but it is Raw Living Organic Bliss! It only looks and tastes like your favorite comfort and junk foods but is an adventure into “Super Foods”, high vibrational cuisine that will amplify your Yoga, Creativity, Beauty, Anti-Age You Naturally and Rejuvenate You!

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Provider Profile: Dr. Dean Raffelock

Many times women can become frustrated by the task of finding appropriate, effective care during the postpartum period.  When women are suffering with a mood issue, it is problematic to even recognize a need for care, let alone trying to navigate “options” such as information on the Internet, various types of care providers and insurance benefits.

WellPostpartum Weblog is proud to highlight practitioners who seek to address underlying causes for perinatal mood issues.  Many of the care providers in the Provider Profile Series practice complementary care.  They will refer mothers for medical treatment when necessary, but they tend to try other approaches first.  If testing shows neurotransmitter imbalance or nutritional depletion, those needs may be addressed first, for example.  Some specialize in helping women to wean off medications using alternative approaches.

Information about how they provide care is outlined here, starting with an interview of Dr. Dean Raffelock.

 

Dr. Dean Raffelock is a doctor of chiropractic who has earned board certifications in clinical nutrition, acupuncture, and applied kinesiology. He and his wife, Stephanie, have a special interest in helping mothers to recover their lost nutritional reserves after giving birth, thus preventing and resolving many postpartum mood disorders.  Because most commercially-available prenatal vitamins do not have adequate amounts of calcium or magnesium, Dr. Raffelock has developed prenatal and postnatal vitamin supplements which help mothers maintain vitality during their journey to motherhood.
He is the lead author of A Natural Guide to Pregnancy and Postpartum Health (Avery-2003).  www.pregnancyrecovery.com

 

1. How long have you been in practice?  32 years And how did you become interested in perinatal mood disorders?  Both my wife Stephanie and myself have mothers that suffered very serious postpartum mood disorders and never fully recovered while we were children. These postpartum difficulties adversely affected our mothers plus all other family members and we have been devoted to serve this community to try to prevent this kind of prolonged suffering in other families.  Do you provide telephone support?   We offer 30 and 60 minute phone consultations.
 
2. Please describe your clinical approach to women’s perinatal mood issues.  I am convinced, based on so many years of clinical experience, that a very significant percentage of women with perinatal mood disorders have bodies that become nutritionally depleted when donating all the nutrients to form their baby’s body, placenta, breastfeed, and provide the energy to take care of a new baby.  This concept has been validated by so many years of testing postpartum blood levels of key nutrients like 34 different fatty acids (ie. DHA and EPA omega 3 oils), amino acids, organic acids, intracellular minerals, antioxidants, etc.

A key factor of our approach is to test urine levels of the major neurotransmitters including serotonin, GABA, dopamine, adrenaline (epinephrine) and noradrenaline (norepinephrine) and a 24 hour urine hormone test measuring the free levels of progesterone, pregnenolone, estrone, estradiol, estriol, DHEA, adrosterone, testosterone, etiocholanolone, cortisol and cortisone. Blood thyroid hormone testing (TSH, free T3 and freeT4) is also very important.  It is very important to understand that neurotransmitters and hormones profoundly affect each other’s functioning.  For instance, there needs to be enough available free progesterone to allow the brain’s receptors for GABA help prevent/relieve anxiety and insomnia.  There needs to be enough estrogen for the serotonin receptors to function properly to prevent/relieve depression, insomnia, anxiety, limit carbohydrate cravings; etc.  It takes neurotransmitters and neuropeptides (proteins that affect nerve function) to simulate the pituitary gland to tell the body to make to make progesterone and estrogens and the other hormones just mentioned.  These systems are “synced” and need to be looked at as interlinking and interdependent.  Treating one system without the other often does not yield the desired results.
My book on this subject, A Natural Guide to Pregnancy and Postpartum Health (Avery-2003), goes into this topic in great detail including showing all the nutritional precursors that the body needs to make its own neurotransmitters and energy.  Our nutrient company, Sound Formulas LLC, is a woman’s company specializing in making premier quality, comprehensive prenatal and postnatal vitamin 3 bottle “systems” that provide all the key nutrients to provide babies and mothers what their bodies truly need.  Our postnatal vitamin system is called After Baby Boost and contains #1 a top tier multi-vitamin/mineral formula (including alpha lipoic acid and CoQ10), #2 essential fatty acids (fish oils), and a nighttime calcium/magnesium formula to enhance sleep and relaxation.

After Baby Boost  was put through a clinical trial using a leading prenatal vitamin as placebo and was much more successful in preventing and treating mood disorders, sleep disorders, joint pain, skin disorders and a host of other complaints than an ordinary prenatal vitamin taken postpartum.  Our website Soundfomulas.com gives a great deal of information on why these products were formulated the way they were along with lots of information that many pregnant and postpartum women find very helpful to know.
3. What types of mood issues do you see most often in new mothers?  Depression, insomnia, anxiety, irritability, chronic fatigue, and fears of hurting their babies.
 
4. Please say a little about your assessment and testing procedures.  See above
 
5. Which treatments do you tend to favor for mild reactions?   Nutrient replenishment, bio-identical hormone replacement and neurotransmitter amino acid precursor therapy. And severe reactions?  Add a referral for evaluation for anti-depressant, anti-anxiety, and/or sleep medication to treatment for mild to moderate reactions. mIt is important to note that these pharmaceuticals contain no nutrients and that replenishing all the nutrients donated to form baby’s body is very necessary for treatment and to prevent recurrence.  What is a typical course of treatment for each type of mood issue?  This predominantly depends upon individual test results, however, nutrient replenishment, evaluating and treating hormone and neurotransmitter imbalances are the core of what we do because these are the most powerful mood modulating chemicals in the human body.  Referrals for psychological counseling and medications are done as needed.
 
6. What have been some of your most remarkable successes with mothers?  Most of the women who come to us are able to overcome their difficulties, enjoy their families, and have other children if desired.

 

Thank you to Stephanie and Dean Raffelock for their passion in helping new mothers achieve balance in the postpartum period!

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Resources: Products to Support Maternal Mental Health

Many readers are asking for specific tools to use themselves or to offer clients who are struggling with mood issues.  One tireless advocate for maternal care is Dr. Dean Raffelock.  Dr. Raffelock, along with his wife Stephanie, has created two nutritional formulas perfect for pregnant women and new mothers.  One is Before Baby Boost, to be used during pregnancy.  The other is After Baby Boost, which is designed to replenish nutritional stores after pregnancy.

Before Baby Boost

 

bbb_program_300The highest quality, most comprehensive prenatal vitamin system available. Made with love. For mothers who want the very best for their babies and themselves. Celebrate your pregnancy in the very best of health!Your baby’s body is formed entirely from the nutrients your body donates. Before Baby BoostTM is designed to provide your baby and you the highest quality nutrients available for a healthy pregnancy. Before Baby BoostTMis a comprehensive prenatal nutrient system. Most prenatal vitamins on the market are inadequate to meet the nutritional requirements of making a new baby’s body and keeping mom healthy too. Virtually none of them have high quality DHA and EPA Omega 3 oils necessary to form baby’s eyes, brain, nerves, skin, and cell membranes, alpha lipoic acid and coenzyme Q10 for great natural energy, truly absorbable forms of the minerals calcium and magnesium, or special ingredients to help relieve the “morning queasyness” associated with pregnancy. While taking low potency prenatal vitamins are better than nothing, they are inadequate to meet the real nutritional needs of both baby and mother. This is why we at Sound Formulas have developed and produced Before Baby BoostTMcomprehensive prenatal nutritional system. Only the highest quality nutrients in potencies that really work have gone into Before Baby BoostTM.

 

The first and only clinically tested comprehensive postpartum vitamin system available. Made with love. Replenish the nutrients your body donated to make your baby’s body. Take the best care of yourself so you can enjoy taking the very best care of your family!

After Baby Boost

 

abb_program_300It is vitally important for a mother to replenish the nutrients her body donated to make her baby’s body. Caring for a new baby uses up high quantities of nutrients everyday. After Baby BoostTMcomprehensive nutrient system was designed to replenish and continually restore a new mother’s body with the highest quality nutrients available. No shortcuts, no cheap ineffective ingredients. Just the very highest quality nutrients available in potencies that really work! After Baby BoostTMprovides even higher multi-nutrient potencies than Before Baby BoostTM to help new mothers fully replenish their postpartum nutritional and energetic reserves and avoid many common postpartum health conditions. For best results continue taking After Baby BoostTM for the full 24 month pregnancy recovery period after your baby is born. This helps prevent and relieve many postpartum health conditions. Many women continue to take After Baby BoostTM beyond the recommended 24 month pregnancy recovery period because it helps them feel so good!

To order either product, or for more information click on the product names above or visit www.soundformulas.com.

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