The Best Fertility, Pregnancy & Postpartum Nutrition Protocols | Lily Nichols

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In this episode, I sit down with registered dietitian and best-selling author Lily Nichols, whose work has transformed how we think about fertility and prenatal nutrition. We dive into the rising rates of infertility, the shocking decline in sperm quality, and how nutrient-dense foods like organ meats, eggs, and shellfish provide the building blocks for both egg and sperm health. Lily also shares the truth about protein requirements, fat-soluble vitamins like A and D, and why conventional guidelines often miss the mark.
We talk about practical strategies for preconception, pregnancy, and postpartum recovery - from supporting insulin sensitivity in PCOS to replenishing nutrient stores after birth. Lily’s research-driven yet practical wisdom is essential for anyone preparing for pregnancy, navigating postpartum, or simply wanting to support long-term metabolic health.
A few of my favorite things we cover in this episode:
- Why fertility challenges are rising today - and the role nutrition plays.
- Declining sperm quality and why the “goalposts” for male fertility keep shifting.
- The importance of protein for fertility and pregnancy - and why most women need far more than current guidelines suggest.
- Nutrient-dense foods for preconception and pregnancy: organ meats, shellfish, eggs, and whole-food carbs.
- The truth about vitamin A, fat-soluble vitamins, and why liver in moderation can be so beneficial.
- The impact of seed oils and why they contribute to inflammation.
- Understanding PCOS phenotypes and how nutrition can support them.
- Postpartum recovery: why moms are most depleted during this season and how to replenish.
- Breastfeeding realities, milk supply, and the importance of lactation support.
- Supplements and micronutrients that matter most for both women and men.
Links to things we talked about in this episode:
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Dr. Will Cole
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BY DR. WILL COLE
Dr. Will Cole, DNM, IFMCP, DC is a leading functional medicine expert who consults people around the globe, starting one of the first functional medicine telehealth centers in the world. Named one of the top 50 functional and integrative doctors in the nation, Dr. Will Cole provides a functional medicine approach for thyroid issues, autoimmune conditions, hormonal imbalances, digestive disorders, and brain problems. He is also the host of the popular The Art of Being Well podcast and the New York Times bestselling author of Intuitive Fasting, Ketotarian, Gut Feelings, and The Inflammation Spectrum.