What’s Really Behind Low AMH, Part 2: Real Women, Real Labs, Real Results
In part two of this series, Aimee Raupp takes the NLRP3 inflammation framework from part one and shows what it looks like in real women’s bodies, with real labs, real numbers, and real timelines. She shares the stories of women who were told donor eggs were their only option, then walks through one case in full detail to show exactly how she connects the pieces: thyroid, vitamin D, iron, leptin, metabolic famine, blood flow, and the emotional work that so often gets skipped.
Key topics:
* A quick recap of part one: AMH as a smoke detector, not a verdict
* How the NLRP3 inflammasome damages the granulosa cells that make AMH
* A woman with an AMH of 0.1, six failed IVFs, and five losses who got pregnant naturally at 42
* A medical professional who went from six failed IVFs with zero normal embryos to two euploid embryos at 44
* Why “your only option is donor eggs” is so often the wrong answer
* Judy’s full case: five miscarriages, a falling AMH, and a doctor pushing donor eggs
* The labs that told the real story: TSH, vitamin D, iron, and leptin
* Metabolic famine: how undereating, near keto eating, and overexercising suppress fertility
* Feeding your ovaries instead of your waistline
* Blood flow support with acupuncture, castor oil packs, and abdominal massage
* Why trauma and nervous system work are fundamental, not optional
* How Judy’s AMH rose from 0.7 to 1.2, and why that wasn’t the headline
* Looking back with 2026 clinical eyes: the hidden insulin resistance pattern
* Why low carb isn’t right for most women in their reproductive years
* An inside look at The AMH Protocol, Aimee’s new six week program
Timestamps:00:00 - Welcome to The Fertility Authority01:48 - Recap of part one: AMH as a smoke detector02:16 - The NLRP3 alarm system and granulosa cells03:01 - Real women, real numbers, the same verdict03:11 - AMH of 0.1, six failed IVFs, pregnant naturally at 4204:14 - Five REs said donor eggs: two euploid embryos at 4405:45 - Different women, different numbers, same wrong answer06:26 - Judy’s story: five miscarriages and a falling AMH07:02 - The labs at the time of loss: TSH and vitamin D07:20 - Clotting factor disorder already identified and controlled07:57 - AMH dropping from 1.5 to 0.7 and the push for donor eggs08:09 - What the full picture showed: iron, blood deficiency, leptin08:54 - Near keto, skipped breakfasts, and daily intense exercise09:22 - Feeding her ovaries, not her waistline10:30 - Rebuilding her blood with food and Chinese herbs10:34 - Blood flow support: acupuncture, castor oil packs, abdominal massage10:39 - The emotional work and fertility trauma coaching11:06 - A word from Rejoova12:41 - Trauma as background noise for the nervous system13:12 - The toll on her marriage and honoring the desire13:48 - Ongoing coaching, hysteroscopy, and endometrial biopsy14:41 - Repeat labs and what improved15:15 - The email: letting go and a surprise pregnancy16:01 - AMH from 0.7 to 1.2, and why that’s not the headline16:48 - Numbers are data, not destiny17:16 - Looking back with 2026 clinical eyes: insulin resistance17:43 - Why low carb isn’t good for most women trying to conceive18:30 - The labs most women never get run18:52 - Introducing The AMH Protocol19:20 - The six weeks: diagnostics, nutrition, blood flow, mindset, supplements, integration20:04 - Daily lessons, weekly live Q&A, and private community20:23 - Enrollment details and October 12 start date21:19 - Find the fire, put it out22:00 - The DIY option: Yes, You Can Get Pregnant22:54 - Closing and how to work with Aimee
Resources & Links:
* The AMH Protocol (enrollment closes October 10 at 11:59 PM, program begins October 12)
* Fertility Lab Testing Panel
* Yes, You Can Get Pregnant: Revised Edition by Aimee Raupp
* The Egg Quality Diet by Aimee Raupp
* Part 1: What’s Really Behind Low AMH
* NLRP3 Inflammasome research
* Rejoova: use code AIMEE20 for 20% off any individual supplement (not valid on bundles)
Connect with Aimee Raupp:
* Instagram
* Website
* Substack
* Work with Aimee and her team
This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit aimeeraupp.substack.com/subscribe