maternal

Dr. M’s Women and Children First Podcast #109: Nutrition, Epigenetic Change and Childhood Disease



Nothing in biology is random.
Not growth.
Not metabolism.
Not disease.
What we will explore today is the reality that the earliest inputs in life: nutrition, environment, signaling,
don’t just influence outcomes…
They shape them.
They write the first draft.
And if you understand that, if you truly let that land,
then everything about how we approach pregnancy, childhood, and prevention begins to shift.
From reaction…to intention.
From downstream management…to upstream design.

Why This Conversation Matters
This episode is not just another discussion.
In many ways, it is ground zero.
Because if you don’t understand this layer, the imprinting, the epigenetic programming, the responsiveness of biology to environment, then everything that follows in this podcast…becomes harder to fully see.
But once you do see it, the picture sharpens.
You begin to understand:why trajectories diverge early, why children present so differently and why the same diagnosis can have completely different roots.

This is the beginning of a new map.
And maps matter.

Gratitude to Today’s Guests
I want to take a moment to acknowledge the voices you heard today—because this kind of thinking doesn’t happen by accident.

Lucia Aronica
Dr. Aronica is a Stanford scientist and a global authority in nutritional epigenetics, helping clinicians understand that food is not simply fuel—it is biological information that actively programs gene expression.

She created Stanford’s first courses in nutritional epigenetics and pioneered the Epinutrition framework, a clinical model that reframes nutrition as signaling, not supplementation.

You may recognize her from the Netflix documentary You Are What You Eat: A Twin Experiment, and she is now launching the world’s first Clinical Epinutrition Certification, training health professionals to use food as epigenetic medicine.

Emily Stone Rydbom
Emily is a clinical nutritionist, researcher, and digital health founder working at the frontier of precision maternal nutrition.

As Founder and CEO of GrowBaby Health, and through her work with GrowHealth Technologies, she is building AI-enabled systems that integrate nutrition directly into standard obstetric care. With over 14 years of clinical experience, she has helped pioneer the “Standard of Care PLUS” model, demonstrating meaningful reductions in preterm birth and gestational diabetes in high-risk populations.

She is also a co-investigator on the ROOT Study—bringing this work directly into real-world maternal care here in North Carolina.

Samantha N. Fessler
Dr. Fessler brings a deep scientific lens to the intersection of metabolism, inflammation, and perinatal nutrition.
With a PhD in Exercise and Nutritional Sciences from Arizona State University, her work has focused on how nutritional strategies can modulate the interplay between immune signaling and metabolic function to improve outcomes for mothers and children.

As Director of Scientific Affairs at Needed, she helps translate rigorous science into actionable, evidence-based approaches that clinicians and families can actually use.

Randy L. Jirtle
And finally, Dr. Randy Jirtle—joining us again—whose work, quite simply, changed how we understand biology.
A pioneer in epigenetics and genomic imprinting, Dr. Jirtle’s research on the agouti mouse model demonstrated for the first time that environmental inputs—particularly nutrition and chemical exposure—could directly alter gene expression across generations. His work reframed the gene from a fixed sentence…to a responsive system.

In fact, Time Magazine once described it this way:“A gene represents less of an inexorable sentence and more of an access point for the environment to modify the genome.”

He is a Professor of Epigenetics at North Carolina State University and Senior Scientist at University of Wisconsin–Madison and remains, at his core, a deeply curious thinker.

And that curiosity… is what moved this field forward.

Final Thought: If there is one takeaway from today, it is this: The environment is not acting on the child. The child is responding to the environment.

And that response…is being written into biology.

Dr. M

Dr. M’s SPA Newsletter Volume 15 Issue 15

Systemic Maternal Inflammation and Neurodevelopment: The Role of IL-6 and IFN-γ in Autism Spectrum Disorder

I just returned from Estes Park, Colorado where I presented a lecture on the Growing Brain/Mind – a tour through the underpinnings of childhood neurological changes that we call Autism. The timing is perfect for this article to be written.

In an era when chronic disease in children is rising at an unprecedented pace, the search for root causes must include an honest inquiry into the conditions present during fetal development. The review article by Majerczyk and colleagues, Systemic Maternal Inflammation Promotes ASD via IL-6 and IFN-γ, brings forward a critical piece in this puzzle that I began to explore a few years ago when writing a book. It connects the dots between maternal immune dysregulation and long-term neurodevelopmental outcomes, specifically autism spectrum disorder (ASD). Through a synthesis of clinical data and animal research, the authors make a compelling case for the centrality of two inflammatory messengers, interleukin-6 (IL-6) and interferon-gamma (IFN-γ), in shaping fetal brain development during gestational stress. The key words here being GESTATIONAL STRESS, the recurring scientific theme for ASD development, not vaccines… and some literature reviews.

Dr. M

Dr. M’s Women and Children First Podcast #85 – Lily Nichols RD

Welcome back to Dr. M’s Women and Children First Podcast, where we dive deep into the latest research and expert insights on health, nutrition, and optimizing well-being. Today, we sit down with an influential voice in prenatal and fertility nutrition, Lily Nichols, RD.

Lily is a registered dietitian, researcher, and best-selling author known for her groundbreaking work on real food nutrition for pregnancy. Her previous books, Real Food for Pregnancy and Real Food for Gestational Diabetes, have redefined how we think about maternal nutrition, blending ancestral wisdom with cutting-edge science. Now, with her latest book, Real Food for Fertility, she expands her expertise to help couples optimize their chances of conception and support a healthy pregnancy from the very start.

In this conversation, we’ll explore the critical role of nutrient-dense, whole foods in fertility, how conventional dietary advice may be missing key elements, and why blood sugar balance, gut health, and micronutrient status are essential for reproductive success. Lily’s research-driven approach challenges outdated dogma and offers practical, evidence-based solutions that can make a real impact on fertility outcomes.

Whether you’re planning for pregnancy, supporting a loved one on their journey, or simply interested in how diet shapes reproductive health, this episode is packed with actionable takeaways.

Join me in welcoming Lily Nichols, RD, to the podcast!

Dr. M

Real Food for Fertility

Dr. M’s Women and Children First Podcast #82 – Megan Lyons, DCN, MBA

Megan Lyons, is a distinguished expert in personalized nutrition and wellness, with over a decade of experience in the field. As the founder of The Lyons’ Share Wellness, she has dedicated more than 14,000 hours to one-on-one nutrition consulting, assisting clients with diverse goals such as weight loss, overcoming emotional eating, managing thyroid dysfunction, and reversing prediabetes and cholesterol issues.

Her academic credentials are extensive:

  • Doctorate of Clinical Nutrition from the University of Western States
  • Master of Science in Holistic Nutrition from Hawthorn University
  • Master of Business Administration from the Kellogg School of Management at Northwestern University
  • Undergraduate degree from Harvard University

Megan is double board-certified as a Clinical and Holistic Nutritionist, and she is a graduate of the Institute for Integrative Nutrition.

In 2016, she authored the Amazon Top 10 bestseller, Start Here: 7 Easy, Diet-Free Steps to Achieve Your Ultimate Health and Happiness. Additionally, she hosts the popular podcast Wellness Your Way, where she shares actionable and motivational health information with thousands of listeners each week.

Our goal today is to highlight the realities of women’s health, hormones and breastfeeding.

Enjoy,

Dr. M

The Lyons Share

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 31

Epigenetics and Pregnancy
Epigenetics is the study of environmental signals and their effects on our genes. Our genes are not altered so much as they are read and used differently based on the environmental inputs. Epigenetic effects are critical during the pregnancy period as the environmental signals can alter an offspring’s outcome both in good and bad ways. Making sure that we control for better environmental signal exposure while pregnant can go a long way to protecting our children’s DNA from dysfunction and thus their outcome with health. It is well known that chemicals are generally negative insults to our epigenome while anti-inflammatory whole foods are positive. These epigenetic marks can be conserved over multiple generations making them extraordinarily beneficial or dangerous. Here we will discuss the lifestyle mitigating factors for a positive pregnancy and newborn outcome….plus an ode to Brenda Wassum.
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 20

“It is your reaction to an adversity not the adversity itself that determines how your life’s story develops.”
Dieter Uchtdorf
WHY?
What are the Underpinnings of Disease?
What have we really learned over the last one to two hundred years of medicine?
We left an era where infections killed the majority of children and adults, especially during childbirth and the first 5 years of life. Science gave us antimicrobial medicines and vaccines that altered this landscape and humans began to live decades longer.
Medicine had conquered disease. However, it was not so. Insidiously, these victories were met with new problems called diseases of aging – heart disease, asthma, autoimmunity, diabetes, cancer, obesity, dementia and others…… and a literature review.
Enjoy,
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 17

Literature Review
1) In a first of its kind study in mice, we see concrete evidence for how the mitochondria in obese individuals are a root cause of disease based on nutritional input. This fascinating animal translational study gives us insight into how a high fat diet is also a major component of mitochondrial damage through fission and fragmentation leading to worsened cell bioenergetics. The cells have reduced fatty acid oxidation or fat burning capacity due to a single gene’s actions. The end result is a tilt toward fat cell production, fat storage and fat cell inflammation which are associated with diabetes and insulin resistance and ultimately metabolic syndrome. This starts to explain the paradox that is obesity where the person has a ton of stored energy, but has limited capacity to utilize it. It is like having a gas tank of fuel with a gas line that only allows for 1/10th of the flow required for optimal function. Science Daily has an excellent review of this paper. Link below. 
2) Women’s brains change during pregnancy as per a new study. The authors looked at brain changes before and after birth as well as with or without a vaginal delivery route. Their study findings noted transient changes in some brain regions as well as permanent changes in other brain regions that turn on self-reflection and empathy for others…… and a recipe of the week.
Enjoy,
Dr. M