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  • 119:: The Functional Medicine Guide to Preconception with Dr. Kelly Moline (& the role of folate, gut health, cortisol, and nervous system regulation on trimester 0!)

    119:: The Functional Medicine Guide to Preconception with Dr. Kelly Moline (& the role of folate, gut health, cortisol, and nervous system regulation on trimester 0!)
    2026/09/21

    Before pregnancy even starts, there's a window that quietly shapes a lot of what comes next, and most of us never hear about it. This episode is part of the Trimester 0 preconception podcast festival, and I'm sitting down with Kelly Moline, PharmD, the pharmacist and functional medicine practitioner behind the Moline Method. We get into how she combines her knowledge as a pharmacist with her functional medicine expertise, what actually matters about folate timing, how gut health and thyroid function connect, whether all that lab testing is really necessary, and what her patients almost always assume is fine when it isn't. If you're even thinking about trying in the next year, or just curious about the science, this one's for you.

    If you like the conversations we have here, and your curiosity does not stop at wellness, come join the Mavens. The Smart Girl Newspaper is my free weekly newsletter for women who want to truly understand the things they are curious about, from their health to the wider world. New issue every week, link in the show notes.

    Links:

    Moline Method Website: https://molinemethod.com/

    Functional Medicine for Moms (Spotify): https://open.spotify.com/show/2xfnGf8367wtHEuXp4BJQs?si=73e3c9c627ef490d

    Functional Medicine for Moms (Apple): https://podcasts.apple.com/us/podcast/functional-medicine-for-moms-first-time-parents-navigating/id1821035310

    Kelly’s Instagram: https://www.instagram.com/functionalmedicineformoms

    Preparing for Pregnancy Guide: https://molinemethod.com/fertility

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    48 分
  • 118:: A licensed psychologist's guide to trimester zero with Dr. Abigail Powell

    118:: A licensed psychologist's guide to trimester zero with Dr. Abigail Powell
    2026/09/14

    The positive test is not where pregnancy preparation begins. It's where it continues — if you've done the work.

    In this episode, Dr. Kelsy Vick sits down with licensed psychologist and certified mental health and nutrition clinical specialist Dr. Abigail Powell to explore trimester zero — the season before pregnancy focused on preparing your mind, body, and relationships for everything that comes next.

    What you'll learn:

    • What trimester zero actually is and why it matters more than most women realize
    • How to navigate uncertainty, control, body changes, and identity shifts before pregnancy
    • The key conversations every couple should have before trying to conceive
    • Why a supportive partner significantly reduces postpartum mood disorder risk
    • Nutrition strategies that directly support mental health — protein, carbs, omega-3s, and L-theanine
    • How to proactively build a care team that is actually aligned with your values
    • Why seeking support early is the most important postpartum risk reduction strategy you have

    Links/Research Articles:

    Dr. Abigail’s Website: https://www.villagepsychllc.com/ , https://theaviationtherapist.com

    Dr. Abigail’s Booking Link: https://book.carepatron.com/Village-Psychology/Dr--Abigail?p=gZVWZTPfSt6PI3UhjLIQjg&s=r8XMQN4z

    Dr. Abigail’s Instagram: https://www.instagram.com/villagepsychllc , https://www.instagram.com/theaviationtherapist

    justtheinserts.com

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    34 分
  • 117:: A registered dietician chats fueling for hormonal balance & preconception (a nutrition chat for girls in Trimester 0!)

    117:: A registered dietician chats fueling for hormonal balance & preconception (a nutrition chat for girls in Trimester 0!)
    2026/09/07

    Hormone balance has become a marketing machine, so we brought in a dietitian to tell us what it actually means. In this episode, Dr. Kelsy Vick talks with Bayleigh Wessel, a registered dietitian, about what hormonal health really looks like day to day: predictable cycles, consistent ovulation, manageable PMS, steady energy and hunger cues, restorative sleep, steady digestion, and normal workout recovery. They reframe hormones as responsive messengers shaped by fueling, stress, inflammation, sleep, training, blood sugar, and nutrient status, rather than numbers to force into a perfect range. Bayleigh breaks down the red flags worth noticing, including severe PMS, intense cravings, irregular cycles, and the wired but tired pattern, then lays out the foundational nutrition priorities: eating before coffee, balancing meals with protein, carbs, fat, and fiber, and improving blood sugar stability and insulin resistance, including in PCOS (PMOS). They also cover which labs to discuss with a doctor, how to time hormone testing so it actually means something, realistic timelines for change, and what preconception, or trimester zero, support looks like. Smart, practical, and refreshingly calm.

    Links/Research Articles:

    Bayleigh’s Website: https://www.balancebluecollectivellc.com/

    Work With Bayleigh: https://balancebluecollectivellc.practicebetter.io/#/6303dccaf1314592c6e3e89a/bookings?s=64caec56aa6a6fd4822c505c

    Bayleigh’s Instagram: https://www.instagram.com/dietitianbayleigh/

    Bayleigh’s Tiktok: https://www.tiktok.com/@dietitianbayleigh

    No Extremes Podcast: https://open.spotify.com/show/033Bfw7BFgPfeJ1OOVE1UU?si=4364993ac881426a

    (106) Our 1st episode together: https://youtu.be/gX1sIac50es?si=2Lo8MMTu-EYZyiJ4

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    39 分
  • 116:: A pelvic floor PT's Trimester 0 guidebook (big sister advice I'd give if you're in your preconception phase!)

    116:: A pelvic floor PT's Trimester 0 guidebook (big sister advice I'd give if you're in your preconception phase!)
    2026/08/31
    There is a trimester nobody talks about, the one before pregnancy even starts. In this episode I am breaking down what the research actually says about muscle mass, cardio, and overall fitness on fertility, pregnancy, neuromuscular control, and postpartum recovery, plus what your fitness does for your baby and where dad fits into all of it. As a board certified orthopedic Dr. of PT and women's health PT, this is the episode I wish more people had before they started trying to conceive. We get into the real numbers on gestational diabetes, labor duration, postpartum depression, diastasis recti, and the brand new research on paternal exercise and sperm. If you like conversations like this, come join the Mavens over at The Smart Girl Newspaper, my free weekly newsletter, link in the show notes.LINKS:Youtube Trimester 0 Mobility Flow: https://youtu.be/PNM2B5MdG2UMale Fertility Episode: https://wellness-big-sis-the-pod.captivate.fm/episode/mamapalooza-/Creatine for mom & baby: https://wellness-big-sis-the-pod.captivate.fm/episode/mamapalooza-creatine-for-women-mama-and-baby-from-conception-to-postpartum-with-dr-stacey-ellery-phd/My own pregnancy prep guidebook: https://player.captivate.fm/episode/d87cd44e-cfb5-4113-a294-00281f65aaf4/loving the pod? click the follow button, & we'd love if you could leave a review! thank you x 1000 :)Five Seats: Reserve your seat on Spotify. (Apple coming soon!)sign up for the free Smart Girl Newspaper!insta:: @dr.kelsyvickdpt & @wellnessbigsispod & @five5eatsyoutube:: @dr.kelsyvickdpttiktok:: @dr.kelsyvickdpt & @wellnessbigsispodResearch articles and linksPreconception and fertility Physical Activity, BMI, and Ovulatory Disorder Infertility: https://www.researchgate.net/publication/11481782_Physical_Activity_Body_Mass_Index_and_Ovulatory_Disorder_Infertility Association between physical activity and infertility, systematic review and meta analysis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125843/ Maternal physical and sedentary activities in relation to reproductive outcomes following IVF: https://pmc.ncbi.nlm.nih.gov/articles/PMC5053884/ Effect of exercise as an intervention for women with PCOS, systematic review and meta analysis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220722/ The effect of physical activity on fertility, a mini review: https://www.fertstertreports.org/article/S2666-3341(23)00044-2/fulltextPregnancy Effects of exercise on blood glucose and pregnancy outcomes in GDM, meta analysis and meta regression: https://pmc.ncbi.nlm.nih.gov/articles/PMC12465038/ Effects of physical exercise in overweight and obese pregnant women, meta analysis: https://pubmed.ncbi.nlm.nih.gov/30240042/ Effect of exercise on adverse neonatal outcomes in GDM, systematic review and meta analysis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997568/ Effects of exercise on GDM, preeclampsia, and spontaneous abortion in healthy women: https://pmc.ncbi.nlm.nih.gov/articles/PMC10298745/ Effect of exercise on GDM in normal weight women: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233372/ Effects of physical exercise during pregnancy on delivery outcomes: https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0326868 Impact of prenatal exercise on maternal harms, labor and delivery outcomes: https://pubmed.ncbi.nlm.nih.gov/30337349/ Exercise during pregnancy associated with shorter labor duration, RCT: https://www.sciencedirect.com/science/article/abs/pii/S0301211518300964 Optimizing labor duration with Pilates, systematic review and meta analysis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11365214/ Benefits of resistance training during pregnancy for maternal and fetal health: https://www.dovepress.com/benefits-of-resistance-training-during-pregnancy-for-maternal-and-feta-peer-reviewed-fulltext-article-IJWHNeuromuscular control Postural balance and the risk of falling during pregnancy: https://pubmed.ncbi.nlm.nih.gov/26212584/ Retrospective analysis of balance parameters in pregnant women: https://doi.org/10.3390/jcm14061892 Pelvic floor adaptation to a prenatal exercise program, RCT: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12346635/ Cochrane review, PFMT for preventing and treating incontinence antenatal and postnatal: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007471.pub4/full Influence of PFMT on urinary incontinence, episiotomy, and perineal tear: https://obgyn.onlinelibrary.wiley.com/doi/10.1111/aogs.14744Postpartum Impact of postpartum physical activity on maternal depression and anxiety: https://pubmed.ncbi.nlm.nih.gov/39500542/ Overview of systematic reviews on physical activity and postpartum depression: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192973/ Evidence for abdominal and pelvic floor muscle training for diastasis recti postpartum: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721086/Benefits to baby Exercise benefits for mother and offspring, molecular mechanisms and advances: https://link.springer.com/chapter/10.1007...
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    21 分
  • 115:: A nurse injector explains the science behind botox, fillers, & lasers (+ what really happens to your skin as you age!)

    115:: A nurse injector explains the science behind botox, fillers, & lasers (+ what really happens to your skin as you age!)
    2026/08/24

    Your skin starts changing earlier than you think, and most of us were never told what actually happens or what to do about it. In this episode, Dr. Kelsy Vick sits down with Claire Schwegel, a nurse injector in aesthetic dermatology at Vollure Medical, to break down the real science of aging skin: slower cell turnover, slower wound healing, and rising inflammation. Then they build a decade by decade game plan, evidence based prevention in your 20s, collagen banking and judicious neuromodulators in your 30s, perimenopausal structural care in your 40s, and hydration, resurfacing, and neck and hand care in your 50s. Claire also demystifies the whole toolkit: neuromodulators versus fillers, hyaluronic acid fillers versus biostimulators like Sculptra, real risks like vascular occlusion and migration, laser categories, PRP and microneedling, at home tools, why annual skin exams matter, and where aesthetics is headed next. Smart, honest, and refreshingly free of hype.

    Links/Research Articles:

    Dr. Claire’s Booking Link: https://www.myvelour.com/provider/claire-schwegel-del-signore/services?locationType=in-suite

    Dr. Claire’s Instagram: https://www.instagram.com/confidencebyclaire/

    Dr. Claire’s Tiktok: https://www.tiktok.com/@confidencebyclaire

    105:: a doctorally trained cosmetic injector’s guide to bridal skin: what works and what is overhyped: https://youtu.be/3acEZMfw3FI?si=iElrgRrTDJb1uUXX

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    50 分
  • 114:: "Creatine for women" & creatine gummies (the real science vs. the pink tax!)

    114:: "Creatine for women" & creatine gummies (the real science vs. the pink tax!)
    2026/08/17
    Creatine has been rebranded for women, and it is suddenly everywhere in pastel gummies and tone and sculpt language. In this commentary episode, Dr. Kelsy Vick separates the real science from the marketing. She covers whether women's bodies actually handle creatine differently than men's, why creatine monohydrate is the same molecule regardless of who it is sold to, and the genuine women's health benefits for muscle, bone, mood, and cognition, especially heading into perimenopause and menopause. She also digs into the gummy format, why creatine can degrade into an inactive form during gummy manufacturing, what independent testing has found about underdosing, and reads the actual labels on popular options from brands like Lemme, Arrae, and Create. The goal is not hype and not a takedown, just the facts so you can decide for yourself, and skip the pink tax if you want to.This episode is educational and not medical advice. Talk to your own clinician about what is right for you.Episodes Mentioned:49:: Dr. Katie’s Episode: https://player.captivate.fm/episode/077def9c-370a-4963-b662-8d1f61256f73/ Dr. Stacey’s Episode on creatine during perinatal period: https://player.captivate.fm/episode/0c1e77fb-7ec7-462d-ba02-280a154a6d24/ 93:: Dr. O’Neill Menopause & Perimenopause Episode https://player.captivate.fm/episode/48ae176f-56f7-471f-8e38-00111efd5606/ loving the pod? click the follow button, & we'd love if you could leave a review! thank you x 1000 :)sign up for the free Smart Girl Newspaper!insta:: @dr.kelsyvickdpt & @wellnessbigsispodyoutube:: @dr.kelsyvickdpttiktok:: @dr.kelsyvickdpt & @wellnessbigsispodResearch articles and linksCreatine supplementation in women's health, a lifespan perspective (sex differences, baseline stores, benefits).https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998865/Creatine in women's health, from menstruation through pregnancy to menopause, 2025 review. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086928/Creatine and bone and cognition in menopause, University of Colorado Anschutz overview. https://news.cuanschutz.edu/news-stories/can-taking-creatine-help-women-stay-healthy-as-they-ageNOW Foods creatine gummy testing and third party testing limitations. https://www.nutritionaloutlook.com/view/now-tests-creatine-gummies-identifies-limitations-in-third-party-gummy-testingWidespread failings in creatine gummy tests (roughly 86 percent failed labeled claims). https://www.nutraceuticalsworld.com/breaking-news/now-reports-widespread-failings-in-creatine-gummy-tests/Lemme creatine gummies product and ingredient page. https://lemmelive.com/products/lemme-creatine-gummiesArrae Tone creatine gummies product and ingredient page. https://www.arrae.com/blogs/product-guides/everything-you-need-to-know-about-tone
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    26 分
  • 113:: Movement snacks: the girl math of exercise

    113:: Movement snacks: the girl math of exercise
    2026/08/10

    The movement snacks trend is everywhere right now, and for once the science actually backs it. In this episode, Dr. Kelsy Vick breaks down what movement snacks really are, small one to five minute bites of movement sprinkled through your day, and why they matter so much for women, especially as we all head into a sitting heavy back to school and back to work season. She covers how breaking up prolonged sitting steadies blood sugar and drops blood pressure, why research suggests women get a bigger health payoff from less exercise than men, how strength snacks help protect muscle and bone heading into perimenopause and menopause, and how even gentle evening movement can help you sleep longer. You will walk away with a practical menu of movement snacks you can start today. Science backed, women centered, and refreshingly doable.

    Links Mentioned in the episode:

    102:: PCOS is dead. Meet the new & improved PMOS. https://player.captivate.fm/episode/f2f7f219-c9c5-46ae-8cd3-cb1f05467302/

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    insta:: @dr.kelsyvickdpt & @wellnessbigsispod

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    14 分
  • 112:: Ovarian aging 101: the longevity metric for women in their 20s and 30s

    112:: Ovarian aging 101: the longevity metric for women in their 20s and 30s
    2026/08/03
    The entire longevity conversation forgot about female bodies, so we are fixing that today. It turns out your ovaries are the fastest aging organ you have, declining measurably in your mid 30s, and researchers now consider ovarian aging one of the most important longevity markers we have for women. In this episode we break down why your ovaries age more than twice as fast as the rest of you, how ovarian aging connects to your heart, bones, and brain, what AMH and your family menopause timeline can tell you, and the everyday habits that actually protect your ovarian longevity. Smart, fun, and something you can actually act on this week.I'm Dr. Kelsy Vick, a board certified orthopedic Doctor of Physical Therapy and women's health PT, and this is Wellness Big Sis: The Pod, expert led, science backed wellness girl chats for women in their 20s and 30s.Want the deeper cuts and the studies? Subscribe to Smart Girl Newspaper, linked below.loving the pod? click the follow button, & we'd love if you could leave a review! thank you x 1000 :)sign up for the free Smart Girl Newspaper!insta:: @dr.kelsyvickdpt & @wellnessbigsispodyoutube:: @dr.kelsyvickdpttiktok:: @dr.kelsyvickdpt & @wellnessbigsispodLinks/Resources:RESOURCES: Ovaries age more than twice as fast as the rest of the body and are the fastest aging organ. This is the Columbia work led by Yousin Suh. Columbia University Irving Medical Center: Studying Ovaries to Understand How We All Age. https://www.cuimc.columbia.edu/news/studying-ovaries-understand-how-we-all-age Underlying research: Molecular and genetic insights into human ovarian aging from single nuclei multi omics analyses (2024). https://pubmed.ncbi.nlm.nih.gov/39578560/ Accessible longevity framing: https://time.com/collections/the-age-of-longevity/7338546/ovaries-unlock-secrets-longevity/Low AMH is linked to cardiovascular and metabolic risk markers. de Kat, A. C., et al. and related work: Low antimullerian hormone levels may be associated with cardiovascular risk markers in women with diminished ovarian reserve. https://pubmed.ncbi.nlm.nih.gov/26613901/ BMI nuance: https://academic.oup.com/jcem/article/105/3/e555/5581647Later menopause and a longer reproductive lifespan are associated with greater longevity. Shadyab, A. H., et al. (2017). Ages at menarche and menopause and reproductive lifespan as predictors of exceptional longevity in women: the Women's Health Initiative. Menopause. https://pmc.ncbi.nlm.nih.gov/articles/PMC5177476/Accelerated ovarian aging is driven by oxidative stress, mitochondrial dysfunction, and inflammation, and smoking is directly toxic to ovarian reserve.. Ovarian aging review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332606/
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    12 分