That’s a very interesting question because one of the modifiable factors that we talked about today. We can probably do another webinar just on supplements because there are so many and the conditions that each woman or men has that affect their fertility.
Some supplements might be better than others and some might be more recommended than others but I can tell you that when it comes to folic acid, the recommended dose is 400. It’s 400 micrograms; not sure if you are confusing milligrams with micrograms but 400 micrograms is the recommended dose. Some people will need a higher dose than that. These are cases, for example, when the baby’s biological father has a neural tube defect and this has to do with a deformity in the spine, if the woman has already had a pregnancy with a neural tube defect or if there is a history in the family of neural tube defects, if the woman has diabetes or if the woman is taking medicines for epilepsy, if any of these conditions are met, she needs to take a higher dose of folic acid which is five milligrams which is so much higher than the recommended dose to the general population. But, again, if she doesn’t have any of this history then she needs to take just the recommend 400 micrograms. It’s really important that she doesn’t take more than what she needs because like I said a lot of people are not able to break down the folic acid into the form that your body can use.
If you’re taking too much, it can be accumulated in your system and you don’t want to do that. Vitamin D I can tell you that it’s really important as well.
Most people take 1,000 milligrams and that is the correct dose so you can take that. Some countries recommend higher doses than others so there isn’t quite a consensus but I would say that is an average dose for vitamin D and that’s correct. In terms of probiotics, I haven’t found a lot of evidence in terms of trying to conceive. I was just reading about it today but I haven’t found much evidence. I found some evidence for women who are already pregnant, in terms of improving the vaginal bacteria but not in terms of trying to conceive. If you look, for example, at a multivitamin which is a tablet that has already all of these, for example, prenatal vitamins, will already have all of this so you don’t need to buy separate tablets – that’s a possible solution to find the right doses.