In this episode of the Vibrant Wellness Podcast, Dr. Emmie Brown sits down with Macy Coleman, a board-certified dietitian and founder of WellWoman Nutrition, to explore the hidden root causes of infertility and the foundations of functional fertility care. Macy shares how her health challenges led her to pursue integrative nutrition, ultimately shaping her mission to help women reclaim their health and fertility with compassion and curiosity.
Drawing from her practice, Macy highlights the most common causes of unexplained infertility—including gut dysfunction, hormone and adrenal imbalances, poor circulation, toxic exposures, and undernourishment. She explains how early symptoms like bloating, fatigue, PMS, and skin issues often signal deeper imbalances long before lab markers change. The conversation also explores the impact of heavy metals, mycotoxins, and environmental toxins, emphasizing the importance of supporting the body’s natural detox pathways—ideally before conception—to reduce burden and enhance reproductive outcomes.
Beyond the gut and detox, Macy discusses the vital yet overlooked role of the vaginal and uterine microbiome in implantation and pregnancy, as well as the need to consider the male partner’s health in the fertility journey. She also shares how targeted strategies—such as immune system support, prebiotics, and specialized probiotics—can improve outcomes for couples who feel they have exhausted conventional options. Listeners will also hear an inspiring case study of a woman who overcame recurrent pregnancy loss through functional care, ultimately leading to a healthy pregnancy.
🎙 Key Topics Covered
🌿 Macy’s journey into functional medicine and fertility care
🧠 Root causes of infertility: gut, hormones, toxins, nutrition
⚠️ Early symptoms signaling deeper imbalances
🧬 Heavy metals, mycotoxins & environmental toxin impacts
🚰 Supporting detox pathways before conception
🧫 Vaginal & uterine microbiome in fertility
🦠 Immune system dysregulation and gut connection
💊 Targeted use of probiotics & prebiotics
📚 Case study + Macy’s fertility and detox courses
⏱️ Timestamps
0:00 – Welcome + guest intro: Macy Coleman, RDN, founder of WellWoman Nutrition
0:28 – Toxin exposures: heavy metals & mycotoxins
1:27 – Macy’s personal health journey into functional medicine
3:43 – Early interest in health & career path to dietetics
5:06 – Pivot into fertility care + personal experiences with loss
8:25 – Preconception vs. complex fertility cases in practice
8:43 – Root causes of unexplained infertility (gut, hormones, toxins, nutrition)
10:06 – Early symptoms & patterns that hint at deeper issues
13:04 – Male factor fertility: labs & lifestyle
14:39 – Environmental toxins: products, cookware, daily swaps
17:28 – Toxins that disrupt hormones: metals & mycotoxins
21:14 – Timing of detox before conception vs. during pregnancy
24:20 – Supporting detox: drainage pathways & practical tools
27:21 – Vaginal & uterine microbiome in fertility
31:28 – Infections beyond BV & yeast: gardnerella, ureaplasma, asymptomatic issues
34:21 – Gut & immune system connection to vaginal health
36:01 – Labs & markers for immune dysregulation in fertility
39:27 – Gut healing as foundation for immune + fertility health
40:02 – Probiotics & prebiotics: when to use, strains, and vaginal options
43:33 – Vaginal probiotics: compounding, Evvy testing, yogurt discussion
45:02 – Case study: client with recurrent loss, mold, parasites → healthy pregnancy
50:44 – Macy’s fertility and detox courses + where to connect
🔗 Resources Mentioned
🌐 Macy's Website: https://www.wellwomennutrition.com/
📘 Follow Macy on LinkedIn: https://www.linkedin.com/in/macy-coleman-rdn-ldn-cnsc/
📸 Follow Macy on Instagram: https://www.instagram.com/wellwomennutrition/
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Limitations
Please note the information provided by Vibrant Wellness is intended solely for research and informational purposes to help inform lifestyle choices aimed at potential risk mitigation. The information is not intended to be used by the patient for any diagnostic purpose and is not a substitute for medical advice by a healthcare practitioner. Please consult a licensed healthcare practitioner for any questions regarding diagnosis, prevention, or treatment of any disease or health assessment.