Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon

850: Fertility 2.0: Insulin Resistance, Microbiome Hacks, and PMOS with Rachel Swanson

July 21, 2026·52 min
Episode Description from the Publisher

Are you struggling with infertility or looking to optimize your longevity by slowing down your reproductive aging? In this episode of Beauty Bytes, I am joined by Rachel Swanson, a registered dietitian, clinical nutrition expert, and the author of Trying. Rachel introduces us to "Fertility 2.0," a proactive, science-backed approach that treats reproductive issues as a canary in the coal mine for our overall systemic health and future disease risk. We discuss why Polycystic Ovary Syndrome (PCOS) is now being recognized as Polyendocrine Metabolic Ovary Syndrome (PMOS), with up to 95% of these patients suffering from insulin resistance. Rachel breaks down the exact metabolic biomarkers you need to track—including fasting insulin, HbA1c, and waist circumference—and explains why the "normal" lab range is not always optimal. We also explore the fascinating connection between fertility and three different microbiomes (oral, vaginal, and gut), how to use Continuous Glucose Monitors (CGMs) to flatten your spikes, and the everyday endocrine disruptors you need to throw away right now.Guest Information: Rachel Swanson is a clinical nutrition expert and the author of Trying. You can find her on Instagram at @RachelsRX or visit her website at rachelswanson.com.

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