If you are on the Medical Visits package, yes, you may cancel at any time. We do request advanced notification to ensure a smooth transition if you are currently on any medications or supplements to make sure we have a plan in place for how to continue or taper off those treatment recommendations, as many conventional healthcare professionals do not support ongoing monitoring and management.

For other packages, including Charting Instruction, Complete Fertility, and Pregnancy & Hormone Monitoring, the full-time commitment is needed for optimal results, so we do not accept early cancellations.

Yes. It’s typically okay to have it done 1-2 days before or after day 12. Ideally, we’re trying to time it approximately 3-4 days prior to ovulation. The follow-up ultrasound is scheduled at Peak+2 days, no earlier, but 1-2 days later at most (P+3 or P+4).

In almost all cases, you’ll take it on days 3 & 4 of your new cycle (day 1 = first day of menstrual flow). Call for verification if needed. 

Yes, within a range. Ideally, P+7 is the highest point of progesterone, which is why we like to catch it there. However, if you let us know what day of your cycle you’re on, we can interpret the results appropriately on any day from P+3 through P+11. We will always want to look at a copy of your charting for appropriate interpretation of your labs.

Typically, yes -- it’s better to wait until you have made changes and are consistently taking your recommended meds and supplements. The only exception to this would be if we were looking to change your plan and move forward with other meds/supplements.

Yes. Ideally, you should get them on or before Day 7. You should NOT get them prior to Day 3.

Peak+17 (17 days after ovulation) or later will almost always pick up pregnancy with less chances of false positives or false negatives.

If your HCG shots are on P+3, P+5, P+7 (most standard), you can check an at-home pregnancy test by P+17. It should be at least 10 days past the last HCG injection. It may still be positive from the HCG shots, and we will still need to check lab work to confirm that levels are increasing over two different tests.

First lab rechecks are at the time of the first positive home pregnancy test, then weekly until about 8 weeks gestation (sometimes sooner, if recommended). From there, we’ll test every 2-3 weeks until 36 weeks gestation. We’ll also check ultrasound around 7-8 weeks gestation.

You’ll taper up every week as follows, as long as GI symptoms are stable: 

• 1 tablet daily with breakfast

• 1 with breakfast, 1 with evening meal

• 2 with breakfast, 1 with evening meal

• 2 with breakfast, 2 with evening meal

Cortisol should be drawn in the morning no later than 10am. The ideal time is between 8-9am.

PLAIN Claritin, Benadryl or Allegra. Avoid anything with -D in the name as that is a decongestant. You can also always utilize nasal saline spray or Flonase for nasal symptoms. You may also use over-the-counter eye drops for itchy eye symptoms.

The over-the-counter remedy for nausea is combining 25 mg vitamin B6 with 12.5mg PLAIN Unisom (generic version is fine, typically comes as 25mg and needs to be cut in half), and taking that every eight hours. If the Unisom part makes you too tired during the day, you could still take the B6 in the morning and afternoon, and do the B6 plus the Unisom at bedtime only. This combination is a commercially available medication, but it’s much cheaper and easier to take the over-the-counter version and be able to customize the drowsy part out of it if needed.

Yes, we will recheck at 6 weeks postpartum to determine if you still need to continue on medication.

YES. Take your thyroid medication as normal. The only reason to do differently is if we are checking T3 and you’re still not feeling well on it. In that case, we may do a lab draw halfway between dosages. We’ll inform you if this is the case.

We recommend Florajen -- it is available over-the-counter, but is refrigerated, so you may need to ask a pharmacist for it if you can't find it in the natural foods refrigerated section at the pharmacy or grocery store.

No, it’s okay to stop charting during pregnancy unless you would like to track other symptoms during this time frame. We recommend resuming charting at 6-8 weeks postpartum to be able to monitor for return of fertility, even if you’re breastfeeding. We will discuss this more at your second pregnancy visit with Dr. Minjeur.