Jacqueline & Brandon


Ectopic Pregnancy: Meaning, Causes, Diagnosis, Treatments, and Concerns


Ectopic Pregnancy is a scary topic and one that not many people know about.  Below, Board Certified Reproductive Endocrinologist and Fertility Expert Dr. Edward Ditkoff answers some questions regarding what an ectopic pregnancy is, it’s causes, diagnoses, treatments, future concerns and more.

Q:  What does ectopic pregnancy mean?

A:  The definition of an ectopic pregnancy is a pregnancy that occurs outside the uterine cavity. The most common site for an ectopic pregnancy is the fallopian tube, however, there are other areas where an extra-uterine pregnancy may attach.  Extra-uterine or ectopic pregnancies may also occur in other areas, such as the ovary, the interstitial or cornual part of the uterus.  This is the part of the uterus between where the fallopian tube and uterus join.  They can occur in the cervix—called cervical pregnancies, abdominal pregnancies and even Caesarean scar pregnancies.  Ectopic pregnancies can even occur while there is a normal pregnancy in the uterus.  This is called a hetero-ectopic pregnancy. These are different meanings of an ectopic pregnancy.

Q:  Why does an ectopic pregnancy happen?

A:  It’s felt that any patient with any underlying tubal disease or tubal damage or trauma is at increased risk for an ectopic pregnancy.  On the other hand, any pregnant woman could potentially have an ectopic pregnancy even without these risk factors. As mentioned, damage to the fallopian tubes will predispose these women to an ectopic pregnancy.  High-risk conditions include:  prior ectopic pregnancy, history of tubal surgery, previous tubal sterilization, history of any sexually transmitted infections, tubal infection or pelvic adhesions, and current use of an IUD can increase the probability of having an ectopic pregnancy if one is pregnant with an IUD in place.  Conceptions resulting from IVF are thought to increase the risk of an ectopic pregnancy up to 1% (or 1 out of 100). Those are various reasons why it happens.

Q:  How is it diagnosed?

A:  It’s diagnosed primarily by testing hCG levels in the blood and ultrasound examination. These are the two most useful methods of diagnosing an early ectopic pregnancy.  It is said that hCG levels should increase at a minimum of at least 53% over a 48-hour period.  Once the hCG level reaches that conservative/discriminatory number, it’s felt that the pregnancy should be visualized in the uterine cavity by that time.  In other words, if the hCG level is not rising appropriately and/or the hCG level is above the discriminatory zone and there is no evidence of a pregnancy in the uterus, these patients are considered at high risk for an ectopic pregnancy and should be followed more closely.

Q:  How is it treated?

A:  Typically, if an ectopic pregnancy is not ruptured, it’s generally treated these days by using methotrexate. There are two methotrexate protocols that are generally used.  We generally use what’s called the single methotrexate protocol. The single dose methotrexate treatment protocol means that once we suspect there is an ectopic pregnancy and there are no contraindications to the use of methotrexate, then this drug is given. In the case of a ruptured ectopic pregnancy or an urgent medical condition where the patient is at risk for bleeding and having hemodynamic instability, then surgery becomes the treatment for ectopic pregnancy.  The single methotrexate dose is thought to be 15 mg/m2 intramuscular. That dose is given and then four days later the patient has her hCG level rechecked and again three days after that. Day 1 is the first day of treatment; Day 4 and Day 7 are follow-up checks of hCG levels.  If the hCG level is not decreasing by more than 15%, then the second dose of methotrexate would be given.

Sometimes ectopic pregnancies are treated empirically because we don’t really know where the pregnancy is.  The two main forms of treatment are methotrexate, which is medical management, and surgery, which is surgical management.

Q:  What concerns might a woman have if she wants to become pregnant again?

A:  Unfortunately, patients who have had one ectopic pregnancy are at increased risk for having another ectopic pregnancy. The odds ratio is ten-fold increased in a patient with a history of one ectopic pregnancy compared to the general population.  On the other hand, if someone has had at least 2-3 ectopic pregnancies, their risk factor goes up another 25%.  Women with a prior history of an ectopic pregnancy need to be followed very carefully once they suspect they are pregnant. If they miss a period or if they are having irregular vaginal bleeding, they should be evaluated to see if they are pregnant because of this high degree of recurrent risk of another ectopic pregnancy.

Q:  What other measures might your doctor take to monitor the pregnancy?

A:  I think the best measure we can take in these types of patients is to see them as early as they are pregnant and follow the hCG blood test levels, as I mentioned earlier, to make sure the levels are rising appropriately so we can visualize a pregnancy in the uterine cavity at the earliest time possible.  Typically, we can see a gestational sac in the uterus by 5 – 5 ½ weeks pregnant, and we could/should hopefully see a heartbeat by 6 weeks gestation.  However, because dating of ovulation is not always precise, we have to be lenient and look at the big picture because we don’t want to treat a patient with methotrexate prematurely.




Q: William Kiltz

A: Dr. Edward Ditkoff, Board Certified Reproductive Endocrinologist and Fertility Specialist


September IVF Giveaway


At CNY Fertility Center, we understand that access to quality fertility treatment is the number one barrier to those suffering from infertility. With our affordable treatment pricing and payment plans, more and more without insurance coverage are saying “I can do it!”  But, even with prices less than 1/3 the national average,  $3,900 plus monitoring and medications is still more than most people can easily afford.  That’s why at CNY, we are happy to give everyone the chance to win an IVF cycle.

Important Rules and Info for our September Giveaway:

  • Our September IVF Giveaway will run through the month of September.
  • To enter the raffle, you will need to like/love/other emoji and comment on one of Dr. Kiltz’s Sunday Night Facebook Lives every Sunday at 8 PM EST on our Facebook Page during the month of September.
  • Only one submission is allowed per person – partners and spouses can comment/submit separately.
  • Liking/Commenting on each Sunday Night Live will increase your odds by having multiple submission in the giveaway.
  • The winner will be selected on or around October 1st.
  • Due to HIPPA policy, the winner will not be publicly identified unless they sign a waiver.
  • IVF Giveaway Includes: Oocyte Retrieval, Intracytoplasmic Sperm Injection (ICSI), Assisted Hatching, Embryo Transfer, and Cryopreservation of Surplus Embryos, and storage of frozen embryos for a period of one year following the fresh IVF cycle.
  • The free IVF cycle does not include testing, monitoring, medications, anesthesia, or Frozen Embryo Transfers ($250/transfer). Donor Egg, Sperm, or Embryo cycles are not part of this giveaway.
  • Please note that our Facebook live videos are public and that family members and friends can see your comments.

NOTE: There is no cash value for the winners of the free IVF cycle You must schedule an initial consultation with one of our CNY Fertility Center locations within six months of the completion of this giveaway. You will not be charged for this consultation if your insurance doesn’t provide you coverage. If you are a past CNY Fertility client we will need you to come in for a follow-up appointment. You must use your free IVF within 1 year of the completion of this Giveaway. The giveaway cannot be applied retroactively. 


The Ten Steps of Traveling for Fertility


Ever wonder what it’s like to travel to CNY Fertility for your IVF cycle or wonder what are the steps of traveling to CNY Fertility for treatment?  Then you’re in luck as we take you down the 10 steps of traveling to CNY Fertility as a Travel Patient for IVF.

This may seem like a no brainer as the first step of becoming a travel client at CNY, but it is no doubt the first step so we don’t want to leave it out. You can schedule your phone consultation by calling us at 844-315-2229 or by filling out the information here. If you leave a message or fill out the form, please give up to one week to hear back from our team.  After you have set an actual date for your consultation there isn’t too much to do other than wait. 

Of course, in preparation for any fertility treatment, we recommend women begin a high fat-low carbohydrate diet (keto) as well as a host of supplements: Ovavite, Theromega, Ovasitol, Vitamin D (if lower than 30), DHEA (unless you have PCOS). For men we recommend the same high fat low carbohydrate diet, Conception XR, Theromega, Ovasitol, Vitamin D (if lower than 30), and NeoQ10. You can buy those for a discount on this website with the Provider Referal Code 113205.

Additionally, if you have any prior records (including but not limited to blood work, ultrasounds, HSG, or semen analysis) it is very helpful to fax them to our office. Fax numbers can be found on our website at the bottom of every page. After that, it’s not much more than a waiting game. Know that we usually schedule multiple months in advance so we recommend you schedule your consult as soon as you know it’s something you’d like to do. Oh, and we highly recommend you write down all of the questions you can think of that way you don’t forget to ask anything during your consultation.

Most likely this will be a phone consultation. You are welcome to come for an in-person consultation but a vast majority opt to simply have a phone/facetime/Skype consultation. This is your time to ask all of those questions you wrote down in the months prior to your consultation. You may also find it beneficial to set up a recorder during your consultation that way you don’t have to worry about taking any notes (of course we will be taking notes on our side, but it will likely be beneficial to have for referencing details of what’s to come).

After the consultation, a nurse will call you WITHIN A WEEK to review protocol, order meds, and answer any other questions and prep you for the beginning of your treatment cycle.  If you don’t hear anything AFTER one week, please message us or call us to make sure you get started. 

Prior to starting your treatment cycle, you will need to have all your medications and be established with a local fertility clinic, OBGYN, hospital, or another clinic capable of providing same day blood and ultrasound results.  After those two things are in order, you can start with the beginning of your next cycle.  You will be instructed to CALL WITH THE FIRST DAY OF YOUR CYCLE. If you do not have regular cycles, you’ll just need to have all your meds and a monitoring facility lined up to get started. During this time the financial team will review your policy and determine what costs will be covered and what will be out of pocket.

Monitoring refers to the appointments you will need to “monitor,” your blood hormone levels as well as follicular and uterine lining development.  You will receive a call the day of your baseline appointment to go over your medications, injection instructions, answer any new or remaining questions and give you a rundown of what your monitoring schedule may look like. Most Patients need to have monitoring done every few days once their medications start until their trigger. During this time, our team will be reviewing your results, updating and medications if necessary, instructing you on your next steps, and answer any and all of your questions

We encourage you not to book your flights until you have a date for retrieval. Usually, this is given about halfway through your stimulation as we need to see how your follicles/eggs are developing.  The number of and duration of your trips to one of our offices in Syracuse or Albany depend on whether you are doing a Fresh Transfer or a Frozen Embryo Transfer (FET). Generally, you need to be in the area the day before any procedure and should not leave until the day after any procedure. If someone else is driving you, it is okay to begin your drive home the same day after your procedure.

Your egg retrieval will take place in either our Albany or Syracuse office. You must be in the area the day prior to your egg retrieval to avoid any traveling hiccups and to make your day as stress-free as possible. You can not have anything to eat or drink from midnight the evening before your surgery.

Before your retrieval, you will have some basic bloodwork done as part of your pre-op work up as well as meet with a nurse, embryologist, doctor, and anesthesiologist. You will be placed on monitors and put under MAC anesthesia (no tube down your throat like general anesthesia) for the duration of the procedure. The procedure itself only takes around 10-15 minutes from start to finish. You will likely wake up afterward with a “that was it. . .”

Most clients take around 30 minutes to recover from their egg retrieval (of course this varies and you will never be rushed or pushed out of our office before you are fully ready to go). After your retrieval, you will be given instructions and we will discuss your options between having a fresh or frozen transfer.  If your hormone levels are off/if your lining is not prepared for a transfer on the day of your retrieval we will HIGHLY RECOMMEND proceeding with a frozen embryo transfer allowing your body to reset and provide a more comforting home for your embryos. During this talk, we will discuss and review administering any medications you will be taking for your transfer.  

We encourage you to rest and relax as much as possible following your retrieval. The following day you may resume your normal daily routine (minus any intense exercise). If you are flying, we urge you to not leave the area until the day following your procedure to avoid any complications. If you traveled by car, you may have someone else drive you home the same day (NOTE, you can NOT drive yourself). If you are staying in the area for a fresh transfer, then the day is yours to rest and relax.

How far away you live and whether you are doing a frozen or fresh transfer will dictate a lot of the logistics around your embryo transfer. If doing a fresh transfer many clients within driving range return home where those needing flights often stay in the area for another 3-5 days to complete their transfer in the same trip as their egg retrieval. If doing a frozen transfer, nearly everyone returns home for their FET monitoring and return the day before their transfer.  If this is the case, we again recommend not booking any flights until a transfer day is determined.  

Similar to the Egg Retrieval, you will need to be in the area at least one day prior to your transfer. If you are driving you may return home the same day. If you are flying, we recommend you wait until the day after your transfer. The embryo transfer itself is a simple procedure that takes only a few minutes. No anesthesia or recovery time is needed. To help your body prepare itself for the embryos, you will be given daily progesterone to supplement your own. Many also choose to do acupuncture and or intralipids prior to transfer. The day of your transfer, one of our practitioners, along with the embryology team, will examine the embryos to determine the best embryo to transfer.

By the time of your transfer, we will have reviewed the quantity and quality of embryos made as well as the number of embryos that you would like to have transferred. During the transfer, the embryos are “loaded,” into the tip of a catheter along with a very small amount of transfer medium.  The physician, along with a member of the embryology team and a nurse will confirm your identity to ensure the embryos are properly matched. The catheter is then gently passed through the cervical canal and into the uterus using an abdominal ultrasound to provide visual guidance during the transfer. The embryos are slowly expelled near the top of the uterus. After carefully removing the catheter, an embryologist will double check that the embryos indeed left the catheter using a microscope. At this time, a nurse will provide you with instructions for the “two-week wait.”

This is quite an exciting time, but also a very stressful and anxiety provoking time as you (and your partner) await the results of your first pregnancy test. We recommend abstaining from any intense exercise and instead focusing on spending time with your partner as well as some light exercise like yoga and walking. What are some other tips for the two weeks wait?

Your pregnancy test will be done at a local lab near your home two weeks after your transfer (hence the two-week wait). After that BFP you will continue to be monitored by your OB/GYN with CNY overlooking your care for 6-8 weeks.

At 6-8 weeks of pregnancy, you will officially be discharged from CNY Fertility and continue the care for the rest of your pregnancy with your OB/GYN. By this time, you would likely have been seen by your OB/GYN already, but this is your official release from our watch and care.

Last but not least, we do have some ADDITIONAL NOTES REGARDING COMMUNICATION: We have a 24/7 on-call nurse that can truly be used 24/7 for urgent matters and questions. The patient portal web correspondence is for general questions and will be replied to within 24 hours. If you are having an emergency, you need to go to your local emergency department or urgent care facility.


Traveling to CNY Fertility: A Patient’s Perspective


Asking yourself “what’s it like to travel to CNY Fertility for IVF or another fertility treatment?”  Well, today is your lucky day as you’ve come across an inside look at what traveling to CNY is like written by a CNY patient.

Starting IVF can be so overwhelming. Add in IVF as an out of town patient, and it can all feel almost impossible! But luckily for us, we had the amazing travel team at CNY Fertility to support us, and they made the process much smoother than we imagined.  Read more


Human FERRARI 101


Good morning, good morning, this is Dr. Rob Kiltz. How are you doing today? It’s another awesome and amazing day. I’m just sharing some thoughts and insights on your health and wellness.

It is the most amazing thing that we are alive and were born. That’s the magic and the miracle, truly. We typically go around in life with fear, worry, regret, and judgment about all things. The real trick is to simply step back and have faith that the Great Creator who created you and I always knows what He / She / It is doing. Our job and challenge are to step and move forward in the fear of life and have faith, for it evolves and restores the most amazing ideas of life. Remember, problems are the presence of the universe, the present moment, now, as Eckhart Tolle says in The Power of Now. Life is the power of today, and you and I are alive today. If you’re listening to or reading these words, it is today, not yesterday, not tomorrow, but TODAY!

The Ferrari is the automobile that we so admire. It’s expensive, valuable, irreplaceable, but those of us who might own one, begin to drive it, ride it, and care for it like we are race car drivers on the Indianapolis 500 track, but in fact, we are showroom Ferraris. By slowing it down and keeping the pedal off the metal, we can enjoy and tour this beautiful, miracle existence called life. That means slow it down every day. Live life with the frown turned upside down. Put a smile on your face! It stimulates the molecules of the body to vibrate in a more positive way every day.

The Ferrari is fueled with super fuel. In the human body, it’s called fat. Fat is the only fuel of the body. All proteins and all carbs must be converted to fat in order to provide energy for the body, the human Ferrari. You and I are human Ferraris. Wow! Magical! You and I are magical every single day. All the past and all of the future is built into our today thinking. As the Master says, give me your fears and worries and have faith.

The wings will unfurl and you shall fly, or step on solid ground. Nature created you with a conscious mind, a creative mind, a blessed mind. The mind is the master, not the body. Health and wellness is not built into the body, but into the mind. As you dig deeper and deeper, enjoy the gift that God has given you and me today and every day.

SLOW IT DOWN! Turn the frown upside down. A breath and smile this and every day to the problems which are the presence and the pieces of the puzzle that create the master universe. YOU. Simple, easy, and amazing concepts.

The Ferrari needs far less fuel. It’s a pit stop, not a constant grazing animal. Like a lion eats, far less is the key. Make it fatty, as it be. Bacon, eggs, butter, beef… BAM! Baby! That’s health and wellness.

The grazing on fruits, fibers, and vegetables causes fermentation in the gut. The inflammation caused by gas, heat, aldehyde, alcohol, which are all toxic to the body, cause bloating, GERD, and everything else, you know. The excess plant antigens, glucose, which causes glycation is deadly.

But our thinking is based on thousands of years of habits, and most of our habits are killing us. There is no amount of alcohol that is healthy for you. And if you’re eating a Standard American Diet, you are ingesting a tremendous amount of carbohydrates which feed the bacteria and yeast that are brought in with the food. Consuming probiotics [which are pro-BAD for your body] does the same. Indigestion is killing us, slow but sure.

It’s not some complicated or complex issue. It’s really quite simple. The Ferrari needs fat and we don’t eat fat. It needs natural fat, animal fat. But we don’t touch it. We cut it away. And then we run, run, run, run, like we are in the Indy 500, and those cars end up in the junkyard. Like most Ferrari drivers on the streets of the world, you run into all sorts of things that cause damage, disease, fire, and death.

Rest and relax more. Meditate and visualize. Do yoga, Tai Chi, massage, and acupuncture. Your body is already fit and fantastic—the Ferrari. Today, this day, think the opposite of what you’ve been doing.

If you’re bulking up through exercise, which is generally aiding the obesity epidemic, because you must store more fat in and around the muscle in order to provide the energy for the muscles. Fat is the only energy. It is the super fuel for the mitochondria.

We call it ketogenic dieting, but, in fact, we never go from sugar to fat. But we don’t eat fat. Our body is simply consuming sugar, but it must be converted to fat before it fuels the cell. Simple answer.

Keto is king. We’ll call it the ketogenic diet. We measure our ketones— beta-hydroxybutyrate and acetone are just a few of the ketone bodies. But it is NOT ketoacidosis, which is caused by hyperglycemia, which is basically lettuce, fruits, fiber, and vegetables. It fuels the death and damage of our bodies, but we are a lion, a tiger, a Ferrari. When you fuel it properly… that means half of what you consume and less frequently is key. I say intermittent feasting, that’s once a day or twice a day, 12-24 hours apart. Narrow the food. Because variety is deadly and spices are deadly. They cause allergic reactions in our bodies that lead to every death and disease that you and I suffer from. Enough is enough!

The supermarkets “super-marketing” to you and me are killing us. We take it hook, line, and sinker to the bottom, and we can’t figure out why we’re not getting better. If you want to keep putting your Ferrari on the racetrack, thinking it’s going to get better and last longer because you put more miles, heat, and friction on it. But then you say, “wait that doesn’t make sense.” What makes sense is look at nature. Animals don’t exercise. They move with intent, and that is different than exercise. Move to create, that is the energy of the universe.

Recognize that any motion is friction and heat and requires energy. Energy causes damage as it burns in our body. None of us will live forever. But spiritually, our thoughts and energy are forever as we learn new, amazing, concepts and ideas.

Keto is king, but I’m going to say, fertile, fatty food (that means REAL fat – bacon, eggs, butter, beef) and eat the fat first. The liver has all of the minerals and vitamins. If you consume that, you’ll have far less need for all of these supplements, drugs, potions, and poisons.

We’re looking for the miracle cure, but the miracle cure is already here. It’s the fat you carry. It doesn’t matter how fat you are, that is the super fuel. It doesn’t cause the diseases, but rather the consumption of the carbs and the protein [I call it “carbo-caine”], that are causing the death, damage, disease, destruction, and mental anxiety. It doesn’t make sense, does it?

Now at 62, I feel healthy and well. There are aches and pains somewhere from time to time, but far less than ever before. I do zero exercise, but I move with intent and joy every day. Know that the universe is always bringing me a problem, because these are the pieces of the puzzle that create the story of your life. That is easy.

You’re not working to breathe in general, for most of us. But the foods we consume bring in the antigens that cause the inflammation in the gut, the lungs, heart, vessels, in the spaces between the cells, in the cells, and everywhere in our bodies. DONE! Shift it today.

I’m not selling a potion, drug, herb, or 30 day this or that. You’re in charge of the day to day everything in your life. You’re in charge of what goes into your mind, into your mouth, which creates the matter that you carry around as a human gift.

It is simple. Each day love, forgiveness, joy, and yes, from time to time there is sadness, disappointment, anxiety, and fear, but those are the gems of the universe that move us to create and build on our lives.

No matter where you are or what you’re doing, enjoy that part of your life. Whoever you’re with, wherever you’re going, the moment right now is the only moment you and I have. It’s a series of infinite moments.

Remember the gift is the life. You are the human gift, the Ferrari. Irreplaceable, very expensive, valuable. Begin to take in in the mind, in the mouth, that which is really good for you. Enough of the alcohol, the drugs, the tobacco, and the carbo-caine.

God Bless. Enjoy this awesome and amazing day. This is Dr. Rob Kiltz. Just sharing some thoughts and ideas for building your awesome and amazing life. God Bless!


The CNY Fertile 30-Day Challenge


That’s the 30-Day Challenge to begin the change. Not just to simply do this for 30 days and then give it up. What we are doing is changing habits. Improving what goes on in our lives by changing what goes on in our minds, what we put in our mouths, how we move our bodies, and how to improve our fertility, our health and wellness, and our lives.

dr. robIt is all a challenge. Nothing is truly easy. That which you begin for one day, all you can do is do it in that one day. As you begin to do it each new day, there are inspiration and ideas that will help you see the power of your mind, the power to change your mind and your body. The master – you—must care for the human Ferrari—that’s the expensive, beautiful, irreplaceable human body. You and I, all of us, are more valuable than a Ferrari. It is now time for us to begin taking care of our bodies, minds, and lives like that Ferrari that we would care for gingerly and masterfully. Not just one or two days a month, but every day. Learning to keep it pristine clean in and out. Change the oil and only use the very best oil and gasoline. We would not race around town or the track. We would use it and move it appropriately to ensure its longevity. That’s the beauty of the human body. The human body is a Ferrari.

The 30-Day Challenge is to inspire you to simply begin to change. The amazing part is that we focus so much on what’s wrong in the world, and we place “healthy” food into our mouths to fuel our bodies, but it may turn out that the opposite is true about what we spend our time thinking about and putting in our mouths. We must begin to recognize the benefits of limiting what we place into our bodies, being very narrow and specific. The arrow that’s narrow and focused will hit the center of the target. If we’re distracted by “super-marketing” and the supermarkets selling the super variety of foods, that becomes a problem. We’ve been convinced of the health benefits of eating fruits, fiber, and vegetables, eating variety of foods and in excessive amounts. It’s very simple: variety and excess kills on all spectrums.

We need to be listening and learning something new, upbeat and positive, and focusing on that this and every day.

How you move your body affects your entire health. It is very likely that less is more. Exercise is likely not the key to wellness. Simply Light stretching and light motion each and every day. Move with the purpose of creativity, that’s what this is about. We begin the day with vibrant, beautiful meditation. The breath and smile. Hold love for thyself and all others.

The human body is simply run on fat. The complexity of the details can be overwhelming, but it’s really very simple. We need a lot of air, a little water, and a lot less food. Intermittent fasting, where you eat once or twice at most during the day, if not less, is key. The fuel tank, that’s the fat in our body, is the only fuel syphon to the mighty mitochondria. Fatty acids break down to acetyl CoA, which provides the ATP to run all cellular mechanisms. It’s making “stuff” and moving “stuff”. It’s simple.

There are a lot of diets out there. I call them “die-ets” or “die-gestion” because boy, it’s achy and breaky and painful. This idea of whole, clean, organic, etc. may be a little bit of misdirection. The idea that we have terms of good and bad, healthy and not healthy, and are constantly told that variety and sides are the spice of life is really misguided. They may be the spice of death!

It is really a simple story. Oxidative damage–heat, friction, and radiation– to the body are all harmful. Inappropriate thinking or bad thinking, will begin to erode the body. The challenge is to have hope and faith every day. Believe and know the universe has your back. The gastrointestinal tract is digesting complex carbohydrates, fiber, fruits, vegetables, protein, and very little fats. It’s taking all of those plant molecules, chemicals, plant antigens and these chemicals may help us, hurt us, or be neutral or the plant antigens may also illicit an immunological reaction and cause allergic reactions first in the gut. Most of all these carbohydrates and plant material break down into sugar, which feeds bacteria, yeast and other microorganism that in their break down (their metabolism) create alcohol, aldehyde, methane gas, and CO2 gas.

The heat, alcohol, aldehydes and gases are all dangerous to our bodies. They damage the cellular structure of the gastrointestinal tract—the mucosal layer, which is very delicate. It then seeps into the interstitial spaces and damages them. It creates a leaky gut that allows even more to flow into the body, into the bloodstream and the lymphatics, which is simply carried the dust and dirt of the foods we eat with the microorganisms are transported everywhere in our bodies.

The story is as simple as can be. The challenge is to change it and begin to understand that fat is the fuel and that is it. All glucose, all proteins—that is the simple sugars and the proteins that break down into amino acids, which are important building blocks for the body, but in far less amounts than you ever imagined. The amino acids and simple sugars are carried directly to the liver where the liver’s job is to convert them mostly to fat, maybe a little bit of stored glycogen, and creating other molecules that are important for the normal function of the body. In fact, the majority of the complications of our body are due to excess glucose, excess protein and excess molecules and antigens that damage our body.nThe body has plenty of antioxidants, minerals, vitamins, and co-factors.

One of the leading causes of these deficits is lack of eating fatty red meat–liver, bone marrow, and shying away from butter fat, cream, and eggs. Our allergies are likely due to those antigens in the food and in the animal meat, if that’s the case. Today is the day to begin the change.

Breakfast is not the best meal of the day. It begins the digestion over and over again. As you fill the gastrointestinal tract with more carbohydrates, (that’s “healthy” fruit, fiber, vegetables, seeds, nuts, seed oil, and seed extract, which is essentially sugar and the seed oils oxidize when exposed to oxygen) they harden and become rancid over time.

This idea is simple (again), but hard to believe that this healthy food we’ve been convinced to eat is actually not. The cooking of the carbs actually helps to kill the bacteria, yeast, and microorganisms. The simplification of the product also helps its digestion. The fiber fuels bacteria and yeast to ferment more and damage the body, our Ferrari. This is the challenge: to understand that fat is our friend and we get fat for a reason. But the poisons we’ve been led to believe are healthy for us are actually the cause of the damage and disease.

Yes! Oats, grains, grass, fruits, fiber, vegetables, seeds, nuts, legumes, mushrooms, all of these molecules that are harmful come from these complex foods which ultimately are the damaging products to our bodies.

The human Ferrari needs to go slow and only the best every day. To eat only fat and a little bit of protein may be all your body really needs. If you are “overweight”, you are prepared for a famine and could go long stretches without food. But likely in the scheme of the universe and the time of man’s existence, we spent very little time significantly obese.

We store fat in the liver, the subcutaneous tissue, between muscle layers, blood vessels, lymphatics, and nerves. Fat is the super fuel of the body. It is the only fuel that is actually directly injected into the mitochondria at every cellular level. Glucose in the liver is converted into fat and so are amino acids in general. That’s where we get the Ferrari fuel. And yes, we convert those carbs and eating them is harmful mostly in the long-term, but the short-terms gets us in the allergic reactions and in the fermentation in the gut. When you read about glycation—that’s when simple sugar molecules, such as fructose or glucose, become attached to proteins or lipid fats without the moderation of an enzyme. This results in the formation of rogue molecules and creates a dysfunctional product. It causes inflammation, damage and death to the cell. That inflammation incited by these products filters throughout our bodies. The recommendation to each fruits, fibers, vegetables and lean meats, actually may be damaging and deadly to your body. This is the amazing Ferrari story.

We have blindly been guided to consume mostly foods that are damaging and dangerous to our bodies both the highly contaminated food, whether its organic or inorganic in its production, and the extensively processed foods that are packaged and contain mostly sugar. The claims of health and wellness put forth by many foods are likely incorrect.

The human Ferrari can do really well on one meal a day at night before bed. To rest and digest and bring the blood flow to your gastrointestinal tracts while you listen to something upbeat and positive. Recognize that the fat we carry is the super fuel. The more exercise, heat, and friction created damages the body. Go slow is the trick of life. Show off the Ferrari from time to time, but light and easy is the game. Stretch, move with a purpose, paint, sing, dance, build. Do something new and different.

The key to fertility is a ketogenic lifestyle. It’s also about consuming high fat and reducing the carbs and the timing of the food. We are not grazing animals. We are like a lion or an eagle, eating from time to time and not grazing all the time. The more you put into the burner, the more it burns. That burning is damaging, like a heating pad on your skin all the time. Cool it down and slow it down.

Your daily food plan should be very boring and narrow. That’s the trick and key of life. Narrow as an arrow will hit the target every time. And you are the Ferrari.

There are so many ideas out there about what is right or wrong, good or bad. It’s really difficult to understand. Fat is your friend. It’s survival. Know that.

The Simple Practice:

Begin the day with meditation, yoga, prayer, or tai chi. Read or listen to something uplifting and positive every day. Write and journal positive and uplifting thoughts this and every day. SLOW IT DOWN. Drink coffee, tea, and water with cream or butter in the coffee or tea. Eliminate the cereal, the bars, the shakes, the smoothies. Begin to understand that the bodybis already carrying the fuel it needs. Add the cream, butter, eggs, eliminate the fiber, reduce the fruit and vegetables, cook them down and spread them out. 12-14 hours between meals, that’s our next level, but it is a practice to build the strength of the Ferrari, the lion, or eagle. Your body already has all of the components of health and wellness. Stop putting in the toxic and dangerous foods. It’s a simple concept and idea. Health and wellness is built in LESS, much less.

Bacon, eggs, butter, beef. YES. Fatty meat. Fat suppresses inflammation in your body. It suppresses appetite and does not stimulate insulin. All fat goes to the lymphatics and goes to all parts of your body, distributed and deposited where it is then syphoned for the mitochondria for the fuel for those cells. The fiber, fruit, vegetables, molecules, bacteria, yeast, microorganisms all become toxic and damage, and your body is fighting to heal. Then you add all of the molecules and chemicals that damage our bodies, and you’re always needing to go the mechanic (the doctor) for pills, shots, and potions. SLOW IT DOWN. This is the trick. LESS IS MORE. As you practice your health and wellness today.

The is Dr. Rob Kiltz sharing some thoughts and ideas for how to change your life, your Ferrari to make it sound, move, hum and feel as it’s meant to be. Check out www.mindbodysmile.com, www.cnyfertility.com, www.cnyhealingarts.com, and www.mariamindbodyhealth.com. God bless. Enjoy this awesome and amazing day.


Party with the Animals 2018




Party with the Animals” at Rosamond Gifford Zoo

June 4, 2018 – Syracuse, New York –CNY Fertility is once again saying “Thank You” to clients at its annual Client Appreciation Event held at the Rosamond Gifford Zoo at Burnet Park on Saturday, June 16, 2018 from 5:30 pm until 8:30 pm. Over one thousand area children and their families are expected to be in attendance.

Current and former clients are invited to bring their children and come “Party with the Animals.” This special invitation-only event will include some regular favorites: Wacky Chad the juggling acrobat, live music by the Jared Campbell Band, the Bubble Man, and face painting by Clown Around Clowns, in addition to unrestricted access to all zoo exhibits. Professional zoo staff will provide animal talks and demonstrations during which families will be able to ask questions and visit with the animals up close. In addition to complimentary special after-hours admission to the zoo, attendees will also receive their choice of two concession snacks and a complimentary keepsake photo with Dr. Kiltz. The Zoo Café will be open for clients to purchase any meals or additional snacks during the event.

Dr. Kiltz and other CNY Fertility doctors, nurses and staff will happily be on hand during the night’s festivities.

For more information on CNY Fertility or Party with the Animals, please contact CNY Fertility at 1-800-539-9870 or info@cnyfertility.com.


What: CNY Fertility’s “Party with the Animals” event

Who: CNY Fertility families, including over 1,000 RSVP’d children

When: Saturday, June 16th from 5:30-8:30 p.m.

Where: Rosamond Gifford Zoo at Burnet Park in Syracuse

At-Event Contact: Lisa Stack with CNY Fertility at 315-744-8073

With operations in Syracuse, Albany, Rochester, and Buffalo, CNY Fertility Centers provide comprehensive and affordable state-of-the-art fertility solutions to clients worldwide, making priceless affordable™. CNY Fertility

accepts all patients regardless of weight, age, ovarian reserve, or the number of previously-failed cycles. Annually among the nation’s top 10 fertility treatment providers, CNY Fertility incorporates customized immunological treatment for every client, focusing on Reproductive Immunology in the treatment of recurrent pregnancy loss, unexplained infertility and unsuccessful IVF attempts. Additionally, CNY Fertility believes in a holistic and integrated approach to fertility wellness, offering yoga, acupuncture and massage, through its adjacent CNY Healing Arts affiliate.

CNY Fertility’s latest Family Building guide is available here.


Enjoying the Season


berriesRegardless of whether or not you are pursuing fertility treatments at CNY Fertility Center, it is incredibly important to be conscious of what you are putting into your body.  If you think about it, food is the only energy your body runs on.  If you put poor energy in, that is what you will get out of it!  Nutrition can sometimes be difficult, so we have great nutritionists at CNY Healing Arts to help you navigate the best choices. On June 20th our Registered Dietitian in Syracuse, Heather Neely, will be offering a free workshop on Nutrition for Fertility. More info here. Please take advantage of this wonderful, informative workshop!
We are also blessed here in Upstate New York with fertile lands and an abundance beautiful (and healthy!) fruits and vegetables. Just this morning I received an email from the local CSA (community supported agriculture) I joined and I was reminded of Joni Mitchell’s song, ‘Big Yellow Taxi’ when she sings,
‘Hey farmer farmer
Put away that ddt now
Give me spots on my apples
But leave me the birds and the bees
Don’t it always seem to go
That you don’t know what you’ve got
Till its gone
They paved paradise
And put up a parking lot”

We really have an abundance of beautiful agriculture right here in our backyard that is just waiting to be picked.  Imagine knowing where all of your food came from, not just the country, but the actual farmer? Read more


Words of Support and Encouragement Week of June 15, 2009


eatprayloveThis week at our monthly Support Group with Dr. Rob at the CNY Fertility Syracuse Office we will discuss  ‘Eat Pray Love’, by Elizabeth Gilbert.  At one point in the novel she states that ‘The Yogic path is about disentangling the built-in glitches of the human condition, which I’m going to over-simply define here as the heartbreaking inability to sustain contentment.” (p122).  One of my built-in glitches is that I constantly want to have control over the situation.  Unfortunately with fertility I cannot have control, and I cannot predict the outcome.  I have been working on being happy with what happens, or at least OK with it.  What are some different ‘built-in glitches’ you may identify with?  A good example is placing all happiness on having a child the way you intend.  Are there other ways to create a family that would be OK for you to pursue (donor egg, adoption, etc.).
It sounds easy but it is incredibly difficult to change how our minds work.  It takes practice and patience and if you don’t feel this amazing sense of change and content after a week, it is OK…. It is a process!  So what can we do? Some good ways to work towards this are prayer, mantra, and yoga.  If you are unable to attend yoga or are not particularly religious, daily affirmations are just as helpful.  You could write on your bathroom mirror, ‘I am happy and healthy, the rest will come’ or ‘I will create the family I have always wanted’ having phrases such as these around you is a good reminder of what you are working towards.  Eventually you will no longer need to remind yourself of your goals and your mind will have changed to automatically recognize them.
The goal is to sustain happiness, and the process is one of trial and error.  Good resources to try are the monthly Support Groups, as well as CNY Healing Arts.
Take care,
Lisa Stack