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Unlock your Fertility: One Woman's Journey to Pregnancy with Oova

Isabella Brown
Isabella Brown

Oova helped Rachel piece together the puzzle about what was preventing her from getting pregnant. Read her story.

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Sep 27, 2025
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Oova helped Rachel piece together the puzzle about what was preventing her from getting pregnant. Read her story.

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Oova helped Rachel piece together the puzzle about what was preventing her from getting pregnant. Read her story.

Oova insight: When Rachel began having repeated pregnancy complications and discovered her hormone levels might be the source, she turned to Oova to get a clear picture of what was going on inside her body. If you're navigating infertility or hormone imbalances, Rachel's story may resonate with you.

A "blissfully ignorant" beginning

Rachel and her husband got married in 2014 but decided to wait to have children. Like many young adults, they wanted to become more established in their careers, travel, and pursue personal endeavors before becoming parents. When they felt ready, they started trying to conceive and had their first son in March of 2019.

“Looking back, I was so blissfully ignorant about struggles with fertility. I didn’t really know what women went through,” Rachel said. Her pregnancy was seamless — she got pregnant right after she started trying, felt great the whole time, and had a natural birth. It all went smoothly.

Encountering pregnancy complications

Rachel had always imagined she’d have two kids, and after her son was about a year old, she felt ready to start trying for a second child. She got pregnant with her second baby in May of 2020.

“I went into that pregnancy thinking, this is great, it’ll be like the first one — easy peasy,” Rachel said.

When she was eight weeks pregnant, she went into the doctor’s office for a checkup. They did a scan and found no heartbeat. Rachel was crushed to learn that she’d had a miscarriage.

“That was pretty devastating to me,” she said. No one expects to lose a baby; Rachel was both shocked and shattered. She did some research and found that 10-15% of pregnancies end in miscarriage.

Many couples conceive naturally within the first year of trying, but unfortunately, infertility is becoming more and more common. It’s estimated that one in eight couples are affected by infertility in some way.

Trying again, and again

With the statistics in mind, Rachel decided to start trying again, hoping it was just a fluke. She got pregnant in July of 2020, but this ended in a chemical pregnancy.

“At that point, I was getting pretty frustrated,” Rachel said. The excitement and devastation of these two pregnancies put Rachel on an emotional rollercoaster. It was upsetting and confusing. She didn’t know what was going on. She’d had such an easy time with her son, so she tried to remain hopeful that she could still have another healthy pregnancy.

In September 2020, Rachel became pregnant for the fourth time, and everything seemed to be back on track. The baby’s heartbeat was at a good rate, and their measurements all looked perfect.

“At that point, I started to get really optimistic and thought that things would be okay this time,” Rachel said. She let out a sigh of relief — those losses, although heartbreaking, were in fact flukes, and she now had another healthy pregnancy.

When she was 11 weeks pregnant, she went to her doctor for a checkup, and they did a scan. The doctors found no heartbeat.

“That was crushing to me. I didn’t understand how things could be going so well, then all of a sudden crash down,” said Rachel. Trying to conceive had become one of the darkest, and most upsetting times of her life.

Learning about fertility

Rachel knew that it was time to take control of the situation and find out what was really going on. The second she got home from that appointment, she called a fertility clinic and asked them to fit in her as soon as possible.

“I realized I needed to start taking this seriously. I needed to figure out what was happening and educate myself,” she said. “I dove in headfirst to everything and anything about fertility.”

She started reading fertility books to learn everything she possibly could. “The most helpful for me was 'Taking Charge of Your Fertility', and 'It Starts with an Egg' Rachel said. These books taught her that she could learn a lot from her cycle.

She decided to be more in tune with what her body was doing each month to discover possible issues.

Finding the source

Rachel learned in her research that spotting between periods could be a sign of low progesterone. Progesterone is a vital hormone for fertility; it helps keep the uterine lining thick to support implantation and early pregnancy.

Hormone trends are a vital part of a person’s health, but many of us have no idea how ours are behaving. For some, their hormones work in harmony with the rest of their bodies, letting them feel their best and accomplish their goals. But for others, hormone imbalances wreak havoc on their lives, causing debilitating issues. One issue which can have many causes, but is commonly tied to hormone imbalances, is infertility.

>>MORE: 8 Signs Your Hormones May Be Out of Balance – And What to Do Next.

Spotting between her periods — perhaps because of her low progesterone —was a symptom that Rachel had been experiencing for a long time, but had never questioned.

Many women go through this: they realize that a symptom they had long accepted as normal (i.e., extremely painful periods, severe hormonal acne, irregular cycles) puts them at risk for fertility challenges.

Putting a hypothesis to the test

Rachel began using at-home progesterone testing kits to try and figure out if she did, in fact, have low progesterone.

Rachel immediately found these tests complicated and tricky to use. They worked similarly to pregnancy tests: she peed on a stick, and if there was a line, it meant her progesterone was low that day; if there was no line, her progesterone level was normal. These tests relied on Rachel seeing if there was a line in the first 10 minutes after her testing.

The tests were subjective and often impossible to understand.

“I always thought I had maybe seen the line, but couldn’t really tell how dark it was, and I ended up having to email their customer support every time asking if there was a line or not,” she said, “It became stressful and confusing.”

As a woman going through a devastating infertility journey, added worry was the last thing she needed.

Finding the test she needed with Oova

When it became clear that these tests were not working for her, she searched for an alternative. That’s how she learned about Oova. Oova is also a urine test, but it measures hormones quantitatively, which means users get their exact hormone measurements, with a number attached.

The test measures luteinizing hormone (which pinpoints ovulation), as well as progesterone, the variable that Rachel believed could illuminate her fertility. She decided to order Oova to give it a try.

“When I found Oova, what I really liked was that it not only measured my progesterone, but it measured it in a way that gave a numerical value,” she said, “I also liked how it measured the LH at the same time, to help you figure out where you are in your cycle, how close you are to ovulating.”

Rachel used Oova for a few weeks, and it became clear to her that something was wrong with her progesterone levels. “Oova was a great tool for me on my journey. It helped me talk to my doctor about trends in my cycle I'd been seeing in my home monitoring,” Rachel said.

She learned about her hormone trends, and took all of this new data to her doctor. From this, her doctor decided to conduct further assessment and testing. Armed with this information, along with her research about fertility, Rachel knew what to do next.

>>RELATED: What Is A Short Luteal Phase And How Does It Affect My Ability to Get Pregnant?

Using data to transform her fertility

Rachel changed her lifestyle through improving her diet and exercise, and taking recommended supplements. Through all of this, she continued to use Oova in order to monitor her hormone levels and take note of any changes. Month after month, Rachel’s progesterone levels started to rise, and her luteal phase got longer. This was all due to the specific changes that she made to address particular issues.

Rachel had the information she needed to take steps in the right direction, and she credits Oova for helping her to understand exactly what her hormones were doing.

“With Oova, there’s way less guessing — you would get the hormone levels back in a number form... To me, that was the cutting edge difference between Oova and other products,” she said. “It was less stressful to know I had my results. I trusted it. Looking at the color of a line and second guessing yourself, asking for other people’s opinions and then hearing different things, it made the experience even more stressful.”

Rachel appreciated that with Oova, there was no variability. She just peed on a stick, scanned the QR code, and got all the information she needed.

Rachel was able to access a part of her health that she had never had access to: her hormone behavior. Our hormones are powerful messengers that control many vital aspects of our body, such as fertility, metabolism, sleep, sex drive, and more. The problem is, we usually don’t get to know exactly what’s going on with our hormones. But if we did, we may be able to get to the bottom of many symptoms that ail us, such as lack of energy, insomnia, or weight fluctuations. For Rachel, learning about her hormones allowed her to take action in her fertility journey, and eventually reach her goals.

A happy — and informed — ending

In June of 2021, Rachel got pregnant. She is thankful that she was able to unlock the puzzle piece that was preventing her from having a healthy pregnancy. Learning about her body gave her the power to know exactly what to do in order to reach her goals. Ultimately, what solved her problem was learning about what her body needed, and making adjustments that worked for her.

About the author

Isabella Brown
Isabella Brown is an experienced communications and marketing professional at top health companies. She currently serves as the External Communications Lead at Oscar Health. Prior to this role, Isabella held positions as an Associate in Social Media and Content at Oscar Health and as a Marketing Associate and Content Marketing Intern at Oova.

Sources

perimenopause-periods
Should I still see my gynecologist if my periods are just "weird" but not painful?
Yes. Annual visits remain important during perimenopause. Your provider can help determine if your "weird" periods are typical perimenopause changes or something requiring attention. They can also discuss management options to improve your quality of life.
perimenopause-periods
How long do irregular periods last before menopause?
Irregular perimenopause periods typically last 4 to 8 years before your final period, though this varies greatly. Some women experience irregularity for just a few months, while others have irregular periods for over a decade before reaching menopause.
perimenopause-periods
Is it normal to have two periods in one month during perimenopause?
Yes, this can happen, especially in early perimenopause when cycles shorten. You might have a 21 day cycle, meaning you could have a period at the beginning and end of the same calendar month. Track these patterns to distinguish between short cycles and abnormal bleeding.
perimenopause-periods
Why are my periods suddenly so heavy in my 40s?
Heavy perimenopause periods often result from estrogen dominance. When progesterone drops but estrogen remains high, your uterine lining builds up more than usual, causing heavier bleeding when it sheds. This is common in perimenopause but should be evaluated if it affects your daily life.
perimenopause-periods
Can I still get pregnant if my periods are irregular during perimenopause?
Yes. As long as you're having periods, even irregular ones, you may still be ovulating. Pregnancy is possible until you've gone 12 full months without any period. If you don't want to become pregnant, continue using contraception throughout perimenopause.
perimenopause-and-weight-gain
Can you prevent perimenopause weight gain completely?
While you may not prevent all weight changes during perimenopause, you can minimize gain through proactive strategies. Starting strength training before perimenopause, maintaining consistent sleep habits, and managing stress can help your body adapt to hormonal changes more smoothly. Remember, some body changes during this transition are normal and healthy.
perimenopause-and-weight-gain
At what age does perimenopause weight gain typically start?
Perimenopause weight gain can begin in your late 30s or early 40s, often coinciding with the first hormonal changes. Many women notice gradual changes starting 5 to 10 years before their final period. The timing varies greatly based on genetics, lifestyle, and overall health.
perimenopause-and-weight-gain
Does everyone gain the same amount during perimenopause?
No. Perimenopause weight gain varies significantly. Some women gain 5 pounds, others 20 or more, and some maintain their weight. Factors include genetics, starting weight, activity level, stress, sleep quality, and how dramatically hormones fluctuate. Your experience is unique to your body.
Is perimenopause weight gain different from regular aging weight gain?
Yes. While metabolism naturally slows with age, perimenopause weight gain has distinct characteristics. The hormonal shifts cause fat redistribution to the midsection, even if overall weight doesn't change dramatically. This abdominal weight gain pattern is specifically linked to declining estrogen and progesterone, not just aging.
perimenopause-and-weight-gain
Will the weight come off after menopause?
Perimenopause weight gain often stabilizes after menopause when hormones level out, but the weight doesn't automatically disappear. The metabolic and body composition changes that occur during perimenopause tend to persist. However, with consistent healthy habits, weight management becomes more predictable post menopause than during the fluctuating perimenopause years.
https://www.oova.life/blog/progesterone-supplementation-guide
Can I take progesterone if I'm breastfeeding?
Yes, progesterone is generally safe while breastfeeding and doesn't significantly affect milk supply. However, always discuss with your healthcare provider before starting any hormone supplementation while nursing.
https://www.oova.life/blog/progesterone-supplementation-guide
Is it safe to take progesterone throughout pregnancy?
Yes, when prescribed by your healthcare provider. Progesterone supplementation in early pregnancy is safe and can reduce miscarriage risk in women with low progesterone or a history of pregnancy loss. Most providers continue supplementation through the first trimester (weeks 10-12) when the placenta takes over.
https://www.oova.life/blog/progesterone-supplementation-guide
Can progesterone supplementation cause weight gain?
Progesterone can cause temporary water retention and bloating, which may show up as a few pounds on the scale, but it doesn't cause true fat weight gain. Most women don't experience significant weight changes from progesterone supplementation.
https://www.oova.life/blog/progesterone-supplementation-guide
Can I switch from pills to suppositories or vice versa?
Yes, but only under your doctor's guidance. The dosing and timing may need adjustment when switching between forms since they're absorbed differently. Never switch on your own, especially if you're pregnant or undergoing fertility treatment.
https://www.oova.life/blog/progesterone-supplementation-guide
Will progesterone supplementation delay my period?
Yes, progesterone keeps the uterine lining intact, so if you're not pregnant and continue taking progesterone, your period will be delayed. Once you stop taking it, your period should start within 2-10 days. If you are pregnant, progesterone helps maintain the pregnancy and you won't get a period.
https://www.oova.life/blog/progesterone-supplementation-guide
Should I take progesterone pills orally or vaginally?
For fertility and pregnancy support, vaginal progesterone is usually preferred because it delivers higher concentrations directly to the uterus. For perimenopause or general hormone balance, oral progesterone often works well and is more convenient. Your doctor will recommend the best route based on your specific needs.
https://www.oova.life/blog/progesterone-supplementation-guide
When should I start taking progesterone after ovulation?
Typically, progesterone supplementation for luteal phase support starts 2-3 days after ovulation (confirmed by LH surge or temperature rise). Your doctor will give you specific timing based on your protocol. Some women start immediately after a positive ovulation test.
https://www.oova.life/blog/progesterone-supplementation-guide
What's better: progesterone cream or pills?
Pills (oral micronized progesterone) are generally more effective and reliable than creams because absorption from creams is inconsistent. For medical conditions like fertility issues, low progesterone, or HRT, prescription pills or suppositories are strongly recommended over over-the-counter creams.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
How can I tell if I have low or high progesterone?
The only definitive way to know is through hormone testing via blood tests or at-home urine tests that measure progesterone metabolites. However, symptom patterns can provide clues: anxiety and irregular periods suggest low progesterone, while bloating and extreme fatigue suggest high progesterone.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
When during my cycle should I test progesterone levels?
Test progesterone levels during the luteal phase, typically 7 days after ovulation or around day 21 of a 28-day cycle. This is when progesterone should be at its peak, making it easier to identify if levels are too low or too high.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
What are the main differences between low and high progesterone symptoms?
Low progesterone typically causes irregular or heavy periods, anxiety, hot flashes, and sleep issues. High progesterone causes bloating, fatigue, intense breast tenderness, and depression-like mood changes. Low progesterone symptoms persist throughout your cycle, while high progesterone symptoms are most intense during the luteal phase.
https://www.oova.life/blog/low-vs-high-progesterone-symptoms
Can you have symptoms of both low and high progesterone?
Some symptoms like breast tenderness and mood changes can occur with both low and high progesterone, making it confusing. However, the timing, intensity, and accompanying symptoms differ. Hormone testing is the best way to determine which imbalance you're experiencing.
https://www.oova.life/blog/10-dpo
Can stress affect 10 DPO symptoms?
Yes, stress can worsen or mimic 10 DPO symptoms. Stress increases cortisol, which can cause cramping, fatigue, and mood changes similar to both PMS and early pregnancy. During the two-week wait, try stress-reduction techniques like gentle exercise, meditation, or spending time with loved ones.
https://www.oova.life/blog/10-dpo
Is it better to test at 10 DPO or wait?
It's better to wait until 12–14 DPO for more accurate results. Testing at 10 DPO often leads to false negatives because hCG levels may still be too low. If you absolutely can't wait, use a sensitive early detection test with first morning urine, and be prepared to retest in 2–3 days if negative.
https://www.oova.life/blog/10-dpo
What does implantation bleeding look like at 10 DPO?
Implantation bleeding at 10 DPO is typically light pink or brown, much lighter than a period, and lasts 1–2 days. It's often just spotting when you wipe or a few drops on a panty liner. However, only 15–20% of pregnant women experience implantation bleeding—most don't have any bleeding at all.
https://www.oova.life/blog/10-dpo
Why am I cramping at 10 DPO?
Cramping at 10 DPO can be caused by elevated progesterone (whether you're pregnant or not), implantation (if you're pregnant), or premenstrual cramping. Unfortunately, cramping alone can't tell you if you're pregnant since progesterone causes similar symptoms in both scenarios.
https://www.oova.life/blog/10-dpo
What are the chances of a BFP at 10 DPO?
If you're pregnant, you have about a 50–60% chance of getting a positive test at 10 DPO. This means there's a 40–50% chance of a false negative even if you conceived. Chances improve significantly by 12–14 DPO.
https://www.oova.life/blog/10-dpo
What DPO is most accurate for pregnancy testing?
14 DPO (the day of your missed period) is the most accurate time to test, with 99% accuracy. 12 DPO offers 80–90% accuracy. 10 DPO has only 50–60% accuracy. For best results, wait as long as you can—ideally until 12–14 DPO.
https://www.oova.life/blog/10-dpo
Is 10 DPO too early to test?
10 DPO is considered early for pregnancy testing. While some women get positives at 10 DPO, accuracy is only 50–60% if you're pregnant. For best results, wait until 12 DPO (80–90% accuracy) or 14 DPO/missed period (99% accuracy).
https://www.oova.life/blog/10-dpo
Can you have implantation at 10 DPO?
Yes, implantation can still occur at 10 DPO, though 84% of women have already implanted by this point. Late implantation at 10–12 DPO is normal. If implantation happens at 10 DPO, you won't get a positive pregnancy test for another 2–3 days.
https://www.oova.life/blog/10-dpo
What does a negative test at 10 DPO mean?
A negative test at 10 DPO does not mean you're not pregnant. It's very common to get negatives at 10 DPO even if you conceived. Your hCG levels may still be too low, or implantation may have occurred later. Wait until 12–14 DPO to retest for more accurate results.
https://www.oova.life/blog/10-dpo
Can you get a positive pregnancy test at 10 DPO?
Yes, but only about 50–60% of pregnant women will get a positive at 10 DPO. The other 40–50% have hCG levels that are still too low to detect. If you test negative at 10 DPO, wait 2–3 days and test again.
https://www.oova.life/blog/high-progesterone-symptoms
Can high progesterone cause weight gain?
Yes, elevated progesterone can cause temporary weight gain through water retention and bloating. This is a normal part of the luteal phase and early pregnancy.
https://www.oova.life/blog/how-to-increase-estrogen
Does stress affect estrogen levels?
Yes, chronic stress elevates cortisol, which can suppress estrogen production and disrupt hormonal balance. Stress reduction through meditation, yoga, adequate sleep, and self-care practices helps maintain optimal estrogen levels.
https://www.oova.life/blog/how-to-increase-estrogen
When should I consider medical treatment for low estrogen?
Consider medical intervention if natural methods don't improve symptoms after 3 months, if symptoms severely impact quality of life, if you're experiencing early menopause (before 40), or if you have fertility concerns. Hormone replacement therapy may be appropriate in these cases.
https://www.oova.life/blog/how-to-increase-estrogen
What are the signs that my estrogen is increasing?
Signs of rising estrogen include more regular menstrual cycles, reduced hot flashes, improved vaginal lubrication, better mood stability, increased energy, and improved skin elasticity. You may also notice reduced symptoms that originally indicated low estrogen.
https://www.oova.life/blog/how-to-increase-estrogen
Can exercise increase estrogen levels?
Yes, moderate exercise stimulates estrogen release and helps maintain hormonal balance. Aim for 150 minutes of moderate cardio weekly plus strength training twice per week. However, excessive exercise can actually lower estrogen, so balance is key.
https://www.oova.life/blog/how-to-increase-estrogen
How long does it take to increase estrogen naturally?
With consistent dietary and lifestyle changes, you may notice improvements in symptoms within 4-8 weeks. However, significant hormonal changes typically take 2-3 months. Tracking your cycle and symptoms can help you monitor progress.
https://www.oova.life/blog/how-to-increase-estrogen
What foods increase estrogen levels naturally?
Foods high in phytoestrogens can help increase estrogen naturally. The best options include flax seeds (high in lignans), soy products (tofu, tempeh, edamame), lentils, chickpeas, whole grains (oats, quinoa, brown rice), and garlic. These plant compounds mimic estrogen's effects in the body.
https://www.oova.life/blog/perimenopause
What helps relieve hot flashes quickly?
Cool environments, layered clothing, herbal teas, and medical treatments like gabapentin or HRT may help—depending on severity. Lifestyle changes like reducing caffeine and alcohol can also provide relief.
https://www.oova.life/blog/perimenopause
Are there tests to confirm perimenopause?
Yes. Tests measuring estradiol, LH, and FSH levels can indicate hormonal shifts—but diagnosis is often symptom-based since hormone levels fluctuate widely during perimenopause.
https://www.oova.life/blog/perimenopause
How do I know it's perimenopause and not something else?
A doctor may recommend hormone testing (like LH, E3G, and PdG) and track symptom timing. Diagnosis is often based on symptoms combined with age and menstrual pattern changes.
https://www.oova.life/blog/perimenopause
What's the earliest age perimenopause can start?
Some women begin experiencing symptoms as early as their mid-30s, though perimenopause typically starts between ages 38-45.
https://www.oova.life/blog/perimenopause
Does perimenopause affect mental clarity?
Yes. Brain fog and difficulty concentrating are common during hormone fluctuations in perimenopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
What happens after the last sign of perimenopause?
After your final period, you enter postmenopause. You'll need 12 consecutive months without a period to confirm menopause. Many symptoms gradually improve, though some like vaginal dryness may persist without treatment.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
When do perimenopause symptoms finally stop?
Some symptoms like brain fog improve after menopause, while others like hot flashes may continue for up to 10 years post-menopause. Vaginal symptoms often persist or worsen without treatment. Each person's timeline is different.
https://www.oova.life/blog/high-progesterone-symptoms
Is high progesterone a sign of pregnancy?
Yes, high progesterone is one of the earliest indicators of pregnancy. Progesterone levels rise significantly after conception to support the developing embryo and reach their peak during the third trimester.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
Can you still get pregnant in late perimenopause?
Yes, you can still get pregnant during perimenopause as long as you're having periods, even if they're infrequent. Continue using birth control until you've gone 12 consecutive months without a period and have officially reached menopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
Do symptoms get worse before perimenopause ends?
Yes, most perimenopause symptoms intensify in the final 1-2 years before menopause. Hot flashes peak around your final period, vaginal symptoms worsen, and mood changes increase. However, brain fog typically improves in late perimenopause.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
How long does late perimenopause last?
Late perimenopause typically lasts 1-3 years before your final period. However, the exact duration varies significantly from person to person. You've reached menopause after 12 consecutive months without a period.
https://www.oova.life/blog/high-progesterone-symptoms
What are the symptoms of high progesterone?
High progesterone symptoms include fatigue, bloating, breast tenderness, weight gain, anxiety, depression, headaches, and food cravings. During pregnancy, you may also experience increased nipple sensitivity and muscle aches.
https://www.oova.life/blog/TBD-10-symptoms-and-how-to-get-relief
What are the first signs that perimenopause is ending?
The earliest signs include longer gaps between periods (60+ days), intensifying hot flashes that peak around your final period, and worsening vaginal dryness. These symptoms typically increase in late perimenopause before you reach official menopause.
https://www.oova.life/blog/high-progesterone-symptoms
When should I be concerned about high progesterone?
Consult a healthcare provider if you experience high progesterone symptoms outside your luteal phase when not pregnant, or if symptoms include severe pelvic pain, abnormal vaginal bleeding, or rapid weight gain while on hormone therapy.
https://www.oova.life/blog/high-progesterone-symptoms
How do you test progesterone levels?
Progesterone can be measured through blood tests at your doctor's office or at-home urine tests that measure PdG (a progesterone metabolite). Testing is typically done during the luteal phase, about 7 days after ovulation.

About the Oova Blog:
Our content is developed with a commitment to high editorial standards and reliability. We prioritize referencing reputable sources and sharing where our insights come from. The Oova Blog is intended for informational purposes only and is never a substitute for professional medical advice. Always consult a healthcare provider before making any health decisions.