CNY Fertility Immune Guide

Page 3

Sample Stimulation Protocols IC

IUI

IVF

FET NS

Natural Stim

Oral Low

Letrozole or Clomid with trigger

Mini

Letrozole 10 mg x 5 d fsh 150 x 10 d antag/hcg 10k trigger FSH/hCG

FSH/Menopur

Low

100-200/20

25-125/75

antag/hcg lupron trigger

Standard

300/20

225/75

antag/hcg lupron trigger

Moderate

400/20

250/150

antag/hcg lupron trigger

High

600/20

450/150

antag/hcg lupron trigger

Super High

900/20

450/450

antag/hcg lupron trigger

FET Medicated

Estrace/Progesterone

antag/hcg lupron trigger

Sample Immune Protocols (in addition to stimulation protocol) Start 30-90 Prior to Treatment Cycle Nutrition: Kiltz’s Keto/Carnivore, One Meal a Day (OMAD), and Supplements (F: Peak Prenatal, VIVOMEGA, Ovarian Bloom, Immunoglobulin IgG | M: Male Preconception+, VIVOMEGA) + Light Exercise: Yoga, Walking, Tai Chi. etc. No high-intensity exercise. Medications: LDN and HGH (with levels 3 and 4)

LEVEL 1 Kiltz's Keto + OMAD + Supplements + light exercise LDN 3-4.5 mg Aspirin 81 mg qd* Prednisone 5 mg bid Antibiotics - Doxy 100 mg PO BID x 3 or 5 d Clindam 2% Vaginal Cream: 100mg/1 at bedtime x 3 days Antihistamine (Claritin - 10mg am / Pepcid 20 mg / Benadryl 25 mg)

LEVEL 2 Kiltz's Keto + OMAD + Supplements + light exercise LDN 3-4.5 mg Aspirin 81 mg qd* Prednisone 5-10 mg bid Antibiotics - Doxy 100 mg PO BID x 3 or 5 d Clindam 2% Vaginal Cream: 100mg/1 at bedtime x 3 days Antihistamine (Claritin 10mg am / Pepcid 20 mg / Benadryl 25 mg) Intralipids 100ml 20% qwk Lovenox 30 mg qd*

LEVEL 3 Kiltz's Keto + OMAD + Supplements + light exercise LDN 3-4.5 mg Aspirin 81 mg qd* Prednisone 10-15 mg bid Antibiotics - Doxy 100 mg PO BID x 3 or 5 d Clindam 2% Vaginal Cream: 100mg/1 at bedtime x 3 days Antihistamine (Claritin 10mg am / Pepcid 20 mg / Benadryl 25 mg) Intralipids 100ml 20% qwk Lovenox 30 mg bid* Neupogen 60 mcg qd Plaquenil 200 mg qd/bid or Prograf .5-1mg bid hCG Booster 250 PRP/hCG/ Neupogen wash HGH 6u, Somaderm, or Serovital

*Aspirin and Lovenox only to be started after Egg Retrieval or with FET

LEVEL 4 Kiltz's Keto + OMAD + Supplements + light exercise LDN 3-4.5 mg Aspirin 81 mg qd* Prednisone 15-20 mg bide Antibiotics - Doxy 100 mg PO BID x 3 or 5 d Clindam 2% Vaginal Cream: 100mg/1 at bedtime x 3 days Antihistamine (Claritin 10mg am / Pepcid 20 mg / Benadryl 25 mg) Intralipids 100ml 20% qwk Lovenox 40 mg bid* Neupogen 60 mcg qd Plaquenil 200 mg qd/bid or Prograf 1mg bid hCG Booster 250 PRP/hCG/ Neupogen wash HGH 6u, Somaderm, or Serovital IVIG 20-40 grams q4wk Humira 40 mg x 2 q2wk


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