Fertility & Preconception Health

Q: How early should I start?

Ideally, three to six months before you start trying. That timeline gives nutrients time to replete, hormones time to optimize, and the body time to settle into the inputs you've chosen. That said, even starting one or two months out is meaningful.

Q: Will Nova Wellness do IVF or IUI?

No. We're a primary care integrative and longevity practice, not a reproductive medicine clinic. Patients who need IVF or IUI are referred and coordinated; we focus on the optimization that supports those procedures.

Q: My OB says everything looks fine. Why come here?

Conventional preconception screening is often light. A prenatal vitamin, a folic acid recommendation, a rubella titer. That's the floor. Nova's workup is built around the layer above that. The metabolic, nutritional, hormonal, and inflammatory inputs that quietly shape pregnancy outcomes and that conventional workups don't have time to investigate.

Q: Can Nova Wellness help with PCOS or recurrent miscarriage?

Yes. Within the integrative lane. Nova Wellness can address the metabolic and inflammatory contributors to PCOS, support thyroid and autoimmune contributors to miscarriage, and coordinate with your reproductive team on the rest.

The months before pregnancy play a critical role in fertility, pregnancy outcomes, and long-term maternal and child health. Hormone balance, metabolic health, thyroid function, nutrient status, inflammation, sleep, and stress physiology can all influence conception, egg quality, and the body’s ability to support a healthy pregnancy. At Nova Wellness, preconception care takes a comprehensive, root-cause approach to optimizing health before pregnancy. The goal is not simply to “start trying,” but to support the body as fully as possible before conception occurs.

When This Is the Right Fit

Nova Wellness’s fertility and preconception program is built for:

Women in their 30s and early 40s planning pregnancy who want to optimize before they try.
Couples between IVF cycles want to improve egg quality, hormonal balance, and overall health between attempts.
Women with PCOS, endometriosis, or thyroid dysfunction whose conventional workup has been incomplete on the integrative side.
Patients with recurrent miscarriage seeking deeper investigation alongside their reproductive endocrinology team.
Women with autoimmune disease preparing for pregnancy and wanting to enter it as well-managed as possible.
Couples planning to wait, preserving fertility and metabolic health for an intentional timeline.

We are an adjunct to reproductive endocrinology, not a fertility clinic. If you need IVF, IUI, or full reproductive workups, we will refer and coordinate. What we add is the layer most reproductive medicine programs do not have time for: the integrative, root-cause, whole-person optimization that supports the work they are doing.

What We Look At

A typical preconception workup may include:

Comprehensive hormone panel. Beyond the standard FSH/LH/estradiol, including thyroid (full panel), prolactin, and adrenal markers.
Metabolic health. Insulin sensitivity, glucose handling, lipid profile, body composition.
Nutrient status. Vitamin D, B12, folate (and the genetic variants that affect folate metabolism), iron, ferritin, magnesium, omega-3 index.
Inflammation markers. CRP, homocysteine, and others where indicated.
Autoimmune markers when indicated, particularly relevant for recurrent miscarriage and certain pregnancy complications.
Environmental and lifestyle factors. Sleep, stress, nervous system regulation, environmental exposures.
Gut health when relevant.

The depth depends on your history. The point is to bring you to conception with the inputs aligned. Instead of finding them after a complicated pregnancy.

How Nova Wellness Supports You

Personalized supplementation. Calibrated to your bloodwork and goals, not a generic prenatal stack.
Hormone optimization when clinically appropriate.
Thyroid management. One of the most common missed contributors to fertility and pregnancy outcomes.
Nutrition planning for fertility and pregnancy preparation.
Sleep and stress physiology support.
Coordination with your reproductive endocrinologist or OB. We work alongside, not instead of.
Ongoing monitoring through preconception and (if you’d like) through pregnancy and postpartum.

Dr. Chris Di Giorgio

Dr. Chris Di Giorgio, Nova’s cardiologist and former Chief of Cardiology at HUMC Mountainside, brings a prevention-first perspective focused on metabolic health, inflammation, insulin resistance, and cardiovascular risk reduction.

Dr. Jennifer Knight

Dr. Jennifer Knight oversees this part of Nova Wellness’s practice. The integrative and functional medicine training informs the depth of the workup; the menopause and hormone expertise informs the precision of the hormone management; and Dr. Chris Di Giorgio’s cardiometabolic lens informs the metabolic optimization that increasingly matters in pregnancy outcomes.

Frequently Asked Questions

Does Nova Wellness replace my OB or reproductive endocrinologist?

No. Nova is an adjunct. We work alongside your reproductive care team, not in place of them. We’re best at the optimization layer. The inputs you can address before conception, between cycles, or during early pregnancy.

How early should I start?

Will Nova Wellness do IVF or IUI?

My OB says everything looks fine. Why come here?

Can Nova Wellness help with PCOS or recurrent miscarriage?

Walk Into Pregnancy From the Strongest Version of You

If you’re planning, between cycles, or just thinking ahead. Let’s set you up properly.