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Case Review

A standalone Case Review is a deep-dive analysis designed to bridge the gap between standard care and optimal fertility. In the conventional medical world, specialists tend to look only at their specific area—the Reproductive Endocrinologist looks at specific hormones and ovaries, the Endocrinologist looks at the thyroid, and the Primary Care doctor looks at general health.

 

I look at it from an outside perspective, bringing all of those different doctors' pieces (and more) together to see the whole puzzle. By synthesizing your complete medical history, we uncover the hidden connections and missing pieces that get overlooked when looking at labs in isolation.

 

Once your Case Review is complete, we will meet for one hour where I will clearly explain everything that I have uncovered. You will then receive a comprehensive written plan, with simple, actionable next steps so you can finally see the big picture and optimize your fertility with total clarity and confidence.

How does it work?

A clear simple 4 step supportive process.

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2. 

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3. 

1. 

We Meet For One Hour

I Look It All Over

You Send Me Everything

I walk you through what I'm seeing - what has been done, and more importantly what is missing.

I map what doctors, tests, protocols or steps have and haven't been looked at, and write down my suggestions within 48 hours.

Your labs, imaging, and a short history form for you and/or you and your partner (if applicable).

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4. 

You Receive The Written Plan

The plan includes clearly written detailed next steps for you to take and for you to discuss with your doctors.

This is for you if:

  • You've been told it's unexplained, everything keeps coming back normal, and nobody has put the whole picture together. 

  • You've had recurrent losses and you still don't have an explanation as to why.

  • You have had unsuccessful transfers and they keep throwing random protocols or just saying let's try again.

  • You have done one or more rounds of IVF and still don't have your baby.

  • You are using donor eggs, sperm, embryos or a surrogate and it is still not working.

  • You have been trying for years and years, and still feel like something is missing.

Earlier in the process?

A full Case Review only makes sense when there's a full history to review. If you've been trying for months rather than years — or have a few sets of labs rather than a folder, and have not done IVF yet — the First Look is built exactly for you.

This is for you if:

  • You've been trying for several months, maybe over a year—and you're starting to wonder whether something is wrong.

  • You've had your first round of testing, but don't have any answers.

  • You've been told to just keep trying, and it doesn't sit right.

  • You're about to start with a fertility clinic and want to know what to ask.

  • You're over 35 and don't want to lose a year or more finding out something was missed.

  • You've had one loss and want to know whether anything should be checked before you try again.​​

Unsure which one is right for you?

Book the First Look. If I open your records and see it's really a Case Review, I'll tell you before I start and put the $225 toward the Case Review. 

Details about what exactly to send me to start the process, and how to set up a call once the Case Review or First Look is complete will be outlined for you once the Case Review or First Look is purchased.

It is deeply important to me that my services are accessible to everyone. If you do not have the finances to purchase either review, please email me and we will figure out a way to work together.​​​​

Frequently Asked Questions

"Mariah is a wealth of knowledge! She is amazing to work with and knows how to guide you to be the advocate of your fertility journey !."

Andrea Orvieto., Professional Colleague

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