Rosanne AustinDiscovery Hub
Expert Guest2024-12-12·79 min

A Fearlessly Fertile Special: Unexplained Infertility Isn’t A Diagnosis: Getting to the Root Cause of Fertility Issues and Recurrent Miscarriage, A Conversation with Caryn Johnson, CEO of BOND

A Fearlessly Fertile Special: Unexplained Infertility Isn’t A Diagnosis: Getting to the Root Cause of Fertility Issues and Recurrent Miscarriage, A Conversation with Caryn Johnson, CEO of BOND

Caryn Johnson, CEO of BOND, shares her journey from recurrent miscarriage to having two children after discovering autoimmune issues were causing her fertility problems. She explains how inflammation and immune dysfunction create 'unexplained infertility' and discusses her supplement company BOND.

Caryn Johnson· IVF· Son Elijah and daughter Ruthie via surrogacy
Caryn Johnson, CEO· Root causes of unexplained infertility and immune dysfunction

Miracle Mama: Caryn Johnson

Full story →

Before

Multiple pregnancy losses with 'unexplained infertility' diagnosis, feeling like she was killing her babies

Key Shift

Discovered autoimmune root cause and addressed immune dysfunction with reproductive immunologist

After

Successfully carried two children and created BOND to help other women address root causes

Caryn Johnson, CEO

Fertility supplementation and autoimmune infertility

Key Insights

  • - Unexplained infertility is not a diagnosis but indicates doctors haven't looked beyond reproductive organs
  • - Most unexplained infertility involves immune dysfunction and inflammation
  • - Week 7-8 pregnancy losses often occur during placentification when immune system is most challenged
  • - Reproductive doctors don't practice full-system health and miss immune, metabolic, and gut issues

Actionable Advice

  • + Ask for recurrent miscarriage panels even if insurance won't cover them
  • + Build a committee of practitioners including reproductive immunologist and functional medicine
  • + Address gut health and food intolerances as signs of immune dysfunction
  • + Test for vitamin deficiencies, especially B and D vitamins

The Journey to Discovering Autoimmune Infertility

Caryn shares her progression from unexplained infertility through multiple IUIs and IVF cycles, until discovering through reproductive immunology that she had some of the highest antibody levels ever seen. This revelation changed everything about how she approached her fertility journey.

Carrying Elijah Through High-Risk Pregnancy

After starting immune protocols including IVIG treatments, Caryn conceived twins but lost her daughter at 7 weeks while continuing to carry her son. She navigated a high-risk pregnancy on bed rest while managing her demanding role as CMO of Vital Proteins.

The Path to Ruthie Through Surrogacy

Following another devastating loss at 13 weeks due to inflammation, Caryn chose surrogacy for her second child. She found an incredible surrogate, Ashley, and welcomed daughter Ruthie in a beautiful experience that defied her initial expectations about surrogacy relationships.

Creating BOND: Turning Pain Into Purpose

Motivated by advocacy work and research into autoimmune infertility, Caryn launched BOND supplements to address the root causes that reproductive doctors miss. Her mission is to help women understand their bodies and hormones before dysfunction develops, with 17 documented pregnancies in her first year.

Questions This Episode Answers

What is unexplained infertility really?

Unexplained infertility is not a diagnosis. Doesn't tell you anything.

Caryn Johnson59:42

Unexplained infertility is not actually a diagnosis. It's what doctors say when they haven't found a root cause by looking only at reproductive organs, often missing immune dysfunction, inflammation, or gut health issues.

What causes recurrent miscarriage at 7-8 weeks?

week seven and eight is placentification. That's the largest piece of the immune puzzle. That's the hardest part to get through if you have immune issues.

Caryn Johnson62:15

Week 7-8 losses often occur during placentification, the most challenging time for women with immune dysfunction. The immune system can reject the pregnancy during this critical development phase.

Should I only trust my reproductive endocrinologist for fertility advice?

we have to stop looking at our doctors as our only source of truth. It's because they are only one point in our source of truth.

Caryn Johnson66:00

No. Reproductive endocrinologists only know reproductive organs, not immune, metabolic, or gut health that affects fertility. You need to build a committee of practitioners for full-system health.

Can you work full time during fertility treatments?

your brain is your brain. It doesn't change when you get pregnant. It doesn't change when you go through infertility.

Caryn Johnson47:11

Yes, you can maintain a successful career while pursuing fertility goals. Your professional abilities don't change when going through fertility challenges - you can pursue both simultaneously.

What supplements help with unexplained infertility?

most women with unexplained infertility are actually deficient in vitamin B and D. Maybe you should look into that.

Caryn Johnson63:59

Most women with unexplained infertility are deficient in B and D vitamins. Addressing foundational nutritional gaps, gut health, and inflammation through targeted supplementation can support hormone balance and immune function.

How to investigate unexplained infertility beyond reproductive organs

A systematic approach to finding root causes when doctors say there's no explanation

  1. 1

    Request comprehensive testing

    Ask for recurrent miscarriage panels even if insurance won't cover them. Pay out of pocket as it's minimal compared to treatment costs.

  2. 2

    Test for immune dysfunction

    Seek out a reproductive immunologist to test antibody levels, MTHFR mutations, and other immune markers.

  3. 3

    Evaluate gut health

    Work with a naturopath to do IGG food intolerance panels and assess for gut dysbiosis and inflammation.

  4. 4

    Check nutritional status

    Test for vitamin deficiencies, especially B and D vitamins, which are commonly low in unexplained infertility.

  5. 5

    Build your committee

    Assemble a team including reproductive immunologist, functional medicine practitioner, and naturopath alongside your RE.

All Teachings 8

Expert InsightChallenging59:42

Unexplained infertility is not actually a diagnosis - it's doctors throwing their hands up instead of looking for root causes

Caryn Johnson experienced 'unexplained infertility' for years until she discovered she had some of the highest antibody levels her reproductive immunologist had ever seen, leading to successful pregnancies after immune protocol treatment.

Expert InsightEmpowering21:55

Most women with unexplained infertility have underlying immune dysfunction and inflammation that prevents implantation and causes early pregnancy loss

Caryn Johnson discovered she had Hashimoto's-related antibody issues causing her body to reject pregnancies. After immune protocol including IVIG treatments, she successfully carried her son Elijah. She now has 17 documented pregnancies in women who addressed immune issues through BOND supplements.

Expert InsightEmpowering62:15

Week 7-8 of pregnancy is placentification - the hardest part to get through if you have immune issues, which is why many losses happen then

Caryn Johnson lost multiple pregnancies around weeks 7-8, and explains this timing correlates with placentification when the immune system is most challenged. Her daughter's heart rate slowed at 7 weeks due to immune dysfunction.

Expert InsightChallenging63:36

OB-GYNs and reproductive endocrinologists only know reproductive organs - they don't practice full system health or understand immune, metabolic, or gut issues

Caryn Johnson explains that after years of failed treatments, she had to seek out reproductive immunologist Dr. Joanne Kwak Kim to address her immune issues. She had over 200 food intolerances indicating gut dysbiosis that no reproductive doctor identified.

Expert InsightEmpowering66:00

You have to stop looking at doctors as your only source of truth and build a committee of many different practitioners

Caryn Johnson found success only after working with a reproductive immunologist, naturopath, and building her own research database of over 200 clinical studies on nutrients and immune function - not from her original reproductive team.

Expert InsightEmpowering63:59

Most women with unexplained infertility are deficient in vitamin B and D, but doctors focusing only on reproductive organs won't test for this

Caryn Johnson discovered through her research database of over 200 clinical studies that vitamin deficiencies are common in unexplained infertility cases. Her BOND supplements address these foundational nutritional gaps that reproductive doctors miss.

Expert InsightEmpowering35:36

High inflammation breaks your water early - your body has to go through an inflammatory flow during pregnancy and if it doesn't regulate down in second trimester, things like water breaking happen

Caryn Johnson's water broke at 35 weeks with her son due to inflammation, and again at 13 weeks with her daughter, causing pregnancy loss. Both instances were caused by her immune system creating too much inflammation.

TeachingEmpowering47:11

You can be a successful professional and pursue motherhood simultaneously - your brain is your brain and it doesn't change when you go through infertility

Caryn Johnson balanced being CMO of Vital Proteins, writing the Jennifer Aniston campaign script during her miscarriage, and ultimately selling the company to Nestle while navigating multiple pregnancy losses and raising her son Elijah.

Episode Tone
2 challenging6 empowering

Key Teachings 8

Unexplained infertility is not actually a diagnosis - it's doctors throwing their hands up instead of looking for root causes

59:42

Most women with unexplained infertility have underlying immune dysfunction and inflammation that prevents implantation and causes early pregnancy loss

21:55

Week 7-8 of pregnancy is placentification - the hardest part to get through if you have immune issues, which is why many losses happen then

62:15

OB-GYNs and reproductive endocrinologists only know reproductive organs - they don't practice full system health or understand immune, metabolic, or gut issues

63:36

You have to stop looking at doctors as your only source of truth and build a committee of many different practitioners

66:00

Most women with unexplained infertility are deficient in vitamin B and D, but doctors focusing only on reproductive organs won't test for this

63:59

High inflammation breaks your water early - your body has to go through an inflammatory flow during pregnancy and if it doesn't regulate down in second trimester, things like water breaking happen

35:36

You can be a successful professional and pursue motherhood simultaneously - your brain is your brain and it doesn't change when you go through infertility

47:11

Perspectives 2

Unexplained infertility means there's no explanation for why you can't get pregnant

CONSIDER: Unexplained infertility isn't a diagnosis - it means your doctors haven't looked beyond your reproductive organs to find the root cause

Your reproductive endocrinologist should be your primary source of fertility information

CONSIDER: Your RE is one member of a committee - they only know reproductive organs, not immune, metabolic, or gut health that affects fertility

Quotable Moments

Unexplained infertility is not a diagnosis. Doesn't tell you anything.

Caryn Johnson59:42

we have to stop looking at our doctors as our only source of truth. It's because they are only one point in our source of truth.

Caryn Johnson66:00

your brain is your brain. It doesn't change when you get pregnant. It doesn't change when you go through infertility.

Caryn Johnson47:11

I literally would cry to my husband that, like, I'm a murderer.

Caryn Johnson40:00

week seven and eight is placentification. That's the largest piece of the immune puzzle. That's the hardest part to get through if you have immune issues.

Caryn Johnson62:15

This Story Proves

Autoimmune infertility successIVF success after immune protocolTurned pain into purpose

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