FAQ | The Vital Insight Fertility
FAQ

Questions, answered.

The most common questions we get. If yours isn't here, write us or bring it to the consultation.

Section

The basics

Is this instead of IVF? +
No. The Vital Insight is built beside your fertility care. We optimize the metabolic variable your clinic doesn't measure. Your REI stays your REI.
When should I start? +
During or between cycles, not after. Eggs and sperm remodel on a roughly 90-day cycle, so the earlier the work begins, the more it can change.
Do you guarantee a pregnancy? +
No, and we never will. We promise measurement, a personalized plan, and a remeasurement at 90 days. Outcomes belong to your body and your care team. We give you the clearest data to act on.
What does it cost? +
We keep exact pricing for your consultation, because the right program depends on whether it's one of you or both. Book a consultation and we'll walk through the numbers together.
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The visit

What does the visit look like? +
A medical-grade breath analysis at home: you sit, wear a soft mask for about ten minutes, and answer an intake. Non-invasive, on your own couch.
How is this different from my Oura or Whoop? +
Wearables estimate from your wrist. Indirect calorimetry measures at the source, and it's the recognized gold standard for resting metabolism and energy use, the method hospitals and performance labs rely on (Priem et al., Sensors, 2023). We read 23 biomarkers directly, then retest at 90 days to prove the change.
Who actually works with me? +
A dedicated metabolic coach runs your testing and your weekly check-ins, with specialists joining as your plan calls for it. Every plan is built on the clinical framework Dr. Mari authored.
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Your partner

Is my partner included? +
In the Couples Program, yes, with his own baseline, plan and retest. Male factor accounts for roughly half of fertility challenges, and we build for him too.
Is this really for my partner too? +
Yes. Male factor is involved in roughly half of fertility challenges, and sperm rebuilds on the same 90-day clock as eggs. His program is his own: his baseline, his plan, his retest. In a randomized trial, men who lost weight through diet raised sperm count and concentration and kept the gains (Andersen et al., Human Reproduction, 2022).
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Specific conditions

I have PMOS (formerly PCOS). Is this for me? +
Often, yes, and your consultation will tell us whether your case fits. The condition was renamed in 2026 to Polyendocrine Metabolic Ovarian Syndrome, a name that puts the metabolic piece, the one we measure, at its center. Research shows metabolic work is associated with real movement here: in a study of overweight women who weren't ovulating, a six-month diet-and-exercise program restored ovulation in roughly 90% of participants (Clark et al., Human Reproduction, 1995), and ASRM supports weight management for natural conception in that group.
I've been told my infertility is unexplained. Can this help? +
This is exactly what we're built for. Unexplained doesn't mean unexplainable — it usually means no one measured the metabolic variable. Insulin resistance appears in unexplained infertility more often than expected, in both sexes (Reproductive BioMedicine Online, 2017; Frontiers in Endocrinology, 2024).
I'm in the middle of an IVF cycle. Should I wait? +
No — the best time to start is between transfers, in the 90 days when the follicles and sperm for your next cycle are being built. Your consultation will map out exactly how the timing lines up with your clinic.

Stop optimizing in the dark.

Book a consultation with our care team. We'll review where you are, what we'd measure, and whether this is the right fit.

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