Hi, Liz ~~

I’m sure your doctor has assessed your general health & fitness, so I’ll try to address things he or she may not have investigated.

First, take an overview: consider your health/medical history, your age, how long ago you had your kids, how much stress you were under during your divorce and how recently (intense stresses can set your physiology temporarily in a pre-menopause state, even if you are only in your thirties), what changes occurred between the last pregnancies and the current miscarriages, what your total environment (physical, emotional, financial, spiritual) is now compared to before. The key for you may lie in one of these aspects of your life, any one of which can have a surprisingly powerful impact on your body’s willingness to carry a pregnancy to term.

Because you've had two miscarriages, I suspect that your boyfriend may be genotype A(a), rather than A(o), meaning he has no recessive O gene to offer. If so, any child of this union can only be type A -- specifically A(o), the A from the father and the O from you. Plenty of children are born with this configuration, so it is certainly no obstacle to healthy births. As a new element introduced at a time of great change in your life, it may have played a minor role in your unexpected difficulty with carrying a child to term.

There are several columns Peter has written on the subject of pregnancy which may help. If you haven’t seen them, here are the links:

Diet and Pregnancy

Marriage and Blood Type Compatibility

BTD and Conceiving

I don’t know how long or how closely you have been following the type O diet, which for this purpose may be the most important recommendation I can make. Peter’s column on "Marriage and Blood Type Compatibility" suggests that simply following the diet for your type is the most effective general advice we can offer. Even though you could have lived on cheese fries and bacon while sailing through your first three pregnancies, you now may need focused attention on diet, exercise and/or stress relief – again, it will be your project to evaluate which link in this three-element chain may be missing or weak.

If I were in your position, I would use Live Right 4 Your Type according to my secretor status. Our online store carries the saliva secretor test. And look into maca – which has an excellent reputation for balancing hormonal health, increasing energy and improving fertility. Both you and your boyfriend should take it! It’s available through a reputable online supplier, Penn Herb Company, among many others. And my broken record is still playing: exercise is unbelievably effective in relieving stress, energizing the organs and releasing toxins. Avoid the twin evils of procrastination and overzealousness: start where you are, and get where you're going at your own pace!

Good luck, and keep us posted!