ModerateGBS: 80 (High Risk)nutrition

Fertility Protocol - Male

Developer: Marc Sklar, male fertility specialists

3-6 months minimum (sperm maturation 74 days)

Protocol Overview

Comprehensive protocol to optimize sperm count, motility, and morphology. Sperm take 74 days to mature, so minimum 3-month protocol required.

Conditions Treated

Male infertility

low sperm count

poor motility

abnormal morphology

preparing for conception

Protocol Steps

Testing: Semen analysis (count, motility, morphology, volume), testosterone (AM fasted), estradiol, LH, FSH, prolactin, thyroid, vitamin D, genetic testing if severe oligospermia, scrotal ultrasound if varicocele suspected

Sperm maturation: 74 days - need minimum 3 months on protocol before retest

CoQ10 (Ubiquinol): 200-400mg daily (improves sperm count, motility, morphology in studies)

L-carnitine: 2-3g daily (improves sperm motility and count) - acetyl-L-carnitine also beneficial

Vitamin C: 1000-2000mg daily (reduces oxidative stress, protects sperm DNA)

Vitamin E: 400-800 IU (antioxidant, improves sperm motility)

Zinc: 30-50mg daily + copper 2-4mg (zinc crucial for spermatogenesis, improves count and motility)

Selenium: 200mcg daily (antioxidant, improves sperm motility and morphology)

L-arginine: 3-5g daily (improves sperm count and motility)

NAC: 600mg daily (antioxidant, reduces oxidative stress)

Vitamin D3: Optimize to 50-80 ng/ml (low D associated with poor sperm quality)

Folate: Methylated folate 400-800mcg + B12 1000mcg (improves sperm count)

Omega-3: 2g EPA/DHA (improves sperm membrane fluidity and motility)

Avoid heat: No hot tubs, saunas, laptop on lap, tight underwear (heat damages sperm) - keep testicles cool (boxers, not briefs)

Reduce oxidative stress: Avoid smoking (major sperm killer), limit alcohol (reduces testosterone and sperm quality), avoid marijuana (lowers sperm count, motility, testosterone), avoid environmental toxins (pesticides, BPA, phthalates)

Diet: Mediterranean pattern, adequate protein, healthy fats, colorful vegetables (antioxidants), reduce processed foods/sugar, organic when possible

Weight optimization: Obesity lowers testosterone and sperm quality - lose weight if BMI >25

Exercise: Regular moderate exercise improves testosterone and sperm quality, but avoid overtraining (extreme endurance or anabolic steroids devastate sperm)

Varicocele: If present (common cause of male infertility), consider surgical repair (improves parameters in 60-80%)

Testosterone: If low, address naturally (see male testosterone protocol), NEVER use testosterone replacement or anabolic steroids when trying to conceive (suppresses sperm production via feedback loop)

Frequency: Ejaculate every 2-3 days (daily decreases count, longer than 5 days increases DNA fragmentation)

Timing: Have intercourse every other day during partner's fertile window

Key Resources

The Male Biological Clock by Harry Fisch, research on male fertility supplements, andrology literature, reproductive urologists

Contraindications & Risks

Anabolic steroids/TRT absolutely contraindicated when trying to conceive (suppresses sperm production)

Important Notes

Male factor contributes to 50% of infertility cases. Sperm quality declining globally (count, motility, morphology all worsening). Modifiable factors: Oxidative stress is #1 enemy of sperm. Antioxidant supplementation well-studied - CoQ10, vitamin C, E, NAC, selenium all have RCTs showing benefit. L-carnitine and L-arginine improve parameters. Zinc essential for spermatogenesis. Heat damages sperm - avoid hot tubs, saunas, laptops on lap, tight underwear. Smoking devastates sperm. Marijuana lowers testosterone and sperm parameters. Obesity lowers testosterone via aromatase in fat tissue. Varicocele (dilated veins in scrotum) present in 40% of infertile men - surgical repair improves parameters. NEVER use testosterone or anabolic steroids when trying to conceive - they suppress FSH/LH and shut down sperm production (may take year+ to recover). Even "low dose" TRT suppresses sperm. Age matters for men too - sperm DNA fragmentation increases with age. Protocol takes 3+ months (sperm maturation time). Retest semen analysis after 3-4 months on protocol.

Also Effective For

Infertility

Key Supplements & Herbs in This Protocol

Supplements

Copper Selenium L-Carnitine

Critical Safety Warning

This protocol is documented for educational purposes only. The Gabriel Bullshit Score (GBS) of 80 reflects significant institutional response and controversy. Some alternative health protocols have resulted in serious harm or death.

Always consult with qualified healthcare professionals before beginning any treatment. Do not delay or forego proven medical care.

Quick Overview

Evidence LevelModerate

GBS Score80 / 100

Categorynutrition

DeveloperMarc Sklar, male fertility specialists

Duration3-6 months minimum (sperm maturation 74 days)

About GBS Score

The Gabriel Bullshit Score reflects the magnitude of institutional response, controversy, and documented concerns. Higher scores indicate greater institutional pushback, not necessarily inefficacy. This is a research tool, not medical advice.