The Primal Parent

How to Avoid Stretch Marks When You’re Pregnant

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Even healthy pregnancies sometimes leave scars.

You know that book I’ve been promising for a while? The one about pregnancy? Well, I had planned on making it a little ebook, one that says a whole bunch of stuff you sort of already knew but needed to read it to really believe it. Well, I started getting really into writing and decided to write a full sized book instead.

Victory Belt Publishing, the guys who published Robb Wolf’s Paleo Solution and Sarah Fragoso’s Everyday Paleo, will be publishing it, which is hugely exciting because they have a track record with best sellers. Of course this means it’s going to take a little longer before you get to read it but the upside is that it’s going to be waaaay better!

It will be a full sized and full color book, containing just about everything you wanted to know about your pregnant and postpartum body and you’ll be able to pick it up at Barnes and Noble or where ever you like to shop for books.

The book should be published mid summer (as long as I make all of my deadlines!). Forgive me if I comment a little less than usual but I have a whole lot to do. That doesn’t mean I’m not reading the comments though. I am! I really look forward to all the little jewels of thought that everyone contributes. Conversation is an important part of developing ideas so please don’t stop commenting!

Today, I’m giving you a little teaser of my chapter on stretch marks. The chapter is about 4 times as large as what I’m presenting here but since many of my readers are pregnant right here and now, I just had to get you off on the right foot by offering, at least, a few ideas on how to maintain your pre-pregnant body.

While the book will reveal a ton of details about the physical complaints we have with our postpartum bodies, all you really need to know is that sticking to an ancestral diet, eating special foods, avoiding processed modern foods, and exercising every day will keep you healthy and pretty all the way through pregnancy and beyond.

What are Stretch Marks?

It is said that stretch marks are an inevitable consequence of stretching skin. But if you think about it, there must be something else at play here because not all women whose bellies have carried a baby to term are marked with the scars we refer to as stretch marks.

Stretch marks affect between 70% and 90% of pregnant women but they don’t necessarily have to affect you. Stretch marks are a result of disrupted hormones, nutrient deficiencies, and other mishaps of lifestyle habits. Nature designed us well and, as long as we follow nature’s prescription, stretch marks probably won’t leave their mark on most postnatal women.

Striae, or stretch marks, form on the dermis layer of the skin, just underneath the outer layer called the epidermis. When the skin stretches, the connective tissues in the dermis layer can become compromised leading to blood vessel dilation (these are the early stage red or purplish lines). Later, as the body tries to heal itself from the breaks in the top epithelial cells, cells begin dividing to fill in the gap. If the damage was deep enough, the cells produce a fibrous mass (a scar) to heal the wound. In this case the melanin production will cease and the skin will be left with white hypopigmented scars.

Causes of Stretch Marks

Stretch marks are caused by a degradation of the connective tissue of the dermal layer of the skin. Stretching, combined with other factors which weaken those layers, causes the scars we refer to as stretch marks.

Stretching alone, however, is not enough to cause stretch marks. The skin is designed to stretch. Men and women all over the world experience skin stretching but they do not all experience stretch marks. Furthermore, girls, weightlifters, and people who gain weight rapidly can develop stretch marks as extensive on those found on a postpartum belly. A slight increase in hip size during puberty and a slight increase in arm width does not compare to the expansion of a pregnant belly but stretch marks can form just the same.

Researchers are not entirely sure why this is but research currently centers around hormones and collagen.

Collagen
Collagen is the most extensive structural protein in the body. Collagen and elastin make up about 90% of the skin’s thickness. These fibers form an elastic weave over our entire bodies allowing the skin to be stretched substantially without compromising its integrity.

Skin is like a rubber band. As long as the rubber is in good condition the rubber band will not show any marks from stretching even when stretched to its limit. Now, when that rubber band gets old, and its fibers become dry, even when you stretch it just a bit, cracks and breaks appear.

The same is true for skin. When the skin is healthy, it will stretch with no signs of having been stretched. The skin is a little more sophisticated than a rubber band however. A rubber band’s elasticity has a limit, that is it will never be able to stretch further than it was designed to stretch. The skin on the other hand can make new collagen to strengthen its connective tissues, enabling it to stretch more and more over time. The skin can do this as long as it has the building blocks it needs to make new elastic fibers.

Under certain conditions such as hormone imbalance and nutritional deficiencies, the body may not produce sufficient amounts of collagen and elastin. Like a rubber band, when these protein fibers are not reinforced to withstand the rapid and extensive stretching, the connective tissues break apart from the bottom up, tearing the skin and leaving a scar.

Additionally, glucocorticoids (which includes cortisol), ethnicity, nutritional deficiencies, dehydration, and poor circulation all play a role in the formation of stretch marks.

Prevention of Stretch Marks

While high levels of glucocorticoid hormones are known to contribute to stretch marks, researchers have not defined a specific method for lowering these hormones. However, there are many known natural means which can be effective in a total body approach to health and hormone balance.

Nutrition
●     Animal Protein – Collagen fibers themselves are made from protein, particularly hydroxylysine and hydroxyproline. Hence, eating foods high in proline and lysine may be beneficial for collagen production, although there have not been studies to confirm this theory. Proline and lysine are primarily found in animal protein. Egg whites are particularly high in proline.
●     Citrus – In order for the body to synthesize protein, it needs vitamin C. Vitamin C is found in all citrus fruits, in organs, and in red peppers, among many other fruits and vegetables.
●     Green Tea and Cherries – Other nutrients which promote healthy collagen are the phytonutrients catechins and anthocyanidins. Catechins help prevent the breakdown of collagen while anthocyanidins help the fibers link together. Green tea is high in catechins and deeply pigmented fruits such as cherries and blueberries are high in anthocyanidins.
●     Oysters – Zinc works with proteins in the body to regenerate tissue by increasing the synthesis of new collagen. The best food source of zinc is oysters but other sources include chicken, beans, nuts, and meat.
●     Saturated Fat – Dietary fat plays a big role in the integrity of every cell. Fats carry the important skin nutrients vitamins A, D, and E. Saturated fats provide the building blocks for hormones. They are also important for mineral absorption.
●     Vitamin A – The application of vitamin A to the skin has been found to increase collagen synthesis.

Circulation
There are many natural remedies to improve circulation. Including herbs and making a few lifestyle changes can go a long way towards improving circulation. Some helpful herbs and habits include:

●     Exercise
●     Massage
●     Dry skin brushing
●     Herbs such as Ginko Biloba and calendula
●     Cayenne pepper, ginger, and garlic
●     Avoid cigarettes which impairs blood flow
●     Eliminate food allergies to improve nutrient absorption

Topical creams
Topical creams can be useful in hydrating the outer dermis but remember, stretch marks start from the bottom and work their way out. Hydrating from the top will probably have little effect on what is happening below.

Some of the more expensive creams stimulate the production of collagen. These are probably more effective than oils which only hydrate the epidermis.

Women who swear by certain creams and lotions may never have been susceptible to stretch marks in the first place so it’s kind of hard to know for sure. There have been a few studies on creams but most research has found this connection to be anecdotal.

My Own Experience With Stretch Marks

When I was going through puberty, I was malnourished due to celiac disease and a bad diet all around. My hormones were totally out of whack and my zinc was very low. Though I was always very skinny, I got stretch marks on my hips. The shiny white lines are still there, though they aren’t very noticeable anymore.

One would think I am genetically susceptible to stretch marks then. But when I was pregnant and eating a Paleo diet, my skin stretched dramatically more than my hips ever did and I never got a single stretch mark. I didn’t use any creams but I ate a healthy Paleo diet. I exercised every day and my hormones were in much better shape.

Just as a side note, I have found that the stretch marks on my hips are almost invisible when my weight is down. When the scars themselves are not stretched out, they are almost impossible to see.

What have you noticed in your own skin since going Paleo?

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57 Comments

  1. That’s so awesome, Peggy, congrats! I’ve got a few years before I start making babies, but from what I’ve heard from several friends who were pregnant recently, I won’t be putting my faith in conventional pregnancy wisdom. One of my friends ate a Fiber One bar and a Diet Dr Pepper for breakfast every day that she was pregnant, because her doctor told her to eat more fiber! It’s crazy.

    Anyways, good for you!

  2. Interestingly I never got stretch marks (although I was HUGE — so huge I managed to tear my rectal muscle badly enough to need to have it sewn back together three years after my last baby). What I do have, however, as a legacy to my pregnancies, are varicose veins. They started during my second pregnancy, worsened during my third, and have never gone away. Anything upcoming about methods to reduce, non-surgically, varicose veins. They can get painful when they really swell, which is the only time I think about them and want to get rid of them..

  3. Ahhhhh!! YES!! I am so excited for this book! I would pre-order a copy now if I could, hehe.

    I have white stretch marks from puberty, wish there were a way I could eliminate them. Not very noticeable to anyone but me, but still. I hope I can avoid getting more during pregnancy!

  4. Congrats on the book deal and thank you for writing it! I have stretch marks that I’m hyper-aware of with no clue as to how to get rid of them (or clearly how to prevent them in the first place). Since you’re taking requests, sample meals during and after pregnancy (particularly while nursing) please? Seriously thrilled that you’re writing this:)

  5. YAY! So excited you’re writing this book! Hubby and I are hoping to add another “monkey” to our mostly Primal family. I’d pre-order too! Keep the good info coming!

    • And now we are indeed expanding! I’m due in August! Can’t wait to read your book, although I suspect it will come a bit late for me. Keep posting good info though!!

  6. Wow, thanks so much for writing this post! I have stretch marks that formed when I was a teenager and I’ve never known why…I always thought it was because “I got fat” when I stopped running cross country (gained 5-10 lbs) and so I was embarrassed by them.

    I’m still not excited to show them off, but this gives me a much better idea of why they are there. 8)

    Thanks again!

  7. I have terrible stretch marks from my recent pregnancy, and I ate Paleo most of the time and exercised! They really bother me, but I just need to remember that I earned them stripes and look at them positively. They’ll fade with time…

    • Whilst I am sure that paleo and the right hormone balacw and vitamins might help not get stretch marks..it seems that various people tried to do all the right things but still got stretch marks? I got them , so did both my sisters and my mum so surely hereditary genes must play a big part? Interested to know people’s thoughts on this?

      • Well, it depends. While enough of the right nutrients will help you to build new collagen and maintain your collagen throughout your life, your genes may have short changed you from the beginning, meaning that you might not be too efficient at rebuilding collagen. Even if weak collagen is in our genes, however, our parents can save us by feeding us the right foods from the beginning. If our parents don’t do this, we’ll definitely have some repair work to do, and it may take a long time to accomplish it.

  8. Dude, I’m due in June! Any way to get a sneak peak before that?

  9. I noticed that the only time I developed stretch marks is when I started Olympic weightlifting. I went from a chronic cardio 108 pounds to 150 pounds. The only ones I’ve gotten though have been on the inner thigh. I never Even would have guessed hormones would have something to do with stretch marks!I’m so excited for your book to come out! So hurry up and get writing, you have so much to share that I would never have thought about!

  10. I have stretch marks from puberty on my hips but none on my tummy after three kids. Go figure! And, I can’t even claim that I ate paleo-style for all those pregnancies…

    • Paleo isn’t the only way to healthy skin. For many of us it is the only way to healing after a lifetime of the SAD but there are plenty of people eat grains and have lovely wrinkle free, stretch mark free skin. They are the ones who eat off the bone and eat nutrient dense foods in general.

  11. Add me to the list of those who got stretch marks at puberty but didn’t get them while pregnant. I had a hard time staying completely paleo or primal during pregnancy, but I certainly ate my share of good foods, lots of fats, animal products, etc.

  12. Congratulations, Peggy! A book deal is fantastic! You are definitely the lady to write it. I wish I had eaten Paleo,or at least Primal, during my pregnancies. Can’t wait until your book comes out.

  13. I have them on my chest, biceps, thighs, and waist. Going into high school I weighed 164lbs, and when I graduated I was right at 230lbs, my heaviest was about 240-245lbs (I’ll note that I’m 6’3″). I really got into lifting weights, and I put on quite a lot of muscle mass, but I also packed on the fat because I would eat everything in sight. I didn’t know much about nutrition other than protein is good for your muscles. Not only did I suffer stretch marks because of this, but I also had a lot of acne on my back because I was eating foods that just were so proinflammatory.

    The years that followed my stretch marks were always sort of white to pinkish, and the back acne continued until I found paleo. As the excess adipose tissue burned away, and my body started to heal, my stretch marks became smaller and more transparent. My back acne cleared up too.

  14. Hmmmmm, I’m thinking about trying to get pregnant next summer…sounds like perfect timing!

  15. I got plenty of puberty stretch marks on my inner thighs, but zero during my non-paleo pregnancy…I was 95% gluten free and high protein, but definitely not paleo. I wonder if those minimal changes were enough to make a difference? I still ate g-free versions of SAD food and sugar and crap. I got HUGE. I’m short and baby had nowhere to go but out! My mom had the same experience – lots in puberty and none in any of her pregnancies, even the twins.

  16. I think this is post going to help a lot of women! I also got stretch marks on my hips during a growth sport when I was 12 years old. I was prepared to get them when I would be pregnant and though it made me sad I thought it was my price to pay to become a mother. A side not: My mother never got one when she was pregnant with me and she is smaller than I am – less room for the belly to expand – so I there was a glimmer of hope left! I was lucky and didn´t get a single stretch mark during my pregnancy. I didn´t eat Paleo then but my nutrition was a very healthy version of the standard diet (I craved more meat than before and I had it). It also might have helped that I only gained 15-18 pounds. I however, suffered from vaticose veins during my last trimester. They vanished right after giving birth but I expect them to be a bigger problem in a second pregnancy. I rubbed my belly twice a day with an organic oil. I do not know if it helped (my skin felt good and never was itchy) but it definitely spoiled every nightgown I wore! I think genetics might have helped and the fact that I am 5 feet 8 inches tall and that my belly stayed small. But I totally agree with you: There is no reason to think nature has intended stretch marks to occur. Having babys is the most natural part of life – why should it cause harm to the body? It would be interestung to know if wild animals get them but either they are covered with fur or they are elephants and their skin looks…special!

    • I also managed to avoid stretch marks through my 3 pregnancies and I give some credit to rubbing olive oil and coconut oil on my belly religiously, especially in the later months. I’m a very tiny woman and my belly was enormous every time. I tend to think the oil helped because if I didn’t use enough of it the skin on my belly would itch and feel tight. I wasn’t eating paleo at the time either, though my diet may have been a little better than the SAD. You’re right though, you diefinately have to wear clothes that you don’t care about ruining!

  17. I got them at puberty too, on breasts and tighs. They are white now but still pretty visible. I completely agree that the problem lies in nutritional deficiency due to hormonal inbalance. The problem is how to solve the hormonal inbalance? that’s the tough one….

  18. So cool to see someone else’s observations on this! I’m having a similar experience. Puberty left me with a whole network of stretch marks on my boobs, thighs, and butt (and I was in no way overweight at the time!). They’ve faded a lot, and these days I can only see them if the light is just right. Now, 7+ months pregnant with my first child, my belly is huge, but so far no stretch marks (I’m probably jinxing myself, with two months to go). I am gobsmacked by this. I fully expected to have brutal stretch marks by now, given what I experienced at age 14.

    But like you, my diet and hormones were really messed up at puberty, and I’m basically paleo now. I make and eat bone broth like it’s going out of style, and any connective tissue that doesn’t dissolve in the pot, I eat with great pleasure (gristle never tasted this good before– my body must need it), along with the softened ends of the bones (yum!). It’s really the closest thing I’ve experienced to a pregnancy craving. I’m hoping it’ll continue to keep the stretch marks at bay for the next two months.

    • That’s so awesome that you gobble up the yucky bits! My boyfriend’s Colombian grandmother chews on gristle and connective tissue. I only wish I had a taste for that stuff!

      • I remember my own grandmother doing this– she would take the bones from our plates when we were done eating, and not only eat the gristle, but also crack open the chicken bones and eat the marrow. I thought this was odd when I was a kid. Now I think it’s hilarious that I do it too.

        • Haha yep. His grandmother does the same. I don’t know where yours is from but there’s not a lot of money in Colombia so they’re pretty accustomed to getting all the nutrition out of their food. It’s pretty cool to see. Sooooo different from our American ways.

          • My Granny was a regular white southern lady. I think her habits were shaped by growing up poor with ten siblings during the great depression– times were hard, you didn’t waste anything. Subsistence food cultures have similarities the world over, I imagine. She was far from primal but even at seventy she had nice skin. Never got wrinkles.

  19. Love your blog Peggy! I am 6+ months pregnant with my first child, have been paleo for about 2 years now, and knock on wood have no stretch marks yet. Do they typically show up *while* you are pregnant or after? My butt is covered in puberty-era stretch marks so I’m very tickled that I haven’t seen them on my belly yet!

    PS I second Methylethyl’s comment about craving bone broth, can’t get enough of the stuff!

    • Hey Bethany, congratulations! They would show up while you’re pregnant, yes. Possibly not until the home stretch, though. I was the same, biting my nails the whole time. While I was Paleo and into health, I didn’t know anything about stretch marks back then. I was absolutely shocked when they didn’t appear. Thought it was genetic and inevitable. I was lucky to have improved my nutrition and hormonal balance before getting pregnant.

  20. All that talk about bone broth: I am currently not pregnant but I would like to prepare bone broth at home (from chicken bones). I wonder where to get the bones from? Do I have to make chicken soup first and collect the bones for making broth later? Or is it possible to buy bones (maybe a stupid question but I do not know if it is weird to ask at the place where I use to buy my organic chicken if they sell me a lot of bones :-) ).

    • Iris, you can use the bones from an already cooked chicken carcass if you want, once you’ve finished eating it. Or you can throw the thighs and breast on the bone in a crockpot and slow cook it for a few hours (with plenty of salt). Or you can ask the butcher specifically for bones and make bone broth out of that – necks, backs, breast, whatever. They cut all that meat off the bones, often they’ll give it away. They’re just going to pitch it anyway.

  21. I’ve always been a teeny person (5′ ~98 lbs.) and didn’t get stretch marks until my pregnancy at the age of 20. Funny thing is… I slathered cocoa butter all over my tummy and breast, thinking these were the areas I’d get stretch marks. Well, I never got any, woo hoo! However, I ended up getting them on my hips, boo.

    I really have no way to know if it was actually the cocoa butter (I doubt it though). I was in pretty good shape before my pregnancy although my diet wasn’t great. While I ate a lot of refined carbs and junk food, I at least ate lots of animal fat and protein, I never bought into the whole low fat deal. I did crave a lot of fresh food during my pregnancy though so that may have helped a bit.

    Regardless though, if I decide to have another baby, I would eat healthy for the sake of being healthy. Stretch marks are no biggie. I call mine tiger stripes! Rawr.

  22. Oh and I forgot to add, congrats on your book, how exciting! I expect it will be a wonderful resource, just like your blog. I’m afraid reading it might entice me to get baby-making haha :P

  23. I got hidous stretch marks with my first pregnancy. And it was a whole body thing too – behind my knees, on my arms… everywhere. I also got Puppp (a crazy itchy inflammatory response to stretchmarks). Any guesses what my diet was like?! I didn’t get stretchmarks with my other two, where my diet was better (if not great) and believe me none of them were small babies!

  24. I also had stretch marks as a teenager. It happened when I hit puberty – I also gained about 20 pounds in a year and wound up with silvery lines on my hips and breasts (I developed pretty rapidly there, so that’s why I thought it happened).
    Like you, those marks have faded and are not very noticeable since I’ve been thin my adult life.
    During my pregnancy, I was not paleo. In fact, I ate horribly. I didn’t set out to, but I ended up suffering major depression during my pregnancy and found it hard to take care of myself. I’m fortunate I didn’t give myself or my baby diabetes. Just thinking back on it makes me feel terrible.
    I didn’t gain much weight outside of my belly. I didn’t start showing until 7 months and then it was rapid progression. I got big fast. But, I have no stretch marks from it. I was utterly amazed that I didn’t get them, as big as I got (I had a big baby too).
    I’m not really sure what I did that would have given me that outcome considering I was not getting enough vitamins and not eating well at all during pregnancy. I wish I had known about Paleo eating sooner because it seriously saved me from major postpartum depression, I believe. I started to eat paleo less than a month after my baby was born.

  25. I thought for sure I would get stretch marks, but I didn’t (thanks to Paleo!). Congratulations on the upcoming book!

  26. As you have tested so many diets I would like to ask you what effect on your ability to maintain your “happy weight” the very different ways of eating had. Did you notice any difference in how easy it was to stay lean? I am asking because I have made the experience that a(very) high fat intake just leads to too many calories for me and with moderate carb and moderate protein and not to much (added) fat it is easier to have a rought idea about how much I actually take in (not as many “hidden” calories copmared to (added) fat)…

    • I have found that a diet high in saturated fat is problematic for me for a few reasons. One, I always seem to struggle with a little cellulite when I eat lot of SF. Two, my pores clog and I get black heads. Three, I eat too damn much. Three, I get really addicted to saturated fat and will want to just eat and eat. I could eat two pemmican bars in one sitting. That’s like 800 calories!

  27. Sorry, I posted my comment under the wrong blog post, it was meant for the “acne cure article”, excuse me!

  28. I’m so excited you’re writing a “real” book! I’ll be sure to put it first on my list when I’m ready for a baby. Congratulations!!!!!

  29. Hey, Yeaaay your gonna publish a book on pregnancy. Too bad my baby will be out by than but I have your blog and all the paleo readings I’ve accumulated over the last 7 years.. So interesting article I’m 25 weeks today and hardly show much, obviously no sign of stretch marks. BUT when I was young I gained a ton of weight really fast and still have some marks from that, only on the hips, butt and thighs though (Im a pear shape) and like you said, not so noticeable anymore especially when weight is down. My mom didn’t get any from me either and she is TINY, like 5’1-5’2 very petite and I was 8.5-9 lbs and Im well much taller and larger than her today. She claims it was the use of coco butter (of course we know this isn’t a miracle cream) and sun bathing? Anyways I think it helps with paleo but I’m definitely not as strict as I should be right now! But I workout a lot, I lift weights still which is my main passion and its kept me trimmer and than Im working which keeps me on my feet for 6-8 hours. I plan to do it till I pop If Im lucky so far I don’t feel pregnant, I just look bloated. I will keep up being as close to paleo as I can. I take fermented CLO and ironically I was taking zinc so as not to get sick otherwise I’m wary of synthetic vitamins. But I’m curious about using A on the skin topically! It increases collagen? Interesting, off to research as usual. Keep up the awesome blog and I sooo look forward to your book!!

  30. I had long suspected that stretch marks were diet-related, but I wasn’t on the Primal diet at that time. On top of that I had a hard time eating well because of morning sickness (which was also diet-related!) The things I could manage to keep down were horrible like noodles. Oh well, wish I knew then what I know now. I have lots of stretch marks although they are slowly healing up now. Thank you for the great info on your blog, I love it!

    • I hear so many pregnant women say that all they can stand to keep down are crackers and such. If only they would stop eating wheat and really commit to eating healthy the morning sickness might not strike so hard and they would be able to eat better. And then in the end they’d end up better off all around!

      • And you really need to implement these dietary changes long before you conceive to try to prevent morning sickness from starting in the first place. I know all too well that once that nausea strikes you are pretty much at its mercy as far as diet goes. You’d think we’d actually crave things that are good for us while pregnant, but I guess our bodies are probably screwed up from eating badly in the first place. Oh, the things I wish I’d known before having my babies…

  31. I got the hip stretch marks from puberty and I got marks on my breasts from pregnancy. I got none on my belly. I used olive oil and an essential oil blend that is supposed to help with scarring. So either the oil worked or I don’t scar on my belly. Who knows. The information you present is interesting though. Makes sense that well nourished skin would be more elastic.

  32. Great article, thanks! I wanted to print it out and I noticed you don’t have a little handy printer button to print your articles in a printer friendly way that is usually on blogs, do expect to have one soon? Also, is there a way to contact you via email? Thanks!

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  35. I’ve been Paleo for a few years now – I LOVE it! I had such an easy time when pregnant with my now nearly 3 year old son, no stretch marks, very few, if any ‘symptoms’ (definite increase in appetite).
    I’m pregnant again, and it’s been easy this go around too so far (I’m 1/2 way). I truly believe it’s diet that effects whether or not you get stretch marks – my mother (pregnancies) and 2 sisters (puberty and freshman 15) have them, and even my father too from weight lifting!
    I was lucky enough to not each much, if any bread when going through puberty, I figured out at a young age it made me feel like crap, and get all sorts of messed up internally (turns out I have celiac!).
    Great article, I’m sharing it with all the preggos I know, who keep asking me how I didn’t get stretch marks with my son – don’t eat crap!
    Will be looking for the book