Join the ‘Worthy - Exactly As You Are’ Community on Substack

Tired of being told your weight is the reason you're struggling to conceive? Over being dismissed, judged, or told to shrink before you're taken seriously? Worthy is a radical, unapologetic space for fat folks navigating fertility on their own terms — no weight loss required.

Founded by Nicola, the world’s only fat-positive fertility specialist and author of Fat and Fertile, this Substack offers weekly truth-telling posts, real-life stories, advocacy tools, and expert insights — all rooted in Health at Every Size® principles. It's a space where you don’t have to explain, justify, or shrink. You get to be exactly as you are.

Subscribe for free to get weekly emails and podcast episodes — or become a paid subscriber for deeper dives, exclusive resources, community discussions, Q&As, and more.

👉 Join because your fertility journey deserves respect, not restrictions.

Best Fertility Advocate Award 2024

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WINNER

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Best Fertility Advocate Award 2024 • WINNER •

  • "I now feel more positive and in control of my lifestyle and more accepting of the challenges of this fertilty journey and everything it brings up. I feel more able to accept difficult emotions rather than shutting them out or beating myself up about feeling them. I have made significant changes to my diet and self-care regime (including making more time for meditation, exercise and better sleep!) and feel very good about this. Not so specific but I have a deeper sense of genuine hopefulness for the future whatever it brings."

  • "Having Nicola is like having a personal fertility cheerleader—helping me with tiny, manageable action steps to improve my health and calm my anxiety. She always reminds me that my fat body is 100% capable of getting pregnant."

  • “I honestly don’t know how people do it alone. Nicola’s guidance and support have been instrumental in keeping me positive and hopeful about what’s ahead."

  • "Nicola’s program taught me to think outside of the mere mechanics of conception and consider my wellbeing holistically....we identified other influences in my life which may have been having a negative effect and found solutions so I could control the impact they were having on me. The exercise and diet suggestions I am sure not only helped me conceive, but have found a place in my everyday life, and I am still using the relaxation and mindfulness techniques suggested."

  • "I would highly recommend Nicola – it really helps to have someone there to support you along the way, helping you make important changes to improve diet and lifestyle and stop you worrying as much! I’d never heard of a fertility coach before coming across Nicola, but more women should have one, it’s a very valuable service. It felt like talking to a really knowledgeable friend, who genuinely cared. The added touches of cards and little emails to help me stay on track were so thoughtful and much appreciated."

  • "After almost 2.5 years of trying, we are pregnant! I’m through the first trimester now, and everything seems to be going great. I’m not scared of miscarriage or post partum depression, because I feel like I have a strong foundation. My relationship is healthy, I know what makes me happy, and I am ready to bring a brand new person into my already fulfilling life. Thank you, Nicola, for helping me make my family a reality."

  • "When we started working together I was feeling overwhelmed and afraid that engaging more with fertility coaching would cause it to further dominate and consume my life – in fact the opposite happened – I feel more empowered to honour the importance of this journey and what comes up but also able to hold and focus on other parts of life. I feel the changes I have made have been positive for my overall wellbeing as well as my fertility."

  • Nicola Salmon Award Winning Fertility Advocate

    Best Fertility Advocate

    Award winning fertility advocate

  • 7000+ Fat Folks Helped

    Supported thousands of people through their fertility journey via 1:1 mentoring and group coaching

  • Nicola Salmon Award Winning Fertility Coach

    Certified Coach

    Dual-certified coach in Non-Diet Health Coaching and Ingetrative Fertility Coaching