Step 1: Egg Collection from patient – 10-15 eggs per cycle Step 2: Metabolomic Assessment – identifies mitochondrial dysfunction (mtDNA depletion) Step 3: Granulosa/Cumulus Isolation – harvest healthy mitochondria from donor cells Step 4: Mitochondrial Enrichment – magnetic-activated sorting & concentration Step 5: Oocyte Rescue – intracytoplasmic injection of healthy mitochondria Step 6: Metabolic Rejuvenation – 24h culture to restore ATP production Step 7: In-vitro Maturation (IVM) – up to 27 % euploid blastocyst rate reported Step 8: Magnetic-activated cell sorting (MACS) – separates high-motility sperm Step 9: Fertilization – ICSI using rejuvenated oocytes + MACS-sorted sperm Step 10: Blastocyst Culture – extended culture to day 5-6 Step 11: Viable Embryo Rate – 82 % vs 45 % control Step 12: Embryo Transfer – single embryo transfer recommended Step 13: Pregnancy – clinical pregnancy rate 64 % (age-matched controls 42 %) Journey MORE 2025 Metabolic Oocyte Rejuvenation & Enhanced Embryo Outcomes