Rockwell Nutrition Premenstrual Syndrome (PMS): Natural Effective Solutions Premenstrual Syndrome, or PMS, is the term given to a collection of symptoms that occur around or during menstruation. PMS affects millions of women to varying degrees at some time during their lives. Although the effects of PMS are largely psychological in nature, PMS does not indicate any psychological weakness. Once the causes of PMS are identified, the nutritional and hormonal imbalances that cause PMS can be corrected, and a healthy, uneventful menstrual cycle can once again be expected by most women. high, leading to a condition known as "hyperestrogenism." It is this elevated level of estrogen that causes many of the symptoms associated with PMS, such as breast tenderness, bloating, and cramping. Neurologic: headaches, dizziness, light-headedness Improving the body's ability to metabolize estrogen is important for more than alleviating PMS, however. Lowering high estrogen levels is important for avoiding estrogen-related cancers. Too high a level of estrogen, specifically the estradiol form of estrogen, has been shown to stimulate certain forms of cancers, especially cancers of the breast and ovaries. Excess estrogen also decreases the effectiveness of insulin, the hormone secreted by the pancreas that controls sugar metabolism and weight control. The avoidance of hyperestrogenism, therefore, is a cornerstone in establishing a woman's overall health. Gastrointestinal: Nausea, vomiting, constipation, abdominal bloating, cravings The Three Estrogens The symptoms of PMS can vary with each case. A woman may experience one or more symptoms related to any of these systems: Psychologic: irritability, lethargy, low self-esteem, depression, anxiety, crying spells Skin: Acne, rashes Mammary: swelling, tenderness Researchers have also divided PMS into types based on grouping of symptoms: Type A: Anxiety, irritability, mood swings Type C: sugar cravings, fatigue, headaches Type H: weight gain, bloating, breast tenderness Type D: depressions, confusion, memory loss Dysmennorhea: cramps, lower back pain, nausea, vomiting What Causes PMS? One of the most common causes of PMS is an excess of the hormone estrogen in the bloodstream. In the luteal phase of the menstrual cycle, the two weeks prior to menstruation, estrogen normally rises. In those with PMS, however, estrogen levels go too Estrogen is present in your body in three different forms. Each has dramatically different effects on your body. Learning about the differences between each of the three different estrogens can lead to a greater understanding of why PMS and other estrogen-related problems occur, and what can be done to eliminate the causes of hormonal imbalance. Estradiol is the name for the estrogen that is produced by the follicles of your ovaries and, in smaller amounts, by your adrenal glands. This longchain estrogen can, in excess, lead to many of the symptoms associated with PMS such as bloating, breast tenderness, and other symptoms. It is also the type of estrogen most closely correlated with estrogen-related cancers. Excess estradiol can also lead to vaginal yeast infections if present in great enough amounts. Estradiol, however, can be metabolized by the adrenal glands into a second estrogen: estrone. Estrone is less likely to be involved in PMS and is thought by researchers to be less likely to cause cancer. Your adrenal glands are "stress management" glands that sit atop your kidneys. If your adrenals are to function well enough to make this important transformation from estradiol to the more desirable estrone, your adrenals must be healthy. They can only be healthy when you get enough rest, avoid sugar, caffeine and alcohol, and have an adequate intake of such crucial adrenalsupporting nutrients such as Vitamin C, Pantothenic Acid, Vitamin B-6, Vitamin A, and essential fats from flax and borage oil. important role in keeping your liver functioning optimally. Adequate water consumption, preferably distilled or from succulent foods such as fruit, are also important in keeping the liver clean. Only with healthy liver function can PMS be successfully managed, for the liver plays the most prominent role of any organ in achieving a balance among all the body's hormones. The liver does not become sluggish overnight, and cleaning this valuable organ takes time as well. If the liver is filled with toxins, removing those toxins may cause slight nausea or headaches for a short while. Although this slight discomfort may not be pleasant, the end result is well worth it: a more optimal level of health and a greater freedom from the ravages of female hormonal imbalance. The third type of estrogen is called estriol. Estriol does not lead to the symptoms of PMS as do other estrogens. Decades of research in Europe have shown that estriol has a protective effect against cancers of many kinds. This has lead many researchers to believe that helping your body Dietary recommendations metabolize estrogen into estriol is one of the most important ways women can protect themselves Those suffering from PMS should completely against estrogen-related cancers as well as other eliminate sugar and white flour products from their problems associated with too much estrogen. diet. High fiber foods such as whole grains, beans and fruits should be used as the sole source of Estriol is made in the liver from estrone. In order for carbohydrates. Extra protein is recommended, and the liver to make this conversion, the liver must be protein foods such as lean meats, fowl, and lowfat functioning optimally. In our modern society, cheeses should be eaten when premenstrual cravings however, optimal liver function is rare. According surface. Coffee should be limited as much as to the Journal of the American Medical Association, possible due to its negative effects on the liver and seventy-seven percent of Americans have impaired adrenal glands. Though decaffeinated coffee is liver function. If we have been insulting our liver better, coffee substitutes are best. Roasted coffee with pollution, alcohol, coffee, sugar, white flour beans in any form damage the liver. products, and a high-fat, low fiber diet devoid of essential nutrients, our liver is not likely to be Nuts such as unsalted raw almonds and raw almond functioning at its best. Getting the liver to function butter are an excellent snack, especially on a whole optimally again is necessary if we are to be healthy, grain cracker. Though almonds have significant fat and to have the liver convert as much estrogen into content, they have been shown to lower cholesterol estriol as possible. better than olive oil, and these nuts offer a terrific amount of minerals needed by the female body. The liver is an amazing organ which performs Magnesium, potassium, zinc, selenium and vitamin thousands of tasks daily. One of its tasks is to clean E are just a few of the valuable nutrients richly your blood of the chemicals from the environment supplied by raw almonds. Due to this nutrient that would otherwise build up in your body and density, this snack often quenches cravings quickly. make you sick. The liver, however, also must be Soaking almonds for eight hours is recommended, as cleaned, or these chemicals will accumulate and this allows them to be digested better. Roasted nuts damage the liver. A generous supply of such liver are not recommended, as they stress the liver and cleaning nutrients such as vitamin C, vitamin E, immune system. choline, inositol, and health enhancing herbal preparations such as milk thistle extract can play an Specific Nutrients Natural Vitamin E: Of the many specific nutrients which help alleviate symptoms of PMS, vitamin E is one of the most prominent. Many of the inflammatory problems associated with PMS come about due to an imbalance in hormones called prostaglandins. Vitamin E, in amounts of 400 IUs daily, has been shown to enhance the body's production of Prostaglandin E-1, the anti-inflammatory prostaglandin that can help relieve these symptoms. Vitamin E is also believed to play an important role in lowering body estrogen levels. GLA: Another important nutrient needed for the production of the beneficial Prostaglandin E-1 is an essential fat called GLA. In healthy individuals, GLA is manufactured by the body from other fats such as safflower and sunflower oil. However, such things as stress, alcohol, margarine, fried foods, and saturated fats as well as missing vitamins and minerals can stop your body from making GLA. We make less GLA as we age, and some persons, no matter their age, do not have enough of a key enzyme that turns vegetable oils into GLA. With this valuable step missing, GLA cannot be manufactured, and GLA becomes an essential nutrient. GLA is well known for its ability to encourage superb skin tone, increase energy levels, and rebalance prostaglandin production so that the inflammatory symptoms of PMS are ameliorated. Prostaglandin E-1 stimulates the brown fat to burn fat, so GLA is often used as a powerful ally in weight loss as well. Zinc : Excess copper levels in the body often lead to increased estrogen levels, worsening PMS. Too much copper can cause headaches, and lead to a craving for foods high in copper such as chocolate. Copper in excess will also lower body zinc levels. Zinc, an essential mineral involved in blood sugar regulation and appetite control, is a mineral associated with progesterone production. Progesterone is often prescribed by doctors who treat PMS because it is the hormone which keeps estrogen in balance. Progesterone is highest during the first two weeks of the menstrual cycle. This is why PMS ends for many with menstruation, for progesterone rises and lowers estrogen levels. Zinc plays a valuable role in removing excess copper from the body, thus helping the body to stop manufacturing estrogen in excess quantities. Zinc also allows for adequate progesterone, which also balances body estrogen levels. Individual doses will vary, but if testing indicates high copper levels, or PMS is severe, 50 to 75mg of zinc daily as zinc glycinate may be helpful. Zinc glycinate has been found to be up to five times better than other, cheaper forms of zinc such as zinc gluconate. Vitamin B-6: The entire B-complex, with B-6 the most prominent, is essential for the healthy metabolism of fat, carbohydrates and protein in your body. B-6 helps avoid the bloating of PMS, and the entire Bcomplex is needed to support healthy liver and adrenal function needed for a healthy menstrual cycle. Many studies have shown that oral contraceptives have a vitamin B-6 depleting effect, further indicating a need for this valuable nutrient. Pyridoxyl-5-Phosphate is an activated form of B-6 that some find more effective when regular B-6 does not help with premenstrual bloating. Magnesium : This mineral is thought to be one of the most commonly found deficient in PMS. Magnesium is important for avoiding menstrual cramps, irritability, fatigue, depression, and water retention. Magnesium is also believed to have a positive effect on balancing blood sugar and is therefore useful in getting rid of inappropriate food cravings. Chocolate is one of the richest food sources of magnesium, and magnesium supplementation often relieves the craving for this food. Supplementing 400 mg magnesium daily, balanced with 500 to 1000 mg calcium are the amounts suggested by most researchers to be the most effective. Lipotropic Nutrients: This is the name given an entire class of nutrients that support healthy fat metabolism and support liver function. They include vitamins such as Phosphatidyl Choline and Inositol, which Carlton Fredricks, Ph.D. often recommended to women who wish to reduce their risk for estrogen related cancers. These nutrients allow the liver to convert estrogen to its anti-cancer form. Other important liver supporting nutrients include folic acid, vitamin B-12, and adequate protein in the diet. Milk Thistle One of the most exciting nutrients recently discovered for healthy liver function is the extract of the milk thistle plant called silymarin. This natural product has been researched extensively in Germany, and is taken by people throughout the world as a natural way to protect the liver against environmental toxins and to encourage optimal liver function. Many doctors throughout the U.S. are using silymarin to treat chronic fatigue syndrome, poor immune system function, as well as PMS. Quicker recovery times were noted, as well as marked improvement in liver function. PMS has been found to occur more often with women who live with men than women who live alone. No explanation has been offered for this phenomenon. PMS has also been found to occur more often in women who live in northern latitudes. Sunlight plays an important role in helping the body create essential fats. Sunlight also stimulates the pineal gland in the brain to produce melatonin, an important hormone which balances other hormones usually found in excess in PMS. Benefit may therefore be found in moderate amounts of sunshine daily. PMS is a complicated array of symptoms which are due to many causes. Nutrition has much to offer in alleviating these symptoms. Stress management, however, may be one of the most important. A moderate exercise program, along with addressing whatever emotional stresses may be present are critical to eliminating the psychological causes that can exacerbate hormonal imbalances. Only when such a complete approach is taken, and all areas of life are examined for imbalances and excesses can thorough and lasting results be expected. Progesterone Cream: One of the most effective products for PMS prevention is Progesterone Cream. Use one pump per night for the last two weeks before your period. You will notice much fewer cramps (if any), and your PMS symptoms will decrease significantly. Read more about what Dr. John Lee, our country’s expert on progesterone, says about the causes and treatments of PMS using Progesterone Cream at: http://www.johnleemd.com/johnleemd/expmsandpro g.html