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Articles for
Menopause
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Menopause
AUSTRALIAN FACT SHEET: Vitamins for Menopause
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06/02/2008
Australian Fact Sheet: Vitamins for MenopauseAbout Menopause Menopause is the natural occurrence that marks the end of the female reproductive years. It's the last menstrual period in a women's life. Most women reach menopause between 45 and 55 years of age. Symptoms of Menopause Apart from not having a monthly bleed for over 12 months, women sometimes experience other symptoms like night sweats, aches and pains, forgetfulness, headaches, irritability, reduced libido, frequent urination and vaginal dryness. Vitamins for Menopause Some vitamin products are believed to reduce the symptoms of menopause including: - Black Cohosh
- Vitamin E
- B Vitamin Complex
- Red Clover
Black Cohosh Black Cohosh is a well known supplement that is said to support female health around the time of menopause. Studies have documented that Black Cohosh may help support the physical and emotional changes that occur in a women's body during this time including hot flashes, night sweats, occasional sleeplessness and emotional issues. It is recommended that menopausal women wishing to supplement with Black Cohosh take 2mg of active ingredient per day. Vitamin E Vitamin E is a powerful antioxidant that helps to fight free radicals in our cells. It is sometimes called the 'menopausal vitamin' because it is said to have chemical activities similar to Oestrogen. It may be beneficial in the relief of hot flashes and the psychological symptoms of menopause. The recommended dosage of vitamin E is quite low at 15IUs, however many doctors prescribe larger volumes for menopausal women at 200-400IUs of Vitamin E twice a day. Always see your doctor before supplementing with Vitamin E. B Vitamins The B vitamins are a group of nutrients that are involved in the functioning of the nervous system and in maintaining healthy skin, eyes, and hair. It has been suggested that menopausal women may benefit from taking a balanced vitamin B complex vitamin supplement to support the common menopausal symptoms of anxiety, poor sleep and loss of libido. Vitamin B6 for women undertaking HRT Women who undertake Hormone replacement therapy (HRT) are susceptible to deficiencies in vitamin B6 and may choose to supplement with this vitamin. The recommended dosage of vitamin B6 for menopausal women on HRT is 50-100mg per day. Red Clover Red Clover is found in many herbal forumulas for menopause and is said to help reduce symptoms including hot flashes, nights sweats, mood swings and irritability. The recommended daily dosage for menopausal women iwishing to supplement with Red Clover is said to be 800mg per day. Where to get help for Menopause Your doctor is the first port of call. The Jean Hailes Medical Centre for Women 03 9562 7555 Disclaimer Healthy Comparisons does not give or purport to give any medical or healthcare advice and is not qualified to do so. You should not under any circumstances substitute qualified medical advice with information found in this fact sheet. The information contained in this fact sheet does not take into account the physical state, medical status or health requirements of any particular individual which are relevant to the proper diagnosis and treatment of any problem, condition or disorder. You should never use or act upon this information without first properly consulting, and seeking proper information and advice from, a qualified healthcare professional. Healthy Comparisons, its related companies and its licensors expressly disclaim all responsibility for and liability in respect of the accuracy of the information provided in the website, its improper application and the consequences of anyone's failure to obtain a proper medical examination and advice from a qualified healthcare professional in the relevant circumstances. © HealthyComparisons.com.au 2008
Healthy Eating - Women 51-70 years old
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09/05/2008
Women 51-70 years oldThis information is based on the Nutrient Reference Values for Australia and New Zealand Including Recommended Dietary Intakes, the Dietary Guidelines for Australian Adults, Dietary Guidelines for Older Australians and The Australian Guide to Healthy Eating. These recommendations are for healthy people with standardised weight, height and estimated energy requirements and may not meet the specific requirements of individuals. Specific advice for individual needs should be sought from a qualified dietitian.
Healthy Eating Guidelines for Women aged 51 - 70 years The Australian Guide to Healthy Eating recommends the following servings per day: 4-9 servings for 19-60 year old women or 4-7 servings for 60+year old women from the bread, cereals, rice, pasta, noodles group An example of one serve is 2 slices bread; 1 medium bread roll; 1 cup of cooked rice, pasta or noodles; or 1 1/3 cups of breakfast cereal flakes.
There is an allowance of about 20g a day for poly or mono-unsaturated fats and oils that can be used to spread on breads or rolls or used elsewhere in the diet. An example of one serve is 75 grams or 1/2 cup cooked vegetables; 1/2 cup cooked dried beans, peas, lentils or canned beans; 1 cup of salad vegetables; or 1 small potato. An example of one serve is 1 medium apple; 2 small pieces (150g) of fruit (apricots, kiwi fruit, plums); 1 cup of diced fruit pieces or canned fruit; 1/2 cup of fruit juice; or 1 1/2 tablespoons of sultanas. An example of one serve is 250 ml of milk; 250 ml of calcium-fortified beverage ; 40 grams (2 slices) of cheese; or 200g (1 small carton) of yoghurt. 1 serving from the meat, fish, poultry, eggs, nuts and legumes group. An example of one serve is 65-100 grams cooked meat or chicken; 2 small chops; 2 slices of roast meat; 1/2 cup of cooked dried beans; 80-120 grams of fish fillet; 1/2 cup peanuts (almonds); or 2 small eggs.
Note: You get plenty of fats and oils from the amount used with cereal foods and from meat, eggs, cheese, peanut butter, margarine, etc so fats and oils are not included separately.
For more information, check out the Australian Guide to Healthy Eating at: http://www.health.gov.au/internet/wcms/publishing.nsf/Content/health-pubhlth-strateg-food-recommend.htm
Energy requirements (kilojoules / day) Energy requirements vary depending on age, gender, body size, activity levels, and whether or not the woman is pregnant or breastfeeding. The body's metabolic rate and energy requirements, tend to decrease with age. For more information on energy requirements, see your local dietitian or follow this link to the Nutrient Reference Values for Australia and New Zealand Including Recommended Dietary Intakes and go to page 20: http://www.nhmrc.gov.au/publications/_files/n35.pdf
Heights and weights are indicative. To convert mega-joules (MJ) to kilojoules, multiply by 1000.
Physical Activity For the general adult population, regular physical activity is good for your body, good for your mind and makes you look and feel better. For example, physical activity can help to control: Physical activity also reduces the risk of heart disease, stroke and some cancers. It helps to manage pain, helps to maintain and increase joint movement and helps to prevent fall and injury.
Physical activity can reduce stress and anxiety, improve concentration, improve self-confidence and reduce feelings of sadness.
Physical activity gives you more energy, helps you sleep better, helps you to relax, helps you to meet people and make friends, is fun and tones your body.
All adults should try to Think of movement as an opportunity, not as an inconvenience. Be active every day in as many ways as you can. Put together at least 30 minutes of moderate-intensity physical activity on most, preferably all, days. If you can, also enjoy some regular, vigorous activity for extra health and fitness. Why 30 minutes? 30 Minutes is needed to keep your heart, lungs, muscles and bones in good working order. But if you can’t do 30 minutes now, start with 10 minutes once or twice a day. After two weeks, make it 15 minutes twice a day and you will have reached your goal of 30 minutes a day. If you can do more than this, there will be additional benefits. If you can’t get to 30 minutes a day, don’t worry. Any amount of additional physical activity will improve your health.
What is moderate activity? Moderate intensity means you don’t have to puff and pant. You don’t have to work up a sweat – but if you do – it’s OK. Brisk walking is great moderate activity. If you don’t like walking, try working in the garden or going for a swim.
Don’t forget to consult your Doctor before commencing physical activity or if you have a medical condition.
Physical activity is particularly important for women in this age group to help prevent or delay the onset of osteoporosis (see section below “Reducing the risk of Osteoporosis”.
Healthy Eating for Women aged 51 - 70 years The nutritional needs of women change after they go through menopause. The lower levels of the hormone oestrogen that occur after menopause increase women’s risk of heart disease and osteoporosis. A woman's energy requirements also tend to drop at this time. If you eat more energy (kilojoules) than your body needs, this will lead to weight gain, and can increase the risk of developing Type 2 Diabetes, heart disease and some cancers.
Reducing the risk of developing Heart Disease After menopause, reduced oestrogen levels lead to a decrease in the production of High Density Lipoprotein (HDL) cholesterol and an increase in the production of Low Density Lipoprotein (LDL) cholesterol. LDL cholesterol is a ‘bad’ cholesterol because too much of it in the bloodstream can build up into fatty deposits causing narrowing of the arteries leading to heart disease and stroke. HDL cholesterol is a ‘good’ cholesterol because it helps to take the LDL cholesterol out of the bloodstream.
To maintain the health of blood vessels and help prevent heart disease after menopause try to: Limit your intake of saturated fats as these increase LDL-cholesterol production. Saturated fats are commonly found in animal foods such as fatty meats and sausages, butter, cream, full cream dairy products, and in take away foods and commercially baked biscuits and cakes. Coconut and palm oils are also high in saturated fats. Cut down your saturated fat but retain essential nutrients in your diet by choosing lean meats and reduced fat dairy products. Have fats in moderately small amounts. When choosing fats, select poly- or mono-unsaturated margarine or oils. Nuts and seeds mostly contain these types of fats. Mono-unsaturated oils include olive and canola oil. Poly-unsaturated oils are vegetable oils (sunflower, safflower, corn, soy). Include fish in your meals at least 1 to 2 times a week. Fish contains omega - 3 fatty acids, which can reduce blood fats and blood clotting. Fish with edible bones is also a good source of calcium. Include a variety of fruit and vegetables. They are high in anti-oxidants, which help prevent damage to blood vessels. Eat high fibre foods such as oats and legumes as these may help reduce cholesterol levels, and remember to drink plenty of water to assist the body in handling a higher intake of cereal fibre. These tips can also help manage a healthy kilojoule intake to promote a healthy body weight.
Reducing the risk of developing Osteoporosis Lowered levels of oestrogen in the blood lead to a gradual loss of bone strength and density. This thinning of the bones during and after menopause can lead to a condition called osteoporosis, where there is an increased risk of bone fractures.
To help slow down the loss of bone: Maintain an adequate calcium intake (see more information under 'Calcium'); Limit use of salt and alcohol. These can interfere with the body's balance of calcium because they increase the amount of calcium lost in the urine; Do some regular weight-bearing exercise eg a circuit on machine weights at a gym, exercises with free weights or exercises that use your own body weight as resistance eg push-ups, squats, and crunches. Maintain a healthy body weight. Being underweight (body mass index of less than 18) increases the risk of developing osteoporosis. Calcium Calcium is important for the development and maintenance of the skeleton. People lose bone mass as they age, so it is important to increase the amount of calcium in the diet to slow down the process. Post menopausal women lose bone at a rate of approximately 1-2% per year.
On average, women aged 51-70 years require 1,100mg/day of calcium but because of individual variability some need as much as 1,300mg/day. Calcium can be found in foods like milk, cheese, yoghurt, fish with edible bones (salmon, sardines), legumes, calcium fortified soy products (milk, tofu) and fortified breakfast cereals.
Vitamin D Vitamin D is necessary for calcium absorption. Vitamin D can be found through exposure to sunlight and through dietary sources such as margarine, dairy products, oily fish and eggs. Housebound people or those who work long office hours may not be getting enough Vitamin D. On average, women aged 51-70 years require 10 µg (micrograms)/day of Vitamin D (1 g = 1000 µg). Additional Vitamin D can be obtained from supplements if necessary (no more than 10 µg/day to avoid toxicity).
Iron While women after menopause no longer need the same amounts of iron as during child-bearing years, iron is still an important nutrient throughout life. Particularly women who are 'watching their weight' and eating small amounts may be at risk of low iron levels. Some medications and blood loss from disease can also cause iron deficiency. Symptoms of iron deficiency are tiredness and breathlessness.
There are two different types of iron found in food: haem iron and non-haem iron. Haem iron is found in red meat, fish and poultry and is easily absorbed by the body. Non-haem iron is found in plant foods such as leafy green vegetables, legumes and iron-enriched breakfast cereals. The body does not absorb iron as readily from plant sources as from animal sources.
Including foods high in Vitamin C with a meal that contains foods high in iron may increase the absorption of iron from the total meal. Vitamin C can be found in fruits, vegetables and juices. The opposite effect is found with tea, coffee and unprocessed bran. These can inhibit iron absorption.
Women aged 51-70 years have an average daily requirement of 5mg of iron, but because of individual variation some may need as much as 8mg/day.
Zinc Zinc has a role in wound healing and immune function. As people age they absorb zinc less efficiently and some medications can also impair the body’s ability to absorb zinc. Having a low zinc intake can have an impact on food intake by reducing taste sensation. As taste declines in the ageing process, this can seriously affect food choice. Women in this age group should make a special effort to eat foods high in zinc such as seafood (especially oysters), red meat, liver, kidney, chicken, eggs. Other sources include milk, whole grains, wholemeal bread, legumes, nuts, and parsley.
Women aged 51-70 years have an average requirement of 6.5mg/day for zinc but because of individual variation some may need as much as 8mg/day.
Fibre Fibre is important for a healthy digestive system. Wholegrain cereals, bread and pasta are higher in fibre than the refined or white alternatives. Fibre is also found in fruits and vegetables. Using a large variety of these foods is recommended for everyone.
Be wary of using fibre supplements to increase your fibre intake as this can affect your body’s ability to absorb nutrients like iron, zinc and calcium. It is much better to get fibre naturally from food sources. It is also important to drink lots of water to assist the body in handling a higher intake of fibre
On average, women aged 51-70 years require about 25g/day of dietary fibre.
Protein Protein is an important nutrient for the healing and maintenance of body tissues, including skin and muscle. Protein requirements increase as we age. They are also increased when you have surgery, or experience illness or physical injury. Protein can be found in foods like meat, fish, poultry, eggs, soybeans and nuts.
On average, women aged 51-70 years require an average of 37g/day of protein but because of individual variation, some might need as much as 46g/day.
Fruit and vegetables (including legumes) Fruit and vegetables contain many vitamins and minerals essential for good health. They also contain anti-oxidants, which provide protection against disease. They are also low in fat and high in fibre. People who consume diets high in fruit and vegetables have lower risk of coronary heart disease, diabetes, some forms of cancer, obesity and cataracts.
Dark green, yellow and orange fruit and vegetables are good sources of vitamin A eg carrot, pumpkin, spinach and rockmelon. Vitamin C is found in fruits and vegetables such as tomatoes, capsicum, broccoli, cabbage, citrus fruit (eg oranges), rockmelon and kiwi fruit. Both fruit and vegetables also contain dietary fibre. Fruit and some vegetables contain soluble fibre, which may help lower blood cholesterol levels. Insoluble fibre is found in vegetables and helps to prevent constipation. Because fruit and vegetables are low in fat, they have a low energy (kilojoule) content.
For some handy tips on how to include more fruit and vegetables in your day – check out the Healthy Active Website www.healthyactive.com.au/
Water Water is essential for good health. All biochemical reactions in the body occur in water and it is required for digestion, absorption, transportation, dissolving nutrients, elimination of waste and temperature regulation. Chronic mild dehydration increases the risk of kidney stones, urinary tract cancers, colon cancer, mitral valve (in the heart) collapse, constipation, as well as diminished physical and mental performance.
Pure water should be everyone’s main drink. Other drinks will also contribute to fluid requirements but caffeine (found in some beverages and soft drinks) and alcohol act as diuretics. This means that the body is actually losing some of the water to get rid of caffeine and alcohol in these drinks through urination.
Requirements differ depending on climate, physical activity and metabolism, but an adequate intake for women aged 51-70 years is 2.1 litres a day or about 8 cups (this does not include water obtained from food).
Salt High salt diets can increase the risk of high blood pressure, heart failure, osteoporosis and stomach cancers. Overweight women may be more sensitive to the effect of salt on their blood pressure so it is especially important for them to reduce the salt in their diet. In some cases, reducing dietary salt may reduce the requirements for blood pressure medication, but medical advice must be sought prior to changing medications levels.
It is therefore important for adult women to be aware of the salt content of foods in their diet to ensure they are not eating too much. Women should aim to keep their daily intake of sodium between 460-920 mg/day.
Foods high in salt are largely commercial or processed foods. Low amounts of salt are found in natural unprocessed foods. Foods high in salt, or sodium, include: table, sea and vegetable salts; anchovies; monosodium glutamate (MSG); soy sauce; bottled sauces; gravy; stock cubes; deli meats; canned vegetables and packet soups.
Reducing salt in the diet can be easy, it just involves making a few small changes to the foods you choose and the methods you use to cook them. Try these ideas: Leave the salt shaker off the table. This will remove the temptation to add it to your plate Use herbs, spices and a variety of foods to flavour meals rather than adding salt Choose fresh foods rather than packaged varieties where possible Cut down on the salt you are eating gradually. Your taste will slowly adapt to eating less salty foods Look at the salt (sodium) levels on product labels and choose salt-reduced products where possible As breads and cereals are a major contributor to salt intake in Australia, look for salt-reduced varieties Cut down on the salt you are eating gradually. Your taste will slowly adapt to eating less salty foods What about phytoestrogens? You may have heard about including phytoestrogens in the diet, both during and after menopause to help overcome the effects of the natural lowering of oestrogens produced by the body.
Phytoestrogens are substances found in some plant foods such as legumes particularly soybeans, whole grain cereals and seeds and it is understood they may behave like human oestrogen in the body. The effect of phytoestrogens appears to be much weaker than, for example, the oestrogen in hormonal therapy (patches or tablets).
The consumption of a phytoestrogen-rich diet has also been linked in population studies to reduced rates of heart disease and possibly cancer although other studies have shown increased cancer risks with high intakes.
The populations that have high phytoestrogen intakes also eat mostly fruit and vegetables and consume minimal animal fat. So it is unclear whether or not the lower disease rates in these populations are related to their overall diet, or if it is linked to the specific effects of phytoestrogens. This is a topic of great interest to nutrition researchers.
Taking phytoestrogen supplements or changing your diet to consume foods high in phytoestrogens can not be justified at this stage.
Example of a Healthy Meal Plan for a 59 year old woman This example is based on a 59 year-old woman, about 1.6m in height weighing about 56kg, who is moderately active. For example she might walk regularly, maintain her garden and look after her grandchildren in the afternoons. The meal plan is designed as a guide and meets recommended dietary intakes. The meal plan is an example for a single day, the Australian Dietary Guidelines recommend eating a variety of foods every day to meet nutritional needs.
Energy Requirements (kilojoules/day) - About 9,300kJ/day (2,200 calories/day)
Food | Quantity | Energy (kJ) | Protein (g) | Carbohydrate (g) | Fat (g) | Salt (Sodium, mg) | Breakfast | | Water with lemon juice | 1 cup | | | | | 0 | | porridge, rolled oats, cooked | 1 cup | | | | | 0 | | milk, low fat, hi calcium | 1/4 cup | | | | | 38 | | sultanas | 1 tablespoon | | | | | 5 | | Mixed seeds | 2 teaspoons | | | | | 1 | | Wholemeal toast, reduced salt | 2 slices | | | | | 170 | | margarine, salt-reduced, polyunsat. | 2 teaspoons | | | | | 40 | | jam, regular | 4 teaspoons | | | | | 4 | | White tea with calcium enriched milk | 1 mug (240mL) | | | | | 15 | Nutritious Snack | | Yoghurt, reduced fat, plain | 200g tub | | | | | 130 | | Water | 1 cup | | | | | 0 | | wholemeal crispbread | 2 rectangular biscuits | | | | | 88 | | Reduced fat cream cheese | 2 teaspoons | | | | | 34 | | Asparagus | 2 1/2 spears | | | | | 39 | Lunch – 1 tuna & one salad sandwich | | Wholemeal bread, reduced salt | 4 slices | | | | | 282 | | Margarine, salt-reduced, polyunsat. | 1 teaspoon | | | | | 20 | | Tuna, canned in water, drained | 1/2 small can | | | | | 33 | | Hommous | 2 teaspoons | | | | | 32 | | Lettuce | 2 medium leaves | | | | | 4 | | Alfalfa sprouts | 1/3 cup | | | | | 4 | | Cucumber | 4 slices | | | | | 4 | | Sundried tomatoes in oil, drained | 1 tablespoon | | | | | 8 | | Parsley | 1 tablespoon | | | | | 2 | | Water | 1 cup | | | | | 0 | Nutritious Snack | | Margarine, salt-reduced, polyunsat. | 2 teaspoons | | | | | 40 | | Mixed grain fruit loaf toasted | 2 slices | | | | | 203 | | Fresh apple, unpeeled | 1 medium | | | | | 2 | | Water | 1 cup | | | | | 0 | Dinner – Fish & vegetables | | Fish fillet, grilled | 1 fillet | | | | | 128 | | Tomato salsa | 2 tablespoons | | | | | 211 | | Pumpkin, cooked, no fat/salt added | 1 cup | | | | | 2 | | Corn cob, cooked | 1 medium cob | | | | | 6 | | Spinach, cooked, no fat/salt added | 1/2 cup | | | | | 15 | | Water | 2 cups | | | | | 0 | | fruit salad, fresh | 1 cup | | | | | 4 | | Custard, low fat commercial | 1/2 cup | | | | | 59 | | White tea with calcium enriched milk | 1 mug (240mL) | | | | | 15 | Nutritious Snack | | milk, low fat, hi calcium | 1/2 cup | | | | | 62 | | Boiled water | 1/2 cup | | | | | 0 | | Fortified chocolate beverage powder | 4 teaspoons | | | | | 20 | Variation to Energy Expenditure depending on Physical Activity Level for a 59 year old woman, about 1.6m in height and weighing about 56kg. Description of Lifestyle / Exercise Level | Energy Requirement (kJ/day) | | At rest, exclusively sedentary or lying (chair-bound or bed-bound) | 6,200kJ/day | | Exclusively sedentary activity/seated work with little or no strenuous leisure activity eg office employees | 7,300 - 7,800kJ/day | | Sedentary activity/seated work with some requirement for walking and standing but little or no strenuous leisure activity eg drivers, students | 8,300 - 8,880kJ/day | | Predominantly standing or walking eg housewives, salespersons | 9,300 - 9,850kJ/day | | Heavy occupational work or a highly active leisure eg contruction workers, high performance athletes | 10,400 - 11,400+kJ/day | © Commonwealth of Australia 2005
Menopause and Managing The Symptoms Naturally
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03/04/2008
Menopause and Managing The Symptoms NaturallyMenopause, also known as 'the change of life', occurs in women from their late forties onwards. Age that it starts varies due to genetic and lifestyle factors. It is a period of time in a mature woman's life marked by the stopping of her menses (period) due to decreasing levels of reproductive hormones, particularly oestrogen. This means the woman has finished with her child-bearing years but that is ALL that is finished! Some women embrace their menopausal years as their fun, fantastic "me" years! Oestrogen has many roles to play in a woman's body and lowering levels have an effect on certain functions. Symptoms can arise during this phase and can last anywhere from 1-10 years. I thought I would outline a few of these changes and include alternative tips for managing them. Oestrogen has a 'bone protective' effect and so with lower levels in older age, bone disease such as osteoporosis is of greater risk. To ensure bones don't lose their density, taking a good daily calcium supplement and exercising daily (including resistance exercise such as weights, pilates and swimming) will reduce the risk of bone problems. Emotional changes are unfortunately part of menopause just like any major hormonal swing (think of pregnancy and PMS!) and talking about how you feel with your peers, friends and family, your doctor, counsellor or natural therapist is very important. Also relaxing and reducing stress wherever possible can ease the moodiness and anger you may be feeling. See list below for some stress reducing ideas. The lubrication we experience during arousal is also thanks to hormones and sex can become dry and painful if that lubrication has diminished. Using natural lubrication gels (best are made from kiwi fruit extracts such as the brand 'SYLK' or an organic coconut oil) will enable the sex life to get right back on track. Hey, it might even get better as contraception doesn't need to be an issue anymore! Certain foods and herbs can also have 'oestrogen-like' activity in the body and can therefore reduce symptoms of menopause. Eating more soya based foods such as tofu, tempeh, and soya milk, and eating flaxseed meal or oil, will help with symptoms like hot flushes. Herbs such as Black Cohosh and Red Clover can be taken in tincture, tea or tablet form and can display an 'oestrogen-like' action also. There are many supplements available from healthfood stores and pharmacies to help with menopause symptoms that may contain these herbs. And of course menopause would not be complete without hot flushes! Below is a list of ways to reduce these occurring by staying away from certain triggers. Hot flushes can be triggered by a variety of stimulants such as: - Spicy food (cayenne, chilli, ginger, pepper)
- Acidic foods (pickles, citrus, tomatoes, capsicum)
- Hot drinks
- Caffeine (coffee, black tea, cola's)
- Alcoholic drinks including wine, beer and spirits
- White sugar
- Hydrogenated or saturated fats (meat, margarine, butter) try and use olive and flax oils instead, and eat more organic chicken and fish. Stick to very lean red meat occasionally.
- Stress! So make sure you have a relaxing outlet as stress is part of life, for eg. yoga, tai chi, walking, swimming, art and craft, meditation, gardening, visits with friends, baths and spas, massage, reading, watching a movie. Every day, do something for yourself that makes you feel relaxed.
- Hot weather – can be unavoidable so make sure your clothing feels light and loose and is a fabric that can breathe
- Hot tubs and saunas
- Tobacco and marijuana
- Intense exercise, especially sex! (In these cases I think the flushes are worth it!)
- Anger, especially if you can't express it, so if you feel like there is suppressed anger in you – beat up a pillow or yell in your house or car – get it out!
Whatever you experience during menopause, don't let it be an excuse to sit life out. Embrace it and run with it and show the world what a powerful and beautiful woman you are! Alisha Forbes is a clinical Naturopath and freelance health article writer with diplomas in Herbal Medicine and Nutrition. Alisha also has a monthly blog on Healthy Comparisons.
Should You Take Menopause Diet Pills?
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01/15/2008
Should You Take Menopause Diet Pills?As menopause begins women often find many less than ideal images entering their minds. One typical concern is that menopause will make you pile on the pounds like never before. Indeed, as people age and start to enter their forties and fifties their metabolism does begin to slow down. What is very important to remember is that there is no concrete evidence as yet that menopause its self causes weight gain. Any weight issues experienced during menopause, e.g. bloatedness, are often be blamed on the menopause it's self, typically wrongly. Menopause diet pills are not the solution to people's particular weight gains. Pills specifically aimed at reducing weight during menopause are misleading. The phrase 'whilst experiencing hot flashes and mood swings you exercise, you barely eat, and you still pile on the pounds in areas you never had before' can often be seen on menopause diet pill containers. These are pure marketing trash designed to prey on women's insecurities in order to make sales. Often someone with the title of doctor will have supposedly helped to create these wonder pills that have been tried and tested for up to more than two decades. Pills such as these are typically the standard dieting pills from one of the many manufacturers, simply with a different name on the front of the packet. In no way are they specific to menopause. Other pills on the market may have more of an effect with burning fat but should not be taken by menopausal women due to various substances contained therein actually potentially increasing the wide ranging uncomfortable symptoms of menopause. Any product which contains caffeine or a similar caffeine shaped chemical compound should ideally be avoided. Many additives on pill box labels contain this type of ingredient e.g. kola nut, guarana, green tea extract, yerba mate and bitter orange (citrus aurantium). Caffeine acts to heighten menopausal difficulties, but also can create another set of irritating side effects. Not uncommon are nervousness, elevated blood pressure, cases of the jitters and palpitations of the heart. If pills must be taken for anything, unless approved by your doctor, they should be vitamin-specific pills used to increase certain vitamins and minerals in your diet. If you want to loose weight whilst undergoing menopause then standard fitness advice is what is required. Consume a moderate quantity of healthy and varied food whilst also frequently exercising at the appropriate pace for your level of fitness. A healthy diet lowers your blood cholesterol levels, provides just the right energy required for the day and has been known to improve your positive outlook on life. Regular exercise has been seen to raise your metabolic rate, aiding weight loss, and lower stress and the risk of a multitude of serious diseases, such as osteoporosis, diabetes and cancer. Source: http://www.healthguidance.org/authors/453/Alex-Rider Alex Rider Various air purifier reviews by Alex Rider can be seen on http://www.airpurifierstop.com.
The Menopause
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01/31/2008
The MenopauseOver 20% of the female population is post-menopausal and it is estimated that by 2025 there will be 13.6 million women over 50 years of age in the UK. It is vital then that women know what treatments are available to help manage symptoms of menopause and to know that those choices can include a natural approach. There are two views of the menopause - one, that it is a natural event and the other that it is a hormone deficiency disease. If it is taken that the menopause is a natural stage in a woman's life then it is something that the body can cope with perfectly well if given the chance. This is, of course, in sharp contrast to the view of many medical practitioners, who regard the menopause as an illness caused by falling levels of hormones for which HRT is the treatment. What is the menopause? The average age for the menopause in the UK is 51 and it happens because a woman literally runs out of eggs. One sign that the menopause is approaching is a surge in follicle-stimulating hormone (FSH). This hormone causes the follicles in the ovaries to grow and is released every month in a normal cycle. In the run-up to the menopause (the peri-menopause), the number of cycles in which eggs are not released increases. Oestrogen begins to decline and ovulation becomes less likely, although a woman can still have periods. Without rising levels of oestrogen to send a message back to the pituitary gland telling it to produce smaller amounts of FSH, the levels of FSH in the bloodstream increase. Symptoms of the menopause Not all women have a miserable time during the menopause. Symptoms can vary and some women sail through - the only thing they notice is that their periods have stopped. While others can experiences such extreme night sweats that they have to get up to change their night clothes two or three times a night, or even take a shower in the middle of the night.
Symptoms of the menopause can include hot flushes, night sweats, vaginal dryness, mood swings, declining libido, osteoporosis, ageing skin, lack of energy, joint pains, weight gain, headaches and changes in hair quality. Hormone Replacement Therapy (HRT) HRT was originally introduced in the 1930s but in the last few years a number of well-respected clinical trials have shown that the risks of taking HRT, in terms of higher risks of breast cancer, heart disease, strokes and thrombosis, do not outweigh the benefits.
In 2002, the large Women's Health Initiative Study was abandoned after 5 years instead of running for 8, because the risks of taking HRT did not outweigh the benefits. The study found that women taking HRT had a 26% higher risk of breast cancer, a 41% increase in the chance of a stroke and a 29% increased heart disease risk.
Coupled with this is the fact that many women have taken this research to heart and 20-30% of women do not collect their HRT prescription and 20% stop within nine months of taking it. Putting these statistics together with those women where HRT is contraindicated because of a history of breast cancer or thrombosis then it is easy to see that there is a large population of women who are not on HRT and need another way of managing the symptoms. There are also some women who want to manage the menopause without drugs. They view the menopause as a natural event and are looking to treat the menopausal symptoms with natural remedies.
Also contrary to popular myths, a study in the New England Journal of Medicine, in 2003, showed that there was no significant difference between women taking HRT versus a placebo in terms of quality of life. Those taking HRT did not report sleeping better, more energy, less depression, better general health or more sexual satisfaction.
Women need to know what choices they have around the menopause and if they knew there were safe, effective and natural remedies that can help combat the hot flushes and night sweats, would they want to put themselves at risk of getting breast cancer, heart disease and/or blood clots by taking HRT? Dietary changes A well-balanced diet is essential during the menopause as it enables the body to adjust automatically to the hormone changes. Eating a good amount of fresh fruit and vegetables and also including phytoestrogens in the form of chickpeas, lentils, soya, kidney beans etc is important. Caffeine in tea, coffee and other drinks can bring on a hot flush for many women. The same can apply to spicy foods and alcohol. Phytoestrogens One of the questions that most perplexes scientists is why and how the menopause is experienced so differently around the world. Up to 85% of Western women will experience hot flushes compared to only 14% in some Asian countries. As a result, scientists have been studying the benefits of a group of plant hormones known as phytoestrogens which occur naturally in certain foods such as soya, chickpeas and lentils.
Almost all fruit, vegetables and grains contain phytoestrogens in varying strengths but it is the isoflavones (one of the classes of phytoestrogens) that are the most beneficial kind. They are found in legumes such as soya, lentils, chickpeas and so on. In the human gut, bacteria convert isoflavones into substances that have an oestrogenic action, although they are not themselves hormones, which is why fermented soya foods such as miso and tempeh are thought to be especially beneficial.
An average Japanese woman's daily intake of isoflavones is between 20 and 80mg per day, in Asian women's diets about 45mg per day, while American and British women generally consume between 1-3mg per day.
Also linked to this issue is the fact that in some parts of the world, notably the Far East, breast cancer is not the major killer it is here in the West. The UK seems to have a breast cancer death rate which is about six times higher than that of women in Japan. Studies conducted in the USA have shown that when Japanese women move to the West, they develop more cases of breast cancer. The level then rises to one similar to that seen here. Many experts think the main factor is diet and this borne out by the fact that as the traditional Japanese diet becomes more Westernised, cases of breast cancer are increasing among Japanese women in Japan itself.
At the same time as the clinical trials are showing beneficial effects of consuming phytoestrogens, there has also been some negative press claiming that soya can accelerate brain ageing, lead to thyroid problems and cause reproductive problems. Unfortunately, most of this research is unpublished and has been conducted on animals. Also the studies have tended to use soya protein isolate rather than soya wholefoods. There are a number of key points which should be emphasised for menopausal women.
These include:
>> Stabilise blood sugar levels by reducing the amount of sugar and refined foods in the diet and eating little and often to reduce the toll on the adrenal glands >> Reduce or eliminate caffeinated drinks such as tea and coffee which contribute to the blood sugar problem but also act as diuretics depriving the body of vital nutrients and trace elements >> Ensure a good intake of essential fatty acids from oily fish, nuts and seeds which help lubricate the joints, skin and vagina >> Avoid soft fizzy drinks which contain high levels of phosphorus and increase the risk of osteoporosis by increasing urinary calcium excretion >> Include a good intake of phytoestrogens in the diet from many sources and not just soya Vitamins and Minerals Women are not getting everything they need from their food. The National Diet and Nutrition Survey published in 2003 which looked at adults aged 19-64 showed that only 15% of women actually achieved the five-a-day target for fruit and vegetables. With vitamins and minerals, 74% of women failed to achieve the Reference Nutrient Intake (RNI) for magnesium, 45% for zinc, 84% for folic acid and 15% for vitamin D, which are all important nutrients for women around the menopause and in the prevention of osteoporosis.
So, as well as eating a healthy diet, supplementation is beneficial during the menopause not only to ensure adequate nutrients for maintaining healthy bones but also to help with menopause symptoms.
A good quality multivitamin and mineral, designed for the menopause, should form the foundation of the supplement programme. And then particular emphasis should be put on the following nutrients: Vitamin E This is an important vitamin to consider at the menopause. Over many years clinical studies have shown its effect on reducing hot flushes and night sweats. Vitamin E is also helpful for vaginal dryness and one study showed that just 400iu taken daily for between 1 and 4 months helped 50 percent of the women taking the vitamin E supplement. Vitamin C Vitamin C is known for its beneficial effect on the immune system, strengthening blood vessels and also for its role as an antioxidant in the body. So not only is Vitamin C important for preventing illness, and for supporting your health in general, but it also has specific benefits at the menopause. Giving women vitamin C with bioflavonoids has been shown to help reduce hot flushes.
Vitamin C helps to build up collagen, which gives skin its elasticity, and is therefore helpful in the prevention and treatment of vaginal dryness (which can cause discomfort when the vagina loses some of its 'stretch'). It can also help retain the elasticity in the urinary tract and so prevent leakage or stress incontinence, which is common at the menopause. Collagen is also important for your bones. B Vitamins These are called the 'stress' vitamins because they are enormously beneficial when you are under a great deal of pressure. Symptoms of B-vitamin deficiency include anxiety, tension, irritability, lack of energy and poor concentration, which are symptoms often associated with the peri-menopause Essential Fatty Acids (EFAs) Signs of an essential acid deficiency are dry skin, lifeless hair, cracked nails, fatigue, depression, dry eyes, lack of motivation, aching joints, difficulty in losing weight, forgetfulness, breast pain - all symptoms that could be 'blamed' on the menopause. They need to be supplemented around the menopause because they can help with many of the symptoms. Furthermore, because they help to 'lubricate' the body in general, they can help with vaginal dryness. Magnesium Magnesium is known as 'nature's tranquilliser', so it can help with symptoms such as anxiety, irritability and other mood changes during the menopause. But magnesium is also an important mineral in relation to bone health at the menopause as it helps to metabolise both calcium and vitamin C and to convert vitamin D into the active form needed to ensure efficient absorption of calcium. Herbs There are a number of herbs that have traditionally been used at the menopause: Black cohosh From all the published research, the herb that has the most dramatic effect on hot flushes and night sweats is black cohosh. It was originally used by Native North Americans and is very effective in helping with hormonal imbalances. It has a generally calming effect on the nervous system and can be helpful with other symptoms include anxiety, tension and depression, as well as the hot flushes and night sweats. Other useful herbs at the menopause include agnus castus, dong quai, sage and milk thistle. It is best to buy organic herbs where possible. Conclusion Women can now live 30 to 50 years past the menopause and they want to live those years in good health and free from symptoms. By helping women to eat well, take appropriate supplements and exercise, their health will improve, which enhances the quality of their lives. Good nutrition, together with the right supplements, enables the body to adjust to the changes at the menopause automatically and keeps the skin and hair soft, minimises aching joints and stiffness, slows the ageing process, controls weight naturally without dieting, maintains libido and helps to prevent osteoporosis, heart disease and possibly cancer. So the message is that as therapists, there is a lot that you can do to help women help themselves. TT Dr Marilyn Glenville PhD is the UK's leading nutritional therapist specialising in female hormone problems. She is a Fellow of the Royal Society of Medicine and a registered nutritionist. Dr Glenville is the author of a number of internationally best-selling books including 'Natural Solutions to Infertility', 'New Natural Alternatives to HRT' and 'The Nutritional Health Handbook for Women'.
She works in a gynaecology clinic in London. For more in depth information look on Marilyn's website www.marilynglenville.com. If you are interested in a consultation you can contact Dr Glenville's clinic on 0870 5329244 or by email: health@marilynglenville.com
Healthy Diet During Menopause
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01/15/2008
Healthy Diet During MenopauseMaintaining a healthy diet is important at any stage in life. But during menopause, it may be even more important. Since you will be losing estrogen, it is essential to get enough vitamins and minerals throughout the day to improve overall health. Losing calcium is another factor women have to deal with as they age. By learning how to eat at the beginning stages of menopause, you will be eating better and feeling better for years to come. Eat foods that are high in fiber. Fruits, vegetables such as broccoli and spinach are great sources of many vitamins and also fiber. Fiber will keep your bowels clean which will give you more energy during the day. Getting more calcium into your body will help keep your bones healthy and also help when losing weight. Drink plenty of milk and eat foods such as yogurt, cheese, and dark green leafed vegetables will help you achieve your daily allotment, which should be 1000mgs per day. Avoid foods that are high in sugar and fat. This includes most dessert items as well as bacon, and hot dogs. Once you have modified your diet, you will begin to have more energy and you will begin to sleep better at nighttime. In addition to eating properly, it is also important to exercise as well. Drink plenty of water in order to stay hydrated and try to walk or perform some other sort of exercise at least three days a week. Menopause is not the end of your life, but rather a beginning of the next half of it. Source: http://www.healthguidance.org/authors/504/Jeanette-Pollock Jeanette Pollock Jeanette Pollock is a freelance author and website owner of http://www.infertilitydomain.com.
Menopause Relief
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01/21/2008
Menopause ReliefMenopause can be a difficult time for many women. Reductions in circulating estrogen hormone levels result in a number of physical and physiological changes, which in turn may lead to mental and emotional stress. While short-term hormone replacement therapy helps many women, most symptoms of menopause can be relieved with simple lifestyle changes.
Weight gain during menopause can be distressing. Shifting to a low-fat, high-fiber diet and controlling overall dietary intake can help control weight gain. Diets rich in phytoestrogens, or plant estrogens, may offer additional relief. Soy products, such as tofu, soy milk and soy powders are rich in phytoestrogens, and help lower cholesterol. Linseed products are also a good source of phytoestrogens. Regular exercise, for approximately 30 minutes several times a week, can also help control weight gain. Added benefits of regular exercise are conversion of fat into lean muscle mass, which helps burn off excess calories even while resting. Furthermore, exercise may help improve conditions such as low energy levels, mood swings, sleeplessness, high blood pressure and diabetes.
Many women suffer from irritability, mood swings, and depression during the onset of menopause. While some of this may be attributable to the stress of undergoing a major life change, any such symptoms should be carefully evaluated by a physician and appropriately managed. Depending on the severity of symptoms, lifestyle or drug treatments may be prescribed. While there is no scientific proof of its efficacy, some women claim the herb St. John's Wort offers relief in depression. Any attempts at self-medication should be discussed with a physician.
Dry and wrinkled skin is a common complaint among menopausal women. Estrogen skin creams may help; these can be prescribed by consulting a dermatologist. Stopping smoking helps maintain healthy skin and has numerous other health benefits. Avoiding excessive exposure to direct sunlight, and using UV-ray blocking skin creams, can also offer relief.
With a healthy diet and exercise, menopausal women can improve distressing symptoms such as weight gain and mood swings. For more serious depression, drugs may be prescribed, and for wrinkles, estrogen cream and avoiding the sun can help. Early Menopause provides detailed information on menopause, early menopause, male menopause, menopause and osteoporosis and more. Early Menopause is affiliated with Endometriorsis And Infertility.
Menopause - the Wise Woman Way
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02/05/2008
Menopause - the Wise Woman Wayby: Susun Weed WHAT IS MENOPAUSE? To the MD, menopause is the last drop of blood a woman sheds. A woman can be peri-menopausal (around menopause) or post-menopausal (after menopause) but she can never be menopausal, according to this definition. To most women, however, the years between the first suspicion of change and the final menses constitute the menopausal years, and we are menopausal throughout that time. This decade of transition is compared by some to non-stop PMS, by others to an extended pregnancy. I see it as a second puberty. Menopause is puberty prime, and the change from a familiar, known self to new and unknown self is the same: amazing, difficult, rewarding, exasperating, and momentous. "Do not become alarmed when you experience yourself in totally new ways," sighs Grandmother Growth tenderly. "You are changing, getting ready to be initiated into the third stage of your life. Are you ready for the ride of your life?" Susun Weed, Menopausal Years the Wise Woman Way, Woodstock: Ash Tree, 2002THE STORY OF MENOPAUSE The onerous physical/emotional changes that accompany puberty and menopause are strongly influenced - both positively and negatively - by cultural, familial, and personal beliefs. If we expect our new self to be more powerful, more exciting, more interesting than our old self, we willingly undergo discomfort, pain, sleeplessness, emotional variability, and a host of annoyances and distresses. In America today, this is may be the case when we experience puberty, pregnancy, birth, and lactation. If we expect our new self to be a weaker, less interesting, grayed-out version of our older self, we will naturally resist changing and find the normal abnormalities of change intolerable. This is often the case when American women encounter menopause. The purpose of this article is not to examine why this is so, or how it came to be so, but to offer a different view of menopause. I want to share with you the teachings I have received from the Ancient Ones, the ancient grandmothers who tell the women's mystery stories. That your journey may be made richer. "The joy of menopause is the world's best-kept secret. Like venturing through the gateway to enter an ancient temple, in order to claim that joy a woman must be willing to pass beyond the monsters who guard its gate. As you stand at the brink of it, it can appear that only darkness, danger and decay lie beyond. [But] ... as thousands of women from all cultures throughout history have whispered to each other, it is the most exciting passage a woman ever makes." Leslie Kenton, Passage to Power. London: Ebury Press; 1995 GREEN BLESSINGS And let's take some simple herbal helpers with us on our menopausal journey. Their abilities are subtle and far-reaching. They can help us ease symptoms, provide us with optimum nourishment, help us create healthy hearts and healthy bones, and open us to the uplifting power of Nature. Nourishing herbal infusions provide an abundance of minerals, vitamins, proteins, and phytoestrogens (plant hormones that are similar to estrogen) at low cost and with little effort. To make a nourishing herbal infusion: - Place one ounce by weight (about a cup by volume) of dried herb (do not use fresh) in a quart jar and fill to the top with boiling water.
- Cover tightly and allow to steep for at least four hours. Overnight is fine.
- Strain and refrigerate.
- Drink 2-4 cups a day, hot or cold, mixed with other liquids (water, juice, rum, coffee for example) or taken neat.
I rotate through four nourishing herbs: oatstraw, stinging nettle, red clover, and comfrey leaf. Each herb has special benefits for menopausal women. These four herbs, taken one at a time, and infused in water, are completely safe to use. (They may not be safe if taken in tinctures or encapsulated). I have drunk nourishing herbal infusions on a daily basis for more than twenty years. But before we go further, let's talk about the purpose of menopause. "She [the postmenopausal woman] is not a sentiment, she is a requirement." Kristen Hawkes, 1997THE PURPOSE OF MENOPAUSE Menopause may be a prime factor in women's greater longevity.(1) Dr. Kristen Hawkes of the University of Utah reports that Hadza women in their 50s, 60s, 70s, and beyond gather more food than men or women of other ages and they are as important to the survival of their grandchildren as the children’s mothers are.(2) The postmenopausal woman is the one who has the stored wisdom to help her community survive. She is the Wise Woman, the one who gives us all a survival edge. Dr. Jared Diamond of the University of California at Los Angeles Medical School maintains that menopause is "among the biological traits essential for making us human."(3) Dr. Hawkes believes that not only did prehistoric women survive past the age of menopause, but that they were instrumental in freeing our ancestors to exploit new habitats, explore new places, and ultimately to spread across the entire planet.(4) "Kundalini [is] the root [of] all spiritual experiences ...." RE Svoboda, Kundalini Aghora II. Albuquerque, NM. 1993MENOPAUSE AS ENLIGHTENMENT As a long-time student of yoga, I am struck by the many similarities between menopausal symptoms and the well-known esoteric goal of 'awakening of the Kundalini.' Kundalini is a special kind of energy known in many cultures, including Tibetan, Indian, Sumerian, Chinese, Irish, Aztec, and Greek. Kundalini is said to be hot, fast, powerful, and large. It exists within the earth, within all life, and within each person. Kundalini is usually represented as a serpent coiled at the base of the spine, but women's mystery stories locate it in the uterus - or the area where the uterus was, if a hysterectomy has occurred. Yogis spend lifetimes learning how to wake up their Kundalini so they may experience enlightenment. Success causes a surge of super-heated energy to travel through the body, firing the nerves, dilating blood vessels, and altering the nature of reality. Sounds like a hot flash to me. If Kundalini is released over and over, as it is during menopause, it causes changes in the functioning of the endocrine, cardiovascular, and nervous systems. Wise women use nourishing herbal infusions, especially nervous-system strengthening oatstraw, fermented foods, such as yogurt, and seaweed (as a food, not a supplement), to help ensure that these changes add to their vitality and longevity, creating what Margaret Mead called "postmenopausal zest". MAIDEN, MOTHER, CRONE When we are children, we exist within Kundalini; it is primarily outside the body. At puberty, a two-valved energy 'gate' opens, and Kundalini circulates up from the earth and into the root chakra. The maiden becomes the mother. Kundalini builds up in the uterus and pelvic tissues, ready to create a new life. This stored Kundalini can intensify emotions and sensations, expose powerful feelings, trigger creative outpourings, and generate house-cleaning frenzies. If pregnancy occurs, the Kundalini continues to build for the duration of the pregnancy and is used in the act of birth. If no egg is fertilized, the Kundalini flows out with the menstrual blood, returning to the earth. At menopause, one 'valve' of the root chakra closes. The mother becomes the crone. The open valve allows Kundalini to enter; the closed one prevents it from leaving. When Kundalini collects in the uterus without an outlet, it causes problems including incontinence, broken hips, loss of libido, and excessively dry vaginal tissues. STINGING NETTLE But if the Kundalini is guided (by thought or by hot flashes, for instance) up the spine, then it confers enlightenment not incontinence, flexibility not fractures, vitality not debility, and abundance not withering. Stinging nettle infusion replaces the nutrients and proteins that Kundalini uses up. By strengthening the adrenals and kidneys, and increasing stamina, nettle helps us surf the waves and ski the slopes of our hot flashes. Stinging nettle (Urtica dioica) is a wonderful ally for the woman who is awakened by night sweats, whose hair is falling out or becoming brittle, whose energy is flagging (or gone!), whose vagina is dry, who wants to avoid adult-onset diabetes, for the woman who wants to increase her metabolic rate, improve the flexibility of her blood vessels, strengthen her immune system, and find ease for sore joints. Loaded with folic acid, vitamin E, calcium, magnesium, carotenes, zinc, boron, and iron, nettle is a nutritional powerhouse. One cup of infusion supplies 500mg of calcium plus vitamin D, vitamin K, protein, and special lipids, which contribute to magnificent bone health. SEVEN ENERGY CENTERS The root energy center is one of seven main energy centers, each of which corresponds to endocrine glands. In even the healthiest of women, disruption of some sort, in one or more of the energy centers (chakras), will occur for at least a short while during the menopausal years. It is important to remember that the vast majority of uncomfortable symptoms caused by menopause and the movement of Kundalini will be short-lived (less than a year). Healthy women who have had one or no children generally seem to have the strongest symptoms as Kundalini arises. Women with low vitality, including women who have given birth to six or more children, may have few or no symptoms at all. Menopausal symptoms at the root center include menstrual pain, growth of fibroid tumors, flooding, urinary problems, cervical/uterine/endometrial growths/cancers, brittle hips, constipation, diarrhea, vaginal infections and irritations, and hemorrhoids. Get help from: Motherwort tincture (Leonurus cardiaca). A dose of 10-15 drops counters cramps as it eases hot flashes. Red clover (Trifolium pratense), the world's best-known, best-regarded anti-cancer herb, also improves fertility and helps normalize the bowels. If that weren't enough, red clover infusion (not tincture, not capsules) contains ten times more phytoestrogens than soy. Whole grains and lentils, beets and burdock are also allies of the root chakra. Menopausal symptoms at the navel (or belly) center include bloat, gas, urinary infections, exhaustion, panic attacks, paranoia, and episodes of inexplicable sorrow. Get help from: Stinging nettle. It is the specific helper for this chakra. Additionally, orange foods (especially baked winter squash and sweet potatoes) bring ease and health, improving energy and mood. Menopausal symptoms at the solar plexus include indigestion, disturbed liver function, gall stones, a sense of dissatisfaction with one's self, blood sugar and mood swings, adult onset diabetes, anxiety, phobias, and pathological shyness. Get help from: Herbs such as dandelion, burdock, or yellow dock roots, or milk thistle seeds, used as tinctures. They strengthen the solar plexus, improve digestion, moderate blood sugar and mood swings, help the liver clear excess hormones, and put you on the sunny side of life. Menopausal symptoms at the heart chakra include palpitations, breast changes, excess fat deposits on the back and upper arms, lessening of compassion, increase in blood pressure, unwarranted feelings of guilt, and lung problems. Get help from: Motherwort tincture (not capsules). A dropperful stops palpitations in minutes. Regular use helps stabilize the heart, decreases blood pressure, improves blood flow, and eases emotional distress. Comfrey leaf (not root) infusion (not capsules) is a renowned lung strengthener. Popularly known as knitbone, comfrey leaf supplies lots of bone-healthy nutrients. Menopausal symptoms at the throat chakra include thyroid problems, excessive weight gain, incoherent rages, nausea, cough, and sore throat. Menopausal women who have swallowed too much "no" during their lives may find themselves making dramatic and amazing statements. Get help from: Seaweeds, the specific ally of the throat chakra. Soak kombu or wakame with beans and cook, add hijiki or alaria to soups, snack on dulse and kelp. I don't use tablets or powdered products, finding them inferior. Menopausal symptoms at the third eye center include headaches, eye problems, near-sightedness, sinus infections, depression, thoughts of suicide, obsessions, insomnia, and mental instability (visions and hallucinations). Get help from: The mint family. Skullcap tincture strengthens the nerves, eases headaches, and brings deep sleep. Sage infusion makes the mind coherent and clear. Rosemary oil aids the memory and improves concentration. Lavender blossom tea lifts the mood and unkinks wound-up nerves. Menopausal symptoms at the crown chakra include hair loss, dizziness, hearing problems, memory problems, dementia, nervous tics, shingles, and unexplained pain anywhere in the body. Get help from: Comfrey leaf (not root) infusion (not capsules); it's brain food. Nettle infusion (not capsules) restores hair and counters compulsions. Hypericum perforatum (St. Joan's/John's Wort) tincture (not capsules), used freely (a dropperful every 2-4 hours) can relieve the pain of shingles within a day and often cure it within three. Eases sore muscles anywhere; helps prevent muscle aches too. SHE-WHO-HOLDS-HER-WISE-BLOOD-WITHIN As we leave our fertile years behind, so we leave behind our identity as "mother" (irrespective of whether we have physically had children or not). Ready or not, we are introduced to ourselves as old women. Yes, we are yet baby crones, not yet prepared to wield the Kundalini that now flows through us toe to tip. Yet we are crones, women of wisdom, women of power. When menopausal symptoms are understood as energy movement (or lack of it), we can feel more at ease, not so afraid of being out of control. Instead of feeling victimized by our bodies, we can nourish our wholeness. We can view our symptoms as suggestions for improvement, instead of damning evidence of our mortality. We can focus in on areas that need special attention, extra nourishment. Quiet time alone in nature, or sitting in a comfortable chair listening to soothing music allows thoughts and feelings to arise and opens the way for the flow of Kundalini. Specific exercises, such as those in Tai Chi, Qi Gong, and yoga can also be used to help ease into the increased energy flow. Green allies such as oatstraw, nettles, red clover, comfrey leaf, and motherwort strengthen us for the increased power. Because we know the outcome is worth it, the day-to-day annoyances are easier to take. After years of practice, Kundalini moves freely up the spine and out the crown. Our symptoms subside, our overall energy is stronger, better. We hold our wise blood inside. We are the wise women. We are the crones.
(This article is taken in part from New Menopausal Years the Wise Woman Way, Alternative Approaches for Women 30-90, available from http://www.ashtreepublishing.com) Susun Weed is a contributor to the Routledge International Encyclopedia of Women's Studies and the author of four highly acclaimed herbal medicine handbooks. She has been at the forefront of the herbal renaissance for 35 years. Susun Weed PO Box 64 Woodstock, NY 12498 Fax: 1-845-246-8081
Footnotes: 1. Perls T MD, Fretts R MD. 'Why Women Live Longer Than Men'. Scientific American, 1998 August: 102. 2. Angier N. 'Is Menopause a Key to Survival? The Grandmother Hypothesis'. New York Times, 1997: August 18. 3. Ibid 4. Ibid Visit Susun Weed at: www.susunweed.com;and www.ashtreepublishing.com Vibrant, passionate, and involved, Susun Weed has garnered an international reputation for her groundbreaking lectures, teachings, and writings on health and nutrition. She challenges conventional medical approaches with humor, insight, and her vast encyclopedic knowledge of herbal medicine. Unabashedly pro-woman, her animated and enthusiastic lectures are engaging and often profoundly provocative.
Homeopathic Remedies May Alleviate Menopausal Symptoms
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01/15/2008
Homeopathic Remedies May Alleviate Menopausal SymptomsDoes hormone replacement therapy (HRT) for your menopause make your blood run cold? Many women are faced with the potential risks associated with HRT. First, let's take a quick look at the three stages of menopause. Menopause begins in your early 40s as your ovaries gradually produce less and less of the hormone estrogen. Your periods become erratic sometimes skipping a month or alternating between light and heavy. The next period of time is the transitioning to actual menopause. During this time you may continue to have erratic periods and the "fun stuff" begins to settle in for a long visit. Yes, fun stuff like hot flashes, vaginal dryness, mood swings and insomnia are some of the symptoms. The final and actual onset of menopause usually occurs in your early 50s and is represented by the absence of your period for a full 12 months. It's those in between years that can wreak havoc in your life. Are there natural alternatives for chemical HRT? The good news is yes! It's a sad fact that less than two percent of doctors even mention alternative therapies and that most of them feel there is no benefit. Thousands of women would disagree. Here are just a few of the many natural alternatives: Try adjusting your diet to include vegetables and fish that are high in Omega-3 as they contain nutrients that can help your body deal with menopause naturally. Conversely, there are foods that can make your menopausal symptoms worse. Caffeine, sugar, fatty dairy products, salt, alcohol and saturated oils can aggravate the symptoms. Be sure and take a daily multivitamin making certain that the vitamin contains 100% of the daily allowance for nutrients. Just be aware that vitamins are no substitute for following a healthy diet. If menopause causes mood swings, it only makes sense that it's possible to experience extreme responses for stress. Try using deep breathing techniques, meditation or some other methods of relaxation that works for you and practice the technique for 10 to 20 minutes per day. You will be left feeling calmer, more able to cope and more in control. Exercising regularly can also help alleviate menopausal symptoms. Scheduling at least 30 minutes of exercise three times a week will relieve hot flashes. You will be able to think more clearly and reduce your risk of osteoporosis and heart disease. Some women have found relief through yoga and acupressure. Both are mainstays of practitioners of eastern medicine. Last, but not least, we come to herbal treatments. Beans and certain other plants have a mild estrogenic activity in their makeup thanks to "phytoestrogens." These are compounds that include isoflavins, lignans, phytoseterols and saponins. In additional to helping your body through menopause, animal experiments show they are significantly effective in preventing tumors of the breast tissue. Without sending you off for a medical dictionary to understand the compounds listed above, here are some of the foods and herbs that contain healthy compounds: Soy, black cohosh, licorice, alfalfa, chasteberry, Chinese angelica, red clover, strawberry, celery stalks, dates, elder, false unicorn root, fennel, Honduran sarsaparilla, lady's slipper, liferoot, Mexican wild yams, passion flower, pomegranates and sassafras. The foods, of course, are available from your local grocery. Visit your local health food store where you should be able to find the herbs and methods to include them in your daily diet. Source: http://www.healthguidance.org/authors/404/Nicky-Pilkington Nicky Pilkington Nicky Pilkington writes for http://www.healthandfinesse.com.
Dietary Guidelines for Menopause
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01/15/2008
Dietary Guidelines for MenopauseWhat you eat influences how you feel on a daily basis and also lays the foundation for your health in the postmenopausal years. Researchers are finding that specific foods have a measurable effect on hormone levels, particularly foods that are rich in phytoestrogens. Phytoestrogens are plant compounds with mild estrogenic properties. Although phytoestrogens are estimated as being 50 times weaker than estrogen, they are helpful for balancing conditions of both estrogen excess or deficiency. Because they are similar to the hormones in your body, phytoestrogens bind to receptor sites in the body that estrogen normally occupies. If you are suffering from the effects of too much estrogen (which is the cause of many menopausal complaints such as hot flashes), phytoestrogens help to lower your blood levels of estrogen. If, on the other hand, you have too little estrogen (which contributes to osteoporosis), phytoestrogens provide some estrogenic activity and help to protect against bone loss. Phytoestrogens are found in abundance in foods such as legumes, whole grains, nuts, flaxseeds, and apples. The phytoestrogens in soy are of special interest to researchers because Japanese women typically have a much easier transition through menopause than American women, and many experts believe that the Japanese reliance on soy as a dietary staple is the reason. Another benefit of plant estrogens is that while synthetic estrogen is related to an increased incidence of cancer, phytoestrogens appear to decrease the risk of reproductive cancers. Soy is easy to include in your daily diet in the form of tofu, tempeh, soy milk, miso, and tamari (a natural soy sauce). Add tofu or tempeh to sandwiches, salads, pasta dishes, and stir-fries, and use soy milk on cereal and in beverages. Miso and tamari are excellent for seasoning soups, stews, and sauces. Other helpful foods during the menopausal years include foods rich in omega-3 and omega-6 essential fatty acids, which help to keep skin, hair, and vaginal tissues healthy and also to enhance the production of beneficial prostaglandins, which aid in hormone production. Most women generally get sufficient amounts of omega6 fatty acids, which are found in nuts, grains, vegetable oils, and meats from land animals. Omega-3 fatty acids are more difficult to come by and are critical for maintaining a healthful balance of prostaglandins as well as for maintaining optimal health. Foods that are good sources of omega-3 fatty acids include cold-water fish (such as salmon, trout, and mackerel), flaxseeds, flaxseed oil, and raw walnuts. Gamma linolenic acid (GLA) is also essential for the production of prostaglandins. Under ideal circumstances the body makes GLA from omega-6 fatty acids, but because many factors (including aging), interfere with the production of this important nutrient many women suffer from a deficiency. GLA is available in supplements in the form of evening primrose oil, black currant oil, and borage oil. Take enough capsules to equal 240 milligrams of GLA daily for three to six months, and then cut the dosage in half and continue taking the supplement indefinitely. Diet is a primary factor in keeping blood-sugar levels consistent, which is critical for keeping tissues healthy and preventing degenerative disease. Maintaining stable blood-sugar levels also helps to prevent fatigue and depression. Eat frequent small meals and include a moderate amount of protein and healthful fats such as raw nuts and avocados. Avoid sugar and refined carbohydrates, which trigger the excessive production of insulin that causes bloodsugar instability. Dehydration is also a contributing factor to fatigue, so be sure to drink at least one quart of pure water daily. Source: http://www.healthguidance.org/authors/371/Krishan-Bakhru Krishan Bakhru Krishan Bakhru is the editor of http://www.easyhomeremedy.com.
Oestrogen (bioidentical) Restoration - Nutrition & Environmental Medicine Fact File
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03/04/2008
Oestrogen (bioidentical) Restoration - Nutrition & Environmental Medicine Fact FileThe decrease in oestrogen production is a major cause of ageing in women. Most women undergo a sudden change in oestrogen levels around the age of 50 as the ovaries dramatically decrease production. Some oestrogen continues to be made by fat cells converting some of the other adrenal hormones to oestrogen. Nevertheless, symptoms of oestrogen deficiency are common and can include: - anxiety and depression
- night sweats
- hot flashes
- dizziness
- fatigue
- decreased libido
- vaginal dryness and itching
- urinary frequency or incontinence
- headaches
- dry skin
- fine wrinkles around the eyes and mouth
- hair loss
- sleep disturbance
- decreased memory
- problems with attention and concentration
- palpitations
- breast tenderness
- increase in weight, particularly in the abdominal and hip areas
- increased blood pressure
- increased cholesterol level
Oestrogen is not just a sex hormone. It has receptors on just about every organ of the body. For example, there are issues in receptors on the bladder and oestrogen deficiency will cause the bladder to become thinner and less elastic. This can cause urinary frequency and incontinence. In fact, oestrogen has been shown to have 400 crucial functions in the body, many of which directly influence quality of life. Maintaining youthful levels of oestrogen can assist in: - preventing heart disease
- decreasing cholesterol levels
- controlling carbohydrate metabolism
- decreasing blood clotting
- enhancing the immune system
- increasing muscle tone
- improving skin
- maintaining bladder and vaginal health
- improving mood and concentration
- preventing osteoporosis
- increasing libido
- improving memory
- preventing osteoporosis
- improving sleep
In non-quantifiable terms, adequate levels of oestrogen in women give creativity, multi-tasking abilities and balance between strength, patience and tolerance. Hormones work synergistically and results are much better if all the hormones are balanced. Other hormones which may need to be addressed include progesterone, testosterone, DHEA, cortisol and thyroid. The adrenal hormones (DHEA, cortisol and adrenaline) represent survival which is the most important function of the body. If the adrenal gland is exhausted, the body will convert the sex hormones into adrenal hormones to ensure survival. Thyroid hormone provides the spark plug to every cell in the body. It's pointless replacing oestrogen if the cells it works on have their spark plug missing. Bioidentical oestrogen comes from phytooestrogens in soy which are then modified to make them exactly the same as a woman's natural oestrogen. Clinicians at the Emerson Health and Wellness Centre can see no reason for a woman to ever be on synthetic oestrogen and no reason for a woman to be ever on oestrogen without also being on progesterone. Synthetic oestrogens are prepared from pregnant horse urine. Synthetic oestrogens from horses also usually contain multiple other hormones not found in the human female. Synthetic oestrogens and progestins have side-effects including blood clots, weight gain, gall stones, headaches, fibroids, irritability and fluid retention. Oestrogen doesn't cause cancer. Cancer is caused by damage to DNA. However, metabolites of oestrogen can accelerate the growth of any cancer that does form. This risk decreases when oestrogen is given with bioidentical progesterone There are actually three different types of bioidentical oestrogen – oestrone, oestradiol and oestriol. Research has shown that normally these oestrogens are present in a 10:10:80 ratio respectively. Oestrone and oestradiol have much more oestrogenic effect but are associated with an increased risk of breast cancer growth while oestriol is much weaker and protective against breast cancer. The need, ratios and dosage of oestrogen can be determined by either blood, saliva or a 24 hour urine test. It is the opinion of clinicians at the Emerson Health and Wellness Centre that a 24 hour urine dertermination of hormone levels is mandatory in any woman supplementing with oestrogen. Here's why: - Blood tests- There are several problems with these measurements: i) only measure oestradiol. There are no assays for oestrone or oestriol. ii) they measure levels at the 1 nano second in time that the blood test is done. Hormone secretion is irregular and pulsatile so a blood test may vary depending on the time of the day of the test. iii) blood tests only measure total hormone levels, not free levels. Total levels include oestrogens which are bound to proteins in the blood (and therefore inactive) + free (active) oestrogen levels. iv) blood tests cannot measure oestrogen metabolites. Determination of oestrogen metabolite levels is crucial in making oestrogen restoration as safe as possible because some of the metabolites are pro-carcinogenic and some reduce the risk of cancer. Saliva tests- said to measure free oestrogen levels. In my experience I have unfortunately not found them reliable. Again they measure levels at one short period of time and there is now some evidence that the saliva levels also include some unavailable bound oestrogen. Monitoring treatment is also difficult with saliva levels and they do not measure all of the oestrogen metabolites.
- 24 hr urine- measures the entire amount produced/supplemented in a 24 hour period and therefore unaffected by pulsatile secretion. It's easy to measure other hormones and all of the oestrogen metabolites at the same time and the urine measures only the free and conjugated (weakly bound but available) levels.
The most commonly prescribed pharmaceutical oestrogen is Premarin which is a horse derived oestrogen complex, consisting primarily of oestrone. I believe that only bioidentical oestrogen should be used, in ratios similar to that of nature. Women with a past history of breast cancer may do best on oestriol cream alone. Oral oestrogens are not recommended because they interfere with insulin and glucose metabolism in the body. Oestrogen is metabolised quickly so the cream should be used twice a day, about 12 hours apart to mimic a steady stream as would naturally occur. It should be used from day 1 to day 26 of each month. Progesterone cream should be used twice a day from date 12 to 26. Following the cessation of progesterone and oestrogen on day 26, a period will occur. This "flushes" the uterus, allows a few days for the oestrogen receptors to rest and avoids insulin resistance. If breakthrough bleeding occurs earlier, hormone levels should be checked. Side effects of bioidentical issue replacement can include fluid retention and slight increase in body fat although both these can usually be controlled with the coadministration of bioidentical progesterone cream or troches. There is also an extremely small risk of blood clots which is further minimised by taking B vitamins, vitamin E and omega 3 fatty acids. Weight gain can also occasionally occur because oestrogen increases the amount of circulating thyroid binding globulin (TBG). TBG carries thyroid hormone and there is therefore less free (active) thyroid hormone. This can cause weight gain, dry skin and less energy. If this becomes a problem, a small amount of natural thyroid hormone can also be given to compensate. If the progesterone doesn't resolve the fluid retention then 100mg of vitamin B6 is effective. Doses can vary depending on symptoms, metabolic rates, liver health and stress levels. A woman's requirement for oestrogen can change dramatically. Stress takes away a woman's oestrogen and with it her sensuality, sexuality, serenity, concentration, sleep, memory, passion and sensitivity. That's why doses need to be modified and levels monitored. Oestrogen is broken down into safe (2-hydroxy oestrogen) and potentially dangerous metabolites (4-hydroxy oestrogen and 16-hydroxy oestrogen). The dangerous metabolites increase the risk of breast cancer. Broccoli extracts indole-3-carbinol and diindolylmethane (DIM) inhibit the enzyme which creates the dangerous metabolites. Urinary oestrogen metabolite ratios can be measured in women on bioidentical oestrogen, testosterone or DHEA. It is also a good idea for women who have a past history or high risk of breast or cervical cancer to check oestrogen metabolites. If the ratios are abnormal, a small amount of I3C or DIM can be taken and a lot of vegetables containing these nutrients should be eaten (broccoli, cauliflower, onions and garlic). Women on bioidentical oestrogen should do a monthly breast exam and have them examined by a doctor of their choice at least yearly. Menopausal women undergoing hormone restoration which includes oestrogen should have yearly ultrasound evaluations of the uterine lining. In summary, there are 5 mandatory safeguards for women on oestrogen: - A 24 hour urine assessment of all 3 oestrogens and their metabolites.
- Regular mammograms and breast examination.
- An annual pelvic ultrasound.
- Supplementation with pharmaceutical grade fish oil.
- Regular checks of vitamin D levels to ensure levels > 75 nmol/l which have been shown to be protective against breast and endometrial cancer.
If bioidentical hormone restoration is not effective, a 24 hour urine hormone assessment may give the reason by showing very high levels of excreted hormones. For some reason, some women are "oestrogen hyperexcretors" and their liver excretes the oestrogen too rapidly. Research has shown that 300-600 mcg of cobalt chloride corrects this over a 3-6 month period. Once the excretion has been corrected, the chromic chloride can be discontinued. Long term safety: Research is rarely done with bioidentical hormones and it is unlikely there ever will be. This is because there is no money in it for the pharmaceutical companies that do most of the research. Research is also difficult with the intricacies and constant changes in doses required with hormone restoration. Research is much easier to do when you are comparing two little white pills, taken every day. Mainstream medicine also often does not take an interest in bioidentical hormones and rarely recommends them as alternatives to synthetic hormones. There are studies which have shown efficacy and safety in the short term (up to 12 months). There is however, no long term study showing that bioidentical hormones are safe. What there is, is a huge pool of experience from many physicians working in this area that hormone restoration with bioidentical hormones is both safe and efficacious. As Dr Steven Hotze said in an interview, "Nobody ever did a double-blind study to see if we need water on grass—we just know that." It's not hormones themselves that are unsafe, it's the inappropriate use of synthetic drugs masquerading as hormones that's unsafe. Let's say someone takes an organic apple and coats it in a cancer causing insecticide to keep the insects off. When a report comes out that the treated apples have increased the risk of breast cancer do we conclude that the apple has increased the risk of breast cancer? No, we conclude that we shouldn't have been ruining the apple by putting the insecticide on it. People who chose to use bioidentical hormones must make that decision based on common sense, not on research. They must say to that it makes sense to them that maintaining their own hormones at levels closer to what they had in their youth is safer than using large doses of horse hormones and petrochemical drugs given orally. About the Author Dr Greg Emerson is the Founder and Medical Director of the Emerson Health and Wellness Centre which opened in October 2005. He is a consultant in Nutritional and Environmental medicine. He is also a senior specialist in Emergency Medicine and in Diving and Hyperbaric Medicine. For 18 years he practiced in several large public hospitals including a period of time as an Associate Professor of Emergency Medicine at a major trauma hospital in Canada and as the Director of a leading Diving and Hyperbaric Medicine Unit. He is a lecturer, examiner and current board member for the Australian College of Nutritional and Environmental Medicine and a past-examiner for the Australasian College of Emergency Medicine. A long personal battle with illness led him on a profound exploration of healing processes and the prevention of illness. He reappraised both his medical focus and the way he approached health care delivery. He believes in the intrinsic ability of the body to heal itself if the underlying cause of the illness is addressed. His practice revolves around three core principles, in the belief that almost all non-traumatic illnesses will respond to these principles: - Elimination of food and chemical sensitivities
- Alkalinisation and detoxification
- Balancing of hormones
Dr Emerson regularly lectures both within Australia and internationally on Nutritional and Environmental medicine. He also runs his own successful international medical conference. His mission is to provide people with the knowledge, tools and motivation to live a life of extraordinary health, vitality and longevity.
More information about vitamins for menopause
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07/23/2008
Which vitamins should I take for menopause?What is the best brand of vitamins for menopause?Which vitamins should I take to reduce the symptoms of menopause?Which vitamins should I take when taking HRT?The answer to all these questions and more on the Healthy Comparisons Vitamin Forum. Ask questions and share experiences. Join our healthy community today.
List of Menopause Symptoms
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01/15/2008
List of Menopause SymptomsMenopause is not a disease or an illness. It is permanent ending of menstruation in women. Menopause marks the end of a woman's natural ability to bear children. Menopause symptoms are as different as women themselves. Some women do not have any symptoms during menopause or only have a few symptoms. Other women develop disturbing and even severe symptoms. In the western world about 12 percent of woman do not experience symptoms of menopause and about 14 percent experience intense physical or emotional problems. The average age of U.S. women in whom menopause occurs is 51 years. For most women, menopause is a normal occurrence. If menopause happens in a woman younger than 40 years, it is considered premature. Menopause is considered late if it occurs in a woman older than 55 years. Here is an almost complete list of menopause symptoms: - Hot flashes.
- Night sweats.
- Sleep disorders.
- Changes in menstruation Mood swings.
- Depression and anxiety.
- Irritability.
- Difficulties in concentrating.
- Mental confusion.
- Memory problems.
- Decline in libido.
- Vaginal dryness.
- Urinary problems.
- Thinning of the skin around the cervix.
- Breast tenderness.
- Tiredness.
- Hair loss and hair thinning.
- Headaches.
- Cardiovascular disease.
- Osteoporosis.
- Weight gain.
Keep in mind that most women will only have a few symptoms from this list of menopause symptoms. Symptoms can be noticed for several months to years before the last menstrual period and can continue for several years after. Source: http://www.healthguidance.org/authors/40/Alex-Fir Alex Fir Visit Depression Help Center for more information on depression and latest news http://www.depression-help-center.info/blog/.
Human growth hormone - Nutrition & Environmental Medicine Fact File
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03/04/2008
Human growth hormone - Nutrition & Environmental Medicine Fact FileHuman growth hormone (HGH) is secreted by the pituitary gland in the brain. Secretion peaks during the growth spurt of adolescence. The decline in levels begins before that of DHEA as it has fallen dramatically by the age of 20. It then continues to decline by 50% every 7 years. Supplementation with HGH can reverse many of the signs of aging. A study of men receiving 6 months supplementation with HGH published in the New England Journal of Medicine in1990 showed: - An 8.8% increase in muscle mass
- A 14.4% decrease in body fat
- A 1.7% increase in lumbar spine bone density
- A 7% increase in skin thickness
The researchers concluded that the benefits of HGH replacement were equivalent to a reversal of 10-20 years of aging. Other studies have shown similar results. As well as delaying ageing, HGH replacement has also been shown to be beneficial in osteoporosis, fibromyalgia, improving cognitive function, improving immune function, Crohn's disease and congestive heart failure. HGH levels have been shown to be low in several cancers including liver, endometrial and colon. Excessive doses of HGH however may be cancer promoting. There are currently no studies showing appropriate, physiological doses of HGH cause cancer. In fact, patients deficient in HGH have a 400% increase in cancer mortality and a 200% increase in cancer incidence. Patients on long term HGH replacement (>60 months) have been shown to have a 50% reduction in cancer risk. HGH should not be given without first documenting a deficiency and then monitoring treatment. There are no easy ways to do this. I prefer to use 24 hour urine assessments. Most people over the age of 60 have a 24 hour HGH secretion rate comparable to a young person with an organic pituitary lesion. When levels are appropriately documented, HGH replacement then becomes treatment of a documented deficiency state. HGH is manufactured by recombinant DNA technology (like insulin) and can be expensive. Average costs in Australia are around $/year. Usual doses are 0.05-1.5 IU per day given by subcutaneous injection 6 evenings per week. I usually recommend 0.5 IU/day (0.17mg). Most protocols suggest taking a week off every 2-3 months. Proven ways to boost HGH levels naturally include: - regular exercise
- use of the unique all natural Beyond GHS which is available from my supplements page. It is part of my personal supplement programme and in my opinion, has done away with the need for growth hormone injections.
- Alkaline water.
Side effects are almost always due to excessive dosage and are reversible by decreasing the dose. They include acromegaly, carpal tunnel syndrome, joint and muscle pain and oedema. About the Author Dr Greg Emerson is the Founder and Medical Director of the Emerson Health and Wellness Centre which opened in October 2005. He is a consultant in Nutritional and Environmental medicine. He is also a senior specialist in Emergency Medicine and in Diving and Hyperbaric Medicine. For 18 years he practiced in several large public hospitals including a period of time as an Associate Professor of Emergency Medicine at a major trauma hospital in Canada and as the Director of a leading Diving and Hyperbaric Medicine Unit. He is a lecturer, examiner and current board member for the Australian College of Nutritional and Environmental Medicine and a past-examiner for the Australasian College of Emergency Medicine. A long personal battle with illness led him on a profound exploration of healing processes and the prevention of illness. He reappraised both his medical focus and the way he approached health care delivery. He believes in the intrinsic ability of the body to heal itself if the underlying cause of the illness is addressed. His practice revolves around three core principles, in the belief that almost all non-traumatic illnesses will respond to these principles: - Elimination of food and chemical sensitivities
- Alkalinisation and detoxification
- Balancing of hormones
Dr Emerson regularly lectures both within Australia and internationally on Nutritional and Environmental medicine. He also runs his own successful international medical conference. His mission is to provide people with the knowledge, tools and motivation to live a life of extraordinary health, vitality and longevity.
Hormone restoration - Nutrition & Environmental Medicine Fact File
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03/04/2008
Hormone restoration - Nutrition & Environmental Medicine Fact FileHormone restoration is a much different process to hormone replacement and it is vital that the difference is understood. Hormone restoration uses individualised, physiological doses of bioidentical hormones in order to restore key hormones to youthful levels. The aim of hormone restoration is to maximise energy, slow the aging process and prevent disease. Ongoing monitoring of levels is a key component to successful hormone restoration. Hormone replacement uses synthetic "hormones" usually obtained from the urine of horses in "one size fits all" supra-physiological doses. Ongoing monitoring of levels is not usually done. Hormone replacement was what was studied during the now infamous Women's Health Initiative (WHI) which has inappropriately deterred many people from hormone restoration and therefore greater health and vitality. In the opinion of clinicians at the Emerson Health and Wellness Centre, maintaining balanced hormones at youthful levels is a powerful way of preventing disease and delaying ageing. Australian health statistics show that cardiovascular disease claims a life in Australia every 10 minutes. One in two men and one in three Australian women will develop coronary heart disease in their lifetime. In the US, coronary heart disease is the leading cause of death among women. The incidence of coronary heart disease in women increases markedly following menopause when ovarian hormones decrease. Previously it was felt that female hormones were cardioprotective, however the WHI did not show this. Women in the WHI were divided into three groups: 1) synthetic oestrogen 2) synthetic oestrogen and synthetic progesterone 3) placebo The study was stopped prematurely (it was an eight-year-plus study which was stopped at five years) when women in the synthetic oestrogen group were found to have an increased risk of heart attack, stroke, blood clots and breast cancer. They had a decreased incidence of fracture and colon cancer. There was no change in the incidence of Alzheimer's disease. In the synthetic oestrogen and synthetic progesterone group there was an increased risk of strokes and blood clots. There was no difference in the incidence of heart attacks and breast cancer. There was a decreased risk of fracture. The study concluded that hormone replacement therapy should not be used for the prevention of heart disease and that alternatives for the prevention of osteoporosis, heart disease and menopausal symptoms should be explored. Interestingly, bioidentical hormones were not discussed as an alternative. There are many reasons to explain the results: - Traditional hormone replacement therapy uses "hormones" that are not identical to those naturally found in women. In fact they aren't really hormones at all. They are drugs. They are collected from pregnant horses which have been incarcerated in stables with catheters in their bladders. Why use horses? Because they have huge bladders which can be catheterised, can be fed inexpensive hay, kept pregnant in small stalls and given tranquilisers to stay calm. However there is no money in selling horse hormones so they are then modified in a laboratory to make them patentable. So in the end, they are not even bioidentical horse hormones and therefore not even safe for horses. Additionally, as well as the horse oestrogen in the pharmaceutical oestrogen, there are several other horse hormones that have come along for the ride. Despite all the advances in medicine and science, and the availability of safe and effective bioidentical alternatives, women were (and still are) given hormones that aren't fit for horses.
- "Hormones" in the WHI were given at the same dose to all the women in the study. This "one size fits all" is certainly not appropriate for hormone replacement. A 65 year old, 90 kg woman does not require the same amount of hormone as a 75 year old, 50 kg woman but that's what happened in the WHI.
- The "hormones" were not cycled to mimic the normal menstrual cycle.
- Other deficient hormones (such as DHEA and testosterone) were not addressed. Recent research has shown that DHEA and testosterone have a role in protecting the cardiovascular system. It is also well-known that hormones act synergistically -- they all need to be balanced. Addressing just one or two is like fixing one leg of a table which has four broken legs.
- Synthetic "hormones" as well as having a large number of side effects also occupy the receptors designed for our own hormones. They therefore don't allow the appropriate interaction between our hormones and the receptors. For example, progestin (the synthetic "progesterone") occupies progesterone receptors. Unfortunately it doesn't have a progesterone like effect on these receptors, has side effects that don't occur with bioidentical progesterone and is successful in blocking normal progesterone from attaching to the receptors. Women on progestin therefore miss out on the protective effect of progesterone and are exposed to the risks of unopposed oestrogen.
- Levels of natural hormones were not measured in the women before they started on hormone replacement to even see if they were actually deficient and get a baseline level to monitor replacement.
- Levels of the synthetic hormones were not monitored during replacement to ensure physiological levels and guide treatment recommendations. Doses were also not adjusted according to symptoms. The women stayed on the same dose no matter how they felt. That's why a "one pill fits all" synthetic hormone won't work. Every day a woman's hormone requirements may change depending on her stress levels, exercise levels etc.
- The synthetic "hormones" were generally administered orally. This means as soon as the chemical is absorbed from the stomach, it has taken to the liver and metabolised for it has a chance to interact with any of its receptors. As well is putting an unnecessary burden on the liver, much of the hormone will be metabolised and therefore not be active. Bioidentical hormones applied to the skin bypass the liver, arriving directly at their receptors.
- One group received oestrogen alone. There is never a reason to give oestrogen without co-administering progesterone. Oestrogen alone is known to increase the risk of endometrial cancer. The justification for using oestrogen alone is that if a woman has had a hysterectomy, she doesn't have a risk of endometrial cancer. Unfortunately, this ignores the risks of unopposed progesterone on the rest of the body, particularly the breasts.
The principles of hormone restoration include: 1) Only using bioidentical hormones. These hormones are sourced from plants (such as soy and Mexican wild yam) and are then modified to become exactly the same as our hormones. It's hard to imagine that bioidentical hormones can be bad for us when we had them naturally in high doses in our youth when most people are at the peak of their health. Balanced, youthful levels of hormones aren't dangerous, what is dangerous are synthetic, horse hormones being used on humans and an imbalance in our hormones caused by environmental toxins and environmental hormone like chemicals such as xenoestrogens. 2) All deficient hormones should be replaced because of their synergistic effects. That may include any combination of oestrogen, progesterone, testosterone, thyroxine, pregnenelone, DHEA, cortisol and melatonin. Using the appropriate combination allows much smaller doses of each. For example, progesterone switches on oestrogen receptors and therefore lower doses of oestrogen are required. It's no good just replacing oestrogen and progesterone if the adrenal and thyroid glands are underperforming. 3) Transdermal gels and creams are used where possible. This bypasses 'first pass' liver metabolism and allows for individualised doses. 4) Hormones are given to mimic natural cycles. This is the way nature intended it. For menopausal women, that may mean having a period again. Giving oestrogen and progesterone continuously without a monthly break can increase insulin resistance (increasing insulin levels and a predisposition to the metabolic syndrome, type 2 diabetes and breast cancer). This does not occur when a normal hormonal cycle is mirrored. 5) Hormones are only replaced if measured levels are deficient. 6) Levels are monitored by blood, saliva or urine tests to ensure physiological levels are obtained. 7) Doses are individualised. Hormone restoration is an art, not a science. That's why one tablet of synthetic "hormones" for every woman will never work. 8) Oestrogen is always given with progesterone. 9) Start with the lowest dose and taper up slowly. It is much easier to prevent osteoporosis, heart disease and breast cancer by balancing hormones than it is to treat those diseases. Hormone restoration is effective because hormones are a order of magnitude more powerful than drugs. Levels should be restored to the levels the individual would have had at the age of 20-30. However, in today's environment, women as young as 14 can benefit from hormone balancing because environmental toxins and xenoestrogens can cause a hormonal imbalance from an early age. Hormone restoration and balancing with bioidentical hormones is helpful for men and women of any age. It's not just about menopause. It should always be combined with good nutrition, avoidance of environmental toxins, stress reduction and exercise. Hormonal imbalance and decline often present as other symptoms and signs or with just feeling like the vibration of life has disappeared. Unfortunately, unless hormone balance is thought of, there is a tendency to do a basic set of investigations, find they are normal and treat the symptoms with sleeping pills, anti-depressants or other "anti" drugs when what is needed is hormonal restoration. Anti-depressants have many side effects including loss of libido and loss of the joy of life. The evidence? Much less than it should be. Research is rarely done with bioidentical hormones and it is unlikely there ever will be. This is because there is no money in it for the pharmaceutical companies that do most of the research. Research is also difficult with the intricacies and constant changes in doses required with hormone restoration. Research is much easier to do when you are comparing two little white pills, taken every day. Mainstream medicine also often does not take an interest in bioidentical hormones and rarely recommends them as alternatives to synthetic hormones. There are studies which have shown efficacy and safety in the short term (up to 12 months). There is however, no long term study showing that bioidentical hormones are safe. What there is, is a huge pool of experience from many physicians working in this area that hormone restoration with bioidentical hormones is both safe and efficacious. As Dr Steven Hotze said in an interview, "Nobody ever did a double-blind study to see if we need water on grass—we just know that." It's not hormones themselves that are unsafe, it's the inappropriate use of synthetic drugs masquerading as hormones that's unsafe. Let's say someone takes an organic apple and coats it in a cancer causing insecticide to keep the insects off. When a report comes out that the treated apples have increased the risk of breast cancer do we conclude that the apple has increased the risk of breast cancer? No, we conclude that we shouldn't have been ruining the apple by putting the insecticide on it. People who chose to use bioidentical hormones must make that decision based on common sense, not on research. They must say to that it makes sense to them that maintaining their own hormones at levels closer to what they had in their youth is safer than using large doses of horse hormones and petrochemical drugs given orally. Remember that oestrogen doesn't cause cancer. Damage to DNA from causes cancer. DNA is damaged by environmental toxins, genetics and unhealthy lifestyle choices, not by oestrogen. Oestrogen is a minor growth hormone which causes cell proliferation of normal breast tissue. Therefore if you develop breast cancer oestrogen could theoretically accelerate its growth. In fact, oestrogen doesn't even accelerate the growth of cancer, it is the lack of progesterone causing unopposed oestrogen which allows this. In fact, insulin levels are much bigger hormone relative to breast cancer than oestrogen because insulin is a stronger growth hormone. That's why adopting good nutritional habits to avoid elevations in insulin levels is so important. The risks of hormone restoration with bioidentical hormones are hard to quantify. Consideration should be given to: 1) There is a risk with doing anything in life. Although the risk of hormone replacement with bioidentical hormone replacement can't be quantified, it would be reasonable to think that for any individual, it would be the same risk as when they were in their youth with a full set of balanced natural hormones. Clinicians at the Emerson Health and Wellness Centre believe that hormone restoration is safe as long as it is done as an informed partnership between patient and doctor, the doctor has the training, passion and experience in this area and the above guidelines are followed. 2) There is a risk in doing nothing…it's called aging and loss of vitality. 3) There is a risk of persisting in life with unbalanced hormones …it's called disease. Synthetic hormones are pervasive throughout our modern environment (they are known as xenobiotics). Our hormone levels are thrown out of balance by chlorinated water, fluoridated toothpaste, food additives, plastics, mercury fillings, prescription drugs, insecticides, herbicides and pollution. As well as having their own effect, they attach to hormone receptors and block our natural hormones from having their effect. Some people say hormone restoration is not natural but then again, neither are the above xenobiotics or immunisations, bypass surgery and hip replacements. So in the end, it's up to the individual to be as informed as possible and then decide which risk they want to be exposed to. About the Author Dr Greg Emerson is the Founder and Medical Director of the Emerson Health and Wellness Centre which opened in October 2005. He is a consultant in Nutritional and Environmental medicine. He is also a senior specialist in Emergency Medicine and in Diving and Hyperbaric Medicine. For 18 years he practiced in several large public hospitals including a period of time as an Associate Professor of Emergency Medicine at a major trauma hospital in Canada and as the Director of a leading Diving and Hyperbaric Medicine Unit. He is a lecturer, examiner and current board member for the Australian College of Nutritional and Environmental Medicine and a past-examiner for the Australasian College of Emergency Medicine. A long personal battle with illness led him on a profound exploration of healing processes and the prevention of illness. He reappraised both his medical focus and the way he approached health care delivery. He believes in the intrinsic ability of the body to heal itself if the underlying cause of the illness is addressed. His practice revolves around three core principles, in the belief that almost all non-traumatic illnesses will respond to these principles: - Elimination of food and chemical sensitivities
- Alkalinisation and detoxification
- Balancing of hormones
Dr Emerson regularly lectures both within Australia and internationally on Nutritional and Environmental medicine. He also runs his own successful international medical conference. His mission is to provide people with the knowledge, tools and motivation to live a life of extraordinary health, vitality and longevity.
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