Perimenopause Symptoms

As I’m sure you’ve heard, the FDA issued a consumer advisory regarding several Hydroxycut products on May 1, 2009. (Hydroxycut products are supplements geared at promoting weight loss, fat burning, increased energy and metabolism, and decreased appetite.)

According to the FDA, they have received 23 reports over the course of seven years that people taking Hydroxycut products experienced serious liver-related problems. The FDA advisory goes on to state, “Although the liver damage appears to be relatively rare, FDA believes consumers should not be exposed to unnecessary risks.” As a result of the FDA advisory, Iovate Health Sciences (the manufacturer of Hydroxycut products) issued a voluntary recall of the products in question.

This recall shows, yet again, that the idea of “weight loss in a bottle” is a myth. As Dr. Lark has written about time and again and I have preached in seminar and retreats several times over, the “secret” to effective weight loss is (drum roll please!)…exercise and proper nutrition.

That being said, there are a few tricks laying right in your refrigerator or kitchen cabinet that can make your weight loss efforts, well, effortless, such as green tea and flaxseed. Then there are the things that should NOT be in your frig or cupboard…things like wheat and dairy. Let me explain.

Both wheat and dairy are common food allergens. For some, this can translate to very serious conditions such as celiac disease (wheat and gluten allergy) or lactose intolerance (dairy allergy). However, thousands of women have developed an intolerance to these foods. The result is often “false fat” due to inflammation of the digestive system.

When you think of inflammation, you most likely think of swelling around a knee or bruise. But the reality is that no matter where an injury occurs, the physical manifestations are the same—pain, stiffness, and swelling. Therefore, when certain foods irritate or “injure” your intestinal tract, the abdomen and midriff can swell, resulting in bloating and fluid retention in the abdomen—this is false fat. Simply avoiding foods that contain wheat and dairy can result in a flatter tummy for many women.

And if you are looking for delicious way to boost your metabolism and burn calories, skip the hype and just brew up a cup of green tea. Green tea contains polyphenols, which appear to block the enzyme that breaks down norepinephrine, a brain chemical that regulates your metabolism. The higher your levels of norepinephrine, the faster your metabolism, which in turn allows you to burn calories even more efficiently. To reap the full benefits of green tea for weight loss, aim for drinking three 8-ounce cups of green tea a day. This is enough to provide roughly 240 to 320 mg of polyphenols.

And if you are looking for an easy, healthy way to decrease your appetite, try flaxseed. Flaxseed is living proof that great things do come in small packages. Flax is a great source of fiber, which has been shown to enhance weight loss, help in weight management, and decrease feelings of hunger. It does this by increasing bulk and helping to reduce appetite, thereby producing feelings of satiety.

Plus, flax contains essential fatty acids (great for skin, hair, energy levels, and heart protection), as well as phytoestrogens, weakly estrogenic plant nutrients that bind with your body’s estrogen receptors, mimicking the effects of estrogen. This is good news for anyone suffering from menopause symptoms such as night sweats, hot flashes, or other signs of menopause. Aim for 4–6 tablespoons of ground flaxseed a day. Simply sprinkle on dairy-free yogurt or oatmeal in the morning, over a salad at lunch or dinner, or add to your favorite smoothie as a snack.
 

With all the discussion surrounding conventional hormone replacement therapy and bioidentical hormones, it’s no wonder that women are at a loss for ANY solution, natural or otherwise, to their menopause symptoms. If you are looking for a quick, easy, effective, and delicious option to ease the discomfort of night sweats, hot flashes, and other signs of menopause, then soy is for you.

Soy contains phytoestrogens, weak, estrogen-like plant compounds. The specific phytoestrogens found in soy are genistein and diadzein. They are also often referred to as isoflavones. These soy isoflavones have been shown ease menopausal symptoms in thousands of women.

Plus, eating soy-based foods has other long-term health benefits. For example, soy does not appear to have a carcinogenic effect on uterine cells or breast tissue. Plus, the EFAs in soy are good for heart health and supple skin.

To ensure you are getting adequate amounts of soy in your diet, Dr. Lark suggests aiming for 50–100 mg of soy isoflavones per day. This translates to two cups of soy milk (35–40 mg in one glass), ½ cup of edamame (150 mg in ½ cup), or one cup of tofu (35 mg in ½ cup). Just be sure to always, always choose organic soy products, as soy is one of the two most common genetically modified crops in the United States.

Here are a few easy and delectable ways to ensure you are getting enough soy in your diet:

• Make a smoothie for breakfast. Mix one cup soy milk with one banana, a handful of strawberries, one tablespoon of ground flaxseed, and a few cubes of ice. Blend well and enjoy your 70 to 80 mg of soy isoflavones.
• Enjoy a hormone-healthy salad for lunch. Mix 1 cup chopped romaine lettuce with one tomato (diced), ½ a cucumber (diced), ½ cup edamame (whole soybeans), and 2 tablespoons of pumpkin seeds. Toss with a bit of extra-virgin olive oil and balsamic vinegar and enjoy.
• Whip up an easy dessert. Place four ounces soft tofu, one cup mango, one cup papaya, and 1 teaspoon honey in a blender. Mix well and share with a friend. You’ll each get about 15 to 20 mg of soy isoflavones.
   

Ever since the Journal of the American Medical Association (JAMA) reported on the dangers of conventional hormone replacement therapy (HRT) in the July 17, 2002 issue of the journal, women have been scrambling to find a safer, yet still effective treatment for menopause symptoms.

In case you are not familiar with the study, JAMA reported on the findings from one part of the Women’s Health Initiative, an 8.5 year project funded by the National Institutes of Health. According to the findings, menopausal women taking estrogen/progestin for five years or more had an increased risk for blood clots, coronary heart disease, strokes, and breast cancer. In fact, researchers felt so strongly about the negative implications of long-term combined HRT, especially the unacceptably high risk for breast cancer, that they ended the study three years early! Participants were contacted and instructed to stop taking the drug—immediately.

As you can imagine, the pharmaceutical companies have been in a panic ever since, as hundreds of thousands of women have stopped taking their medication and look to natural medicine for answers…answers that many have found in bioidentical hormones.

Dr. Lark has written about and prescribed bioidentical hormones for more than 20 years. In fact, in our book Hormone Revolution, we have devoted several pages to the topic. And when it comes to using bioidentical hormones to treat menopause symptoms such as night sweats, hot flashes, and other signs of menopause, the most commonly prescribed hormone is estriol.

Given the sudden drought in conventional HRT usage (and therefore loss of money to pharmaceutical companies), as well as the increased interest and media attention surrounding the usage and efficacy of bioidentical hormones—namely estriol—it shouldn’t come as a surprise that the FDA is now cracking down on these natural options.

According to the FDA’s Web site, the “use of ‘bio-identical’ as a marketing term implying a benefit for the drug, for which there is no medical or scientific basis.” They even go so far as to state that estriol “is not a component of an FDA-approved drug and has not been proven safe and effective for any use.”

This is simply ridiculous and just plain outrageous. Estriol is the weakest, and therefore safest, of your three main types of estrogen. It has been studied in various animal and human studies and has been shown to be less likely to promote excessive tissue growth, and even helps prevent breast and endometrial cancers.

To me, that seems to contradict the “not been proven safe” part of the FDA’s statement. And, as for the “not been proven effective for any use,” I cannot help but wonder if the FDA is familiar with the JAMA study that found that estriol was particularly effective in treating vaginal atrophy, mood swings, and hot flashes. Or, how about study from Alternative Medicine Review, which found that estriol provided the protection of conventional hormone replacement therapy without the risks. Plus, estriol was found to ease menopause symptoms, including hot flashes, insomnia, vaginal dryness, and urinary tract infections.

Don’t be fooled by the FDA’s “concerns.” Sadly, in this arena, their main concern seems to be with the pharmaceutical company’s checkbooks, not your health. Keep yourself informed by reading blogs, newsletters, and informative emails from trusted sources and doing research for yourself. And fight for your right to natural alternatives to all your health concerns.

In a previous post, I discussed a common perimenopause symptom: fibroids. I also told you how to use diet to control this problem that’s so common in early menopause. Today, I am going to give you some supplements that can reduce fibroids and their symptoms.

Nutritional supplements can help balance hormones and reduce estrogen levels. When used properly, they can dramatically reduce bleeding, pain, and cramps that may accompany fibroids. In particular, I suggest using:

• B-Complex Vitamins—help regulate estrogen levels and reduce menstrual cramps. I recommend taking 50–100 mg of B-complex vitamins daily, with an additional dose of 50–100 mg of vitamin B6 (not more than 100 mg total of B6), which has been shown to be particularly helpful in reducing menstrual cramps, fluid retention, weight gain, and fatigue.

• Vitex (Chaste Tree Berry)—normalizes the secretion of hormones and helps bring estrogen and progesterone into balance. I recommend taking 40 mg once or twice a day.

• Vitamin C and bioflavonoids—work to build collagen and strengthen blood vessels, while promoting normal estrogen production and blocking its fibroid-stimulating effects. I suggest taking 1,000 to 5,000 mg of a mineral-buffered vitamin C and 750-2,000 mg bioflavonoids daily, in divided doses (choose a product with additional rutin, a potent bioflavonoid derived from alkaline buckwheat, rather than naringin, an acidic, grapefruit-derived bioflavonoid). With both nutrients, start at the low end of the dosage range and work your way up.

• Vitamin A—a study of 71 women found that those with excessive bleeding had significantly lower blood levels of vitamin A than the normal population. I suggest taking 5,500 IU of vitamin A, as beta-carotene, per day.
 

Another common perimenopause symptom is uterine fibroids. Approximately 40 percent of women have fibroids by mid-life, and usually, they don’t cause problems. However, fibroid removal accounts for nearly one-third of all hysterectomies performed annually in the United States, many of which are completely unnecessary. The fact is, many fibroids will likely shrink and may even disappear with menopause.

As with estrogen dominance, another premenopause symptom, fibroids can be largely controlled through diet. You need a wide range of nutrients to help balance your hormones and reduce your estrogen levels, decrease cramping and inflammation, and generally improve your physical and mental well-being. Increasing your intake of the foods listed below will provide the necessary nutrients to produce these effects.

1. Whole grains are excellent sources of B vitamins, as well as vitamin E, magnesium, calcium, and potassium. Fiber in whole grains absorbs estrogen, helps remove it from the body, and normalizes bowel function.
 

2. Legumes contain fiber and are high in calcium, magnesium, and potassium. I am especially fond of soybeans, which help regulate estrogen levels.

3. Fruits and vegetables contain a wide range of nutrients that can relieve menstrual cramps, including vitamin C and bioflavonoids.

4. Seeds and nuts, especially flaxseed and pumpkin seeds, are wonderful sources of essential fatty acids (EFAs), the raw materials necessary for the production of prostaglandins.

5. Fish contains linolenic acid and is an excellent source of minerals, especially iodine and potassium. Salmon, tuna, mackerel, and trout are especially good for women with menstrual cramps.

6. Oils containing vitamin E help to balance mood, and ease fatigue and cramps that occur at the onset of menstruation for women with fibroids. Good oil sources include sesame seeds and wheat germ.

7. Avoid saturated fats; dairy products such as yogurt, milk, cheese, and cottage cheese; salt; refined sugar; caffeine; and alcohol.

In response to my recent blog post on "Are You in Perimenopause?," Lisa B. asked if there was a pill available to help relieve perimenopause symptoms. Because this is an issue that touches so many women, I've decided to devote this post to its answer.
 
Estrogen dominance is the most frequent cause of unpleasant symptoms during perimenopause and bringing it back into balance is key to finding relief. While there are many products on the market that claim to provide relief from perimenopause symptoms, I urge you to do your research and pick the product that best fits your unique symptoms.  Some women find relief from their symptoms with just one or two supplements, while others may need to take several in combination. The specific supplements I recommend for estrogen balancing are:

• Soy isoflavones — 50 to 100 mg of soy isoflavones as food and in pill form.
• Bioflavonoids — 750 to 2,000 mg per day.
• Flaxseed oil or ground flax meal — 1 to 2 tbsp of flaxseed oil; or 4 to 6 tbsp ground flax meal mixed into cereals and shakes.
• Vitamin B-complex — 25 to 100 mg daily assists the liver in detoxifying estrogen.
• Herbs such as turmeric (400-500 mg two to three times a day), or dandelion (150-500 mg daily) or milk thistle standardized extract (150-175 mg one to three times a day) and amino acids like L-methionine (200-1,000 mg) or L-cysteine (200 mg twice a day) also promote healthy liver detoxification.
• Oat or rice bran for fiber (1-2 tbsp per day in 8-12 oz water).

On my website, www.DrLark.com, you’ll find many products that meet the specific needs of women, along with valuable information to help you identify a natural solution that will work best for you.

Progesterone's job in your body is to balance the effects of estrogen. Where estrogen is growth stimulating, progesterone is growth limiting. Estrogen is mood elevating; progesterone has a sedative effect on mood. One of progesterone's tasks is to prevent menstrual bleeding from becoming too profuse or long lasting (a symptom common with estrogen dominance). Often, progesterone is often combined with estrogen replacement therapy to control perimenopause symptoms and to provide menopause relief.

If you’re in early menopause (or premenopause), here's a checklist to help you find out if your body produces enough progesterone. If two of these symptoms apply to you, you may benefit from natural progesterone replacement.

o My sleep quality is poor.
o I am often unable to concentrate.
o I'm unable to remain calm under stress.
o I suffer from PMS.
o I'm over 50.
o I'm in perimenopause or early menopause.
o I have a decreased interest in sex.
o I have heavy, irregular bleeding.
o I have premenstrual bloating or swollen breasts.

Most of my patients tend to prefer natural progesterone cream, which is available without a prescription. A typical dosage of natural progesterone cream is 20 mg a day or one-quarter to one-half teaspoon amounts applied to any clean area of the skin twice a day. Look for a product that contains 400 – 600 mg of progesterone per ounce like Pro-Gest or Fem-Gest.

As I wrote in my blog back in early November, there are several spices that are particularly beneficial for women in early menopause or premenopause. These spices—namely ginger and cinnamon—can help to ease perimenopause symptoms. Not to mention, they taste fabulous!

The best way I know to stay in delicious hormonal balance is to incorporate these spices into your life. And what could be a tastier way to enjoy these spices than gingerbread!

Nothing says "Happy Holidays" to me quite like the smell of gingerbread baking. So, my gift to you this season, is a healthy version of my mother’s amazing gingerbread.

You can find this recipe and others like it (including several for women suffering from menopause symptoms such as hot flashes and night sweats) in Hormone Revolution.

Gingerbread
Serves 9

½ cup canola oil
½ cup erythritol
1 egg
½ cup light molasses
1 ½ cups Pamela’s wheat-free baking mix
¾ teaspoon salt
½ teaspoon baking soda
½ teaspoon ginger
½ teaspoon cinnamon
½ cup boiling water

1. Preheat oven to 350°F
2. Cream oil and erythritol for 30-45 seconds.
3. Add egg and molasses and beat thoroughly.
4. In a separate bowl, sift together baking mix, salt, baking soda, ginger, and cinnamon.
5. Add dry ingredients to egg mixture, alternating with boil water, until well blended.
6. Pour mixture into a lightly greased 8x8 pan and bake for 40 minutes, or until toothpick, comes out clean.
7. Serve warm or at room temperature.

Growing up, my mother used to constantly remind me that “birds of a feather flock together.” Considering my group of friends, this was a good thing. I had (and still have) great friends in grade school, high school, college, and beyond…people I was proud to be associated with.

As it turns out, there is something to this “birds of a feather” theory. A study published last week in the British Medical Journal found that the people you surround yourself with can have a direct and profound effect on your happiness. According to researchers James Fowler and Nicholas Christakis, “People’s happiness depends on the happiness of others with whom they are connected.”

After mapping the social interactions of nearly 5,000 people aged 21 to 70, discovered that when someone expresses happiness, their friend experiences a 25 percent increased chance of catching the happiness bug. And that friend’s friend has a 9.8 percent chance of becoming happy. And even the friend of that second friend as a 5.6 percent chance of getting the happiness virus.

Pretty cool, right? But what, you may be asking, does this have to do with hormone health? I mean, how on earth can giggling help hot flashes or night sweats? The answer is that it actually can.

As Dr. Lark and I wrote in Hormone Revolution, there is a very large and very real connection between hormone health and positive emotions. Thousands of studies have shown that what you do with your mind and emotions has a powerful effect on your health. One study in particular has always resonated with me.

Researchers looked at the longevity of a group of Catholic nuns from Milwaukee. The sisters ate, lived, slept together for years. They had the same daily routine, taught in the same school, had the same financial situation, received the same medical care, etc. Given this unique set of circumstances, researchers decided to evaluate the connection between happiness and longevity.

They looked at writings the sisters did prior to taking their vows. They divided the writings and their respective authors into different classifications based on the levels of joy and satisfaction expressed in the letters. They found that 90 percent of those sisters whose writings fell into the “most happy” category were still alive at age 85 or older. Conversely, just 34 percent of those sisters who writings fell into the “least happy” category lived to be 85.

In the past, Dr. Lark has written about positive thinking and emotions helping women deal with menopause symptoms and ease the discomfort of many perimenopause symptoms, including fibroids and endometriosis. I can tell you firsthand that nothing eases cramps and PMS symptoms like my favorite comedy and a good laugh. And I have many, many friends that have brushed off concerns of early menopause with a self-deprecating joke or two. Come to think of it, there isn’t much that good friends and a good laugh can’t make better.

Clearly there is something to this happiness thing. Not only does happiness translate to a longer life span, but it seems to be viral, infecting those around you and those around them. It’s like an emotional flu!

Now that’s one virus I’d be glad to catch…and pass on.

I can’t believe it is December already! It seems like we went from the fourth of July directly to Thanksgiving and no pause in between.

Once Thanksgiving hits, I tend to be a rollercoaster of work, family, and event obligations…all of which lead to stress, late hours, and, often, no thought to what I’m eating, let alone eating for my hormone type.

So, this year, I decided to make it easy on myself. I came up with three easy breakfasts that I could grab-and-go. I also made a standing grocery list so I could be sure I always had easy, yet healthy, foods on hand.

And to make it easier for you too this holiday season, I’ve listed the breakfasts that work for me, and anyone else that is estrogen dominant, in early menopause or premenopause, or those suffering from perimenopause symptoms. I’ve also included three simple breakfast options for those of you who are estrogen deficient and may be suffering from menopause symptoms such as hot flashes or night sweats.

Easy Breakfast Options (Estrogen Dominant/Premenopause)

• Plain soy or coconut milk yogurt with fresh berries and two tablespoons flaxsee
• A hard-boiled, organic egg with a cup of pineapple
• A high-protein, high-fiber snack bar (Ruth’s Maca bar or Zoe’s Peanut Butter bar)

Easy Breakfast Options (Estrogen Deficient/Menopause)

• Whole-grain oatmeal with mango and two tablespoons of flaxseed
• Wheat-free flaxseed bread (Glutino brand) with almond butter and a cup of papaya
• Wheat-free granola with soy milk and banana

Must-Have Grocery List

To make the holidays even easier, print out the following grocery list and take it to the store with you. Keeping these staples on hand make meals (and your hormone health) a breeze…no matter what your hormone type!

Time and again, Dr. Lark has recommended that women of all hormone types limit, if not avoid, wheat and wheat-based products. I personally subscribed to this advice several years ago and I can tell you first-hand that I believe it has played a large role in balancing my hormones.

Wheat is one of the two most common food allergens, and the gluten found in wheat can trigger a very serious condition known as celiac disease. Those afflicted with the disorder are plagued by diarrhea, gas, vomiting, and anemia, and are at higher risk for more serious conditions, including osteoporosis and gastrointestinal cancer.

Clearly celiac is the very extreme of wheat-related issues, but if you are concerned about your hormonal health, you would be wise to steer clear of wheat. Women suffering from menopause symptoms are often at risk for wheat-related mood shifts, due in part to their growing inability to produce enough enzymes that are needed to digest wheat properly and easily.

And for those of you who are in estrogen dominance or are experiencing early menopause or premenopause, wheat should also been taken off your list. Wheat can worsen PMS symptoms and aggravate all perimenopause symptoms, including heavy menstrual bleeding and irregular menstrual cycles. Plus, studies have shown that an astounding 80 to 93 percent of women suffering from migraines also suffer from food allergies that trigger their headaches, and wheat is one of the most common allergens that affects migraineurs.

What to Eat

Believe me, I know the idea of giving up wheat can be daunting, but remember, it is an ingredient, not an entire food group. That means you can still have bread, pasta, pizza, pancakes, crackers, cookies, etc.—you just need to know what kind to buy. Thankfully, you have this blog to guide you!

For bread, I highly recommend Glutino’s Flaxseed bread. In fact, it’s the only pre-sliced bread I recommend. It is amazing toasted or dipped in an egg and cinnamon mixture and grilled. Top with sautéed apples and you are in for a treat!

For an easy, amazing flour and pancake mix, Pamela’s Products is the way to go. They also have bread, brownie, and cake mixes that you can’t beat. I’ve even swayed my family onto these mixes and they don’t even try to eat wheat-free…the mixes are just that good!

For pizza, you can buy Amy’s rice crust frozen pizza or pick up a bag of Namaste Foods’ pizza crust mix. It is easy and delicious!

For pasta, you can’t go wrong with Bionaturae pastas. My husband ate these pastas for nearly six months before he knew they were wheat-free.

For cookies, there are a large number of wheat-free brands. My personal favorites are Pamela’s Oatmeal Raisin, Paul Newman’s wheat-free, dairy-free Fig Newmans (yes, I spelled that right!), and Jennie’s Chocolate Macaroons.

Most of the brands I’ve mentioned are available at Whole Foods Markets. To locate a store near you, log on to www.wholefoods.com. If there isn’t one in your area, you can still purchase products from the store by visiting www.gaiam.com, clicking on “shop,” then on “health,” and finally on “Whole Foods Market.” You can also visit my Web site at www.decadenthealth.com for a list of wheat-free substitutions and recipes.

And to give you a little taste of how easy and delicious wheat-free can be, here’s a great granola recipe from my grandmother that I’ve tweaked over the years. Enjoy!

Grandma Ginny's Granola

4 cups oatmeal

2 cups soy flour

1 cup almonds, sliced

1 cup sunflower seeds, raw

1 cup coconut, unsweetened

1 cup flaxseed, ground

1/2 cup dried mango

2/3 cup olive oil

2/3 cup honey

1 teaspoon vanilla

1. Preheat oven to 350°F.
2. Grease 13x9-inch baking dish.
3. Combine oats, flour, almonds, sunflower seed, coconut, flaxseed, and mango in a large bowl. Set aside.
4. Combine oil, honey, and vanilla in a small bowl. Pour over oat mixture and blend well.
5. Pour mixture into baking dish and bake for 40–45 minutes or until browned. Stir mixture every 10–15 minutes.           
6. Cool on baking rack. Can be stored in the refrigerator in an airtight container.

As Dr. Lark and I wrote in Hormone Revolution, women with varying hormonal types need to eat very different categories of foods. For example, a woman with menopause symptoms or someone looking for menopause relief (an estrogen deficient-fast processor) would want to steer toward foods with a higher pH and avoid foods that are spicy or acidic.

Conversely, a woman who is in early menopause or premenopause and may be experiencing perimenopause symptoms (estrogen dominant or an estrogen deficient-slow processor) would aim for the exact opposite. She would want to choose foods that are more acidic, spicier, and those high in fiber.

An easy way to work beneficial foods into your specific hormonal program is to start with profile-appropriate spices. Here are three spices that are perfect for each hormonal type and a variety of ways to incorporate those spices into your diet.

Spices to Relieve Menopause Symptoms

Basil: Use basil in your scrambled eggs in the morning, mixed into a salad at lunch or dinner, or layered with eggplant and goat cheese as a delicious side dish.

Peppermint: Mint adds a surprising flavor to quinoa. Mix with dried apples and serve warm. Also makes a perfect after dinner tea.

Herbes de Provence:  This delightful blend of rosemary, basil, marjoram, bay leaf, thyme, and lavender is the perfect mixture for topping chicken or fish. I also like to add it to pureed cauliflower for a quick and easy side dish. If you are really adventurous, try it over a roasted pear for a savory dessert. Yum!

Spices for Estrogen Dominance and Premenopause/Early Menopause

Ginger: Mix ginger into your wheat-free pancake batter for a little kick in the morning. Top with sautéed apples and you are set for the day. Another easy trick is to add sauté shallots and sliced ginger in a little olive oil and serve over chicken.

Turmeric (curry): One of my husband’s favorite sauces is made with two teaspoons of curry paste, a 14-ounce can of coconut milk, ½ a cup of chopped onions and one tablespoon of tamari sauce. Bring to a boil and serve over any mild white fish.

Cinnamon: You can go wild with cinnamon at any meal. Add to oatmeal or a smoothie in the morning. Mix with balsamic vinegar and olive oil for an easy salad dressing. Mix into quinoa or rice and dried fruit for an easy side dish. Or sprinkle on an apple, pear, or even berries for an easy, yet delicious dessert.

During the Today Show’s 9:00 hour, they have a segment on the five health habits to skip. They included: eating breakfast every day, doing a monthly breast exam, taking a daily multivitamin, staying inside when it’s cold out, and not eating after 7:00 pm. While some have value (the staying inside and not eating after 7:00 pm), two are completely irresponsible—telling women that they don’t have to do a monthly breast exam and that they can skip their multinutrient.

I was so floored my toothbrush literally fell out of my mouth. No monthly breast exam? The expert explained that research has indicated that by the time a woman feels a lump in her breast, it is already pretty advanced. Instead, she should opt for yearly mammograms. Also, they indicated that self-exams often have a high rate of false positives, and that women who did them had double the rate of biopsies as women who did not. And the vast majority of those lumps ended up being benign.

Okay, now I get it. Once again, big medicine is telling us to “pay” for prevention rather than showing us free or inexpensive ways to prevent disease on our own. Most interesting is the fact that everything they have said about self-exams is true for mammography!

As Dr. Lark wrote back in August 2002, there are several inherent risks with mammograms. According to a 2000 study from the Journal of the National Cancer Institute, “the cumulative risk of having false positive mammograms is quite significant in many women.” On the flip side, a research article that appeared in the June 27, 2002 issue of The New York Times reported that mammograms don’t detect breast cancer in 30 to 40 percent of women who have the disease. But most telling is a 2000 study from the Journal of the National Cancer Institute, which found that in women between the ages of 50 and 59, mammograms were no more effective in reducing death from breast cancer than self-exams!

So, sorry Today Show, you are very wrong on this one. All women, especially those in early menopause or premenopause, and those women experiencing perimenopause symptoms should absolutely continue to perform monthly breast self-exams. All three of these scenarios are closely tied to excess estrogen, which is a risk factor for breast cancer.

Also, to advise people who “eat a healthy diet” to not take their multivitamins is downright absurd. First of all, how many people can agree on what is a healthy diet? This has been an ongoing debate for decades! Just look at the diet industry!

But even if we can all agree that a healthy diet includes at least five servings of vegetables, four servings of fruit, and four to six servings of whole grains, how many people are really, truly eating this way? According the Johns Hopkins Bloomberg School for Public Health, only 11 percent of Americans are eating five servings of fruits and vegetables a day. That’s one out of every 10 people eating a healthy diet.

And even if you are in that 11 percent, what’s the likelihood you are eating mostly vegetables and mostly organic? I’d wager that the number would start to shrink down to the lower single digits. Plus, the people claiming that you can get all the nutrients you need from the food you eat are delusional. Sure, about 20,000 years ago, the diet of our Neanderthal ancestors supplied all of their major minerals, and the vast majority of their trace minerals. Even in my great-grandparents and grandparents time, farmers used practices that returned minerals and other nutrients back into the soil, such as crop rotation, mulching, and relying on manure as fertilizer. But today’s conventional and large-scale farming practices are not what they used to be.

Now we are finding phosphates and nitrates in the soil, thanks to the widely used conventional NPK fertilizers, which has been shown to deplete the soil of its mineral content. The result has been far fewer micronutrients, especially the minerals selenium, iron, and zinc. So, even if you are eating your fruits and veggies, they are likely not providing you with the nutritional foundation you need for optimal health.

My advice? Watch the Today Show for their take on the news and the latest celebrity gossip, but leave the health and nutrition advice to those less swayed by advertising dollars. And take your multivitamin every day. Your body will thank you.

Ah, the humble flaxseed. Who knew that such a small seed could have such a profound impact on your hormonal health?

As Dr. Lark and I wrote in Hormone Revolution, flaxseed helps women at every stage of hormonal development. For women in the throes of estrogen dominance, premenopause, early menopause, and even perimenopause, flaxseed helps to increase progesterone production while simultaneously flushing excess estrogen from your system. This keeps perimenopause symptoms such as heavy menstrual bleeding at bay.

For women suffering from signs of menopause like dry skin or a flaky scalp, flaxseed helps to keep skin and tissues soft and supple. Plus, it helps to lubricate those creaky joints that seem to show up out of nowhere.

Given all the amazing things that flaxseed can do for women of all ages, the question remains: How do I manage to get the four to six tablespoons a day I need for optimum hormonal health? The answer is deliciously easy.

I find that breakfast is a great time to get flaxseed. I’ve included my three favorite breakfast ideas for you, as well as an easy lunch and dessert option.

1. Add four tablespoons to a smoothie. My favorite is to take half a banana, 1 cup of berries, 1 cup almond milk, 1 cup fresh spinach, a handful of ice, and your flaxseed. Blend until smooth and drink immediately. The fruit “hides” the spinach, yet you are still getting 2+ servings of fruits and veggies!
2. Add four tablespoons to oatmeal. I like to “steam microwave” half an apple (diced) and add to a cup of cooked oatmeal. Sprinkle on some cinnamon and your flax and you have a hot meal that just sings of autumn.
3. Add four tablespoons to scrambled eggs. Yes, to eggs. You’ll have to trust me on this way. It is delicious! Scramble two eggs and add a little goat cheese and dill. Add the flax and mix well. It adds a nutty taste that goes beautifully with the goat cheese and dill.
4. Add two to three tablespoons to your salad. Start with mixed greens of your choice. Add chopped veggies (I like cucumbers, celery, carrots, and mushrooms). Top with four ounces of chicken or salmon and sprinkle on the flax. Dress with two tablespoons of olive oil and one tablespoon of tamari sauce (a wheat-free soy sauce). Presto! A delicious, Asian-inspired salad you’re sure to love.
5. Sprinkle two tablespoons into plain soy yogurt. Add a dropperful of chocolate raspberry liquid stevia to the yogurt, a handful of raspberries, and top with the flax. It’s reminiscent of a sundae…without the unwanted sugar and excess calories.

I thought I had seen it all until I opened one of my monthly health magazines and there it was…an ad touting the “safety” of high fructose corn syrup (HFCS). In a health magazine! Then, about three weeks later, I started seeing ads on TV also claiming that HFCS as “as safe as sugar.”

Are you kidding me? I’ve seen lobbies do and say some pretty remarkable things, but this takes the proverbial, HFCS-laden cake. And, to top it off, the Corn Refiners Association has launched a Web site called www.hfcsfacts.com. (Facts is their word, not mine.) Considering the fact that HFCS constitutes about 55 percent of the sweetener market, the Corn Refiners have a financial interest in keeping their product on the market. Even if doing so is dangerous to your health.

On their site, they claim that HFCS is nutritionally the same as honey. To say this is false is a gross understatement. Honey has many immune-boosting properties. HFCS, on the other hand, depresses immune response. The same site also claims that HFCS is equal in sweetness to table sugar. Also not true. HFCS is ranges from 120–160 on the relative sweetness scale. Table sugar (sucrose) measures in at 100. Even the name itself—HIGH fructose corn syrup tips you off that it will be sweeter than even fructose (which measures in at 140), let alone table sugar.

But this is just the beginning. Studies have shown that HFCS isn’t even metabolized like regular, naturally occurring sugars. HFCS is metabolized in the liver. From there, it is converted into triglycerides, those nasty fats that circulate through the blood. And elevated triglycerides are connected to a whole host of diseases, including heart disease and decreasing “good” HDL cholesterol.

Plus, chronic consumption of HFCS (and other sugars, including table sugar and fructose) kicks off a chain of hormonal imbalances, leading to weight gain and increased risk for diabetes. There is also research to indicate that HFCS may be a root cause of metabolic syndrome, leading a group of Canadian researchers to issue an “urgent need” for more stringent efforts to curb the addition of HCFS to foods and beverages.

On the hormone side, HFCS (and all refined sugars) plays absolute havoc with your system. With chronic use, it can overtax your adrenals, thereby either shutting down hormone production or causing your hormones to go haywire. Plus, a whole host of menopause symptoms, including hot flashes and night sweats, are worsened by excess sugar.

Even premenopause, early menopause, and perimenopause symptoms are severely affected by HFCS and other refined sugar. It worsens these estrogen-dominance conditions and their resultant issues like fibroids, endometriosis, and ovarian cysts. It also worsens PCOS and has been shown to be linked to fertility issues.

The long and short of it is this: Ignore the lobbyists' spin. Avoid HFCS like the plague. This means reading labels on all pre-packaged foods. One safe bet is choosing organic package foods (including ketchup!), as I have never seen HFCS in an organic product.

If you are craving something sweet to drink, try one of Sweet Leaf’s flavored liquid stevias. They have delicious flavors like root beer, orange, apricot, and vanilla cream. I just add a dropperful to a glass of natural mineral water and presto, natural soda! Best of all, I know that I am keeping my taste buds happy while keeping my body healthy.

Estrogen dominance is often the cause of the perimenopause symptoms many women experience. Estrogen dominance is when your hormones are imbalanced and your body produces too much estrogen and not enough progesterone. My perimenopause program corrects estrogen dominance by reducing estrogen levels and promoting progesterone production. In this post, I will give you my diet recommendations to reduce your perimenopause symptoms, including estrogen dominance:
 

• Eat soy foods, buckwheat, citrus fruit rind and pulp (not the juice), and ground flax meal in shakes and cereals. They help to reduce estrogen production and prevent the hormone from binding to tissue receptors.
  
   
• Avoid caffeine, alcohol, chocolate, sugar, soft drinks, fruit juices, fried or fatty foods, and salt—all of which hamper the process that metabolizes estrogens and eliminates them from your body.
  
   
• Eat a low-fat, high-fiber diet to help your intestines eliminate estrogens so they are not reabsorbed into your body. Include plenty of fresh fruits, vegetables, whole grains and legumes (beans, peas).
  
   
• Reduce or eliminate red meats. They not only elevate estrogen levels but they also contain the type of fats that cause menstrual cramps and worsen the inflammation of endometriosis. Instead, eat fish such as salmon, mackerel, sardines, trout, and tuna which are high in beneficial omega-3 fatty acids that reduce the pain of menstrual cramps and endometriosis.  Range-fed chicken or poultry are also good dietary options. In addition, instead of hamburgers and hotdogs, buy vegetarian Gardenburgers or Boca Burgers to prepare at home.
  
   
• Avoid dairy products since they have a negative effect on reproductive health similar to that of red meat. Use soy or rice substitutes, including soy and rice milk, cream cheese, sour cream and soy yogurt.

So many women come to me looking for relief from such common menopause symptoms as night sweats, hot flashes, vaginal dryness, and insomnia. I tell all these women the same thing: One of my top solutions for menopause relief is an herb called black cohosh.

Right now in Germany, a special extract of black cohosh is the most thoroughly studied and widely used natural alternative to hormone replacement therapy. Clinical studies have shown that black cohosh extract not only relieves menopause hot flashes, but also depression and vaginal atrophy.

In one of the largest studies on black cohosh, women with menopause symptoms received 40 drops of liquid black cohosh extract twice a day for six to eight weeks. Within four weeks of treatment, a distinct improvement was seen in nearly 80 percent of the women. After six to eight weeks, all symptoms had completely disappeared in half of the women.

If you have signs of menopause or menopause symptoms, I suggest taking 80–160 mg of a standardized extract of black cohosh twice a day. This dose should contain 2 to 4 mg of the active components (triterpenes, calculated as 27-deoxyacteine). Black cohosh is available in most health food stores, nutrition centers, and even some pharmacies.

• Chaste tree berry or Vitex (175–275 mg daily of a standardized extract) appears to have a progesterone-like effect on the body during perimenopause. It is useful in treating periods that are either too frequent or too heavy and helps normalize and regulate the menstrual cycle.
• Citrus bioflavonoids (750–2,000 mg daily) put a damper on overall estrogen activity by binding to estrogen receptor sites and blocking the body’s own high-octane estrogen. Many studies have shown that the combination of bioflavonoids and vitamin C reduces heavy menstrual bleeding by strengthening blood vessels.
• Quercetin (50–300 mg a day), a potent antioxidant, reduces the inflammation of endometriosis. It also helps reduce excessive estrogen levels, while helping maintain healthy cholesterol levels, good blood circulation, and proper digestion.