The Hidden Cause of Your PMS and How to Fix It Fast

This episode explores the underlying causes of premenstrual syndrome (PMS) and offers natural, non-medication based solutions for managing symptoms.

1. Estrogen dominance is a primary cause of PMS, exacerbated by factors like stress, poor diet, and toxins.
2. Dietary changes can significantly impact hormonal health, reducing PMS symptoms.
3. Environmental toxins contribute to hormonal imbalances and should be minimized.
4. Functional medicine offers a comprehensive approach to treat PMS by addressing root causes rather than symptoms.
5. Lifestyle modifications, including diet, exercise, and stress management, are essential for hormonal balance and PMS relief.

1: Introduction to PMS Misconceptions

Dr. Hyman discusses the common misconceptions about PMS and its inevitability in women’s health, emphasizing the potential for natural symptom management. Mark Hyman: "PM's is not a normal consequence of being a woman."

2: Understanding Hormonal Imbalances

This chapter explores the causes and effects of hormonal imbalances that lead to PMS, focusing on estrogen dominance and its dietary links. Mark Hyman: "Sugar, caffeine, alcohol, stress, lack of exercise, and environmental toxins all contribute to hormonal imbalance."

3: Dietary Solutions for Hormonal Health

Dr. Hyman provides practical dietary advice for managing estrogen levels and improving overall hormonal health. Mark Hyman: "Food is medicine, it's information. It controls every function of your body and mind, including your hormones."

4: Impact of Environmental Toxins

The role of environmental toxins in hormonal health is discussed, with advice on how to reduce exposure to these harmful chemicals. Mark Hyman: "Reduce your exposure to pesticides and hormones in foods using the clean 15 and dirty dozen guide."

5: Conclusion and Action Steps

Summarizes the key points and offers actionable advice for individuals to implement in their daily lives for better hormonal health. Mark Hyman: "You can thrive and be healthy by paying attention to a few natural laws of biology and don't need drugs to survive."

1. Reduce Sugar and Processed Foods: Start by cutting out high-sugar and processed foods which exacerbate hormonal imbalances.
2. Increase Fiber Intake: Consume more fiber-rich foods which help regulate hormones by aiding digestion and excretion.
3. Limit Caffeine and Alcohol: These can worsen PMS symptoms by affecting your hormonal balance.
4. Incorporate Cruciferous Vegetables: These are beneficial for estrogen detoxification.
5. Consider Supplementing: Supplements like magnesium and Omega-3s can support hormonal health.
6. Exercise Regularly: Helps manage stress and regulate hormones.
7. Avoid Environmental Toxins: Be mindful of endocrine disruptors in everyday products and opt for natural alternatives.
8. Follow a Balanced Diet: Focus on whole foods, reducing intake of fats and carbs that spike insulin.

Struggling with PMS symptoms like mood swings, cramps, and bloating? It doesn’t have to be this way! In this episode of “The Doctor’s Farmacy,” I’ll break down how diet, inflammation, and nutrient deficiencies can throw your hormones out of whack and I’ll share simple, effective changes you can make to feel better. From cutting back on sugar and caffeine, to adding anti-inflammatory foods and key supplements, discover how to balance your hormones naturally and finally find relief from PMS.

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Mark Hyman
Coming up on this episode of the doctor's pharmacy. And here's something most people don't know. It's not just your ovaries that produce estrogen. Your belly fat is also an estrogen producing factory, right? So all those belly fat cells in there aren't just holding up your pants, they're actually spewing out hormones.

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Mark Hyman
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Are you ready to prioritize wellness? Maybe you want to make more informed choices on the latest health trends or simply understand the science. I'm Doctor Mark Hyman. I'm a wellness expert and I want to welcome you to my podcast, Health hacks. In every episode, I'll provide guidance on how to live a longer, healthier life, helping you wade through all the health ads and the sound bites to bring you the science backed facts along with practical tools and insights to make informed decisions.

Health Hacks is available in audio and video so you can tune in wherever and however you enjoy your podcasts. Join me every Tuesday for a new episode. Just search for health hacks where my goal is to empower you to live well. Now, before we jump into today's episode, I'd like to note that while I wish I could help everyone by my personal practice, there's simply not enough time for me to do this at scale. And that's why I've been busy building several passion projects to help you better understand.

Well, you if you're looking for data about your biology, check out function health for real time lab insights. And if you're in need of deepening your knowledge around your health journey, well check out my membership community doctor Hyman plus. And if you're looking for curated, trusted supplements and health products for your health journey, visit my website, dryman.com for my website store and a summary of my favorite and thoroughly tested products.

Welcome to the doctor's pharmacy and another edition of Health Bites. I'm Doctor Mark Hyman. Now a common assumption is that the symptoms of PM's are an inevitable part of being a woman and require medical intervention with sometimes serious medications to correct them. Now to think that 75% of women have a design flaw that requires medical treatment just to live a normal life is just absurdity. PM's is not a normal consequence of being female.

If you're one of the many women who do suffer from PM's, you don't have to suffer from PM's every month, enduring mood swings, breast tenderness, fluid retention, migraines, bloating or heavy, painful periods. Well, medications may sometimes be helpful. They can have pretty significant side effects. And the good news is you can balance your hormones without them and without their potential side effects. Many young women are becoming increasingly aware of the potential harms of birth control, not because their conventional gynecologist is explaining it to them, but through their own personal experience.

They're on a journey to educate themselves and they want a more nuanced, personalized approach to hormonal health. So today we're going to discuss what you can do to support your menstrual cycle through your diet and a comprehensive functional medicine approach to get rid of PM's for good and feel great all month long. The key to solving this type of problem is getting to the root cause of the symptoms. Now I hear this story all too often, but the good news is that there are simple solutions that dont involve taking medication. We know what causes hormonal imbalances.

Sugar, caffeine, alcohol, stress, a lack of exercise and environmental toxins all contribute to hormonal imbalance and worsening of PM's. Even changes to your gut microbiome can affect your hormonal health. So what, what conventional medicine docs do for PM's, well, they give you nsaids or things like ibuprofen, birth control. They might give you seraphim or prozac in other words, but they don't get to the root cause of symptoms and they inhibit your natural cycle, your infradian rhythm. And the birth control pill often has significant side effects with long term use, including mood and gut issues.

Dysbiosis. Taking the pill depletes folate, vitamin B, two B, six b, twelve, vitamin C and e, magnesium, zinc, selenium. All important, by the way, for fertility. There's also an association between hormonal birth control and depression. In fact, a nationwide prospective cohort study of over a million young women in Denmark reported an increased risk for antidepressant use in women prescribed hormonal contraceptives.

And the results were published in JAMA Psychiatry. And their risk was highest in the adolescents who were aged 15 to 19 years old. So we don't want to be giving these teenagers antidepressants and the pill and just medicating the side effects of medication. It's crazy. So you have to look for what are the real underlying causes of PM's?

Well, it's hormonal imbalance, and there are a lot of causes for hormonal imbalance. So it's important to understand what they are and how to deal with them. The main problem is something called estrogen dominance, which means that your estrogen levels are too high and your progesterone levels are too low. Now this may be an absolute increase, in other words, a very high estrogen and low progesterone, or it may be a relative dominance of estrogen over progesterone. And unfortunately, this is not something well recognized by traditional medicine.

And you can measure this, right? The fluctuations in estrogen in relation to progesterone can cause all sorts of problems, including neurotransmitter signaling and lots more, because estrogen in part regulates serotonin levels in the brain. And that can contribute to PM's symptoms, things like mood swings, depression, irritability, and an absolute or relative excess of estrogen in relation to progesterone drives most of the symptoms of PM's and menstrual problems like fluid retention, breast tenderness, migraines, mood swings, heavy bleeding, cramps. All that is really related to this excess estrogen and inadequate progesterone. As women get through their later cycles in life, poor diet is certainly a big factor.

And when you clean up the diet, a lot of hormonal stuff just gets sorted out. And there's a lot of, unfortunately, hormones in conventional meat and dairy products. So I encourage you to eat regenerative organic products and particularly dairy. Might not be your best friend if you're having a lot of female hormone issues. I encourage people to just quit dairy as an experiment to see what happens.

There are also environmental toxins that play a big role in hormonal health. And unfortunately, a lot of these petrochemical toxins are also endocrine disruptors. They act as hormonally active compounds in the body, even at low doses. And in fact, there's a word for them called xenoestrogens. Foreign.

Xeno means foreign. And obviously estrogen means estrogen. So foreign estrogens, they come from pesticides, plastics, many personal care products, skin care products. I mean these petrochemical products act as a toxic foreign estrogen like molecule that drives hormonal imbalances and most female cancers like breast, uterine, ovarian cancer. So toxins are a big factor and you have to reduce your exposures.

A lot of nutritional deficiencies also affect hormone function, particularly magnesium, vitamin D and also iron. What else should we be doing for PM's or premenstrual syndrome? How do we get you back in balance and so you don't have to suffer and be really struggling your whole life? Cause I just, I just don't think that is something that women should accept. It makes me actually quite angry that the conventional medicine system doesn't really take this seriously or just tries to medicate it instead of dealing with it from the root cause.

So the first thing is food. Food is medicine, it's information. It controls every function of your body and mind, including your hormones. And it connects us to almost everything that matters in our lives. So you have to know that what you put in your fork is the most important thing you do every day for your health.

So the first step to do with your diet is to cut down inflammation because inflammation will mess up your hormones. So first get rid of the junk, right? Then get rid of the junk and then add in the good stuff. So take out the bad stuff. Add in the good stuff.

Whats the bad stuff? Well, our current diet is really high in sugar and starch and that drives insulin resistance and that leads to belly or visceral fat. And here's something most people don't know. It's not just your ovaries that produce estrogen. Your belly fat is also an estrogen producing factory, right?

So all those belly fat cells in there aren't just holding up your pants, they're actually spewing out hormones. And there's something called aromatase also that increases estrogen production that's found in fat tissue. So, you know, having more estrogen is not necessarily a good thing, especially when it comes from your visceral fat. So what are the things you should eat and not eat to eliminate PM's symptoms? Right?

Eat real food. Right? Real food. You know what that is, right? My joke is if God made it, eat it, if man made it, leave it.

Did God make an avocado? Yeah. Did God make Doritos or Twinkie? No. Right.

Just don't eat that. So also you want to reduce fast absorbing carbohydrates, right? Any flour products. Sugar. Quickly absorb sugars like flour, instant oats, white rice, potatoes, or not all potatoes like the small fingerling peas may be okay, but the big starchy potatoes we all eat are a problem.

And they can spike insulin and that leads to insulin resistance and inflammation. And that can cause PM's, can cause pcos, it can increase risk for all chronic diseases. Also you want to really limit caffeine or get rid of it entirely for a while to see how it affects your hormones. And for sure alcohol. Alcohol.

It will screw up your estrogen and make you estrogen toxic. Ultimately these really make hormone imbalances worse. Also, I would encourage you to do a full dairy elimination for eight weeks. Its often a huge factor in PM's and many menstrual and hormonal issues. Next, I want you to avoid ultra processed foods, right?

Starch, empty carbs, grains, sugar, sugar. Sweetened beverages, energy drinks, teas, coffee, you know, I mean think about any, any coffee or frozen blended drink from Starbucks. Sunken donuts with flavor. It means tons of added sugar or glucose syrup. And lots of women drink these and they start their day with these drinks not realizing it's a sugar bomb.

Like a vanilla latte, mocha frappuccino, even a match. I have tons of added sugar. I mean a grande mocha frappuccino has almost 13 teaspoons of sugar. I mean you never put 13 teaspoons of sugar in your coffee in the morning. But if you're going to Starbucks for your morning fix, you're literally killing yourself.

Also, avoid some of these healthy nut milks or oat milks. They're often blended starch, sugar and water, so be careful. Oat milk really spikes your blood sugar sometimes. There's also additional sugar from the flavoring too, like vanilla or chocolate, whatever. Hazelnut.

Just stay away from all that stuff. Drink black coffee and put a little almond milk in it. Ask for the unsweetened almond or coconut milk, although usually you don't have that. Also, I want you to avoid processed food, packaged food, all kinds of food with, quote, health claims on the label. You know, plant based vegan, keto, gluten free, whatever.

It doesn't mean it's healthy. And my rule is that if it has a health claim on the label, I guarantee you it's bad for you. So just don't, don't eat. It's a way of getting food marketers to kind of get you engaged, but it's it's often hiding something bad underneath.

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Mark Hyman
You want foods that really balance your blood sugar. You want to focus on fiber rich, low glycemic, non starchy veggies, low glycemic fruits. And fiber is really important because it helps balance out your hormones, it helps build a healthy microbiome. It helps prevent the reabsorption of estrogen that can cause estrogen toxicity. So you want to eat the rainbow?

Aim for about eight to ten servings of colorful veggies daily. For all their health benefits, make sure you sort of eat every day something from the cruciferous vegetable family. Like that's the broccoli family. Broccoli, cauliflower, kale, college cabbage, Brussels sprouts, arugula, bok choy, they're all important because they actually support estrogen detoxification. And they help balance the estrogen and progesterone because they contain amazing phytochemicals such as glucosinolates or indole, three carbinol, diyandylmethane.

All of these are, you know, big medical words, but they're essentially molecules that are in the broccoli family that help induce the expression of certain enzymes called Cyp 450. Enzymes that enhance the metabolism of estrogen in the right way to produce beneficial estrogen metabolites. Including, for example, they call two hydroxyestrone, and they reduce the formation of a toxic estrogen metabolite called 16 hydroxyestrone. This is associated with heavy periods, with breast tenderness, breast cancer, and DNA damage. There's different ways your estrogen can be metabolized in your body to the good or bad metabolites.

And the bottom line is, if you eat more broccoli, you'll be shifting towards the good metabolites. So that's the take home. Okay. But the science is there. It's quite fascinating.

And I do measure in my practice the estrogen metabolites. And I can see what's happening with women's metabolites and whether they need more b vitamins or more support for glutathione or more these chemicals from food, these phytochemicals like indole three carbinol or dandyl methane. Um, you also want to focus on, on slow absorbing and burning carbs, sweet potatoes, yams, lentils. Some whole grains are fine, like quinoa, non starchy veggies, protein to avoid the blood sugar spikes. Those are really important.

Then you eat protein first as opposed to starch first. Eat about four to 6oz of protein per meal, roughly the size of your palm. Make sure you use high quality sources, grass fed meats, pasture raised eggs, poultry. I recommend force of nature. I love it.

I don't have any financial relationship, but they have great regenerative sources of chicken and meat and bison and venison, elk, so forth. You actually need protein, by the way, to make hormones. So they're part of the building blocks. And you need good fats to make hormones as well. Make sure your dad's really nutrient dense.

You want a lot of bioavailable micronutrients like iron, magnesium, b vitamins, and so forth. Nuts and seeds are great for hormones.

Budget science on how they regulate hormonal health. But things like flax seeds are my favorite. Almonds, chia seeds, hemp seeds, pumpkin seeds, sesame seeds, sunflower seeds, all these are rich in fiber. They're full of good fats. They have micronutrients like calcium, magnesium, zinc, iron, b six, phosphorus, which are all important for a healthy menstrual cycle and hormone balance.

Right? Your body's just a big biochemical machine, and you have to put in all the right ingredients to make the right things work. And what the problem is is most of our diet is depleted. Most of us are nutritionally deficient at some level or other. Most of us are unhealthy microbiomes.

Most of us are exposed to toxins. Most of us eat too much sugar. Most of us drink too much coffee. Most of us drink too much alcohol. Most of us don't exercise enough.

No wonder we're having all these problems, right? So we really need to get our act together if we want to reset. And it doesn't take that long. One or two cycles of doing this for women really helps reset the whole system. Um, one of the cool things you can do is use flaxseeds.

Ground flaxseeds, about two to four tablespoons. It's great for your hormones, it's great for beneficial compounds that, that are helpful in, in regulating your hormones, like lignans. And also, um, it's great for bowel movements. Right? So they're, they really balance the hormones and they block the negative effects of some of the excess xenoestrogen.

So if you're exposed to environmental toxic estrogens, you can actually reduce your exposure to them by having these flaxseeds. Also, you want to increase the anti inflammatory fats in your diet. The omega three s, EPA, DHA, and my favorite sources, obviously, are sardines, herring, mackerel, anchovies. You can use small wild caught salmon. Sometimes there's omega three enriched eggs.

There's plant based sources like walnuts, chi, and hemp. But I. They're not really moving the body into the EPA and DHA. Only about 10% is converted. So you want to get also the preformed EPA and DHA from fish or from supplements.

Now, if you're a vegetarian or vegan, it's really important to supplement with omega three fats really will help your hormonal health. Also increase monounsaturated fats. These are avocados, olive oils, extra virgin olive oil, macadamia nuts, seeds, really important. Saturated fat may not be bad for most people. You just have to watch your cholesterol and see what happens.

But grass fed butter, ghee, coconut oil, actually saturated fat is the building block for your hormones. Your hormones are made out of fat. Also you want to decrease the inflammatory fats, right? Trans fat, hydrogenated fat, margarine, even a lot of the vegan butters, they're actually not recognized as safe to eat anymore by the FDA, but they're still lurking on the grocery store shelves. So be religious about never eating them.

Also, you want to reduce your intake of vegetable oils. These refined, highly processed oils, you know, if they're cold pressed, if they're organic, if they have high oleic levels, they may be okay, we need some. But the amount we're eating is just a pharmacologic dose. Sunflower, corn oil, canola oil, safflower oil, not so great. Also, stay away from processed meats.

Stay away from like hot dogs. Stay away from weird processed cheeses. I mean, you should be in there anyway. But crab singles, I can't call it cheese because it's nothing more than 51% cheese. That's just a bunch of chemicals.

Obviously reduce your exposure to pesticides and hormones and antibiotics that are stored in some of these foods and you can use the clean 15 and dirty dozen guide from the environmental working group to guide you on which are the least contaminated or the most contaminated foods, fruits and vegetables. So it's not always possible. But try to eat grass fed and organic when possible. Um, filter your water. I mean, also support your gut.

Really important to support your gut. Probiotic rich foods are key. Things like sauerkraut, kimchi, miso, natto, which may taste weird, but it's actually really good for you. Uh, and prebiotic foods, also like asparagus, artichokes, jicama and artichokes, all great for, for your gut health. Don't eat within 3 hours of bedtime, don't fast for too long.

Actually can be a problematic for women. Uh, and start your day with a nutrient dense food, right. Protein, fat and fiber. Think protein, fat and fiber. Not the typical breakfast.

We have cereal, muffins, bagels, you know, sugared coffees, I mean, french toast, pancakes. I mean, the american breakfast is the worst and you do not want to start your day with that. You want protein and fat and fiber for breakfast. So you have eggs, spinach, peppers, olives, maybe some feta cheese from sheep, an omelet with avocado protein shake. And you also need potentially some supplements.

A number of supplements been shown to really help ease PM's symptoms because they improve metabolic health, hormonal metabolism. And here's the superstars. Magnesium glycinate, 400 600 a day. Calcium, sometimes helpful, it's calcium citrate, about 600 a day. Vitamin B, six, really important for estrogen metabolism, 50 to 100 milligrams a day.

And folate, especially a preformed form called methylfolate, about 800 micrograms a day. Vitamin B, twelve in the form of methylcombalamin, about 1000 micrograms a day. And evening primrose oil, that works really well. Take 500 milligram capsules, one or two, twice a day. Take fish oil, omega three, s, EPA, DHA, about 1000 milligrams, one or two a day.

Taurine, also really important for hormone metabolism. It's an amino acid, about 500 milligrams a day. Helps liver detox and a good multivitamin. All these things work together. And the good news is there's also a lot of herbs and phytochemicals that can really help, including Chase berry.

Also Vitex is known as vitex, but chase berry fruit extract is very good for regulating, uh, menstrual cycles and helping with PM's. Milk thistle dandelion root also is great. Certain isoflavones from soy, red clover, goudzu root help improve estrogen detoxification because they boost some of the metabolism enzymes that you need to properly regulate estrogen. And they can be taken as supplements or in the diet. Also keeping your gut healthy.

I do recommend probiotics that help normalize estrogen and hormone metabolism. Maybe five to ten or even more billion organisms a day in a probiotic supplement. So you want to make sure you really attend your diet, your lifestyle, your sleep, stress level, your microbiome, optimizing nutrition, taking the right herbal support, maybe a little progesterone that can help balance your hormones. And really we can help reduce this whole phenomena of estrogen dominance that's leading to so much the suffering that women have around their periods, including PM's, heavy bleeding clots and mood changes and migraines, and you name it. Remember, women are not defective.

PM's is not a natural condition of being female. You can thrive and be healthy by paying attention to a few natural laws of biology and don't need drugs to survive. You just have to learn how to balance your hormones with some simple changes in your diet, lifestyle and supplements. Thanks for listening today. If you love this podcast, please share it with your friends and family.

Leave a comment on your own best practices on how you upgrade your health and subscribe wherever you get your podcasts and follow me on all social media channels at Drmarciman and we'll see you next time on the doctor's pharmacy. I'm always getting questions about my favorite books, podcasts, gadgets, supplements, recipes and lots more. Now you can have access to all of this information by signing up for my free marks picks newsletter@drheiman.com. markspicks I promise I'll only email you once a week on Fridays, and I'll never share your email address or send you anything else besides my recommendations. These are the things that have helped me on my health journey, and I hope they'll help you too.

Again, that's drheiman.com markspicks. Thank you again and we'll see you next time on the doctor's pharmacy. This podcast is separate from my clinical practice at the Ultra Wellness center and my work at Cleveland Clinic and Function Health, where I'm the chief medical officer. This podcast represents my opinions and my guests opinions, and neither myself nor the podcast endorses the views or statements of my guests. This podcast is for educational purposes only.

This podcast is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided on the understanding that it does not constitute medical or other professional professional advice or services. Now, if you're looking for your help in your journey, seek out a qualified medical practitioner. You can come see us at the Ultra Wellness center in Lenox, Massachusetts. Just go to ultrawellnesscenter.com dot.

If you're looking for a functional medicine practitioner near you, you can visit ifm.org and search find a practitioner database. It's important that you have someone in your corner who is trained, who is a licensed healthcare practitioner, and can help you make changes, especially when it comes to your health.