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when was your last period?
hello - 3 weeks ago - I still have periods, cycle betwween 20-32 days - I also have occasional palpitations with hot flashes
I really think these symptoms are also related to perimenopause.
we commonly see this.
do you not want to take a pill, a medication or a hormone?
I'm not a medication fan -- would prefer to avoid it
I just want to feel better! I miss "me" - if that makes sense :)
..and yes I do
the best menopausal symptom relief that is not a medication is black cohosh
I've heard of it - any dosing suggestions?
there are multiple menopausal sympom relief supplements on the market today as well.
Would you recommend any of the OTC - estroven, etc?
yes. I have heard a lot of women happy with estroven.
is there really anything in those supplements that can be harmful, or are there things we should watch for?
the general answer is no...in healthy women
I don't have any illnesses - I don't take prescription Rx - I take motrin occasionally when I've "overdone" it - or for menstrual cramps
because most of these products have some sort phytoestrogen..I typically do not recommend them in women with heart disease, blood clot disorders or stroke...history.
ok...have you been on a birth control pill before? when you were younger?
I was - 30 years ago and got pregnant with my oldest on the pill haha! I didn't enjoy it for sure - headaches, nausea
I know women for hundreds of years have gotten through this without alot of intervention -- can I help nutritionally?
ok..if you didn't develop any problems with the pill the OTC products aren't likely to cause any problems for you.
well balanced diet, exercise. calcium, vitamin D
some recommend zinc as well.
restrict caffiene, nicotine intake.
especially in the evening
magnesium, vitamin E...
basically..a well balanced die or addition of a multivitamin
I take Centrum for Women - but my doc said to add 1000 mg /day vit d
I don't take vit e currently - my multi vitamin has magnesium and I take a calcium and D3 supplement
but you really need to make sure you're taking 1500 of calcium
can I take the vit D all at once, or break it up
I am not taking that much calcium
I need to increase that then
ok..you could try the vitamin E...400 IU daily.
you believe calcium and vit d could help some of my symptoms?
I do take 1200 mg omega 3 - DHA and EPA
in general...vitamin preparations are best abosorbed in divided doses.
it's especially important with the calicum...though
1/2 at night - 1/2 in AM?
I usually just take everything in the AM - yikes!
it doesn't hurt you to take it all at once...
your body will only absorb a certain percentage and then excrete the rest.
I can divide the calcium - will it affect my sleep if I take the other half at bedtime?
not sure if that alone would be enough to completely help the symptoms.
when it comes to sleep..you need to maintain good sleep 'hygiene'
go to bed when you're tired.
restrict fluid intake after 6pm...so you aren't getting up to go.
no reading or watching TV in bed
do you think the additional vitamins will help with the anxiety/depression - or should I just go to yoga more :-)
personally.....I would try the black cohosh so you aren't taking a medicine cabinet of vitamins
and continue your exercise program
as long as you're doing something daily that should be adequate.
I always recommend daily exercise so that it becomes part of the daily routine..ie. brushing one's teeth
thank you for your kind help = and that you don't believe I would benefit from thyroid meds - there's a cycle I don't want to start!
exercise boosts up our endorphins :=)
given your prior results I wouldn't anticipate the TSH to be abnormal.
and..yes, that's true!
Thank you again!!
take care and good luck!!