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LMU 201 – Unlocking Natural Solutions for PMS: A Holistic Approach


Unlocking Natural Solutions for PMS: A Holistic Approach

Source: Multiple Peer-reviewed Research Papers (see References)

Lifestyle Medicine Update (April 28, 2021)


Premenstrual syndrome, commonly known as PMS, affects millions of women worldwide, causing a range of uncomfortable symptoms in the days leading up to menstruation. While some women experience only mild symptoms, others endure severe discomfort that disrupts their daily lives. In this article, we explore a holistic approach to managing PMS that includes dietary strategies, plant-based nutrients, and other natural remedies to help alleviate the symptoms and improve overall well-being.

Balancing Hormones Naturally

Research has shown that PMS is often the result of an imbalance between estrogen and progesterone during the final 7-10 days of the menstrual cycle. Normally, progesterone should dominate this phase, but when estrogen remains high or more dominant, PMS symptoms tend to emerge. Strategies aimed at reducing estrogen levels or mitigating its effects on target tissues can significantly reduce PMS symptoms.

Dietary Changes

One of the key dietary strategies for managing PMS involves reducing the intake of certain foods. Refined sugars, caffeine, and alcohol are known to exacerbate PMS symptoms, particularly breast pain and inflammation. Women can benefit from replacing high-fat meats, dairy products, deep-fried foods, and breaded meats with lower-fat alternatives and embracing a more plant-based diet.

Additionally, increasing dietary fiber intake, especially through sources like wheat bran, can help the body excrete excess estrogen through the fecal route. Regular exercise also aids in detoxifying the liver and promoting the excretion of estrogen, reducing the incidence of PMS.

Botanical Solutions

Natural compounds found in plants have been found to alleviate PMS symptoms effectively. Black cohosh and Soy extract are two such botanical agents. Black cohosh contains triterpene glycosides, while Soy extract is standardized to isoflavone content. These compounds compete with the body’s potent estrogens for binding to tissues, thereby reducing estrogen’s overstimulation effect on these tissues. This reduction in estrogen activity can help tame many PMS problems, including menstrual cramps.

Dosage Recommendations

For Black cohosh, an effective dosage is typically 80 mg twice daily, standardized to 2.5% triterpene glycosides. For Soy extract, a recommended dosage is 125 mg twice daily, standardized to 20% isoflavone content. Some supplement companies offer products combining these two natural agents for added convenience and synergistic effects.

Detoxifying Estrogens

In addition to dietary changes and botanical remedies, there are other strategies to detoxify excess estrogen and environmental estrogens known as xenoestrogens. Cruciferous vegetables, such as broccoli, Brussels sprouts, cabbage, cauliflower, Bok choy, and turnips, contain indole-3-carbinol, which accelerates liver detoxification of estrogen and xenoestrogens. Consuming soy products and ground flaxseed daily can also improve estrogen balance in the body.

For individuals experiencing abdominal issues like bloating, constipation, or diarrhea during PMS, taking probiotic and/or prebiotic supplements may be beneficial. Probiotics consist of beneficial gut bacteria that can be found in many pharmacies and health food stores, while prebiotics, like FOS (Fructo-oligosaccharide) and Inulin, serve as soluble fiber that nourishes these friendly gut bacteria.

Complementary Therapies

Chiropractic care and acupuncture have been shown to help reduce menstrual cramps and low back pain associated with PMS. Some studies even suggest that combining these two therapies may offer even greater effectiveness.

Holistic Approach to PMS Management

In summary, a holistic approach to managing PMS encompasses several key strategies:

  • Reduce the intake of refined sugars, caffeine, and alcohol.
  • Adopt a lower-fat, more plant-based diet, including wheat bran and daily ground flaxseed.
  • Include cruciferous vegetables and soy products in the diet.
  • Consider a high-potency multiple vitamin and mineral supplement.
  • Take an essential fatty acid supplement containing fish, flaxseed, and borage seed oil.
  • Incorporate botanical supplements with Black cohosh and Soy extract.
  • Explore probiotic and/or prebiotic supplements for abdominal issues.
  • Seek chiropractic assessment for low back pain associated with PMS.
  • Engage in regular endurance-based aerobic exercise.

By combining these strategies, women can address the underlying factors contributing to PMS and experience relief from this common issue without the need for pharmaceutical interventions. This holistic approach offers a natural and comprehensive solution for managing PMS symptoms, empowering women to regain control of their well-being.

Please consult a healthcare professional before making significant dietary or supplement changes, especially if you have underlying health conditions or are taking medication.


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Eat Smart, Live Well, Look Great,

Dr. Meschino

Dr. James Meschino


Dr. James Meschino, DC, MS, ROHP, is an educator, author, and researcher having lectured to thousands of healthcare professionals across North America. He holds a Master’s Degree in Science with specialties in human nutrition and biology and is recognized as an expert in the field of nutrition, anti-aging, fitness, and wellness as well as the author of numerous books.

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