Table 1: Signs and Symptoms

Perimenopause

Menopause

§         Heavy, irregular periods

§         Fluid retention

§         Weight gain (more than 10 pounds)

§         Sleep problems

§         Headaches

§         “Brain fog” (memory lapses)

§         Cysts in breasts

§         Fibroid tumors

§         Endometriosis symptoms worsen

§         Over the age of 35

§         Premenstrual anxiety, irritability, mood swings

§         Declining sex drive 

§         Hot flashes and night sweats begin

 

§         Last period was 12 months ago or longer

§         Lighter, infrequent, shorter periods

§         Mid-40s or older

§         Hot flashes

§         Painful intercourse

§         Significantly decreased desire for sex

§         Frequent vaginal infections

§         Leak urine

§         Difficulty sleeping through the night

§         Chronic fatigue

§         Anxious, irritable

§         Forgetful

§         Drier, thinner, more wrinkled skin

§         Declining muscle tone

§         Weight gain

§         Joints and/or muscles ache

§         Itchy, crawly skin

Source: Lark S. Dr. Susan Lark's the Menopause Self Help Book: A Woman's Guide to Feeling Wonderful for the Second Half of Her Life. Celestralarts, Berkeley, CA, 2000.

 

 

Table 2: Roles of Estrogen and Progesterone

 

Estrogen

Progesterone

Growth stimulating

Growth limiting

Increases body fat

Aids in fat burning

Promotes sodium and fluid retention

Natural diuretic

Natural mood elevator

Sedative effect

Impairs blood glucose control

Normalizes blood sugar level

References: 2, 3, 4

 

Table 3: Flaxseed: Nutritional Analysis

Form

Amount

Calories

Fiber (grams)

Protein

(grams)

Fat

(grams)

 

Omega-3s

(milligrams)

Shelf Life/Cost

Ground

flaxseed

1 T

 36

2.2

1.6

 3.3

1,800

Three to four months in airtight container;

inexpensive

Flaxseed oil

1 T

124

0

0

14

8, 000

Six to eight weeks in refrigerator;

easily oxidized;

expensive

Reference: 13

 

Table 4: Omega-3 Fatty Acids

Categories

Food Sources/Amount

 Dietary Recommendations

Alpha-linolenic

Flaxseed (1 T): 240 mg

 

English walnuts (1 oz): 1,000 mg

 

Canola oil (1 tsp): 550 mg

 

Broccoli or spinach (3.3 oz): 100 mg

 

2200 mg alpha-linolenic acid daily

 

EPA/

DHA

Salmon (3.5 oz): 1,000 mg

 

White fish (flounder, trout, cod, halibut)       (3.5 ounces): 220 to 500 mg

 

Standard fish oil supplement (one capsule):  300 mg

                                  

650 to 1,000 mg EPA and DHA daily

 

Eat coldwater fish twice/weekly

 

Consult physician before taking fish oil supplements

References: 8, 14

 

Table 5: Micronutrient Food Sources

Micronutrient

Food Sources

Recommended Daily Intake

Vitamin C

Citrus fruits, melons, kiwi, mango, papaya, pineapple, berries

 

Green vegetables: Asparagus, kale, mustard greens, peppers

 

Cruciferous vegetables; Plantain, potato w/ skin, rutabagas, snow peas, sweet potato, tomato, fortified foods and juices

 

2 dosages of 250 to 500 mg

Vitamin D

Fortified milk, fish liver oils, yeast, margarine

800 to 1,200 IU

Vitamin E

Vegetable (canola, corn, olive) oils; nuts; seeds; wheat germ, cereals; apricots; dark green vegetables; shrimp, salmon, tuna

400 IU

Calcium

Dairy foods; dark, green vegetables, legumes

1,000 to 1,500 mg

Magnesium

Whole grains, green leafy vegetables, tofu, nuts, Brazil nuts, almonds, cashews, black walnuts

500 to 750 mg

Chromium

Brewer’s yeast, liver, corn on the cob, beef, apples, sweet potato, eggs, and prunes

200 to 700 mg

Boron

Vegetables, nuts, legumes

1 to 3 mg

Hesperiden

Citrus fruits

900 mg

Reference: 4