Womens Health Archives - Page 5 of 6 - Glenville Nutrition Clinic

Menopause Is Not An Illness It Is A Natural Event!

Menopause is not an illness. If you subscribe to the standpoint currently held by the conventional medical profession, you’d be forgiven for thinking it was.

What is menopause?

In conventional terms menopause and its symptoms are viewed as a disorder caused by falling hormone levels. So, by giving menopausal women hormones in the form of hormone replacement therapy (HRT), the deficiency can be corrected and we have a ‘cure’. This argument is supported by the supposed similarity between the menopause and diabetes. When insulin levels are insufficient to maintain normal blood glucose levels, then insulin is supplied from outside and the balance is corrected.

But diabetes is different from the menopause in one important respect: diabetes is not a natural event. It is not expected that everyone will get diabetes; but all women will pass through the menopause. It is a natural stage in our lives and there is a wealth of scientific evidence that there are alternatives to HRT.

Women in many other cultures do not experience the menopause as a crisis demanding medical intervention. Many of them simply do not suffer the physical and emotional symptoms that women in the West are programmed to accept as inevitable. In our society the focus of the menopause is one of loss. Women are programmed to dwell on loss – the loss of periods, the loss of the ability to create life, the loss of hormones, the problems of the ’empty-nest’ syndrome. In other societies, this time in a woman’s life is seen as one of gain, a time of great wisdom. A time when the emphasis shifts away from doing the chores, working in the fields, to the role of lawmaker and counsellor to younger couples, where maturity and experience make a significant and valuable contribution to the family and society.

My approach is to take the menopause as a natural event. HRT is always there as the last resort, and it should only be used as such. Try the natural approaches first, and then assess whether you really do need HRT. The odds are that you won’t.

Dietary changes

A well-balanced diet is essential during the menopause as it enables the body to adjust automatically to the hormone changes. Eating a good amount of fresh fruit and vegetables and also including phytoestrogens in the form of chickpeas, lentils, soya, kidney beans etc. is important. Caffeine in tea and coffee etc. can bring on a hot flush for many women. The same can apply to spicy foods and alcohol.

Phytoestrogens

Why is menopause experienced so differently around the world? Up to 85% of Western women will experience hot flushes compared to only 14% in some Asian countries. As a result, scientists have been studying the benefits of phytoestrogens which occur naturally in certain foods such as soya, chickpeas, lentils. etc.

Almost all fruit, vegetables and grains contain phytoestrogens in varying strengths but it is the isoflavones (one of the classes of phytoestrogens) that are the most beneficial kind. They are found in legumes such as soya, lentils, chickpeas etc.

Also pay attention to these points in your diet:

Stabilise blood sugar levels by reducing the amount of sugar and refined foods in the diet and eating little which helps to stop the mood swings etc
Reduce or eliminate caffeinated drinks such as tea and coffee which contribute to the blood sugar problem
Ensure a good intake of essential fatty acids from oily fish, nuts and seeds which help lubricate the joints, skin and vagina
Avoid soft fizzy drinks which contain high levels of phosphorus and increase the risk of osteoporosis by increasing calcium loss
Include a good intake of phytoestrogens in the diet from many sources and not just soya

Vitamins and Minerals

As well as eating a healthy diet, supplementation is beneficial during the menopause not only to ensure adequate nutrients for maintaining healthy bones but many can also help with the menopausal symptoms.

A good quality multivitamin and mineral, designed for the menopause, should form the foundation of the supplement programme. This multi should contain good levels of antioxidants and also calcium, magnesium, vitamin D and boron. (The one I use in the clinic is called MenoSupport FROM www.naturalhealthpractice.com.) And then particular emphasis should be put on the following nutrients:

Vitamin E

This is an important vitamin to consider at the menopause. Research has shown its effect on reducing hot flushes and night sweats. Vitamin E is also helpful for vaginal dryness.

Vitamin C

Not only is Vitamin C important for preventing illness but it also has specific benefits at the menopause. It can help with hot flushes and also helps to build up collagen which gives skin its elasticity and it is therefore helpful in the prevention and treatment of vaginal dryness. It can also help retain the elasticity in the urinary tract and so prevent leakage or stress incontinence, which is common at the menopause. Collagen is also important for your bones.

B Vitamins

These are called the ‘stress’ vitamins because they are enormously beneficial when you are under a great deal of pressure. Symptoms of B-vitamin deficiency include anxiety, tension, irritability, lack of energy and poor concentration which are often symptoms associated with the menopause.

Omega 3 fatty acids

Signs of an Omega 3 deficiency are dry skin, lifeless hair, cracked nails, fatigue, depression, dry eyes, lack of motivation, aching joint, difficulty in losing weight, forgetfulness, breast pain – all symptoms that could be ‘blamed’ on the menopause. They need to be supplemented around the menopause because they can help with many of the symptoms. Furthermore, because they help to ‘lubricate’ the body in general, they can help with vaginal dryness.

Herbs

There are a number of herbs that have traditionally been used at the menopause.

Black cohosh

From all the published research, the herb that has the most dramatic effect on hot flushes and night sweats is black cohosh. It was originally used by Native North Americans and is very effective in helping with hormonal imbalances. It has a generally calming effect on the nervous system and as well as the hot flushes and night sweats and can be helpful with other symptoms include anxiety, tension and depression.

Other useful herbs at the menopause include agnus castus, dong quai, sage and milk thistle. It is better to get organic herbs where possible. (I use a combination called Black Cohosh Support in the clinic see www.naturalhealthpractice.com.)

Women can now live 30 to 50 years past the menopause stage and you want to live those years in good health and free from symptoms. By eating well, taking appropriate supplements and exercising, your health will improve, which enhances the quality of your life. Good nutrition together with the right supplements, enables the body to adjust to the changes at the menopause automatically and keeps the skin and hair soft, minimises aching joints and stiffness, slows the ageing process, controls weight naturally without dieting, maintains libido and helps to prevent osteoporosis, heart disease and cancer.

Contact the Glenville Nutrition Clinic team to arrange a consultation with one of the Nutritionists.

Using Foods To Help The Transition Of The Menopause

Menopause is a natural event in a woman’s life and you can use foods that Nature provides us in order to help you go through this transition easily and comfortably, controlling many of the symptoms of the menopause including hot flushes, night sweats, dry hair and skin, tiredness, memory loss, mood swings, aching joints and also weight gain.

We are aiming to include foods (like phytoestrogens) in your diet that help to balance your hormones as you go through this change, to include essential fatty acids (that we get from nuts, seeds, oily fish and eggs) in order to keep your body, skin, hair, joints lubricated and soft and antioxidants which not only slow down the ageing process but also can help to protect you against cancer and heart disease. All the recipes are balanced to keep your blood sugar level which not only helps with increasing energy but also reduces mood swings, anxiety, tension and irritability, symptoms which can increase around the menopause. And having stable blood sugar not only reduces your risk of problems like Type 2 diabetes but will also help you lose weight which may start to creep on at this time in your life especially around the middle of your body. None of the recipes even the desserts contain added refined sugar so that you have a sweet treat without worrying about your waistline.

Phytoestrogens are naturally occurring substances in foods that help to balance your hormones. These are found in legumes such as soya, lentils and chickpeas and also in some seeds like flaxseeds (linseeds) and can help to reduce hot flushes and night sweats by up to 50%. Essential fats are also included in these recipes, because not all fat is bad. Essential fats ‘oil’ your body by lubricating your joints, skin and vagina as well as keeping your brain functioning well and they help you maintain a good metabolism.

There can be a tendency to gain weight at the menopause, especially around the middle, because this is your body’s protective mechanism to increase the amount of oestrogen circulating in your blood stream by producing it from your fat cells. Essential fatty acids can increase your metabolic rate which means that you will burn up more fat and store less fat as you go through the menopause. Some weight problems can simply be due to water retention and Omega 3 oils can help your body produce a hormone-like regulating substance which enables your kidneys eliminate excess water. These same substances can help keep your blood pressure normal and decrease inflammation in your joints.

Free radicals are produced through our normal process of living as well as from pollution and too much exposure to the sun. It is these free radicals that have been linked to premature ageing, cancer, heart disease as well as those brown patches (‘liver’ spots) that can form on the skin. Fortunately Nature provides us with protection against these free radicals in the form of antioxidants. In order to get a good supply of antioxidants you need to eat a wide variety of fruit and vegetables which are included in these recipes.

So these delicious recipes will not only help you through the menopause comfortably but also help you lose weight.

Breakfast

Homemade Luxury Muesli – this recipe is packed with many nutrients and has a good balance of protein (nuts and seeds) and unrefined carbohydrates giving it a low GI, keeping your blood sugar balanced and helping with weight loss. It has good levels of phytoestrogens for hormone balance as well as natural fibre which helps with blood sugar balance and lowering cholesterol. The nuts and seeds supply essential fatty acids and the apricots are rich in the antioxidant beta-carotene and the oranges, apples and pears provide you with good amounts of vitamin C which helps in the manufacture of collagen to keep your skin and bones healthy.

Posh Porridge – oats are excellent at helping to control cholesterol but also have a low GI. Cinnamon is also included which is good for balancing blood sugar and helping with weight loss. The dried fruit is an excellent source of antioxidants and the soya milk provides good levels of phytoestrogens.

Eggs Florentine – Eggs are actually very good for you, they are a first class protein so help with weight loss and also the yolk contains good levels of Omega 3 fatty acids which are important for your metabolism, skin, hair and joint health. Eggs are also low in saturated fats. The eggs yolk also contains lecithin which helps lower the risk of heart disease by preventing plaque from accumulating in the arteries. Phytoestrogens are in good supply from soya.

Lunch

Tofu Vegetable Quiche – this quiche is an unusual way to serve tofu (a phytoestrogen) and makes an interesting change. It is full of healthy ingredients, including not only the tofu but also tahini and broccoli. Made from sesame seeds the tahini is a good source of calcium which is important for your bone health. The balance of protein from the tofu, and tahini with the wholemeal tart gives a low GI lunch which is important for weight loss.

Herring with Oatmeal – Herrings are an oily fish so are rich in Omega 3 fats which are important for boosting metabolism and also have an anti-inflammatory effect in your body. The oatmeal also has a phytoestrogenic effect to help with the menopausal symptoms but also contains good levels of fibre which not only help with your weight but also help to control cholesterol.

Lentil and Fruit Pilaf – lentils are a wonderful source of phytoestrogens and this combination of the protein from the lentils and brown basmati rice gives a good low GI lunch for weight loss. It also includes cinnamon for blood sugar control and also almonds which have been linked to helping blood sugar and also give a good amount of protein and also essential fats. The dried fruit gives good levels of antioxidants.

Dinner

Storecupboard mixed bean and tomato casserole – this dish is brilliant when time is short of an evening. This is a very warming and nourishing dish and there are plenty of phytoestrogens from the beans and the miso broth. The seaweed flakes provide vital trace minerals like iodine and selenium which are important for thyroid function and a healthy metabolism to help with weight loss. The tomatoes provide excellent amounts of the antioxidant lycopene which is good for both heart and eye health.

Roasted nut-coated cod with a lemon vinaigrette dressing – both the miso broth and parsley produce good levels of phytoestrogens to help with the menopausal symptoms. The nuts together with the flaxseed (linseed) oil provide good levels of essential fatty acids for your metabolism, skin, hair and joint health and also help to slow down the ageing process.

Banana cream pie – this seems like a wicked pie but does not have the usual cream or refined sugar. The filling is set with agar which is a seaweed which contains trace minerals like iodine and selenium which are good for your metabolism. There is no added refined sugar in this dessert just maple syrup which does not have the same negative effect on your blood sugar or weight that refined sugar does. So you can have a lovely dessert without the guilt!

For more nutritional advise on how to manage menopause, contact the Glenville Nutrition Clinic for more information.

Top Tips On How To Treat, Prevent And Reverse Osteoporosis

My top tips for preventing osteoporosis:

Your diet is important. Calcium is stored in your skeleton and is used as a buffer to neutralise acid. This means that the more acidic your diet becomes the more calcium can be leeched from your bones and the higher the risk of fractures. The most acid producing foods are animal proteins including meat and cheese. Milk and yogurt are more alkaline. Higher intakes of animal protein are associated with lower bone density. For more information on diet and supplements for osteoporosis see my book ‘Osteoporosis – how to treat, prevent and reverse it’.

Vitamins and minerals are important for bone health. The first nutrient that comes to mind is calcium. But many other nutrients are equally important.

Calcium –it not only improves bone density but also reduces the risk of fractures. Choose supplements that contain calcium citrate rather than calcium carbonate for maximum absorption.

Magnesium – helps to metabolise calcium and converts vitamin D to the active form necessary to ensure that calcium is efficiently absorbed.

Vitamin D3 – important for the absorption of calcium (it must be D3 rather than D2). D3 is 87% more effective in raising and maintaining vitamin D levels than D2. We have a wide spread deficiency problem in the UK, my recommendation is to do a simple home finger prick test for vitamin D available at Glenville Nutrition Clinic to check whether you are deficient and then you can be sure of how much vitamin D you need to take each day.

Vitamin C – important in the manufacture of collagen, the ‘cement’ that holds the bone matrix together. Choose vitamin C as ascorbate rather than the acidic form – ascorbic acid.

Boron – an important mineral in relation to osteoporosis as it plays a crucial part in the conversion of vitamin D into its active form, which, in turn, is necessary for calcium absorption.

Exercise – It is better to have a combination of weight-bearing exercises like walking and dancing and weight resistance like bicep curls and lunges to create mechanical stress which helps put calcium into your bones.

Have a bone density scan to check the condition your bones are in now. You may have to organise this scan privately as it is not easy to get one on the NHS but it will be worth it (my clinic team can also arrange a referral for you).

What Is Cystitis And Can A Change In Diet Help?

Cystitis is an inflammation of the bladder, and it can be the result of infection, irritation, or bruising, or even a combination of these three factors.What symptoms can you experience?

An overwhelming urge to urinate every few minutes, normally with little urine to pass.

Burning pain during urination.

What can cause cystitis?

There are two main types of cystitis: bacterial (infectious) and non-bacterial.

Bacterial cystitis is responsible for about 50 percent of all cases of cystitis. Bacteria (normally the E-coli bacteria, see below) enters the urethra in one of a variety of different ways. Once in, it can stick to the walls of the bladder and occasionally travels to the kidneys. The urinary tract itself is normally kept clean by the rush of urine when we eliminate waste products, but infection can develop in the urethra if the bacteria sticks to the walls and multiplies. It then travels up the urethra to the bladder causing inflammation and infection.

Women who use tampons are more susceptible to bacterial cystitis than women who use pads. The chemicals from tampons can irritate the delicate lining of the vagina, encouraging inflammation and bacterial infection which then travels to the urethra. Furthermore, the string on a tampon can act like the fuse on a stick of dynamite: providing bacteria with easy access to the body.

Non-bacterial or non-infective cystitis is normally caused by bruising or irritation. This type of cystitis is often nicknamed ‘honeymoon cystitis’ because sex can irritate or bruise the entrance to the urethra, causing inflammation. This inflammation can also make infection more likely. Sex can also cause infectious cystitis; when body fluids are mixed, bacteria can more easily be transferred to the urinary tract.

Other causes of non-bacterial cystitis include: chemical irritants, including soaps and bubble baths. Even swimming pool chlorine can irritate the delicate lining of the urethra. Vibrations, such as riding a motorcycle, can also cause bruising, which leads to symptoms of cystitis. Drinking too little can make the urine over concentrated, causing irritation of the urethra and the bladder, which is never properly emptied. Some foods can also irritate the bladder and the urethra, including spicy foods, alcohol, strong coffee and any foods to which you may be allergic. Fresh fruit juice is also highly acidic, which can cause irritation in some people.

Some women experience cystitis during pregnancy because the urethra is relaxed by the extra progesterone produced by the body. In later pregnancy, urine can remain trapped in the bladder due to the size of the expanding foetus, also causing inflammation.

Cystitis is also more common around the menopause because, as oestrogen levels fall, the walls of the vagina become thinner and the walls of the urethra shrink, encouraging bacterial infection and making women more susceptible to irritants.

THE NATURAL APPROACH

Using your diet

Eating healthily will help to boost your immunity and encourage your body to overcome infection. In particular, pay attention to the following, which will help to kill off the bad bacteria, as well as restore balance in your system.

Avoid acidity
Acidic foods and drinks, such as tea, coffee, alcohol, sugar, meat, spicy foods and undiluted citrus juices, can trigger cystitis, so if you are prone to the infection try to avoid them, and if you are overcoming an infection eliminate them from your diet completely. Instead, six to eight glasses of pure, filtered or mineral water every day to help dilute the acid in your urine.

Drink barley water
Barley water makes a great anti-inflammatory agent for the urinary system. Buy whole barley, put 1.5oz (40g) in 2 pints (1.2 litres) water, boil and simmer for 20 minutes. Add a slice of lemon or the juice of one lemon and simmer for a further 10 minutes. Allow to cool, then sip the water throughout the day.

Eat live yogurt Organic
Live natural yogurt contains lots of beneficial bacteria to help recolonize your system, especially if you have been taking antibiotics.

Avoid all sugar
Sugar feeds bacteria and weakens your immune system. Avoid anything with sugar in it – this includes not only obvious sugar products, such as sweets and chocolate, but also refined carbohydrates, such as white flour (which is found in cakes, pastries, bread and so on), and sauces such as tomato ketchup.

Drink cranberry juice
As long as it is unsweetened, unpasteurized and wholly natural, cranberry juice will help overcome cystitis because cranberries are high in substances called proanthocyanidins. These prevent the E coli bacteria from attaching themselves to the mucus lining of the bladder and urethra. If they can’t attach, they can’t multiply and this means they simply get washed away in your urine. You can use cranberry juice as a preventative, if you are prone to bouts of cystitis. However, do make sure that it is unsweetened, unpasteurized natural cranberry. Or, take a powdered cranberry supplement, or eat handfuls of the fresh fruit if you prefer.

Eat garlic
A wonderful, natural medicine, immune-boosting garlic helps eliminate the E coli bacteria, along with others indicated in cystitis. Raw garlic is much more effective than cooked, so chop it finely and sprinkle it over salads or in dressings; or eat whole cloves if you can bear it. Alternatively, take it as a supplement.

Supplements

Bromelain (500mg, three times daily between meals) This is a digestive enzyme that is found naturally in pineapple and papaya. It has anti-inflammatory properties that help soothe cystitis.

Vitamin C (500mg, four times daily during infection) Studies show that immune-boosting vitamin C can prevent E coli from multiplying and taking hold. Take the supplement as magnesium or calcium ascorbate, which is less acidic than ascorbic acid.

Beta carotene (25,000iu dialy) The precursor to vitamin A, beta carotene is a potent antioxidant that can help your cells fight infection.

Zinc (30mg daily) This is another important antioxidant that can help prevent an infection.

Probiotics (22 billion bacteria, daily) Live yogurt contains lactobacillus acidophilus (healthy bacteria), but the concentration of bacteria in live yogurt is quite thin, so for the best levels of protection against infection eat yogurt and take a supplement.

For more assistance, make an appointment with a Nutritionist at Glenville Nutrition Clinic.

Why Is Vitamin D Crucial For Brain Health?

We have known for many years that Vitamin D is important for bone health and in the prevention of osteoporosis. However, it is only in recent years that we have realised how important this nutrient is for general health and, particularly, for brain health. Here are just some of the main benefits of vitamin D:

• It plays a major role in breast and bowel cancer prevention
• It is important for your immune function, particularly when you need to fight off colds and flus
• It helps protect your body against conditions as diverse as type 2 diabetes, heart disease, joint pain, dementia, infertility, autism, and allergies
• It reduces the risk of SAD (Seasonal Affective Disorder)

Vitamin D also balances your immune function (if you have an autoimmune problem, it’s especially important to have your vitamin D levels tested), helps control inflammation, has antioxidant properties, and helps to control beta-amyloid plaque build-up. All these benefits are important for your brain health, so getting your levels exactly right is crucial if you are to benefit from them.

Vitamin D Deficiency

Vitamin D deficiencies have also been implicated in autoimmune diseases such as rheumatoid arthritis, lupus, and inflammatory bowel disease. We get most of our vitamin D quota from sunlight because natural food sources are few. Those most at risk of vitamin D deficiency are those who:

• Don’t go out much in the daytime
• Don’t expose their skin to sunlight
• Constantly wear make-up or cosmetics with built-in sun protection factors

The tone of your skin affects vitamin D production, so the darker your skin, the less your body produces vitamin D. Covering up large area of skin for religious reasons also reduces vitamin D production. It is estimated that we need about 30 minutes exposure to the sun every day to produce enough vitamin D to keep us healthy.

If you are moderately deficient in vitamin D, you have a 53% increased risk of dementia, and your risk of increases by 125% if you are severely deficient. With Alzheimer’s, one study found that those who were moderately deficient had a 69% increased risk, and the risk increased to 122% in those who were severely deficient.

This research showed evidence that these seem to be a threshold level in the blood below which the risk of developing dementia and Alzheimer’s increases. Levels above 50 nmol/L are the most strongly associated with good brain health. However, I think a level between 80 – 100 nmol/L gives the best overall effect on general health, and this is the level I get my patients to aim for in my clinic.

How To Know If You’re Vitamin D Deficient

A question lots of people ask me when I give talks, is how much vitamin D should I take? The answer, of course, is that it depends on the level of your deficiency. For this reason, I now recommend that everyone gets their vitamin D levels checked, given this nutrient’s far-reaching health benefits, and then supplement to get the level back to normal. We have had instances in the clinics where the lab has even phoned to say there was no vitamin D detected at all.

There is, though, such a thing as too much vitamin D. A vitamin D level that is too low (less then 10nmol/L) increases the risk of all-cause mortality (dying of any cause) – but the same is true if your vitamin D levels are too high (more than 140 nmol/L). That’s why it’s important to get tested regularly, at the clinic we use this test that can be done via the post.

What Vitamin D To Choose?

Choose vitamin D in the form of D3, also called cholecalciferol. There is a cheaper form, called D2 (ergocalciferol), but research suggests that vitamin D3 is 87% more effective at raising and maintaining your vitamin D levels than vitamin D2. Researchers have said that ‘the assumption that vitamins D2 and D3 have equal nutritional value is probably wrong and should be reconsidered.’ Most people (especially older people) do not convert vitamin D2 to the active form that their bodies can use efficiently so it is best to speak to one of our nutritionists for advice.