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Unsaturated fats found in vegetable oils, nuts, seeds, and fish, otherwise known as omega 3-6-9, are essential for brain, nervous, immune, cardiovascular, and integumentary (skin) systems development. Good sources are flaxseed oil, pumpkin seeds, evening primrose oil, and fish oils. Carbohydrates. The body's basic fuel source. Sources include whole grains, sugar, syrup, honey, fruits, and vegetables. Stay away from refined flours and sugars, these are nutrient void and spike your bloodsugar causing a crash. Fiber is also an important part of carbohydrate intake. Micronutrients and Phytochemicals. Vitamins, minerals, phytochemicals (bioflavonoids, carotenoids, antioxidants, and phytoestrogens). Enough fruit and veggies in the diet should ensure you are getting enough ofthese vital substances. You cannot get too much of these. Fiber. Less bowel problems, reduced risk of colon and breast cancer, less chance of gall stone formation, diabetes, and cardiovascular disease. Another reason to add plentiful fruits and veggies to your daily diet plan. Sources. Whole grains, vegetables, fruits, nuts, seeds, and legumes. Too much wheat fiber in your diet can rob your body of estrogen, and block the uptake of essential nutrients. Remember that the bowels get rid of old hormones. Water. Second to oxygen, water is the most important nutrient in the body. It makes up 70% of the adult body, 85% of blood, 73% of muscle, 25% of fat, and 22% of bone. It is essential for the proper functioning of every body system, absolutely everything from walking to cellular production. Diuretics such as alcohol, coffee, and tea, raise the already large amount of 1.5 litres that we lose of water each day from sweating, breathing, and urinating. Most people are dehydrated. The implications of this span every process of the body. Dehydration increases the production of choloesterol, which surrounds cells to seal in and conserve water. This traps toxins inside the cells, and inhibits nutrients from entering the cells. The ovaries and testes are of the first organs to have the water cut off from them when stores get low in the body. Increase your intake gradually up to 2 litres per day. Drink filtered water perferably not from plastic bottles.
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Infertility - Men's Health Infertility - Gynecology
Dr. TCM Lorne Brown is a Doctor of Chinese Medicine with the College of Traditional Chinese Medicine practitioners and Acupuncturists of BC He practices at Acubalance Wellness Centre Ltd. on West 8th Ave. in Vancouver BC Canada. Treating Exclusively Women's infertility & gynecology.
Lorne Brown,
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Amino Acids
The building blocks of life. Necessary for egg and sperm production. Some healthcare practitioners will prescribe amino acids such as l-arginine to enhance fertility. Sources: protein foods such as meat, fish, eggs, dairy, lentils, peas, beans, nuts, brown rice, sunflower and pumpkin seeds, and quinoa.
Vitamin A
Essential for the production of female sex hormones. It has antioxidant qualities which protects cells against damage from free radicals in the body. It also is important for the developing embryo. Retinol (the version of vitamin A found in liver) has been linked to fetal abnormalities. Sources: eggs, yellow fruits and vegetables, whole milk and milk products, dark green leafy veggies, and fish oils. Dosage: RDA 2565 IU for pregnant women.
Beta Carotene is a pigment in plants that is converted into vitamin A. The corpus luteum is very high in beta carotene, so it
may be cardinal in the regulation of the reproductive cycle hormones. Sources: peas, broccoli, carrots, spinach, and sweet potatoes.
Vitamin B1 (thiamin)
Needed for ovulation and implantation. Sources: molasses, brewer's yeast, whole grains, nuts, brown rice, organ and other meats, egg yolks, fish, poultry, legumes, and seeds. Dosage: RNI 0.8 mg per day (women)
Vitamin B2 (riboflavin)
Deficiencies are linked to sterility, miscarriage, and low birth weight. The liver uses B2 to clear away old used hormones (estrogen and progesterone). If these are not excreted, the body thinks there is enough and less production happens, resulting in hormone deficiencies. Sources: molasses, brewer's yeast, whole grains, nuts, brown rice, organ and other meats, egg yolks, fish, poultry, legumes, and seeds. Dosage: RNI 1.1 mg per day (women)
Vitamin B6 (pyridoxine)
Together with zinc, B6 is essential for the formation of female sex hormones and the proper functioning of estrogen and progesterone. A deficiency causes the ovaries to shut down production of progesterone which leads to estrogen dominance. B6 is used to treat luteal phase defects because of it encourages the production of progesterone. It also has shown to improve fertility rates if taken over a 6 month period. Sources: molasses, brewer's yeast, whole grains, nuts, brown rice, organ and other meats, egg yolks, fish, poultry, legumes, seeds, and green leafy veggies. Dosage: RNI 1.2 mg per day, but up to 50 mg may be used per day. Note: Zinc is needed for its absorption.
Vitamin B12
Folate and B12 are needed for the synthesis of DNA and RNA. These make up the blueprint for the genetic code of the entire body. Sources: lamb, sardines, salmon, fermented foods that contain bacteria. Calcium aids in its absorption. Dosage: RNI from 1.5 to 50 mcg per day.
Vitamin C
An antioxidant that prevents damage from free radicals. Too high a dose (over 1000 mg per day) may dry cervical mucus. Sources: citrus fruits, rosehips, cherries, sprouted alfalfa seeds, cantaloupe, strawberries, broccoli, tomatoes, sweet peppers, black currants, mangos, grapes, kiwi fruit, pineapples, asparagus, peas, potatoes, parsely, watercress, and spinach. Dosage: 500 mg per day.
Vitamin E
Deficiency may cause miscarriage. Taken with vitamin C may improve ovulation. Taken with vitamin C and selenium creates a healthy endometrium. Vitamin E has anticoagulant properties, so caution if taking blood thinners. Sources: cold pressed oils, wheat germ, organ meats, molasses, eggs, sweet potatoes, leafy veggies, nuts, seeds, whole grains, and avacados. Dosage: 400 IU per day
Iron
Iron helps prevent miscarriage. Tea, coffee, and tobacco all inhibit the absorption of iron. Sources: organ meats, lean meat, eggs, fish, poultry, molasses, cherries, dried fruits, prunes, green leafy veggies, kelp,
spinach, parsley, pumpkin seeds, sunflower seeds, broccoli, oatmeal, sardines, and nuts. Dosage: 20 mg per day (only take if you have tested positive for deficiency)
Magnesium
We need B1 and magnesium for energy production. Take with selenium, calcium, vitamin B6, and D to aid in absorption. Take with protein foods. Alcohol, tea, coffee, and smoking inhibit absorption. Sources: kelp, green leafy veggies, tofu, legumes, rye, buckwheat, millet, molasses, brown rice, bananas, dried figs, dried apricots, nuts, barley, seafood, and whole grains. Dosage: up to 400 mg per day
Selenium
Deficiency may cause infertility and an increased risk of miscarriage. Sources: tuna, herring, brewer's yeast, wheat germ and bran, whole grains, and sesame seeds. Dosage: 200mcg per day
Manganese
Deficiency may lead to defecive ovulation, and inhibit the synthesis of sex hormones. Manganese competes with iron for absorption. It is advisable to take manganese supplements with protein foods and vitamin C. Sources: whole grains, green leafy veggies, carrots, broccoli, ginger, legumes, nuts, pineapples, eggs, oats, and rye. Dosage: RNI 1.4 mg per day
Zinc
Deficiencies of Zinc are quite common. Zinc is important for the cell division in the fetus, producing good quality eggs, and maintaining the menstrual cycle. Alcohol and the contraceptive pill deplete zinc in the body. Folic acid, tea, coffee, high fiber intake, and iron may inhibit absorption. Vitamin B6 and C may aid absorption. Sources: lean meat, fish, seafood, chicken, eggs, pumpkin and sunflower seeds, rye, oats, whole grains, legumes, ginger, parsley, mushrooms, brewer's yeast, and wheat germ. Dosage: RNI 7 mg per day (women), up to 30 mg may be recommended.
Coenzyme Q10
Important for energy production. Levels of CoQ10 are lower in a woman who has experienced a recent miscarriage. ICSI fertilization rates may rise when taking this supplement. It also improves blood flow. Dosage: talk to your healthcare professional.
Low protein levels in the body create a situation where the production of DNA is impeded. Amino acids from protein are the essential building blocks of life. Protein intake is shown to be most important around ovulation, and up to the end of the first trimester. Flavorings and additives appear in many prepared foods and drinks. Many dried fruits are sulfured. Salt additives in theory are not so bad but the amount used to preserve food plays a role in the upset of hormonal balances.
Aspartame (click for shocking article on aspartame) is likely to be found in any sweetener you put in your drink.
Anything labeled 'diet' or 'sugar free', any gum or breath freshener, all will have aspartame as a sweetener. When the temperature of aspartame exceeds 30 degrees centigrade (86 F), which the body acomplishes quite quickly once it is ingested, the wood alcohol in it converts to formaldahyde (a poison used to preserve body parts) and then to formic acid which is even more toxic. Aspartame may cause miscarriage because it makes the body have an immune reation to it, which can destroy the fetus. MSG (monosodium glutamate) is found in a lot of food in Chinese or Mexican restaurants, or prepared foods. It has been shown to cause infertility in animals. It is also in chips, meat seasonings, and soups.
Aspartame Aspartame is a sweetener made by Monsanto found in many diet foods and available in packets to sweeten
your foods. Be advised that aspartame has been linked to cancer as well as neuro- and immunotoxicity due to long term ingestion. Because of aspartame's bad press, Monsanto has come up with a new sweetener, Neotame. Neotame has not been sufficiently tested and is thought to be more toxic than its predecessor, aspartame; it contains carcinogenic ingredients, such as formeldahyde. Because aspartame contains phenylalanine, it can be toxic for certain children. Make sure the foods you eat do not contain artificial sweeteners. When sweetening foods, opt for natural sweeteners like honey or fruit juice.
Food Allergies
If you or your family has a history of food allergies, it is advised that you stay away from peanuts and products that may contain traces of peanuts. Your fetus can be exposed to food allergens and may develop peanut allergy if he has a predisposition.
- avoid contaminating foods with each other - wash raw vegetables thoroughly, as unwashed vegetables can harbor toxoplasmosis
Things to Avoid!
State of Mind
Inform yourself. Get to know what you need to do to increase your chances of conception. Both partners must be involved in this process, it takes two to make a baby. Eat well, take the necessary supplements, improve your lifestyle, and most of all enjoy the love you share, that is of utmost importance to create another human life. Don't worry about what other people think about the changes you are making, friends will note things that you may have wanted to keep secret for now. You will also start to notice everyone else getting pregnant. Try not to get fixated on this. The same happens when you buy a new car, suddenly you see them everywhere. Try to not lose your sense of humor. Do not isoloate yourself socially. Stay an active part of your community, everybody needs to have purpose. Infertility can be very tough on a relationship. Keep doing things together, stay romantic, do not let sex get too systematized. Remember that this is the person you loved enough to decide to have babies with. Do not force your viewpoints onto each other too strongly. Be gentle, on step at a time. Relax, breath, enjoy life, and have wonderful sex!
little estrogen, too little estrogen, too little progesterone, too many male hormones, and cortisol deficiencies, are all common problems with reproductive
hormones. More information on the specific hormones and their functions within the reproductive cycle can be found in our Reproductive
Our endocrine system, which regulates our hormones, is therefore of vital importance to the reproductive health of both men and women. Proper eating habits, avoiding certain things , and weight are some areas which should be given attention when conception, or health in general is your goal.
Many medical conditions can also adversely affect the hormonal balance, i.e. thyroid conditions, diabetes, and
Find your ideal weight. Do not go on any intense diets to gain or lose weight, this will throw the body further out of balance. Consult your healthcare professional to discuss your options.
Cortisol Deficiency
Long term low level stress and/or poor nutrition fatigue the adrenals which causes a cortisol deficiency. This stress hormone competes with progesterone for receptor sites, leading to a condition of estrogen dominance and less active progesterone. Symptoms: (Kidney vacuity), unstable blood sugar levels, extreme tiredness, allergies, candida, fatigue, insomnia, PMS, loss of libido, weak immune system (frequent colds), low blood pressure, alcohol intolerance, chronic fatigue, weak muscles, depression, and headaches. Solutions: reduce intake of stimulants such as sugar, caffeine, tobacco, and alcohol, healthy diet, relaxation, meditation, yoga, and Chinese herbal medicine.
- Deep breathing techniques (Qigong) - Visualization (Qigong) - Meditation (Qigong) - Aromatherapy - Bach flower remedies (as your healthcare professional about these)
Make sure sleep is plentiful. If you have trouble sleeping, try these few ideas to help:
- get up at same time every day regardless of when you got to sleep, this establishes a cycle. - go to bed at the same time each night. - keep the bedroom dark, quiet, and cool. - keep anything stressful out of the bedroom (computers, work related items, etc.) - limit daytime napping. - massage the bottom of your feet while lying in bed - take hot baths in the evening with a few drops of lavender essential oil in the water. - eat supper before 7pm. - avoid caffeine after noon. - get fresh air and exercise. - seek counsel with issues that may be keeping you awake. - do not work after dinner. - read something pleasant in the evening.
Things to Avoid
Mutagens are substances and pollutants that you may be exposed to every day. These substances do damage on the genetic levels (sperm, egg, and embryo). Caffeine, tobacco, alcohol, recreational
drugs, medical drugs, dietary mutagens, and environmental hazzards, are what you should look out for. Also check out other misc. things to avoid. Dietary Mutagens for Fertility & IVF
Pyrolysis. A process that occurs when proteins are cooked at high temperatures in unsaturated fats. This adversely affexts eggs and the fenetic material they contain. So stick to poaching and braising using olive oil.
Sufficient levels of vitamin A, B1, B2, B5, B6, B12, C, folate, zinc, magnesium, selenium, and essential fatty acids help protect against mutagens that may cause damage. Vitamin A, C, E, are potent in the difestive tract and continue their action in the blood and around cell membranes. They are antioxidants and help to limit damage by pollutants. An excess of vitamin A however can cause birth defects, so the recommended daily dosage is under 3000 IU. Calcium, magnesium, selenium, and zinc are powerful antimutagens and reduce uptake of aluminm, cadmium, lead, and mercury. Green Tea contains substances known as catechins that are powerful antimutagens. Cholorella is considered to be an exceptionally broad spectrum antimutagen supplement. A freshwater algae that is a rich source of nutrients, chlorella binds to heaby metals and chemicals that have accumulated in the body. Cilantro is a powerful heavy metal detoxifier, as well as pectin-rich foods such as apples, pears, and bananas. Dietary fiber from friut, veggies, whole grains, oat bran, and legumes helps in the excretion of toxins from the body. Avoid wheat bran because it can block mineral absorption.
Low protein levels in the body create a situation where the production of DNA is impeded. Amino acids from protein are the essential building blocks of life. Protein intake is shown to be most important around ovulation, and up to the end of the first trimester. Flavorings and additives appear in many prepared foods and drinks. Many dried fruits are sulfured. Salt additives in theory are not so bad but the amount used to preserve food plays a role in the upset of hormonal balances.
Aspartame (click for shocking article on aspartame) is likely to be found in any sweetener you put in your drink.
Anything labeled 'diet' or 'sugar free', any gum or breath freshener, all will have aspartame as a sweetener. When the temperature of aspartame exceeds 30 degrees centigrade (86 F), which the body acomplishes quite quickly once it is ingested, the wood alcohol in it converts to formaldahyde (a poison used to preserve body parts) and then to formic acid which is even more toxic. Aspartame may cause miscarriage because it makes the body have an immune reation to it, which can destroy the fetus.
MSG (monosodium glutamate) is found in a lot of food in Chinese or Mexican restaurants, or prepared foods. It has been shown to cause infertility in animals. It is also in chips, meat seasonings, and soups.
Aspartame Aspartame is a sweetener made by Monsanto found in many diet foods and available in packets to sweeten
your foods. Be advised that aspartame has been linked to cancer as well as neuro- and immunotoxicity due to long term ingestion. Because of aspartame's bad press, Monsanto has come up with a new sweetener, Neotame. Neotame has not been sufficiently tested and is thought to be more toxic than its predecessor, aspartame; it contains carcinogenic ingredients, such as formeldahyde. Because aspartame contains phenylalanine, it can be toxic for certain children. Make sure the foods you eat do not contain artificial sweeteners. When sweetening foods, opt for natural sweeteners like honey or fruit juice.
independent studies have shown a need for more rigorous limitation of certain fish species. safe - wild pacific salmon - farm-raised trout - farm-raised catfish - fish sticks - summer flounder - croaker - mid-Atlantic blue crab - haddock restricted consumption - canned tuna - mahi mahi - eastern oyster - blue crab from the Gulf of Mexico - lake whitefish - blue mussels - cod - pollock dangerous - shark - swordfish - sea bass - tilefish - tuna steaks Trying to get enough uncontaminated fish in your diet is understandable difficult; using a mercury calculator will help you figure how much mercury you're ingesting with your fish. You can also get other sources of the nutrients found in fish. You may want to make up for Omega-3s by eating crushed flaxseed with your breakfast or snacking on walnuts. While flaxseed and walnuts have about a fifth of the Omega-3s, it may be the safer option until pressure is put on industries that contaminate our waters. Pregnancy diets deficient in Omega-3s will result in children with behavioral problems and abnormal vision.
Food Allergies
If you or your family has a history of food allergies, it is advised that you stay away from peanuts and products that may contain traces of peanuts. Your fetus can be exposed to food allergens and may develop peanut allergy if he has a predisposition.
The following may encourage miscarriage (if used in therapeutic dosages): Basil, Caraway seeds, Celery seeds, Ginger, fresh Horseradish, Savory, Marjoram, Nutmeg, Rosemary, Saffron, Sage, Parsley, Tarragon, Thyme, Watercress. Note: amounts commonly used with the preparation of food are generally regarded as safe (GRAS) .
Caffeine
Dehydrates, leeches minerals, and produces cortisol which competes for progesterone receptor sites causing deficiency. Particularly during the luteal phase, caffeine is processed more slowly. It is been said that drinking 2-3 cups of coffee per day can increase your time to concieve by 50%! It also increases the risk of miscarriage, low birth weight, and pre-eclampsia. If males drink a lot of coffee prior to conception, the chance of premature birth is raised. Stick to green tea is a little fix is needed.
Smoking
Zinc, selenium, and vitamin C are fators which are impeded in a smoker. It also increases the levels of cadmium and lead in the blood. Commercial tobacco contains at least 30 different chemicals that can adversely effect fertility. Smokers are more likely to be infertile, have lower estrogen and progesterone levels, a poor LH surge (causing irregular menses and ovulation), take longer to concieve, increased risk of miscarriage, bleed during pregnancy, low birth weight babies, thinner linings during IVF, earlier menopause, decreased sperm count, less motile sperm, more abnormal sperm, reduced testosterone, babies with congenital abnormalities and asthma. These conditions are somewhat dependant on the amount of cigarettes smoked.
Alcohol
Giving up alcohol completely is the best choice for fertility. It reduces the absorption of zinc and B6, increase the amounts of cadmium and lead in the blood, increase the excretion of folic acid, cause male impotence, 80% of alcoholics are sterile, cause chromosomal abnormalities in the sperm, atrophy of the tubes that carry semen, decreased sperm concentration, output, and motility, poor formation of sperm tails, increased sperm abnormalities, lowered testosterone levels, and damages the livers ability to process estrogen leading to accumulation which depresses sperm production. Gin and tonics contain antimalarial drugs and should be avoided completely.
Recreational Drugs
Cocaine affexts the brains mechanisms for releasing reproductive hormones. It adversely affects the fallopian tubes, causes birth defects, binds to the sperm affecting motility and penetration of the egg. Marijuana. The chemical THC is structured similarly to testosterone, it fills the receptor sites where testosterone needs to attach. It is shown to accumulate in the ovaries and testes. It can effect the developing egg, disrupt ovulation, cause low sperm counts, poor motility, and increase abnormal sperm. Smoking one 'joint' can lower testosterone and libido for up to 36 hours.
Environmental Hazzards
Nitrous compounds, pesticides, herbicides, fertilizers, and environmental estrogens from plastics. Each year it is said that we consume 11 pounds (5 kg) of preservatives and additives, and 1 gallon (4 litres) of pesticides. Eat organic and drink from a quality water source. Lead. Exhaust, industrial pollution, old water pipes, food grown near polluted areas, and some shampoos. High levels build up if you are low in calcium, zinc, iron, and manganese. Cigarette smoking is said to raise lead uptake by 25%. Lead has been shown to have detrimental effects on almost all aspects of sperm. In women it also shows to be a factor at almost any stage of the reproductive cycle. Vitamin C, pectin, and sulfur and nitrogen rich foods such as garlic, onions, cooked beans, eggs, and lots of water are all beneficial in the removal of lead from the body. Cadmium. Miscarriage and embryo defects. Cigarettes, processed foods, some drinking water supplies, sewage sludge, and high phosphate fertilizers are the culprits for accumulation in the body. B6, C, D, zinc, manganese, copper, selenium, and calcium are beneficial for this. Mercury. Neurological and slow cognitive development. Pesticides, fungicides, industrial processes, dental fillings, swordfish, king mackerel, shark, tile fish and tuna are the culprits. No more than 170 grams of tuna should be eaten per week before and during pregnancy. Aluminum. Destroys vitamins and causes long term mineral loss. Saucepans, indigestion tablets, antiperspirants, food additives, tea, and foods that come wrapped in foil are the items to avoid. Copper. Water pipes, saucepans, jewelry, the contraceptive pill, and copper IUDs are to blame. Zinc and vitamin C can help detoxify your body of copper. Phthalates. Found in soft plastics and childrens toys. They are now banned but are still found in some makeup products, toiletries, and perfumes. They are hormone disrupters. Electromagnetic fields. Cellular phones, electric blankets, and hydro stations. May cause miscarriages. Tampons. This is a topic every woman needs to research deeper. If you must use these, only unbleached 100% organic cotton should be used. Change them frequently. Botox. Avoid use until further research is done. Flying. Do not fly once pregnant, chances of miscarriage is greater, especially long flights. If there is a chance of being pregnant, the choice to not fly is probably the best one.
Raw and undercooked meat Radiation (x-rays, video display terminals) DES (diethylstilbesterol) Aspirin Antihistamines, including Ephedra (Ma Huang), Osha root Most laxatives, including flax seed, senna, aloes, castor oil, rhubarb, buckthorn, cascara sagrada Antacids Diuretics, including Buchu, Horsetail, Juniper berries pHisoHex (or anything else containing hexacholorphene) Hair dyes Hemorrhoid medications Chemical stimulatnts and depressants (LSD, psychotropics, phenobarbital, barbituates, tranquilizers) Epinephrine drugs (adrenalin) Vaccines, anesthetics, mercury vapours in the dentist's office Steroids and herbs containing steroid-like factors, including Agave, Ginseng, Licorice, Hops, Sage (this herb also decreases lactation) Hormones (birth control, non-organic meats) Excesses of vitamins A, C, D. Heavy metals: lead, nickel, cadmium, manganese Pesticides, herbicides, and insecticides. These are designs to disrupt the reproductive capacities of their target pest! Fumes from paints, thinners, solvents, wood preservatives, varnishes, glues, spray, adhesives, benzene, drycleaning fluids, certain plastics, vinyl cholride, rubber tuolene Lithium, arsenic Contact with cat feces PCB's (polychlorinated biphenyl) Prolonged exposure to extremely high temperatures
Anemia
CandidaCandida
and Infertility
Definition: an overgrowth of a yeast that occurs naturally in the intestines, on the skin, and in the vagina that normally helps keep balance and health. Symptoms: cravings for sweets, bloating, flatulence, vaginitis, cystitis, vaginal thrush, changes in bowel habits, irritable bowel syndrome, depression, fatigue, malabsorption, alcohol intolerance. Causes: diet high in sugars, antibiotic use, 'the pill', long term steroid use, gastrointestinal surgery, disease or illness, stress, excess of estrogen, poor adrenal function, sexual contact with someone who has candida, and excess consumption of yeast alcohol (wine, beer). Diagnosis: No easy way to properly diagnose. Treatment: antifungal supositories, acidophillus, wear loose fitting cotton underwear, do not use bubble bath or heavily scented soaps, avoid causes. Dietary Recomendations: Candida albicans is a naturally occurring fungus that is the cause of vaginal yeast infections. It contributes to infertility by causing hormonal imbalance and endometriosis, and by housing antibodies that affect the ovaries. Garlic is particularly effective against Candida. Candida sufferers should also consume plain yogurt, soy, whole grains, walnuts, and wheat germ, cruciferous vegetables, and seeds and alfalfa. Avoiding yeast, sweets and processed foods may help.
eggplant, okra, peppers, radishes, swiss chard, rhubarb, spinach. Neutral foods: yogurt, butter. Acid foods: lamb, chicken, turkey, goose, duck, salmon, white fish, eggs, beans, barley, buckwheat, oats, rye, white rice, mushrooms, raisins, beef, veal, pork, ham, bacon, cheese, goat and cow milk, wheat, corn, tomatoes, oranges, grapefruit.
Definition
diabetes n. any disorder of metabolism causing excessive thirst and the production of large volumes of urine. diabetes mellitus - (the most common form of the disease) is a disorder in which blood levels of glucose (a simple sugar created by the metabolism or the bodys process of breaking down of carbohydrates, i.e. fruits, vegetables, grains) are abnormally high because the body doesn't release or use insulin (a hormone produced by the pancreas) adequately. The oxidation or metabolism of these sugars from carbohydrates is the major source of energy for the human body. Doctors often use the full name diabetes mellitus, rather than diabetes alone, to distinguish this disorder from diabetes insipidus, a relatively rare disease. Blood sugar (glucose) levels vary throughout the day, rising after a meal and returning to normal within 2 hours. Blood sugar levels are normally between 70 and 110 milligrams per deciliter (mg/dL) of blood in the morning after an overnight fast. They are usually lower than 120 to 140 mg/dL 2 hours after eating foods or drinking liquids containing sugar or other carbohydrates. Normal levels tend to increase slightly but progressively after age 50, especially in people who are sedentary. Insulin, a hormone released from the pancreas, is the primary substance responsible for maintaining appropriate blood sugar levels. Insulin allows glucose to be transported into cells so that they can produce energy or store the glucose until it's needed. The rise in blood sugar levels after eating or drinking stimulates the pancreas to produce insulin, preventing a greater rise in blood sugar levels and causing them to fall gradually. Because muscles use glucose for energy, blood sugar levels can also fall during physical activity. Type 1 diabetes, no one knows what causes type 1 diabetes, but it is known that it occurs when the pancreas (a gland needed in the digestive process) no longer produces any or very little insulin. The body needs insulin to use sugar obtained from food for energy. Approximately 10 percent of people with diabetes have type 1 diabetes. Type 2 diabetes occurs when the pancreas does not produce enough insulin or when the body does not use the insulin that is produced effectively. 90 percent of people with diabetes have type 2. Gestational diabetes is a temporary condition that occurs during pregnancy. It affects two to four percent of all pregnancies with an increased risk of developing diabetes for both mother and child. Diabetes is a leading cause of death by disease worldwide. If not recognized or improperly managed, the high levels of blood glucose (sugar) can slowly damage both the small and large blood vessels in the body, possibly resulting in many serious health complications such as heart disease, which is two to four times more common in people with diabetes than without, it is also a leading cause of adult blindness & kidney disease. At least 50% of all limb amputations not due to traumatic injury are due to diabetes, and diabetes is now considered to be a major cause of erectile dysfunction (male sexual organ problems).
Symptoms
unusual thirst (polydipsia) excessive hunger (polyphagia) frequent urination (polyuria) unusual weight loss (emaciation) extreme fatigue or lack of energy blurred vision frequent or recurring infections cuts and bruises that are slow to heal tingling &/or numbness in hands &/or feet. *** It is also quite important to understand that many people with type 2 diabetes may or may not display signs or symptoms. It is recommended to have routine screening every three years for everyone age 45 or over and screening every year for individuals with other risk factors. The first symptoms of diabetes are related to the direct effects of high blood sugar levels. When the blood sugar level rises above 160 to 180 mg/dL, glucose passes into the urine. When the level rises even higher, the kidneys excrete additional water to dilute the large amounts of glucose lost. Because the kidneys produce excessive urine, a person with diabetes urinates large volumes frequently (polyuria). The excessive urination creates abnormal thirst (polydipsia). Because excessive calories are lost in the urine, the person loses weight. To compensate, the person often feels excessively hungry (polyphagia). Other symptoms include blurred vision, drowsiness, nausea, and decreased endurance during exercise. In addition, people whose diabetes is poorly controlled are more susceptible to infections. Because of the severity of insulin deficiency, people with type I diabetes almost always lose weight before undergoing treatment. Most people with type II diabetes don't lose weight. In people with type I diabetes, the symptoms begin abruptly and may progress rapidly to a condition called diabetic ketoacidosis. Despite high levels of sugar in the blood, most cells can't use sugar without insulin; thus, they turn to other sources of energy. Fat cells begin to break down, producing ketones, toxic chemical compounds that can make the blood acidic (ketoacidosis). The initial symptoms of diabetic ketoacidosis include excessive thirst and urination, weight loss, nausea, vomiting, fatigue, and--particularly in children--abdominal pain. Breathing tends to become deep and rapid as the body attempts to correct the blood's acidity. The person's breath smells like nail polish remover. Without treatment, diabetic ketoacidosis can progress to coma, sometimes within a few hours. People with type I diabetes can develop ketoacidosis even after starting insulin treatment if they miss an insulin injection or become stressed by an infection, an accident, or a serious medical condition. People with type II diabetes may not have any symptoms for years or decades. When insulin deficiency progresses, symptoms may develop. Increased urination and thirst are mild at first and gradually worsen over weeks or months. Ketoacidosis is rare. If the blood sugar level becomes very high (often exceeding 1,000 mg/dL)--usually as the result of some superimposed stress such as an infection or drugs--the person may develop severe dehydration, which may lead to mental confusion, drowsiness, seizures, and a condition called nonketotic hyperglycemic-hyperosmolar coma. Symptoms of low blood glucose (sugar) levels A low blood glucose level can occur when your blood glucose drops below a certain level (usually less than 4 mmol/L). This may be caused by: Not eating enough food Missing or delaying a meal Exercising without taking the necessary precautions Taking too much insulin Drinking alcohol. *** Low blood glucose can happen quickly, so it is important to take care of it right away. The warning signs of a low blood glucose level Note the symptoms you are experiencing, this will help you to identify low blood sugar in the future. You may feel: Sudden severe hunger Shaky or light-headed Nervous or irritable Sweaty Weak Your heart beats at a faster rate Confused A numbness or tingling in your tongue or lips. headache unusually sleepy mood changes or swings sudden anxiety & even unconsciousness or coma or seizures in extreme cases (Make sure you always wear MedicAlert identification) *** IMPORTANT NOTE: Some people do not have early warning signs of hypoglycemia. People like this must check their blood sugar levels more often to avoid this condition. It is of utmost importance for all persons with diabetes to check their blood sugar levels before driving a motor vehicle. How to treat low blood glucose (As recommended by the Canadian Diabetes Association) Check your blood glucose. If you do not have your meter with you treat the symptoms anyway. It is better to be safe. Eat or drink a form of sugar such as: 3 B-D Glucose Tablets or 5 Dextrose Tablets 6 Life Savers TM 3/4 cup (175mL) of juice or regular pop 1 tablespoon (15mL) of honey.
Causes
Diabetes results when the body doesn't produce enough insulin to maintain normal blood sugar levels or when cells don't respond appropriately to insulin. People with type I diabetes mellitus (insulin-dependent diabetes) produce little or no insulin at all. Although about 6 percent of the United States population has some form of diabetes, only about 10 percent of all diabetics have type I disease. Most people who have type I diabetes developed the disease before age 30. Scientists believe that an environmental factor--possibly a viral infection or a nutritional factor in childhood or early adulthood--causes the immune system to destroy the insulin-producing cells in the pancreas. Some genetic predisposition is most likely needed for this to happen. Whatever the cause, in type I diabetes more than 90 percent of the insulin-producing cells (beta cells) of the pancreas are permanently destroyed. The resulting insulin deficiency is severe, and to survive, a person with type I diabetes must regularly inject insulin. In type II diabetes mellitus (non-insulin-dependent diabetes), the pancreas continues to manufacture insulin, sometimes even at higher than normal levels. However, the body develops resistance to its effects, resulting in a relative insulin deficiency. Type II diabetes may occur in children and adolescents but usually begins after age 30 and becomes progressively more common with age: About 15 percent of people over age 70 have type II diabetes. Obesity is a risk factor for type II diabetes; 80 to 90 percent of the people with this disease are obese. Certain racial and cultural groups are at increased risk: Blacks and Hispanics have a twofold to threefold increased risk of developing type II diabetes. Type II diabetes also tends to run in families. Other less common causes of diabetes are abnormally high levels of corticosteroids, pregnancy (gestational diabetes), drugs, and poisons that interfere with the production or effects of insulin, resulting in high blood sugar levels.
Diagnosis
The diagnosis of diabetes is made when a person has abnormally high blood sugar levels. Blood sugar levels are often checked during a routine annual examination or a physical examination given before employment or participation in sports. A doctor may also check blood sugar levels to find the possible cause of such symptoms as increased thirst, urination, or hunger, or if the person has typical risk factors, such as a family history of diabetes, obesity, frequent infections, or any of the complications associated with diabetes. To measure the blood sugar level, a blood sample is usually taken after the person has fasted for about 8 hours, but it may be taken after eating. Some elevation of blood sugar levels after eating is normal, but even then the levels shouldn't be very high. In people over 65 years old, the test is best performed after fasting because older people have a greater increase in blood sugar levels after eating. Another kind of blood test, an oral glucose tolerance test, may be performed in certain situations, such as when a doctor suspects that a pregnant woman has gestational diabetes. In this test, a person fasts, has a blood sample taken for the fasting blood sugar level, and then drinks a special solution containing a standard amount of glucose. More blood samples are then obtained over the next 2 to 3 hours.
Treatment
With careful management of this disorder, people can live long healthy lives that are very happy, granted they remain committed their well-being. Diabetes is managed in the following ways: Learn about your condition: Diabetes education is an important first step. All people with diabetes need to learn about their condition in order to make healthy lifestyle choices and manage their diabetes. The importance of nutrition & diet: What, when and how much you eat play an important role in regulating how well your body manages blood sugar levels.
Eat three meals and a bedtime snack each day. Include a food from each of the food groups at each meal. If you are thirsty drink water or diet pop. If you are overweight, eat smaller portions. Reduce your intake of fat. Keep sweet and fatty foods to a minimum. Stay active: Regular exercise helps your body lower blood sugars, promotes weight loss, reduces stress and enhances overall fitness. Talk to your diabetes health care team to learn how to adjust your insulin and food to prevent low blood glucose levels while exercising. Carry some form of sugar with you and extra food. Carry your meter with you. Be prepared to stop and test during exercise if you feel any symptoms. Wear a MedicAlert identification. Carry a record of the names and amounts of insulin you use and any other medications you use regularly. Wear comfortable shoes and socks. Test your blood glucose before exercising. If lower than __________ mmol/L, (have your doctor determine this value for you) you may need extra food before you start. Stop exercising if you have pain or feel tired. Enjoy yourself. Watch your waistline: Maintaining a healthy weight is especially important in the control of type 2 diabetes. Taking your medication: Type 1 diabetes always requires daily injections of insulin. Type 2 diabetes is controlled through exercise and meal planning and may require medications and/or insulin to assist the body in making or using insulin more effectively. A chance for a new healthy lifestyle: Learning to reduce stress levels in day-to-day life can help people with diabetes better manage their disease. The main goal of diabetes treatment is to keep blood sugar levels within the normal range as much as possible. Completely normal levels are difficult to maintain, but the more closely they can be kept within the normal range, the less likely that temporary or long-term complications will develop. The main problem with trying to control blood sugar levels tightly is an increased chance of overshooting, resulting in low blood sugar levels (hypoglycemia). The treatment of diabetes requires attention to weight control, exercise, and diet. Many obese people with type II diabetes would not need medication if they lost weight and exercised regularly. However, weight reduction and increased exercise are difficult for most people with diabetes. Therefore, either insulin replacement therapy or an oral hypoglycemic medication is often needed. Exercise directly lowers blood sugar levels, often reducing the amount of insulin needed. Diet management is very important. In general, people with diabetes shouldn't eat too much sweet food and should eat their meals on a regular schedule. However, eating a snack at bedtime or in the late afternoon often helps prevent hypoglycemia in people who inject themselves in the morning or evening with an intermediate-acting insulin. Since people with diabetes also have a tendency toward high cholesterol levels, dietitians usually recommend limiting the amount of saturated fat in the diet. Yet, the best way to reduce cholesterol levels is to control blood sugar levels and body weight. Most people with diabetes benefit greatly from learning about their disease and what they can do to help control it. This education is best provided by a nurse trained in diabetes education. All diabetics must understand how diet and exercise affect their blood sugar levels and be aware of how to avoid complications, such as checking their skin for ulcerations. They must also take special care to avoid foot infections and can often benefit from having their toenails cut by a podiatrist. Yearly eye examinations are essential to check for changes in the blood vessels that can lead to blindness (diabetic retinopathy). In case of injury or high or low blood sugar levels, people with diabetes should always carry a card or wear a Medic Alert bracelet identifying the disease. In an emergency, alerting health care professionals to the presence of diabetes allows them to start proper lifesaving treatment quickly. Insulin Replacement Therapy In type I diabetes, the pancreas can't produce insulin, so insulin must be replaced. Replacement can be accomplished only by injection; because insulin is destroyed in the stomach, it can't be taken by mouth. New forms of insulin, such as a nasal spray, are being tested. To date, these new forms haven't worked well because variability in the rate of absorption leads to problems in determining dose. Insulin is injected under the skin into the fat layer, usually in the arm, thigh, or abdominal wall. Small syringes with very thin needles make the injections nearly painless. An air pump device that blows the insulin under the skin can be used for people who can't tolerate needles. An insulin pen, which contains a cartridge that holds the insulin and closes like a large pen, is a convenient way to carry insulin, especially for those who take several injections a day outside the home. Another device is an insulin pump, which pumps insulin continuously from a reservoir through a small needle left in the skin. Additional doses of insulin can be programmed or triggered so that the pump more closely mimics the way the body normally produces insulin. For some people, the pump offers an added degree of control, while others find wearing the pump annoying or develop sores at the needle site. Insulin is available in three basic forms, each with a different speed and duration of action. Rapid-acting insulin, such as regular insulin, is the fastest and shortest acting. This type of insulin often begins to lower blood sugar levels within 20 minutes, reaches maximum activity in 2 to 4 hours, and lasts for 6 to 8 hours. Rapid-acting insulin is often used by people who take several daily injections and is injected 15 to 20 minutes before meals. Intermediate-acting insulin, such as insulin zinc suspension or isophane insulin suspension, starts to work in 1 to 3 hours, reaches its maximum activity in 6 to 10 hours,
and works for 18 to 26 hours. This type of insulin may be used in the morning to provide coverage for the first part of the day or in the evening to provide coverage during the night. Long-acting insulin, such as extended insulin zinc suspension, has very little effect for about 6 hours but provides coverage for 28 to 36 hours. Insulin preparations are stable at room temperature for months, allowing them to be carried, brought to work, or taken on a trip. Choosing which insulin to use may be complex. The decision is based on how tightly a person wishes to control his diabetes, how willing he is to monitor his blood sugar and adjust his dosage, how varied his daily activity is, how adept he is in learning about and understanding his disease, and how stable his blood sugar levels are during the day and from day to day. The easiest regimen to follow is a single daily injection of one intermediate-acting insulin. However, such a regimen provides the least control over the blood sugar levels. Tighter control may be achieved by combining two insulins--a rapid-acting and an intermediate-acting insulin--in one morning dose. This requires more skill but offers more opportunity to adjust the blood sugar levels. A second injection may be taken at dinner or bedtime. Tightest control is usually achieved by injecting some rapid-acting and intermediate-acting insulin in the morning and evening along with several additional injections of rapid-acting insulin during the day. Some people, especially older people, take the same amount of insulin every day; others adjust the insulin dose daily depending on their diet, exercise, and blood sugar patterns. The need for insulin varies with changes in food intake and amount of exercise. Thus, people who vary their diet and exercise very little usually need to make little change to their insulin dose. However, over time, insulin needs may change if the person experiences weight changes, emotional stress, or illness, especially infection. People who vary their diet and exercise patterns need to adjust their insulin accordingly. Some people develop resistance to insulin. Because the insulin is not exactly like the insulin the body manufactures, the body can produce antibodies to the insulin. These antibodies interfere with the insulin's activity, so a person with insulin resistance must take very large doses. Insulin injections can affect the skin and underlying tissues at the injection site. An allergic reaction, which occurs rarely, produces pain and burning, followed by redness, itchiness, and swelling around the injection site for several hours. More commonly, the injections either cause fat deposits, making the skin look lumpy, or destroy fat, causing indentation of the skin. Changing the site of injection with each dose and switching the type of insulin generally prevent these complications. Insulin resistance and insulin allergy are uncommon with the use of synthetic human insulins, which are the insulins predominantly used today. Oral Hypoglycemic Drugs Oral hypoglycemic drugs are usually prescribed for people with type II diabetes if diet and exercise fail to lower blood sugar levels adequately. The drugs can sometimes be taken only once a day, in the morning, although some people need two or three doses. If oral hypoglycemic drugs can't control blood sugar well enough, insulin injections alone or in combination with the oral drugs may be needed.
Monitoring Treatment
Monitoring blood sugar levels is an essential part of diabetes care. Although urine can also be tested for the presence of glucose, checking urine is not a good way to monitor treatment or adjust therapy. Fortunately, blood sugar levels can now be measured easily at home. How to test your blood glucose level You can purchase a meter from your local pharmacy. Checking blood glucose requires obtaining a small drop of blood to place on a blood glucose strip. Talk to your diabetes educator or pharmacist about the various methods, and which one is right for you. When you decide, make sure you receive the proper training. Ask about the size of the drop of blood and the type of blood glucose strips to use, how to clean you meter, how to check if your meter is accurate, how to code your meter. A drop of blood is obtained by pricking the tip of the finger with a small lancet. The lancet holds a tiny needle that can be jabbed into the finger or placed in a spring-loaded device that easily and quickly pierces the skin. Most diabetics find the pricking nearly painless. Then, a drop of blood is placed on a reagent strip. In response to sugar, the reagent strip changes color or undergoes some other chemical change. Some strips change color enough to read the blood sugar level when the color of the strip is compared to colors printed on a chart. A better and more accurate system is to use a machine that reads the changes in the test strip and reports the result on a digital display. Most of these machines time the reaction and read the result automatically. The machines are small, from the size of a pen to that of a pack of cigarettes. People with diabetes should record their blood sugar levels and report them to their doctor or nurse for advice in adjusting the insulin or oral hypoglycemic drug dose. Some people can be taught to adjust the insulin dose on their own as necessary between visits to their doctor or nurse. Doctors use a blood test called glycosylated hemoglobin, also called hemoglobin A1C, to monitor treatment. When the blood sugar level is high, changes occur in hemoglobin, the chemical that carries oxygen in the blood. These changes are in direct proportion to the blood sugar level over an extended period. Thus, unlike the blood sugar measurement, which reveals the level at a particular moment, the glycosylated hemoglobin measurement demonstrates whether the blood sugar level has been controlled over the previous few weeks. The normal level for glycosylated hemoglobin is less than 7 percent. Diabetics rarely achieve such levels, but tight control aims to come close to it. Levels above 9 percent show poor control, and levels above 12 percent show very poor control. Most doctors who specialize in diabetes care recommend that glycosylated hemoglobin be measured every 3 to 6 months. Why you should test your blood glucose level?
It is a quick measurement of your blood glucose level at any point in time. It shows how your blood glucose levels are affected by your food intake, insulin, stress levels, illness and physical activity. It is a quick method to identify high and low blood glucose levels to avoid potential emergencies. It helps you, and your diabetes health care team, to make the necessary changes in insulin, meal planning, lifestyle, or exercise to achieve good blood glucose control.
Treatment Complications
Both insulin and oral drugs can lower blood sugar levels too much, causing hypoglycemia. Hypoglycemia can also occur if a person with diabetes doesn't eat enough or on time or exercises strenuously without eating. When blood sugar levels are too low, the first organ affected is the brain. To protect the brain, the body immediately begins to manufacture glucose from glycogen stores in the liver. This process involves the release of epinephrine (adrenaline), which tends to induce hunger, anxiety, a sense of heightened awareness, and a shaky feeling. The lack of blood glucose to the brain can cause a headache. Hypoglycemia must be treated quickly because within minutes it can become severe, leading to increasing confusion, coma, and rarely permanent brain injury. At the first sign of hypoglycemia, the person should eat some form of sugar. Therefore, people with diabetes should always carry candy, lumps of sugar, or glucose tablets to treat episodes of hypoglycemia. Other options are to drink a glass of milk (which contains lactose, a type of sugar), sugar water, or fruit juice or to eat a piece of cake, some fruit, or other sweet food. People with type I diabetes should always carry or have available glucagon (a hormone that raises blood sugar levels), which can be injected in case they aren't able to take any food containing sugar. Diabetic ketoacidosis is a medical emergency. Without prompt and excellent treatment, diabetic ketoacidosis can cause a coma and death. Hospitalization, usually in an intensive care unit, is necessary. Large amounts of intravenous fluids are given along with electrolytes, such as sodium, potassium, chloride, and phosphate, to replace those lost through excessive urination. Insulin is generally given intravenously so that it works quickly and the dose can be adjusted frequently. Blood levels of glucose, ketones, and electrolytes are measured every few hours so that doctors can adjust the treatment. Doctors also take samples of arterial blood to measure its acidity. Sometimes additional treatments are needed to correct the acidity, although controlling blood sugar levels and replacing electrolytes usually allow the body to restore the normal acid-base balance. The treatment of nonketotic hyperglycemichyperosmolar coma is similar to that of diabetic ketoacidosis. Fluid and electrolytes must be replaced. Blood sugar levels must be restored gradually to avoid sudden shifts of fluid into the brain. Blood sugar levels tend to be more easily controlled than in diabetic ketoacidosis, and blood acidity problems are not severe. Most of the long-term complications of diabetes are progressive unless the blood sugar level is tightly controlled. Diabetic retinopathy, however, can be directly treated. Laser surgery can seal the leaking eye blood vessels to prevent permanent damage to the retina. Early laser treatment can help prevent or substantially slow the loss of vision.
Diabetic Emergencies
A diabetic emergency occurs when there is a severe imbalance between the amount of insulin and sugar in the body. Two conditions may result in a diabetic emergency: 1. Not enough insulin, causing a high level of sugar or hyperglycemia. This could lead to diabetic coma. This may be caused by: a) not taking enough insulin b) eating too much food c) doing less exercise than usual 2. Too much insulin, causing a low level of sugar or hypoglycemia. This may lead to insulin shock. This may be caused by: a) taking too much insulin b) not eating enough food or vomiting c) doing more exercise than usual
Dietary Recomendations
With women, diabetes is often associated with being overweight. Talk to your doctor and ask to be referred to a diabetes nutritionist so your condition can be monitored closely. Abnormal metabolic reactions tend to generate many free radicals, so make sure you take antioxidant supplements.
degrees in different women. When this continues for some time, the misplaced tissue may cause scarring that leads to an adhesion (sticking together) of internal surfaces (organs, ligaments) and may eventually inhibit proper functioning of certain aspects of the body. Causes: Endometriosis seems to run in families (mostly Caucasian). Also, giving birth for the first time after the age of 30 seems to be a risk factor. The best theory to date of why this condition comes fourth is said to be during menstruation, some of the endometrial tissue that is usually shed through the vagina, flows backward out the uterine (Fallopian) tubes. Signs & Symptoms: pain in the lower abdomen and pelvic region, irregular menses, spotting between periods or before periods, infertility (difficulty conceiving), pain during sexual intercourse, abdominal swelling, pain during bowel movements, bleeding from the rectum during menstruation, lower abdominal pain during menstruation, and there are sometimes no symptoms at all. Diagnosis: when a woman shows typical signs described above, or has unexplained infertility one may suspect Endometriosis. There may also be palpable masses in the lower abdomen. To see if there is endometrial tissue outside of the uterus, a doctor will use a small fiber optic viewing tube called a laparoscope that enters the abdominal cavity through a small incision made just below the navel. Sometimes it may not be conclusive by only viewing so a biopsy (small sample) will be taken. Ultrasounds, MRIs, barium enemas, CT scans, and x-rays may also be used to determine the extent of the disease. Blood tests that show antibodies for endometrial tissue are also a signal that the body may be attacking regular body tissues that are out of place.
little estrogen, too little estrogen, too little progesterone, too many male hormones, and cortisol deficiencies, are all common problems with reproductive
hormones. More information on the specific hormones and their functions within the reproductive cycle can be found in our Reproductive
Our endocrine system, which regulates our hormones, is therefore of vital importance to the reproductive health of both men and women. Proper eating habits, avoiding certain things , and weight are some areas which should be given attention when conception, or health in general is your goal.
Many medical conditions can also adversely affect the hormonal balance, i.e. thyroid conditions, diabetes, and
Cortisol Deficiency
Long term low level stress and/or poor nutrition fatigue the adrenals which causes a cortisol deficiency. This stress hormone competes with progesterone for receptor sites, leading to a condition of estrogen dominance and less active progesterone. Symptoms: (Kidney vacuity), unstable blood sugar levels, extreme tiredness, allergies, candida, fatigue, insomnia,
PMS, loss of libido, weak immune system (frequent colds), low blood pressure, alcohol intolerance, chronic fatigue, weak muscles, depression, and headaches. Solutions: reduce intake of stimulants such as sugar, caffeine, tobacco, and alcohol, healthy diet, relaxation, meditation, yoga, and Chinese herbal medicine.
Hypothyroidism
stiffness. Causes: thyroid gland failure, failure of mechanisms that tell the thyroid to secrete its hormones, and failure of the body tissues to use thyroid hormones effectively. Diagnosis: a blood test from your doctor can determine if you have hypothyroidism. Also, if your Basal Body Temperature is consistantly lower than 36.6 celcius (97.8 F), this may show an underactive thyroid. Treatment: synthetic thyroxine. Avoid flouride, chlorides, mercury, PCB's, cauliflower, broccoli, cabbage, brussels sprouts, turnips, kale, kohlrabi, rutabegas, watercress, millet, peanuts, pine nuts, cassava, corn, and sweet potatoes. Cooking the foods listed helps destroy harmful chemicals that disrupt the thyroid function. Dietary Recomendations Hypothyroidism is an underproduction of hormones by the thyroid gland, characterized by lowered cellular metabolism, including low basal body temperatures and unexplained weight gain. Other symptoms can include accumulation of fluid under the eye, sensitivity to cold aching muscles, decreased appetite (but concurrent weight gain), fatigue, constipation, dry skin and hair, insomnia and tingling in the hands and feet. Reproductive symptoms include unusually long cycles and extended periods of heavy cervical fluid. Hypothyroid is perhaps on of the most common, yet easily overlooked causes of infertility. Hypothyroid can throw the endocrine system off balance, causing elevated Prolactin levels, which prevents ovulation. Thyroid secretion is essential not only for egg fertilization and development, but also for sperm production. Thyroid deficiency can now be identified by a thyroid stimulating hormone test, so see your doctor if you suspect thyroid deficiency. Kelp, a sea vegetable, may help hypothyroid because of its high iodine content. Many people ingest enough iodine in their diet through the consumption of iodinized salt. However, if you avoid processed foods, and do not over salt your foods; or if you are accustomed to using sea salt of kosher salt, neither of which contain added iodine, then kelp can fulfill this need. IN addition kelp may be better retained in the body and is less likely to be readily excreted than salt. If you have received a medical diagnosis of hypothyroid, keep in mind that you should limit of avoid foods that inhibit the absorption of iodine in your system. These foods avoid include peanuts, pine nuts, cabbage, mustard and turnips. Almonds and wheat germs are also helpful against hypothyroidism, as they contain dietary sources of vitamin B2, a deficiency of which is linked to hypothyroid. Avoid dried fruit, processed potatoes, shrimp, and wine. The sulfites in these foods can destroy riboflavin, which can lead to deficiency. Supplements: vitamin B1, 2, 3, 5, 6, CoQ10, magnesium, chromium, selenium, zinc, iodine, calcium.
each patient is having and whether she wants to conceive or needs contraception. Below are descriptions of treatments used for PCOS. Birth control pills. For women who dont want to become pregnant, birth control pills can regulate menstrual cycles, reduce male hormone levels, and help to clear acne. However, the birth control pill does not cure PCOS. The menstrual cycle will become abnormal again if the pill is stopped. Women may also think about taking a pill that only has progesterone, like Provera, to regulate the menstrual cycle and prevent endometrial problems. But progesterone alone does not help reduce acne and hair growth. Diabetes Medications. The medicine, Metformin, also called Glucophage, which is used to treat type 2 diabetes, also helps with PCOS symptoms. Metformin affects the way insulin regulates glucose and decreases the testosterone production. Abnormal hair growth will slow down and ovulation may return after a few months of use. These medications will not cause a person to become diabetic. Fertility Medications. The main fertility problem for women with PCOS is the lack of ovulation. Even so, her husbands sperm count should be checked and her tubes checked to make sure they are open before fertility medications are used. Clomiphene (pills) and Gonadotropins (shots) can be used to stimulate the ovary to ovulate. PCOS patients are at increased risk for multiple births when using these medications. In vitro Fertilization (IVF) is sometimes recommended to control the chance of having triplets or more. Metformin can be taken with fertility medications and helps to make PCOS women ovulate on lower doses of medication. Medicine for increased hair growth or extra male hormones. If a woman is not trying to get pregnant there are some other medicines that may reduce hair growth. Spironolactone is a blood pressure medicine that has been shown to decrease the male hormones effect on hair. Propecia, a medicine taken by men for hair loss, is another medication that blocks this effect. Both of these medicines can affect the development of a male fetus and should not be taken if pregnancy is possible. Other non-medical treatments such as electrolysis or laser hair removal are effective at getting rid of hair. A woman with PCOS can also take hormonal treatment to keep new hair from growing. Surgery. Although it is not recommended as the first course of treatment, surgery called ovarian drilling is available to induce ovulation. The doctor makes a very small incision above or below the navel, and inserts a small instrument that acts like a telescope into the abdomen. This is called laparoscopy. The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary. This procedure carries a risk of developing scar tissue on the ovary. This surgery can lower male hormone levels and help with ovulation. But these effects may only last a few months. This treatment doesn't help with increased hair growth and loss of scalp hair. A healthy weight. Maintaining a healthy weight is another way women can help manage PCOS. Since obesity is common with PCOS, a healthy diet and physical activity help maintain a healthy weight, which will help the body lower glucose levels, use insulin more efficiently, and may help restore a normal period. Even loss of 10% of her body weight can help make a woman's cycle more regular. How does Polycystic Ovarian Syndrome (PCOS) affect a woman while pregnant? There appears to be a higher rate of miscarriage, gestational diabetes, pregnancy-induced high blood pressure, and premature delivery in women with PCOS. Researchers are studying how the medicine, metformin, prevents or reduces the chances of having these problems while pregnant, in addition to looking at how the drug lowers male hormone levels and limits weight gain in women who are obese when they get pregnant. No one yet knows if metformin is safe for pregnant women. Because the drug crosses the placenta, doctors are concerned that the baby could be affected by the drug. Research is ongoing. Does Polycystic Ovarian Syndrome (PCOS) put women at risk for other conditions? Women with PCOS can be at an increased risk for developing several other conditions. Irregular menstrual periods and the absence of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone. Without progesterone, which causes the endometrium to shed each month as a menstrual period, the endometrium becomes thick, which can cause heavy bleeding or irregular bleeding. Eventually, this can lead to endometrial hyperplasia or cancer. Women with PCOS are also at higher risk for diabetes, high cholesterol, high blood pressure, and heart disease. Getting the symptoms under control at an earlier age may help to reduce this risk. Does Polycystic Ovarian Syndrome (PCOS) change at menopause? Researchers are looking at how male hormone levels change as women with PCOS grow older. They think that as women reach menopause, ovarian function changes and the menstrual cycle may become more normal. But even with falling male hormone levels, excessive hair growth continues, and male pattern baldness or thinning hair gets worse after menopause. Dietary Recomendations There have been very few good nutritional studies done on PCOS, and the only nutritional recommendations currently given is that PCOS sufferers should shed their excess weight. We have two suggestions: One is that you follow the general guidelines for anovulation. The other is that you consume yams, and elevate your levels of vitamin B6. The second suggestion is since PCOS can often be characterized by elevated Prolactin levels try following the dietary guidelines for elevated Prolactin levels: eliminate alcohol, marijuana, aspartame, dioxins in meat and dairy, too much protein and too strenuous exercise. Increase essential fatty acid intake.
- stop smoking, cut down on alcohol, avoid drug intake (of all types), and keep it to 1 or 2 cups of coffee in the morning only. - drink more water, semen is made mostly of water (your whole body is 70% water).
Things to Avoid
High Temperatures The body is 37 degrees celcius. Sperm functions best at 32 degrees celcius. Long distance driving or sitting, hot baths, saunas, hot tubs, tight fitting underwear, and athletic support straps, all can raise the temperature of the scrotum, thus 'cooking' the sperm. Stress Blood gets routed by all means to vital organs for survival such as the lungs, heart, and brain in times of stress. Obviously the testes are malnourished when the body is under constant stress. Alcohol Take a breath, if you stop now, most damage done by drinking will be repaired naturally. Alcohol interferes with the secretion of testosterone, speeds up the conversion of testosterone into estrogen, lowers sperm count and sex drive. The breakdown product of alcohol in the body is acetaldehyde, which is toxic to sperm. Smoking and Male Fertility Smoking increases the number of free radicals in the body which do damage to many cells. It reduces sperm count and motility, and increases the number of abnormally shaped sperm. Free radicals that are said to be responsible for 40 percent of sperm damage can be battled with antioxidants such as vitamin C, E, beta-carotene, selenium, zinc, blackberries, blueberries, garlic, kale, strawberries, brussels sprouts, plums, alfalfa sprouts, broccoli, red peppers, grapeseed extract, and pine bark extract. Drugs Aside from the many prescription drugs that effect fertility, the chemical ingredient in Marijuana is very closely related to testosterone, therefore the body will produce less of the male hormone. It builds up in the testes lowering libido, causing impotence, and sometimes sexual anxiety. The effects of cocaine are similar in some aspects. Caffeine May impair sperm production, cause chromosomal abnormalities, and effect sperm motility. Medical Problems Hernia surgery, tubule infection, chlamydia, or mumps may effect sperm count. Diabetes can also have detrimental effects on male fertility. Exercise Yes, it is good for you, although, excessive amounts that punish the body may lower sperm count and temporarily reduce testosterone production. Toxins and Pollutants Pesticides and heavy metals are terrible for sperm. Since the start of the use of pesticides since World War II, male sperm counts have plummited. Note: pesticides are designed to disrupt the reproductive cycle of the insect, fungus, or weed it is trying to kill! I think there may be a corelation here. Eat Organic! Also watch exposure to X-rays, solvents, paint products, and toxic metals. Environmental Estrogens The meat we eat is filled with hormones, unless it is organic. Estrogens are now found in our drinking water. Plastics also give off estrogens. Do not microwave plastic, and try to drink from glass containers. If you are drinking water from a plastic bottle, try to limit its exposure to the sun.
Amino Acids
The building blocks of life. Necessary for egg and sperm production. Some healthcare practitioners will prescribe amino acids such as l-arginine to enhance fertility. Do not take arginine if you have the herpes virus, it will cause an outbreak. Sources: protein foods such as meat, fish, eggs, dairy, lentils, peas, beans, nuts, brown rice, sunflower and pumpkin seeds,
Vitamin A
Essential for the production of male sex hormones. It has antioxidant qualities which protects cells against damage from free radicals in the body. It also is important for the upkeep of the seminiferous tubules. A deficiency is shown to reduce sperm volume and count, and increase abnormal sperm. Sources: eggs, yellow fruits and vegetables, whole milk and milk products, dark green leafy veggies, and fish oils. Dosage: RDA 700 mcg per day. Take with foods that contain fat or oil, as well as with vitamin C, E, and zinc.
Vitamin B6 (pyridoxine)
Together with zinc, B6 is essential for the formation of male sex hormones. A deficiency causes infertility in animals. Sources: molasses, brewer's yeast, whole grains, nuts, brown rice, organ and other meats, egg yolks, fish, poultry, legumes, seeds, and green leafy veggies. Dosage: RNI 1.4 mg per day, but up to 50 mg may be used per day. Note: Zinc is needed for its absorption.
Vitamin B12
Folate and B12 are needed for the synthesis of DNA and RNA. These make up the blueprint for the genetic code of the entire body. Low levels can cause abnormal sperm production, reduced sperm counts, and reduced motility. even if your count is only on the low side, supplement with B12. Sources: lamb, sardines, salmon, fermented foods that contain bacteria. Calcium aids in its absorption. Dosage: RNI from 1.5 mcg per day.
Vitamin C
An antioxidant that prevents damage from free radicals. It is needed for the healthy production of sperm. Low vitamin C levels have been linked with an increse in birth defects. It can increase count and motility of sperm. It is also shown to reduce clumping of sperm. Sources: citrus fruits, rosehips, cherries, sprouted alfalfa seeds, cantaloupe, strawberries, broccoli, tomatoes, sweet peppers, black currants, mangos, grapes, kiwi fruit, pineapples, asparagus, peas, potatoes, parsely, watercress, and spinach. Dosage: 500-1000 mg per day.
Vitamin E
Rats fed a diet free of vitamin e cannot reproduce. It also is an antioxidant. It may also help the sperm penetrate the egg. Deficiency leads to a degeneration of testicular tissues. Vitamin E has anticoagulant properties, so caution if taking blood thinners. Sources: cold pressed oils, wheat germ, organ meats, molasses, eggs, sweet potatoes, leafy veggies, nuts, seeds, whole grains, and avacados. Dosage: >4 mg
Selenium
Deficiency may cause infertility. It is needed to properly shape sperm and to maintain count. It may have a key role in the functioning of the epididymis. It is an antioxidant which protects the cells in the sperm that have a high fat content. Sources: tuna, herring, brewer's yeast, wheat germ and bran, whole grains, and sesame seeds. Dosage: RNI 75 mcg per day
Manganese
Manganese competes with iron for absorption. It is advisable to take manganese supplements with protein foods and vitamin C. Deficiency may cause testicular degeneration, congenital malformations, sterility, low sex drive, low sperm count, and an increase in the number of cells that degenerate in the epididymis. Deficiency may also inhibit the synthesis of sex hormones. Sources: whole grains, green leafy veggies, carrots, broccoli, ginger, legumes, nuts, pineapples, eggs, oats, and rye. Dosage: RNI 1.4 mg per day
Zinc
Deficiencies of Zinc are quite common. Zinc is important for the cell division and the production of healthy sperm. It is the most critical trace mineral for male sexual function. It is needed for testosterone metabolism, testicle growth, sperm production, motility, count, reducing excess estrogen in male reproductive tissue. Every time a man ejaculates he loses about 5 mg of zinc. Alcohol depletes zinc in the body. Folic acid, tea, coffee, high fiber intake, and iron may inhibit absorption. Vitamin B6 and C may aid absorption. Sources: lean meat, fish, seafood, chicken, eggs, pumpkin and sunflower seeds, rye, oats, whole grains, legumes, ginger, parsley, mushrooms, brewer's yeast, and wheat germ. Dosage: RNI 10-30 mg per day.
Coenzyme Q10
Important for energy production. ICSI fertilization rates may rise when taking this supplement. It also improves blood flow. It is present in large amounts in the seminal fluid. It protects them against free radical damage, gives sperm energy (along with fructose), and increases their motility. Dosage: 50-90 mg per day
Sources: Omega-3; flaxseed, oily fish (mackerel, herring, salmon, sardines), walnuts, green leafy veggies, and tuna (not more than 150g/week). Sources: Omega-6; seeds and their oils. Dosage: 2000 mg per day. Note: be careful if you are currently taking blood thinning medication. Also, these should be taken with antioxidants vitamins A, C, E, selenium, and grapeseed extract.
Herbs
Ginseng (Radix Ginseng, Ren Shen) may improve levels of testosterone. Tribullus (Tribullus Silvestrus, Bai Ji Li) has been found to support healthy sperm production and is used to treat sexual dysfunction (impotence and libido). Some herbs that may adversely affect fertility are St. John's Wort, Saw Palmetto, Licorice, and Echinacea. Dosage: Talk to a qualified Herbalist.