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when we think about the words nutrition
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and periods we probably think about the
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Cravings that are normally associated
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with being on our period but there is a
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lot more to our menstrual cycle than
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just our periods and there is a lot more
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to consider than just cravings when it
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comes to nutrition throughout the
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my name is Elle registered dietitians
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specializing in Sports Nutrition and
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eating disorders and today we're going
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to explore some of the important
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nutrients throughout the menstrual cycle
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let's start with understanding the
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menstrual cycle to begin with the
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menstrual cycle has two phases the
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follicular phase and the luteal phase
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and begins on the first day of
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menstruation aka the periods Cycles
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lasting between 21 to 40 days are
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considered normal but the average cycle
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is thought to be about 28 days for most
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bleeding lasts up to a week and is the
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first part of the follicular phase
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ovulation occurs out of the follicular
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phase and before the luteal phase at
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around day 14 of the cycle ovulation is
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where an egg is released from the
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ovaries during the luteal phase which is
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the second half of the cycle the lining
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of the womb begins to thicken in
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preparation for pregnancy this is
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typically where women experience
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premenstrual syndrome or PMS symptoms
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such as cramping changes in mood
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bloating headaches fatigue acne all of
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the fun stuff if this egg is not
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fertilized the womb lining sheds which
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leads to menstruation and the cycle
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begins again so that summarizes the
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menstrual cycle now let's take a look at
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some of the nutrition considerations for
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each of these stages starting at the
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beginning the follicular phase this
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starts with the first day of the period
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and the most commonly thought of
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nutrients associated with menstruation
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is iron women are naturally at a higher
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risk of iron deficiency anemia due to
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the loss of blood throughout
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menstruation and this is why women of
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reproductive age have a higher daily
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iron requirements than men it is
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recommended that adult males aim for 8.7
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milligrams of iron per day whereas
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females that have began their cycle and
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up to pre-menopause should aim for 14.8
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milligrams of iron per day iron
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deficiency anemia is the most common
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nutrient deficiency with it affecting
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approximately 25 percent of women
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globally those who have particularly
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heavy periods are at an even higher risk
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of iron deficiency anemia however iron
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is a nutrient that should be considered
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throughout the entire cycle and not just
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menstruation and there is evidence to
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suggest that iron May reduce PMS
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symptoms one study that investigated the
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mineral intake of approximately three
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thousand women over a 10-year period
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found that those who had high intakes of
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dietary iron were up to 40 percent less
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likely to experience PMS symptoms this
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was unfortunately one of the few studies
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in this area and more research is needed
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to understand why the higher intake of
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iron displayed a reduction in PMS
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symptoms a balanced diet will most
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likely provide a sufficient amount of
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iron however those who are vegan or
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vegetarian or who don't eat meat often
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may be at a higher risk of not getting
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enough iron although plant-based foods
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do contain iron the iron is not as
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bioavailable as they aren't from animal
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sources you can check out this video
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that Katie did explaining the different
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forms of iron and its bioavailability
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iron supplementation is often associated
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with constipation and other effects so
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ensure to seek advice from your GP or
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registered dietitian before taking iron
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supplements ovulation occurs is
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following the follicular phase and this
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is where it is most likely for a woman
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to fall pregnant although this can
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happen a few days after this too folic
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acid is a supplement that is most
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commonly associated with pregnancy or
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those who are trying to conceive however
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it is actually recommended that all
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women of reproductive age take a folic
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acid supplement and this is because
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nearly half of all pregnancies are
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unplanned folate is a type of B vitamin
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which are water-soluble vitamins meaning
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that we cannot store these in our body
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which emphasizes the importance of daily
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consumption of folates folic acid is a
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form of folate which is found in
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supplements but folic acid is also added
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to commonly consumed foods such as
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breakfast cereals or white flour as part
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of a public health initiative to help
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prevent deficiencies in folic acids our
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bodies need folate to create DNA and to
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support the development of the nervous
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system in unborn babies and there is an
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increased likelihood of developing a
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neural tube defect such as spina bifida
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in women who do not have enough folate
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preconception and during the early weeks
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of pregnancy women need 400 micrograms
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of folate per day and those wishing to
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become pregnant or who could become
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pregnant whether planned or not should
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take an additional 400 micrograms of
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folic acid as a supplement the next
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phase of the cycle is the luteal phase
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during the luteal phase in the lead up
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to the period there is actually an
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increase in metabolism with some studies
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finding that women may require up to 300
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calories more per day but this of course
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will vary among women and will be
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influenced by other factors such as body
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composition genetics and physical
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activity levels in an attempt by the
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body to acquire this additional energy
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it is common to experience increased
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levels of hunger in the lead-up to
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menstruation many women can find this
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increase in hunger frustrating as it may
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show up as cravings for a specific foods
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like chocolate cravings for high carb
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and fat foods are common and it is
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because these foods are typically quite
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energy dense which is what the body
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needs during this time so ladies please
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have some self-compassion and honor your
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hunger we know that the more we were
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zest Cravings the more likely we are to
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overdo it on that food when we
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eventually allow ourselves to have it
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this is why tracking your cycle can be
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really helpful as it helps us to
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understand and predict any changes in
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our body and make sure to account for
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this through our nutrition progesterone
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Peaks during the luteal phase and this
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is a hormone thought to increase
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appetite which can play a role in these
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cravings and increased hunger around
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this time progesterone is also
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associated with protein catabolism and
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considering progesterone is highest
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during the mid luteal phase it is really
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important to be ensuring you're getting
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enough protein here to prevent excess
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muscle protein breakdown in the mid to
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late luteal phase which is the immediate
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lead up to menstruation it is common for
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women to experience PMS symptoms and it
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is actually expected that up to 90
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percent of women experience premenstrual
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symptoms or PMS convenience and highly
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palatable foods can appear more
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desirable when you're on your periods
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and not just to satisfy Cravings or
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because of having an increased appetite
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but also because you may not feel full
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of energy or that great within yourself
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however nutrition can actually play a
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role in easing symptoms of PMS although
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unfortunately there is no ultimate cure
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for this carbohydrates are our body's
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preferred source of fuel and they play a
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vital role in hormone regulation in
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women too during menstruation we can be
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more inclined to Crave sugary
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carbohydrates than more fibrous ones and
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this is partially because they provide
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fast acting energy that our body often
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seeks when we're tired and also for the
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feel-good effects of carbohydrates as
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they are associated with serotonin
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release however choosing high fiber and
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starchy carbohydrates can help to
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prevent Cravings as they keep our blood
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sugar levels more stable and therefore
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our mood and energy more stable choosing
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high fiber carbohydrates like whole
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grains oats and root vegetables can help
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to keep bowel habits regular which can
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be impacted by the hormonal changes in
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the lead up to our periods omega-3 fatty
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acids are a type of unsaturated fatty
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acids that are essential which means we
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cannot make them in our body and so we
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must obtain them food food sources of
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Omega-3s include oily fish like salmon
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and some plant foods like walnuts a
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meta-analysis published this year found
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that omega-3 fatty acids are efficient
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in reducing the severity of PMS symptoms
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Omega-3s are also known for improving
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mood reducing severity of depression and
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anxiety in studies too and another
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recent study highlighted that omega-3
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supplementation alleviated physical
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symptoms of PMS whilst also improving
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women's quality of life whilst there is
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evidence that omega-3 fatty acids can
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reduce symptoms of PMS there is no exact
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recommendation for supplementation for
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supporting PMS as of yet but
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incorporating omega-3 rich foods at this
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time can be a good idea one of the
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common symptoms of PMS is bloating and
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fluid retention in order to maintain a
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balance between fluid and electrolytes
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the body retains more water when there
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is a higher consumption of salt than
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normal it is important that we limit our
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salt intake in general to less than six
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grams of salt per day but if you
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commonly experience fluid retention
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around the time of your period it might
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be helpful to limit excess salt within
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your diet instead of adding salt to
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meals opt for spices or herbs or choose
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low salt condiments whilst you might not
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be adding salt to meals many foods
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contain some degree of added salt a salt
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is commonly used as a natural
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preservative in many foods so it tends
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to be higher in packaged Foods magnesium
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plays a role in muscle contractions and
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is often recommended to prevent muscle
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cramps but it has also been seen to play
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a role in the reduction of PMS symptoms
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predominantly period cramps and bloating
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one study identified that magnesium
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supplements alongside vitamin B6
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supplements worked better than taking
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magnesium supplements alone but both of
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these groups were more effective in
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reducing PMS symptoms than the placebo
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Cacao is a source of magnesium so a high
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quality chocolate certainly has a place
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in the diet other sources of magnesium
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include nuts some seeds and whole grains
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according to a study conducted in 2022
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zinc supplementation can improve improve
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PMS symptoms and was associated with
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improved health related quality of life
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another study found that the use of zinc
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supplementation in combination with the
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type of painkiller was Superior in
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reducing period pain in comparison to
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the painkiller alone these studies
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exploring the effects of zinc on PMS use
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dosages from 30 milligrams to 220
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milligrams but the Dietary Reference
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value for zinc in the UK is only seven
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milligrams per day for women which is
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not enough to optimize the effects seen
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in these studies however as it is a
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recent area of research more evidence is
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going to be required to give an exact
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recommendation chasebury is a herbal
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supplement and a number of Studies have
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demonstrated a reduction in symptoms of
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PMS it is thought that chase Berry Works
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through hormonal modulation which
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studies identifying that it may
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stimulate the production of more
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progesterone whilst decreasing prolactin
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levels because of its effects on
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hormones it could reduce the
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effectiveness of hormonal contraceptives
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evidence does support the use of Chase
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Berry for PMS symptoms menstrual
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disorders as well as infertility however
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there is no standard recommendation for
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this supplement as with some of the
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other supplements we explored today
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studies use varying Doses and different
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supplementation types I hope this video
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has helped to highlight some of the key
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nutrients that are important throughout
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the menstrual cycle but also which may
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help with PMS symptoms you can check out
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some of the supplements listed in this
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video in the description box below and
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be sure to like this video And subscribe
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to the my protein YouTube channel for
10:47
more great evidence-based nutrition