• Osteoporosis
• Cardiovascular Disease
• Memory Loss
• Insomnia
• Vaginal Dryness

Diagnosis still best by dolometry, the significance of newer salivary and urinary excretion test results are unclear, particularly in truly evaluating bone loss. Future studies should provide this information.

Diet:

• Reduce caffeine, fats, sugars, high protein(animal flesh), phosphates (carbonated beverages), sodium, and nicotine. Phosphorus is necessary for the maintenance & repair of all body tissues. 80% of body stores are calcium phosphate crystals in bones and teeth---too much in diet interferes with Calcium absorption. A 1:1 to 2:1 calcium to phosphorus ratio is good.
• Increase tryptophan-turkey, bananas, figs, dates, whole grain crackers, milk; phyto-estrogen/ progesterone rich foods; and high indole foods.
• Restrict protein intake to 0.8 grams per kilogram of body weight.
• Limit fat intake to less than 40 grams daily
• Avoid foods high in phytates, oxalates and tannic acid-- (oxal-spinach, chard, rhubarb, beet greens, ---phytic acid- outer husks of cereal grains)--- They bind to calcium, interefering with its absorption.
• Maintain adequate fluid intake, minimum of 2 litres of water per day.
• Avoid antacids of any product that may increase the gastric pH.
• Diuretics, alcohol, digitalis, cyclosporine, and caffeine increase magnesium excretion.
• Caffeine, theophylline, colchicine, protamine, norepinephrine, mithramycin, cimetidine, cisplatin, laxatives increase your calcium requirement.

Exercise:

Absolutely Essential!!! 30min of intense weight bearing exercise 5 times/week

Supplements:

In addition to supplements for menopause:

• Calcium for the bone crystal structure component, and urinary excretion is increased in lysine deficiency. Magnesium maintains bone structure by means of bone structure component aprox 50% of body's store of mag is in bone, and helps promote and regulate parathyroid hormone, also involved in conversion of Vita D to its active form.. Pyridoxine (B6) promotes the conversion of homocysteine to methionine, homocysteine interferes with collagen crosslinking.
• Folic acid 5 mg daily, coenzyme for the conversion of homocysteine to methionine.
• ***b12 too Folinic Acid 800 mcg
• Vitamin K 50mcg BID, essential cofactor for the formation of osteocalcin and may decrease urinary calcium excretion. CI in patients taking antigoagulant therapy.
• Vitamin A 2,500 IU BID, aids in the formation of chondroitin sulfate in cartilage, involved in the maintenance of the osteoclastic/osteoblastic process and bone modeling.
• Vitamin C 250mg BID enhances calcium absorption, required for synthesis of collagen proteins.
• Manganese 30mg daily- synthesis of connective tissue-bone and cart. Xu is assoc with slow wound healing, osteoarth, osteopor, postural defects and poor growth.
• Zinc 30-60mg daily- enhances calcification, fracture healing, loss of zinc appears immediately following injury or prolonged bed rest.
• ****Copper-for fomation and maintenacne of conncect tiss and bone mineralization. Xu is assoc with bone loss and facture 1.5mg daily
• Lysine 12mg/kg/daily- shown to increase calcium absorption and a deficiency has been shown to increase urinary losses of calcium
• Histidine 500-1000mg daily-shown to increase calcium absorption
• Arginine 500-2000mg daily" "
• Strontium, inhibits the resorption of bone
• Silicon- promotes collagen synthesis and initiates calcification of bone.9-14mgs
• Rule out B12 (CBC, elevated MCV), Copper, Manganese (Hair Analysis) and Vitamin C deficiency (By dosing to bowel tolerance)
• Rule out hydrochloric acid deficiency(by dosing to gastric burning sensation)
• Rule out lactose intolerance
• Limit antibiotic therapy
• Avoid even minimal aluminum intake
• Fluoride for significant bone loss(dosage must be supervised). I don't recommend this tx, research suggests that fluoride in creases bone density but not bone strength, bone still tends to be more brittle and thus still at risk for pathology.

Diet:

• avoid sugar, heavily salted foods and fats, caffeine and other stimulants
• increase greens and yellow vegetables, fiber and water
• include lean protein-fish (trout, salmon) and poultry

Exercise:

at least four times weekly-30min of aerobic activity

Supplements:

• Co Q-10: 50-100mg TID; prevents heart damage caused by lack of oxygen
• Magnesium: 750mg-1500mg between or before meals
• Lipotropic factors/Choline 1TID reduces fat and triglyceride levels in blood
• Primrose oil, Borage & Flax or Black Current Seed Oil; source of essential fatty acids
• Selenium 100mcg BID (deficiency has been linked to heart disease).

• Choline 500 mg BID
• Gingko Biloba 1 capsule TID
• Chromium 200mcg 1-2 daily
• DMAE 1 tablet daily
• Phosphatidylserine
• Tyrosine
• Glutamine

Diet:

Exercise:

in the morning

Nutritional Supplementation:

• Calcium/Magnesium :see previous doses, or try liquid
• Inositol: 500-1000mg at bedtime
• B6 with complex: 1 capsule (250mg B6) early in day
• Herbal Formula: Natural Slumber: biota seed, polygala root, zizyphus and polygoni multiflora
• Melatonin (Pure Encapsulations) 1-3 capsules, alternating dosages every night.
• Melatonin with Kava (Nutribiotic) 1-2 capsules, alternating dose.
• Jin Bu Yuan 1-3 tablets contraindicated in yin xu

• Vitamin E 400IU am for several weeks, then add 400IU pm. (except with hypertension)
• with Gamma-Oryzanol, see above
• Calcium Citrate or Liquid 500mg three times daily
• Natural progesterone or estrogen creme
• Placenta tablets (except in patients with estrogen sensitive tumors)

Use it or lose it

a note about libido loss----one study show a difference of 47% in reported libido loss between women who were having sex regularly vs. those that were not.