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NUTRITION FOR MENOPAUSE: ADDITIVE DRINKS AND WITHDRAWAL SYMPTOMS
Thankfully, more and more people are now becoming aware of the health problems associated with these addictive drinks and are turning to alternatives. However, as with all drugs there can be withdrawal symptoms when you stop. These include: headaches, nausea, tiredness and depression. The withdrawal symptoms can be quite dramatic. Some hospitals have now discovered that certain post-operative symptoms are not caused by the effects of the anesthetic as previously thought, but by caffeine withdrawal. Before a general anesthetic patients are asked not to eat or drink for a number of hours and by the time they come around from the operation the withdrawal symptoms have already started.
To minimize these effects, cut down slowly, substituting some of your usual drinks for alternatives. I gave up coffee a few years ago and did not do it gradually. I had a migraine-like headache and the ‘shakes’ that lasted for about three days. Several patients of mine have experienced pains in their legs after giving up coffee, but they felt they could ‘see light at the end of the tunnel’ and persevered and have felt so much better since. As in the case of Sue, forty-five, who came to see me complaining of headaches and dizziness.
Sue was experiencing anxiety and panic attacks and said she felt muzzy and tired all the time. The panic attacks would come on suddenly and she would feel hot and start sweating. This would also be accompanied by palpitations. She sometimes woke in the night with them. Her mother had been fifty when she started the menopause, so Sue was obviously keen to get herself really well before this age.
Some years before Sue had begun to have very heavy periods, sometimes only a week apart. A fibroid the size of a coconut had been found, so a hysterectomy was recommended. Her left tube and ovary were also removed. She had been put on HRT (Premarin) but the headaches were so excruciating she had to stop. She was then switched to oestrogen patches and was on them when she came to see me. Sue was also keen to come off the medication she was taking for the panic attacks.
Her answers to my health questionnaire showed that Sue was drinking eight cups of coffee a day and four cups of tea. I suggested that we aim to cut these out completely, bringing her intake down gradually each day and substituting some herbal teas or grain coffees. Sue felt that her personality was such that if she knew something was not good for her she would rather get rid of it now, once and for all.
So she stopped both tea and coffee on the Monday. By Tuesday she had started to suffer terrible headaches and on Wednesday night began to have cramps. Sue persevered and within a week the headaches and cramps had gone. She said she was amazed at the extent of the withdrawal symptoms: she would never have believed it if she hadn’t gone through them. When she came back to see me she had checked with her doctor that her medication was fine to stop abruptly and so she came off the HRT and the medicine for her panic attacks.
Another patient who benefited enormously from giving up coffee and tea is Joy who was fifty-six when she first came to see me. She was still menstruating but over the last few months the pattern of her cycle had become very worrying. Her periods had become increasingly heavy and at one period Joy started to hemorrhage. She was put on HRT and the hemorrhaging stopped, but she said she felt so tired and depressed on the HRT.
Eventually Joy saw a gynecologist who suggested she had a hysterectomy because he had discovered a fibroid. Fibroids can cause excessive bleeding and may also delay the onset of the menopause. But once the menopause arrives, fibroids start to shrink because of the lack of female hormones and are not usually a problem any more. So Joy was in a catch-22 situation. Her fibroids were delaying the menopause, yet if she could get through the menopause it was unlikely she would need the hysterectomy as the fibroids would go. She told the gynecologist that she would like to try another approach so he delayed the hysterectomy for six months and in the meantime she came to see me.
I explained to Joy that coffee was a definite culprit in terms of excess bleeding and fibroids. She changed to herbal teas and grain coffee and found that the bleeding stopped. I also recommended some herbs to help balance her female hormones. By the time Joy had been to see me a couple of times, her heavy bleeding had become just regular periods, and she found she only bled excessively or between periods if she drank coffee or was under a lot of stress. She went back to the gynecologist three months after her first visit to me. He gave her an internal check and said that everything was fine; her womb was not enlarged and the fibroids were slightly smaller. As the bleeding was now under control she could postpone the hysterectomy indefinitely. Within a year she let me know that her periods had stopped completely and she was very grateful to have kept her body intact.
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