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61 " Alpha-lipoic acid is safe, but more than 1000 mg per day may decrease thyroid hormone. I recommend 300 to 600 mg per day with food. It combines well with the next supplement, myo-inositol. "
― Lara Briden , Period Repair Manual
62 " There are two types of supplementary inositol, which have different effects. D-chiro-inositol improves insulin sensitivity throughout the body. Myo-inositol improves insulin and FSH signaling inside the ovary, thereby improving ovarian function and promoting healthy ovulation. The inositol formula used in the clinical trials is a combined supplement of myo-inositol and d-chiro-inositol in a 40:1 ratio, which corresponds to the body’s normal ratio. The standard dose is 2000 to 4000 mg and is generally safe for long-term use. "
63 " Berberine is not a single herb. Instead, it’s a phytonutrient, or active constituent, of a number of different herbs including goldenseal (Hydrastis canadensis), barberry (Berberis vulgaris), and the Chinese herb Phellodendron amurense. You can take a concentrated berberine extract or a preparation of a whole herb such as Phellodendron. Berberine-containing herbs taste bitter so are best taken as a tablet or capsule. The exact quantity depends on the concentration in the formula. The standard dose for a berberine extract is 350 to 500 mg twice daily. "
64 " Do not take berberine if you are pregnant or breastfeeding. "
65 " Do not take berberine for more than eight weeks in a row, because its antimicrobial effects could alter the composition of your gut bacteria. In the short term, berberine’s antimicrobial effects are probably beneficial. For example, berberine can improve digestive health and repair intestinal permeability. [186] In the long term, it could deplete gut bacteria. I’m cautious with berberine and usually recommend taking it only five days per week, with a two-day break. Then, after eight weeks, I recommend stopping the medicine for at least one month. "
66 " I recommend 30 mg per day taken directly after a large meal. Do not take zinc on an empty stomach, or it may cause nausea. "
67 " Progesterone is a steroid reproductive hormone produced by a temporary gland in your ovary after ovulation. "
68 " Signs of possible ovulation include fertile mucus and a regular cycle. Evidence of definite ovulation includes a rise in basal body temperature and an increase in progesterone as measured by a mid-luteal phase blood test. A period itself is not evidence of ovulation because it is possible to have an anovulatory cycle. "
69 " An anovulatory cycle is a menstrual cycle in which ovulation did not occur, and progesterone was not made. "
70 " Amenorrhea simply means no menstruation or no periods. "
71 " Checklist for insulin-resistant PCOS Quit sugar. Take magnesium. Consider an additional PCOS supplement listed above, such as myo-inositol, zinc, or peony and licorice combination. Consider an additional anti-androgen supplement, as discussed later in the chapter. "
72 " Fertility is an expression of health, not a disease to be treated with a drug. "
73 " Pill bleeds are pharmaceutically induced bleeds that are arbitrarily coordinated into a 28-day pattern to reassure you that your body is doing something natural. Having the occasional pill bleed is necessary to prevent breakthrough bleeding, but it doesn’t have to be monthly. A pill bleed could just as easily be every 56 days or every 83 days, or any number of days you’d like. "
74 " Your ovarian hormones are estradiol and progesterone "
75 " the steroid drugs in hormonal birth control are ethinylestradiol, drospirenone, levonorgestrel, and others. "
76 " There’s no progesterone in hormonal birth control. "
77 " Checklist for post-pill PCOS Stay calm and give it time. Eat enough. Consider zinc or peony and licorice combination. Consider an additional anti-androgen supplement, as discussed later in the chapter. "
78 " progestin Progestin is a general term for drugs that are similar to progesterone. Progestin drugs include levonorgestrel and drospirenone, which have some of the same effects as progesterone but also have many opposite effects. The terms progestin and progesterone cannot be used interchangeably. "
79 " «La evidencia científica en los últimos 15 años demuestra que la exposición a agentes ambientales tóxicos... puede tener efectos significativos y duraderos en la salud reproductiva». [404 "
80 " With most hormonal birth control, you bleed but don’t cycle. With a MirenaⓇ IUD, you cycle but don’t bleed. "