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Questions for Dr. Kennedy
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Estrogen dominance and fatty acids
Posted by: Anna
Date: April 9, 2002 7:48 AM

I have been diagnosed with estrogen dominance by my gynecologist. Both my levels of estrogen and progesterone were very low (I'm 26), but the doctor seemed to think I was still estrogen dominant and gave me a prescription for natural progesterone. I was also told to avoid estrogenic substances and herbs, such as ginger, linseed, sunflower seeds, etc. I was taking linseed for my omega-3 fatty acids. What do you suggest I take to cover my needs of omega-9, 6 and 3 without upsetting my hormonal balance any further? I use only extra virgin olive oil for salads and coconut oil for cooking.



Edited 1 time(s). Last edit at January 18, 2009 2:49 AM by Dr. Kennedy.

RE: Estrogen dominance and fatty acids
Posted by: Ron Kennedy, M.D.
Date: April 9, 2002 1:19 PM

Somehow people survived and were healthy before they knew about omega oils. A healthy varied diet supplies the essentials and the body does the rest through enzymatic conversion. If you have evidence that your enzymatic conversion is disturbed, perhaps you need special supplementation, otherwise, why worry? If you have doubts about actually having estrogen dominance, you can always get a second opinion. At 26 progesterone levels are normally very high in the second half of the cycle and low in the first half. When they are measured is very important. Estrogen dominance is not the only item associated with symptoms of PMS. Also, you would want to look at clinical response. Are you better? If not, question the diagnosis and the treatment.



Edited 2 time(s). Last edit at January 18, 2009 2:49 AM by Dr. Kennedy.

RE: Estrogen dominance & fatty acids
Posted by: Anna
Date: April 9, 2002 2:45 PM

My progesterone levels were measured in the second half of the cycle and were dangerously low. The estrogen levels were also low compared to the reference values for the second half of the cycle. I am not better after supplementing with progesterone, I have put on over 20 lbs in two months without having changed my diet or my lifestyle for years. My PMS kept me in bed for days on end and prevented me from working or leading a normal life and that's why I went to the doctor in the first place. I was supplementing omega oils because I'm a vegetarian and most of the fatty acids I get are from nuts (that's omega 6 if I'm not mistaken). A nutritionist friend of mine recommended taking omega 3 to balance out the omega 6.



Edited 1 time(s). Last edit at January 18, 2009 2:47 AM by Dr. Kennedy.

RE: Estrogen dominance and fatty acids
Posted by: Ron Kennedy, M.D.
Date: April 9, 2002 6:13 PM

Here are a few of the things we use in nutritional medicine. I am not recommending any of these to you as you are not my patient and I have not had the opportunity to evaluate you. Some people get results with the nutritonal approach. I suggest you find a doc who practices nutritional medicine.

Diet: avoid sugar, caffeine, alcohol, and dairy products.
Identify and treat subclinical hypothyroidism
Vitamin E 400-800 mg per day
Pyridoxine 50-500 mg. per day
B-complex 50 mg per day
Magnesium 300-800 mg. per day
Essential fatty acids - borage or evening primrose oil to supply 90 - 500 mg. per day of GLA (gamma linolenic acid)
Progesterone therapy: 50 mg. transdermal daily day 14 - 25 of the cycle
Lithium 5 mg. 2-3 times daily
L-tryptophan 6 grams per day Biol Psychiatry, 1999;45:313-320



Edited 1 time(s). Last edit at January 18, 2009 2:50 AM by Dr. Kennedy.

RE: Estrogen dominance & fatty acids
Posted by: Anna
Date: April 9, 2002 6:18 PM

Thank you so much for all your suggestions. I will certainly try and find an expert in nutritional medicine and put these suggestions forward to him/her. You've been most informative and helpful, I cannot thank you enough!!



Edited 1 time(s). Last edit at January 18, 2009 2:50 AM by Dr. Kennedy.



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