“WELL, THAT EXPLAINS A LOT.” <– If that was your reaction after reading this post on the symptoms of hormone imbalance, you’re in the right place.
Although hormone testing can be incredibly helpful – and is certainly important to talk with your practitioner about if you suspect something is off – there are some things that tend to benefit everyone when it comes to balancing hormones naturally.
Start with lifestyle redesign: optimize nutrition, exercise, and mental retraining. No need for testing . . . before beginning these strategies,” writes Harvard-educated Dr. Sara Gottfried in her book, The Hormone Cure.
In this post we’ll be discussing many of the strategies she recommends, but for a deeper dive you can pick up her book here.
One quick note: Please keep in mind that this article is for informational purposes only and is based on the opinions of the authors. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment – a full disclaimer can be found here. Okay, let’s jump in!
Are women more vulnerable to hormonal imbalance?
Yes. According to Dr. Sara Gottfried, “For one thing, women have babies. Pregnancy amplifies the demands on the endocrine glands, which release hormones such as estrogen, testosterone, cortisol, thyroid, leptin, growth hormone and insulin.”
However she adds that women who have not had babies also tend to be more vulnerable to imbalance than men because “Women are exquisitely sensitive to hormonal changes. And they’re susceptible to the stress of juggling multiple roles.” (The Hormone Cure)
How to Balance Hormones Naturally
As mentioned earlier, although it’s a good idea to work with a practitioner, below are some lifestyle changes tend to benefit everyone. Please don’t try to do everything! This post includes many options for accomplishing a goal – reducing stress, for example. Choose what works for you and ignore the rest.
#1: Reboot your stress response
It’s not everyday that a mother fights a polar bear to protect her seven year-old son, or two sisters lift a 3,000 pound tractor off their dad. However, both are examples of how the stress response primes us to act quickly in response to physical danger. It’s an internal alarm that helps us respond to situations, sometimes in extraordinary ways.
Unfortunately, our bodies aren’t always good at differentiating major threats from minor stresses and annoyances. With modern life the way it is, our alarms can easily get stuck in “on” mode. When that happens, our bodies may “steal” the building blocks we need to make progesterone, estrogen, progesterone, testosterone, DHEA to make extra cortisol instead.
#2: Reduce exposure to hormone disruptors
There is no end to the tricks that endocrine disruptors can play on our bodies: increasing production of certain hormones; decreasing production of others; imitating hormones; turning one hormone into another; interfering with hormone signaling; telling cells to die prematurely; competing with essential nutrients; binding to essential hormones; accumulating in organs that produce hormones.” – Environmental Working Group
Hormone disrupting chemicals are everywhere, from the BPA on store receipts to the flame retardants in kids pajamas and furniture. Oh, and then there’s the whole beauty aisle, plus plastic food containers, non-stick cookware and the pesticides used on fruits and vegetables.
Fortunately, through a few simple lifestyle changes we can dramatically reduce our exposure:
- Avoid BPA-lined cans and opt for glass water bottles and glass food storage containers rather than plastic ones. Also, don’t be fooled. Many “BPA-free” products actually contain a form of bisphenol that is thought to be even worse.
- Read the labels of your skincare, makeup, and body care products. Be sure to avoid products with parabens, pthalates, petroleum, glycol ethers and perfume/fragrance (companies often hide chemicals they don’t want to disclose under the “fragrance” section because the formulas are considered proprietary and don’t have to be disclosed.) Or, better yet, rather than simply trying to avoid chemicals, opt for personal care products whose ingredients are easy to recognize: For example, tallow balm is uniquely compatible with our skin’s biology, this tooth powder leaves your mouth feeling incredibly clean, and this deodorant only contains ingredients you can pronounce. This shopping list is currently in the process of being updated – you’ll find a lot more personal care product recommendations soon.
- Make your own products at home, and save money too!
#3: Nourish yourself with hormone-friendly nutrients
It’s only when we have enough building blocks for our hormones that our bodies can make adequate levels of them. A hormone-friendly diet should comprise of a (mostly) nutrient-dense, whole foods diet, such as:
- Vegetables and fruits
- Meat and bone broth – Organ meats are especially helpful. If you’re new to preparing them, check out this chili and this bacon and liver pate.
- Wholesome fats such as butter, ghee, lard, tallow and coconut oil
- Herbs and spices
- Properly-prepared legumes and grains, if tolerated (Grains are somewhat controversial. Some people tolerate them well while others don’t. White rice is often embraced by the paleo community despite it’s status as a grain, and many people do well with beans prepared using this traditional method. Everybody’s different!)
- Fiber to help the body clear excess hormones
- Magnesium rich foods – Magnesium helps to balance cortisol, supports the thyroid, and aids in the production of progesterone, estrogen, and testosterone. (source)
Go for organic and pastured products as often as your budget allows. Also, consider cutting out gluten if you suspect you might be sensitive to it. According to Dr. Sara Gottfried, “Typically, problems with gluten cause diarrhea, abdominal pain and bloating. In women, however, sometimes the only tipoff is bone loss, irregular cycles, or difficulty getting pregnant. Gluten intolerance has been linked to altered estrogen levels and consequences such as amenorrhea (no periods for several months), infertility, and diminished ovarian reserve.” (The Hormone Cure)
Unfortunately, it is possible to experience nutrient deficiencies even when you are eating an optimal diet if your digestive system is compromised and absorption is low. In addition, stress, toxicity, inflammation, and genetics (such as an MTHFR mutation) may increase your demand for certain nutrients, such as B-vitamins and folate. We can often detect nutrient deficiencies via lab tests, such as a urine organic acids test for some B vitamins. In this case, it will be wise to supplement and to support the digestive system accordingly.
#4: Stabilize blood sugar
While sugar may have a bad rep, every cell in your body runs on glucose, the sugar that we have in our blood.
Maintaining a steady level of glucose in the blood is so important to our survival that our bodies have 4 hormones that can increase blood sugar, but only one that decreases blood sugar (i.e. insulin). Two of the hormones that can increase blood sugar are cortisol and adrenaline, which are both adrenal hormones.
Low blood sugar can put your body into a fight or flight response. It increases cortisol and adrenaline and is a major source of stress. Low blood sugar can cause hormone imbalances by increasing the demand for cortisol and adrenaline at the expense of other hormones.
Conversely, high blood sugar may not only lead to diabetes, but in women, it can also lead to Polycystic Ovarian Syndrome (PCOS) which results in high testosterone, ovarian cysts, and infertility.
#5: Look into leptin
Although not as famous as insulin or testosterone, leptin is really the CEO of all your hormones. Your fat cells secrete leptin, so the more body fat you have, the more leptin you have. Leptin signals to your body that you’ve got adequate energy stores (aka fat) and it’s time to reduce food cravings.
On the other hand, if your body fat level is too low your leptin levels will be low. This signals to the body that you need to eat more, and it also shut downs production of your sex hormones, adrenal hormones, and thyroid hormones. It figures you don’t need them until you get your fat stores back up, because pregnancy is a better idea when you have access to adequate nutrition. That’s why a very low body fat percentage can cause hypothalamic amenorrhea, a condition where women stop menstruating.
So, what does it mean when you have adequate fat stores AND food cravings? Shouldn’t the leptin your fat cells are releasing lower appetite? Yes, they should. However, hormones are like keys that fit into very specific locks (cells) in the body. If the locks are broken, it doesn’t matter whether you have 1 key or 1,000,000. When the locks – or cells – are unable to receive the leptin, you may have symptoms of low levels leptin even when levels are high. This is called leptin resistance.
- Sleep deprivation or misaligned body clock
- Chronic or yoyo-dieting, or simply under-eating
- Morbid obesity
- Insulin resistance
- High cortisol from a mentally or physically stressful lifestyle
- Being on a very low carb or ketogenic diet for a long time without long term re-feeds (source 1, source 2, source 3, source 4)
So how do we support a healthy response to leptin? To balance hormones, it’s important to re-align your body clock and strive for deep, restorative sleep and nourish the body well (see #3 above).
If are asleep for more than 8 hours every night, but feel like you can never get enough sleep, it may be helpful to ask your doctor about testing for nutritional deficiencies and/or getting a referral for a sleep medicine specialist. Also, if you are dealing with morbid obesity and insulin resistance, you should speak to your doctor before making changes to your diet and lifestyle plans.
#6: Support mitochondrial function
Your mitochondria are the small energy powerhouses in your cells. They are responsible for many things, but some of the most important functions are the production of your steroid hormones and energy production.
Low mitochondrial function is usually experienced as feeling “low-energy.” Most of us aren’t born with genetic problems that affect the mitochondria, but many things our environment and lifestyle can negatively impact the mitochondria. These include:
- Medications, especially statin drugs, because they lower CoQ10 (source)
- Pesticides (source 1, source 2)
- Oxidative stress caused by inflammation (source)
- Environmental toxins (source)
- Nutritional deficiencies
Fortunately, there are many ways to optimize mitochondrial function:
- Eat a nutrient-dense diet, with more mitochondria. Organ meats, especially heart, brain, and liver, typically contain a lot more mitochondria than other meats.
- Supplements including B vitamins, antioxidants, magnesium and CoQ10
- Light to moderate exercise. (Note from Heather: Walking and short, 10-15 minutes kettlebell workouts are two of my favorite options.)
- Near-infrared light – “The effect on cells of near-infrared light, which has a wavelength of 670 nanometres, was first reported 40 years ago. The light causes mitochondria, the cell’s powerhouses, to produce more ATP, a compound that provides the cell’s energy.” (source) Some infrared saunas – like this one – incorporate near-infrared light.
#7: Support Detoxification
Have you ever seen the I Love Lucy chocolate factory episode? It’s pretty much the perfect metaphor for what our detoxification systems face these days.
Not only do our bodies need to break down excess hormones that we produce, they also need to get rid of synthetic “hormones” we encounter in the environment, plus other compounds that affect hormone function.
Detoxification practices such as sweat lodges were practiced by traditional cultures long before these new challenges were introduced, and they’re even more important today. Here are some ways to do that:
- Herbs such as yellow dock root and burdock root support the liver’s ability to detox (we’ll be talking more about these herbs and others you may find helpful soon)
- Dry brushing supports the lymphatic system
- For individuals with the MTHFR mutation, working on methylation can optimize the body’s detox pathways
- Infrared sauna therapy induces sweating. Sweat contains both hydrophyllic (water soluble) and lipophilic (fat soluble) components makes it an elimination pathway for a variety of toxins, including hormone disrupting chemicals such as BPA, PCB’s, and phthalates, plus heavy metals like arsenic, cadmium, lead and mercury.
How to Balance Your Hormones in a Nutshell
1) Live a clean, non-toxic lifestyle
5) Exercise, but don’t over-exercise
6) Eat a nutrient-dense diet, and supplement as necessary. If needed, work on balancing blood sugar.
7) Support detoxification
Now, it’s possible to take this approach and still deal with symptoms hormone imbalance that just won’t go away. Sometimes hormones take time to heal. Other times, we need a health detective with a magnifying glass and some lab tests to really see what’s going on.