Tags: PCOS

The Liver and PCOS

By @YourGreenBaby

This is the third post in our series on PCOS. Links to the others are found below.

Your liver is the second largest organ in your body, located on the right upper side of the abdomen; it is responsible for many tasks which are vital to life. The liver plays a role in digestion, assimilation, maintaining blood sugar levels, storing vitamins A, D, E, K and B12, as well as minerals iron and copper, producing cholesterol,  and metabolizing hormones for excretion from the body, to name just few.

I like to think of the liver as the gateway to our body. It acts like a large filter – screening, sorting, breaking down and detoxifying the many chemicals, substances, toxins, hormones, etc in our body.  When we consider the toxic environment most of us live in it is easy to see how the liver can become overburdened and sluggish.  A liver which is overburden and sluggish will have a difficult time breaking down excess estrogens for the body to eliminate, meaning more estrogens in the body, which can aggravate the symptoms of PCOS.

The liver needs constant support to prevent it from becoming overburdened and sluggish, and to ensure it works effectively not only with the task of eliminating toxins and estrogens from the body, but also to perform the many roles necessary for optimum health and well being.

Here are a few things you can do naturally to support the liver:

Enjoy a morning cup of hot water and lemon.  Squeeze a half a fresh lemon into a cup of hot water each morning and enjoy. This helps to stimulate the liver promoting cleansing and detoxification.

Include foods high in indole-3-carbinol. This compound found in cruciferous vegetables such as broccoli, cauliflower, Brussels sprouts, kale, cabbage, etc aids in the detoxification of estrogens and helps to protect the liver.

Enjoy liver loving foods. Liver loving foods support the liver and aid in the detoxification process.  Liver loving foods include: apples, artichokes, asparagus, beets, broccoli, brown rice, Brussels sprouts, cabbage, caraway seeds, carrots, dandelion greens, garlic, oat bran, onions, spinach, tomatoes, turmeric, cinnamon, licorice, walnuts, egg yolks, green leafy vegetables and fennel.

Eat a high fibre diet. Once the liver has broken down estrogens they are passed to the gut then the colon for elimination from the body.  If the bowels are not moving effectively, the estrogens can be reabsorbed into the body through the colon wall. A high fibre diet ensures regular bowel movements and ensures excess estrogens are effectively eliminated from the body.

Support the liver with dandelion tea and milk thistle. Dandelion is a bitter herb known to help support the liver in its detoxification role. A substance in milk thistle called silymarin has antioxidant and anti inflammatory properties and helps to protect the liver from toxins.

Ensure adequate hydration. Hydration is necessary for optimum functioning of the body as a whole, and of each and every organ, including the liver.  Hydration is also important to ensure regular bowel movements.  Stay well hydrated.

Avoid chemicals and toxins in your environment.  Chemicals are everywhere in our environment and all have to be sorted and detoxified by the liver. We can control those in our immediate environment with a few simple choices:

  • Choose organic food whenever possible.
  • Limit processed packaged food in your diet. These “food stuffs” contain preservatives, food additives, colourings, etc that all have to be processed by the liver.
  • Avoid chemicals in your immediate environment by limiting the use of chemical cleaning products, body care products loaded with chemicals, fragrances, etc all of which can stress the liver.
  • Minimize the use of over the counter medications. All medications require the liver to work harder to process them, which can leave it sluggish and overburdened.
  • Limit alcohol intake. Less alcohol means less work and stress for the liver, leaving it with time, energy and the resources to break down excess estrogens for elimination from the body.

While the liver does not play a direct role in PCOS, by supporting it and its role in the body you can help reduce some of the symptoms of PCOS.  A healthy liver means a healthy body; supporting it is a step in the right direction to ensure optimum health and well being.

For specific protocols to support the liver and aid in detoxification I highly recommend seeking the advice of a naturopathic doctor or holistic nutritionist who can provide a personalized and individualized plan for you.

It should also be noted that some woman with PCOS do have liver damage known as non alcoholic fatty liver disease which is related to insulin resistance, something a large majority of woman with PCOS have.  Your doctor can order a liver profile test to determine if this affects you. If it does taking the steps above and seeking more individualized advice can help to support the liver and prevent further damage.

Liver Plays Key Role in Maintaing Fertility: A new University of Milan study suggests that estrogen receptors in the liver are critical for maintaing fertility. The findings are published in the journal, Cell Metabolism. The link to the abstract is here.

This is the third in a series of posts on the topic of PCOS. Be sure to check out our other posts on the topic:

Supplement Protocol for PCOS

Understanding PCOS and Recommendations for Nutrition and Lifestyle

And other posts by Kim Corrigan-Oliver

Herbs and Fertility

Nutrition Guidelines in the Preconception Period

The Importance of Preparing For The Journey

Kim Corrigan-Oliver is a first time mom. She is a certified holistic nutritionist specializing in nutrition for mom, baby and toddler. She loves good food and to cook. And, she loves to share her passion for all of the above with those interested in learning more about feeding their babies and raising healthy happy children. For more information please check out her website at Your Green Baby.

Supplement Protocol for PCOS

By @YourGreenBaby

Last month I mentioned three important aspects to dealing with PCOS; the first is to understand each woman is different and unique, second it is necessary to focus on the whole person not just the syndrome and third improving the foundation of health and well being is most important (you can read that post here). We cannot take a one size fits all approach, we cannot treat the symptoms; we must treat the root cause. The symptoms indicate something is wrong or out of balance, we must determine the root of the problem and work to heal that, only then will the symptoms fade. In this process we must also understand the foundation of a women’s health today is not only her future health and wellness, but it is also the health and wellness of her future children. Supporting the foundation with nourishing foods, exercise and supplements is important.

When added to the dietary and lifestyle suggestions from last month the following supplement suggestions can play a role in dealing with PCOS:

Multivitamin

A multivitamin is the foundation of any health and wellness program. Women with PCOS may have deficiencies in many minerals and vitamins so supplementation with a high quality multivitamin is important.

Chromium

Chromium helps to maintain normal blood sugar and insulin levels.  It plays a role in carbohydrate metabolism by participating in the formation of a compound called glucose tolerance factor (GTF). GTF increases the action of insulin.

In order for glucose (sugar) to enter the cells insulin much attach to receptors on the surface of cells, GTF initiates this attachment. This attachment “opens the doors” and allows glucose into the cell.

Since the majority of women with PCOS are insulin resistance chromium may play a positive role in addressing this syndrome.

NOTE: If you are currently taking medication for insulin resistance please consult your health care provider before use; chromium can increase the effectiveness for your medication causing your blood sugar to lower too much.

B Vitamins

The B vitamins are necessary and play an important role in energy production, fat burning and hormone balancing.  They also help the liver to process and excrete excess hormones from the body.

Zinc

Zinc play a role in appetite control, is involved in all aspects of insulin metabolism, is necessary for hormones to work effectively and helps ensure insulin works correctly.

A deficiency of zinc has been linked to insulin resistance.

Zinc deficiency is common today due to depletion of this important mineral from the soil. If there is little to no zinc in the soil, then the food grown on that soil will also be deficient.

Vitamin D

Vitamin D plays a role in normal blood sugar metabolism.  A study in 2006 at the Center for Metabolic and Endocrine Diseases in Germany concluded some women with polycystic ovary syndrome had sub-optimal levels of vitamin D.  Low vitamin D has also been clearly linked to insulin resistance and obesity.

In 1992 a study by the Journal of Clinical Biochemistry and Nutrition found that vitamin D supplementation improved glucose tolerance, insulin secretion, and insulin sensitivity in diabetics.

Omega 3 Fatty Acids

One of the essential fatty acids (EFAs), we must get this from our diet. EFAs are an important component of the cell membrane around every cell in the body, they are a major component of hormones, they help control inflammation in the body, they help control the stress response in the body, they play a role in the functioning of our immune system and reduce the risk of heart disease, high blood pressure and depression, among other roles. Supporting the body with essential fatty acids is important for women dealing with PCOS.

This is by no means a complete list, but supplements I feel are very important in dealing with PCOS and it is a place to start. As I have mentioned every woman is different and a one size fits all approach won’t work, I do suggest taking the time to speak with your health care provider or consult a holistic nutritionist or naturopathic doctor about the best protocol for you.

A question often asked at the onset of dealing with PCOS is how long it will take for changes to occur.  This is a difficult question to answer as every woman is different. Initial changes are great motivators and often go unnoticed – more energy, sleeping better, a decrease in cravings for junk foods, weight loss, etc.  These changes can begin occurring as early as three to four weeks after changing your habits.

Other changes such as the balancing of hormones, return of your menstrual cycle, a decrease in hair growth, acne clearing up will take a little longer. The key is to keep in mind is you are on the right track to restoring and rebalancing your body, the changes will happen, but it will take time. Be patient and success will happen.

Next month I will discuss how supporting the liver can play a role in dealing with PCOS.

Resources:

Prescription for Nutritional Healing by Phyllis A Balch

The Canadian Encyclopedia of Natural Medicine, Sherry Torkos, B.Sc. Phm.

www.ovarian-cysts-pcos.com

This is one in a series of posts on the topic of PCOS. Be sure to check out our other posts on the topic:

Understanding PCOS and Recommendations for Nutrition and Lifestyle

The Liver and PCOS

And other posts by Kim Corrigan-Oliver

Herbs and Fertility

Nutrition Guidelines in the Preconception Period

The Importance of Preparing For The Journey

Kim Corrigan-Oliver is a first time mom. She is a certified holistic nutritionist specializing in nutrition for mom, baby and toddler.  She loves good food and to cook. And, she loves to share her passion for all of the above with those interested in learning more about feeding their babies and raising healthy happy children.  For more information please check out her website at Your Green Baby.

Understanding PCOS and Recommendations for Nutrition and Lifestyle

By @YourGreenBaby

Polycystic ovarian syndrome (PCOS) is an endocrine disorder characterized by hormonal imbalance, irregular menstruation, excess hair growth and obesity. It is the most common hormonal disorder among women of childbearing again, affecting 5 to 10% of women.

Read More …