{"id":802,"date":"2013-04-29T19:45:47","date_gmt":"2013-04-29T19:45:47","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=802"},"modified":"2019-12-26T12:43:54","modified_gmt":"2019-12-26T17:43:54","slug":"early-menopause-2","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/early-menopause-2\/","title":{"rendered":"Early Menopause or Ovarian Failure"},"content":{"rendered":"<h2><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/fimbria_ovarica.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-8312\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/fimbria_ovarica.jpg\" alt=\"fimbria_ovarica\" width=\"250\" height=\"175\" \/><\/a>What Is Early Menopause?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">E<\/span>arly menopause is the permanent cessation of menstruation in females before the age of 40 years characterized by vasomotor instability (hot flashes\/cold episodes), psychologic and emotional symptoms and profound changes in the lower genital tract.<\/p>\n<p style=\"text-align: justify\">The most severe forms present with absent pubertal development and primary amenorrhea termed primary ovarian failure (50% of these cases due to\u00a0ovarian\u00a0dysgenesis), whereas forms with post-pubertal onset are termed secondary ovarian failure and are characterized by disappearance of menstrual cycles associated with\u00a0premature\u00a0follicular depletion.<a href=\"#footnote_1_802\" id=\"identifier_1_802\" class=\"footnote-link footnote-identifier-link\" title=\"Beck-Peccoz P, Persani L. Premature ovarian failure. Orphanet J Rare Dis. 2006 Apr 6;1:9.\">1<\/a><\/span><\/p>\n<p style=\"text-align: justify\"><strong>Q:<\/strong> What is ovarian failure?<\/p>\n<p style=\"text-align: justify\"><strong>A:<\/strong> Ovarian failure is dysfunction of the ovaries to continue developing its eggs until about 51 years of age and to produce female hormones which results in infertility. \u00a0Ovarian failure\u00a0<span style=\"font-size: 14px;line-height: 1.5em\">\u00a0<\/span><span style=\"font-size: 14px;line-height: 1.5em\">is \u00a0diagnosed by \u00a0this criteria:<\/span><\/p>\n<ul class=\"cp_bullet black\">\n<li>High levels in the blood of follicle stimulating hormone secreted by the pituitary gland, and<\/li>\n<li>Low levels of estrogen secreted by the ovaries.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 14px;line-height: 1.5em\">The hypothalamus located in the brain is continually monitoring blood levels of estrogen so that when levels are low, it stimulates the nearby pituitary, or master gland, to secrete follicle stimulating hormone (FSH). FSH in turn stimulates the ovaries in females to produce estrogen. In ovarian failure, the ovaries do not respond to FSH.\u00a0<\/span><\/p>\n<p style=\"text-align: justify\">Some causes in the general population of women include cigarette smoking, viral infections, surgical removal of ovaries, chemotherapy, and autoimmune disorders such as celiac disease, Addison&#8217;s disease, hypoparathyroidism, diabetes mellitus, vitiligo, and pernicious anemia.<\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 14px;line-height: 1.5em\"><strong>Who is Affected in the General Population?<\/strong>\u00a0This heterogeneous disorder affects approximately 1% of women.<a href=\"#footnote_2_802\" id=\"identifier_2_802\" class=\"footnote-link footnote-identifier-link\" title=\"Beck-Peccoz P, Persani L. Premature ovarian failure. Orphanet J Rare Dis. 2006 Apr 6;1:9.\">2<\/a><\/span><\/p>\n<h2>What Is Early Menopause in Celiac Disease?<\/h2>\n<p><!--more--><\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Early menopause is a classic\u00a0reproductive symptom of celiac disease and may be an uncommon presenting feature of untreated celiac disease. In this condition, celiac disease may impair the reproductive life of affected women by eliciting precocious menopause.<a href=\"#footnote_3_802\" id=\"identifier_3_802\" class=\"footnote-link footnote-identifier-link\" title=\"Stazi AV, Mantovani A. A risk factor for female fertility and pregnancy: celiac disease. Gynecologica endocrinology: the Official Journal of the International Society of Gynecological Endocrinology. Dec 2000;14(6):454-63.\">3<\/a><\/li>\n<li style=\"text-align: justify\">Early menopause is a severe disorder not only because it causes inability to conceive, but also because symptoms are usually worse than normal menopause. Moreover, sexual hormone defects represent an important risk factor for frequent and severe neurological, metabolic or cardiovascular disorders such as Alzheimer&#8217;s disease, hypercholesterolemia or ischemic diseases like stroke.<a href=\"#footnote_2_802\" id=\"identifier_4_802\" class=\"footnote-link footnote-identifier-link\" title=\"Beck-Peccoz P, Persani L. Premature ovarian failure. Orphanet J Rare Dis. 2006 Apr 6;1:9.\">2<\/a> and osteoporosis.<\/li>\n<li style=\"text-align: justify\">\n<p style=\"text-align: justify\">A study investigating menopause-associated disorders and fertile life span in women with celiac disease under untreated conditions and after long-term treatment with a gluten-free diet verified that late menarche and early menopause causes a shorter fertile period in untreated celiac women compared with control women.\u00a0A gluten-free diet that started at least 10 years before menopause prolongs the fertile life span of celiac women.<\/p>\n<p style=\"text-align: justify\">The scores for hot flushes, muscle\/joint problems, and irritability were higher in untreated celiac women than in the control women (higher by 49.4%, 121.4%, and 58.6%, respectively). In comparison with untreated celiac disease, long-lasting treatment of celiac disease was associated with a\u00a0reduction of 47.1% in muscle\/joint problems.<a href=\"#footnote_4_802\" id=\"identifier_5_802\" class=\"footnote-link footnote-identifier-link\" title=\"Santonicola A, Iovino P, Cappello C, Capone P, Andreozzi P, Ciacci C. From menarche to menopause: the fertile life span of celiac women. Menopause. 2011 Oct;18(10):1125-30. doi: 10.1097\/gme.0b013e3182188421.\">4<\/a><\/p>\n<\/li>\n<li style=\"text-align: justify\">Early menopause in celiac women is a risk factor for osteoporosis due to insufficient estrogen production needed for healthy bones.<a href=\"#footnote_5_802\" id=\"identifier_6_802\" class=\"footnote-link footnote-identifier-link\" title=\"Stazi AV, Trecca A, Trinti B. Osteoporosis in celiac disease and in endocrine and reproductive disorders. World J Gastroenterol. 2008 Jan 28;14(4):498-505\">5<\/a><\/li>\n<\/ul>\n<h2>How Prevalent Is Early Menopause In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify\">Early menopause has increased frequency in celiac disease.<a href=\"#footnote_3_802\" id=\"identifier_7_802\" class=\"footnote-link footnote-identifier-link\" title=\"Stazi AV, Mantovani A. A risk factor for female fertility and pregnancy: celiac disease. Gynecologica endocrinology: the Official Journal of the International Society of Gynecological Endocrinology. Dec 2000;14(6):454-63.\">3<\/a><\/p>\n<h2>What Are The Symptoms Of Early Menopause?<\/h2>\n<p>Early menopause is marked by these variable symptoms that may occur abruptly or slowly:<\/p>\n<ul class=\"cp_bullet red\">\n<li>Hot flashes.<\/li>\n<li><span style=\"font-size: 14px;line-height: 1.5em\">Nervousness.<\/span><\/li>\n<li><span style=\"font-size: 14px;line-height: 1.5em\">Fatigue.<\/span><\/li>\n<li><span style=\"font-size: 14px;line-height: 1.5em\">Apathy.<\/span><\/li>\n<li><span style=\"font-size: 14px;line-height: 1.5em\">Excitability.<\/span><\/li>\n<li>Irritability.<\/li>\n<li><span style=\"font-size: 14px;line-height: 1.5em\">Depression.<\/span><\/li>\n<li><span style=\"font-size: 14px;line-height: 1.5em\">Headache.<\/span><\/li>\n<li><span style=\"font-size: 14px;line-height: 1.5em\">Myalgia.<\/span><\/li>\n<li>Sleep disturbance.<\/li>\n<\/ul>\n<h2>How Does Early Menopause Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<ul class=\"cp_check red\">\n<li>Early menopause results from unclear etiology in celiac disease.<\/li>\n<li>Hyperprolactinemia (elevated blood level of prolactin hormone) is a cause of early menopause.<\/li>\n<\/ul>\n<h2>Does Early Menopause Respond To Gluten-Free Diet?<\/h2>\n<p style=\"text-align: justify\">The possible prevention or treatment of early menopause in celiac disease can only be achieved through a life-long maintenance of gluten free diet.<a href=\"#footnote_3_802\" id=\"identifier_8_802\" class=\"footnote-link footnote-identifier-link\" title=\"Stazi AV, Mantovani A. A risk factor for female fertility and pregnancy: celiac disease. Gynecologica endocrinology: the Official Journal of the International Society of Gynecological Endocrinology. Dec 2000;14(6):454-63.\">3<\/a><\/p>\n<p style=\"text-align: justify\">In comparison with untreated celiac disease, long-lasting treatment of celiac disease celiac disease was not associated with a significant difference in the duration of fertile life span, but was associated with a\u00a0reduction of 47.1% in muscle\/joint problems.<a href=\"#footnote_4_802\" id=\"identifier_9_802\" class=\"footnote-link footnote-identifier-link\" title=\"Santonicola A, Iovino P, Cappello C, Capone P, Andreozzi P, Ciacci C. From menarche to menopause: the fertile life span of celiac women. Menopause. 2011 Oct;18(10):1125-30. doi: 10.1097\/gme.0b013e3182188421.\">4<\/a><\/p>\n<h2 style=\"text-align: justify\">6 Steps To Improve Early Menopause In Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>1<\/strong><\/span><\/span><strong><span style=\"color: #800000\">Remove the Trigger. Maintain a Strict, Nutritious Gluten Free Diet:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<b>Treatment<\/b>. This condition responds to the complete elimination of gluten, which is the required treatment that improves both reproductive and gut health.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Gut health is the foundation to restore ALL health. Restored health will enable you to maintain a strict gluten free diet, just as other life tasks will be easier.<\/li>\n<li>A strict gluten free diet means removing 100% of wheat, barley, rye and oats from the diet.<\/li>\n<li>Cutting out bread and other obvious sources of gluten is not good enough for recovery. Even 1\/8th teaspoon of flour or bread crumb is enough to sustain the inflammation that is damaging your small intestine, causing increased permeability (leaky gut) and allowing undigested gluten to enter your body where it can damage structures and function, and instigate immune inflammatory responses.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Correct Your Individual Nutritional Needs.<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Eat foods that can replenish missing nutrients. Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<li>Take nutritional supplements as needed.\u00a0Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Recovery<\/strong>. You should begin to feel better within a week and notice more energy as inflammation subsides and the \u00a0absorbing cells that make up the surface lining of your small intestine are better able to function.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Intestinal lining cells are replaced every 5 days. The healing process is like sunburn where the damaged surface layer of skin sloughs off and is replaced with new normal cells.<\/li>\n<li>Leaky gut normally resolves in two month after starting a gluten free diet and brings about a big improvement in health. Improvement in intestinal permeability precedes morphometric recovery (cell appearance and structure) of the small intestine in celiac disease.<a href=\"#footnote_6_802\" id=\"identifier_10_802\" class=\"footnote-link footnote-identifier-link\" title=\"Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.&nbsp;Clinical Science. Apr 2001;100(4):379-86.\">6<\/a><\/li>\n<li>The intestinal lining may take up to a year to heal.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>2<\/strong><\/span><\/span><strong><span style=\"color: #800000\">\u00a0Reduce Inflammation. Foods to Eat and Foods Not to Eat:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Because gluten is inflammatory, eliminate OTHER inflammatory foods from your diet to reduce an additive effect to gluten. At the same time, try to eat foods that reduce inflammation (anti-inflammatory).<\/p>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Major Inflammatory Food Types That Reduce Healing<\/strong>:<\/p>\n<ul class=\"cp_bullet red\" style=\"text-align: justify\">\n<li><strong>Damaging Foods<\/strong>. In susceptible persons, includes corn, dairy (cow), and soy. Lactose, the sugar in any animal milk disrupts intestinal permeability causing leaky gut.<a href=\"#footnote_7_802\" id=\"identifier_11_802\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">7<\/a><\/li>\n<li><strong>Allergenic Foods<\/strong>. Includes foods that trigger the immune sytem to produce IgE antibodies. Allergy testing is the usual way to discover these offending foods.<\/li>\n<li><strong>Shelf Stable Processed Foods.\u00a0<\/strong>Includes any that contain additives and preservatives. Look for them on the nutrition label of the box or package. Additives and preservatives also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_7_802\" id=\"identifier_12_802\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">7<\/a><\/li>\n<li><strong>Fats.<\/strong>\u00a0Limit deep fried foods, trans-fats, saturated fats (animal fat\/butter), and EXCESSIVE omega-6 fatty acid oils like corn oil. Rancid fats, sodium caprate (a medium chain fat), and sucrose monester fatty acid (a food grade surfactant) induce significant disruption of the intestinal barrier that causes leaky gut.<a href=\"#footnote_7_802\" id=\"identifier_13_802\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">7<\/a>.<\/li>\n<li><strong>Excessive Refined White Flours\u00a0<\/strong>(bran layer removed)<strong>.\u00a0<\/strong>Includes\u00a0products made from them such as cookies, bread, cakes, pies.\u00a0Bran contains the vitamins and minerals that metabolize grains and slows the otherwise rapid entry of sugar from their digestion into the bloodstream.\u00a0Also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_7_802\" id=\"identifier_14_802\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">7<\/a><\/li>\n<li><strong>Refined Sugars.\u00a0<\/strong>\u00a0Includes white sugar, corn fructose and high fructose corn syrup.<\/li>\n<li><strong>Certain Spices<\/strong>. Includes paprika and cayenne pepper which disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_7_802\" id=\"identifier_15_802\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">7<\/a><\/li>\n<li><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_7_802\" id=\"identifier_16_802\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">7<\/a>\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Important Anti-Inflammatory Food Types to Promote Health<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li><strong>Fruits<\/strong>.\u00a0Contain ample amounts of vitamins, minerals and phytochemicals which are\u00a0naturally occuring components in plants that detoxify toxins, carcinogens (reducing the risk by 50%) and mutagens.<\/li>\n<li><strong>Non-Starchy Vegetables.<\/strong>\u00a0Support intestinal integrity and provide ample amounts of vitamins, minerals and phytochemicals. Includes lettuce, kale, onion, broccoli, garlic, and others.<\/li>\n<li><strong>High Quality Complex Carbohydrates<\/strong>. Provide vitamins, minerals, and fiber while boosting serotonin levels to help you relax and feel calm. Includes whole grains, legumes, and root vegetables such as carrots, parsnips, sweet potatoes, turnips, red beets, and others.<\/li>\n<li><strong>Antioxidants<\/strong>. Protect the body from inflammatory oxidant molecules that continually occur and\u00a0help us handle stress and reduce irritability. Includes vitamin C-containing foods such as lemon, grapefruit, apricot, Brussels sprouts and strawberries, and others. Also, includes vitamin E-containing foods such as\u00a0nuts, seeds, avocado, olive oil, and others. Cocoa is good, too.<\/li>\n<li><strong>Omega-3 Fatty Acids<\/strong>. Balance opposing omega-6 fatty acids and bad fats. Fish sources includes tuna, salmon, cod, and others. Plants sources include flax, chia seeds, canola oil, and others.<\/li>\n<li><strong>Probiotics.\u00a0<\/strong>Supply normal microbes needed for colon health and health of the body such as these fermented foods: yogurt, kefir, and unpasteurized apple cider vinegar.<\/li>\n<li><strong>Prebiotics\/ High Fiber Foods<\/strong>. \u00a0Food with fiber keeps our population of colonic microbes healthy.<\/li>\n<li><strong>Protective Herbs and Spices<\/strong>. \u00a0See below #6 below for examples.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">3<\/span>\u00a0Information Sheet You Can Take to Your Doctor or Other Health Professional:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Click here.<\/p>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><span style=\"color: #800000\"><strong><em><span class=\"dropcap\">4<\/span>\u00a0Manage Your Medications\u00a0Safely<\/em>:<\/strong><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p style=\"text-align: justify\">The mainstay of treatment for early menopause is hormone therapy which needs to be continued until the average age of the natural menopause.<a href=\"#footnote_8_802\" id=\"identifier_17_802\" class=\"footnote-link footnote-identifier-link\" title=\"Vujovic S, Brincat M, Erel T, Gambacciani M, Lambrinoudaki I, Moen MH, Schenck-Gustafsson K, Tremollieres F, Rozenberg S, Rees M; European Menopauseand Andropause Society. EMAS position statement: Managing women with premature ovarian failure. Maturitas. 2010 Sep;67(1):91-3. doi: 10.1016\/j.maturitas.2010.04.011. Epub 2010 Jun 3.\">8<\/a><\/p>\n<p style=\"text-align: justify\">However, this treatment involves certain prescription drugs that cause many nutritional deficiencies as can be seen below. \u00a0Ask your doctor or pharmacist about this unwanted side effect that requires careful monitoring for proper supplementation as needed.<\/p>\n<p><strong>Do not stop prescribed medications without supervision.<\/strong><\/p>\n<p>This is not a complete listing.<\/p>\n<p style=\"text-align: justify\"><strong>FEMALE HORMONES<\/strong>\u00a0disrupt intestinal permeability, which is definitely not wanted in celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Oral Estrogen\/Hormone Replacement (Evista\u00ae, Prempro\u00ae, Premarin\u00ae, Estratab\u00ae and others) deplete\u00a0Vitamin B2, Vitamin B6, Vitamin B12, Vitamin C, Folic Acid, Magnesium, Zinc. \n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">5<\/span>Nutritional Supplements To Help Correct Deficiencies:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p style=\"text-align: justify\">The type and quantity of nutritional supplements that may be needed depend on which nutrients are deficient.<\/p>\n<ul class=\"cp_bullet orange\" style=\"text-align: justify\">\n<li>Multivitamin\/mineral combination once a day is useful to improve overall nutrient levels. This is a safe dose, but always check with your doctor to avoid interactions with medications.<\/li>\n<li>Additional supplements depend on individual need that may include any of the following: Vitamin B2, Vitamin B6, Vitamin B12, Vitamin C, Folic Acid, Magnesium, Zinc..<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Storage Note<\/strong>:\u00a0<em>Store container tightly sealed, away from heat, moisture and direct light to avoid loss of potency. That is, in a safe kitchen cabinet &#8211; not in the bathroom or on the kitchen table<\/em>.\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><span style=\"color: #800000\"><em><strong><span class=\"dropcap\">6<\/span>Manage Natural Remedies:\u00a0<\/strong><\/em><\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Hydration<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Eight glasses of water are recommended per day unless there is a contraindication such as kidney or heart disease. The Institute of Medicine recommends approximately 2.7 liters (91 ounces) of total water, from all beverages and foods, each day for women and 3.7 liters (125 ounces) daily of total water for men.<\/li>\n<li>If you are thirsty, drink water. Add fresh, squeezed lemon to water. Lemon is anti-inflammatory, alkalizing and provides vitamin C.<\/li>\n<li>Hydration Test: Urine should be pale yellow. Fingertips should be plump, without pruning but this may not be reliable when fingers are swollen with edema. Lips should be plump, without puckering. The feeling of thirst can be unreliable.<\/li>\n<li>What is wrong with soda, coffee, tea, and alcohol? These drinks are dehydrating, increase acid, and deplete nutrients.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Carminatives.\u00a0<\/strong>The following \u00a0anti-inflammatory\u00a0plant sources called carminitives help heal the digestive tract. They also tone the digestive muscles which improves peristalsis, thus aiding in the expulsion of gas from the stomach and intestine to relieve digestive colic and gastric discomfort.<\/p>\n<p style=\"text-align: justify\"><strong>Carminative Food Remedies<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Raspberry.<\/li>\n<li>Carrot is also a cleansing digestive tonic.<\/li>\n<li>Grape is also bile stimulating and a cleansing remedy for sluggish digestion and laxative.<\/li>\n<li>Redbeets also stimulate and improve digestion and are easily digested.<\/li>\n<li>Cabbage also stimulates and improves digestion and is also a liver decongestant.<\/li>\n<li>Lettuce also stimulates and improves digestion and is also an alterative, meaning it improves the function of organs involved with the digestion and excretion of waste products to bring about a gradual change.<\/li>\n<li>Potatoes are antispasmodic (due to atropine like properties) and a liver remedy.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Carminative Herb Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Sage is also a digestive, astringent, bile stimulant and energy tonic that heals the mucosa. \u00a0Drink as tea or use in cooking.<\/li>\n<li>Chamomile, lemon balm, and fennel, (as a tea) also help relieve nervous tension.<\/li>\n<li>Parsley also relieves indigestion.<\/li>\n<li>Rosemary as a tea and in cooking also is a nervous system tonic for stress and fatigue, bile stimulant, and can relieve headaches and indigestion.<\/li>\n<li>Thyme is also soothing remedy useful for stimulating digestion of rich, fatty foods.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Cloves are also antispasmodic.<\/li>\n<li>Nutmeg is also useful for indigestion.<\/li>\n<li>Ginger.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Exercise Helps<\/strong>:<\/p>\n<p style=\"text-align: justify\">Exercise improves circulation and rids the body of toxins.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Walking is aerobic exercise that reconditions the whole body to improve stamina.\u00a0Read more about<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">\u00a0Exercise and Fitness<\/a>.<\/li>\n<li>Weight training builds muscle.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<li>Stretching improves flexibilty.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Note<\/strong>: Exercise is important, but the amount and type of exercise undertaken depends on your health. Your first priority is to heal. \n\t\t\t<\/div><\/div>\n<h2>What Do Medical Research Studies Tell About Early Menopause In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cFrom menarche to menopause: the fertile life span of celiac women.\u201d<\/strong> This study investigating menopause-associated disorders and fertile life span in women with celiac disease under untreated conditions and after long-term treatment with a gluten-free diet verified that late menarche and early menopause causes a shorter fertile period in untreated celiac women compared with control women.\u00a0A gluten-free diet that started at least 10 years before menopause prolongs the fertile life span of celiac women.<\/p>\n<p style=\"text-align: justify\">The participants were 33 women with celiac disease after menopause (untreated celiac disease group), 25 celiac women consuming a gluten-free diet at least 10 years before menopause (treated celiac disease group), and 45 healthy volunteers (control group). The Menopause Rating Scale questionnaire was used to gather information on menopause-associated disorders. The International Physical Activity Questionnaire was used to acquire information on physical activity.<\/p>\n<p style=\"text-align: justify\">The perception of intensity of hot flushes and irritability is more severe in untreated celiac women than in controls. Low physical exercise and\/or poorer quality of life frequently reported by untreated celiac women might be the cause of reduced discomfort tolerance, thus increasing the subjective perception of menopausal symptoms. The scores for hot flushes, muscle\/joint problems, and irritability were higher in untreated celiac women than in the control women (higher by 49.4%, 121.4%, and 58.6%, respectively). In comparison with untreated celiac disease, long-lasting treatment of celiac disease celiac disease was not associated with a significant difference in the duration of fertile life span, but was only associated with a significant reduction in muscle\/joint problems (a reduction of 47.1%).<a href=\"#footnote_4_802\" id=\"identifier_18_802\" class=\"footnote-link footnote-identifier-link\" title=\"Santonicola A, Iovino P, Cappello C, Capone P, Andreozzi P, Ciacci C. From menarche to menopause: the fertile life span of celiac women. Menopause. 2011 Oct;18(10):1125-30. doi: 10.1097\/gme.0b013e3182188421.\">4<\/a><\/p>\n<h4 style=\"text-align: justify\"><strong>CASE REPORT SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cUnusual association of thyroiditis, Addison&#8217;s disease, ovarian failure and celiac disease in a young woman<\/strong><strong>.&#8221;<\/strong> \u00a0This case report describes course of a 23 year old woman with a diagnosis of hypothyroidism due to Hashimoto&#8217;s thyroiditis, autoimmune Addison&#8217;s disease, and kariotypically normal spontaneous premature ovarian failure. Search for celiac disease revealed positive EMA antibodies and total villous atrophy at jejunal biopsy. Marked clinical improvement and a progressive decrease in the need for thyroid and adrenal replacement therapies occurred over a 3-month period. After 6 months serum EMA became negative and after 12 months a new jejunal biopsy showed complete mucosal recovery. After 18 months the anti-thyroid antibodies titre decreased significantly and thyroid substitution therapy was discontinued.<\/p>\n<p style=\"text-align: justify\">The early identification of celiac disease in polyglandular disease is clinically relevant not only for the high risk of complications inherent to untreated celiac disease, but also because celiac disease is a cause of substitute hormonal therapy failure in patients with autoimmune thyroid disease.<a href=\"#footnote_9_802\" id=\"identifier_19_802\" class=\"footnote-link footnote-identifier-link\" title=\"Valentino R, Savastano S, Tommaselli AP. Unusual association of thyroiditis, Addison&rsquo;s disease, ovarian failure and celiac disease in a young woman. Journal of Endocrinological Investigation. May 1999;22(5):390-4.\">9<\/a><\/p>\n<ol class=\"footnotes\"><li id=\"footnote_1_802\" class=\"footnote\"><span style=\"font-size: 14px;line-height: 1.5em\">Beck-Peccoz P, Persani L. Premature ovarian failure. <em>Orphanet J Rare Dis<\/em>. 2006 Apr 6;1:9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_802\" class=\"footnote\">Beck-Peccoz P, Persani L. Premature ovarian failure. <em>Orphanet J Rare Dis<\/em>. 2006 Apr 6;1:9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_802\" class=\"footnote\">Stazi AV, Mantovani A. A risk factor for female fertility and pregnancy: celiac disease. <em>Gynecologica endocrinology: the Official Journal of the International Society of Gynecological Endocrinology<\/em>. Dec 2000;14(6):454-63.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_802\" class=\"footnote\">Santonicola A, Iovino P, Cappello C, Capone P, Andreozzi P, Ciacci C. From menarche to menopause: the fertile life span of celiac women. <em>Menopause<\/em>. 2011 Oct;18(10):1125-30. doi: 10.1097\/gme.0b013e3182188421.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_18_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_802\" class=\"footnote\">Stazi AV, Trecca A, Trinti B. Osteoporosis in celiac disease and in endocrine and reproductive disorders. <em>World J Gastroenterol<\/em>. 2008 Jan 28;14(4):498-505<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_6_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_802\" class=\"footnote\">Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.\u00a0<em>Clinical Science<\/em>. Apr 2001;100(4):379-86.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_802\" class=\"footnote\">Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.\u00a0<em>Journal of Gastroenterology and Hepatology<\/em>. 2003;18:479-91.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_15_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_16_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_8_802\" class=\"footnote\">Vujovic S, Brincat M, Erel T, Gambacciani M, Lambrinoudaki I, Moen MH, Schenck-Gustafsson K, Tremollieres F, Rozenberg S, Rees M; European Menopauseand Andropause Society. EMAS position statement: Managing women with premature ovarian failure. <em>Maturitas.<\/em> 2010 Sep;67(1):91-3. doi: 10.1016\/j.maturitas.2010.04.011. Epub 2010 Jun 3.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_17_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_9_802\" class=\"footnote\">Valentino R, Savastano S, Tommaselli AP. Unusual association of thyroiditis, Addison&#8217;s disease, ovarian failure and celiac disease in a young woman. <em>Journal of Endocrinological Investigation<\/em>. May 1999;22(5):390-4.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_19_802\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Early Menopause? Early menopause is the permanent cessation of menstruation in females before the age of 40 years characterized by vasomotor instability (hot flashes\/cold episodes), psychologic and emotional symptoms and profound changes in the lower genital tract. The most severe forms present with absent pubertal development and primary amenorrhea termed primary ovarian failure &#8230;<\/p>\n","protected":false},"author":29,"featured_media":8312,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[4,103,167,222,974,221],"tags":[1902,337,776,319,1941,1974,57,100,1973],"class_list":["post-802","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-cholesterol","category-omega-6-fatty-acids","category-ovaries","category-symptoms","category-female","tag-cholesterol","tag-early-menopause","tag-health-conditions","tag-malabsorption","tag-omega-6-fatty-acids","tag-ovaries","tag-reproductive-2","tag-symptom","tag-female"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/802","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/comments?post=802"}],"version-history":[{"count":19,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/802\/revisions"}],"predecessor-version":[{"id":18838,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/802\/revisions\/18838"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/8312"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=802"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=802"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=802"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}