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In this article, dietitian Clarice Hebblethwaite reviews the symptoms of premenstrual syndrome and how they might be affected by herbal supplements, diet, vitamins and minerals
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1. O'Brien PM. Helping women with premenstrual syndrome. BMJ 1993;307(6917):1471–75.
2. Tesch BJ. Herbs commonly used by women: an evidence-based review. Am J Obstet Gynecol 2003;188(5 Suppl):S44–55.
3. Hashim MS, Obaideen AA, Jahrami HA, et al. Premenstrual syndrome is associated with dietary and lifestyle behaviors among university students: A cross-sectional study from Sharjah, UAE. Nutrients 2019;11(8):1939.
4. Milewicz A, Jedrzejuk D. Premenstrual syndrome: from etiology to treatment. Maturitas 2006;55(Suppl 1):S47–54.
5. Moline ML, Zendell SM. Evaluating and managing premenstrual syndrome. Medscape Womens Health 2000;5(2):1–16.
6. Bertone-Johnson ER, Hankinson SE, Forger NG, et al. Plasma 25-hydroxyvitamin D and risk of premenstrual syndrome in a prospective cohort study. BMC Womens Health 2014;14:56.
7. Heidari H, Amani R, Feizi A, et al. Vitamin D supplementation for premenstrual syndrome-related inflammation and antioxidant markers in students with vitamin D deficient: a randomized clinical trial. Sci Rep 2019;9(1):14939.
8. Chocano-Bedoya PO, Manson JE, Hankinson SE, et al. Dietary B vitamin intake and incident premenstrual syndrome. Am J Clin Nutr 2011;93(5):1080–86.
9. Wyatt KM, Dimmock PW, Jones PW, et al. Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: systematic review. BMJ 1999;318(7195):1375–81.
10. Kashanian M, Mazinani R, Jalalmanesh S. Pyridoxine (vitamin B6) therapy for premenstrual syndrome. Int J Gynaecol Obstet 2007;96(1):43–44.
11. Parazzini F. Magnesium in the gynaecological practice: a literature review. Magnes Res 2017;30(1):1–7.
12. Walker AF, De Souza MC, Vickers MF, et al. Magnesium supplementation alleviates premenstrual symptoms of fluid retention. J Womens Health 1998;7(9):1157–65.
13. Chocano-Bedoya PO, Manson JE, Hankinson SE, et al. Intake of selected minerals and risk of premenstrual syndrome. Am J Epidemiol 2013;177(10):1118–27.
14. Siahbazi S, Behboudi-Gandevani S, Moghaddam-Banaem L, et al. Effect of zinc sulfate supplementation on premenstrual syndrome and health-related quality of life: Clinical randomized controlled trial. J Obstet Gynaecol Res 2017;43(5):887–94.
15. Kessler JH. The effect of supraphysiologic levels of iodine on patients with cyclic mastalgia. Breast J 2004;10(4):328–36.
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