Some doctors also use glandular supplements in treating PMS. In Super Fitness Beyond Vitamins (New American Library, New York, 1987), Michael Rosenbaum, M.D., describes his success with the use of pituitary, particularly anterior pituitary, extract in treating stubborn PMS symptoms. Brain and pancreas glandular supplements may also be helpful, Dr. Rosenbaum points out.

There are also many nutritional supplement formulas available for premenstrual syndrome. The table below presents an all-encompassing nutrient program (most of these nutrients are best taken in two or three portions over the course of the day). This may be tailored for specific symptoms by application of the suggestions given earlier. Of course, many of the nutrients listed are consumed in the diet. Supplementation of sodium, potassium, chloride, fluoride, iodine, and phosphorus is usually not necessary, though additional potassium, about 1 to 2 grams, may be helpful in some cases. Even extra vitamins D and K may not be needed. The precursor of B6 (pyridoxine), pyridoxal-5-phosphate, may actually be more effective than B6 itself, because some people may not be able to easily convert the pyridoxine to its usable form. Both forms of vitamin B3 are used; niacin offers some circulatory stimulation and flushing while niacinamide supports the general neuromuscular relaxation of B3.

I have seen a high rate of success in the improvement and elimination of symptoms in women who change their diets and implement a regular supplement program. I have also heard other gynecologists, family doctors, and nurse practitioners claim that they see nearly an 80 percent success rate with a good program. Of course, learning to deal better with life stresses, relationships, and sexual issues will further increase the likelihood of success.