Posts Tagged ‘B12’
My Birth Control Story
I feel that my situation was pretty typical of what a number of female athletes go through. I was prescribed Ortho Tri Cyclen* when I was 17 because I hadn’t had a period for more than two years. Not wanting to put anything artificial in my body and being scared about the hormones, I didn’t actually start taking the pills until I sustained a stress fracture in my foot during my freshman cross-country season at college.
After the fracture, a doctor convinced me that it occurred because my bone density was low. He said my bones were suffering because I didn’t have periods. This was the case because the absence of menses meant that my body didn’t have enough estrogen… and estrogen was the key to calcium being absorbed by my bones. He told me that my estrogen was low because I ran so much. And he said all this could be corrected by taking the birth control pill because it would supply my body with artificial estrogen that would keep my bones strong.
The Female Athlete Triad- of disordered eating, amenorrhea, and osteoporosis- was a relatively new buzzword ten years ago and doctors, trainers, and coaches were quick to jump to the conclusion that the birth control pill was the easiest, quickest-fix band-aid solution to the most bothersome part of it. I wish that I could say that as a community, sports medicine has made tremendous progress – that doctors, coaches, and trainers know a great deal more about how to address these situations with their athletes, but I don’t really believe it’s much better. Birth control pills are more than ever being prescribed to young athletes (and non-athletes alike) as a quick-fix solution to problems that require a much deeper and more comprehensive look at the whole system.
When I look back at my own situation, I realize that the Doctor made a lot of assumptions in his hypothesis. First, he assumed that my stress fracture was due to having low bone density, though he never measured the density of my bones. In reality it was my training that changed significantly – I had gone from running maybe 40 miles per week on dirt roads in high school in Colorado to running 70+ miles per week in college mostly on pavement.
The other reality about my situation was that running or body fat percentage wasn’t the cause of my amenorrhea. I was always a very active teenager and a “late bloomer.” I played 3-4 varsity level sports during high school. I only had a couple “regular periods” when I was 15 years old and they ceased when I left to be an exchange student in southern Brazil. In Brazil I wasn’t allowed outside of the house alone. It was, by far, the most sedentary I have ever been at any time in my life. And like all exchange students, I gained a few pounds. And yet this is the time in my life when my periods stopped. When I returned from Brazil, I embarked on a 30-day wilderness education course backpacking across Colorado’s San Juan Range. But still my cycle didn’t return.
Over the years I stopped taking birth control twice for several months at time to see if my period would return on its own. Each time I noticed a marked improvement in my mood and digestion, but each time a friend or doctor encouraged me to go back on the pill because I needed it for my bones. I remained on a mono-phasal birth control pill until the age of 25. At that point, my digestive problems and allergies were so bad that I wanted to try anything to alleviate the situation. I read as much as I could find on the subject, scheduled a bone density scan that came back on the low side of normal, and quit the pill for good. It was a liberating feeling!
Eventually, about 7 months later, my cycle returned naturally for the first time in over 10 years. For the first year or two it was not consistent- some months it wouldn’t come, some months it would only last a day. However, the overall trend was one of progress.
Acupuncture has been the single most helpful tool for me in finding hormonal balance and regulating my periods. I highly recommend it!
Related Posts:
New Iron Pills…. hmmm
OK- started another iron pill this weekend…. and I think this one will be relegated to the “Ian” pile once again. Although he has his own digestive issues, he seems to have a much easier time with the iron varieties than I do and he’s not gluten intolerant…. (or so he insists).
This one was from Wild Oats- their brand- and it said gluten free on the label. It is seriously the craziest capsule I’ve seen. The outside is clear and it is filled with different brightly colored beads. The nice thing is that it said slow-release, and the capsule contains vitamin C, folic acid and b12 to aid absorption… so I was thinking it would cut down on the amount of pills I take at night. (Although I do enjoy my chewable vitamin Cs!)
I might give these the benefit of the doubt… since it is almost that time of the month and my stomach might be ultra sensitive. I even had to stop doing the mile repeats in the workout yesterday because my tummy was making so much noise… PAINFUL!
So, I’ll give them to till the end of the week…maybe I won’t take any Friday night since I’ve got a tempo Saturday morning. Then it is back to the Gentle Iron for me.
uggh.
Related Posts:
Pill Popping… a sample daily intake
Morning:
Levoxyl- on empty stomach of course… sometimes I’ll set my alarm and go back to sleep.
Midday or later morning:
Vitamin D
Zinc
Omega 3
L-Tyrosine (Thyroid support)
Kelp (Thyroid support)
Before Bed at Night:
Iron
B-Complex
Vitamin C
Rhinocort Aqua Nasal Spray (for my allergies)
I don’t take a multi because I don’t like having everything in one pill. It is convenient though! I just want to make sure that I give myself a fighting chance at absorbing everything… especially since my intestines are in a rough shape.
Any to add?
Related Posts:
Ins & Outs of Iron Supplements
Over the years I have tried countless different types of iron supplements in multiple forms. There are liquids, capsules, tablets, and soft gels. Iron is available over the counter, by Rx, in natural food stores, and at your local big box grocer. They are not, however, all created equal.
As a general rule, I avoid tablets whenever possible. They are the hardest of the forms to digest and often leave me with stomach pain. I also figure that the less my body has to work to break the product down, the more potent it will be. I’m not saying that the liquids won’t give you a stomachache! Many of them surely will, but depending on the type of iron it contains- you are probably absorbing more of it.
(For me, liquid ferrous sulphate is like taking a black enema in a bottle- sorry to be graphic.)
Here are the best Iron Supps I’ve taken (and I still have a cabinet full of others!):
1) Floradix- This stuff is expensive, especially when you consider how much elemental iron you are getting per serving. However, it works great if you are not terribly low and don’t mind the cost. They even have a version gluten and yeast free version called Floravital. Gentle enough to be taken after meals, this was my old standby in college.
2) SSS Iron Tonic- Another liquid. I ordered a few bottles along with the liquid B-complex. I was attracted by the claims that it works better than injections. It surely did work for me, right away I felt my iron come up and noticed a difference on runs within a week and a half. It did, however, give me a very constant stomachache for the month that I took it. Although there are no gluten containing ingredients on the label, the manufacturer cannot confirm that it is GF…. which was enough for me to stop taking it.
3) Hema-plex- I know, this is a tablet… but it is a good one. There are tons of beneficial ingredients packed into this little pill. It includes other blood builders such as beets and greens, as well as vitamins that enhance iron’s absorption. Another plus is that one tablet has 85 mg of iron as an amino acid chelate! Hemaplex is also wheat and yeast free, but they do not say gluten free. The ingredient in question for me is the barley grass juice, while I know that it shouldn’t contain gluten… if the grass had sprouted before it was juiced…. then there is a small chance. Uggh. Click here for a link to purchase.
4) Gentle Iron- This bottle was actually the first iron supplement that I ever purchased. I was in college and severely anemic… I couldn’t keep my eyes open in class and thought I had mono. Looking back, I’m sure it was the celiac disease, because I went through six-week stretch of everything running straight through me. Ironically, I started to cut out anything with fiber, fruit, then veggies, then nuts, and finally I was down to plain bagels. And nothing helped! I even had to go to the doctor for stool samples! (they told me I must have had a food born bacteria, but that it had worked its way out). Needless to say my track season was literally in the toilet that year. Anyways- As much as I’ve strayed, I keep coming back to this old standby. It is even Gluten-Free. Unfortunately each pill is only 25 mg…. but true to its name, it is truly the most gentle.
If you don’t have a sensitive stomach, then you can go the cheap route and get a ferrous sulfate liquid or the super cheap route and get ferrous sulfate tablets. Again, you should see faster results with the liquid, but it might also be harsher on your stomach. If the cheap iron tablets are a bit much for you, there’s always the extended release option too.
How to take Iron:
My stomach is so sensitive that I only take mine at night before bed. I left my dinner digest a little first, just because I think the less you have in your stomach the better it is absorbed.
Take the iron with Vitamin C. Try it with OJ or an Emergen-C. If you take a liquid iron, you can even make a little cocktail. 
Take your iron with a B-complex vitamin and make sure it contains plenty of B12.
Do not take other minerals with your iron! Minerals, especially calcium and zinc can block iron absorption. You’ll also probably hinder the absorption of the other minerals as well. Make sure your OJ isn’t fortified with calcium. Save that one for breakfast only.
Do not take iron with coffee, tea or soy milk. Caffeine is another substance that seems to hinder iron absorption. The same has been found with the tannins in tea (black and green, not herbal), and soy protein. Try not to consume any of these substances within 2-3 hours of taking your iron pill. This is also true with absorbing the iron from food- try not to drink caffeinated beverages or teas (herbals are OK) with meals.
Better get to the afternoon run. Cheers!
Related Posts:
Running Into the Ground: Iron Basics
Reasons Why Runners are Often Low in Iron:1. Foot Strike Hemolysis—red blood cells are destroyed by runners’ feet pounding on the ground. You literally squish them as you strike the ground. This loss can be even more intense at altitude.
2. Sweat & Urine—small amounts of iron are lost in sweat and urine and these amounts can add up over time and worsen in hot weather.
3. GI & Menstrual Bleeding—small amounts of iron are lost due to bleeding in the gastrointestinal tract that is common with intense training/racing, while larger amounts can be lost through a regular menstrual cycle. If your cycle is causing you to lose more significant amounts of blood due to an extended length, heavier flow or increased frequency, you should report this to your doctor so that she can try to find the cause.
4. Low Iron Intake—runners who follow the traditional high-carb/low-fat endurance diet often do not consume much red meat, which is the best absorbed source of dietary iron. Many runners also tend to under eat in an effort to maintain an artificially lower weight. There is evidence that this type of calorie restriction lowers metabolic functioning and over the long term may lead to a sluggish thyroid or hypothyroidism.
Key terms:
Hematocrit— the percentage of red blood cells in the blood
Ferritin— the body’s stored iron (primarily in bone marrow, liver, and spleen)
Iron-Deficiency Anemia—clinically low hemoglobin or hematocrit levels
(B12 deficiency can cause another type of anemia, more common in vegetarians than meat eaters because B12 is difficult to get from a vegan diet)
Iron Depletion—low ferritin levels (for running purposes 30)
What exactly is ferritin again?
For one thing, different people seem to require different levels to feel good. One athlete may perform best as long as her ferritin is over 40, while another may require double. When fine-tuning for performance enhancement, it is best to track ferritin levels over time, that way you can get a baseline level of what might be normal for you. Unfortunately, few people think to go in for blood tests when they are feeling fine. Some sports medicine docs and coaches like an athlete’s ferritin to be above 100. It is commonly accepted in the running community that a score under 30 means you should be pumping some iron into your system, in whatever form necessary.
Serious female runners should have their iron levels checked a minimum of twice (preferably four times) per year. Competitive male runners should be tested annually, and those with a history of iron depletion (or vegetarians) should be tested at least twice per year. To ensure consistent results, always have your blood tested before running (i.e., when you are well-hydrated), because dehydration will make your iron levels appear higher than they are. Again, the major iron status tests of interest to runners are: hemoglobin, hematocrit, red blood cells and ferritin. And, depending on how savvy your doc is, you may have to specifically request the ferritin to be checked. Unfortunately, it is still not a commonly performed test by many family practitioners.
More on iron supps and common signs of deficiency in another post.
