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Ack! I need chocolate! The science of PMS food cravings

Ack! I need chocolate! The science of PMS food cravings

Premenstrual food cravings are the punchline of endless jokes. Like most good jokes, they're funny because they're true.

Certain parts of a woman's menstrual cycle do seem to go hand in hand with the desire for chocolate ice cream and potato chips. I hear about this every day from my OBGYN patients.

Researchers have studied food cravings for years; one of the most cited studies dates back to 1953. Scientists – and lots of others – want to know who has food cravings and why, what they crave, when they crave it and how to minimize the cravings. Here's what the research has found.

Craving and eating before a period

Food cravings are just one of the many symptoms of premenstrual syndrome, also known as PMS. PMS is likely caused by hormonal fluctuations and how they affect chemical messengers in the brain called neurotransmitters. Its symptoms are exclusive to the second half of the menstrual cycle. This luteal phase of the cycle starts with the release of the egg at ovulation and ends when a period begins. The symptoms usually resolve around the third or fourth day of menstruation.




Researchers have documented more than 150 different PMS symptoms in studies, ranging from physical to emotional to behavioral to cognitive. Food cravings are up there with the most commonly reported behavioral PMS symptoms, along with mood swings, irritability, anxiety and tension, and sad or depressed mood.

A woman doesn't need an official diagnosis of PMS to report hankering for sweets and chocolates, though. Eighty-five percent of women have some sort of perceptible premenstrual symptoms, while only somewhere in the range of 20% to 40% of all women meet the diagnostic criteria for PMS. Researchers find that cravings can occur during that premenstrual time period in normal, healthy individuals without a diagnosis of PMS or other disorder. In fact, one study showed that 97% of all women had previously experienced food cravings – independent of their menstrual cycle.

Research data confirm women tend to eat more during the luteal phase of the menstrual cycle, compared to the follicular phase that leads up to ovulation. With or without the diagnosis of PMS, this increased food intake can be as high as 500 extra calories per day.

What foods are women reaching for? Carbs and fats and sweets. No surprise there. The most commonly reported food craving is chocolate, likely because it's a pleasantly sweet combination of carbs and fat.

And although the existence of any craving is similar across women with and without PMS, the craving itself may differ depending on if you have the diagnosis of PMS. In one study, women without PMS increased their intake of energy and fat, while women with PMS showed increase in total energy and all macronutrients.

What causes food cravings?

Researchers aren't exactly sure where these food cravings come from, but there are several leading theories.


One idea is that women are unconsciously using food as a pharmacological therapy. Many studies show that women in their luteal phase crave more carbohydrates compared to during their follicular phase. Eating carbs turns up levels of serotonin, a neurotransmitter in the central nervous system, which contributes to a general sense of well-being and happiness. By increasing carb intake, women may be self-medicating with food to cause that serotonin bump in order to feel better. In one study, when researchers increased serotonin neurotransmission in the brain, either through diet or drugs, people's food intake and mood went back to normal.

Another possible explanation for food cravings suggests that women intentionally turn to food for physical and psychological comfort. Food can play a sensory role, eliminating any uncomfortable feeling of hunger while tasting good and feeling pleasant to eat. Researchers find that "thinking" of a really tasty food is the most common provocation for wanting to consume it and that cravings are not solely hunger driven. Women also usually reported specific triggers for thinking of comforting food, like boredom or stress, further promoting the idea that the comfort of food helps mitigate unpleasant feelings – as one might experience with PMS.

Other researchers suggest that these food cravings are regulated by hormones. Scientists have observed that women tend to eat more when estrogen levels are low and progesterone levels are high – as occurs during the luteal phase. The reverse pattern is seen in rats during the follicular phase, when estrogen levels are high and progesterone levels are low. The fact that progesterone-only forms of contraception like Depo Provera are associated with weight gain, likely due to increased appetite, supports this theory as well.

How can you get rid of monthly cravings?

My general advice to women: be knowledgeable about your own body and how it changes in response to your monthly cycle. Your experience is different than your best friend's. Being in touch with your symptoms can help you acknowledge that they are normal for you at this point in time instead of worrying whether they're weird. If you feel unsure, ask your gynecologist.


Lifestyle changes can help balance and minimize unwanted symptoms related to your menstrual cycle. Things to try include regular exercise, relaxation and stress reduction techniques such as breathing exercises, yoga, meditation, massage, self-hypnosis and regular, good sleep.

Cognitive behavioral therapy and biofeedback may be options. They usually require support of a therapist or counselor to be most effective.

And you can optimize your diet to fight cravings:

  • Choose complex carbohydrates, including whole grains, brown rice, barley, beans and lentils. Choose whole wheat over white flour.
  • Reduce fat, salt and sugar – all of which can leave you craving more.
  • Minimize or avoid caffeine and alcohol.
  • Eat more calcium-rich foods, including green leafy vegetables and dairy. One study showed women who consumed milk, cheese and yogurt had less abdominal bloating, cramps, appetite and cravings for some foods, possibly because the calcium they contain helped reverse an imbalance of feel-good serotonin. Women who are sensitive to dairy can take a calcium supplement of 1200 mg daily.
  • Try magnesium supplements. This mineral can help reduce water retention and bloating, breast tenderness and mood symptoms.
  • Vitamin B6 (50 mg daily), in addition to magnesium, may have some benefit as well.
  • Vitamin E (150-300 IU daily) may be helpful to reduce cravings.

When food cravings are part of a PMS diagnosis, treatment for premenstrual syndrome in general may help minimize them.

Sara Twogood is an Assistant Professor of Obstetrics & Gynecology, University of Southern California

This article originally appeared on The Conversation. You can read it here.

Jonah Berger explains how appealing to someone's identity makes them more likely to agree to a request.

Human psychology really isn't that complicated, if you think about it. Everybody wants to see themselves in a positive light. That’s the key to understanding Jonah Berger’s simple tactic that makes people 30% more likely to do what you ask. Berger is a marketing professor at the Wharton School of the University of Pennsylvania and the bestselling author of “Magic Words: What to Say to Get Your Way.”

Berger explained the technique using a Stanford University study involving preschoolers. The researchers messed up a classroom and made two similar requests to groups of 5-year-olds to help clean up.

One group was asked, "Can you help clean?" The other was asked, “Can you be a helper and clean up?" The kids who were asked if they wanted to be a “helper” were 30% more likely to want to clean the classroom. The children weren’t interested in cleaning but wanted to be known as “helpers.”

- YouTube www.youtube.com

Berger calls the reframing of the question as turning actions into identities.

"It comes down to the difference between actions and identities. We all want to see ourselves as smart and competent and intelligent in a variety of different things,” Berger told Big Think. “But rather than describing someone as hardworking, describing them as a hard worker will make that trait seem more persistent and more likely to last. Rather than asking people to lead more, tell them, 'Can you be a leader?' Rather than asking them to innovate, can you ask them to 'Be an innovator'? By turning actions into identities, you can make people a lot more likely to engage in those desired actions.”

Berger says that learning to reframe requests to appeal to people’s identities will make you more persuasive.

- YouTube www.youtube.com

“Framing actions as opportunities to claim desired identities will make people more likely to do them,” Berger tells CNBC Make It. “If voting becomes an opportunity to show myself and others that I am a voter, I’m more likely to do it.”

This technique doesn’t just work because people want to see themselves in a positive light. It also works for the opposite. People also want to avoid seeing themselves being portrayed negatively.

“Cheating is bad, but being a cheater is worse. Losing is bad, being a loser is worse,” Berger says.

The same tactic can also be used to persuade ourselves to change our self-concept. Saying you like to cook is one thing, but calling yourself a chef is an identity. “I’m a runner. I’m a straight-A student. We tell little kids, ‘You don’t just read, you’re a reader,’” Berger says. “You do these things because that’s the identity you hold.”

- YouTube www.youtube.com

Berger’s work shows how important it is to hone our communication skills. By simply changing one word, we can get people to comply with our requests more effectively. But, as Berger says, words are magic and we have to use them skillfully. “We think individual words don’t really matter that much. That’s a mistake,” says Berger. “You could have excellent ideas, but excellent ideas aren’t necessarily going to get people to listen to you.”

This article originally appeared last year. It has since been updated.

A teen was elated getting his first paycheck from McDonald's.

There are certain moments and milestones in life that hit harder than others. There are the biggies, of course—graduations, weddings, births, etc.—but there are also the smaller-but-still-significant ones that mark when you officially cross a threshold into a whole new stage of life. Our teens are filled with many such moments as we take our first steps into adulthood and independence.

A mom captured one of those moments on video as her teen son opened his first paycheck from his job at McDonald's.

The video shared on Reddit shows a teen in a McDonald's hat sitting in the passenger seat of a car opening an envelope that contained his paycheck. His mom said it should be "200-and something" dollars, and after a hilariously long struggle to open the envelope (Gen Z have rarely, if ever, snail mailed, so no judgment), he looks over the check stub to get the full picture.

"That's $283," he says in astonishment. To his credit, he asks "After tax, what's that?" not realizing that the amount of the check is the after-tax take home amount. His smile and laughter says it all.

Watch:

"Let's take it to the bank, then!" Heck yeah, kid.

People are fondly remembering their own first paychecks

Many viral videos of first paycheck reveals include complaints about how much is taken out in taxes, so it's refreshing to see this young man's joy at his after-tax pay. It was a beautiful moment to capture on film, as most of us remember that feeling of empowerment that came with our own first real paychecks.

People in the comments are feeling the nostalgia:

"I remember that feeling - pretty sweet to see money you earned yourself. Feels good earning your own cash."

"God that first paycheck felt so unreal. I will never forget you ace hardware."

"I remember my first paycheck was for like $300 after two weeks of being a counselor and I felt RICH. I immediately spent it all on a guitar that I still have 20 years later."

"I remember mine - from my first proper job. £64.29 in a little brown packet with holes in it to see the cash inside. 1980. 😂"

"My first “paycheck” was like $65, I was so proud. I took my mom to pizzeria to treat her and she was very very touched."

"Man… I remember my first paycheck… 23 years ago now. For two weeks of what limited hours I could work being 14 years old… that baby was $96.19! HO-LY smokes was I on cloud 9. Cashed it right there at work and bought myself a bag of Skittles. It was a good day."

first paycheck, milestone, adulthood, working, accomplishment That first paycheck feeling. Image via Canva.

Ah, to be young and unencumbered by adult expenses

Part of what makes this endearing is the innocence of it. As a teen, he's not worried about affording a mortgage or groceries or diapers or retirement savings. His elation over making $283 is adorable because he's just starting down the path of adulthood. Soon enough, that paycheck will seem small, but he's not there yet.

Such is the "first paycheck joy," that TikTok is rife with adorable videos of young people opening their first paychecks after working their first real jobs.

@fuck3n_andre

Taco Bell on me 😭 I was fully expecting like $200😂 #fypage #firstjob #job #first #firstpaycheck #fyp #foryoupage #viral

When you're a kid, money is kind of an abstract concept. Maybe you get a small allowance or get paid a few bucks for odd jobs, and opening a birthday card with some cash in it is exciting. It's not until you're fully into the working world for a while that the regular flow of money and what it means for your life really sinks in.

It's not until you're a fully independent adult that you really grasp how relative your feelings about your paycheck can be. There's a big difference between being a 16-year-old getting your first paycheck and being a 30-year-old trying to raise a family on wages that don't cover all your needs. Things like cost-of-living and inflation start to actually mean something as you get older and experience their impact. You might find that you can make a lot more money and yet feel poorer than ever as expenses pile up into adulthood.

paycheck, working, making money, growing up, money It's all relative.i.giphy.com

Don't we all wish we could go back to the hopeful, happy days of making our first real chunk of money before all of those grown-up concerns arose? That simple sense of pride in having worked hard and earned something. The excitement of being able to pay for something you want yourself. The sense of freedom that comes with those early earnings. We see and feel all of that in this teen's bright smile, and it's glorious.

He may not realize how different he might feel opening his paychecks down the road, but there's no need to tell him yet. He'll find out soon enough, as we all have, so let's just let him enjoy this moment of bliss. He's earned it.

This article originally appeared last year. It has been updated.

Can you solve this "Wheel of Fortune" puzzle?

Watching a game show from the comfort of home is easy. Being on one is a totally different ball game. The lights, the cameras, the pressure. It's enough to make anyone's brain freeze up. And is there any game show that allows contestants to royally embarrass themselves on national TV quite like Wheel of Fortune? There’s always someone going viral for taking a big swing and missing on a phrase that seemed pretty apparent to the casual viewer. And when you take a big loss on a WOF word puzzle, there are a lot of folks shaking their heads at home. More than 8 million people watch the game show every night. Yikes.

One rather notorious of the wheel was Gishma Tabari from Encino, California, whose fantasy-inspired whiff of a common phrase back in 2023 earned her a lot of groans and some support from those who thought her imagination was inspiring. The 3-word puzzle read: “TH _ _ RITI _ S _ GR _ E,” and Tabari offered the answer, “The British Ogre.” The guess surprised host Pat Sajak, who responded, "Uh, no.” Tabari must have missed that there was a space between the R and the E in the puzzle, so ogre would have had to be spelled with 2 Rs.

She also probably wasn’t aware that England isn’t a place known for its ogres. The correct answer was: “The Critics Agree.”

The answer inspired a lot of activity on X, where people couldn’t believe someone could come up with such a fanciful answer to a puzzle with such a straightforward solution.







One person even created a lovely image of what could be the British Ogre.

Although…not everyone had a problem with the guess.

"OK, the puzzle was clearly THE CRITICS AGREE but to be honest I prefer THE BRITISH OGRE because the puzzles could use some more wacky originality sometimes.#WheelOfFortune"— Pasha Paterson (@zer0bandwidth) December 13, 2023

On the bright side, the incorrect guess is an opportunity for the world to learn that ogres aren’t a significant part of English folklore. Sure, there are characters in English myths and legends that have ogre-like qualities, such as Grendel from "Beowulf," the monstrous creature that terrorizes the mead hall of King Hrothgar. There’s also the Boggart, a mischievous spirit much like a hobgoblin and trolls, which appear in some English tales although they originate in Scandinavia.

If you’re looking for ogres in Europe, France is the best place to go.

- YouTube www.youtube.com

The word ogre is of French descent and comes from the name of the Etruscan god of the underworld, Orcus. Orcus is a large, ugly, bearded giant who enjoys consuming human flesh. Ogres are primarily known for eating children, which they believe will give them eternal life.

As for Wheel of Fortune, the show will undergo significant changes over the next few years. The show’s host, Pat Sajak, 76, stepped down from the show at the end of the 2024 season after hosting it for 41 years. In September 2024, radio host and “American Idol” emcee Ryan Seacrest took over the hosting spot.

Although, it was just announced that Sajak would be making a special guest appearance on Celebrity Wheel of Fortune, performing what he called "Final Spin."

And in case you're wondering how Tabari is doing: on her Instagram she wears her "Wheel of Fortune Flub Girl" title with pride, declaring she is "British Ogre for life."

This article originally appeared two years ago. It has been updated.

Man asks married men their biggest marriage regret, they deliver.

Not everyone wants to get married, but for those that do, marriage is considered one big 'final' step in a relationship. It's something that people think about from the time they can grasp the concept of relationships. When you factor that in with the high divorce rate, it makes sense that people want to ensure they're getting it right before taking the leap.

Typically, people ask their close inner circle for relationship advice. Leaning on people like their parents, siblings or friends who have been married to fill in the gaps of knowledge. However, with the world becoming smaller than ever due to social media, it takes little effort to gather collective knowledge from thousands of people within your target audience.

Surprisingly, people are pretty forthcoming to strangers on the internet looking for support and help. One man who goes by the name King Boiza decided to ask his internet advisors, "Married men, what is your greatest regret about marriage? Advise the single boys. It could be about anything." The married men didn't hesitate to answer the call in the most genuinely wholesome way.

divorce, marriage, biggest marriage regret, reasons for divorce, married couple, married man, marriage A happily married couple.via Canva/Photos

Gleaning collective wisdom from those more experienced than you is a common practice, but being able to do it in such a significant way is relatively new. Different life experiences lead to different perspectives that can be invaluable to someone still learning.

The advice provided ranged from warnings to what could be seen as universal truths about marriage.

"Your wife becomes the words you speak upon her, I regret not speaking life and good upon her," one man shares.

"In times of trouble, remember...It's not you against her but the both of you, against the problem...," someone writes.

"Listen when she speaks from the heart, once she feels unheard, she will be closed off for a long time if not forever," another advises.

"Not all women age gracefully with all their good looks and physique. Marry her for more reasons beyond her body and beauty. Seek a FOREVER," one commenter says.

"The grass is NEVER greener on the other side. NEVER," a man wrote.

"Don’t let the family you come from destroy the family you create," a commenter added.

"Be the partner you're looking for!" a man wrote.

"The goal in marriage is not to think alike, but to think together," a married man wrote.

"Remember that you are not married to your idea of your wife but to who your wife is. Love her for who is she is not who you want her to be," one man commented.

"No regrets, just advice I’ve adhered to for 15+years of marriage. Lead by example. Create the emotional space for her that you want mirrored. Set boundaries and always keep your word above all else!" a commenter wrote.

"Sometimes all you have to do is listen to her," a man wrote.

divorce, marriage, biggest marriage regret, reasons for divorce, wedding, pastor, reverend, marriage vows A couple getting married.via Canva/Photos

Forbes reports that 43% of first marriages end in divorce with the number significantly increasing with each subsequent marriage. Finding out the regrets, struggles and triumphs of other marriages may help others feel more prepared to commit to marriage with a bit of a roadmap laid in front of them.

It's clear from the comments under the post that marriage takes work and while some of the men admittedly misstepped, they seem eager to share with others so they avoid the same mistakes.

"My biggest regret in marriage was to cheat, and I'm telling you...my wife was never the same...so my advice is never cheat, never ever," one guy confesses.


divorce, marriage, biggest marriage regret, reasons for divorce, marriage advice, single men, marriage questions Kingboiza asks men about marriage.www.tiktok.com


"We tend to take our spouse for granted once we get married. Continue to invest your time in her. You won't regret it and she'll know that you really see her," one man shares.

But it wasn't only men who dropped by the comment section. Women stopped to share their appreciation for the wisdom being left for all to see.

"After reading this comment section, my faith in the institution of marriage is restored. Relationships are not perfect, but we gotta try with people who want to try," one woman writes.

"I don't know why I'm crying...I guess I never knew men like these existed...Your wives must be blessed," another woman shares.

If you need a dose of healthy masculinity and wholesome advice for lasting partnerships, look no further than that comment section. They're saving some future couple from heartache by simply showing up to answer a stranger's question on the internet.

This article originally appeared last year. It has been updated.

Art

A 92-yr-old former ballet dancer with dementia wrote this achingly beautiful poem about aging

Poetry can help people with dementia find their voice, and the results are incredible.

"I am still a dancer made of song."

Poetry is an oft-misunderstood, but incredibly powerful art form. Humans have been writing poetry for thousands of years, communicating feelings and ideas in beautiful, powerful ways that prose just can't quite reach. Poetry can be hard to define, but you know it when you see it—or rather, when you feel it.

Emily Dickinson once wrote, “If I feel physically as if the top of my head were taken off, I know that is poetry.” A poem hits you somewhere—your brain, your heart, your gut. And one poem that packs an incredibly moving punch has come from an unlikely source—an elderly woman with dementia.

elderly woman, dementia, caregiver, poetry, former dancer A woman with dementia wrote a poem with one of her children and it's bringing people to tears. Photo credit: Canva

Poet Joseph Fasano shared a message from a fan who shared that they had brought his book, "The Magic Words: Simple Poetry Prompts That Unlock the Creativity in Everyone," to their mother, a 92-year-old former ballet dancer living with dementia. The mother was excited to write a poem, and they slowly worked through a prompt from the book together aloud.

This poem was the result:

"Let the days be warm

Let the fall be long.

Let every child inside me find her shoes

and dance wildly, softly, toward the world.

I have a story I have never told

Once, when I was small,

I looked up at the sky and saw the wind

and knew I was a dancer made of song.

I am still a dancer made of song."

Wow. What a testament to the power of poetry to reach beyond our usual modes of communication, which dementia so cruelly disrupts. In a few simple lines, we're able to see this woman as she might see herself, as the human living under the veils of age and disease: "I am still a dancer made of song."

Poetry prompts can help people express themselves

The person who shared the poem thanked Fasano for "helping people find their voices," which is exactly what his book of poetry prompts was meant to do.

The Magic Words book by Joseph Fasano, poetry prompts "The Magic Words" is a book of poetry prompts from Joseph Fasano. Amazon


In the book's introduction, Fasano shares that he'd been invited to speak to a class of second graders in New Jersey in 2022 to share "the craft and magic of poetry." As part of his efforts, he came up with a poetry prompt that could "help guide their imaginations" and "unlock the images, thoughts and feelings inside them, without asking them to worry about how to structure a poem." He called the results "astonishing." When he shared one of the students' poems on social media, it and the prompt took off like wildfire, as people who never thought of themselves as poets felt empowered to share their imaginations within that framework.

From 7-year-olds to 92-year-olds, anyone can benefit from the self-expression that poetry facilitates, but many people feel hesitant or intimidated by the idea of writing a poem. Fasano writes, "Poetry is what happens when we let ourselves be," and this idea seems so clear than in the former dancer's poem above. Dementia can create roadblocks, but poetry provides a different avenue of communication.

Caregivers try many different ways to communicate with people living with dementia. Photo credit: Canva

The arts can be a powerful tool for people with dementia

Using poetry to help dementia patients communicate and express themselves isn't just wishful thinking. Studies have demonstrated that cultural arts interventions, including poetry specifically, can be beneficial for people with dementia. In fact, the Alzheimer's Poetry Project (APP) aims to use poetry as a means of improving the quality of life of people living with dementia by facilitating creative expression. "We do not set boundaries in our beliefs in what possible for people with memory impairment to create," the APP website states. "By saying to people with dementia, we value you and your creativity; we are saying we value all members of our community."

Fasano has shared that a team of doctors has begun using his poetry prompts to "give people with dementia a voice again."

Poet Gary Glazner, who founded APP, shared a story with WXPR radio about how he came up with the idea while studying poetry at Sonoma State University:

“I applied for a grant and got a grant to work at an adult care program. The moment I love to share with people is there was a guy in the group, head down, not participating and I said the Longfellow poem. ‘I shot an arrow into the air’ and his eyes popped open and he said, ‘It fell to earth I know not where.’ And suddenly he was with us and participating. It was just this powerful moment to see how poetry could be of use to elders but specifically with people with dementia."

Whether we read it, write it, speak it or hear it, poetry has the power to reach people of all ages in all kinds of mysterious ways.

You can follow Joseph Fasano on Twitter and Instagram, and find his books on Amazon.

This article originally appeared last year. It has been updated.