Protocolsnutrition
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Estrogen Dominance Protocol

Protocol to reduce estrogen dominance (high estrogen relative to progesterone) through improved estrogen metabolism, detoxification, and progesterone support.

Evidence Score

80/100

Developer

John Lee, Sara Gottfried, functional medicine

Duration

3-6 months to rebalance hormones

Steps

10 phases

Conditions

5 targeted

Protocol Overview

Protocol to reduce estrogen dominance (high estrogen relative to progesterone) through improved estrogen metabolism, detoxification, and progesterone support. Common underlying issue in many female hormone problems.

Conditions Treated

Estrogen dominancePMSfibrocystic breastsheavy periodsmood swings

Key Resources

What Your Doctor May Not Tell You About Premenopause/Menopause by John Lee, "The Hormone Cure" by Sara Gottfried, DUTCH test

Supplements & Herbs

Safety Profile

Contraindications & Risks
Hormone-sensitive cancers (individualize approach), pregnancy/nursing, medications affecting hormones
Important Notes

Estrogen dominance is ratio problem - can have normal or even low estrogen but still be estrogen dominant relative to progesterone. Causes: Stress (lowers progesterone), poor estrogen metabolism (liver burden), xenoestrogens (plastics, pesticides), constipation (estrogen reabsorption), obesity (aromatase in fat). Symptoms: PMS, heavy periods, breast tenderness, fibrocystic breasts, mood swings, weight gain, fibroids, endometriosis. Estrogen metabolism crucial - "good" pathway (2-hydroxyestrogen) vs "bad" pathways (4-OH, 16-OH more carcinogenic). DIM/I3C shift to 2-OH pathway. Calcium-d-glucarate prevents beta-glucuronidase (bacterial enzyme) from deconjugating estrogen in gut (estrobolome). Daily bowel movement essential. Progesterone cream effective but use bioidentical, not synthetic. John Lee pioneered natural progesterone. Topical avoids first-pass liver metabolism. Xenoestrogens add to burden - BPA, phthalates, parabens, pesticides. Filter water (atrazine is estrogenic). DUTCH test shows estrogen metabolites and metabolized estrogen:progesterone ratio.

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EvidenceModerate
Evidence Score80/100
Categorynutrition
Duration3-6 months to rebalance hormones

About Evidence Score

The Evidence Score rates the strength of clinical and scientific evidence behind this protocol. Higher scores indicate stronger research support. This is a research tool, not medical advice.

Educational purposes only. Some alternative protocols carry serious risks. Always consult qualified healthcare professionals before beginning any treatment.