Most women experience PMS symptoms at some point in their menstruating lives. These symptoms last from a few days to what can feel never-ending. The symptoms are all over the place - fatigue, breast tenderness, moodiness, bloating, cramps, anxiety… the list goes on.

So, what is a woman to do? Ideally, balance out hormones and get back on track. But how?

A good place to start is with the basics which creates a foundation for long-term symptom relief and helps manage menopause when it comes your way.

Here are 5 things you can start right now. While one person will see results from changing their diet, another person might experience more relief by eliminating alcohol the week before her period. Pick one and jump in. Got it under control? Then pick another and keep going!

1) Eat a Healthy Diet

• Eat low carb – If you want to support your moods, eating a low carb diet is a great place to start. Cut out sugars and refined carbs and replace them with quality whole foods to balance out your blood sugar and the hormone roller-coaster that is connected to it.
• Eat healthy fats – Your hormones are made from fat, so you need to consume enough nutritious fats to support a healthy balance. Focus on good fats like olive oil, coconut, avocado, ghee, fatty fish, nuts, and seeds. Stay away from inflammatory oils like corn, soy, canola, and sunflower.
• Eat consistently – Eat evenly spaced out meals throughout the day to help balance your blood sugar, hormones, and moods. Strive to ensure all meals have whole food proteins, fats, and complex carbs. Have healthy snacks when you need to.
• Experiment with alcohol and caffeine – Try removing your evening cocktail and morning coffee for a few cycles to see if this helps reduce or eliminate PMS symptoms. If that is too big a commitment, then you can make your goal to try to reduce or eliminate, alcohol and caffeine the week before your period.
• Get quality animal products – Look for animal products that are organic, pasture-raised, and sustainable to help you avoid hormones, antibiotics, and GMOs (conventionally raised animals are often fed GMO feed). If this isn’t helping, experiment with eliminating dairy. Though it doesn’t help everyone, some women find the removal of dairy from their diet reduces PMS symptoms, including acne.

2) Get Some Sleep

Lack of sleep can cause all sorts of hormonal imbalances, including exacerbating PMS symptoms. Shoot for 7-9 hours of sleep, especially the week before and during your period.

Sometimes this may feel easier said than done, as your period can seriously disrupt sleep. Do what you need to help you through the night. Cool your room, use a heating pad for cramps, change your sleep positions, and try the other suggestions in this list!

3) Create an Exercise Routine

Consistent exercise is important for managing PMS symptoms. Create a physical activity routine that you do all month, but feel free to adjust it according to your energy before and during your period. You might have high energy for spin class during part of the month, but only enough energy for a restorative yoga class at another time. That’s okay! Adjust your plan, but keep moving!

4) Manage Your Stress

Stress can throw your hormones out of whack. Each person’s management of stress is very individual, so do what works for you. That might mean exercise, journaling, or meditation. Whatever your thing is, do it!

5) Daily Bowel Movement

Elimination is important to help maintain the balance of your hormones. Your body gets rid of excess estrogen through bowel movements, so strive to get enough fiber to keep things moving. Fiber-rich foods include leafy greens, nuts, seeds, fruits, and beans. Also, be sure to drink plenty of water, eat healthy fats, and keep exercising too.

Usually, a combination of these basics will help manage PMS symptoms. Even with these steps, some months still might be harder than others. If you are thrown off track, try to get back on the wagon as soon as you can.

If you feel that you need additional support, you can try herbs and supplements, acupuncture, and other alternative therapies.