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Concept of hormone balancing, one hand dropping food and the other hand catching pills
(Photo: Ayana Underwood/Canva)

The Trend of Hormone Balancing with Food Is Total B.S.

Despite what social media leads us to believe, you can't eat your way to balanced hormones

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(Photo: Ayana Underwood/Canva)

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In 2018, I convinced myself my hormones were out of whack. Acne and unusual tiredness are supposedly tell-tale signs that your 鈥擨 had both. So, I scheduled an appointment with my physician and asked him to test my hormone levels.

A quick blood draw revealed that my androgens, a group of hormones produced by the adrenal gland and the ovaries in women and testicles in men (testosterone is the primary androgen), were elevated (and likely causing my skin to flare up).

My doctor聽said my hormones were imbalanced and prescribed me spironolactone, an anti-androgen medication that鈥檚 commonly prescribed to treat acne. He sent me on my way. But I hated the drug鈥攊t made me feel light-headed and dizzy. I later learned that if you have naturally low blood pressure, the drug could lead to faintness and dizziness.

So, after a follow-up convo with my doctor, I stopped taking it and started investigating natural ways to balance my hormones.

According to internet strangers, I could cure my hormonal imbalance by drinking spearmint tea and snacking on ginger. When I asked my doctor for his two cents, he told me this advice was bogus. And even though I was desperate for some type of natural cure that could level out my hormones, I knew鈥攄eep down鈥攖hese solutions were probably (read: definitely) too good to be true.

The experts I interviewed for this story summed up hormone balancing in a few words: a trend that claims you can perfect the amount of hormones in your body through holistic lifestyle changes like tweaking your diet or taking a supplement. 鈥淚t鈥檚 mostly pseudoscience,鈥 says , a gynecologist at Stanford Medicine. Here鈥檚 why attempting to balance your hormones with food is, frankly, complete nonsense.

What Does It Even Mean to 鈥淏alance Your Hormones鈥?

It鈥檚 well-established that hormones play an important role in many , including sleep, energy levels, digestion, and mood. As such, if you have an imbalance鈥攚hich is officially diagnosed with a blood test鈥攎any aspects of your health can feel off.

People with thyroid abnormalities, for example, may feel too hot or too cold, constipated, or anxious and jittery. And those with polycystic ovarian syndrome (PCOS) may feel lethargic or sluggish.

Treatments for Hormonal Imbalances Have Long Been Scrutinized

Historically, doctors have hesitated to treat hormonal imbalances, says , a registered dietitian and associate professor in the Department of Nutritional Sciences at Texas Tech University. Years ago, certain hormone therapy (HT) treatments were linked to , causing many doctors to stop prescribing HT.

Over the years, has shown that HT can be incredibly , but many physicians, particularly those who are wary about potential side effects, are about prescribing it.

Furthermore, many hormone-related symptoms are poorly understood, tough to treat, or brushed off as psychosomatic by some physicians. So many people have felt gaslighted by their doctors when they complain of symptoms or, like me, don鈥檛 want to take a pharmaceutical drug with nasty side effects. 鈥淲hen doctors aren鈥檛 able to address an issue or when people feel dismissed, they go to other places for information or validation and treatment because they just want to feel better,鈥 says Voedisch.

Cue in: hormone balancing鈥攖he belief that by drinking, say, matcha or swallowing supplements like ashwagandha, you can naturally increase or decrease hormones such as cortisol and, consequently, get rid of whatever annoying symptoms you鈥檙e dealing with. The trend exploded because so many people have symptoms鈥攍ike fatigue, weight gain, sleep problems鈥攖hat they want to get rid of, regardless of whether or not they鈥檙e related to hormones.

It鈥檚 now marketed as a one-size-fits-all solution for anyone who鈥檚 ever felt a little off. 鈥淧eople are saying that everything that is wrong with a person comes down to the endocrine system,鈥 says , an associate professor in the sociology department at Rutgers University who studies hormone imbalances. (Spoiler: That鈥檚 not the case.)

The Hormone Balancing Trend Is Problematic for These Reasons

One of the main issues with hormone balancing is that many of the symptoms people are trying to correct鈥攚hether it be mood swings or cravings鈥攁re often due to factors that are totally unrelated to hormones. You may be stressed out, sleep-deprived, or eating poorly. Or you could have an underlying health issue, such as anxiety, arthritis, or insomnia, that you don鈥檛 want to overlook, as there are proven treatments that can help. 鈥淵ou need to make sure you鈥檙e also evaluating for other conditions鈥 before assuming your hormones are to blame, says Voedisch.

Even if it turns out your hormones are messed up, changing your diet probably won鈥檛 cure them.

You Can鈥檛 Balance Hormones with Food

As Childress told me, the endocrine system鈥攖he network of glands that regulate hormones鈥攈as a lot of physiological processes in place that automatically keep your hormones balanced. You鈥檇 have to eat extremely poorly (think: tons of processed foods, refined grains, and red meat) to override that sturdy system and cause your hormones to go haywire.

On the flip side, adding certain foods to your diet won鈥檛 magically fix a dysregulated endocrine system. Snacking on apples won鈥檛 improve your estrogen levels, says Voedisch, and eating more yams won鈥檛 fix your body鈥檚 progesterone production. The belief you can eat your way to A+ hormones? 鈥淭hat鈥檚 a myth,鈥 she says.

However, some hormonal imbalances can improve with a specialized diet鈥攂ut not in the way you鈥檇 think. Take PCOS, for example, which causes high testosterone, leading to too much insulin in your blood. When you consume fewer foods that cause insulin to spike, such as carbs and added sugars, you can counteract the health effects of excess testosterone, which include excess body hair and, over time, a higher risk of diabetes. 鈥淭hat鈥檒l bring down the insulin, which will help relieve some of the side effects of that disorder,鈥 says Childress. But even then鈥攜our diet can鈥檛 fix the testosterone problem, she adds.

The Majority of Hormone Balancing Content Is Targeted to Women

One of the biggest themes you鈥檒l find is that the bulk of hormone-balancing content is geared toward helping women look and feel better. Such regimens often promise clear skin, youth, endless energy, or slenderness. And they鈥檙e often promoted by thin, white women鈥攕trengthening this idea that you should be or look a certain way, says MacKendrick. 鈥淭hey鈥檙e not representing a range of different types of bodies or races,鈥 she says.

Most hormone-balancing content conveys a damaging and inaccurate message that when your hormones are in balance, you have the energy to be both a career woman and a mother and have a sex drive, according to MacKendrick.聽

This premise discounts the fact that female sex hormones, like estrogen and progesterone, are naturally erratic throughout a woman鈥檚 cycle鈥攖hey鈥檙e supposed to be. 鈥淭here鈥檚 no balancing that needs to happen there,鈥 says Voedisch. But hormone balancing capitalizes off a huge vulnerability鈥攖hat something about you is subpar, and you should try stabilizing your hormones to obtain this ideal physique. The messaging is much like the diet and anti-aging industries, says MacKendrick.

It鈥檚 Pseudoscience

Self-help books and influencers often claim that hormone balancing will relieve your fatigue or build muscle鈥攈ealth claims that are . 鈥淭he things these influencers are claiming are largely bogus,鈥 says Childress.

But if they鈥檙e B.S., why do so many people swear by hormone balancing? Well, they may just be eating healthier鈥攁nd when you add more nutrient-dense foods to your diet, workout regularly, and sleep better, your overall health improves. 鈥淚 think sometimes people may think they鈥檙e balancing their hormones, but they really just feel better because they鈥檙e eating better,鈥 says Childress.

Furthermore, there may be a potent placebo effect, which is a phenomenon that occurs when people鈥檚 health improves after taking a fake or ineffective treatment. You may notice that, after sipping on some hormone-balancing herbal tea for a few weeks, you feel stronger or more energetic for a bit鈥攂ut, eventually, that placebo effect will wear off, adds Voedisch.

Are the Claims That Hormone Balancing Improves Gut Health True? Maybe.

A 2021 review published in the journal suggests the gut microbiome, the community of live organisms that reside in the intestines, is influenced by sex hormones like estrogen, progesterone, and testosterone鈥攁nd vice versa.

For example, some researchers theorize that a poor diet聽may cause bacteria to leak out of your gut, circulate throughout your body, and activate your immune system, thereby causing a spike in insulin, which could cause the ovaries to release androgens. But that鈥檚 just a theory; there鈥檚 still a lot scientists don鈥檛 understand about the gut-hormone relationship. For now, it鈥檚 currently a stretch to say your eating habits can alter your sex hormones via your gut. 鈥淵our diet likely has very little to do with your sex hormones,鈥 says Childress.

Do This Instead of “Hormone Balancing”

Rather than experimenting with a new-age eating plan that promises to enhance your hormones, make an in-person appointment with a physician鈥攍ike an endocrinologist or gynecologist鈥攐r a registered dietitian who can look at your medical history, run diagnostic tests, and based on those results, develop a personalized care plan. They can discuss evidence-based treatments that can help you feel better.

If you do, in fact, have a thyroid disease, they can prescribe medications, such as thyroid replacement therapy, says Voedisch, and if you鈥檙e menopausal and have low estrogen, you can look into hormone replacement therapy.

And, hey鈥攊t鈥檚 always worth taking a look at what and how you eat. If you鈥檙e worried about your hormones, says Childress, it鈥檚 generally a good idea to load up on fruits and vegetables and cut out refined sugars (a la the Mediterranean diet). Prioritize your sleep, manage your stress, and get exercise. 鈥淭hese things matter just as much if not more than diet alone,鈥 she says. If you feel better, that鈥檚 great鈥攋ust know 鈥渋t may or may not have anything to do with your hormones,鈥 says Childress.

When I see a doctor or certified dietitian slinging a hormone-balancing regimen on TikTok, I want to believe they鈥檙e sharing sound medical advice. But you can鈥檛 snack your way to balanced hormones. As Voedisch told me, 鈥淚f someone is trying to sell you something your insurance won鈥檛 cover, and you have to pay out of pocket for it, I would be very suspicious.鈥

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