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Episode
Never Get Menstrual Cramps Again (13 Scientifically Proven Tips)
~20 min
Episode Brief·YouTube

Never Get Menstrual Cramps Again (13 Scientifically Proven Tips)

Eric Berg
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TL;DR

The four things you'd lose by not watching

4 items

TL;DR

The four things you'd lose by not watching

4 items
1

Menstrual cramps are caused by a severe vitamin D3 deficiency, which drives up prostaglandins, vasopressin, parathyroid hormone, and inflammation — a root cause ignored by medical consensus.

2

Take 20,000 IU of vitamin D3 daily with magnesium glycinate (without extra calcium) to build tissue levels and prevent cramps; magnesium acts as a natural calcium channel blocker to relax uterine smooth muscle.

3

Adopt a low-carb ketogenic diet and intermittent fasting (2 meals or 1 meal per day) to reverse insulin resistance, which otherwise blocks vitamin D and magnesium absorption.

4

Several natural remedies — cod liver oil, vitamin E (tocotrienols), nutritional yeast (B1), red meat (iron/zinc), fenugreek, heating pad, and ginger — were shown in RCTs to be as effective as NSAIDs without side effects.

Protocols

Concrete recipes — what, when, how much, and why

12 items

High-Dose Vitamin D3 with Magnesium Glycinate

WhatTake 20,000 IU of vitamin D3 daily along with magnesium glycinate, without additional calcium, to build tissue levels and prevent menstrual cramps.
WhenDaily, ideally starting before the menstrual cycle to build up in tissues.
Dose20,000 IU vitamin D3 per day; magnesium glycinate (dose not specified, but he implies a standard supplemental dose). He says 'take these two every single day'.
For whomWomen who experience menstrual cramps, especially those with barriers to vitamin D absorption (dark skin, obesity, insulin resistance, limited sun exposure).
WhyVitamin D3 reduces prostaglandins, vasopressin, parathyroid hormone, and inflammation; magnesium acts as a natural calcium channel blocker to relax uterine muscle. Together they address the root cause.
CaveatsDo not take additional calcium, as cramps involve too much calcium-driven contraction. Ensure adequate magnesium intake, as vitamin D won't work without it. Monitor vitamin D blood levels; target above 90 ng/mL for fibroids/endometriosis.

Berg explains that vitamin D has two physiological systems: one for bone and calcium regulation, and another for immune and soft tissue function that requires daily dosing. He criticizes existing studies for using infrequent megadoses (300,000 IU once monthly or 50,000 IU weekly) that only raised blood levels to 30 ng/mL, which he deems insufficient. He advocates daily dosing to saturate tissues before menstruation. He emphasizes the synergy with magnesium: without magnesium, vitamin D remains inactive; without vitamin D, magnesium absorption is impaired. He recommends magnesium glycinate for its high bioavailability (80% absorption vs. 3% for magnesium oxide). He also notes that many common conditions (insulin resistance, obesity, darker skin) increase the required dose, so 20,000 IU daily is a starting point.

Mechanism

Vitamin D3 suppresses prostaglandin synthesis, reduces vasopressin, lowers PTH by improving calcium absorption, and inhibits NF-kB. Magnesium blocks calcium channels, promoting smooth muscle relaxation.

vitamin D3 20,000 IUs at least that every day with magnesium I would take a magnesium glycinate

Also said
“That system of vitamin D is needed daily. Okay? You should be taking vitamin D daily or getting sun daily.”— Justifies daily dosing over weekly/monthly.
“without vitamin D, magnesium won't work. And without magnesium, vitamin D won't work.”— Reinforces the mandatory pairing.
“I would take a magnesium glycinate because that's the best absorbable form of magnesium you absorb like 80% versus magnesium oxide which you're only absorbing like 3%”— Specifies the preferred form and absorption data.

Low-Carb Ketogenic Diet

WhatAdopt a low-carbohydrate, healthy ketogenic diet to reduce insulin resistance and improve absorption of vitamin D and magnesium.
WhenOngoing dietary change.
DoseNot specified; implies sustained low-carb eating.
For whomWomen with menstrual cramps, particularly those with insulin resistance, prediabetes, or diabetes.
WhyInsulin resistance blocks vitamin D and magnesium absorption; lowering insulin via low-carb diet enhances the effectiveness of supplementation.

Berg argues that insulin resistance is a major hidden barrier to resolving vitamin D deficiency. He states that when you have insulin resistance, 'vitamin D is not going to be going in or being absorbed near as well.' He points to diabetics as an example of poor vitamin D absorption. Therefore, simply taking vitamin D may not be enough if the diet remains high in carbohydrates. He recommends a healthy ketogenic diet as a way to tackle this barrier at its root, making the vitamin D protocol more effective. This is presented as a necessary co-factor, not an optional add-on.

Mechanism

High insulin levels impair vitamin D metabolism and cellular uptake. A low-carb diet lowers insulin, improving insulin sensitivity and thereby facilitating vitamin D and magnesium utilization.

highly recommend you go on a low carb diet, a healthy version of the ketogenic diet. Why? So that way, we don't have to deal with this other barrier with absorbing vitamin D and magnesium, which is insulin resistance.

Also said
“If you can improve insulin sensitivity, you will also improve your absorption of vitamin D3.”— Direct cause-effect statement.
“just take a look at a diabetic. They're not really absorbing near as much vitamin D as they need.”— Illustrative example.

Intermittent Fasting

WhatReduce meal frequency to 2 meals or even 1 meal per day (intermittent fasting) to accelerate improvements in insulin sensitivity and vitamin D absorption.
WhenDaily eating pattern.
Dose2 meals or 1 meal per day, as opposed to 6 meals (3 meals + 2 snacks).
For whomWomen with menstrual cramps, especially those with insulin resistance.
WhyLess frequent eating rapidly improves insulin sensitivity, removing a barrier to vitamin D and magnesium absorption.

Berg contrasts intermittent fasting with the common advice to eat six small meals a day. He asserts that eating less frequently speeds up the improvement of insulin sensitivity, thus boosting vitamin D absorption. He suggests that combining intermittent fasting with a low-carb diet creates a powerful synergy to overcome insulin resistance, making the vitamin D protocol far more effective. This is the third pillar of his core strategy.

Mechanism

Fasting periods lower insulin levels and increase insulin sensitivity, which in turn enhances vitamin D metabolism and cellular uptake.

you want to do intermittent fasting. So, you don't want to be eating six meals a day, three meals with two snacks. You want to maybe do two meals or even one meal because the less frequent you eat, the faster you're going to improve this insulin sensitivity and thus increase your vitamin D absorption.

Cod Liver Oil

WhatTake cod liver oil, which in randomized controlled trials worked as well as ibuprofen for menstrual cramps without side effects.
WhenNot specified; presumably daily or during cramps.
DoseNot specified.
For whomWomen seeking a natural alternative to ibuprofen.
WhyProvides omega-3 fatty acids and vitamins A and D; anti-inflammatory effects comparable to NSAIDs.

cod liver oil ... work as well as ibuprofen without the side effects for menstrual cramps

Vitamin E (Tocotrienols)

WhatTake vitamin E as tocotrienols (not tocopherols) or obtain from leafy greens, nuts, and seeds to reduce cramps.
WhenNot specified.
DoseNot specified.
For whomWomen with cramps.
WhyVitamin E has been shown to help reduce cramps; tocotrienols are a more effective form.

I would recommend taking the type of vitamin E called tocatrinols, not the tcopherols, because the tocatrinols just work a lot better.

Vitamin B1 (Nutritional Yeast)

WhatConsume nutritional yeast on salads to obtain vitamin B1 (thiamine), which can reduce nerve sensitivity and pain, along with other B vitamins.
WhenRegularly, e.g., on salads.
DoseNot specified; a serving of nutritional yeast.
For whomWomen with cramps, especially those with nerve-related pain.
WhyA large RCT showed 100 mg B1 for 1-3 months gave dramatic relief; nutritional yeast provides B1 plus B6 and other B vitamins.

If you consume nutritional yeast on your salad, that will give you not only enough B1 that can help the nerve sensitivity issue and the actual pain, but also can give you B6 and the other B vitamins

Red Meat for Iron

WhatReplace iron through red meat, not pills, to address potential iron deficiency contributing to cramps.
WhenRegular consumption.
DoseNot specified.
For whomWomen with heavy menstrual bleeding or iron deficiency.
WhyRed meat provides highly bioavailable heme iron, which is better than supplements.

The best source of replacing the iron is red meat, not from a pill.

Zinc from Red Meat

WhatEnsure adequate zinc intake, ideally from red meat, to support vitamin D absorption and reduce menstrual pain.
WhenRegular consumption.
DoseNot specified.
For whomWomen with cramps.
WhyZinc is necessary for vitamin D3 absorption and has pain-reducing effects.

Zinc is also necessary to help you absorb vitamin D3 as well as reduce pain from menstrual cycle issues. And you can get the zinc from the red meat.

Regular Exercise

WhatEngage in regular exercise, which has been shown to reduce the risk of menstrual cramps.
WhenRegularly.
DoseNot specified.
For whomAll women.
WhyExercise likely improves circulation, reduces inflammation, and balances hormones.

regular exercise has been shown to reduce this risk of menstrual cramps.

Fenugreek

WhatTake fenugreek, which in an RCT was comparable to NSAIDs for menstrual cramps without side effects.
WhenNot specified.
DoseNot specified.
For whomWomen seeking a natural alternative.
WhyFenugreek has anti-inflammatory and analgesic properties.

There was a a randomized control trial that I saw that compared fenugreek a natural thing to NSAIDs but without the side effects.

Heating Pad Therapy

WhatApply a heating pad (hot water bladder) over the lower pelvis where the uterus is; this therapy was comparable to NSAIDs in effectiveness without side effects.
WhenDuring cramps.
DoseAs needed.
For whomWomen with cramps.
WhyHeat relaxes muscles and improves blood flow, reducing pain.

this therapy also was comparable to NSAIDs without the side effect.

Ginger

WhatTake ginger, which was comparable to NSAIDs in a randomized controlled study for menstrual pain.
WhenNot specified.
DoseNot specified.
For whomWomen with cramps.
WhyGinger has anti-inflammatory properties.

ginger was also comparable to NSAIDs on a randomized control study.

What's new

Personal practice updates, fresh positions, predictions

5 items

vitamin-d-deficiency-root-cause

Primary dysmenorrhea is not idiopathic; it stems from a severe vitamin D3 deficiency that elevates prostaglandins, vasopressin, parathyroid hormone, and inflammation.

Why this matters: This root cause is absent from medical consensus, Google, and ChatGPT; standard care relies on NSAIDs and hormonal contraceptives that only mask symptoms.

Background

Conventional medicine labels primary dysmenorrhea as idiopathic (unknown cause) and treats secondary dysmenorrhea as resulting from fibroids, endometriosis, or cysts, without linking them to vitamin D.

Berg begins by noting that the true cause of menstrual cramps is never mentioned in mainstream sources. He walks through clues from Wikipedia: cramps involve prostaglandins (pain chemicals), elevated vasopressin (causing vasoconstriction), high parathyroid hormone (leading to erratic calcium mobilization and muscle spasms), increased NF-kB-driven inflammation, a 33% higher prevalence in black women, and the fact that calcium channel blockers are sometimes used — indicating excessive calcium-driven contraction. He then demonstrates how vitamin D3 directly counters each factor: it downgrades prostaglandins, suppresses vasopressin, lowers parathyroid hormone by enabling dietary calcium absorption (so the body doesn't need to pull calcium from bones), acts as a potent anti-inflammatory by turning off NF-kB, and explains that melanin in darker skin blocks UV, causing higher deficiency rates and thus more cramps and fibroids. He also asserts that fibroids, endometriosis, and ovarian cysts are themselves manifestations of severe vitamin D deficiency, and that shrinking benign tumors requires blood levels above 90 ng/mL. Berg criticizes Wikipedia for claiming insufficient evidence for natural remedies while ignoring the side effects of NSAIDs and birth control. He emphasizes that this information is suppressed because it falls outside medical consensus, which is influenced by biased groups.

Personal experience

Berg describes his discovery process: 'I found out about it and using various clues' from Wikipedia, piecing together the root cause that is otherwise hidden.

The actual root cause of menstrual cramps isn't even mentioned once. ... It's a severe vitamin D3 deficiency.

Also said
“vitamin D downgrades prostaglandins. Vitamin D also suppresses and reduces vasopressin.”— Shows direct antagonism of two key pain/constriction pathways.
“the parathyroid hormone is a surrogate for vitamin D.”— Reframes high PTH as a marker of low vitamin D, not a primary problem.
“a fibroid is a severe vitamin D deficiency just like endometriosis and just like a cyst on the ovary.”— Extends the root cause to common gynecological conditions.

parathyroid-hormone-surrogate

High parathyroid hormone (PTH) during the menstrual cycle is a surrogate marker for vitamin D deficiency; PTH rises to mobilize calcium from bone when dietary calcium absorption is low due to insufficient vitamin D.

Why this matters: This reframes hyperparathyroidism as a consequence of vitamin D deficiency rather than a standalone disorder, and explains why calcium gluconate can temporarily relieve cramps.

Background

PTH is known to regulate calcium, but its elevation in menstrual cramps is typically not linked to vitamin D status.

Berg explains that PTH's job is to keep blood calcium stable. When vitamin D is low, calcium absorption from the gut drops, so PTH rises to pull calcium from bones. This process is erratic and can cause smooth muscle cramps, tetany, and spasms. He notes that some women get relief from calcium gluconate because providing calcium suppresses PTH, but the root fix is vitamin D, which allows dietary calcium absorption and keeps PTH low. He emphasizes that 'when you have a high parathyroid hormone, all that means is you don't have enough vitamin D.' This insight ties together the calcium channel blocker clue and the muscle contraction problem.

the parathyroid hormone is a surrogate for vitamin D.

Also said
“when you have a high parathyroid hormone, all that means is you don't have enough vitamin D”— Directly states the surrogate relationship.
“some people use the remedy calcium gluconate for their menstrual cramps because when you're taking calcium, you're automatically going to reduce this high parathyroid hormone”— Explains why calcium supplementation can give temporary relief, but vitamin D is the root solution.

fibroids-endometriosis-cysts-vitamin-d

Uterine fibroids, endometriosis, and ovarian cysts are manifestations of severe vitamin D deficiency, and shrinking benign tumors requires blood levels of vitamin D above 90 ng/mL.

Why this matters: Positions common gynecological conditions as fundamentally nutritional deficiencies, with a specific therapeutic target (90 ng/mL) rarely discussed in standard care.

Background

These conditions are usually treated surgically or with hormonal therapy, not high-dose vitamin D.

Berg points out that black women have a 3-9 times increased risk of fibroids and 33% more severe cramps, which he attributes to melanin blocking UV and causing lower vitamin D levels. He then states that fibroids, endometriosis, and ovarian cysts are all severe vitamin D deficiency states. He references data suggesting that to shrink a benign tumor, vitamin D blood levels must exceed 90 ng/mL, far above the typical 20-40 ng/mL considered 'normal'. He implies that standard vitamin D dosing will not achieve this, and that aggressive supplementation is needed. This connects the dots between the higher prevalence in darker-skinned women and the root cause.

a fibroid is a severe vitamin D deficiency just like endometriosis and just like a cyst on the ovary.

Also said
“if you're trying to shrink a benign tumor, you're going to have to get your vitamin D blood levels above 90 nanogs per milliliter”— Provides a specific, actionable blood level target.
“black women compared to white women. There's a 33% more likelihood of getting severe cramps and also a 3 to nine times increased risk of getting fibroids.”— Epidemiological clue linking melanin, vitamin D, and these conditions.

magnesium-natural-calcium-channel-blocker

Magnesium is a natural calcium channel blocker that counteracts excessive calcium-induced muscle contraction; without magnesium, vitamin D cannot work, and without vitamin D, magnesium cannot work.

Why this matters: Reframes menstrual cramps as a calcium-magnesium imbalance, and highlights the interdependence of vitamin D and magnesium.

Background

Calcium channel blockers are prescription drugs used for hypertension; magnesium is not typically discussed as a natural alternative for cramps.

Berg explains that menstrual cramps involve too much calcium inside smooth muscle cells, causing contraction. Calcium channel blockers are sometimes used to treat cramps, but magnesium is a natural calcium channel blocker that promotes relaxation. He stresses that anytime you have a cramp, you need more magnesium. Crucially, he notes the bidirectional dependency: vitamin D requires magnesium for its activation and function, and magnesium requires vitamin D for absorption and utilization. Therefore, supplementing vitamin D without magnesium is ineffective, and vice versa. This is why he pairs them in his main protocol.

a natural calcium channel blocker is magnesium.

Also said
“Anytime you have a cramp, that means you need more magnesium.”— Simple diagnostic rule.
“without vitamin D, magnesium won't work. And without magnesium, vitamin D won't work.”— Highlights the essential synergy.

medical-consensus-suppression

The true root cause of menstrual cramps (vitamin D deficiency) is omitted from medical consensus, Google, and ChatGPT because it is not part of the biased group agreement that shapes guidelines.

Why this matters: Directly accuses the medical establishment of suppressing a simple nutritional solution while promoting drugs with side effects.

Background

Wikipedia's alternative medicine section claims insufficient evidence for natural remedies, yet Berg argues the safety evidence for NSAIDs and hormonal treatments is also problematic.

Berg opens by stating that the root cause is never mentioned, and he knows why: it's not part of medical consensus, which is influenced by biased groups. He notes that searching Google or ChatGPT yields no mention of vitamin D deficiency as a cause. He then reads from Wikipedia's alternative medicine section, which states there is insufficient evidence to recommend many herbal and dietary supplements, and that safety evidence is insufficient. He finds it fascinating that they highlight lack of safety evidence for natural things while ignoring the side effects of NSAIDs, birth control pills, and Depo-Provera. He implies a double standard designed to discourage alternatives. This sets up his entire presentation as a counter-narrative to mainstream information.

Personal experience

He shares his reaction: 'I just found it fascinating that they stuck that in there because obviously they're just trying to discourage you from trying an alternative.'

The actual root cause of menstrual cramps isn't even mentioned once. ... it's basically because it's not part of medical consensus.

Also said
“when you try to look up menstrual cramps on Google or even Chut BT, you are not going to find this.”— Claims the information is absent from common search tools.
“There is insufficient evidence to recommend the use of many herbal and dietary supplements for treating dysmenorhea... A 2016 review found that evidence of safety is insufficient for most dietary supplements.”— Verbatim Wikipedia quote he uses to illustrate the bias.

Recommendations

Products, supplements, and tools mentioned in the episode

7 items

Cod Liver Oil

Supplement

Mentioned as an RCT-backed alternative to ibuprofen for menstrual cramps, used historically in medicine.

vs alternatives

Comparable to ibuprofen without side effects.

cod liver oil ... work as well as ibuprofen without the side effects for menstrual cramps

Find Cod

Vitamin E (Tocotrienols)

Supplement

Recommended in tocotrienol form for better efficacy; also available from leafy greens, nuts, seeds.

vs alternatives

Tocotrienols work better than tocopherols.

I would recommend taking the type of vitamin E called tocatrinols, not the tcopherols

Find Vitamin

Nutritional Yeast (for B1)

Supplement

Provides B1 (thiamine) to help nerve sensitivity and pain, plus B6 and other B vitamins. Referenced a large RCT with 100 mg B1 for 1-3 months.

consume nutritional yeast on your salad, that will give you not only enough B1 that can help the nerve sensitivity issue and the actual pain

Find Nutritional

Red Meat for Iron and Zinc

Practice

Best source of heme iron to replace losses, and provides zinc for vitamin D absorption and pain reduction.

vs alternatives

Red meat is superior to iron pills.

The best source of replacing the iron is red meat, not from a pill.

Find Red

Fenugreek

Supplement

An RCT compared fenugreek to NSAIDs and found it effective without side effects.

vs alternatives

Comparable to NSAIDs without side effects.

There was a a randomized control trial that I saw that compared fenugreek a natural thing to NSAIDs but without the side effects.

Find Fenugreek

Heating Pad (Hot Water Bladder)

Tool

Apply over lower pelvis; therapy comparable to NSAIDs in effectiveness without side effects.

vs alternatives

Comparable to NSAIDs without side effects.

this therapy also was comparable to NSAIDs without the side effect

Find Heating

Ginger

Supplement

RCT showed ginger comparable to NSAIDs for menstrual pain.

vs alternatives

Comparable to NSAIDs.

ginger was also comparable to NSAIDs on a randomized control study

Find Ginger
Disclosed sponsorships1speaker disclosed

Lucy, Nora, and Freeman on the Hunt for Real Food

Book Sponsored · disclosed

A children's book teaching the difference between real food and junk food, with simple language for 6-year-olds, recipes included. Berg created it for his grandkids and refined it based on feedback.

DisclosureEric Berg is the author and creator of this children's book, featuring his grandkids.

Berg shares the story of creating the book: the first version had too many words, so his granddaughter Lucy told him 'Grandpa, there's too many words in this book.' He simplified it to make it accessible. The book includes a story where Lucy teaches Nora and Freeman about real vs. junk food, tips for eating at restaurants, and healthy recipes like shortbread cookies, vanilla keto sponge cake, keto fluffy pancakes, and yogurt popsicles. He promotes it as a tool to teach kids early about healthy eating.

Personal experience

He recounts reading the first version to Lucy and her feedback, which led to a revision.

I sat down with Lucy to read it to her to surprise her. And I was thinking that she would be really excited about it, but halfway through it, she stopped me and said, 'Grandpa, there's too many words in this book.'

Find Lucy,

Notable quotes

Lines worth pulling out — contrarian, specific, or perfectly phrased

6 items
The actual root cause of menstrual cramps isn't even mentioned once.
Bold claim that mainstream medicine ignores the true cause.
It's a severe vitamin D3 deficiency.
The central thesis, stated plainly.
the parathyroid hormone is a surrogate for vitamin D.
Reframes a common lab marker as a vitamin D indicator.
a natural calcium channel blocker is magnesium.
Positions a common mineral as a drug alternative.
if you're trying to shrink a benign tumor, you're going to have to get your vitamin D blood levels above 90 nanogs per milliliter.
Specific, actionable target rarely mentioned.
cod liver oil ... work as well as ibuprofen without the side effects
Head-to-head comparison with a common painkiller.

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Topics covered

menstrual-crampsvitamin-d-deficiencyprostaglandinsvasopressinparathyroid-hormonemagnesiumcalcium-channel-blockerslow-carb-dietintermittent-fastinginsulin-resistancecod-liver-oilvitamin-evitamin-b1ironzincexercisefenugreekheating-padgingerfibroids
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