Avoid foods high in refined white flour and sugar products which give a big burst of energy after consumption then drop you to a low blood sugar state causing fatigue, anxiety, irritability and shakiness. Avoid caffeine, i.e. coffee, tea, chocolate and caffeinated soft drinks, which may act as a nerve stimulant and can increase anxiety. Caffeine may also make lumpy tender breasts feel worse. Cut your red meat consumption to 3 times weekly. Decrease your intake of highly processed foods, alcohol, chocolate, fatty foods, and nicotine.
Exercise is often useful in helping people to relax and reduce frustrations.
Exercise 3 times per week for 30-40 minutes. Cigarettes should be eliminated since nicotine is a brain stimulant and can contribute to tension and anxiety that a woman with PMS may feel. Avoid Alcohol and street drugs. Stress management and relaxation programs may be beneficial. Vitamin E may be helpful taken in doses from 150 to 300mg a day.