Q: Your body requires a balanced diet to support optimal functioning. Unfortunately, most of us don't eat a diet complete with all of the vitamins and minerals necessary. To make sure you get enough, take a high-quality multivitamin each day to help reduce your overall health risk and support bodily functions. Ask your doctor, pharmacist, or nutritionist for recommendations about which brand of vitamin to take. Not all multivitamins are the same, and because they are not regulated by the FDA, you want to make sure you are buying a brand you can trust. Multivitamins will help balance your vitamin intake, in order to reduce the effects of fatigue during menstruation. Although you may be taking a multivitamin, it may not meet all your requirements, depending upon your nutritional plan. It can be difficult to ensure you receive enough of all the right vitamins every day. 200 mg of magnesium daily has been shown to reduce symptoms of PMS and fluid retention. The addition of vitamin B6 with magnesium reduced the severity of symptoms of PMS, including fatigue, in a study performed on over 150 women. Take 1200 mg of calcium carbonate each day. In studies of women between 18 and 45 years of age, this dose of calcium carbonate supplement was found to decrease symptoms of PMS, including fatigue. In other studies, the use of L-tryptophan was demonstrated to reduce the effects of PMDD, including fatigue, in women. However, L-tryptophan is not used without some risk. Side effects can include blurred vision, dizziness, drowsiness, fatigue, head twitching, hives, nausea, sweating and tremors. Do not add l-tryptophan to your treatment regimen or supplementation until you discuss your individual medical condition with your physician. Birth control pills can help reduce the effects of PMS and extreme fatigue by modulating the hormonal levels in your body during your menstrual cycle. Use the pill for three to four months to determine if it will have the effect you desire. The pill will also lighten your period, help clear your skin and can reduce your risk of ovarian cancer.
A: Take a multivitamin. Consider additional supplementation. Take birth control pills.

Q: Moods, cultural differences and disabilities may cause someone to behave differently than you might expect, even when they are telling the truth. Make sure that you aren't labeling someone a liar because they're different. Nervousness may cause someone to seem like they're lying when they're really just on edge for a different reason. People from Eastern cultures may consider it polite to avoid eye contact. People with Tourette syndrome may have tics that they can't control. People with ADHD tend to be fidgety and they may avoid eye contact. They may talk rapidly, lose their place, tell meandering or repetitive stories, and seem very emotional. Autistic people have different body language, which includes repetitive movements, fidgeting, and avoidance of eye contact in normal situations. They may also repeat themselves and struggle to communicate. They may seem highly emotional or unemotional. Throwing around accusations can damage relationships and your reputation. Avoid making accusations unless you have proof that the person is being dishonest. Keep in mind that sometimes people act dishonestly for understandable reasons; they may not always have malicious intent. Sometimes a little gentle coaxing can get them to open up. Try encouraging them to share more or letting them know that it's okay to tell the truth. "I feel like you're not telling me everything, and I'm willing to listen, even if it's bad news." "I feel like you might have something more you want to tell me." "Even if you did mess up with the job I asked you to do, I wouldn't be mad at you. I want you to be able to come to me for help if things go wrong." "Remember, sweetie, honesty is important in this house. I'd rather have a daughter who tells me that she snuck a cookie from the cookie jar than have a daughter who lies to me about it."
A: Rule out innocent explanations for different body language and speaking habits. Remember that accusing someone of lying can be serious. Try gently teasing out the truth.

Q: In general, the first 36-48 hours of a gout attack are the most painful but you can relieve the initial pain and make sure you are doing all you can to end the gout attack as soon as possible. You can relieve some of the pain of gout by icing the joint. Use an ice pack wrapped in a towel and apply to the affected area for 20-30 minutes every hour that you are awake. Keep the affected joint elevated as much as possible while you ice it. This will help to avoid the blood settling in the area that is being iced. Your can take common pain relievers, such as ibuprofen (eg.Advil, Motrin IB) and naproxen (eg.Aleve). Use any OTC NSAIDs for as short a time as possible. Long-term NSAID use can increase the chances of a heart attack or stroke and can also increase the risk of ulcers and bleeding. Make certain you follow manufacturer's directions exactly. However, avoid any aspirin or topical aspirin products (eg. Aspercreme or any topical cream with salicylates). Aspirin products can cause more uric acid to deposit in the joints. Tylenol (acetaminophen) is not an anti-inflammatory medicine and is not likely to help. You could also take colchicine, but you may need a prescription from a doctor for that medication. For chronic control of gouty flares, you should take allopurinol, which decreases the amount of uric acid in the body. Topical analgesics have been shown to be very effective, especially for joints such as the toes, ankles, knees, elbows and hands. For example, Voltaren gel is a prescription topical NSAID that can greatly reduce gout pain. Talk to your doctor about the use of Voltaren gel Over-the-counter topical treatments that may be helpful include: Capsaicin cream: Capsaicin is a substance derived from cayenne peppers that depletes Substance P a pain signal. Make sure you wash your hands well after applying capsaicin it can cause an intense burning sensation, especially if it gets near your eyes. Homeopathic creams: These include Topricin, which contains a mixture of homeopathic pain remedies. Gout relief ointment: Tanza Botanicals has a Gout Relief Ointment that is made of a number of pain-relieving herbs.
A:
Ice the area. Take over-the-counter pain relievers. Try a topical pain-relief cream or gel.