Frequently Asked Questions about Premcal and PMS

Below are some of the most frequently asked questions about Premcal. If you still have questions, please click here to contact Dr. Susan.


Do I suffer from PMS?

Most women, and even men, are aware of the emotional ups and downs that occur every month before the onset of menstruation. Some women, though, have become so tolerant of their discomfort that they no longer consider it a problem. However, many women do not realize that those monthly headaches, crying spells, outbreaks with a sense of being out of control and those intense food cravings can all be due to PMS.

If the symptoms improve after the onset of menstrual bleeding, PMS is likely to be present. If the symptoms persist throughout the menstrual cycle, a problem other than PMS may be the cause.

A woman who thinks that she may have PMS should track her symptoms every day using a PMS Diary (downloadable PDF). Alternatively, she can ask a loved one to complete the diary on her behalf. Preferably, this should be done for one to two months. Every day, a score is calculated by adding up the severity grade for each of the 17 symptoms. PMS is present if the daily scores before menstruation are markedly higher than those after the onset of menstruation. Having a loved one, friend, husband, or even parent track symptoms can be very helpful especially after starting Premcal. Often they will note that Premcal has improved PMS symptoms before the woman herself recognizes this.


Should I take Premcal?

Premcal is a unique, natural formula that provides proven relief for the woman who suffers from PMS. It achieves this relief by restoring the body’s balance of essential minerals and vitamins. Because every woman’s well-being is improved when the body’s balance of essential elements is optimized, Premcal will benefit most women. Premcal may be of particular benefit for women and men with conditions that require higher than normal doses of vitamin D (e.g. malabsorption, osteoporosis, or osteomalacia). Such individuals should discuss the use of Premcal with their physician.


How much Premcal is right for me?

If you do not know your vitamin D level, it is recommended that you begin with Premcal Extra Strength at 2 tablets daily.

During the summer months, vitamin D levels increase and less supplemental vitamin D is necessary. Therefore, if you have prolonged or intense sun exposure, it is recommended that you switch to one tablet of Premcal Extrastrength per day. During all other months, your body’s vitamin D levels tend to decrease because of less sun exposure. When this occurs, more Premcal is recommended.


Who should not take Premcal?

Women with a calcium disorder such as primary hyperparathyroidism (a gland disorder), hypercalciuria (excessive loss of calcium in the urine), elevated calcium levels or those with kidney disease should not take Premcal, without consulting with their physicians. Women with kidney stones should also consult with their physicians before taking Premcal.


What should I expect when I begin taking Premcal? How long will it take before I feel better? Will Premcal work immediately?

It usually takes 1 to 2 months to feel a real difference with Premcal. You may not notice any effect during the first month, other than a subtle sense of well-being and a disappearance of your edginess. However, those who surround you such as your colleagues or loved ones will usually take notice of a very different person within the first month. Some women appear to have an ‘awakening’ or eruption of emotional and physical symptoms during the 1st month and feel that their symptoms are actually worsening. HANG IN THERE!! The majority of symptoms will improve. The moodiness, crying spells and other emotional symptoms will dissipate over 2-3 months.


Do I have to take Premcal every day? Can I take it only before my menstrual period?

Because Premcal works by gradually restoring your body’s balance of essential minerals and vitamins, it is recommended that Premcal be taken every day. However, many women have now reported that taking 2 tablets immediately at the time of their PMS symptoms is very effective in alleviating their symptoms. Note, that even if PMS symptoms improve, your well-being and bone health will continue to depend on an optimal balance of calcium and vitamin D.


What side effects may occur with Premcal?

Premcal can cause constipation and initial nausea if taken on an empty stomach. It is advised that Premcal be taken with meals. As with any calcium and vitamin D supplement, there is a potential for kidney stones. This is especially so if you have had a previous history of kidney stones and have been told of excessive calcium losses in the urine.


How does Premcal work?

In most instances, PMS is due to an imbalance in your body of essential minerals. Premcal acts to replete the body’s calcium and vitamin D stores and normalize the exaggerated fluctuations of the calcium hormones that trigger the PMS symptoms.


What will happen if I stop taking Premcal after taking it for months and feeling much better?

If your diet does not have adequate amounts of calcium and vitamin D, stopping the Premcal will most likely result in a return of PMS symptoms.


If I drink juice products with calcium or milk daily, do I really need Premcal?

Foods such as yogurt, milk, and cheese are a good primary source of calcium. For example, one cup of skim milk contains 302 mg of elemental calcium, 1 ounce of Swiss cheese contains 272 mg of elemental calcium, 3 ounces of sardines contains 372 mg of elemental calcium and ½ cup of cooked collards contains 168 mg of calcium. Modification of your diet to include adequate amounts of yogurt or milk is always recommended. Using one daily yogurt and one glass of skim milk is the equivalent of a 500 mg calcium tablet. However, remember that few foods have adequate contents of vitamin D, because vitamin D is mainly synthesized in the body’s skin on exposure to sunlight. Even if you use a lot of dairy products, but do not have adequate sun exposure, your body will not have enough vitamin D. Premcal provides both vitamin D and calcium. If you are certain that your diet contains at least 500 to 700 mg of calcium, you should take one tablet daily of Premcal-Extra strength for adequate vitamin D supplementation.


Why don't I feel better after 2 to 3 months of Premcal?

If you are still experiencing the same number and severity of symptoms after 2 to 3 months on Premcal, you may be gluten or wheat sensitive. Gluten or wheat can sometimes interfere with adequate nutrient absorption. Consider checking with you health care advisor if your symptoms have not improved considerably.