Birth Control Pills Deplete Vital Nutrients

Holy Hormones Honey!: Most women are not aware that birth control pills and other synthetic hormones deplete nutrients.  And if a woman is nutritionally depleted or hormone imbalanced to begin with – she will experience anxiety, and other side effects while on the pill.  Also women going off the pill – OR ANY OTHER SYNTHETIC HORMONE birth control methods – these nutrients need to be replaced BEFORE going off the pill/IUD/Injection/implant so severe withdrawal effects are not experienced.   I am so glad this woman has researched and posted this information.  Raise your hands if your doctor told you about this before you went on the bill.

Sigh. Just as I thought.


The Leaf Lady – Blending Science with the Natural Healing Arts

Birth Control Pills and Nutrient Depletion

Aside from the long list of potential side effects birth control pills can deplete important nutrients.
These nutrients include: Vitamin B2, Vitamin B6, Vitamin B12, Folic Acid, Vitamin C, Magnesium and Zinc.

According to Elson Haas, MD, birth control pills (BCPs) are both the most effective and the most hazardous form of contraception. Preventing pregnancy in this way is done by taking an oral dose of a combination of the hormones estrogen and progestin (synthetic progesterone) in amounts higher than the body’s natural levels. This prevents the pituitary hormones that stimulate ovulation and fertilization of the egg from being released, and thus prevents pregnancy.

Though taking oral contraceptives regularly is 99 percent effective in birth control, there are many possible side effects. Weight gain, emotional swings, circulatory and vascular symptoms, and gastrointestinal upset are not uncommon. Blood clots, liver problems, and cancer are also possible, though relatively rare; these were more common in the 1960s with the higher-dose pills. Many women have difficulty with oral contraceptives, though many others seem to tolerate them well. The use of birth control pills is more common in young women and teenagers, which adds another dimension of uncertainty regarding the nutritional effects of these drugs.

Oral contraceptives may create certain nutrient deficiencies and excesses as well as increase the nutritional needs of the user. Most of the B vitamins, particularly pyridoxine (B6) and folic acid, are needed in higher amounts when birth control pills are taken. The copper level usually rises, and zinc levels often fall. Thus, more zinc is needed as well. An increased need for vitamins C, E, and K may also result from the use of birth control pills.

In Nutrition and Vitamin Therapy, Michael Lesser, M.D., points out that birth control pills cause an alkaline imbalance in the vagina that may lead to increased susceptibility to infection. Extra ascorbic acid, 1-2 grams per day, may help balance the acid environment and prevent this problem. He and other authors also suggest that the increased blood levels of copper generated by oral contraceptive use may contribute to depression and emotional symptoms; additional manganese and zinc may reverse these symptoms. Sharon DeBuren, nurse practitioner and nutritionist, adds that the depression from BCPs is also a neurochemical reaction to artificial steroids (female hormones), and from a lack of a women’s own superior hormones, estradiol and natural progesterone secreted with ovulation. Iron levels may also rise, and less iron may be required because the pills often reduce the amount of menstrual blood loss, as well.

Because BCPs are metabolized by the liver before being eliminated, a diet low in other liver irritants is suggested. Alcohol, cocaine, and other drugs, pesticides and preservative chemicals in food, as well as fried foods should be avoided. Cutting down on refined foods and sugary treats is also suggested; these foods are “empty” calories and may cause further nutrient depletion. Avoiding nicotine and fried foods is also a good idea to prevent further vascular irritation. Teenage girls on “the pill” must also be particularly careful to avoid nutritional deficiencies, and all would be well advised to take a supportive nutritional supplement. Adequate intake of the antioxidant nutrients, such as vitamins C and E, selenium, and beta-carotene, can help reduce potential toxicity of oral contraceptives. The herb, milk thistle, contains silymarin and may be especially helpful.

A high-nutrient diet is the best prevention for problems. Low-fat protein levels and nutritious foods such as whole grains, vegetables, nuts, and seeds are also important. Eating lots of vegetables is the best way to prevent many mineral deficits and also maintain weight. And several teaspoons of cold-pressed vegetable oil, particularly olive oil, should also be used daily to ensure the intake of the essential fatty acids. All of the above-mentioned foods, along with protein intake from such foods as eggs, fish, poultry, dairy foods, and legumes, is a sensible approach. In addition to the usual female adult or teenage levels, if taking oral contraceptives it is recommended that intake of the following nutrients be increased to the levels listed:

Nutrient Daily Amounts (in 1 or 2 doses)
Vitamin B6 50-100 mg.
Vitamin B12 50-200 mcg.
Folic acid 600-800 mcg.
Vitamin E 400-600 IU
Vitamin C 1-3 g.
Zinc 20-40 mg.

Other B vitamins can also be increased to higher levels, such as an additional 25 mg. of each, to balance out the B complex. More antioxidants can also help reduce the deleterious effects of the drugs. These include beta-carotene, selenium, and possibly amino acid L-cysteine to complement the additional vitamins C and E.

Copper intake in supplements should be limited to 1 mg., though the increased zinc intake will help lower copper levels. Whole grains, nuts, seeds, and vegetables will ensure that copper requirements are met. Iron supplements may be decreased somewhat with use of birth control pills unless the menstrual periods are heavy or there is anemia. Iron needs are probably reduced from the usual 18 mg. to around 12-15 mg per day. All of these values can be checked occasionally by blood biochemistry profiles or evaluation of mineral levels to ensure proper individualized care.

Nutrient Program for Oral Contraceptives: Water 1½-3 qt. 

Plus a high quality vitamin-mineral product with at least these nutrients: Vitamin A 5,000-10,000 IUs, Calcium* 600-1,000 mg., Beta-carotene 10,000-20,000 IUs, Chromium 200-400 mcg., Vitamin D 200-400 IUs, Copper 1-2 mg., Vitamin E 400-600 IUs, Iron 15-20 mg., Thiamine (B1) 25-50 mg., Magnesium* 400-600 mg., Riboflavin (B2) 25-50 mg.,
Manganese 5-10 mg., Niacin or niacinamide (B3) 25-50 mg., Molybdenum 150-300 mcg.,  Pantothenic acid (B5) 50-250 mg., Phosphorus 600-800 mg., Pyridoxine(B6) 25-200 mg.,
Potassium 1-2 g., Cobalamin (B12) 50-200 mcg. (at CHI we suggest 2800mcg daily), Selenium 150-300 mcg., Folic acid 600-800 mcg., Zinc 30-60 mg., Biotin 200-400 mcg., PABA 25-50 mg.,

Fatty acids, olive, or Flaxseed oils 1-2 teaspoons

Vitamin C 1-3 g. with Bioflavonoids 250-500 mg.

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Author: Leslie Carol Botha

Author, publisher, radio talk show host and internationally recognized expert on women's hormone cycles. Social/political activist on Gardasil the HPV vaccine for adolescent girls. Co-author of "Understanding Your Mood, Mind and Hormone Cycle." Honorary advisory board member for the Foundation for the Study of Cycles and member of the Society for Menstrual Cycle Research.


  1. Would taking a regular women’s multivitamin be sufficient? Or do you recommend taking all supplements separate?

  2. Hi, Kelsey – anything will help. However, make sure you check the ingredients. Synthetic vitamins do not get absorbed by the body. Make sure the vitamins are natural. I recommend the EMPowerplus Q96 on my blog. It turns out that micronutrients (vitamins, amino acids and minerals) are most effective when they are in ratio with each other. And they are absorbed and get nutrition to the cells in our body. When vitamins are not absorbed – they get caught in the digestive tract and get excreted into the urine. A waste of money.

    Hope this helps.

    Hormone regards,


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