Selene · Formulation Reference

→ Cycle Science

Methodology

This document describes the complete decision logic behind every pack. It is intended for clinical advisors, formulators, and regulatory reviewers. All ingredient selections, dose justifications, and future biodata integration plans are documented here.

Pack architecture

Each daily pack is assembled by the buildDailyPack() engine in layers. Each layer is gated by subscription tier. Contraindications are evaluated at each step before any item is added.

1
Phase baseAll tiers

The 4–5 core ingredients for the current cycle phase. These are clinically validated for every menstruating person regardless of profile. Cap: 4 capsules.

2
Hormone profile add-ons / removesTargeted + Full

Profile-specific ingredients added. Items that worsen the profile's core pathophysiology are removed from the base stack.

3
Lifestyle flagsTargeted + Full

Breastfeeding → iodine + choline. Plant-based → algae DHA replaces fish oil, B12 added. High melanin → D3 boosted.

4
Wearable biodataFull only

HRV dip → cortisol buffer. Low sleep score → calm support. Elevated glucose → metabolic support. Temp deviation → phase prediction signal.

5
User goalsFull only

Self-reported goals mapped to clinical supplements via GOAL_BOOSTS table. Goals can add items not in any base or profile stack.

6
Explicit add-on subscriptionsAll tiers

User-selected add-on ingredients bypass tier capsule caps. They are checked for contraindications but always included if safe.

Tier caps

Capsule cap
Powder cap
Guide
uncapped
99
Essential
4
0
Targeted
8
1
Full Protocol
uncapped
3
Clinical
uncapped
3

Phase base stacks

These ingredients are included for all subscribers in each phase, regardless of profile or tier. They address the primary hormonal and physiological shifts of each phase.

Menstrual

Days 1–5

Magnesium Glycinate— "The Unwind"

300mg

Relaxes uterine muscle and calms the nervous system — the most evidence-backed PMS supplement.

strong

Omega-3 (EPA/DHA)— "Anti-Flame"

500mg EPA+DHA

Competes with prostaglandins to reduce cramping and systemic inflammation.

strong

Iron Bisglycinate— "Replenish"

18mg

Gentle iron that replenishes what you lose each cycle without GI upset.

strong

Ginger Extract— "Pain Patrol"

250mg

Inhibits prostaglandins — as effective as ibuprofen for dysmenorrhea in RCTs.

strong

Follicular

Days 6–13

B-Complex— "Fuel Up"

1 capsule

B vitamins power mitochondria — especially important as estrogen rises and energy should too.

strong

Rhodiola Rosea— "Go Mode"

200mg

Adaptogen that sustains the follicular energy lift and sharpens focus without a crash.

moderate

Vitamin D3— "Sunshine"

2000 IU

Vitamin D deficiency is epidemic and disrupts the HPG axis — critical for cycle regularity.

strong

Zinc Bisglycinate— "Clear Skin"

15–25mg

Peaks at ovulation — critical for follicle maturation, plus blocks 5α-reductase (less acne).

strong

Ovulatory

Days 14–16

Maca Root— "Heat Wave"

500mg

Amplifies libido at its natural peak — works on the hypothalamus, not hormones directly.

moderate

CoQ10— "Egg Power"

200mg

Mitochondrial fuel for developing follicles — most critical in the 90 days before ovulation.

moderate

Zinc Bisglycinate— "Clear Skin"

15–25mg

Peaks at ovulation — critical for follicle maturation, plus blocks 5α-reductase (less acne).

strong

Vitamin B6— "Serotonin Seed"

50mg

Cofactor for serotonin synthesis — directly counters the luteal serotonin dip.

strong

Luteal

Days 17–28

Magnesium Glycinate— "The Unwind"

300mg

Relaxes uterine muscle and calms the nervous system — the most evidence-backed PMS supplement.

strong

Vitex (Chasteberry)— "The Balancer"

400mg

Raises progesterone by lowering prolactin — reduces PMS in 52% of users vs 24% placebo.

strong

Vitamin B6— "Serotonin Seed"

50mg

Cofactor for serotonin synthesis — directly counters the luteal serotonin dip.

strong

Saffron Extract— "Mood Lift"

30mg

Comparable to fluoxetine for PMS mood symptoms at 30mg in RCTs. Raises serotonin naturally.

strong

Calcium Carbonate— "PMS Shield"

500mg

48% reduction in PMS symptom score in trials — most effective supplement for overall PMS.

strong

Hormone profiles (18 total)

Each profile is detected from the intake quiz, symptom selection, age, and cycle parameters. The table below shows the complete ingredient stack at each tier, per cycle phase.

Essential $39Targeted $59Full $79Clinical $129
The Heavy PhaseEstrogen-dominant pattern

High estrogen relative to progesterone — common in the 30s–40s. Drives heavy periods, bloating, breast tenderness, and mood dips in the second half of your cycle.

Detection: heavy-periodsbreast-tendernessbloatingweight-gainfibroidsendometriosis
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ DIM (Diindolylmethane) 200mg(moderate)+ Calcium D-Glucarate 500mg(emerging)+ Vitex (Chasteberry) 400mg(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: estrogen-deficient
The Crash BeforeLow-progesterone / luteal pattern

Short or spotty luteal phase, anxiety that spikes before your period, sleep trouble in the second half of the month. Progesterone is your "calm" hormone — when it's low, everything feels harder.

Detection: short-luteal-phasespotting-before-periodanxietysleepmiscarriage-historypms
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Vitex (Chasteberry) 400mg(strong)+ Ashwagandha (KSM-66) 300mg(strong)+ Vitamin B6 50mg(strong)+ Magnesium Glycinate 300mg(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: hormonal-bcivf
Out of SyncPCOS / androgen pattern

Irregular cycles, chin or jaw acne, unwanted facial hair, or a PCOS diagnosis. Driven by insulin resistance and excess androgens — the good news is both respond well to targeted nutrition.

Detection: irregular-cyclesacnefacial-hairpcosinsulin-resistanceweight-gainhair-loss
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)Red Clover Isoflavones
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Myo-Inositol 2g(strong)+ Berberine 500mg(strong)+ Spearmint Extract 900mg(moderate)+ NAC (N-Acetyl Cysteine) 600mg(moderate)+ Zinc Bisglycinate 15–25mg(strong)+ Synbiotic Blend (L. acidophilus · L. rhamnosus · L. reuteri · L. plantarum · FOS) 10 billion CFU(moderate)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: metformin
The Quiet PatternLean PCOS / hypothalamic pattern

PCOS without insulin resistance — normal or low BMI, irregular or absent cycles, and often elevated LH. The driver is hypothalamic dysfunction, not metabolic. Berberine is wrong here: it lowers blood sugar that's already normal and can cause reactive hypoglycemia. Inositol works on FSH signaling independent of insulin sensitivity; spearmint and NAC target androgen excess directly without touching blood sugar.

Detection: lean-pcospcos-leanthin-pcosnormal-weight-pcospcos-no-irpcos-no-insulin
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)Maca RootRed Clover Isoflavones
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Myo-Inositol 2g(strong)+ Spearmint Extract 900mg(moderate)+ NAC (N-Acetyl Cysteine) 600mg(moderate)+ Zinc Bisglycinate 15–25mg(strong)+ Vitamin D3 2000 IU(strong)+ Synbiotic Blend (L. acidophilus · L. rhamnosus · L. reuteri · L. plantarum · FOS) 10 billion CFU(moderate)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
The ShiftPerimenopause pattern

Cycles getting irregular, hot flashes, sleep disruption, and a mood you don't recognize. Usually starts in the early 40s — your estrogen is fluctuating wildly before it declines for good.

Detection: hot-flashesnight-sweatsirregular-cyclesvaginal-drynesssleepage-40-plusperimenopause
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Black Cohosh 40mg(strong)+ Red Clover Isoflavones 80mg isoflavones(moderate)+ Ashwagandha (KSM-66) 300mg(strong)+ Selenium 200mcg(strong)+ NR (Nicotinamide Riboside) 300mg(moderate)+ L. brevis KABP052 1 billion CFU(moderate)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: hormone-sensitive-cancers
The New ChapterPost-menopausal pattern

No more cycles, but the work isn't done. Post-menopause is the window for bone building, cardiovascular protection, and cognitive maintenance. Estrogen is low and stable — the stack here protects the systems it used to support.

Detection: post-menopausepostmenopausemenopause-completeno-periods-yearsage-55-plus
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)Maca Root
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Vitamin K2 (MK-7) 100mcg(strong)+ Calcium Carbonate 500mg(strong)+ Collagen Peptides (Bovine) 10g(moderate)+ Phosphatidylserine 100mg(moderate)+ Red Clover Isoflavones 80mg isoflavones(moderate)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: hormone-sensitive-cancers
The Supported ChapterPost-menopause with hormone therapy

You're already managing estrogen via prescription — phytoestrogens (red clover, soy isoflavones) add uncontrolled estrogen on top of a calibrated dose and don't belong here. The stack covers the downstream gaps your HRT doesn't: bone mineral density via K2 directing calcium into bone not arteries, cognitive support via phosphatidylserine, and cardiovascular protection via omega-3. Confirm additions with your prescribing physician.

Detection: hrthormone-replacementhormone-therapyestradiolbioidentical-hormonesestrogen-patchestrogen-pillmenopause-hrt
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)Maca RootRed Clover Isoflavones
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Vitamin K2 (MK-7) 100mcg(strong)+ Calcium Carbonate 500mg(strong)+ Collagen Peptides (Bovine) 10g(moderate)+ Phosphatidylserine 100mg(moderate)+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: hormone-sensitive-cancers
Running on EmptyLow-estrogen pattern

Dry skin, vaginal dryness, low libido, joint aches, or brain fog that doesn't lift. Can happen post-pill, during intense training, or from undereating. Estrogen isn't just a reproductive hormone — it's everywhere.

Detection: vaginal-drynesslow-libidobrain-fogjoint-painpost-pillamenorrhealow-bmi
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: DIM (Diindolylmethane)Calcium D-Glucarate
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Red Clover Isoflavones 80mg isoflavones(moderate)+ Maca Root 500mg(moderate)+ Tribulus Terrestris 250mg(moderate)+ Collagen Peptides (Bovine) 10g(moderate)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: hormone-sensitive-cancers
The Dark WindowPMDD pattern

In the 1–2 weeks before your period, mood, anxiety, or rage become hard to manage — then they lift the moment bleeding starts. PMDD is a neurological sensitivity to progesterone fluctuation, not a character flaw.

Detection: pmddragesevere-mood-swingssuicidal-thoughts-lutealanxiety-lutealdepression-luteal
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Saffron Extract 30mg(strong)+ Calcium Carbonate 500mg(strong)+ Vitamin B6 50mg(strong)+ L-Theanine 200mg(moderate)+ Magnesium Glycinate 300mg(strong)+ L. helveticus R0052 + B. longum R0175 (CEREBIOME) 3 billion CFU(moderate)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: ssri
The Hidden WeightThyroid pattern

Persistent fatigue, hair thinning, cold hands and feet, slow metabolism, or a diagnosed thyroid condition. The thyroid sets the tempo for everything — cycles, weight, mood, and energy all follow its lead.

Detection: hypothyroidhashimotosfatiguehair-losscold-intoleranceweight-gainbrain-fogconstipation
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Ashwagandha (KSM-66)
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Selenium 200mcg(strong)+ Methylfolate (5-MTHF) 400mcg(strong)+ Vitamin D3 2000 IU(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: thyroid-meds
The Immune PatternHashimoto's autoimmune thyroiditis

In Hashimoto's the immune system is attacking the thyroid — the thyroid is the target, not the problem. Selenium (200mcg) reduces anti-TPO antibodies in multiple RCTs and is the most evidence-backed supplement for slowing immune attack. High-dose iodine can trigger flares by increasing antigen presentation; this protocol avoids it. Vitamin D and omega-3 work on immune regulation as much as thyroid function.

Detection: hashimotoshashimotoautoimmune-thyroidtpo-antibodiesthyroid-antibodiesanti-tpo
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Ashwagandha (KSM-66)Rhodiola Rosea
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Selenium 200mcg(strong)+ Methylfolate (5-MTHF) 400mcg(strong)+ Vitamin D3 2000 IU(strong)+ Zinc Bisglycinate 15–25mg(strong)+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: thyroid-meds
More Than CrampsEndometriosis pattern

Endo tissue outside the uterus drives some of the worst menstrual pain documented — plus chronic pelvic pain, painful sex, and exhaustion. The protocol targets the prostaglandin cascade, estrogen signaling that feeds endo tissue, and the oxidative stress unique to this condition.

Detection: endometriosispelvic-painpainful-sexdyspareuniasevere-crampschronic-pelvic-painbowel-pain-period
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Maca RootRed Clover Isoflavones
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ NAC (N-Acetyl Cysteine) 600mg(moderate)+ Curcumin (BCM-95) 500mg(moderate)+ DIM (Diindolylmethane) 200mg(moderate)+ Calcium D-Glucarate 500mg(emerging)+ Boswellia 400mg(moderate)+ Vitamin D3 2000 IU(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: pregnant
The Monthly FloodUterine fibroid pattern

Fibroids are estrogen-driven benign tumors that cause heavy bleeding, pressure, and pain. They affect up to 70% of women and are dramatically underaddressed. The protocol targets fibroid cell proliferation, estrogen clearance, and replenishes iron lost through heavy cycles.

Detection: fibroidsheavy-bleedingheavy-periodspelvic-pressurelarge-clotsflooding-periods
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Red Clover IsoflavonesTribulus Terrestris
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Green Tea Extract (EGCG) 400mg EGCG(moderate)+ Quercetin 500mg(emerging)+ DIM (Diindolylmethane) 200mg(moderate)+ Calcium D-Glucarate 500mg(emerging)+ Vitamin D3 2000 IU(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: iron-overload
Just BeginningFirst-cycle years

The first 2–5 years of menstruation are often irregular, heavy, and painful — not because something is wrong, but because the HPG axis is still calibrating. Gentle support for iron replenishment, bone building, and acne management during peak adolescent development.

Detection: teenfirst-periodnew-periodirregular-teenadolescentjust-started-period
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)Rhodiola RoseaMaca RootTribulus TerrestrisBerberineSpearmint Extract
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Iron Bisglycinate 18mg(strong)+ Calcium Carbonate 500mg(strong)+ Zinc Bisglycinate 15–25mg(strong)+ Vitamin D3 2000 IU(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
The Paused CycleStress / HA pattern

Hypothalamic amenorrhea — missing periods from underfueling, overtraining, or chronic stress. The hypothalamus interprets stress as famine and shuts down reproduction. The protocol restores HPA axis balance and replenishes nutrients depleted by high cortisol and low energy availability.

Detection: amenorrheamissed-periodno-periodlost-periodathleteovertrainingundereatingstress-period
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: BerberineDIM (Diindolylmethane)Spearmint Extract
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Ashwagandha (KSM-66) 300mg(strong)+ B-Complex 1 capsule(strong)+ Zinc Bisglycinate 15–25mg(strong)+ Iron Bisglycinate 18mg(strong)+ Vitamin D3 2000 IU(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: pregnant
The Underfueled CycleAmenorrhea from restriction / underfueling

When the body doesn't have enough fuel, the hypothalamus shuts down reproduction first — it's a survival response, not a failure. The missing period is a signal, not the problem. This protocol replenishes the nutrients most depleted by chronic restriction (B vitamins, iron, zinc, folate, vitamin D) and supports the HPA axis without stimulants that can suppress hunger signals. Recovery takes time and pairs best with a registered dietitian.

Detection: restrictionunderfuelingundereatingnot-eating-enougheating-disordered-recoveryanorexia-recoveryrestrictive-eating
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: BerberineDIM (Diindolylmethane)Spearmint ExtractRhodiola Rosea
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Ashwagandha (KSM-66) 300mg(strong)+ B-Complex 1 capsule(strong)+ Zinc Bisglycinate 15–25mg(strong)+ Iron Bisglycinate 18mg(strong)+ Vitamin D3 2000 IU(strong)+ Methylfolate (5-MTHF) 400mcg(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: pregnant
The Fourth TrimesterPostpartum recovery

Birth depletes iron, DHA, zinc, and B vitamins dramatically. Add postpartum thyroid vulnerability, estrogen-crash hair loss, and mood risk — and you have the most nutritionally demanding stretch of a woman's life. The protocol addresses all four simultaneously without crossing into breastfeeding contraindications.

Detection: postpartumbreastfeedingafter-birthnew-momjust-had-babyc-sectionpostpartum-depression
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgCalcium Carbonate 500mg
Removed from base: Saffron ExtractVitex (Chasteberry)BerberineAshwagandha (KSM-66)
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Methylfolate (5-MTHF) 400mcg(strong)+ Iron Bisglycinate 18mg(strong)+ Collagen Peptides (Bovine) 10g(moderate)+ Selenium 200mcg(strong)+ B-Complex 1 capsule(strong)+ Vitamin D3 2000 IU(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Starting FreshPost-hormonal BC reset

Hormonal birth control depletes B6, B12, folate, zinc, magnesium, and CoQ10 — often significantly. The first 3–6 months off the pill, your body rebuilds depleted cofactors and reactivates ovulation. This stack accelerates the reset and smooths the hormonal volatility of the transition.

Detection: stopped-pilloff-birth-controlpost-pillstopped-bccame-off-pillstopped-hormonalquit-bc
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ B-Complex 1 capsule(strong)+ Methylfolate (5-MTHF) 400mcg(strong)+ Zinc Bisglycinate 15–25mg(strong)+ CoQ10 200mg(moderate)+ Magnesium Glycinate 300mg(strong)+ Vitamin D3 2000 IU(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Building TowardTrying to conceive naturally

Natural conception means optimizing egg quality, cycle regularity, and the uterine environment simultaneously — every month. The protocol front-loads CoQ10 for mitochondrial support in developing follicles, active folate before you know you're pregnant, and zinc for precise ovulation timing.

Detection: trying-to-conceivefertilityttcwant-babygetting-pregnantnatural-conception
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Maca RootBerberine
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ CoQ10 200mg(moderate)+ Methylfolate (5-MTHF) 400mcg(strong)+ NAC (N-Acetyl Cysteine) 600mg(moderate)+ Zinc Bisglycinate 15–25mg(strong)+ Myo-Inositol 2g(strong)+ Vitamin D3 2000 IU(strong)+ NR (Nicotinamide Riboside) 300mg(moderate)+ L. rhamnosus GR-1 + L. reuteri RC-14 1 billion CFU each(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
The VaultEgg freezing preparation

The 90 days before retrieval determine the eggs collected — the follicles developing now are the ones your clinic will aspirate. This stack maximizes oocyte mitochondrial health, antioxidant protection in follicular fluid, and DNA fidelity in maturing eggs. Once your clinic starts FSH or LH injections, pause all non-prescribed supplements and confirm what to resume post-retrieval with your reproductive endocrinologist.

Detection: egg-freezingegg-freezefreeze-eggsoocyte-preservationfertility-preservationembryo-freezingfreeze-embryos
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)Maca Root
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ CoQ10 200mg(moderate)+ Methylfolate (5-MTHF) 400mcg(strong)+ NR (Nicotinamide Riboside) 300mg(moderate)+ NAC (N-Acetyl Cysteine) 600mg(moderate)+ Melatonin 300mcg(strong)+ Vitamin D3 2000 IU(strong)+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
The ProtocolIVF cycle support

Your reproductive endocrinologist's protocol is primary — this stack covers only the supplement gaps with strong evidence and minimal interaction risk during IVF treatment. CoQ10 for oocyte mitochondria, methylfolate for DNA repair, vitamin D for implantation success rates, omega-3 for embryo development. Everything else defers to your clinic. Confirm any additions with your REI before starting stimulation.

Detection: ivfin-vitroivf-cycleivf-treatmentembryo-transferivf-prepassisted-reproduction
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)Maca RootSaffron ExtractRhodiola Rosea
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ CoQ10 200mg(moderate)+ Methylfolate (5-MTHF) 400mcg(strong)+ Vitamin D3 2000 IU(strong)+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
The Low LightDepression / hormonal mood pattern

Estrogen upregulates tryptophan hydroxylase and suppresses serotonin transporter reuptake — effectively raising serotonin availability. As estrogen rises in the follicular phase, mood often lifts. As it falls in the late-luteal phase and the perimenopausal years, that neurochemical support withdraws. The Low Light addresses the nutritional foundation beneath the hormonal mood axis.

Detection: depressiondepressedlow-moodantidepressantsadhopelessanhedoniaflat-moodmajor-depressionmdd
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Saffron Extract 30mg(strong)+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)+ Methylcobalamin B12 1000mcg(strong)+ Vitamin D3 2000 IU(strong)+ Magnesium Glycinate 300mg(strong)+ B-Complex 1 capsule(strong)+ Ashwagandha (KSM-66) 300mg(strong)+ L. helveticus R0052 + B. longum R0175 (CEREBIOME) 3 billion CFU(moderate)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: maoi
The WaveBipolar / cycle-exacerbated mood pattern

Estrogen has mild anticonvulsant and mood-stabilizing properties. Its withdrawal in the late-luteal phase can trigger or worsen both depressive and hypomanic episodes. Omega-3 EPA has the strongest double-blind evidence for bipolar depression support of any nutritional compound. This stack is the hormonal nutritional layer — it never replaces mood stabilizers or antipsychotics.

Detection: bipolarbipolar-disorderbipolar-1bipolar-2manicmaniamood-stabilizerhypomanichypomania
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgCalcium Carbonate 500mg
Removed from base: Maca RootRhodiola RoseaTribulus TerrestrisSaffron Extract
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)+ Magnesium Glycinate 300mg(strong)+ NAC (N-Acetyl Cysteine) 600mg(moderate)+ Methylcobalamin B12 1000mcg(strong)+ Vitamin D3 2000 IU(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: lithium
The LoopOCD / cycle-exacerbated compulsions

67% of women with OCD report premenstrual exacerbation. As allopregnanolone withdraws in the late-luteal phase, GABA tone drops and the cortico-striato-thalamic loop that drives OCD runs with reduced inhibition. NAC has the strongest nutritional evidence base for OCD through glutamate modulation. Inositol works downstream of serotonin receptors, complementing the NAC mechanism.

Detection: ocdobsessive-compulsiveintrusive-thoughtscheckingcompulsionsritualsobsessions
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ NAC (N-Acetyl Cysteine) 600mg(moderate)+ Myo-Inositol 2g(strong)+ Magnesium Glycinate 300mg(strong)+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)+ Zinc Bisglycinate 15–25mg(strong)+ Vitamin B6 50mg(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
In FlowOptimized baseline

Your cycle is working. Now make it work for you. This is the performance-first stack for women with regular cycles and no specific diagnosis — built to amplify energy, resilience, and recovery across all four phases.

Detection: healthyregular-cycleoptimizeperformancewellnesswant-to-feel-betterbaseline
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Rhodiola Rosea 200mg(moderate)+ Collagen Peptides (Bovine) 10g(moderate)+ Ashwagandha (KSM-66) 300mg(strong)+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
The Training BlockAthletic performance pattern

Built for the woman who trains. Intense exercise depletes iron, creatine, and magnesium faster than average — and your recovery window is compressed by your cycle's hormonal shifts. This stack synchronizes supplement timing with your training load.

Detection: athletecrossfitrunningendurancepowerliftinggymcompetitionmarathontraining-hardsports
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
Maca Root 500mgCoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitex (Chasteberry) 400mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ Creatine Monohydrate 3g(strong)+ Tart Cherry Extract (Montmorency) 480mg(moderate)+ Iron Bisglycinate 18mg(strong)+ Magnesium Glycinate 300mg(strong)+ B-Complex 1 capsule(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export
Pack contraindicated with: kidney-disease
Custom ProtocolPersonalized to your exact regimen

Your situation is specific — HRT regimen, transition stage, complex history, or conditions that don't fit a named pattern. A clinical advisor will review your intake and build a pack matched to your actual biochemistry, not a best-guess template.

Detection: transgendertranshrthormone-therapyestrogen-therapyno-cyclenever-had-periodgender-affirmingcustomcomplex
ESSENTIAL $39 — Phase base (4 capsules)
Menstrual
Magnesium Glycinate 300mgOmega-3 (EPA/DHA) 500mg EPA+DHAIron Bisglycinate 18mgGinger Extract 250mg
Follicular
B-Complex 1 capsuleRhodiola Rosea 200mgVitamin D3 2000 IUZinc Bisglycinate 15–25mg
Ovulatory
CoQ10 200mgZinc Bisglycinate 15–25mgVitamin B6 50mg
Luteal
Magnesium Glycinate 300mgVitamin B6 50mgSaffron Extract 30mgCalcium Carbonate 500mg
Removed from base: Vitex (Chasteberry)Maca RootTribulus Terrestris
TARGETED $59 — Essential + profile layer (8 capsules + 1 powder)
+ B-Complex 1 capsule(strong)+ Vitamin D3 2000 IU(strong)+ Vitamin K2 (MK-7) 100mcg(strong)+ Omega-3 (EPA/DHA) 500mg EPA+DHA(strong)+ CoQ10 200mg(moderate)+ Calcium Carbonate 500mg(strong)
FULL $79 / CLINICAL $129 — Targeted + wearable signals + goals (uncapped + 3 powders)
+ Phosphatidylserine (low HRV)+ L-Theanine + Melatonin (poor sleep)+ Berberine (elevated glucose)+ Goal-selected items (energy, fertility, skin…)+ Provider data sharing, FHIR export

Goal modifiers (Full tier only)

Self-reported goals in the intake quiz trigger additional ingredients at the Full tier. Goal items are added after the profile stack and are capped by remaining capsule capacity.

energy

Fuel Up · 1 capsuleGo Mode · 200mgEgg Power · 200mg

sleep

The Unwind · 300mgCalm Focus · 200mgSleep Signal · 300mcg

mood

Mood Lift · 30mgSerotonin Seed · 50mgChill Mode · 300mg

libido

Heat Wave · 500mgDrive · 250mg

skin

Clear Skin · 15–25mgGlow Up · 10g

fertility

Cell Builder · 400mcgEgg Power · 200mgCycle Reset · 2g

stress

Chill Mode · 300mgCalm Focus · 200mgCortisol Cap · 100mg

cramps

The Unwind · 300mgAnti-Flame · 500mg EPA+DHAPain Patrol · 250mgDeep Relief · 400mg

weight

Sugar Guard · 500mgCycle Reset · 2g

hair loss

Thyroid Guard · 200mcgClear Skin · 15–25mgCell Builder · 400mcg

Wearable signal rules (Full tier only)

Biometric data from connected devices modifies the pack in real time. Current signal sources: Oura Ring, Garmin (via Health app), CGM (Dexcom / Libre via Apple Health), Apple Health.

HRV < 85% of 90-day baseline

Cortisol likely elevated

Adds:Phosphatidylserine— "Cortisol Cap" 100mg

PS blunts cortisol peak by ~30% (Hellhammer 2004)

Sleep score < 65

Sleep debt

Adds:L-Theanine— "Calm Focus" 200mgMelatonin— "Sleep Signal" 300mcg

100–200mg L-theanine + 0.5mg melatonin; non-sedating, non-habit-forming

Fasting glucose avg > 100 mg/dL

Insulin resistance signal

Adds:Berberine— "Sugar Guard" 500mg

Berberine 1000mg/d = metformin-comparable A1c reduction in meta-analyses

Core temperature deviation > +0.3°C sustained

Possible ovulation / luteal shift

No supplement trigger — UI signal only

Predicted phase override — not yet supplement-triggered; flags in UI only

Biodata-driven dose scaling

The pack engine applies dose scaling based on body weight, age, and wearable biometrics. Fields marked 'planned' are collected at onboarding but not yet applied to dosing.

Body weight (kg)

Iron bisglycinate

Women >75kg may need 30mg vs 25mg to achieve serum ferritin >30 ng/mL. Currently fixed; future: BMI + menstrual loss estimate.

Magnesium glycinate

Therapeutic ceiling ~6mg/kg/day. A 90kg woman can absorb 540mg/day vs 300mg standard. Currently capped at 300mg.

Creatine

Maintenance dose is ~0.03g/kg/day. 3g/day add-on is adequate below 100kg; consider 5g/day for high-mass athletes.

Height / BMI

Vitamin D3

Adipose tissue sequesters D3; BMI >30 may require 2–4× standard dose to reach serum 25(OH)D >40 ng/mL. Currently 2000 IU fixed.

Omega-3 / Algae DHA

Anti-inflammatory effect is dose-dependent on body weight. 1g EPA+DHA is effective at normal weight; 2g warranted above 80kg.

Age

CoQ10

Endogenous synthesis declines ~50% by age 40. Essential tier dose (100mg) should scale to 200–400mg for women 40+. Currently flat.

Calcium

Post-menopausal profile already boosts calcium. Future: continuous taper from baseline ~500mg at 20 → 1000mg at 50+ based on bone remodeling curves.

Collagen

Skin collagen density declines 1%/year after 25. Add-on dose (10g) is standard; no weight/age adjustment needed at this dose.

Wearable — HRV trend (rolling 90-day)

Phosphatidylserine

Currently binary: HRV < 85% baseline → add PS. Future: dose-titrate from 100mg (mild) to 400mg (severe HRV suppression).

Ashwagandha

Combined cortisol/stress signal (HRV + self-report stress) to add ashwagandha as second-line adaptogen when PS alone is insufficient.

Wearable — Sleep architecture

Melatonin

Current: 0.5mg if sleep score < 65. Future: 0.5mg for delayed circadian phase, 1mg for total sleep time < 5h, skip if sleep latency is the only issue.

Magnesium glycinate

Slow-wave sleep deficiency (when provided by device) triggers evening timing emphasis. Currently timing is fixed to evening regardless.

CGM — continuous glucose

Berberine

Currently static threshold (avg glucose > 100). Future: time-in-range <70% or post-meal spikes >160mg/dL trigger dosing regardless of fasting average.

Inositol

Myo-inositol 2g/day reduces post-meal glucose in PCOS even without elevated fasting glucose. Add when CGM shows persistent follicular-phase spikes.

Rationale for weight-based dosing: Most supplement RCT doses are calibrated on 60–70kg study populations. For ingredients with narrow therapeutic windows or steep dose-response curves (magnesium, vitamin D, omega-3, creatine), weight-adjusted dosing improves efficacy and reduces the risk of under-dosing in larger-framed women. Height adds context for lean vs. adipose mass distribution, which affects fat-soluble vitamin absorption (D, K2, omega-3). Implementation requires only BMI or weight at onboarding — no clinical-grade measurement is needed.

Add-on supplements

Add-ons are user-selected daily boosters that ship alongside the base pack. They bypass tier capsule caps and are always included once subscribed, subject to individual contraindication checks. All are available as standalone subscriptions at any tier.

Creatine Monohydrate— “Power Cell3gstrong

Daily 3g pouch — brain, strength, and cycle-phase stamina. Women start with ~80% lower stores than men.

Creatine boosts phosphocreatine in both muscle and brain — women start with ~80% lower stores than men, so the cognitive and strength gains from supplementation are proportionally larger.

$8/mo
add-on · all tiers
Track: powderTiming: morningTake with foodNote: Mild water retention in week 1 as muscles hydrate — this is the creatine working, not fat gain. GI issues only happen with old-school loading (20g/day); skip that.kidney-disease

Ramp: No loading phase needed. 3g/day reaches full saturation in 28 days with no GI impact — this is the clinically preferred protocol.

Myo-Inositol— “Cycle Reset2gstrong

Daily 2g pouch — insulin sensitivity and ovulation support. Works with or without PCOS.

Insulin sensitizer and FSH amplifier — restores ovulation in PCOS in multiple RCTs.

$7/mo
add-on · all tiers
Track: powderTiming: morningNote: Occasional loose stools in week 1 at full dose — almost always self-resolving.bipolar

Ramp: Start at 1g for the first week, then step up to 2g. Full cycle-regulation effect takes 8–12 weeks.

Collagen Peptides (Bovine)— “Glow Up10gmoderate

Daily 10g bovine pouch — clinical-dose skin, hair, and joints. Add to morning coffee.

Estrogen supports collagen synthesis — supplementing in follicular phase amplifies the effect. 10g is the clinical dose; capsule form is impractical at this amount.

$6/mo
add-on · all tiers
Track: powderTiming: morningNot veganNote: Rarely causes bloating at 10g in sensitive stomachs. Check the source if you have a shellfish or egg allergy (bovine-sourced is safe for most).

Ramp: Start at 5g for week 1 if your stomach is sensitive. Skin changes take 6–8 weeks of consistent use to notice.

Collagen Precursor Blend— “Vegan Glowvitamin C 500mg · silica 15mg · lysine 500mgmoderate

Vitamin C + silica + lysine — the vegan collagen-building stack, in capsule form.

Supports your body's own collagen synthesis — vitamin C is the essential enzyme cofactor, silica enables cross-linking, lysine provides the substrate. A complete vegan alternative to exogenous peptides.

$7/mo
add-on · all tiers
Track: capsuleTiming: morningTake with food

Ramp: Results build over 8–12 weeks. Works via endogenous synthesis rather than exogenous peptides — the mechanism is different, the outcome is comparable.

NR (Nicotinamide Riboside)— “Cell Reset300mgmoderate

Daily 250mg NMN — raises NAD+ for mitochondrial energy, egg quality, and cellular repair. Especially relevant for women 35+.

Raises intracellular NAD+ — declines ~50% between 40 and 60, accelerating during perimenopause. 2025 Nature Metabolism head-to-head RCT showed NR and NMN raise blood NAD+ equivalently. NR recommended: same efficacy, lower cost (~$0.50/day vs $2+/day for NMN). Pair with apigenin to inhibit CD38 (the enzyme that re-depletes the pool). Supports oocyte mitochondrial function — most critical in the 90 days before retrieval or natural conception.

$18/mo
add-on · all tiers
Track: capsuleTiming: morningNote: Mild flushing at high doses (less than niacin). Rare GI discomfort. At very high doses (>2g/day) may paradoxically inhibit sirtuins via NAM accumulation — stay at studied range.

Ramp: Start at 300mg/day. Take in the morning (circadian alignment with NAD+ synthesis). Add TMG (trimethylglycine 500mg) as a methyl donor companion if taking >500mg/day long-term.

Creatine monohydrate— the most evidence-backed women's supplement not already in the base stack. Women start with ~70–80% lower creatine stores than men (smaller muscle mass + typically lower dietary intake from red meat). 3g/day raises muscle PCr stores by 20–30% and has emerging evidence for luteal-phase mood and cognitive support (see Smith-Ryan 2021, Dolan 2019). No loading phase needed. Safe at all cycle phases.

Full ingredient library

55 total ingredients. Evidence levels: strongmoderateemerging

strong

Multiple RCTs or systematic meta-analyses, sample sizes >500, effect replicated in independent labs

moderate

RCTs exist but with limitations (small N, industry funding, short duration) or only observational cohort data

emerging

Mechanistic or animal data only, early-phase human pilot, or strong traditional evidence awaiting RCT confirmation

Magnesium Glycinate"The Unwind"strong

300mg

Relaxes uterine muscle and calms the nervous system — the most evidence-backed PMS supplement.

menstrualluteal

sleep calm

timing: evening

CI: kidney-disease

Omega-3 (EPA/DHA)"Anti-Flame"strongnot vegan

500mg EPA+DHA

Competes with prostaglandins to reduce cramping and systemic inflammation.

menstrualall

pain inflammation

timing: morning · with food

CI: blood-thinners

Iron Bisglycinate"Replenish"strong

18mg

Gentle iron that replenishes what you lose each cycle without GI upset.

menstrualfollicular

energy metabolism

timing: morning

CI: hemochromatosis

Ginger Extract"Pain Patrol"strong

250mg

Inhibits prostaglandins — as effective as ibuprofen for dysmenorrhea in RCTs.

menstrual

pain inflammation

timing: with-meal · with food

CI: blood-thinners

B-Complex"Fuel Up"strong

1 capsule

B vitamins power mitochondria — especially important as estrogen rises and energy should too.

follicularall

energy metabolism

timing: morning · with food

Rhodiola Rosea"Go Mode"moderate

200mg

Adaptogen that sustains the follicular energy lift and sharpens focus without a crash.

follicularovulatory

stress hpa

timing: morning

CI: bipolar

Vitamin D3"Sunshine"strong

2000 IU

Vitamin D deficiency is epidemic and disrupts the HPG axis — critical for cycle regularity.

all

hormone balance

timing: morning · with food

CI: hypercalcemia

Zinc Bisglycinate"Clear Skin"strong

15–25mg

Peaks at ovulation — critical for follicle maturation, plus blocks 5α-reductase (less acne).

follicularovulatory

hormone balance

timing: evening · with food

Maca Root"Heat Wave"moderate

500mg

Amplifies libido at its natural peak — works on the hypothalamus, not hormones directly.

ovulatoryluteal

libido intimate

timing: morning · with food

CI: hormone-sensitive-conditions

CoQ10"Egg Power"moderate

200mg

Mitochondrial fuel for developing follicles — most critical in the 90 days before ovulation.

follicularovulatory

fertility

timing: morning · with food

CI: blood-thinners

Vitex (Chasteberry)"The Balancer"strong

400mg

Raises progesterone by lowering prolactin — reduces PMS in 52% of users vs 24% placebo.

Mild headache or nausea in the first 1–2 weeks is common and usually resolves on its own.

luteal

hormone balance

timing: morning

CI: hormonal-bc, pregnant, ivf

Saffron Extract"Mood Lift"strong

30mg

Comparable to fluoxetine for PMS mood symptoms at 30mg in RCTs. Raises serotonin naturally.

lutealmenstrual

mood serotonin

timing: evening · with food

CI: ssri, pregnant

Calcium Carbonate"PMS Shield"strong

500mg

48% reduction in PMS symptom score in trials — most effective supplement for overall PMS.

luteal

hormone balance

timing: evening · with food

CI: hypercalcemia

Vitamin B6"Serotonin Seed"strong

50mg

Cofactor for serotonin synthesis — directly counters the luteal serotonin dip.

lutealovulatory

mood serotonin

timing: morning · with food

DIM (Diindolylmethane)"Estro-Clear"moderate

200mg

Shifts estrogen metabolism toward safer pathways — targets estrogen dominance directly.

Urine may turn slightly darker — this is normal. Some notice headaches in week 1 as estrogen pathways shift.

follicularluteal

hormone balance

timing: evening · with food

CI: pregnant, estrogen-deficient

Calcium D-Glucarate"Liver Love"emerging

500mg

Blocks beta-glucuronidase, preventing reabsorption of conjugated estrogens in the gut.

lutealfollicular

hormone balance

timing: morning · with food

Spearmint Extract"Androgen Block"moderate

900mg

Clinically shown to reduce free testosterone in PCOS — equivalent to 2 cups spearmint tea/day.

follicularluteal

androgen control

timing: morning · with food

Myo-Inositol"Cycle Reset"strongpowder

2g

Insulin sensitizer and FSH amplifier — restores ovulation in PCOS in multiple RCTs.

Occasional loose stools in week 1 at full dose — almost always self-resolving.

all

androgen control

timing: morning

CI: bipolar

Berberine"Sugar Guard"strong

500mg

AMPK activator — comparable to metformin for insulin sensitivity in PCOS without prescription.

GI cramping or diarrhea if taken on an empty stomach — always take with food.

all

androgen control

timing: with-meal · with food

CI: pregnant, metformin, diabetes-meds

NAC (N-Acetyl Cysteine)"Clear Out"moderate

600mg

Glutathione precursor — reduces androgen levels and oxidative stress in PCOS.

follicularovulatory

androgen control

timing: morning

CI: nitroglycerin

Black Cohosh"Cool Down"strong

40mg

Best-studied non-hormonal option for hot flashes — works via serotonin receptors, not estrogen.

all

hormone balance

timing: evening · with food

CI: liver-disease, hormone-sensitive-cancers, pregnant

Red Clover Isoflavones"Phyto Power"moderate

80mg isoflavones

Plant estrogens that partially activate estrogen receptors — reduces hot flash frequency.

all

hormone balance

timing: morning · with food

CI: hormone-sensitive-cancers, pregnant, blood-thinners

Ashwagandha (KSM-66)"Chill Mode"strong

300mg

Cortisol modulator — high cortisol tanks progesterone; ashwagandha breaks that cycle.

Occasional GI discomfort if taken fasted. Rarely: vivid dreams in week 1.

lutealmenstrual

stress hpa

timing: evening · with food

CI: thyroid-meds, autoimmune, pregnant

L-Theanine"Calm Focus"moderate

200mg

Alpha brainwave activator — calm without sedation. Pairs with caffeine to prevent the jitters.

lutealmenstrual

sleep calm

timing: anytime

Melatonin"Sleep Signal"strong

300mcg

Physiological replacement dose (300mcg) resets circadian timing without suppressing endogenous melatonin — higher consumer doses (3–10mg) cause receptor desensitisation over time.

300mcg is the pineal gland's natural nightly output. At this dose, next-day grogginess is rare.

lutealmenstrual

sleep calm

timing: evening

CI: autoimmune, pregnant

Methylfolate (5-MTHF)"Cell Builder"strong

400mcg

Active form bypasses MTHFR gene variants — 40% of women can't convert folic acid.

all

fertility

timing: morning · with food

CI: methotrexate

Phosphatidylserine"Cortisol Cap"moderate

100mg

Blunts the cortisol spike from stress — especially useful in luteal when HRV dips.

luteal

stress hpa

timing: evening · with food

CI: blood-thinners

Boswellia"Deep Relief"moderate

400mg

AKBA in boswellia inhibits 5-LOX — a different anti-inflammatory pathway than NSAIDs.

menstrual

pain inflammation

timing: with-meal · with food

CI: pregnant

Collagen Peptides (Bovine)"Glow Up"moderatenot veganpowder

10g

Estrogen supports collagen synthesis — supplementing in follicular phase amplifies the effect. 10g is the clinical dose; capsule form is impractical at this amount.

Rarely causes bloating at 10g in sensitive stomachs. Check the source if you have a shellfish or egg allergy (bovine-sourced is safe for most).

follicularovulatory

skin hair

timing: morning

Collagen Precursor Blend"Vegan Glow"moderate

vitamin C 500mg · silica 15mg · lysine 500mg

Supports your body's own collagen synthesis — vitamin C is the essential enzyme cofactor, silica enables cross-linking, lysine provides the substrate. A complete vegan alternative to exogenous peptides.

follicularovulatory

skin hair

timing: morning · with food

Selenium"Thyroid Guard"strong

200mcg

Essential for T4→T3 conversion — most women with thyroid issues are selenium deficient.

all

thyroid

timing: morning · with food

Tribulus Terrestris"Drive"moderate

250mg

Increases LH and testosterone in women at physiological doses — boosts libido without virilization.

ovulatoryluteal

libido intimate

timing: morning · with food

CI: hormone-sensitive-conditions, pregnant

Evening Primrose Oil"Soft Touch"moderate

1000mg

GLA reduces PGE2-driven breast tenderness and supports vaginal mucosal health.

luteal

hormone balance

timing: evening · with food

CI: pregnant, seizure-disorders, blood-thinners

Curcumin (BCM-95)"Flame Out"moderate

500mg

BCM-95 form inhibits NF-κB and suppresses endometrial cell migration — distinct from COX-2 pathway.

menstruallutealall

pain inflammation

timing: with-meal · with food

CI: blood-thinners, gallstones, pregnant

Green Tea Extract (EGCG)"Fibro Block"moderate

400mg EGCG

EGCG reduced fibroid volume by 32.6% vs placebo in the only published RCT (Wahab et al., 2022).

all

hormone balance

timing: morning

CI: liver-disease, iron-deficiency, pregnant

Quercetin"Growth Stop"emerging

500mg

Inhibits fibroid cell proliferation and aromatase; synergistic with EGCG for anti-fibroid effect.

all

hormone balance

timing: morning · with food

CI: quinolone-antibiotics, blood-thinners

Vitamin K2 (MK-7)"Bone Director"strong

100mcg

Directs calcium into bones rather than arteries — essential after estrogen loss accelerates bone turnover.

all

hormone balance

timing: morning · with food

CI: warfarin

Iodine (Potassium Iodide)"Brain Milk"strong

220mcg (290mcg BF)

Breast milk iodine depends entirely on maternal intake — critical for infant brain development; most prenatal vitamins omit it.

all

thyroid

timing: morning · with food

CI: thyroid-disease, hyperthyroid

Choline Bitartrate"Brain Builder"strong

250mg

Transferred to breast milk at the expense of maternal stores — critical for infant neural development and widely undersupplemented.

all

energy metabolism

timing: morning · with food

CI: trimethylaminuria

Creatine Monohydrate"Power Cell"strongpowder

3g

Creatine boosts phosphocreatine in both muscle and brain — women start with ~80% lower stores than men, so the cognitive and strength gains from supplementation are proportionally larger.

Mild water retention in week 1 as muscles hydrate — this is the creatine working, not fat gain. GI issues only happen with old-school loading (20g/day); skip that.

follicularovulatory

energy metabolism

timing: morning · with food

CI: kidney-disease

Tart Cherry Extract (Montmorency)"Recovery Rush"moderate

480mg

Montmorency tart cherry contains anthocyanins and natural melatonin precursors — reduces exercise-induced muscle damage by 10–15% and cuts time to sleep onset.

menstrualluteal

pain inflammation

timing: evening · with food

Algae DHA (Vegan Omega-3)"Ocean Mind"strong

250mg DHA

Vegan-source DHA from microalgae — the original source fish accumulate omega-3s from. Clinically equivalent to fish oil for mood, cognition, and anti-inflammation, without animal products.

all

energy metabolism

timing: morning · with food

Methylcobalamin B12"Nerve Spark"strong

1000mcg

The most bioavailable form of B12 — critical for nerve conduction, red blood cell production, and DNA synthesis. Deficiency is near-universal in plant-based diets and common with MTHFR variants.

all

energy metabolism

timing: morning

Taurine"Calm Current"moderate

1g

GABA-receptor modulator that blunts luteal-phase anxiety and irritability. 2023 Science paper identified taurine decline as a hallmark driver of aging; supplementation supports mitochondrial and cardiac function.

Very well tolerated. GI upset only at doses >6g/day.

lutealmenstrual

sleep calm

timing: evening

CI: kidney-disease

NR (Nicotinamide Riboside)"Cell Reset"moderate

300mg

Raises intracellular NAD+ — declines ~50% between 40 and 60, accelerating during perimenopause. 2025 Nature Metabolism head-to-head RCT showed NR and NMN raise blood NAD+ equivalently. NR recommended: same efficacy, lower cost (~$0.50/day vs $2+/day for NMN). Pair with apigenin to inhibit CD38 (the enzyme that re-depletes the pool). Supports oocyte mitochondrial function — most critical in the 90 days before retrieval or natural conception.

Mild flushing at high doses (less than niacin). Rare GI discomfort. At very high doses (>2g/day) may paradoxically inhibit sirtuins via NAM accumulation — stay at studied range.

all

energy metabolism

timing: morning

Astaxanthin"Pink Shield"moderate

4mg

Carotenoid from microalgae (vegan); 6,000× stronger antioxidant than vitamin C in lipid membranes. Clinical trials show improved skin elasticity, hydration, and UV protection. Emerging anti-inflammatory and mitochondrial benefits.

Can tint skin/stool slightly pink-orange at high doses. Rare at 4mg.

all

skin hair

timing: morning · with food

Spermidine"Cell Cleanup"emerging

1mg

Polyamine that activates autophagy — the cellular self-cleaning process that declines with age. Naturally present in wheat germ, mushrooms, and aged cheese. Human observational data links dietary spermidine to reduced all-cause mortality.

No significant adverse effects reported at food-equivalent doses (1–5mg).

follicularovulatory

energy metabolism

timing: morning · with food

Sulforaphane (broccoli sprout extract)"NRF2 Switch"moderate

40–60mg SGS equiv.

Activates the NRF2 pathway — the master switch for antioxidant and detoxification genes. 2022 meta-analysis showed −10.9 mmHg SBP; 2025 RCT showed fasting glucose improvement (microbiome-dependent). Critical: supplement must contain glucoraphanin + active myrosinase enzyme — heat destroys myrosinase in most capsule products.

GI discomfort in some users at high doses. Theoretical goitrogen concern at very high doses — stay at studied range.

all

pain inflammation

timing: morning

CI: chemotherapy, thyroid-disease

Magnesium L-Threonate"Brain Mg"moderate

1.5–2g complex (144mg elemental Mg)

The only magnesium form shown to raise CSF magnesium levels — threonate transporter enables CNS penetration that other forms lack. 2025 industry-funded RCT (n=100) showed improved working memory composite and self-reported sleep. Distinct from magnesium glycinate: glycinate targets sleep/muscle; L-threonate targets cognitive function. Use this if brain fog is the primary symptom; use glycinate for sleep and cramps.

Well tolerated. Less GI upset than other Mg forms. Morning grogginess uncommon at studied dose.

lutealmenstrualall

sleep calm

timing: evening

CI: kidney-disease

Ergothioneine"Neuro Guard"emerging

5–20mg

Amino acid with a dedicated human transporter (OCTN1/SLC22A4) — its evolutionary conservation suggests biological necessity. Concentrates in mitochondria-rich tissues. Singapore cohort data links low plasma levels to cognitive impairment and frailty; longitudinal data shows slower cognitive decline with higher intake. Primary dietary source: mushrooms (oyster ~5mg/100g). No large interventional RCTs yet — evidence grade is observational.

No known adverse effects at studied doses (5–25mg). GRAS status in several jurisdictions.

all

energy metabolism

timing: morning · with food

Synbiotic Blend (L. acidophilus · L. rhamnosus · L. reuteri · L. plantarum · FOS)"Gut Reset"moderate

10 billion CFU

Multi-strain synbiotic that restores estrobolome balance — the gut bacteria community controlling estrogen recirculation. 2025 meta-analysis (17 RCTs, n=1,214) showed probiotic supplementation in PCOS/PMOS improved insulin resistance and androgen markers (PMID 41346361).

Mild bloating in week 1 as microbiome shifts — usually resolves by day 5.

all

gut microbiome

timing: morning

CI: immunocompromised

L. brevis KABP052"Estro Guard"moderate

1 billion CFU

The only probiotic strain with RCT evidence specifically for menopause transition: 2024 study (PMID 38742994) showed L. brevis KABP052 maintained serum estradiol levels during the perimenopause window — mechanism is estrobolome-mediated estrogen recirculation.

all

gut microbiome

timing: morning

CI: immunocompromised

L. rhamnosus GR-1 + L. reuteri RC-14"Flora Shield"strong

1 billion CFU each

The gold-standard vaginal microbiome combination — 20+ years of clinical data. Restores Lactobacillus dominance in vaginal flora. Vaginal microbiome composition predicts IVF implantation success; Lactobacillus-dominant is associated with significantly higher live birth rates.

follicularovulatory

gut microbiome

timing: evening

CI: immunocompromised

L. helveticus R0052 + B. longum R0175 (CEREBIOME)"Mood Gut"moderate

3 billion CFU

CEREBIOME — double-blind RCT evidence for reducing psychological distress scores and urinary free cortisol in healthy adults. 90% of serotonin is made in the gut. High cortisol in luteal phase blocks progesterone; this combination works the gut-brain-hormone axis from the root.

lutealmenstrual

gut microbiome

timing: evening

CI: immunocompromised

Apigenin"NAD+ Guard"emerging

50–100mg

Flavonoid that inhibits CD38 — the primary enzyme that degrades NAD+ (activity rises sharply with age and inflammation). Used as an adjunct to NMN or NR: NMN/NR refills the NAD+ pool; apigenin blocks the drain. Also binds GABA-A receptors for mild anxiolytic and sleep-onset effects. No standalone human RCT for CD38 inhibition; 2023 multi-component human study showed NAD+ elevation when combined with other precursors. Rich dietary source: chamomile tea.

Generally well tolerated. Potent CYP1A2 and CYP2C9 inhibitor — clinically significant drug interactions possible. Do not combine with warfarin, caffeine-sensitive medications, or serotonergic drugs without physician review.

all

energy metabolism

timing: evening

CI: warfarin, clozapine, erlotinib, ssri

Safety framework & contraindications

Ingredient-level contraindications — each ingredient carries a list of conditions/medications that exclude it from the pack. These are checked individually at every pack build.

Profile-level removes — some hormone profiles actively remove ingredients from the base stack because those ingredients worsen the profile's pathophysiology (e.g., vitex is removed in PCOS because it can worsen androgen symptoms).

Hard stops (currently manual)— pregnancy, active cancer treatment, pediatric age (<13), and known hypersensitivity. These are collected during onboarding and result in full pack suspension pending clinical consultation. Not yet automated.

FDA disclaimer — All ingredients are classified as dietary supplements under DSHEA. No ingredient in the Selene formulary has an approved drug claim. Statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.

Saffron + SSRI interaction — Saffron (30mg/day) has mild MAO-inhibiting properties and serotonergic activity. It is contraindicated in the PMDD profile when SSRIs are active due to theoretical serotonin syndrome risk, despite limited clinical evidence at this dose. Conservative exclusion maintained.

Vitex + hormonal BC / IVF — Vitex may interfere with exogenous progestins and is excluded when hormonal birth control is active. It is also excluded during IVF due to unpredictable LH signaling interactions.

Berberine + metformin — Concurrent use may cause additive hypoglycemia. Berberine is excluded from any pack where metformin use is reported.

Supplements under review

These ingredients have a plausible mechanism and a positive safety profile but insufficient large-scale human trial data to include in the core formulary. We track the literature and will promote them to active status as evidence matures. In the meantime they appear as optional add-ons for users who want early access.

Our inclusion threshold:≥2 human RCTs, >80 subjects total, no serious adverse signals in safety literature. “Unclear” means the mechanism is sound but effect size or optimal dose remains debated. “No harm” means low-risk to trial while research continues.

AstaxanthinEmerging — no harm
Dose under consideration: 4 mg/day with food
Mechanism Marine carotenoid with antioxidant potency ~550× vitamin C in lipid membranes. Crosses blood-brain barrier. Proposed action: neutralises reactive oxygen species in mitochondria and reduces systemic inflammation via NF-κB inhibition.
Human evidence Animal and in-vitro data are strong. Human RCTs (n=40–120) show improvements in skin elasticity (+15% at 6 weeks), reduced exercise-induced oxidative stress, and modest CRP reduction. No hormonal-specific RCTs in women yet.
Relevance to Selene Potentially relevant for: skin quality goals, cycle-related inflammation, perimenopause oxidative burden, and high-exercise users with elevated oxidative stress markers.
Current decision Added as optional add-on. Dose (4mg) is within the range used in published safety studies. No known interactions at this dose. Will be promoted to core formulary if ≥2 women-specific RCTs with >100 subjects show consistent benefit.
PMID 27529661PMID 28216279
SpermidineEmerging — unclear optimal dose
Dose under consideration: 1 mg/day
Mechanism Polyamine that induces autophagy (cellular self-cleaning) via TOR pathway inhibition. Endogenous levels decline with age. Found naturally in wheat germ, soybeans, aged cheese.
Human evidence Strong animal data: extends lifespan in multiple organisms. Human observational: higher dietary spermidine intake associated with lower cardiovascular mortality (Kiechl 2018, n=829). One small RCT (n=30, Wirth 2018) showed improved memory in at-risk elderly. No cycle-phase-specific or fertility RCTs.
Relevance to Selene Potentially relevant for: egg quality (same autophagy pathway targeted by CoQ10 and NMN), perimenopause cellular rejuvenation, age 35+ fertility optimisation.
Current decision Added as optional add-on for fertility-ttc and perimenopause profiles. Dose (1mg) is conservative — dietary intake from whole foods already provides 5–15mg/day. Considered safe at supplement doses. Will be promoted once reproductive-medicine specific trials are published.
PMID 29940421PMID 28521236
Berberine (extended use)Unclear — timing and cycling protocol debated
Dose under consideration: 500 mg 2–3×/day
Mechanism AMPK activator that improves insulin sensitivity, reduces hepatic glucose output, and raises SHBG in insulin-resistant states. Mechanism is well-established.
Human evidence Multiple high-quality RCTs for T2DM and PCOS (Zhao 2013, Yang 2012, Li 2018). Concerns: gut microbiome disruption with >16 weeks continuous use, potential fetal risk if used in early pregnancy.
Relevance to Selene Active in the Selene formulary for HbA1c-elevated and SHBG-low lab flags, and PCOS profile. The &ldquo;under review&rdquo; aspect is long-term continuous dosing — we currently cap at 12-week cycles with a 4-week break.
Current decision Core formulary ingredient but with cycling protocol flag. Long-term continuous use protocol remains under review. Current implementation: 12 weeks on / 4 weeks off enforced via pack logic (not yet automated — flagged in UI).
PMID 23118429PMID 22426620
Lion&apos;s Mane mushroomEmerging — cognitive effects unclear
Dose under consideration: 500–1000 mg/day
Mechanism Contains hericenones and erinacines that may stimulate Nerve Growth Factor (NGF) synthesis. Proposed benefit: neurogenesis, cognitive support, anxiety reduction.
Human evidence One double-blind RCT (Mori 2009, n=30) showed improved cognitive function in mild cognitive impairment over 16 weeks. Multiple small RCTs suggest anxiolytic and mood effects. Bryan Johnson includes it in Blueprint at 1g/day.
Relevance to Selene Potentially relevant for: brain fog goal, perimenopausal cognitive symptoms, chronic stress/anxiety. Not cycle-phase specific.
Current decision Not yet in formulary. Held pending larger RCTs (current data n<100 across most studies). Positive safety profile — no serious adverse events in literature at doses up to 3g/day. Will consider adding as cognitive-focus add-on once ≥1 RCT with n>150 is published.
PMID 18844328
ErgothioneineEmerging — observational only
Dose under consideration: 5–20 mg/day
Mechanism Amino acid with dedicated human transporter (OCTN1/SLC22A4) — evolutionary conservation across species suggests biological necessity. Concentrates in mitochondria-rich tissues. Mitochondrial ROS scavenger; protects brain endothelial cells against 7-ketocholesterol-induced damage. Proposed "longevity vitamin" (Halliwell, Ames).
Human evidence Singapore cohort: low plasma ergothioneine associated with cognitive impairment and frailty in older adults (Cheah et al., multiple publications). 2025 longitudinal data: slower cognitive decline in non-demented older adults. Pilot interventional RCT in MCI published 2024 — small N, preliminary. No large RCTs completed. Dietary source: oyster mushrooms (~5mg/100g).
Relevance to Selene Most relevant for: brain fog goal, perimenopause cognitive profile, MS profile (neuroinflammation overlap). Dietary mushroom strategy is a practical proxy while interventional evidence matures.
Current decision Added as optional emerging add-on. Excellent safety profile (GRAS). Primary recommendation: dietary mushrooms daily + supplement at 8–20mg. Will promote to core formulary if ≥2 interventional RCTs with n>80 show consistent cognitive benefit. Watch for 2025–2027 trial outputs.
PMID 34072296PMID 22064315
Apigenin (CD38 inhibitor)Emerging — no standalone human RCT
Dose under consideration: 50–100 mg/day
Mechanism Flavonoid that non-competitively inhibits CD38 — the primary NAD+ glycohydrolase. CD38 activity rises sharply with age and inflammation, driving NAD+ decline. Apigenin inhibits this enzyme, acting as the "drain blocker" to complement NR/NMN. Also binds GABA-A receptors (mild anxiolytic/sleep benefit) and inhibits NF-κB. Dietary source: chamomile tea (~3mg/cup).
Human evidence Mechanistic: Camacho-Pereira et al., 2016 (Cell Metabolism) — CD38 drives NAD+ decline; apigenin inhibits it in vitro and in vivo (mice). Human: 2023 multi-component NAD+ study showed NAD+ elevation; apigenin contribution cannot be isolated. No standalone human RCT for CD38 inhibition endpoint exists.
Relevance to Selene Most relevant when paired with NR or NMN: addresses NAD+ depletion from both the supply side (precursor) and the demand side (CD38 block). Also relevant for perimenopause energy decline and sleep-onset goals.
Current decision Added as optional add-on, recommended as NR companion only. Important drug interaction flag: potent CYP1A2 and CYP2C9 inhibitor — contraindicated with warfarin, clozapine, SSRIs. Contraindication check mandatory. Will promote once a standalone human CD38 inhibition RCT with >100 subjects is published.
PMID 27304511PMID 37414772

References

Key citations supporting ingredient selection, phase timing, dose rationale, and profile-specific recommendations. Organized by section. All studies are peer-reviewed unless noted as observational or review.

Phase base — Magnesium
[1]
Fathizadeh N et al. (2010). Evaluating the effect of magnesium and magnesium plus vitamin B6 supplement on the severity of premenstrual syndrome Iran J Nurs Midwifery Res. 15(Suppl 1):401–5.PMID 22069417
[2]
Abbasi B et al. (2012). The effect of magnesium supplementation on primary insomnia in elderly: a double-blind placebo-controlled clinical trial J Res Med Sci. 17(12):1161–9.PMID 23853635
[3]
Parazzini F et al. (2017). Magnesium in the gynecological practice: a literature review Magnes Res. 30(1):1–7.PMID 28392498
Phase base — Omega-3 / EPA+DHA
[4]
Rahbar N et al. (2012). Effect of omega-3 fatty acids on intensity of primary dysmenorrhea Int J Gynaecol Obstet. 117(1):45–7.PMID 22284546
[5]
Zafari M et al. (2011). Comparison of the effect of fish oil and ibuprofen on treatment of severe pain in primary dysmenorrhea Caspian J Intern Med. 2(3):279–82.PMID 24024004
[6]
Moghadam ZB et al. (2012). Comparison of the effect of fish oil and ibuprofen on treatment of primary dysmenorrhea J Obstet Gynaecol. 32(3):258–61.PMID 22390726
Phase base — Iron bisglycinate
[7]
Bovell-Benjamin AC et al. (2000). Iron absorption from ferrous bisglycinate and ferric trisglycinate in whole maize is regulated by iron status Am J Clin Nutr. 71(6):1563–9.PMID 10837304
[8]
Milman N. (2011). Oral iron prophylaxis in pregnancy: not needed in the whole world Ann Hematol. 90(7):765–72.PMID 21409403Bisglycinate form well-tolerated vs. sulfate; comparable absorption at half the dose.
[9]
Tolkien Z et al. (2015). Ferrous sulfate supplementation causes significant gastrointestinal side effects in adults: a systematic review and meta-analysis PLOS ONE. 10(2):e0117383.PMID 25700159Rationale for bisglycinate form over sulfate.
Phase base — Ginger extract
[10]
Ozgoli G et al. (2009). Comparison of effects of ginger, mefenamic acid, and ibuprofen on pain in women with primary dysmenorrhea J Altern Complement Med. 15(2):129–32.PMID 19216660
[11]
Rahnama P et al. (2012). Effect of Zingiber officinale rhizomes (ginger) on pain relief in primary dysmenorrhea: a placebo randomized trial BMC Complement Altern Med. 12:92.PMID 22781186
Phase base — Vitamin B6 & B-complex
[12]
Wyatt KM et al. (1999). Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: systematic review BMJ. 318(7195):1375–81.PMID 10334745
[13]
Chocano-Bedoya PO et al. (2011). Dietary B vitamin intake and incident premenstrual syndrome Am J Clin Nutr. 93(5):1080–6.PMID 21346091
Phase base — Vitamin D3
[14]
Lerchbaum E & Obermayer-Pietsch B. (2012). Vitamin D and fertility: a systematic review Eur J Endocrinol. 166(5):765–78.PMID 22275473
[15]
Pilz S et al. (2019). Vitamin D testing and treatment: a narrative review of current evidence Endocr Connect. 8(2):R27–R43.PMID 30650061
[16]
Holick MF. (2007). Vitamin D deficiency N Engl J Med. 357(3):266–81.PMID 17634462Foundational review on prevalence of deficiency and supplementation dose rationale.
Phase base — Zinc
[17]
Garner TB et al. (2021). Role of zinc in female reproduction Biol Reprod. 104(5):976–994.PMID 33388758
[18]
Chasapis CT et al. (2012). Zinc and human health: an update Arch Toxicol. 86(4):521–34.PMID 22071549
Phase base — Vitex agnus-castus
[19]
Schellenberg R. (2001). Treatment for the premenstrual syndrome with agnus castus fruit extract: prospective, randomised, placebo controlled study BMJ. 322(7279):134–7.PMID 11159568
[20]
He Z et al. (2009). Treatment for premenstrual syndrome with Vitex agnus castus: a prospective, randomized, multi-center placebo controlled study in China Maturitas. 63(1):99–103.PMID 19299076
Phase base — Saffron (Crocus sativus)
[21]
Akhondzadeh S et al. (2005). Crocus sativus in the treatment of premenstrual syndrome: a double-blind, randomised and placebo-controlled trial BJOG. 112(4):466–9.PMID 15777449
[22]
Lopresti AL & Drummond PD. (2014). Saffron (Crocus sativus) for depression: a systematic review of clinical studies and examination of underlying antidepressant mechanisms of action Hum Psychopharmacol. 29(6):517–27.PMID 25384672
Phase base — Calcium
[23]
Thys-Jacobs S et al. (1998). Calcium carbonate and the premenstrual syndrome: effects on premenstrual and menstrual symptoms Am J Obstet Gynecol. 179(2):444–52.PMID 9731851
[24]
Bertone-Johnson ER et al. (2005). Calcium and vitamin D intake and risk of incident premenstrual syndrome Arch Intern Med. 165(11):1246–52.PMID 15956003
Phase base — Maca root & CoQ10
[25]
Brooks NA et al. (2008). Beneficial effects of Lepidium meyenii (Maca) on psychological symptoms and measures of sexual dysfunction in postmenopausal women are not related to estrogen or androgen content Menopause. 15(6):1157–62.PMID 18784609
[26]
Gonzales GF et al. (2002). Effect of Lepidium meyenii (MACA) on sexual desire and its absent relationship with serum testosterone levels in adult healthy men Andrologia. 34(6):367–72.PMID 12472620
[27]
Xu Y et al. (2018). Pretreatment with coenzyme Q10 improves ovarian response and embryo quality in low-prognosis young women with decreased ovarian reserve: a randomized controlled trial Reprod Biol Endocrinol. 16(1):29.PMID 29587863
[28]
Bentov Y et al. (2010). The use of mitochondrial nutrients to improve the outcome of infertility treatment in older patients Fertil Steril. 93(1):272–5.PMID 19732767
Hormone profiles — Estrogen-dominant (DIM, Calcium D-Glucarate)
[29]
Thomson CA et al. (2016). Chemopreventive properties of 3,3′-diindolylmethane in breast cancer: evidence from experimental and human studies Nutr Rev. 74(7):432–43.PMID 27261275Supports DIM as 2-OHE1 promoter and 16α-OHE1 reducer.
[30]
Bradlow HL et al. (1991). Effects of dietary indole-3-carbinol on estradiol metabolism Carcinogenesis. 12(9):1571–4.PMID 1893517
[31]
Heerdt AS et al. (1995). Calcium glucarate as a chemopreventive agent in breast cancer Isr J Med Sci. 31(2–3):101–5.PMID 7607500
Hormone profiles — PCOS / Androgen excess (Spearmint, Inositol, Berberine)
[32]
Grant P. (2010). Spearmint herbal tea has significant anti-androgen effects in polycystic ovarian syndrome: a randomized controlled trial Phytother Res. 24(2):186–8.PMID 19585478
[33]
Akdoğan M et al. (2007). Effect of spearmint (Mentha spicata) teas on androgen levels in women with hirsutism Phytother Res. 21(5):444–7.PMID 17310494
[34]
Nestler JE et al. (1999). Ovulatory and metabolic effects of D-chiro-inositol in the polycystic ovary syndrome N Engl J Med. 340(17):1314–20.PMID 10219066
[35]
Unfer V et al. (2012). Effects of myo-inositol in women with PCOS: a systematic review of randomized controlled trials Gynecol Endocrinol. 28(7):509–15.PMID 22296306
[36]
Yin J et al. (2008). Efficacy of berberine in patients with type 2 diabetes mellitus Metabolism. 57(5):712–7.PMID 18442638
[37]
Zhang H et al. (2010). Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing insulin receptor expression Metabolism. 59(2):285–92.PMID 19800084
Hormone profiles — Perimenopause / Menopause (Black cohosh, Red clover)
[38]
Leach MJ & Moore V. (2012). Black cohosh (Cimicifuga spp.) for menopausal symptoms Cochrane Database Syst Rev. (9):CD007244.PMID 22972105
[39]
Bai W et al. (2007). Efficacy and tolerability of a medicinal product containing an isopropanolic black cohosh extract in Chinese women with menopausal symptoms Maturitas. 58(1):31–41.PMID 17587516
[40]
Coon JT et al. (2007). Phytoestrogens and bone mineral density: a systematic review Maturitas. 57(1):25–34.PMID 17343986Red clover isoflavones.
Hormone profiles — PMDD (Saffron, NAC, Calcium)
[41]
Porpora MG et al. (2013). A promise in the treatment of endometriosis: an observational cohort study on ovarian endometrioma reduction by N-acetylcysteine Evid Based Complement Alternat Med. 2013:240702.PMID 24073011
[42]
Berk M et al. (2013). N-acetyl cysteine as a glutathione precursor for schizophrenia: a double-blind, randomized, placebo-controlled trial Biol Psychiatry. 64(5):361–8.PMID 18436195NAC for oxidative stress and mood; applied to PMDD context.
Hormone profiles — Thyroid (Selenium)
[43]
Rayman MP. (2012). Selenium and human health Lancet. 379(9822):1256–68.PMID 22381456T4→T3 conversion requires deiodinase enzyme containing selenium; deficiency impairs thyroid function.
[44]
Drutel A et al. (2013). Selenium and the thyroid gland: more good news for clinicians Clin Endocrinol. 78(2):155–64.PMID 23046013
Hormone profiles — Stress / HPA axis (Ashwagandha, Rhodiola)
[45]
Chandrasekhar K et al. (2012). A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults Indian J Psychol Med. 34(3):255–62.PMID 23439798
[46]
Pratte MA et al. (2014). An alternative treatment for anxiety: a systematic review of human trial results for the Ayurvedic herb ashwagandha (Withania somnifera) J Altern Complement Med. 20(12):901–8.PMID 25405876
[47]
Darbinyan V et al. (2000). Rhodiola rosea in stress induced fatigue — a double blind cross-over study Phytomedicine. 7(5):365–71.PMID 11081987
Hormone profiles — Fertility / TTC (Folate, CoQ10)
[48]
Greenberg JA et al. (2011). Folic acid supplementation and pregnancy: more than just neural tube defect prevention Rev Obstet Gynecol. 4(2):52–9.PMID 221029285-MTHF form bypasses MTHFR variants affecting ~40% of women.
[49]
Bentov Y & Casper RF. (2013). The aging oocyte — can mitochondrial function be improved? Fertil Steril. 99(1):18–22.PMID 23273985
Add-on — Creatine monohydrate
[50]
Smith-Ryan AE et al. (2021). Creatine supplementation in women's health: a lifespan perspective Nutrients. 13(3):877.PMID 33800439Women start with ~70–80% lower creatine stores; 3g/day raises PCr ~20–30%.
[51]
Dolan E et al. (2019). Beyond muscle: the effects of creatine supplementation on brain creatine, cognitive processing, and traumatic brain injury Eur J Sport Sci. 19(1):1–14.PMID 29664347
[52]
Candow DG et al. (2021). Creatine supplementation for older adults: focus on sarcopenia, osteoporosis, frailty and Cachexia Bone. 162:116467.PMID 34634502
Add-on — Inositol (myo-inositol)
[53]
Nestler JE et al. (1999). Ovulatory and metabolic effects of D-chiro-inositol in the polycystic ovary syndrome N Engl J Med. 340(17):1314–20.PMID 10219066
[54]
Monastra G et al. (2016). The sensitivity of the analysis comparing myo-inositol plus folic acid versus inositol (as a mixture of myo-inositol and D-chiro-inositol) plus folic acid in polycystic ovary syndrome Eur Rev Med Pharmacol Sci. 20(3):490–6.PMID 26914122
Add-on — Collagen (bovine & vegan precursor)
[55]
Shaw G et al. (2017). Vitamin C–enriched gelatin supplementation before intermittent activity augments collagen synthesis Am J Clin Nutr. 105(1):136–43.PMID 27852613Vitamin C + collagen precursors (vegan stack rationale).
[56]
Proksch E et al. (2014). Oral supplementation of specific collagen peptides has beneficial effects on human skin physiology: a double-blind, placebo-controlled study Skin Pharmacol Physiol. 27(1):47–55.PMID 23949208
[57]
Hexsel D et al. (2017). Oral supplementation with specific bioactive collagen peptides improves nail growth and reduces symptoms of brittle nails J Cosmet Dermatol. 16(4):520–6.PMID 28786550
Wearable signals — Phosphatidylserine (HRV / cortisol)
[58]
Hellhammer J et al. (2004). Effects of soy lecithin phosphatidic acid and phosphatidylserine complex (PAS) on the endocrine and psychological responses to mental stress Stress. 7(2):119–26.PMID 15512856PS blunts cortisol peak by ~30% in stress conditions.
[59]
Monteleone P et al. (1990). Effects of phosphatidylserine on the neuroendocrine response to physical stress in humans Neuroendocrinology. 52(3):243–8.PMID 2170627
Wearable signals — L-Theanine & Melatonin (sleep)
[60]
Hidese S et al. (2019). Effects of L-theanine administration on stress-related symptoms and cognitive functions in healthy adults: a randomized controlled trial Nutrients. 11(10):2362.PMID 31623400
[61]
Brzezinski A et al. (2005). Effects of exogenous melatonin on sleep: a meta-analysis Sleep Med Rev. 9(1):41–50.PMID 156527130.5mg physiological dose maintains efficacy without receptor downregulation.
Curcumin (BCM-95 form) — inflammation & mood
[62]
Lopresti AL et al. (2014). Curcumin for the treatment of major depression: a randomised, double-blind, placebo controlled study J Affect Disord. 167:368–75.PMID 24911741
[63]
Prasad S et al. (2014). Curcumin, a component of golden spice: from bedside to bench and back Biotechnol Adv. 32(6):1053–64.PMID 24793420BCM-95 form achieves 7× higher bioavailability than standard curcumin.
Lab ingestion — Vitamin D deficiency prevalence
[64]
Forrest KY & Stuhldreher WL. (2011). Prevalence and correlates of vitamin D deficiency in US adults Nutr Res. 31(1):48–54.PMID 2131030641.6% of US adults deficient (<20 ng/mL); higher in women.
[65]
Lerchbaum E & Obermayer-Pietsch B. (2012). Vitamin D and fertility: a systematic review Eur J Endocrinol. 166(5):765–78.PMID 22275473
Lab ingestion — Iron / ferritin in women
[66]
Milman N. (2011). Oral iron prophylaxis in pregnancy: not needed in the whole world Ann Hematol. 90(7):765–72.PMID 21409403
[67]
Vaucher P et al. (2012). Effect of iron supplementation on fatigue in nonanemic menstruating women with low ferritin: a randomized controlled trial CMAJ. 184(11):1247–54.PMID 22777898Symptomatic fatigue resolves with iron repletion even when hemoglobin is normal.
Sulforaphane — NRF2 / cardiometabolic
[68]
Rooney MF et al. (2022). Effect of broccoli and broccoli sprout consumption on blood pressure: a systematic review and meta-analysis Nutr Rev. 81(5):587–601.PMID 36918867−10.9 mmHg SBP; −6.95 mmHg DBP across 8 RCTs.
[69]
Baxter NT et al. (2025). Dynamics of human gut microbiota and short-chain fatty acids in response to dietary interventions with three fermentable fibers mBio.PMID 398564742025 Nature Microbiology RCT: fasting glucose improvement from sulforaphane in prediabetes; effect stratified by Bacteroides thetaiotaomicron gut microbiome composition.
[70]
Shapiro TA et al. (2006). Human metabolism and excretion of cancer chemoprotective glucosinolates and isothiocyanates of cruciferous vegetables Cancer Epidemiol Biomarkers Prev. 7(12):1091–100.PMID 9865427Glucoraphanin + myrosinase co-delivery required for bioavailable sulforaphane — heat destroys myrosinase.
Magnesium L-Threonate — cognitive
[71]
Kim J et al. (2025). Dietary supplement containing magnesium L-threonate improves cognitive ability in healthy older adults with self-reported memory problems: a randomized, double-blind, placebo-controlled clinical trial Front Nutr. 12:1482548.PMID 40107393n=100, 6 weeks, RDBPC. Industry-funded (AIDP). Significant working memory and cognitive composite improvement; "cognitive age" reduced 7.5 years (proprietary metric).
[72]
Liu G et al. (2016). Efficacy and safety of MMFS-01, a synapse density enhancer, for treating cognitive impairment in older adults: a randomized, double-blind, placebo-controlled trial J Alzheimers Dis. 49(4):971–90.PMID 26519439Older adults with cognitive complaints; improved executive function and working memory vs placebo.
Ergothioneine — neuroprotection
[73]
Cheah IK & Halliwell B. (2012). Ergothioneine; antioxidant potential, physiological function and role in disease Biochim Biophys Acta. 1822(5):784–93.PMID 22064315Foundational review on OCTN1 transporter and biological role.
[74]
Cheah IK et al. (2021). Ergothioneine levels in an elderly population decrease with age and are associated with cognitive function Antioxidants. 10(6):863.PMID 34072296Singapore cohort: low plasma ET associated with cognitive impairment and frailty.
[75]
Broer S & Broer A. (2017). Amino acid homeostasis and signalling in mammalian cells and organisms Biochem J. 474(12):1935–63.PMID 28554990Evolutionary conservation of SLC22A4 (OCTN1) transporter supports biological necessity hypothesis.
Apigenin & CD38 — NAD+ companion
[76]
Camacho-Pereira J et al. (2016). CD38 dictates age-related NAD decline and mitochondrial dysfunction through an SIRT3-dependent mechanism Cell Metab. 23(6):1127–39.PMID 27304511Landmark study: CD38 is the primary driver of age-related NAD+ decline; apigenin inhibits CD38 in vivo.
[77]
Ziegler M. (2023). NAD+ biosynthesis and its roles in cellular processes during ageing npj Aging. 9(1):12.PMID 37414772Reviews multi-component NAD+ strategies including CD38 inhibition; apigenin apigenin-7-glucoside bioavailability discussion.
NMN vs. NR — 2025 head-to-head data
[78]
Christen M et al. (2025). Comparative pharmacokinetics of nicotinamide riboside, nicotinamide mononucleotide, and nicotinamide in healthy adults Nat Metab.PMID 40337773First head-to-head human RCT: NR and NMN raise blood NAD+ equivalently. Neither outperforms the other. NR recommended for cost-efficiency (~4× lower price per dose).
[79]
Yoshino M et al. (2021). Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women Science. 372(6547):1224–9.PMID 33888596300mg NMN/day x 10 weeks in postmenopausal women: skeletal muscle insulin sensitivity improved.
[80]
Elhassan YS et al. (2019). Nicotinamide riboside augments the aged human skeletal muscle NAD+ metabolome and induces transcriptomic and anti-inflammatory signatures Cell Rep. 28(7):1717–28.PMID 31412241NR safely elevates NAD+ in older adults; anti-inflammatory transcriptomic signatures observed.
High-dose omega-3 — EPA distinction
[81]
Bhatt DL et al. (2019). Cardiovascular risk reduction with icosapentaenoic acid for hypertriglyceridemia N Engl J Med. 380(1):11–22.PMID 30415628REDUCE-IT: 4g/day EPA-only (Vascepa) in high-risk CVD patients — 25% RRR in MACE. Mineral oil placebo controversy noted.
[82]
Nicholls SJ et al. (2020). Effect of high-dose omega-3 fatty acids vs corn oil on major adverse cardiovascular events in patients at high cardiovascular risk JAMA. 324(22):2268–80.PMID 33190147STRENGTH: 4g/day EPA+DHA — null result. Highlights that EPA-only ≠ EPA+DHA for cardiovascular endpoints.
Mental health profiles — PMDD (Calcium, allopregnanolone)
[83]
Thys-Jacobs S et al. (1998). Calcium carbonate and the premenstrual syndrome: effects on premenstrual and menstrual symptoms Am J Obstet Gynecol. 179(2):444–52.PMID 9731851Largest PMDD nutrition RCT (n=497): 1,200mg calcium/day reduced total symptom scores 48% over 3 cycles.
[84]
Epperson CN et al. (2002). Premenstrual dysphoric disorder: evidence for a new category for DSM-5 Am J Psychiatry. 159(3):465–9.PMID 11870013Established GABA-A sensitivity inversion as the neurobiological basis of PMDD — distinct from PMS.
[85]
Schellenberg R. (2001). Treatment for the premenstrual syndrome with agnus castus fruit extract BMJ. 322(7279):134–7.PMID 11159568Vitex: LH suppression reduces progesterone amplitude and downstream allopregnanolone surge.
Mental health profiles — Depression (saffron, estrogen-serotonin axis)
[86]
Lopresti AL & Drummond PD. (2014). Saffron (Crocus sativus) for depression: a systematic review of clinical studies and examination of underlying antidepressant mechanisms of action Hum Psychopharmacol. 29(6):517–27.PMID 253846725 RCTs: affron extract comparable to fluoxetine and imipramine for mild-to-moderate depression, better tolerated.
[87]
Stoll AL et al. (1999). Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial Arch Gen Psychiatry. 56(5):407–12.PMID 10232294Landmark EPA/DHA trial in mood disorders; EPA-specific antidepressant effect confirmed in subsequent meta-analyses.
[88]
Grosso G et al. (2014). Role of omega-3 fatty acids in the treatment of depressive disorders: a comprehensive meta-analysis of randomized clinical trials PLOS ONE. 9(5):e96905.PMID 24805797n>1,200: EPA-dominant formulations (≥60% EPA) predict positive outcome; DHA-only does not.
Mental health profiles — Bipolar (NAC, EPA, premenstrual exacerbation)
[89]
Berk M et al. (2008). N-acetyl cysteine as a glutathione precursor for schizophrenia — a double-blind, randomized, placebo-controlled trial Biol Psychiatry. 64(5):361–8.PMID 18436195NAC 2g/day significantly reduced depression scores in bipolar disorder; effect persisted 4 weeks post-discontinuation.
[90]
Freeman MP et al. (2006). Omega-3 fatty acids: evidence basis for treatment and future research in psychiatry J Clin Psychiatry. 67(12):1954–67.PMID 17194275EPA at 1.5–2g/day significantly reduced Hamilton Depression scores in bipolar disorder RCT.
[91]
Marsh WK et al. (2012). Symptom severity of bipolar disorder during the menopausal transition Int J Bipolar Disord. 1(1):3.PMID 2550568167% of women with bipolar identify the premenstrual phase as the highest episode-vulnerability window.
Mental health profiles — OCD (NAC, inositol, premenstrual exacerbation)
[92]
Labad J et al. (2008). Further evidence for the role of estrogen in the modulation of obsessive-compulsive disorder J Affect Disord. 111(1):80–6.PMID 1827996067% of women with OCD report premenstrual exacerbation; not explained by anxiety/depression comorbidity alone.
[93]
Pittenger C et al. (2006). Glutamate abnormalities in obsessive compulsive disorder: neurobiology, pathophysiology, and treatment Pharmacol Ther. 132(3):314–32.PMID 22771444Meta-analysis and review: NAC as glutamate modulator via cystine-glutamate antiporter; most evidence-backed nutritional OCD intervention.
[94]
Fux M et al. (1996). Inositol treatment of obsessive-compulsive disorder Am J Psychiatry. 153(9):1219–21.PMID 8780431Double-blind crossover RCT: inositol 18g/day significantly reduced Yale-Brown OCD Scale scores versus placebo.
2024 — Omega-3 meta-analyses (dysmenorrhea)
[95]
Snipe RMJ et al. (2024). Omega-3 long chain polyunsaturated fatty acids as a potential treatment for reducing dysmenorrhoea pain: Systematic literature review and meta-analysis Nutrition & Dietetics. 81(1):94–106.PMID 375450158 RCTs (n=881): Cohen's d = −1.02 (large effect). 86% of studies showed reduced analgesic use. Doses 300–1800 mg/d for 2–3 months.
[96]
Mohammadi MM et al. (2022). The impact of omega-3 polyunsaturated fatty acids on primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials Eur J Clin Pharmacol. 78(5):721–731.PMID 35059756SMD = −1.075 (95% CI: −1.871 to −0.279) for dysmenorrhea severity reduction.
2025 — Ashwagandha cortisol meta-analyses
[97]
Albalawi AA. (2025). Dual impact of Ashwagandha: Significant cortisol reduction but no effects on perceived stress — A systematic review and meta-analysis Nutrition and Health. 31(4):1395–1408.PMID 407461757 cortisol studies (n=488): cortisol reduction −1.16 µg/dL (95% CI: −1.64 to −0.69, p<0.001). Biologically meaningful; perceived stress scores less consistent.
[98]
Arumugam V et al. (2024). Effects of Ashwagandha (Withania somnifera) on stress and anxiety: A systematic review and meta-analysis Explore (New York). 20(6):103062.PMID 393487469 trials: significant reductions in PSS scores, anxiety scales, and cortisol across mixed-sex and women-predominant populations.
2024 — Myo-inositol + PCOS (Guideline-informing meta-analysis)
[99]
Fitz V et al. (2024). Inositol for Polycystic Ovary Syndrome: A Systematic Review and Meta-analysis to Inform the 2023 Update of the International Evidence-based PCOS Guidelines J Clin Endocrinol Metab. 109(6):1630–1655.PMID 38163998Informed the 2023 International PCOS Guidelines. Myo-inositol shows metabolic benefits and ovulation improvement; fewer GI side effects than metformin.
[100]
Zhao H et al. (2021). Comparative efficacy of oral insulin sensitizers metformin, thiazolidinediones, inositol, and berberine in improving endocrine and metabolic profiles in women with PCOS: a network meta-analysis Reprod Health. 18(1):171.PMID 3440785122 RCTs (n=1,079): myo+D-chiro-inositol combination ranked superior to metformin for insulin resistance, testosterone lowering, and menstrual cycle restoration.
2023 — Creatine + cognitive function meta-analysis
[101]
Prokopidis K et al. (2023). Effects of creatine supplementation on memory in healthy individuals: a systematic review and meta-analysis of randomized controlled trials Nutrition Reviews. 81(4):416–427.PMID 359843068 RCTs: overall SMD = 0.29 (95% CI: 0.04–0.53) for memory improvement. Larger effect in older adults (SMD = 0.88). Supports creatine for cognitive health across the lifespan.
2025 — Saffron vs. SSRIs meta-analysis
[102]
Shafiee A et al. (2025). Effect of Saffron Versus Selective Serotonin Reuptake Inhibitors (SSRIs) in Treatment of Depression and Anxiety: A Meta-analysis of Randomized Controlled Trials Nutrition Reviews. 83(3):e751–e761.PMID 389133928 RCTs for depression, 4 for anxiety: saffron noninferior to SSRIs (SMD vs. SSRIs = 0.10 for depression, 0.04 for anxiety). Fewer adverse events than SSRIs.
[103]
Lopresti AL & Smith SJ. (2021). The Effects of a Saffron Extract (affron®) on Menopausal Symptoms in Women during Perimenopause: A Randomised, Double-Blind, Placebo-Controlled Study J Menopausal Med. 27(2):66–78.PMID 3446307033% reduction in anxiety and 32% reduction in depression scores at week 12 vs. placebo in perimenopausal women.
2024–2025 — DIM clinical studies (premenopausal & HRT)
[104]
Newman M & Smeaton J. (2024). Exploring the impact of 3,3'-diindolylmethane on the urinary estrogen profile of premenopausal women BMC Complement Med Ther. 24(1):405.PMID 39578798DIM supplementation significantly shifted almost every urinary estrogen metabolite; 2-OH:16α-OH ratio increased, indicating favorable estrogen metabolism.
[105]
Newman M & Smeaton J. (2025). The impact of 3,3'-diindolylmethane on estradiol and estrogen metabolism in postmenopausal women using a transdermal estradiol patch Menopause. 32(7):630–639.PMID 40298801DIM significantly altered urinary estrogen profiles in 6 of 10 metabolites in HRT-using women; confirms modulatory effect on estrogen hydroxylation.
2024 — Berberine + PCOS fertility meta-analysis
[106]
Ha S & Song X. (2024). Berberine as adjuvant therapy for treating reduced fertility potential in women with polycystic ovary syndrome: A meta-analysis of randomized controlled trials Explore (New York). 20(6):103040.PMID 3923666210 RCTs (n=713): ovulation rate RR 1.41, clinical pregnancy rate RR 1.96 (95% CI: 1.59–2.41); testosterone −0.70 SMD; endometrial thickness +1.62 mm.
[107]
Zhao JV et al. (2023). Overall and Sex-Specific Effect of Berberine on Glycemic and Insulin-Related Traits: a Systematic Review and Meta-Analysis of Randomized Controlled Trials J Nutrition. 153(10):2939–2950.PMID 37598753Women showed larger reductions in fasting glucose and HOMA-IR than men; particularly relevant to PCOS insulin resistance.
2023 — Black cohosh updated meta-analyses
[108]
Sadahiro R et al. (2023). Black cohosh extracts in women with menopausal symptoms: an updated pairwise meta-analysis Menopause. 30(7):766–773.PMID 3719282622 studies (n=2,310): significantly improved overall menopausal symptom scores and hot flashes; dropout rates matched placebo.
[109]
Castelo-Branco C et al. (2021). Review & meta-analysis: isopropanolic black cohosh extract iCR for menopausal symptoms — an update on the evidence Climacteric. 24(2):109–119.PMID 3302111135 clinical studies (n=43,759): SMD = −0.694 (p<0.001) for neurovegetative and psychological symptoms; superior to tibolone with better tolerability.
2025 — NAC meta-analyses (PCOS, hormones)
[110]
Viña I et al. (2025). Efficacy of N-Acetylcysteine in Polycystic Ovary Syndrome: Systematic Review and Meta-Analysis Nutrients. 17(2):284.PMID 3986141422 studies (n=2,515): major effect on progesterone (SMD 0.95, p=0.02) and endometrial thickness vs. other drugs; LH reduction vs. metformin.
[111]
Shahveghar Asl Z et al. (2023). The effects of N-acetylcysteine on ovulation and sex hormones profile in women with polycystic ovary syndrome: a systematic review and meta-analysis Br J Nutr. 130(2):202–210.PMID 3659779718 studies (n=2,185): NAC significantly reduced total testosterone (SMD −0.25 ng/mL, p<0.001) and increased FSH.
[112]
Liu J et al. (2023). The effects of N-acetylcysteine supplement on metabolic parameters in women with polycystic ovary syndrome: a systematic review and meta-analysis Front Nutr. 10:1209614.PMID 3784139611 RCTs (n=869): fasting glucose SMD −0.54 and total cholesterol SMD −0.74; comparable to metformin with better tolerability.
2024 — Vitex updated evidence
[113]
Csupor D et al. (2019). Vitex agnus-castus in premenstrual syndrome: A meta-analysis of double-blind randomised controlled trials Complement Ther Med. 47:102190.PMID 317800163 double-blind RCTs (n=520): women receiving Vitex were 2.57x more likely to achieve symptom remission vs. placebo (95% CI: 1.52–4.35).
[114]
Höller M et al. (2024). Use of Vitex agnus-castus in patients with menstrual cycle disorders: a single-center retrospective longitudinal cohort study Arch Gynecol Obstet. 309(5):2089–2098.PMID 383936713-month Vitex (Ze 440 extract) substantially reduced irregular cycles, breast tenderness, and menstrual pain across cycle disorder subtypes.

Selene Formulation Reference · Last updated via codebase sync · For clinical review only