Aajonus defines PMS not as a hormonal disorder in the conventional pharmaceutical sense, but as a condition of critically low blood fat levels occurring simultaneously with a massive toxic discharge event, the menstrual cycle itself. In his framework, the menstrual period is not a problem or a disease but a deeply purposeful, healthy biological function: it is the body's primary vehicle for discharging accumulated toxins through mucus. He describes it as a time when women "get to utilize that menstrual period to get rid of a lot of toxins," building mucus and discharging it out through that channel.

The problem of PMS arises specifically because the body is dumping enormous quantities of toxins during this discharge, and if those toxins are not harnessed, buffered, and neutralized by adequate blood fats, they flood the bloodstream, the lymph system, and the neurological system in an unregulated, uncontrolled way. The toxins become "unregulated, unharnessed by fat" and cause the cascade of symptoms associated with PMS.

In his book We Want to Live, Aajonus specifies the root biochemical condition precisely: "Low pyruvate (protein sugar) level in the blood is the main problem in PMS." He frames this not as a hormonal imbalance requiring pharmaceutical hormone intervention, but as a nutritional deficiency of utilizable blood fats and protein sugars.

He also frames menstruation in a broader context of why women live longer than men: "Women produce 20% more mucus and discharge from the menstruation than men don't have that. Women live 20% longer than men do on the average." He makes the explicit connection that the menstrual discharge is the mechanism behind women's greater longevity and lower disease rates. The science behind this, in his framework, is that "women live 20% longer because she secretes 20% more mucus out" of the body. PMS, therefore, is what happens when this inherently beneficial discharge process becomes destructive because the woman's body lacks the nutritional resources, specifically fats, to safely manage the toxic load being mobilized.

The condition is directly analogous, in his teaching, to what happens to his own nervous system when he is detoxifying and toxins flood the neurological system: "It usurps the blood fats and then when the blood fats are low the body goes into the nervous system and starts ripping the fats out of the myelin as I explained in the books. And that makes me and people very irritated and testy. Check out a woman with severe PMS."

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Aajonus identifies multiple interlocking root causes operating simultaneously during PMS:

The single most emphasized cause in his teaching is critically low blood fat levels. He states directly: "You'll find high sugar in her blood, very low fat levels. Fat that she can utilize anyway as fuel and as protection." The pattern is: high blood sugar combined with very low utilizable fat. This is the biochemical fingerprint of severe PMS in his framework.

He explains the mechanism in detail: when blood fats are insufficient, the body cannot buffer the toxins being mobilized and discharged during menstruation. The toxins float freely in the blood, lymph, and neurological systems without being bound, harnessed, or neutralized. Fats are the primary binding and transport agents for toxins in his model. Without fat, the toxins damage tissues directly.

The blood fat level drops rapidly during menstruation because fats are being consumed at an accelerated rate to manage the toxic discharge, they are being used up faster than they can be replenished. This is why he specifies a time-sensitive replenishment protocol (see Food Protocol section).

He explains in detail what happens when blood fats are depleted: the body, desperate for fat to continue functioning neurologically, begins literally extracting fat from the myelin sheaths of the nervous system. "When the blood fats are low the body goes into the nervous system and starts ripping the fats out of the myelin." The myelin sheath is described as performing two functions: "It buffers the amount of information that gets to the brain. It's the skin on the nervous system and it's the skin on the brain."

When the myelin thins from fat depletion, the brain loses its buffering mechanism. "All this information gets to the brain that doesn't belong in there. You get overwhelmed, you get paranoid. You have all kinds of problems. Psychological, mental. That's big and heavy during PMS."

Per We Want to Live: "Low pyruvate (protein sugar) level in the blood is the main problem in PMS." This is distinct from simple low blood sugar (glucose). Pyruvate is the protein-derived sugar that feeds neurological and cellular function in a stable, sustained way. Its depletion creates the neurological instability and psychological symptoms characteristic of PMS.

He identifies caffeine-containing substances as a specific aggravating cause: "Coffee and substances with caffeine, such as sodas, aspirin, and chocolate, irritate glands and nerves, creating toxicity, low blood sugar and irritability." He makes a pointed, direct statement about this: "If you eat or drink a substance with caffeine during PMS, you are likely to hate everyone."

The mechanism is that caffeine irritates glands and nerves directly, compounds the already-existing low blood sugar condition, and adds an additional layer of toxicity to a system already overwhelmed with toxic discharge.

Hormonal imbalances associated with PMS are worsened by "processed, cooked and even raw sweets (unless it is raw unripe fruit with raw fat)." Additionally, "cooked meats create too many volatile toxins, drying and irritating the entire body", a particularly damaging input during a period when the body is already fighting to manage toxic load.

In some women, the condition is further complicated by "too high adrenaline levels", a state that Aajonus addresses as a distinct variation of PMS requiring its own dietary modification (see Food Protocol).

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Aajonus reinterprets every major conventional PMS symptom through his nutritional/terrain framework:

Conventionally attributed to "hormonal fluctuation," Aajonus reframes these as the direct neurological consequence of myelin thinning from fat depletion. When myelin thins, the brain receives "all this information that doesn't belong in there." The result is being "overwhelmed, paranoid." He uses his own personal experience as a direct parallel: "when a lot of toxins are moving into the neurological system and the blood and the lymph system all at one time... it makes me and people very irritated and testy."

The extreme irritability, specifically the kind where "you are likely to hate everyone", is the predictable neurological result of simultaneously low blood fat, low pyruvate, high circulating toxins, and caffeine irritating an already-compromised nervous system.

He cross-references menstrual cramps as related but distinct: "MENSTRUAL CRAMPS are abdominal muscle contractions that sometimes accompany menstruation, and are usually painful. These cramps are directly related to a lack of utilizable proteins in the blood. Either a sufferer is not eating enough meat or she doesn't digest, assimilate, or utilize cooked meat." He cross-references this to the PMS entry specifically.

A woman at a workshop describes "really severe dysmenorrhea" with "incredible pain in my ovaries, my lower back, every month" so intense that "it would create a toxic reaction and vomiting and diarrhea" and she had been "on hormones to cut the severity of it." Aajonus engages directly with her case (see Q&A section).

"Women who get listless during and after menstruation develop a type of anemia during their cycle. Eating plenty of raw meat alleviates that condition." This is a distinct subset of menstrual symptoms that he identifies and addresses separately.

He contrasts the experience of toxic modern women with that of women eating primarily raw foods: "The tribes in Africa that eat all raw foods. Their menstrual cycle is maybe one and a half, two days, and probably is more than a half a cup altogether over the entire time." In contrast, women on toxic modern diets experience longer, heavier, more painful, more odorous periods because the volume of toxins being discharged is vastly greater and the fats available to buffer them are vastly lower.

He makes a pointed philosophical reframe: "Singing happy menstrual. It should be a happy period, but it's not." His point is that menstruation, properly supported with adequate fats and clean nutrition, should be experienced as a beneficial cleansing event, not a misery. The suffering of PMS is not inherent to menstruation but is the result of nutritional deficiency and toxic accumulation.

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This is the single most specific and time-sensitive directive Aajonus gives for PMS management:

"Every two hours you need to consume it. And that will buffer your PMS."

He is entirely flexible about the form and quantity, stating: "I don't care if it's just an ounce. I don't care if it's two tablespoons. I don't care if it's a half a cup. Every two hours you need to consume it."

The rationale: "Because toxins are floating incredibly" during menstruation. The fat is needed continuously to bind and buffer these freely floating toxins. The blood fat level depletes rapidly, "the blood fat level needs to be replenished like every two hours", because it is being consumed faster than the body can replenish it from stored reserves.

The qualifying statement: "If you're having your period, every two hours you better be drinking or eating some kind of fat."

This is non-negotiable in his framework. The quantity is less important than the regularity. Even a small amount, one ounce, two tablespoons, consumed at two-hour intervals maintains enough blood fat to buffer the toxic discharge and prevent the cascade of neurological and psychological symptoms.

Given his overall framework, the fats referenced would include: - Raw butter - Raw cream - Raw coconut cream - Raw eggs (high in fat) - Raw meat fats - Avocado - Raw dairy of all forms

Explicitly named: "Drinking full-fat raw milk (when available)... works wonders." This is part of the broader dietary framework for PMS/menstruation. He specifies "when available," acknowledging practical constraints.

"Eating fresh raw fish... works wonders", listed alongside full-fat raw milk as a specific recommendation during the menstrual/PMS period.

"Eating fresh raw... raw mushrooms... works wonders" during menstruation. The mushrooms are specifically noted elsewhere for their enzyme content: "Raw mushrooms contain enzymes that facilitate protein utilization." This makes them doubly useful, both for the PMS period and for the related condition of menstrual cramps.

Five raw mushrooms daily for five days before menstrual onset (referenced in the menstrual cramps context, which he directly cross-references to PMS): "Eating at least 5 raw mushrooms daily for 5 days before menstrual onset with a raw green salad, and eating raw red meat, like tuna, beef, or lamb, usually prevents these cramps."

"A diet that is high in raw fat works wonders" during menstruation and for PMS. This is the overarching dietary principle, of which the two-hour fat consumption schedule is the acute application.

"Eating raw unripe fruit... encourages alkalinity and psychological stability." He specifies unripe fruit, not ripe, not cooked, not dried, and pairs it with raw fat ("raw unripe fruit with raw fat" is the acceptable sweet during PMS). This combination supports alkalinity without the hormonal disruption that ripe or processed sweets cause.

"Eating raw... raw green vegetable juices... encourages alkalinity and psychological stability." These are specifically listed for their alkalizing and psychologically stabilizing effects during PMS.

"Eating... unheated honey encourages alkalinity and psychological stability." Unheated, not cooked, not pasteurized, honey is specifically listed as supportive. This is consistent with his overall framework where honey is a therapeutic food only when raw.

For menstrual cramps (cross-referenced to PMS): "eating raw red meat, like tuna, beef, or lamb, usually prevents these cramps." For listlessness/anemia during menstruation: "Eating plenty of raw meat alleviates that condition."

He identifies a specific subset of women who need a dietary modification: "Women with too high adrenaline levels should eat mostly white raw meats during PMS." He also notes elsewhere: "Eating white with red meat helps prevent irritability." So for women with the high-adrenaline variant of PMS, the protocol shifts toward white meats (chicken, fish) while still including some red meat for the irritability-prevention benefit.

"Women who get listless during and after menstruation develop a type of anemia during their cycle. Eating plenty of raw meat alleviates that condition." This is specifically for the post-menstrual or during-menstrual fatigue and anemia subset.

For menstrual pain (cross-referenced from the PMS entry): "Drinking the blended mixture of raw milk and bee pollen, or raw carrot juice and bee pollen relieves pain." Two variations given: 1. Raw milk + bee pollen (blended) 2. Raw carrot juice + bee pollen (blended)

He directs to The Recipe For Living Without Disease, Chapter 12, for a full balanced diet protocol relevant to this condition. This suggests that the PMS protocol is not an isolated intervention but fits within the broader dietary framework of that reference.

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Aajonus does not give a specific "recovery timeline" for PMS as a condition that resolves over time in the way he gives timelines for, say, organ healing. Instead, his framework positions PMS as a condition that is managed cycle-by-cycle through the dietary protocol, and that improves progressively as overall terrain quality improves.

The acute protocol, fat every two hours during menstruation, operates on the timescale of the period itself. The implication is that this protocol, if followed consistently throughout the menstrual cycle, will substantially buffer PMS symptoms during that cycle.

His reference point for full recovery is the experience of women in African tribes eating all raw foods: "Their menstrual cycle is maybe one and a half, two days, and probably is more than a half a cup altogether over the entire time." Additionally, "the women who are on this diet for five to seven years who have babies, two contractions."

He specifically states a timeline for women on the diet achieving dramatically simplified birthing: "five to seven years" on the Primal Diet. The implication for PMS is a similarly multi-year trajectory of improvement as the terrain is cleaned and nutritional reserves are built.

"Many women who were on the Primal Diet for at least 2 years, experienced only two major contractions during labor." This two-year minimum suggests that measurable improvement in the uterine/reproductive terrain begins within two years, though the full tribal-level experience takes five to seven years.

The protocol is inherently cyclical. Each menstrual period is managed with the fat protocol, the avoidance of caffeine and cooked meats, and the consumption of supportive foods. Over time, as the body's overall nutritional status improves and toxic accumulation decreases, the intensity of the discharge, and therefore the intensity of PMS, should decrease.

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