Amethyst is a combination oral contraceptive pill containing ethinyl estradiol and levonorgestrel, used primarily for preventing pregnancy. It works by inhibiting ovulation, altering the cervical mucus, and changing the uterine lining to prevent sperm from reaching the uterus and a fertilized egg from attaching. Amethyst is taken continuously without a placebo interval, which can also help manage menstrual-related symptoms.
Amethyst is a combination oral contraceptive pill containing ethinyl estradiol and levonorgestrel, used primarily for preventing pregnancy. It works by inhibiting ovulation, altering the cervical mucus, and changing the uterine lining to prevent sperm from reaching the uterus and a fertilized egg from attaching. Amethyst is taken continuously without a placebo interval, which can also help manage menstrual-related symptoms.
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Amethyst
Depletes
Prolonged use of Amethyst can impact 11 essential nutrients.
Folic Acid
Women using oral contraceptives (OCs) for extended periods may experience a decrease in their folate levels. Studies suggest that OC use might lower blood folate levels by up to 40%. This depletion can be a concern because folate plays a crucial role in red blood cell production. One research finding highlights a case where a patient developed anemia and nerve problems (polyneuropathy) after stopping vitamin B12 therapy, suggesting that folate deficiency might have been the main underlying issue. Supplementation of folate should be considered during oral contraceptive use.
Replace with Folate (0.2mg as L-5-Methylfolate) (0.34 DFE)
Studies suggest a potential for mild thiamine (vitamin B1) deficiency with long-term use of Oral Contraceptives (OCs). One finding showed that red blood cell activity of an enzyme dependent on thiamine (transketolase) decreased during OC treatment. This decrease indicates that the cells might not have enough thiamine to function optimally, suggesting a mild thiamine deficiency induced by the contraceptives. Supplementation with thiamine (vitamin B1) should be considered for women using OCs.
Replace with Vitamin B1 Thiamine (10 mg)
Research: Briggs MH, Briggs M. Thiamine status and oral contraceptives. Contraception. 1975 Feb;11(2):151-4. doi:...
Vitamin B12
Oral contraceptives (OCs) have been linked to a decrease in Vitamin B12 levels. Studies have shown a significant reduction in serum B12, the vitamin circulating in the blood, in women taking OCs for extended periods. One US study found a 40% decrease in B12 levels after five years of OC use. This decrease is concerning because vitamin B12 plays a crucial role in converting a form of folate (N-methyltetrahydrofolic acid) into its active form (tetrahydrofolic acid). This active folate is essential for healthy red blood cell production and other bodily functions. Due to the vital role of vitamin B12, supplementation when using OCs long-term should be considered.
Replace with Vitamin B12 Methylcobalamin (0.2 mg)
Research: Lussana F, Zighetti ML, Bucciarelli P, Cugno M, Cattaneo M. Blood levels of homocysteine, folate, vitamin B6 and B12 in...
Vitamin C
Studies suggest that women using oral contraceptives might have lower levels of vitamin C within their white blood cells (leukocytes) and platelets. This depletion could be linked to reduced activity of antioxidant enzymes like glutathione peroxidase (GPx) and glutathione reductase (GR) in the blood. These enzymes play a role in protecting cells from damage. Research also shows that supplementing with vitamin C, alongside vitamin E, can significantly increase the activity of these antioxidant enzymes in women taking OCs. This suggests that vitamin C supplementation might be beneficial for women on birth control pills.
Replace with Vitamin C Ascorbic Acid (125 mg)
Research: Zal F, Mostafavi-Pour Z, Amini F, Heidari A. Effect of vitamin E and C supplements on lipid peroxidation and GSH-dependent...
Magnesium
Research suggests a potential decrease in magnesium levels in women using Oral Contraceptives (OCs). Studies have shown that women taking OCs have significantly lower serum magnesium compared to those not using them. Interestingly, the type of pill or duration of use doesn't seem to influence the degree of magnesium depletion. The observed decrease in magnesium with OC use might be associated with an increased risk of blood clots. Supplementation with magnesium should be considered during oral contraceptives use.
Replace with Magnesium Citrate (100mg)
Research: Blum M, Kitai E, Ariel Y, Schnierer M, Bograd H. [Oral contraceptive lowers serum magnesium]. Harefuah. 1991 Nov...
Zinc
Studies suggest that oral contraceptives (OCs) may contribute to zinc deficiency. Research has shown a significant decrease in serum zinc levels, the zinc circulating in the blood, in women taking OCs. This decrease is thought to be due to potential changes in how the body absorbs, excretes, or utilizes zinc within tissues. Due to its vital role in many bodily functions, ensuring sufficient zinc intake through supplementation should be considered for women on birth control pills.
Replace with Zinc Bisglycinate (12.5 mg)
Research: Fallah S, Sani FV, Firoozrai M. Effect of contraceptive pill on the selenium and zinc status of healthy subjects....
Vitamin B6
Research suggests that oral contraceptives (OCs) may play a role in vitamin B6 deficiency. A deficiency is concerning because vitamin B6 plays a crucial role in mood regulation and blood sugar control. Some women using OCs experience symptoms like depression and impaired glucose tolerance, which could potentially be linked to this vitamin B6 deficiency. Low vitamin B6 levels are independently associated with an increased risk of blood clots in both arteries and veins (venous and arterial thromboembolism, or TE). This association suggests that the B6 deficiency caused by OCs might partly explain the higher risk of TE observed in women using birth control pills. This highlights the importance of ensuring adequate vitamin B6 intake for women on OCs and therefore supplementation should be considered.
Research: Lussana F, Zighetti ML, Bucciarelli P, Cugno M, Cattaneo M. Blood levels of homocysteine, folate, vitamin B6 and B12 in...
Vitamin E
When using oral contraceptives (OCs), the body might experience increased oxidative stress due to hormonal changes. Vitamin E, a potent antioxidant, could potentially help counteract this stress and promote cellular health. Research shows that combining vitamin E with vitamin C supplementation might be even more beneficial. Studies like one where Group C received both vitamins showed a significant increase in the activity of enzymes (GPx and GR) crucial for antioxidant defense, along with a reduction in markers of oxidative damage (plasma MDA levels). This suggests that a combined approach with vitamins E and C might offer enhanced protection against cellular stress for women using OCs.
Replace with Natural Vitamin E d-alpha-tocopherol + mixed tocopherols (33 mg)
Research: Zal F, Mostafavi-Pour Z, Amini F, Heidari A. Effect of vitamin E and C supplements on lipid peroxidation and GSH-dependent...
Tyrosine
Women using oral contraceptives (OCs) may experience mood changes, including depression. Research suggests a potential link between these emotional shifts and a decrease in brain levels of the neurotransmitter norepinephrine (noradrenaline). This decrease could be related to reduced availability of its precursor molecule, tyrosine, in the brain. Studies have shown a significant decline in tyrosine levels in women on OCs. One study found that the area under the curve (AUC) in plasma for tyrosine in OC users were 43% of control levels. Tyrosine supplementation could potentially help regulate mood and improve emotional well-being while taking OCs.
Replace with L-Tyrosine (200 mg)
Research: Møller, S.E., Maach-Møller, B., Olesen, M., Madsen, B.K., Madsen, P., & Fjalland, B. (1995). Tyrosine metabolism in users of...
Vitamin B2
Women using Oral Contraceptives (OCs) may benefit from including vitamin B2 (riboflavin) in their regimen. Vitamin B2 plays a critical role in activating other B vitamins, like folic acid and B6, which are essential for various bodily functions. Studies have shown that women on OCs have lower levels of active vitamin B2, as measured by the activity of an enzyme dependent on it (glutathione reductase). These reduced levels might be linked to migraines, a frequent side effect of OCs that can sometimes lead women to discontinue the medication. By ensuring adequate B2 intake, women on OCs may potentially experience reduced migraine frequency and benefit from the proper activation of other B vitamins.
Replace with Vitamin B2 Riboflavin (10 mg)
Research: Zencirci B. Comparison of the effects of dietary factors in the management and prophylaxis of migraine. J Pain Res. 2010 Jul...
Also Benefits From:
Selenium
Selenium is an essential mineral that plays a role in cell function, including protecting against cell damage and potentially supporting a healthy thyroid. Oral contraceptives (OCs) can impact nutrient levels in the body, and selenium is one such nutrient that might be depleted. Selenium offers potential benefits against cancer development, so maintaining adequate levels is important. While more research is needed, some studies suggest that OC users may have lower selenium levels. This highlights the potential importance of ensuring adequate selenium supplementation for women on birth control pills.
Research: Palmery M, Saraceno A, Vaiarelli A, Carlomagno G. Oral contraceptives and changes in nutritional requirements. Eur Rev Med...
Health Impact
Amethyst-induced nutrient depletion can lead to a range of health problems
High Homocysteine & Vascular Risk
Meta-analyses of randomized trials show that folic acid supplementation lowers homocysteine and modestly reduces stroke and overall cardiovascular disease risk in some populations, especially where baseline folate status is low, highlighting the adverse vascular profile of folate deficiency.
Research: Li Y et al. Folic acid supplementation and the risk of cardiovascular diseases: a meta-analysis of randomized controlled...
Folate-Related Megaloblastic Anemia
Hematology and nutrition reviews describe folate deficiency as a classic cause of megaloblastic anemia and mucosal abnormalities, frequently exacerbated by medications that antagonize folate metabolism.
Research: O’Leary F, Samman S. Vitamin B12 in health and disease. Nutrients. 2010;2(3):299-316. (discussion of folate and B12 in...
Wernicke–Korsakoff Neurologic Changes
Reviews of thiamine deficiency disorders show that severe depletion causes Wernicke encephalopathy, with progression to Korsakoff psychosis if untreated, particularly in malnutrition, alcoholism and certain drug exposures.
Research: Smith TJ et al. Thiamine deficiency disorders: a clinical perspective. Ann N Y Acad Sci. 2021;1498(1):9-28.; Ott M et al....
Beriberi Neuropathy & Cardiac Failure
Case series and reviews document that thiamine deficiency presents with distal sensorimotor neuropathy and cardiomyopathy, which can often be rapidly reversible with repletion if identified early.
Research: Li S et al. Wernicke encephalopathy: a mini review of the clinical and imaging features. Neurol Sci. 2025;46(2):e12307376.;...
B12-Related Megaloblastic Anemia
Clinical reviews identify vitamin B12 deficiency as a common cause of megaloblastic anemia; hematologic abnormalities often improve with replacement, underscoring the hematopoietic consequences of depletion.
Research: Langan RC, Zawistoski KJ. Update on vitamin B12 deficiency. Am Fam Physician. 2017;96(6):384-389.; Green R. Vitamin B12...
B12 Neuropathy & Cognitive Decline
Systematic reviews and observational data show associations between low B12 levels and peripheral neuropathy, myelopathy and cognitive impairment; neurological manifestations may become irreversible if depletion is prolonged.
Research: Badar A et al. Neuropsychiatric disorders associated with vitamin B12 deficiency: an updated review. Cureus....
Scurvy & Fragile Blood Vessels
Modern case reports and re-analyses of classic scurvy trials show that vitamin C deficiency causes defective collagen and capillary integrity, with slow recovery of scar strength even after repletion if deficiency is prolonged.
Research: Gandhi M et al. Scurvy: rediscovering a forgotten disease. Clin Case Rep. 2023;11(6):e10296835.; Hujoel PP, Hujoel MLA....
Side Effects
Common side effects of Amethyst, some of which may be related to nutrient depletion
Review
Amethyst, a combination oral contraceptive pill, can cause side effects such as nausea, headaches, and breast tenderness. Some users may also experience changes in menstrual bleeding patterns, including spotting or missed periods. Serious but rare side effects include blood clots, stroke, and hypertension.
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Pure Encapsulations' Vitamin B1 supplement provides a high-quality, hypoallergenic source of thiamine to support energy production, nervous system health, and overall well-being.
Pure Encapsulations' Folic Acid supplement provides a high-quality, bioavailable form of folic acid to support healthy fetal development, cardiovascular health, and overall cellular function.
Vitamin E (d-alpha tocopherol) 33 mg; mixed tocopherols 6.6mg (providing d-gamma, d-delta and d-beta tocopherols)
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