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About Hormone Repair Manual

‘The book my patients have been waiting for.’ Dr Peta Wright,


gynaecologist and women’s health advocate

The Hormone Repair Manual is a must-have guide to understanding and


overcoming the symptoms of perimenopause and menopause.

Naturopath Lara Briden, author of the international bestseller Period Repair


Manual, has more than 20 years’ experience in women’s health. Her fresh
approach aims to overturn the stigma of perimenopause and menopause and
show women that:
• many symptoms are temporary and manageable
• emotional challenges can present an opportunity to thrive
• a focus on health during this period can bring benefits for years to
come.

Addressing common symptoms such as hot flushes, insomnia, mood


changes, migraines, weight gain, low libido and heavy periods, Lara offers
practical solutions of diet, lifestyle, nutritional supplements and tips for
how to speak to your doctor about hormone therapy.

The Hormone Repair Manual is backed by evidence-based research and


case studies and is a reassuring guide to soothing, nourishing and
strengthening your body, mind and spirit during this time of change.
Contents

Cover
About Hormone Repair Manual
Contents

Introduction

PART ONE: Understanding perimenopause and menopause


1 Hormone revolution: why everything is different after second
puberty
2 Stigma, freedom, grief and everything in between
3 Cycle while you can: the value of natural, ovulatory menstrual
cycles
4 The hormonal and physiological changes of second puberty

PART TWO: Treatment


5 General maintenance for perimenopause and beyond
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6 Menopausal hormone therapy (MHT)
7 Rewiring the brain: help for hot flushes, sleep, migraines, memory
and mood
8 Bodily issues: weight gain, thyroid disease, allergies, and aches and
pains
9 Estrogen rollercoaster: crazy heavy periods and breast pain
10 What comes after

Resources
Suggested supplements brands
Glossary
References
Index
About Lara Briden
Also by Lara Briden
Copyright page
To my patients
Introduction

Welcome to Hormone Repair Manual, your guide to healthy hormones after


40.
If you read my first book Period Repair Manual, you know how
passionate I am about women’s hormones and periods. In fact, you could
say I’m a cheerleader for women’s hormones and all the benefits that come
from natural menstrual cycles.
With this book, I’m equally passionate about the final few years of
periods called perimenopause, and the years after periods called
menopause. I didn’t include the word perimenopause or menopause in the
title because I didn’t want you to think, ‘Oh, this book doesn’t apply to me’,
when in fact, if you’re 40 (or even close to 40), then it very much does
apply to you.
Why am I so passionate about perimenopause and menopause?
First, because it’s happening to me. I’m 50 at the time of writing and
have started having long gaps between periods and forgetting where I
parked my car. I’m also discovering a new feeling of cheeky independence,
which I’ll explain more in Chapter 2 and which I had heard about from
patients but never really understood until it happened to me.
The second reason I’m passionate about perimenopause and menopause
is that I’m eager to shine a light on how normal and okay it is. I’m doing so
in response to an unofficial survey I conducted on my social media pages
where I asked, ‘Are you afraid of menopause?’ and 64 per cent of women
responded, ‘Yes’. In the comments, they described being frightened of
symptoms, which is understandable, but also of being frightened of the
stigma of menopause, which is also understandable, but sad. How can
society still attach such stigma to a normal natural process that happens to
51 per cent of the population?
We’ll tackle stigma in Chapter 2, where I’ll offer what I hope are a few
new angles on the whole thing. I’ll also invite you to view menopause as a
separate process from aging, which is accurate, because, although
perimenopause happens alongside aging, it’s actually an independent
process that is more akin to second puberty. We’ll explore the concept of
second puberty in Chapters 1, 2 and 4 and I’ll present the argument that,
from an evolutionary perspective, menopause may actually have evolved as
a beneficial adaptation to give rise to a longer human lifespan. Viewing
menopause as a beneficial adaptation is just one of several ways to find
meaning in the process and see beyond the common narrative that
menopause is just an accident of living too long.

How to use this book


The first four chapters are all about understanding the process of
perimenopause, both emotionally and biologically, including a discussion of
the importance of regular ovulation. If it seems strange to learn about
ovulation just as you’re about to stop ovulating forever, consider that
‘stopping ovulation’ is the cause of most symptoms that might arise. To
understand symptoms and how to treat them, you need to start by
understanding ovulation.
The final six chapters of the book are all about treatment. Drawing on
the latest research and my own twenty-five years’ working with patients,
I’ll provide nutritional and hormonal treatment strategies for symptoms
ranging from heavy periods to weight gain to anxiety and night sweats.
We’ll begin with a General maintenance chapter about the nervous system
and diet and then move into a full discussion of hormone therapy before
surveying each symptom individually and how to treat them with both
conventional and natural treatment options.
Start by reading the book from cover to cover, because there are
essential topics nestled within each chapter. For example, Chapters 5 and 8
provide a detailed description of insulin resistance or prediabetes, which,
for reasons that will become clear, is crucial for almost every part of the
perimenopause and menopause story. Chapter 7, the ‘brain chapter’, is
where you’ll learn about hot flushes, and Chapter 10 is where we’ll discuss
long-term concerns such as vaginal dryness, cognition and bone health.

Special boxes
Throughout this book, you’ll encounter definitions, tips, patient stories and
special topics.

DEFINITION
Definition boxes provide simple explanations for any technical words. You
can also find these explanations in the Glossary at the end of the book.

TIP
Tips are extra bits of information you may find helpful.

PATIENT STORIES

Patient stories are fictionalised stories based on my real patients, with names
and some details changed.

SPECIAL TOPIC: EXPLORE IN MORE DETAIL


Special topics to provide you with extra, in-depth information.
How to speak with your doctor sections
At times, you’ll need your doctor’s help, either for diagnosis or
treatment, and I want your doctor–patient conversations to be as
productive as possible. Towards that goal, I have provided short How
to speak with your doctor sections, which are lists of statements and
questions to assist in communication about topics such as How to
speak with your doctor about progesterone for heavy bleeding.

Are the recommendations evidence-based?


For all the diet, lifestyle and supplement recommendations, I have provided
a reference to a scientific study whenever possible. That amounts to more
than 350 studies to support many of my recommendations. When I have not
provided a reference, it’s because research was not yet published on that
topic, such as for some of the herbal medicines, as well as for concepts like
the role of mast cell activation and histamine in perimenopausal mood
symptoms. I hope that scientists will one day study those treatments and
concepts, but in the meantime, I want you to have the benefit of them. If
that means being ahead of the curve of scientific inquiry, then so be it.
More importantly, my recommendations are based on the success of
thousands of my patients. Most are simple and safe to try, and when there
are precautions, I list them. I also ask that you speak with your doctor or
pharmacist about possible interactions with your medical conditions or
medications, or if you are pregnant or breastfeeding. Always cross-check
the labels or packaging for precautions and dosage instructions. To assist
you, I’ve provided a list of Suggested supplements brands on page 308, but
I have not been paid to mention any product or brand name. At the end of
the day, you should choose the supplement that is available to you and is
not too expensive.
Chapter 6 is a big discussion of menopausal hormone therapy and is as
up to date as I could make it, given the evidence is constantly changing
from ‘hormones are good for prevention’ to ‘use them only for symptom
relief’ and back again. My observation is that estrogen and progesterone
therapy can be helpful for some things, so I’ll survey the latest research and
consensus and share the experiences of my own patients.
In the book in general and the hormone therapy chapter in particular, I
have drawn on the research and writing of my colleague Professor Jerilynn
C. Prior, who is a Canadian endocrinology professor and the author of the
perimenopause book Estrogen’s Storm Season: stories of perimenopause.
Professor Prior is a huge advocate of the benefits of progesterone treatment,
either as a companion to estrogen or on its own and you’ll encounter her
quotes and protocols throughout the book.

My education and background


My first degree was a Bachelor of Science (BSc) from the University of
Calgary, where I published my honours thesis as a scientific paper on the
foraging behaviour of male and female bats. That work in evolutionary
biology was the beginning of my love of science and the natural world, and
has informed the way I work with patients. For example, I view the body as
a logical, regenerative system that knows what to do when it’s given the
right support with nutrition and natural treatments.
After my biology degree, I went on to qualify as a naturopathic doctor
(ND) from the Canadian College of Naturopathic Medicine (CCNM) in
Toronto, Canada. It’s one of seven accredited colleges of naturopathic
medicine in North America: two in Canada and five in the United States.
The first two years of training are similar to conventional medical
programs, while the final two years provide hundreds of hours of training in
nutritional and herbal medicine, as well as clinical training in an outpatient
clinic. After graduating in 1997 under my maiden name, Lara Grinevitch, I
was certified by the Naturopathic Physicians Licensing Examinations
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(NPLEX), which are professional licensing exams administered by the
North American Board of Naturopathic Examiners (NABNE).
My first five years of practice were in Pincher Creek, Alberta, Canada,
in the 1990s, which was an interesting time to be a natural doctor because
even basic things like probiotics were viewed as strange. ‘Good bacteria?’
said one colleague. ‘How ridiculous!’ The 1990s were also a somewhat
scary time for women’s health. Many of my patients were being treated
with high-dose birth control pills, routine hysterectomies, and an old style
of hormone therapy called Premarin®. As I strove to find better solutions for
my patients, I discovered that natural treatments yielded even better results
than I had been taught to expect. For example, diet and supplements worked
for many symptoms such as hot flushes, and body identical hormone
therapy (then called bioidentical) was a viable and safe alternative to the
conventional hormone replacement therapy or HRT. This treatment is now
known as menopausal hormone therapy or MHT.
Fast-forward twenty-five years and body identical hormone therapy has
become the standard hormone therapy recommended in most conventional
settings, such as your GP’s rooms. The switch to body identical treatment
took longer than I expected, but it did finally happen, and means you now
have easy access to ‘natural hormones’ as one of several options your
doctor might routinely prescribe. To be sure you do get the safer and more
natural type of hormone therapy, see the full discussion in Chapter 6.
After practising in rural Alberta, I moved to Sydney, Australia, where I
had consulting rooms for nearly twenty years before finally settling in
Christchurch, New Zealand. I currently live in New Zealand but commute
to Australia to deliver presentations and occasionally touch base with my
Sydney patients.
I’m a member of the Scientific Advisory Council for the Centre for
Menstrual Cycle and Ovulation Research, founded by Professor Prior in
2002 at the University of British Columbia, and the Endometriosis Special
Interest Group (ESIG) of Endometriosis New Zealand. I also sit on the
editorial board of Vital Link, the official journal of naturopathic medicine of
the Canadian Association of Naturopathic Doctors.
To my thousands of patients over the years, thank you for entrusting me
with your health and stories. I dedicate this book to you.

Lara Briden
Part One

Understanding perimenopause and


menopause

‘Nothing in life is to be feared,


it is only to be understood.
Now is the time to understand
more, so that we may fear less.’

Marie Curie
1

Hormone revolution:
why everything is different
after second puberty

If you’ve picked up this book, it’s because you feel that something is
changing with your body and maybe with your life.
You’re not imagining things. By your late thirties or early forties,
something is changing with your body and, more particularly, with your
brain, and it can feel bewildering, frustrating and liberating all at the same
time. The change is not a single event, but a process called perimenopause,
which is the two to twelve years before your periods stop. Perimenopause is
different from menopause, which is the life phase that begins one year after
your last period.
This book is about both the process of perimenopause and the life phase
of menopause, which together could comprise more than four decades.
What do you need to understand about this important new chapter in your
life?
First, understand that symptoms (if you experience them) are likely to be
temporary. Not all perimenopausal symptoms are temporary but many are,
and knowing that will prevent you from thinking, ‘Oh, my goodness, this is
how I’m always going to be now’. It’s not how you’re always going to be;
this too shall pass.
Next, understand that perimenopause is not just chaotic ‘hormonal
fluctuation’, but a sequence of events, beginning with low progesterone
paired with temporarily high estrogen, and concluding with low estrogen
and some significant changes to insulin metabolism. Perceiving the process
as a sequence of describable events will help you to find the right treatment.
Finally, know that perimenopause and the early years of menopause are
a critical window for health, and that’s true even if you don’t have
symptoms. By critical window, I mean a sensitive period or inflection point,
during which time small health problems could, if not addressed, amplify
into larger and more permanent health problems later in life. The good thing
about an inflection point is it also gives you a window of opportunity to
make small changes that could pay huge dividends for your future health.
So there we have it:

Many symptoms are temporary.


Perimenopause is a sequence of events.
Perimenopause and the first couple of years of menopause are a critical
window for health.

Let’s now explore those concepts in detail.

Perimenopause is second puberty and is


temporary
Perimenopause is not about aging. If you’re 35 or even younger, then
you’re clearly still young. And even if you’re 50, perimenopause is
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as a Natica or Buccinum perforates the shell of a Tellina or Mactra in
order to get at its contents.
Few observations appear to have been made on the habits or
food of Streptaxis, Rhytida, Ennea, Daudebardia, Paryphanta, and
other carnivorous Mollusca. A specimen of Ennea sulcata, enclosed
in the same box as a Madagascar Helix (sepulchralis Fér.) many
times its own size, completely emptied the shell of its inhabitant.[126]
Mr. E. L. Layard informs me that certain Cape Rhytida, e.g. R.
capsula Bens., R. dumeticola Bens., and R. vernicosa Kr., eat
Cyclostoma affine, Helix capensis, H. cotyledonis, etc. To Mr. Layard
I am also indebted for the—perhaps apocryphal—tradition that the
best time to capture the great Aerope caffra Fér. in numbers was
after an engagement between the Kaffirs and Zulus, when they
might be observed streaming from all points of the compass towards
the field of slaughter. The Cuban Oleacina are known to secrete a
very bitter fluid which they emit; this perhaps produces a poisoning
or benumbing effect upon their victims when seized. They devour
operculates, e.g. Helicina regina and sagraiana.[127]
CHAPTER III
ENEMIES OF THE MOLLUSCA—MEANS OF DEFENCE—MIMICRY AND
PROTECTIVE COLORATION—PARASITIC MOLLUSCA—COMMENSALISM—
VARIATION

Enemies of the Mollusca


The juicy flesh and defenceless condition of many of the Mollusca
make them the favourite food and often the easy prey of a host of
enemies besides man. Gulls are especially partial to bivalves, and
may be noticed, in our large sandy bays at the recess of the tide,
busily devouring Tellina, Mactra, Mya, Syndosmya, and Solen. On
the Irish coast near Drogheda a herring gull has been observed[128]
to take a large mussel, fly up with it in the air over some shingly
ground and let it fall. On alighting and finding that the shell was
unbroken it again took it up and repeated the process a number of
times, flying higher and higher with it until the shell was broken.
Hooded crows, after many unavailing attempts to break open
mussels with their beak, have been seen to behave in a similar way.
[129] Crows, vultures, and aquatic birds carry thousands of mussels,
etc., up to the top of the mountains above Cape Town, where their
empty shells lie in enormous heaps about the cliffs.[130]
The common limpet is the favourite food of the oyster-catcher,
whose strong bill, with its flattened end, is admirably calculated to
dislodge the limpet from its seat on the rock. When the limpet is
young, the bird swallows shell and all, and it has been calculated
that a single flock of oyster-catchers, frequenting a small Scotch
loch, must consume hundreds of thousands of limpets in the course
of a single year. Rats are exceedingly fond of limpets, whose shells
are frequently found in heaps at the mouth of rat holes, especially
where a cliff shelves gradually towards a rocky shore. A rat jerks the
limpet off with a sudden movement of his powerful jaw, and, judging
from the size of the empty shells about the holes, has no difficulty in
dislodging the largest specimens. ‘I once landed,’ relates a shepherd
to Mr. W. Anderson Smith,[131] ‘on the I. of Dunstaffnage to cut
grass, and it was so full of rats that I was afraid to go on; and the
grass was so full of limpets that I could scarcely use the scythe, and
had to keep sharpening it all the time.’ Sometimes, however, the
limpet gets the better both of bird and beast. The same writer
mentions the case of a rat being caught by the lip by a limpet shell,
which it was trying to dislodge. A workman once observed[132] a bird
on Plymouth breakwater fluttering in rather an extraordinary manner,
and, on going to the spot, found that a ring dotterel had somehow
got its toe under a limpet, which, in closing instantly to the rock, held
it fast. Similar cases of the capture of ducks by powerful bivalves are
not uncommon, and it is said that on some parts of the American
coasts, where clams abound, it is impossible to keep ducks at all,
[133] for they are sure to be caught by the molluscs and drowned by
the rising tide.
The Weekly Bulletin of San Francisco, 17th May 1893, contains
an account of the trapping of a coyote, or prairie wolf, at Punta
Banda, San Diego Co., by a Haliotis Cracherodii. The coyote had
evidently been hunting for a fish breakfast, and finding the Haliotis
partially clinging to the rock, had inserted his muzzle underneath to
detach it, when the Haliotis instantly closed down upon him and kept
him fast prisoner.
Rats devour the ponderous Uniones of North America. When Unio
moves, the foot projects half an inch or more beyond the valves. If,
when in this condition, the valves are tightly pinched, the foot is
caught, and if the pinching is continued the animal becomes
paralysed and unable to make use of the adductor muscles, and
consequently flies open even if the pressure is relaxed. The musk-rat
(Fiber zibethicus) seizes the Unio in his jaws, and by the time he
reaches his hole, the Unio is ready to gape.[134] Rats also eat
Vivipara, and even Limnaea, in every part of the world.
Every kind of slug and snail is eaten greedily by blackbirds,
thrushes, chaffinches, and in fact by many species of birds. A thrush
will very often have a special sacrificial stone, on which he dashes
the shells of Helix aspersa and nemoralis, holding them by the lip
with his beak, until the upper whorls are broken; heaps of empty
shells will be found lying about the place of slaughter. The bearded
Titmouse (Parus biarmicus) consumes quantities of Succinea putris
and small Pupa, which are swallowed whole and become triturated
in the bird’s stomach by the aid of numerous angular fragments of
quartz.[135]
Frogs and toads are very partial to land Mollusca. A garden
attached to the Laboratory of Agricultural Chemistry at Rouen had
been abandoned for three years to weeds and slugs. The director
introduced 100 toads and 90 frogs, and in less than a month all the
slugs were destroyed, and all kinds of vegetables and flowers,
whose cultivation had until then been impossible, were enabled to
flourish.[136]
Certain Coleoptera are known to prey upon Helices and other
land Mollusca. Récluz noticed, near Agde, a beetle (Staphylinus
olens) attack Helix ericetorum when crawling among herbage,
sticking its sharp mandibles into its head. Every time the snail
retreated into its shell the beetle waited patiently for its
reappearance, until at last the snail succumbed to the repeated
assaults. M. Lucas noticed, at Oran, the larva of a Drilus attacking a
Cyclostoma. The Drilus stood sentinel at the mouth of a shell, which
was closed by the operculum, until the animal began to issue forth.
The Drilus then with its mandibles cut the muscle which attaches the
operculum to the foot, disabling it sufficiently to prevent its being
securely closed, upon which it entered and took possession of the
body of its defenceless host, completing its metamorphosis inside
the shell, after a period of six weeks.[137] The female glow-worm
(Lampyris noctiluca) attacks and kills Helix nemoralis.
Among the Clavicornia, some species of Silpha carry on a
determined warfare against small Helices. They seize the shell in
their mandibles, and then, throwing their head backwards, break the
shell by striking it against their prothorax.
The common water beetle, Dytiscus marginalis, from its strength
and savage disposition, is a dangerous enemy to fresh-water
Mollusca. One Dytiscus, kept in an aquarium, has been noticed to kill
and devour seven Limnaea stagnalis in the course of one afternoon.
The beetles also eat L. peregra, but apparently prefer stagnalis, for
when equal quantities of both species were placed within their reach,
they fixed on the latter species first.[138]
In East Africa a species of Ichneumon (Herpestes fasciatus)
devours snails, lifting them up in its forepaws and dashing them
down upon some hard substance.[139] In certain islands off the south
coasts of Burmah, flat rocks covered with oysters are laid bare at low
tide. A species of Monkey (Macacus cynomolgus) has been noticed
to furnish himself with a stone, and knock the oysters open, always
breaking the hinge-end first, and then pulling out the mollusc with his
fingers.[140]
The walrus is said to support himself almost entirely on two
species of Mya (truncata and arenaria), digging them out of the
sand, in which they live buried at a depth of about 1½ feet, with his
powerful tusks. Whales swallow enormous numbers of pelagic
molluscs (Clio, Limacina), which are at times so abundant in the
Arctic seas, as to colour the surface for miles. Many of the larger
Cetacea subsist in great part on Cephalopoda; as many as 18 lbs. of
beaks of Teuthidae have been taken from the stomach of a single
Hyperoodon.
Fish are remarkably partial to Mollusca of various kinds. The cat-
fish (Chimaera) devours Pectunculus and Cyprina, crushing the stout
shells with its powerful jaws, while flounders and soles content
themselves with the smaller Tellina and Syndosmya which they
swallow whole. As many as from 30 to 40 specimens of Buccinum
undatum have been taken from the stomach of a single cod, and the
same ‘habitat’ has been recorded for some of the rarer whelks, e.g.
Bucc. humphreysianum, Fusus fenestratus, the latter also occurring
as the food of the haddock and the red gurnard. No less than 35,000
Turtonia minuta have been found in the stomach of a single mullet.
Nudibranchs are no doubt dainty morsels for fish, and hence have
developed, in many cases, special faculties for concealment, or, if
distasteful, special means of remaining conspicuous (see pp. 71–
74).
Fig. 22.—Two valves of Mytilus
edulis L., representing
diagrammatically the
approximate position of
the holes bored by
Purpura in about 100
specimens of Mytilus,
gathered at Newquay,
Cornwall.
Besides the dangers to which they are exposed from other
enemies, many of the weaker forms of Mollusca fall a prey to their
own brethren. Nassa and Murex on this side of the Atlantic, and
Urosalpinx on the other, are the determined foes of the oyster.
Purpura lapillus prefers Mytilus edulis to any other food, piercing the
shell in about two days’ time by its powerful radula, which it appears
to employ somewhat in gimlet fashion. If Mytilus cannot be procured,
it will eat Littorina or Trochus, but its attempts on the hard shell of
Patella are generally failures. The statement which is sometimes
made, that the Purpura makes its hole over the vital parts of the
Mytilus, appears, according to the evidence embodied in the
annexed figure, to be without foundation. The fact is that a hole in
any part of its shell is fatal to the Mytilus, since the long proboscis of
the Purpura, having once made an entrance, can reach from one
end of the shell to the other. The branchiae are first attacked, the
adductor muscles and edges of the mantle last. Natica and Nassa
pierce in a similar way the shells of Mactra, Tellina, Donax, and
Venus. Murex fortispina is furnished with a powerful tooth at the
lower part of its outer lip. At Nouméa, in New Caledonia, its favourite
food is Arca pilosa, which lives half buried in coral refuse. The Murex
has been seen to drag the Arca from its place of concealment, and
insert the tooth between the valves, so as to prevent their closing,
upon which it was enabled to devour its prey at leisure.[141]
The carnivorous land Mollusca, with the exception of Testacella,
appear to feed by preference upon other snails (pp. 54, 55).
Parasitic Worms, Mites, etc.—A considerable number of the
Trematode worms pass one or more of the stages in the cycle of
their development within the bodies of Mollusca, attaining to the
more perfect or sexual form on reaching the interior of some
vertebrate. Thus Distoma endolabum Duj. finds its first intermediate
host in Limnaea stagnalis and L. ovata, its second in L. stagnalis, or
in one of the fresh-water shrimps (Gammarus pulex), or in the larvae
of one of the Phryganeidae (Limnophilus rhombicus), attaining to the
sexual form in the common frog. Distoma ascidia v. Ben. passes
firstly through Limnaea stagnalis or Planorbis corneus, secondly
through certain flies and gnats (Ephemera, Perla, Chironomus), and
finally arrives within certain species of bats. Distoma nodulosum
Zed. inhabits firstly Paludina impura, secondly certain fishes
(Cyprinus Acerina), and lastly the common perch. The sporocyst of
Distoma macrostomum inhabits Succinea putris, pushing itself up
into the tentacles, which become unnaturally distended (Fig. 23).
While in this situation it is swallowed by various birds, such as the
thrush, wagtail, and blackbird, which are partial to Succinea, and
thus obtains lodgment in their bodies. Amphistoma subclavatum
spends an early stage in Planorbis contortus, after which it becomes
encysted on the skin of a frog. When the frog sheds its skin, it
swallows it, and with it the Amphistoma, which thus becomes
established in the frog’s stomach.[142]
Fig. 23.—A Trematode worm
(Leucochloridium paradoxum
Car.) parasitic in the tentacles
of Succinea putris L. × 20
(after Baudon).
The common liver-fluke, which in the winter of 1879–1880 cost
Great Britain the lives of no less than three million sheep, is perhaps
the best known of these remarkable parasitic forms of life. Its history
shows us, in one important particular, how essential it is for the
creature to meet, at certain stages of its existence, with the exact
host to which it is accustomed. Unless the newly-hatched embryo
finds a Limnaea truncatula within about eight hours it becomes
exhausted, sinks, and dies. It has been tried with all the other
common pond and river Mollusca, with Limnaea peregra, palustris,
auricularia, stagnalis, with Planorbis marginatus, carinatus, vortex,
and spirorbis, with Physa fontinalis, Bithynia tentaculata, Paludina
vivipara, as well as with Succinea putris, Limax agrestis and
maximus, Arion ater and hortensis. Not one of them would it touch,
except occasionally very young specimens of L. peregra, and in
these its development was arrested at an early stage. But on
touching a L. truncatula the embryo seems to know at once that it
has got what it wants, and sets to work immediately to bore its way
into the tissues of its involuntary host, making by preference for the
branchial chamber; those which enter the foot or other outlying parts
of the Limnaea proceed no farther.[143]
Many similar cases occur, in which littoral Mollusca, such as
Littorina and Buccinum, form the intermediate host to a worm which
eventually arrives within some sea-bird.
Certain Nematode worms (Rhabditis) are known to inhabit the
intestine of Arion, and the salivary glands of Limax agrestis. Diptera
habitually lay their eggs within the eggs of Helix and Limax. Many
species of mite (Acarina) infest land Pulmonata. No adult Limax
maximus is without at least one specimen of Philodromus (?)
limacum, and the same, or an allied species, appears to occur on the
larger of our Helices, retiring upon occasion into the pulmonary
chamber.
Several of the Crustacea live associated with certain molluscs.
Pinnotheres lives within the shell of Pinna, Ostrea, Astarte,
Pectunculus, and others. Apparently the females alone reside within
the shell of their host, while the males seize favourable opportunities
to visit them there. A specimen of the great pearl-oyster (Meleagrina
margaritifera) was recently observed which contained a male
Pinnotheres encysted in nacre. It was suggested that he had
intruded at an unfortunate time, when no female of his kind
happened to be in, and that, having penetrated too far beneath the
mantle in the ardour of his search, was made prisoner before he
could escape.[144] Ostracotheres Tridacnae lives in the branchiae of
the great Tridacna. A little brachyurous crustacean inhabits the raft of
Ianthina, and assumes the brilliant blue colour of the mollusc.

Means of Defence
As a rule, among the Mollusca, the shell forms a passive mode of
resistance to the attacks of enemies. Bivalves are enabled, by
closing their valves, to baffle the assault of their smaller foes, and
the operculum of univalves, both marine and land, serves a similar
purpose. Many land Mollusca, especially Helix and Pupa, as well as
a number of Auriculidae, have the inside of the aperture beset with
teeth, which are sometimes so numerous and so large that it is
puzzling to understand how the animal can ever come out of its
shell, or, having come out, can ever draw itself back again. Several
striking cases of these toothed apertures are given in Fig. 24.
Whatever may be the origin of these teeth, there can be little doubt
that their extreme development must have a protective result in
opposing a barrier to the entrance, predatory or simply inquisitive, of
beetles and other insects. Sometimes, it will be noticed (G), the
aperture itself is fairly simple, but a formidable array of obstacles is
encountered a little way in. It is possible that the froth emitted by
many land snails has a similar effect in involving an irritating intruder
in a mass of sticky slime. The mucus of slugs and snails, on the
other hand, is more probably, besides its use in facilitating
locomotion, a contrivance for checking evaporation, by surrounding
the exposed parts of their bodies with a viscid medium.

Fig. 24.—Illustrating the elaborate arrangement of teeth in the


aperture of some land Pulmonata. A. Helix (Labyrinthus)
bifurcata Desh., Equador. B. H. (Pleurodonta) picturata
Ad., Jamaica. C. H. (Dentellaria) nux denticulata Chem.,
Demerara. D. Anostoma carinatum Pfr., Brazil; a, tube
communicating with interior of shell. E. H. (Stenotrema)
stenotrema Fér., Tennessee, × 3/2. F. H. (Polygyra)
auriculata Say, Florida, × 3/2. G. H. (Plectopylis) refuga
Gld., Tenasserim (a and b × 2).
Some species of Lima shelter themselves in a nest constructed of
all kinds of marine refuse, held together by byssiferous threads.
Modiola adriatica, M. barbata, and sometimes M. modiolus conceal
themselves in a similar way. Gastrochaena frequently encloses itself
in a sort of half cocoon of cement-like material. The singular genus
Xenophora protects itself from observation by gluing stones, shells,
and various débris to the upper side of its whorls (Fig. 25).
Sometimes the selection is made with remarkable care; the
Challenger, for instance, obtained a specimen which had decorated
its body whorl exclusively with long and pointed shells (Fig. 26).

Fig. 25.—Xenophora (Phorus)


conchyliophora Born.,
concealed by the stones
which it glues to the upper
surface of its shell. (From a
British Museum specimen.)
Fig. 26.—Xenophora (Phorus)
pallidula Reeve. A mollusc
which escapes detection by
covering itself with dead
shells of other species. (From
a Challenger specimen in the
British Museum, × ½.)
The formidable spines with which the shells, e.g. of the Murex
family, are furnished must contribute greatly to their protection
against fishes, and other predatory animals. Murex tenuispina, for
instance (see chap. ix.), would prove as dangerous a morsel in the
mouth of a fish as a hedgehog in that of a dog. Whether the singular
tooth in the outer lip of Leucozonia (see chap. xiv.), a feature which
is repeated, to a less marked extent, in Monoceros and several of
the West Coast muricoids, is developed for defensive purposes,
cannot at present be decided.
The Strombidae possess the power of executing long leaps,
which they doubtless employ to escape from their foes. In their case
alone this power is combined with singular quickness of vision. On
one occasion Mr. Cuming, the celebrated collector, lost a beautiful
specimen of Terebellum, by the animal suddenly leaping into the
water, as he was holding and admiring it in his hand. Miss Saul has
informed me that the first living specimen of Trigonia that was ever
obtained was lost in a similar way. It was dredged by Mr. Stutchbury
in Sydney Harbour, and placed on the thwart of a small boat. He had
just remarked to a companion that it must be a Trigonia, and his
companion had laughed at the idea, reminding him that all known
Trigonia were fossil, when the shell in question baffled their efforts to
discover its generic position by suddenly leaping into the sea, and it
was three months before Mr. Stutchbury succeeded in obtaining
another.
Some genera possess more than merely passive means of
defence. Many Cephalopoda emit a cloud of inky fluid, which is of a
somewhat viscous nature, and perhaps, besides being a means of
covering retreat, serves to entangle or impede the pursuer. The
formidable suckers and hooks possessed by many genera in this
Order are most dangerous weapons, both for offence and defence.
Aplysia, when irritated, ejects a purple fluid which used to be
considered dangerously venomous. Many of the Aeolididae,
including our own common Aeolis papillosa, possess stinging cells at
the end of their dorsal papillae, the effect of which is probably to
render them exceedingly distasteful to fish.
The common Vitrina pellucida has a curious habit which in all
probability serves for a defence against birds in the winter. When
crawling on the edge of a stone or twig it has the power of suddenly
jerking its ‘tail,’ so as to throw itself on the ground, where it is
probably lost to sight among decaying leaves. At other times it rolls
away a few inches and repeats the jump. It also possesses the
power of attaching to itself bits of leaves or soil, which entirely cover
and conceal both shell and animal.[145] The property of parting with
the tail altogether, a remarkable form of self-defence, has already
been noticed on p. 44.
The poisonous nature of the bite of certain species of Conus is
well authenticated. Surgeon Hinde, R.N., saw[146] a native on the I.
of Matupi, New Britain, who had been bitten by a Conus geographus,
and who had at once cut small incisions with a sharp stone all over
his arm and shoulder. The blood flowed freely, and the native
explained that had he not taken these precautions he would have
died. Instances have been recorded of poisonous wounds being
inflicted by the bite of Conus aulicus, C. textile, and C. tulipa.
According to Mr. J. Macgillivray[147] C. textile at Aneitum (S. Pacific)
is called intrag, and the natives say it spits the poison upon them
from several inches off! Two cases of bites from C. textile occurred
to this gentleman’s notice, one of which terminated fatally by
gangrene. Sir Edward Belcher, when in command of the Samarang,
was bitten[148] by a Conus aulicus at a little island off Ternate in the
Moluccas. As he took the creature out of the water, it suddenly
exserted its proboscis and inflicted a wound, causing a sensation
similar to that produced by the burning of phosphorus under the skin.
The wound was a small, deep, triangular mark, succeeded by a
watery vesicle. The natives of New Guinea have a wholesome dread
of the bite of Cones. Mr. C. Hedley relates[149] that while collecting
on a coral reef he once rolled over a boulder and exposed a living C.
textile. Before he could pick it up, one of the natives hastily snatched
it away, and explained, with vivid gesticulations, its hurtful qualities.
On no account would he permit Mr. Hedley to touch it, but insisted on
himself placing it in the bottle of spirits.

Fig. 27.—A tooth from the


radula of Conus
imperialis L., × 50,
showing barb and
poison duct.
Mimicry and Protective Coloration.
Cases of Mimicry, or protective resemblance, when a species
otherwise defenceless adopts the outward appearance of a better
protected species, are rare among the Mollusca. Karl Semper[150]
mentions an interesting case of the mimicry of Helicarion tigrinus by
Xesta Cumingii, in the Philippines. It appears that all species of
Helicarion possess the singular property of shaking off the ‘tail’ or
hinder part of the foot, when seized or irritated. Specimens captured
by collectors, Hel. tigrinus amongst them, have succeeded in
escaping from the hand, and concealing themselves, by a sort of
convulsive leap, among the dry leaves on the ground. This power of
self-amputation must be of great value to Helicarion, not only as
enabling it to escape from the clutch of its enemies, but also as
tending to discourage them from attempting to capture it at all. Now
the genus Xesta is, in anatomy, very far removed from Helicarion,
and the majority of the species are also, as far as the shell is
concerned, equally distinct. Xesta Cumingii, however, has, according
to Semper, assumed the appearance of a Helicarion, the thin shell,
the long tail, and the mantle lobes reflected over the shell; but it has
not the power of parting with its tail at short notice. It lives associated
with Helicarion, and so close is the resemblance between them that,
until Semper pointed out its true position, it had always been
classified as a member of that group.
In the same passage Semper draws attention to two other cases
of apparent mimicry. The first is another species of Xesta
(mindanaensis) which closely resembles a species of Rhysota
(Antonii), a genus not indeed so far removed from Xesta as
Helicarion, but, as far as the shell is concerned, well distinguished
from it. In this case, however, there is no obvious advantage gained
by the resemblance, since Rhysota as compared with Xesta is not
known to possess any definite point of superiority which it would be
worth while to counterfeit. A second case of resemblance between
certain species of the genus Chloraea and the characteristic
Philippine group Cochlostyla will not hold good as affording evidence
of mimicry, for Chloraea is now recognised as a sub-genus of
Cochlostyla.
The Mollusca are not much mimicked by creatures of different
organisation. This appears at first sight strange, since it might have
been thought that the strong defensive house of a snail was worth
imitating. Still it is probably not easy for creatures bilaterally
symmetrical to curl themselves up into an elevated spiral for any
length of time. One or two instances, however, may be mentioned.
The larva of a moth belonging to the Psychidae, and occurring in
France, Germany, the Tyrol, and Syria, coils itself up into a sinistral
spiral of three whorls, and is aptly named Psyche helix, a kindred
species from Italy being known as Ps. planorbis.
An insect larva (Cochlophora valvata) from E. Africa is said to
resemble a Valvata or young Cyclostoma. In this case the spiral is
indifferently dextral or sinistral, the ‘shell’ being formed of masticated
vegetable matter, united together by threads spun by the larva.
Certain larvae of the Phryganeidae (“Caddis-worms”) enclose
themselves in houses which more or less resemble a spiral shell,
and have in some cases actually been described as molluscan; such
species, some of which belong to Helicopsyche, have been noticed
in S. Europe, Ceylon, Further India, China, Tasmania, New Zealand,
Tennessee, Mexico, Central America, Venezuela, Brazil, and
Argentina, and all[151] possess a dextral ‘shell.’ In all these cases
‘mimicry’ is probably not so much to be thought of as the practical
advantages which accrue to the animal in question from the spiral
form, which gives it greater strength to resist external blows, and
enables it to occupy, during a very defenceless portion of its
existence, a very small amount of space.
The larva of some species of the Syrphidae (Diptera) fixes itself
on the under side of stones in the Tyrol, and closely resembles a
small slug. The naturalist Von Spix, in 1825, described to the
Bavarian Academy as a new genus of land Mollusca a somewhat
similar larval form found in decaying wood on the banks of a German
lake.[152] Simroth mentions[153] a curious case as occurring near
Grimma. The caterpillars of certain Microlepidoptera occur on slabs
of porphyry, associated with a species of Clausilia. Besides being of
the same colour as the Clausiliae, the caterpillars have actually
developed cross lines on the back, i.e. on the side turned away from
the rock, in imitation of the suture of the mollusc.
It has been suggested[154] that there is mimicry between Aeolis
papillosa (a common British nudibranch) and Sagartia troglodytes
(an Actinian), and also between another species of Sagartia and
Aeolidiella Alderi. The facts observed are not sufficient to warrant a
decided opinion, but it seems more probable that the Actinian mimics
the nudibranch than vice versâ, since Aeolis is known to be
unpalatable to fishes.

Fig. 28.—A, Strombus mauritianus


Lam., which mimics Conus in
shape. B, Conus janus
Hwass, Mauritius.
Certain species of Strombus (mauritianus L., luhuanus L.) show a
remarkable similarity in the shape of the shell to that of Conus, so
much so, that a tiro would be sure to mistake them, at first sight, for
Cones. In the case of S. luhuanus at least, this similarity is increased
by the possession of a remarkably stout brown epidermis. Now
Conus is a flesh-eating genus, armed with very powerful teeth which
are capable of inflicting even on man a poisonous and sometimes
fatal wound (see p. 66). Strombus, on the other hand, is probably
frugivorous, and is furnished with weak and inoffensive teeth. It is
possible that this resemblance is a case of ‘mimicry.’ It is quite
conceivable that powerful fishes which would swallow a Strombus
whole and not suffer for it, might acquire a distaste for a Cone, which
was capable of lacerating their insides after being swallowed. And
therefore the more like a Cone the Strombus became, the better
chance it would have of being passed over as an ineligible article of
food.
Protective coloration is not uncommon among the Mollusca.
Littorina obtusata is habitually found, on our own coasts, on Fucus
vesiculosus, the air-bladders of which it closely resembles in colour
and shape. Littorina pagodus, a large and showy species, resembles
so closely the spongy crumbling rocks of Timor, on which it lives, that
it can hardly be discerned a pace off. Helcion pellucidum, the
common British ‘blue limpet,’ lives, when young, almost exclusively
on the iridescent leaves of the great Laminariae, with the hues of
which its own conspicuous blue lines harmonise exactly. In mature
life, when the Helcion invariably transfers its place of abode to the
lower parts of the stalk and finally to the root of the Laminaria, which
are quite destitute of iridescence, these blue lines disappear or
become much less marked.
The specimens of Purpura lapillus which occur at Newquay in
Cornwall are banded with rings of colour, especially with black and
white, in a more varied and striking way than any other specimens
that have ever occurred to my notice. I am inclined to refer this
peculiarity to a tendency towards protective coloration, since the
rocks on which the Purpura occurs are often banded with veins of
white and colour, and variegated to a very marked extent.
Ovula varies the colour of its shell from yellow to red, to match the
colour of the Gorgonia on which it lives. The same is the case with
Pedicularia, which occurs on red and yellow coral.
Helix desertorum, by its gray-brown colour, harmonises well with
the prevailing tint of the desert sands, among which it finds a home.
Benson observes that the gaudy H. haemastoma, which lives on the
trunks of palm-trees in Ceylon, daubs its shell with its excrement.
Our own Buliminus obscurus, which lives principally on the trunks of
smooth-barked trees, daubs its shell with mud, and must often
escape the observation of its enemies by its striking resemblance to
the little knots on the bark, especially of beech trees, its favourite
haunt. Some species of Microphysa, from the West Indies, habitually
encrust their shells with dirt, and the same peculiarity in Vitrina has
already been mentioned. Ariophanta Dohertyi Aldr., a recent
discovery from Sumatra, is of a green colour, with a singularly
delicate epidermis; it is arboreal in its habits, and is almost invisible
amongst the foliage.[155] Many of our own slugs, according to
Scharff, are coloured protectively according to their surroundings. A
claret-coloured variety of Arion ater occurred to this observer only in
pine woods, where it harmonised with the general colouring of the
ground and the pine-needles, while young winter forms of the same
species choose for hiding-places the yellow fallen leaves, whose
colour they closely resemble. Limax marginatus (= arborum Bouch.)
haunts tree trunks, and may easily be mistaken for a piece of bark;
Amalia carinata lives on and under the ground, and in colour
resembles the mould; Arion intermedius feeds almost exclusively on
fungi, to which its colour, which is white, gray, or light yellow, tends to
approximate it closely; Geomalacus maculosus conceals itself by its
striking resemblance to the lichens which grow on the surface of
rocks, and actually presumes on this resemblance so much as to
expose itself, contrary to the usual custom of its congeners, to the
full light of the afternoon sun.[156]
Several views have been advanced with regard to the dorsal
papillae, or cerata, in the Nudibranchs. Professor W. A. Herdman,
who has examined a considerable number of our own British
species, in which these processes occur, is of opinion[157] that they
are of two quite distinct kinds. In the first place, they may contain
large offshoots, or diverticula, of the liver, and thus be directly
concerned in the work of digestion. This is the case with Aeolis and
Doto. In the second place, they may be simply lobes on the skin,
with no connexion with the liver, and no special function to perform.
This is the case with Tritonia, Ancula, and Dendronotus.
Professor Herdman is of opinion that although the cerata may in
all cases aid in respiration to a certain extent, yet that extent is so
small as to be left out of consideration altogether. He regards the
cerata in both the two classes mentioned above as “of primary
importance in giving to the animals, by their varied shapes and
colours, appearances which are in some cases protective, and in
others conspicuous and warning.”
Thus, for instance, Tritonia plebeia, which is fairly abundant at
Puffin and Hilbre Is., appears always to be found creeping on the
colonies of a particular polyp, Alcyonium digitatum, and nowhere
else. The specimens in each colony of the polyp differ noticeably
both in the matter of colour, and of size, and of varied degrees of
expansion. The Tritonia differs also, being marked in varied tints of
yellow, brown, blue, gray, black, and opaque white, in such a way as
to harmonise with the varied colours of the Alcyonium upon which it
lives. The cerata on the back of the Tritonia contribute to this general
resemblance. They are placed just at the right distance apart, and
are just the right size and colour, to resemble the crown of tentacles
on the half-expanded polyp.
Similarly, Doto coronata, which, when examined by itself, is a very
conspicuous animal, with showy, bright-coloured cerata, is found by
Professor Herdman to haunt no other situations but the under side of
stones and overhanging ledges of rock which are colonised by a
hydroid, known as Clava multicornis. The Doto is masked by the
tentacles and clusters of sporosacs on the zoophyte, with whose
colouring and size its own cerata singularly correspond. A similar
and even more deceptive correspondence with environment was
noticed in the case of the very conspicuous Dendronotus
arborescens.
In these cases, the colouring and general shape of the cerata are
protective, i.e. they match their surroundings in such a way as to
enable the animal, in all probability, to escape the observation of its
enemies. According to Professor Herdman, however, the brilliant and
showy coloration of the cerata of Aeolis is not protective but
‘warning.’ Aeolis does not hide itself away as if shunning
observation, like Doto, Tritonia, and Dendronotus; on the contrary, it
seems perfectly fearless and indifferent to being noticed. Its cerata
are provided with sting-cells, like those of Coelenterata, at their tips,
and its very conspicuousness is a warning to its enemies that they

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