PCOS and your diet are huge. Your doctor might tell you that the food you eat doesn’t matter, and that it’s all a matter of “hormonal regulation” or “ovarian dysfunction,” — but we all know that those these are a function of poor diet and lifestyle, too. Food’s a big deal.
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In general, if you are overweight and have PCOS, chances are good you suffer insulin dysregulation of some sort, and you’re going to want to consider diabetes-type diets and treatments. Lower carbohydrate (usually, specifically HFCS), higher fat, some intermittent fasting if you’re up for it, and exercise.
In general, if you are thin and have PCOS, chances are good your testosterone is sky high and your estrogen is locked in a cellar in the basement. Erm– that’s not exactly true. PCOS is hugely complicated, and no one really understand why so many thin women suffer hormonal dysregulation. I would chalk it up, I think, to -poor diets and to stress throughout life, to -in-womb and infancy nutrition, to -nutrient and hormonal profiles at the time of menarch, and to -weight fluctuations and food in the adult years. Generally– generally!–the important things to hit here are limiting phytoestrogens (overweight PCOS patients need to watch out for this as well), limiting stress, increasing thyroid activity via whichever mechanism is appropriate to you, probably one being eating carbohydrates, and making sure you aren’t exercising too much or are underweight. If you were ever heavier at a point in your life, and you menstruated then, do a little Aristotle:
1) Heavy Stef menstruates.
2) Thin Stef does not menstruate.
3) If thin Stef wants to menstruate*, she should become Heavy Stef.
No, it’s not that easy; it’s not that simple; putting weight back on doesn’t account for other factors like stress and wear and tear from earlier parts of your life and from basic ovarian sluggishness that might not ever go away.
I’ve talked a lot on here about particularities of different foods and how they affect our hormones. And they do. It’s amazing, but I really do break out if I eat a couple bowls of oats, since oats contain phytoestrogens. I really do wake up in the morning with angry, painful cysts if I consume cream or milk. When your hormone systems have become so sensitive, tiny disruptions to it from food really are noticeable.
BUT: They would not be noticeable if other things were in line.
The estrogens produced in our bodies is approximately a billion times stronger than those we eat in foods. This is why most people don’t have PCOS. Why we do have PCOS is that there’s something funny going on in our metabolisms. The goal is to FIX these metabolic problems. Diet is one of the most important mechanisms by which we can do that. But the point is not to micromanage with foods but instead to holistically fix the metabolic problems. Generally get your food in line. Eat real shit. Be an appropriate weight. Don’t over exercise. Don’t stop yourself from eating if you’re hungry.
Foods important. But it’s only important in the role it plays fixing everything else. Don’t use food perfectionism as a scapegoat because you don’t want to look at bigger issues.
*I just typed masturbate…considering PCOS killed my sex drive, I guess that would be an appropriate word here, too.
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