Polycystic Ovarian Syndrome And Weight Loss

How many times have you been to the doctor only to be told to lose weight to improve your Polycystic Ovarian Syndrome symptoms? Easier said than done, right! Weight gain and difficulty with weight loss with PCOS are part and parcel of the condition, making one seem to be fighting a constant battle with the scale. 


But, why is it so darn hard to lose weight? Just what is it about PCOS that makes weight loss seem virtually impossible? Let’s take a look at what is happening in our bodies and what some of the research says about weight loss and PCOS.


INSULIN RESISTANCE AND THE ROLE OF INSULIN IN PCOS
Insulin is an important hormone, responsible for metabolizing glucose or dealing with sugar in our blood stream. It transports sugar to the muscles and if the body has more glucose than is needed, insulin is involved in the process of storing it as fat should we need it later. Research shows that women with PCOS have some kind of dysfunction in the cells responsible for secreting insulin (Beta cells). It seems that these cells are responsible for detecting sugar in the blood stream and may over react, producing more insulin than is needed. This means that more glucose is stored as fat.


Many, but not all, women with PCOS also have insulin resistance. This means that your body needs more insulin than normal to deal with sugar in your blood stream. High levels of insulin cause your body to store more fat and also causes your ovaries to make more testosterone, making the symptoms of PCOS worse. Unfortunately, Insulin and Insulin resistance are only one piece of this puzzle and isn’t the only reason for weight loss struggle.

Slow Metabolism
Women with PCOS have also been found to have a slower metabolic rate. Basal metabolic rate is the number of calories you need every day to function. This includes keeping your heart, brain and organs going, eating and digesting food, etc. In a recent study, researchers found that women without PCOS needed roughly 1868 calories per day whilst women with PCOS only needed around 1445 calories per day, and those with insulin resistance needed even less. This means that women with PCOS do not need as many calories per day as the average women, as metabolism is much slower in women with PCOS. It doesn’t seem very fair, does it? We don’t need as many calories as the average woman but we fight fierce cravings and tend to feel hungry all the time. What’s up with that?

Appetite Control
There are a number of hormones involved with hunger and appetite control. Some of these include ghrelin, cholecystokinin and leptin. Recent research has shown that women with PCOS do not feel as full or satiated after meals as women who don’t have PCOS. This means that women with PCOS will continue to feel hungry, even if they have eaten all of the nutrients and calories they require.

Reaching and maintaining your healthiest weight is very important for everyone, but particularly for women with Polycystic Ovary Syndrome. But PCOS can lead to years of struggle with weight issues. Often short-term success is followed by weight gain, and a cycle of yo-yo dieting that can adversely affect the thyroid and metabolism, making it even more difficult to lose weight again. 

What foods have been proven to help with PCOS weight loss?
Food can be just like a double-edged sword (and sometimes we will all fall on our blade!) On one hand, poor food habits can cause or exacerbate your PCOS. On the other hand, correct food choices can heal your body, mind, soul and the PCOS. Food is absolutely among the best medicine. Modifying your eating habits helps to empower your thyroid, normalize your gut, detoxify your liver, and balance your mood and energy levels. Each of these is critical for you to lose weight, and keep it off. 

The right food choices set the foundations for success in optimal health, not just in PCOS weight loss. Strengthening your body is the best way to help yourself. Far more powerful than the toxic hormonal treatments traditionally given to women with PCOS, which not only treat one symptom and may leave behind a legion of side effects, but also increase insulin resistance and inflammation – the drivers of PCOS.

Low Glycaemic Load (GL)
You need to look to food to overcome the metabolic mess that is PCOS. Diets may make tall claims about their miraculous successes. However, few will optimize your health or fix the PCOS. Do not consider yourself to be on ‘a diet’. All the word diet really means is ‘the usual food and drink a person consumes’. Think of your new food habits as your life giving, optimal, healing, food-plan. What food plan will help you lose weight?

Look to nature!


Nature provides the right mix of nutrients. It also provides low Glycaemic Load (GL). The food plan proven to deal with PCOS and obesity is the ‘Low Glycaemic Load (Low GL) food plan’.

Why Low GL?
Low Glycaemic load is the best way to combat insulin resistance and obesity; two formidable opponents in PCOS. Low glycaemic index (GI) foods are now quite well known. However, as helpful as this tool is, it does not take into account the amount of carbohydrates eaten. Fantastic foods such as watermelon are high GI, but low GL and perfectly healthy. If we just look to GI, we would avoid this great food. GL gives you a better measure of the affect a food or drink will have on your insulin levels.


Tip: Do not be misled into believing low carb food plans in the guise of meat, egg and cheese diets are healthy for PCOS weight loss. You need nutrients to successfully and healthily lose weight, and keep it off. Do not starve yourself to lose weight. This is not sustainable, and not healthy. Very low carbohydrate food plans are successful in PCOS weight loss, but very low calorie means stress on your arteries. Although we do not yet know why, milk has been shown to spike your insulin levels as much as wholemeal bread. This really is best avoided.

A food plan that includes foods consisting of complex carbohydrates is important. Complex carbohydrates are those that break down slowly during digestion and release a steady supply of sugar in our body rather than causing sudden spikes. Due to the insulin resistance of PCOS, it is important for you to control your blood sugar levels. Including foods like fresh fruit and vegetables, gluten free grains, nuts, seeds, beans and legumes, are very helpful.

A Word of Caution
Choose your low GL foods very carefully. As close to nature is best. Many of the low carb foods on the supermarket shelf are loaded with harmful fats, artificial sweeteners and additives. Trying to avoid one harmful item may just land you with another. Make sure your low GL foods are high in healthy proteins or fibre, while free from additives and man altered
fats”.


Protein Power
Good lean proteins are a must when you are trying to lose weight. Proteins have a low GL. They maintain the balance of your blood sugar levels, and lend a helping hand with lowering insulin fluctuations at mealtime. Research studies have proven that including good lean proteins along with low GL foods boosts your body’s metabolism, helping in PCOS weight loss and insulin resistance in women with PCOS. Proteins provide your body with a steady supply of amino acids that help in building and repairing all our body tissues. Also, they are one of the important ingredients in the manufacturing of our hormones and enzymes. Protein helps maintain your muscle mass, which is important for your metabolism. Plus, they keep you full longer.

How to meet your daily protein goal
There are many different ways of including healthy proteins in your daily food intake. Starting with breakfast, try an omelette with organic free-range eggs, mix in some broccoli and cauliflower. Snack on delicious (unsalted) nuts and seeds as you zigzag through your daily routine. Check out some healthy dips like hummus – a savoury middle-eastern dip. 

Steamed fish seasoned with fresh herbs, lemon with a dash of extra virgin olive oil is packed with lean protein for dinner. Toss in some cooked black beans, sprouts, grilled organic chicken or turkey breast or chopped hard-boiled eggs in your salad, and voila, you have met your daily protein goal.

Friendly Fats
It cannot be overstated how important it is for you to include good fats in your food plan – daily. This is pivotal in PCOS weight loss. The right type and right amounts of fats like the Omega 3 and Omega 6 fatty acids are a must. Good fats help improve insulin sensitivity. You cannot healthily lose weight without eating enough good fats.

Where you can get the ‘good’ fats
Oily fish like salmon, mahi mahi, tuna, mackerel and sardines are rich in healthy fats. Organic free-range eggs are very beneficial. You can also choose a variety of vegan sources for your healthy fats like olives, avocados, nuts like almonds, pistachios, chestnut, cashews, pecans, and seeds like sesame seeds, flaw seeds, sunflowers etc. However, stay away from unhealthy fats like those that have been heated, exposed to oxygen or damaged in processing.

Going nuts
Nuts like almonds and walnuts are great sources of protein, omega 3 fatty acids, B vitamins, Vitamin E and minerals like copper, manganese, magnesium and potassium. The abundance of antioxidants in the nuts puts them in the category of ‘super-foods’.


Veggie Indulgence
Indulge in plenty of yellow, red, orange, green, blue and purple fruits and vegetables. Bringing variety to your food-plan by including various organic fruits and veggies from different colour spectrums also increases many other nutrients.

Organic is the word
Conventional farming may tarnish your food with insecticides, pesticides, hormones, antibiotics and more. Persistent Organic
Pesticides (POPs) were shown to increase the risk of Diabetes – an insulin resistant disease, like PCOS. Insulin resistance increases weight gain, especially around the dangerous tummy area. Choose nutritious and safe organic fruits, vegetables, eggs, and poultry and meat products wherever possible.

What not to eat
Refined flour, white rice, sugar, processed foods, and fruit juices containing simple carbohydrates are best avoided. As simple sugars get stored as fat and cause a spike in insulin levels, these simple carbohydrates are a poor health choice, particularly for women with PCOS looking to lose weight.

4 Tips To Lose Weight With PCOS – Without Dieting
If you’re anything like I was, going to the doctors for help with weight loss while suffering from PCOS was a pointless exercise. ‘Just eat less and move more’ was the normal response. I had tried this, and it didn’t really work. In fact, I was so desperate at one stage that I tried a PCOS weight loss prescription medication. The only thing I almost lost was my husband! The mood swings and sadness it caused was unbearable. I stopped taking it within 3 weeks. I was still fat, but at least I didn’t feel unbalanced any more.
So, other than altering your food plan – which is an important aspect to PCOS weight loss – what else do you need to do? What other secrets lurk out there? And what other benefits do these tips have?

Increase Your Physical Activity
I know that word exercise can be scary, but it is very important. Physical activity burns calories, but it does much more than that. Cardio helps your heart and your fitness, but also helps you lose weight. Resistance training – i.e. weight training – builds your muscle, which improves your metabolic rate, and so improves your ability to burn off calories. Interval training helps to improve insulin sensitivity, and burn off fat. A walk has been shown to decrease your cravings. You feel better about yourself and within yourself with those endorphins running around your body. This is great for motivation, self-confidence and decreasing stress levels.

Learn To Relax
Stress and the hormonal commotion that comes with it, have strong ties with PCOS. In simple words, we can say that these two have a ‘hormonal bonding’. The hormonal changes that our body undergoes while adapting to prolonged stress and the ones that are found in women suffering from PCOS are strikingly similar.

Stress can affect your ability to effectively lose weight. It may interfere with adopting the right food choices and exercise routines vital for losing weight. It also causes Insulin Resistance, decreased energy levels, and can interfere with your sleep. Choosing the right ways for you to manage stress is an important step toward in losing weight when suffering from PCOS. Unless you deal with your stress, your attempts at reaching your optimal weight may be unsuccessful.

Have Your Thyroid Correctly Checked
If your thyroid is sluggish, so are you. Your metabolism will slow down, and this can lead to weight gain and an inability to lose weight. You may also have other signs and symptoms such as depression, losing scalp hair and the hair from the outside portion of you eyebrows, slowed reflexes, cold hands and feet, a foggy brain, the feeling of a ‘lump’ in your throat, constipation, a puffy face and/or fatigue. If you have had your thyroid tested, and have been told that you are ‘normal’, do not take this as gospel. Most often you will have only been tested for Thyroid Stimulating Hormone (TSH). The true healthy range for TSH is between 1 – 2/2.5iU/ml. It is also invaluable to have your T4, T3, reverse T3, and thyroid autoantibody levels checked.
Women with PCOS are more likely to suffer from hypothyroidism and thyroid autoimmune dis-ease.

Get Enough Sleep
That’s right! People who sleep less are more likely to weigh more. Getting eight hours per night sleep may help you lose weight.

Do You Have A Thyroid Problem Aggravating Your PCOS?
Hypothyroidism and thyroid autoimmune disease are more commonly found in women with PCOS.
And according to Evanthia Diamanti-Kandarakis − co-author of Insulin Resistance and PolyCystic Ovarian Syndrome: Pathogenesis, Evaluation, and Treatment, “decreased SHBG (Sex Hormone Binding Globule) and increased free testosterone levels and altered estradiol (an estrogen) metabolism have been described in hypothyroid patients, whereas PCO (Polycystic Ovaries) has been detected in 36.5% of hypothyroid patients”.
The authors of this study believe that when you have poor thyroid function, this changes how your genes are expressed. That the genes that get expressed bring about the changes seen in a woman with PCOS.

How Do You Know If You Have A Thyroid Problem?
Some signs & symptoms of hypothyroidism (an under-active thyroid) include:

  • Fatigue, lethargy
  • Muscle weakness, pain & cramps
  • Cold intolerance, cold hands/feet
  • Goiter (swelling over the thyroid)
  • Weight gain
  • Frequent infections
  • Depression
  • Puffiness around the eyes
  • Menstrual irregularities and infertility
  • High cholesterol
  • ‘Brain fog’ and indecisiveness
  • Dry skin and hair
  • Hair loss from scalp and eyebrows
  • Slowed heartbeat /pulse
  • Hoarse voice
  • Dizziness or vertigo
  • Poor memory, poor concentration
  • Chronic constipation
  • Irritability
  • Throat pain, or a tender feeling
  • Slow reflexes
  • Fluid retention

What Can You Do To Help Your Thyroid Function Better?
The leading cause of hypothyroidism worldwide is insufficient iodine intake. How can you increase your intake of this important nutrient?

Iodine: sushi, oysters, scallops, kelp, fish paste, and if you’re feeling adventurous sea vegetables, along with foods such as radishes, onions, cocoa powder and watercress. 

You also need sufficient levels of other nutrients like Zinc, Selenium, and Omega 3 fatty acids.
Natural PCOS treatments, and natural thyroid treatments are very effective.


I know, regardless of your current weight and health challenges, you can make positive progress toward reaching your ideal weight. It is possible, and it is worth it!

SUMMING IT UP
So, this is the frustrating story for many with PCOS. They gain weight quickly and struggle to lose it as a result of:

  • Difficulties with insulin
  • Slower metabolic rate
  • Disordered appetite control

Thankfully, though, this isn’t the end of the story and there are some things you can do to help lose weight. Yes, losing weight is important in managing your symptoms, but it isn’t an easy road. If you are struggling with weight loss, take heart that it’s probably not through lack of trying and it’s not all in your head. Your fight to lose weight is real and it is shared by thousands of other women who also have PCOS!

You Can Do It!


Culled and edited. Images: Google

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