Weight Loss With Pcos

 Weight Loss With Pcos

Weight Loss With Pcos


PCOS or Polycystic Ovary Syndrome is the most common hormone related problem in women worldwide.


Number one: PCOS is the number one most common cause of infertility due to ovulation problems but is also the cause of many other health problems in women. Being overweight or obese does not cause PCOS. In fact, PCOS is only slightly more common in obese women than in normal weight or underweight women.However, being overweight can make the problems associated with PCOS worse and harder to get rid of. It is generally well accepted that weight loss can improve some, but not all, of the problems that are due to PCOS. In fact, some studies have found that only a 5% loss in your weight can result in improvements in the symptoms of PCOS.


• There is little agreement, however, on the best diet for PCOS. There are many problems with diet studies for PCOS. These tend to be the same types of problems we encounter in any weight loss study. One of the biggest problems is patient dropout. It is not unusual to have more than half of the patients in these studies leave the study before the end.


• This means that the results are based on only a fraction of the women studied. This is really important because in a weight loss study, drop out may be due to the fact the diet was difficult to maintain and therefore would be less likely to work in the real world. Problem



 Number two: is that many of these studies are very short, usually around two to three months. A particular diet may look great for 8 weeks but not be nearly as effective after say 5 years. Diet studies can also be difficult to compare because they dont always measure improvement in the same problems in the same way. For example, some diet studies in PCOS may have weight loss as an endpoint, others may measure improvement in certain blood tests and still other may measure ovulation. 


This is an important point because a certain diet may be good for improving one type of problem but have no effect on another type of problem. A final problem with these studies is that they don't always use the same criteria for diagnosing PCOS. Remember PCOS is a syndrome which means there are lots of different signs and symptoms. Not all women with PCOS have the same symptoms or problems Lets talk about some specific diet regimens. Since there are so many of these diets and so many recommendations form websites and channels, I am going to focus only on the diets that have the best quality scientific evidence to back them up.


• I do not list these in any sort of order This diet was originally created as a means to help people with high blood pressure. DASH stands for Dietary Approach to Stop Hypertension. The DASH diet is rich in vegetables, fruits, whole grains and low-fat dairy products, as well as low in saturated fats, cholesterol, refined grains and sweets. This study compared the DASH diet with another low calorie diet in women with PCOS and found that women on the DASH diet achieved greater weight loss and had lower levels of one type of androgen hormone and higher levels of antioxidants.


 This website has detailed information about getting started on a DASH diet The soy diet involves eating foods that are derived from soybeans. Soy foods are a good source of plant based proteins, have no cholesterol, are high in fiber and low in saturated fats. Soy foods also contain high levels of a chemical called isoflavones.


• This study compared a soy diet to a similar diet but with a higher percentage of protein from animal sources instead of soy. Those on the soy diet showed greater improvements in weight, some androgen levels, measures of insulin resistance and antioxidants. This review of several studies found specifically that soy isoflavones reduced levels of testosterone in PCOS. 


• Info about a soy diet can be found here Pulses are dried edible seeds of the legume family that include split-peas, dry beans, lentils, and chickpeas. Pulses are high in fiber, complex carbohydrates and plant based protein and are low in fat. Pulses have a low glycemic index which means that it doesn't increase your blood sugar as much after eating them. 


• This study compared a pulse diet to the TLC diet. The TLC diet was created to help people reduce their cholesterol and contains veggies, fruits, breads, cereals and pasta and lean meats. One unique aspect of this study is that the women were not required to cut their calories. Women in both groups were encouraged to exercise and had monthly lifestyle counseling. 


• The Pulse diet was better at reducing blood pressure and triglycerides and improving cholesterol. When women were re-evaluated after 6 to 12 months, however, some of those improvements went away. Women in both groups achieved similar amounts of weight loss - about 5% but both groups experienced some weight gain again by 6 to 12 months This website has information about the Pulse diet Other types of diets I looked at did not have enough high quality scientific evidence for me to recommend. 


• This includes popular diets like low carb diets. In fact, a review of fifteen low carb diets did not find any benefit in hormones, metabolic measurements or weight loss None of the previous diet studies looked at ovulation or fertility specifically. In fact, there is surprisingly little data looking at the benefit of diet or weight loss directly in PCOS. In one study, subjects followed a low calorie diet whereby two meals daily were replaced with commercially available meal replacements. They compared overweight women with PCOS and those without PCOS. 


• Both groups lost the same amount of weight. This is important. It points out that there is no evidence that women with PCOS have more difficulty with weight loss. Even though both groups lost the same amount of weight. The women with PCOS ovulated only half as often. Weight loss, at least by calorie restriction, is less effective for fertility in women with PCOS. Data from a large PCOS study looked at whether weight loss by diet, exercise and medications before starting the fertility medication clomid, could improve the success of the clomid treatment. 


• They found that the ovulation rate on clomid was better. Women who delayed treatment with clomid to achieve weight loss first not only ovulated more often but actually had more live births What have we learned. If you are a woman with PCOS, there are a number of diets that can help you to lose weight and improve some of the metabolic problems associated with PCOS. 



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