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[–]OrneryStruggle 4 insightful - 2 fun4 insightful - 1 fun5 insightful - 2 fun -  (0 children)

Yeah I'm at this point too. The pandemic restrictions here were severe and I couldn't see the doctor (I was supposed to get on metformin in february but haven't been able to contact a doctor since), go to the gym or purchase any home exercise equipment so I gained all the weight back I'd lost with great difficulty over the preceding year (some 40lbs or so). I had lost it by going to the gym and lifting heavy 5-7 days a week, other exercise and a really strict diet. I kept up the strict diet but the heavy lifting was obviously necessary to maintain the weight loss, and I have over 100 to lose (was misdiagnosed for 7 or so years and put on diets and medications that made me gain about a combined 70lbs on top of the initial PCOS weight gain). I feel like I will never claw my way out of this hole now. I used to be a model, do multiple very taxing sports at a competitive level, and most of my hobbies were athletic or active in nature. Now I have given up almost everything I used to love, I feel ugly and unwell all the time, and my constant severe insomnia/exhaustion have made me drift from many of my friends who still do the "fun" things I no longer can.

Recently gyms reopened and I lost 20lbs in under a month though, honestly on a torturous diet fasting completely 3-4 days per week, eating low carb/OMAD the other days, and working out heavily almost every day, but I'm trying not to give up. You probably shouldn't either because giving up seems more miserable than perservering.

[–]BettysBitterButter 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

How is your thyroid? Have you had it tested?

[–]jet199 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (1 child)

Frankly I think losing weight is completely the wrong goal for PCOS.

Rather look to get your insulin spikes under control and if you lose weight as a result then it's a bonus.

The trouble is that everyone's body reacts differently to different foods. https://www.sciencedaily.com/releases/2015/11/151119133230.htm So if you follow a diet which worked great for someone else the chances of it working for you are quite small. Then you have the problem that many diets try to fix that by outlawing all carbs when that's unnecessary and unsustainable.

You need to get yourself a cheap blood sugar monitor. Set aside a week or two where you are eating a different carb every meal (so cereal for breakfast, bread for lunch, pasta for dinner and a different set the next day) and 2 hours after eating check your blood sugar and everything that gives you a reading over 8 you need to cut back on. This means you'll have a whole set of carbs you can eat.

The trouble is with PCOS you have to work out your treatment for yourself, the doctors are so behind and don't care. This is why it feels hopeless. But once you start on the right plan for you it does get better. However it will take a couple of years of trial and error to get it right and get your body back to normal-ish health.

[–]OrneryStruggle 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

Not the OP but jumping on this, I have a home blood glucose monitor and my blood glucose is never above 7 for any reason, even after eating carbs. However, cutting refined carbs almost completely out of my diet has helped me a lot, so IDK if blood sugar readings are the best proxy for this. Trial and error with how I was feeling and my weight led me to eating low carb.

You are right that people react completely differently to different diets and doctors don't know shit about this disease, but it's so hard (even as a scientist myself who is able to read studies and cut through a lot of the nonsense suggestions) to figure out how to treat yourself, and it's very dispiriting.