Weight loss with PCOS

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Hello all!
I'm 20yo and was diagnosed with PCOS when i was 16 which means I have unbalanced hormones, fertility issues, and insulin resistance. I find is extremely difficult to lose weight unless I'm literally eating 1200 calories a day and doing cardio for an hr 5x a week. I'm weighing in at almost 290lbs and am desperate to lose weight to alleviate my symptoms and be healthy. I just want to know if any of you have PCOS and can share some of your struggles and how you have overcome or are attempting to overcome them. Any advice or support is much appreciated!

Much love,
Casi
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Replies

  • juliethebean
    juliethebean Posts: 1 Member
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    I have PCOS and have struggled with losing weight and getting pregnant. I find that cutting out simple carbohydrates makes a huge difference. I LOVE bread and pasta so it is hard for me, but when I can do it it pays off. What have you tried?
  • LKArgh
    LKArgh Posts: 5,179 Member
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    With PCOS you still lose weight, do not panic. Losing the weight will help with PCOS symptoms and insulin resistance. Track calories with a reasonable goal (not 1200 calories, set your goal to 1-2 lbs per week) and exercise. With 290 lbs starting weight, you should not be eating 1200 calories, it is so low it will not be sustainable. But make sure you use a food scale, and track every single thing you eat, at least at first, until you can get a better idea about calories per food item and portion. Physical activity, regardless of weight, is key to controlling PCOS, so try to do some sort of exercise daily (walking is enough, no need to become an athlete or up the intensity to the point you are exhausted). Just choose something you like, and commit to it.
  • Yi5hedr3
    Yi5hedr3 Posts: 2,696 Member
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    Yep - Low-carb possibly even Ketogenic diet is your only choice. Start by keeping carbs under 100 grams/day, and continuing your calorie deficit. It's the only way you will burn the fat.
  • ccyoda14
    ccyoda14 Posts: 5 Member
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    I have PCOS and have struggled with losing weight and getting pregnant. I find that cutting out simple carbohydrates makes a huge difference. I LOVE bread and pasta so it is hard for me, but when I can do it it pays off. What have you tried?

    I've stayed away from processed foods and tried to stay away from carbs as well. What I think is the issue though is not that I'm eating less carbs but the way in which I eat them. I'm thinking of trying to learn the GI in order to balance meals so that my insulin resistance can be kept in check. Im also a sucker for bread and sweets. One of my biggest fears is infertility which is why I'm trying so hard to lose weight and become healthy: for better odds later on.
  • ccyoda14
    ccyoda14 Posts: 5 Member
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    aggelikik wrote: »
    With PCOS you still lose weight, do not panic. Losing the weight will help with PCOS symptoms and insulin resistance. Track calories with a reasonable goal (not 1200 calories, set your goal to 1-2 lbs per week) and exercise. With 290 lbs starting weight, you should not be eating 1200 calories, it is so low it will not be sustainable. But make sure you use a food scale, and track every single thing you eat, at least at first, until you can get a better idea about calories per food item and portion. Physical activity, regardless of weight, is key to controlling PCOS, so try to do some sort of exercise daily (walking is enough, no need to become an athlete or up the intensity to the point you are exhausted). Just choose something you like, and commit to it.


    Yes I found out that 1200 calories was way too low. I'm not eating between 1400 and 1600. I've gotten really good at tracking everything I eat because sometimes I don't notice exactly how much more I'm eating than I should. After talking to my doc, he told me I need intense cardio, not just walking. I've been doing about 45min intense interval cardio and 15min strength training 5x a week and have been doing it for almost 3 weeks now. I'm feeling good, I just need to stick with it, but I feel like with pcos my motivation waivers just because of everything going against me. I know that sounds like an excuse and maybe it is but its a tough problem to overcome for me.
  • cizzim
    cizzim Posts: 2 Member
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    Even at 1400-1600 calories I'd say you're not eating enough which normally makes weight loss plateau. I think you should aim for at least 2000 calories a day considering your weight and how much you exercise. You're going to exhaust yourself at this rate- you're not giving your body enough fuel for all that exercise. as you lose weight you can slowly start cutting calories more but I definitely think you need to increase and I reckon you'll find you will start losing more weight. Good luck! :)
  • Vert_i_go
    Vert_i_go Posts: 1 Member
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    I'm quite lucky because i havent had the weight problems common to pcos. Although i am trying to drop a bit after a lazy period. So I'll leave that to the great advice youve already been given!

    I just thought I'd add that cutting carbs (mostly sugar) and upping protein helped me with some of the other issues. I dont sugar crash anywhere near as often, and generally time of the month has been better. I think partly because cutting sugar massively improved ibs symptoms.

    And actually thats how i stayed motivated despite my love of cake. Because i feel so much better most the time. I think 1200 cals might be too low, because if you knackered you'll find it harder to get the willpower to stick with it.

    But obviously thats a personal experience, and might not work for you.
  • cebreisch
    cebreisch Posts: 1,340 Member
    edited February 2016
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    I have PCOS and wasn't diagnosed until I was 35. My mother, who's been constantly badgering all my life to lose weight, asked my fertility specialist about my weight, and he told her what I've told her all along, "She's going to battle this all her life." BUT you can lose weight.

    Make sure you take the metformin or glucophage. That will help immensely.

    Track your food intake. A nutritionist once told me that if you watch your proteins, the fats/carb's will take care of themselves, and I've found that to be pretty much true.

    If you're going to have a snack, make sure you have a protein with it and eat that first. Proteins take longer to digest than carb's.

    Make sure you get in enough fiber.

    If you get stuck, it might be a good idea to talk to a nutritionist.
  • JackiLean
    JackiLean Posts: 62 Member
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    Recently, I went to a holistic nutritionist about my PCOS weight issues. He put me on a nutrition plan and I lost 20 lbs in 6 weeks.

    Basically, our insulin resistance stems from an overworked pancreas. This happens because it's trying to digest foods our body was never made to eat:

    Dairy
    Refined sugar
    Processed foods

    By cutting these out and eating 100% vegetable and lean protein diet (no nuts or fruits for the first 3 weeks), I was able to lose crazy fast. It's all about getting rid of bad yeast called Candida. That stuff is literally stopping your body from behaving normally. Our overworked pancreas is a symptom of this problem. Candida feeds off of sugar, so the more sugar you eat, the more you let your candida yeast thrive. It's gross.


    Good luck!
  • wesheets
    wesheets Posts: 90 Member
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    I stopped taking Metformin because of the horrendous gastrointestinal issues. I was only on 1000 mg/day. I'm now wondering if that's my only hope for weight loss....
  • LKArgh
    LKArgh Posts: 5,179 Member
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    ccyoda14 wrote: »
    aggelikik wrote: »
    With PCOS you still lose weight, do not panic. Losing the weight will help with PCOS symptoms and insulin resistance. Track calories with a reasonable goal (not 1200 calories, set your goal to 1-2 lbs per week) and exercise. With 290 lbs starting weight, you should not be eating 1200 calories, it is so low it will not be sustainable. But make sure you use a food scale, and track every single thing you eat, at least at first, until you can get a better idea about calories per food item and portion. Physical activity, regardless of weight, is key to controlling PCOS, so try to do some sort of exercise daily (walking is enough, no need to become an athlete or up the intensity to the point you are exhausted). Just choose something you like, and commit to it.


    Yes I found out that 1200 calories was way too low. I'm not eating between 1400 and 1600. I've gotten really good at tracking everything I eat because sometimes I don't notice exactly how much more I'm eating than I should. After talking to my doc, he told me I need intense cardio, not just walking. I've been doing about 45min intense interval cardio and 15min strength training 5x a week and have been doing it for almost 3 weeks now. I'm feeling good, I just need to stick with it, but I feel like with pcos my motivation waivers just because of everything going against me. I know that sounds like an excuse and maybe it is but its a tough problem to overcome for me.

    Realistically, no one ever gained hundreds of lbs because of PCOS. 10 lbs, maybe. So yes, this part is an excuse. It sounds like you are on the right track, so do not let your mind play tricks on you. Be patient, it sounds like you have a good plan.
  • thin1dayplease
    thin1dayplease Posts: 291 Member
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    I have PCOS. You CAN lose weight with PCOS!!

    Have you looked into a low GI diet? I personally don't stick to it rigidly, but I have swapped to wholemeal bread and grains rather than white. I have found a great difference since using this. Carbs and sugar both cause spikes in insulin. Keeping these to a minimum in my diet helps me.
  • jenshaver64
    jenshaver64 Posts: 1 Member
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    Research Ketogenic diet. My sister suffers from PCOS and follows a ketogenic diet. Basically it is low carb, high fat and moderate protein (no sugar, breads/grains). It works wonders for her and she has been eating this way for 30+ years now and is a mother of two children.
  • lynz4589
    lynz4589 Posts: 389 Member
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    Ive lost 7 stone so far in total. With PCOS. I too at the start was eatin 1200 and exercising every day God gave me but soon realised it wasn't healthy. I eat between 1400-1500 cals and exercise at gym every other day for 60-90 mins and walk on the nights im not at gym! I use fitbit which is a great help too! It is possible and wish I could write more but Im in work and wary of my manager noticing a change in my typing speed and pattern lmao but feel free to add me or pm me and I can chat further after work :)
  • silverarcheress
    silverarcheress Posts: 125 Member
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    I have PCOS and started at 260lb and now down to 185lb. I did it by going down to 1500-2000 calories a day, having protein rich breakfasts and dinners, saving my carbs for lunch. I do light exercise most days for 30-60min, either walking or cycling on a stationary bike. Then a couple of days a week I'll do running or a dance class. This has taken me 2 years to do, with a few plateaus of 3-4months before I started recording and weighing food to kickstart myself again. My symptoms started to improve massively after losing the first 2 stone. I don't know if it's particularly harder for me to lose weight with PCOS though. I think I'm lucky in that I was never put on any long term medication to manage it and I'm glad as the diet control is better. The big trick for me was switching all white pastas, rice etc to wholegrain and making sure I weigh it!
  • LosingIt2022
    LosingIt2022 Posts: 47 Member
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    I have PCOS, and never have trouble losing weight if I stick to my calorie limit. I dont pay any attention to macros, but I have read that low carb/GI diet can be helpful.

    My problem is sticking to plan, I seem to get derailed, binge and never find my way back until I've piled all the weight I have lost back on, and then some. Whether this is due to PCOS or my lack of self control, I'm not sure but my gut says its the latter.
  • Jenfromtheblock84
    Jenfromtheblock84 Posts: 140 Member
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    Just wanted to chime in here as well. I also have PCOS and was diagnosed at 20. At 26 my doctor told me I would probably not have kids and I spiraled up to 268lbs, after getting down to 207lbs I got pregnant back to back and now have two beautiful babies 2-3 yrs old. After the pregnancies though I gained all the weight back plus some. I started out at 280lbs. I've worked my way back to 234lbs so far but it's different this time because I'm not fad dieting. I'm eating healthier with less processed food and more exercise so I know this time it WILL stick. You can do this and like @aggelikik said don't let your mind play tricks on you. Acknowledging and understanding that it is harder but achievable is the first step.
  • Moonlightcellist
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    I was diagnosed with PCOS 10 years ago while ttc my daughter. I thought the PCOS only affected my fertility. I began seeing a new family doctor this past October and she told me my PCOS was out of control. My heavy periods caused severe anemia. She prescribed iron shots, daily iron supplementation, and a low carb diet. My daily carbs are under 35 and sugars under 60. Three months later I went down 2 sizes but my weight loss was only 3 pounds. I asked for metaformin and we will re-evaluate in two months. Now that my iron levels are going up I'm planning on adding a workout routine.
  • thiosulfate
    thiosulfate Posts: 262 Member
    edited February 2016
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    I was diagnosed with PCOS when I was 19. Heavy periods (My periods could and would last up to 3 months continuously) caused severe anemia, but that's about it for me. I'm eating 1800 calories daily and still losing 2+ pounds per week. I eat as many carbs as I like since my doc hasn't told me to do otherwise.