Oh - and have you tried the supplement Myo-inositol?

Make sure you're doing well on water. Met and Spiro together amplified my dehydration majorly. I agree with @staciali - the insulin is likely at play some. My insulin levels have gotten high several times, but they don't affect my glucose enough to raise any flags, so don't listen to that argument.

Also, get the real thyroid tests done. As @HayleyAnne012911 said, her tests didn't come back showing issues, but you can have major problems for around 15 years before the problems show up on "standard" tests, because most doctors don't have the specialty education to diagnose this properly... With trigs like that, I'd say unless you have a super rare genetic thing going on, or eat starch carbs and sugary stuff often, you very likely have an underlying thyroid issue at play.

My IR (insulin resistance) and hypothyroidism combined with the PCOS make me a little crazy trying to do anything healthy, but I refuse to quit fighting.

Congrats on all your great progress so far (FABULOUS!!!), and I hope you find more answers...

@smarrell - Standard thyroid tests are TSH only, or TSH and Total T4 and/or T3 numbers. Without getting the Reverse number for T3, it's hard to get a good picture. THIS SITE has kind of a summary of the type of tests you should look at getting to get a good true snapshot of your thyroid health (some of the co-factor minerals aren't as important until you determine whether or not you have an issue), but personally, I recommend tests based on this "sub-page" within that site:







I don't worry as much about the saliva tests unless further testing is indicated, as those can be more expensive, etc.

On the pic that is green, in my opinion, for initial screening/testing, I personally recommend tests: 1 to 5 (5 being optional the first time around, but to me it suggests low stomach acid if low in that), and 7 to 9. Those are the ones I focus on having run at each appointment while I work to manage my numbers. The antibodies tests are particularly important, as are the reverse numbers, because they can show problems, even with the TSH appears normal. Additionally, that range is extensive and covers everything from birth to death. I've found through my doctor that at 40 years old, my TSH should be UNDER 2 (not allowable up to the nearly 4 "acceptable" on my lab's listed ranges - that's generally for young, growing kids). Someone else told me that "most" folks report feeling best at around a 1.5 number...

The reverse T3 numbers, when compared to the total and free numbers, and the T4 numbers can show you whether you're effectively converting from T4 to T3, which is what our bodies do... The antibodies can show problems long before the results show in the TSH number...as well that the T3/T4 comparison numbers... Hope this helps!

You're welcome. I just really want to pass on all the great info I've learned. I'm just finally getting my thyroid leveled out, and really, it's been a decade or more since I started having symptoms... If I can save a single person 5 hours of thyroid hell, I am so going to do it!

I would honestly fire that endo and get another one. Period. It is not worth it if a doctor puts down your concerns as unnecessary. "we can check your TSH." Um, yeah, this should be a standard test each 6-12 months for anyone struggling. And telling you your fasting insulin doesn't need to be tested??? When you are already on Metformin????? *sigh*

Other than water weight, the scale reflects what you did 2 weeks ago, not yesterday. Getting healthier is a lesson in patience queued up to test even the saintly!!

Okay, so rereading - make sure you're getting decent sodium with all that water. With all the extra exercise and activity, you're likely to need extra electrolytes: including sodium and water, etc. Additionally, any time you work a muscle, it will hold in water until it repairs/builds. So daily weighing will be hard without consistent activity and all that.

That being said, inositol is HUGE with leveling out hormones. Especially after children (huge adrenal stresses on the body) and as we age, hormones get all kind of wacky. Generally, this doesn't have any interactions unless you're using medication to stop cycles (implant like Nexplanon or whatever - or continuous BCP)...it'll try to fix that. Normal cycles are okay, it sees that as normal, even with BCP.

Magnesium is super important. It's used in about 900 body functions, and our soil and foods are so depleted.

Minimizing carbs - specifically sugars and grains - can help dramatically in thyroid support as well as normal PCOS nonsense.

Increasing fats (while lowering carbs) - is huge to support hormonal health.

Be sure you are getting enough protein to support all that activity.

Nearly everyone needs to supplement D3/K2 (other cofactors can help, but aren't super critical at first), B12/B Complex with Folate, etc. D3 is generally best taken in a combo with D3/K2/Magnesium/Potassium/Boron... B12 needs to be taken with B-Complex, or you can be stripped of the other B's. Iodine can be supplemented slowly and carefully (many folks are deficient, many are sensitive or allergic to certain forms, and if you have auto-immune thyroid issues - like Hashimoto's - which you'd probably know by now due to crazy symptoms, excess iodine can make it worse, but if you start slow and monitor, you can probably try it). Iodine taken with my thyroid meds has helped a lot. Low stomach acid can prevent you converting T4 to T3, which needs to happen... Low stomach acid is also a key component in not absorbing iron well. Selenium and such are other thyroid support supps, but that can get complicated.

Intermittent workouts (intensity followed by easy effort) and such like that are really good for PCOS, as is heavy lifting. Intermittent fasting is great, too. Even delaying a meal by an hour can have huge advantages. The less time insulin is active in our systems, the more "fat burning" time we have - but don't push it too far, not eating when truly hungry stresses out our bodies and adrenals....

I think those are the best "light" suggestions I have that don't really interfere much with anything else...

High protein (in general) is not a good idea. (Medical science remains "scared" of fat, despite multiple dietary plans PROVING it is safe, healthy, and productive when utilized properly.

High protein is very hard on your kidneys - and you will not be satiated. That is why if you are going low carb, you need to go high fat with moderate protein. If you have insulin resistance, excess protein can create further issues. Only carbs or fat can be used for energy. Protein is used for building muscles. So if you don't have carbs, and you don't have fats, you will destroy what is left of your hormones (they require fats for proper function), and you will always be hungry, and it will be hard to stay on plan.

That being said, I don't know anything about this plan specifically. Perhaps @Dragonwolf can provide some better and more scientific information.

Also, most endocrinologists have a "cancellation wait list." I'd ask to be put on that list instead of having to call back once a week or something. And that is both understandable and frustrating to be put off until November! Remember, most should offer a 5 minute consultation so you can ask general questions about their knowledge and preferences to see if you will be a good fit, prior to wasting your time and theirs on an appointment that may prove frustrating...

Best of luck!

Best of luck. If it is a ketogenic plan, meaning low carb, high fat, moderate protein, you should be good finding your way there, as long as the plans are flexible once you start to find your groove. I think we've linked a couple groups many of us are in for similar plans...

http://community.myfitnesspal.com/en/group/1143-keto

http://community.myfitnesspal.com/en/group/394-low-carber-daily-forum-the-lcd-group

These are two of my personal favorites. The first one is only ketogenic diets - and is less active. The second is any kind of active carb restriction from slow carb like South Beach to full on ketogenic and "carnivore" plans... And finding a doctor of any type is fabulous... Congrats on that!