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Pain_Warrior89

Updated 10mo ago

Dealing with PCOS and Weight Loss

just got back from a gyny appointment, they found I have found I've got PCOS, they want to do a laproscopy still to get rid of endo but I need to loose a stone first, she can see from log I'm barley eating so has said I need to ho through weight loss meds with gp...any information on PCOS or weight drugs please fill me in

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aldrwytch

1y

If you’re barely eating, most traditional weight loss meds (many of which focus on suppressing appetite) will probably work even more poorly for you than they do for most people. There may be other kinds out there now that I haven’t heard about, but even if there are, a doctor demanding weight loss from a patient, and especially a PCOS patient, is not a great treatment approach. I’ve had PCOS for at least a decade, and after trying almost every kind of weight loss method short of meds, I’ve done more and more reading and become both anti-diet and very aware of medical anti-fat bias. If any of the above is of interest, I’m happy to share resources around anti-diet, medical anti-fat bias, and how that applies to PCOS specifically—if not, I totally get it, but please do know that this is a heavily research-supported approach, and not just an opinion from the internet. Beyond that, PCOS is a repro condition, true, but is primarily a metabolic condition. So, PCOS is probably one of the significant contributors to your weight. Is the gyn starting pcos treatment for you, or have they discussed a plan? Weight gain is a major PCOS symptom, and it’s hormonally driven, and can potentially be linked to insulin resistance, which can lead to diabetes. Treating the hormonal imbalance and working on your metabolism should be a priority regardless entirely of weight, but of course, treatment depends on what else you have medically going on. If you haven’t seen one yet, I’d strongly recommend considering seeing an endocrinologist. At least in my experience, they often have a better understanding of PCOS as a metabolic issue and not exclusively the reproductive component, though even then, my treatment experience has been iffy. I’ve had a lot of people tell me to “just” loose a little weight, or brush off my symptoms…. so I’ve done a lot to educate myself, so I’d be able to advocate for myself. Shitty that I needed to, but, in any case if you’re interested in resources or have questions or want to chat, just let me know!
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dolphinblues

1y

that is very interesting, I would like some info on it please. When I was dx with PCOS, it was in the 90's. No one did anything for me except remove cysts and an ovary because it was entangled in cysts. No meds, no tests (other than ultrasounds), no hormone therapy of any kind. And they certainly didn't offer any type of information other than I will get cysts a lot, it will be painful and it will mess with my periods. My whole adult life my weight gain has never been linked to PCOS nor was my diabetes or facial hair. 😞 I have asked several times to be referred to an Endocrinologist, but was always denied. Now that I'm in my 50's and peri-menopausal, I'm wondering if it's too late to find more answers and help, or do the side effects continue. 🤔
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Pain_Warrior89

1y

@aldrwytch I just have no appetite at all,if I force my self to eat im physicallly sick also theyv given me 6months to lose 1 stone for surgery and put me on menapause injections
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aldrwytch

1y

So for one, this website is a really good source of info on many chronic conditions and specifically a weight-neutral approach to them, as well as why they do not support a weight-loss approach https://haeshealthsheets.com/
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aldrwytch

1y

Good PCOS specific info here— https://julieduffydillon.com/
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aldrwytch

1y

Christy Harrison in general is an amazing info source but this podcast episode is about PCOS specifically https://christyharrison.com/foodpsych/6/pcos-and-food-peace-with-julie-duffy-dillon
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aldrwytch

1y

Also, I would strongly recommend going to bat and trying again to get to an endocrinologist. Sadly and infuriatingly, not treating your PCOS properly for decades has probably had an impact that may not be reversible, but proper treatment should still be able to help manage symptoms better and improve your overall health now and for the future. It’s horrible, but a lot of people in your generation received this treatment because the research on PCOS is so lacking.
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aldrwytch

1y

Finding female doctors has been helpful for me. But depending on your situation and your doctors and etc, if possible, it might be helpful for you to bring someone with you to an appointment who can advocate for you, since it is disturbingly common for doctors to be dismissive of female, non-binary, and trans patients. If you want other resources or to chat, ask follow up questions, need advice or help, feel free to DM me any time, but hopefully this is a good starting point.
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Pain_Warrior89

1y

This is just another much cus atm I hate myself. I went from being a curvy size 8 a blob size 22

The content in this post is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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