Healthy Living

Tuesday, December 15, 2009

Weetabix gets up close and personal about PCOS

I'm so lucky to write for such an amazing community and wanted to take a moment to address some questions that have been raised about my recent trips to a nutritionist.

I didn't really get into the reasons behind this decision, but you've all been so amazingly supportive that I should probably be a little more forthcoming about the details. I was diagnosed with Polycystic Ovary Syndrome (PCOS) many years ago. While I have proven via food journals that I'm eating under 2,000 calories every day (which, according to their charts, means I should be losing weight just doing my daily life and moving this much weight around), and my blood tests show that I'm not diabetic or pre-diabetic (whatever that means), people who have PCOS tend to have insulin resistance and weird reactions to carbs, as well as fatty livers.

That's such a weird diagnosis: fatty liver.
Like, how do they know? Does my liver have a hard time fitting in movie theater seats? But, ah well, it is what it is. Actually, while my liver numbers were on the high side of the totally acceptable range, apparently these test results can fluctuate a lot, depending on what you're eating that week. Regardless, when I had the blood test, my liver wasn't fatty, but it was definitely a curvy liver. Anyway, the experts recommend a serious carb-restriction for someone with PCOS, although from what I've read on the PCOS issue and ideal nutrition plan, things like brown rice and fruit are okay.

If you have infrequent periods, acne, or other seemingly minor symptoms of polycystic ovary syndrome, your health may be at risk.

Now let's talk about some ancient history: I lost about 75 pounds six years ago, through eating a lot of fruit and Special K, abstaining from sugar and getting a lot of exercise. Then it slowly but surely started creeping back on when I went back to eating things that weren't fruit or Special K (gee, really?).

I'm probably back to the same point with activity that I was back then, but instead of losing, I'm still gaining. The only thing that's different is that I'm eating more calories now, somewhere around 2,000 rather than 1,200, which is far too low for my body weight, according to the logic behind the Weight Watchers Points system (which I'm not following, but whatever). With the weight gain on what should have been a weight-loss calorie intake, it was time for me to do something because something was out of balance.

Also, I don't want a fatty boom batty liver, hence the talks with the nutritionist. I understand that it's very possible that my increasing weight is due to some kind of metabolic syndrome (I have some of the markers of this, according to Dr. Google), too, or possibly a thyroid issue. There are a lot of questions, obviously.

Mostly, though, the nutritionist is a sanity check before I start getting into some serious medical testing. Also, I believe firmly that if you always do what you always did, then you'll always get what you always got. Ok, no more platitudes.

However, I hope to hear from other people who might be dealing with similar issues, so if you have some theories or suggestions, let them rip in the comments. Also, any tips for practicing positive liver image would be appreciated! (Just kidding.)




Related: When you're sick, you want answers, but sometimes the first diagnosis isn't the right one. And the wrong one can be deadly. Learn what you can do about it.

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Comments 1-6 of 6
  • medieval girl's Avatar
    Posted by medieval girl Mon Oct 6, 2008 6:57am PDT

    Hi, I sympathize with your problem, because I think I have something similar, which I'm trying to figure out. How do you know you have PCOS? My symptoms are: infrequent periods, sudden weight gain, mood swings, and constant mild pressure in my lower back. Do these sound familiar? The weight gain is crazy making, because I'm somewhat rigid about my diet/workout schedule, and have been following it for years, and staying at the same weight. Suddenly, I'm eating less, working out the same, and weighing more, which is hard to get doctors to even believe, much less take seriously. I am looking for a new doctor to try and I'll post any results as I receive them. So far, not diabetic, no thyroid problem.

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  • Jodi's Avatar
    Posted by Jodi Mon Oct 6, 2008 9:34am PDT

    Wow... great article and I too have been interested in PCOS for some time now. It is such a odd and difficult thing to diagnose. i have been in for the insulin test but we saw not result. Also, my FSH/LH seemed to be ok. I eat between 900-1200 calories a day, jog 4 mi at least 5 days a week and restrict my carb intake. Still, I am not a little girl still. I am about 140 lbs and 5"8. It is amazing the difference in my body when I consume the same exact amount of carbs in a sugar for in comparison to a whole wheat or fruit form. My belly will pack on the pounds while the rest of my arms, legs, but, etc. stays the exact same size. I too have been thinking about seeing a nutritionist. Thank you for the article. Maybe I will get more serious now.

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  • K C's Avatar
    Posted by K C Mon Oct 6, 2008 12:44pm PDT

    hi! I like your article. I also have PCOS. I found out right after I graduated High School. On top of that they found out that I am insulin resistant. I had/have acne and I had a weight problem and I never at much. Come to find out with my insulin resistance my body produced the sugar but didn't break it down and converted that sugar into stored fat around my midsection. The Dr. put me on insulin meds called Glucophage when i first started college and I dropped the weight pretty quick. Just something to keep in mind if you have PCOS but can't lose any weight.

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  • PennyK's Avatar
    Posted by PennyK Tue Oct 7, 2008 6:43am PDT

    First off, "fatty boom batty liver" is quite possibly the funniest thing I've heard, well, ever. Secondly, PCOS is a b*tch to deal with and I feel for anyone who has it; my derm thought I might be at risk due to my acne, but my periods and such are fine, so it's a no go. Jodi T- 5'8" and 140 lbs sounds about perfect...why are you so hard on yourself? Ease up girl! And finally, Wheetabix, maybe you could do some meditation and envision a slim, toned liver and tell yourself "I am worthy and so is my liver!!" for an uplifting detoxifing organ image. Maybe not? Ok, so I tried...

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  • Amy's Avatar
    Posted by Amy Tue Oct 7, 2008 12:43pm PDT

    Three words for you: Metformin, Metformin, Metformin. It's a miracle drug for cysters. I dropped 40 lbs without changing my diet or exercise habits. It's designed for diabetics, but works wonders for those of us who are insulin resistant. If what you're doing isn't working, this med will help your body process sugar the way it is supposed to, and give you a sporting chance at some actual weight loss.

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  • Jasper's Avatar
    Posted by Jasper Tue Oct 7, 2008 7:14pm PDT

    Glucophage worked for me too. I was 3 years without a period and had gained 10 pounds. I do not fit the PCOS "typical" because I am 5'4 and weigh 120. My FSH and LH were flip flopped and this is what prompted my OB to send me to see an Endocrinologist who diagnosed me. I still have over 14 cyst bilaterally on my ovaries. After taking Glucophage for 6 months I started having periods again and lost 25 pounds without diet or exercise changes. My doc says Glucophage/Clomid combo should work on my fertility issues as well. Wish me luck!

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